Arthritis Matters Autumn 2012 by Nick Quirke

ARTHRITIS arthritisnsw.org.au MATTERS / AUTUMN 2012 RRP $5.95

ARTHRITIS AUTUMN 2012

& OSTEOPOROSIS The Nutrition Issue

Dr Joanna reveals nutrition secrets

WIL ANDERSON talks arthritis

MATTERS

STAYING HEALTHY

TIPS AND TRICKS FROM PEOPLE WITH ARTHRITIS

The Power Of Dairy

WHAT IS GOUT?

WHICH WOULD YOU CHOOSE? MAKING HEALTHY FOOD CHOICES

h s a l Sp

tis rthri A for

t s e g g i B s ’ y a t e s n e d i F a Sy b 2 Be part

m 01 centre 2 u Z a arch atic u u M q q 1 a 3 s p or t & A it y e rs v Saturday i n rie u

ua q c a m

Gymnasium

, North Road

0pm 3 . 3 at

SW yde N

2113

Number of calories gained while sitting by the pool or on the beach eating a Paddle Pop: 107. Number of calories you could burn by being part of Arthritis NSW’ Aqua Zumba Fiesta: 400. Be part of something never before seen in Sydney! On Saturday 31 March 2012, Arthritis NSW will host Splash for Arthritis – Sydney’s Biggest Aqua Zumba Fiesta. Join the party and hundreds of other people, both young and old, in an exhilarating event that incorporates dance and fitness moves with a fiesta atmosphere. Starting from 3.30pm, your efforts will help raise much needed funds for Arthritis NSW. Splashing, stretching, twisting, shouting, laughing, hooting and hollering is what you can expect. By participating, you will help raise much needed awareness about arthritis, which is a condition that can affect anybody, at any age. Register at www.arthritisnsw.org.au/splashforarthritis or call 1800 011 041 to be part of Sydney’s Biggest Aqua Zumba Fiesta.

Costs to enter are: $30 – Adults $25 – Students/Concession/Arthritis NSW members Bring your mates and be part of Sydeny’s biggest workout in a pool, to make a difference for people living with arthritis.

Fundraise for Arthritis NSW by participating in Splash for Arthritis! Splash for Arthritis encourages you to get active and turn your efforts into much needed funds for Arthritis NSW. We are asking for individuals and teams to participate in Splash for Arthritis, ask for sponsorship and raise money in the lead-up to the fiesta on Saturday 31 March. All you have to do is register and then follow the steps to create your very own online fundraising page. The process only takes a minute and you can upload images, post blogs and set yourself a fundraising target. Then, let your friends and family know and you’re on your way! For added motivation, raise over $100 and we will waive your entry fee to the fiesta AND the person who raises the most money for participating in Arthritis NSW’ Splash for Arthritis will receive a prize!

ARTHRITIS MATTERS / AUTUMN 2012

Contents

Calendar of Events

REGULARS

March 2012 Saturday 3: Kidsflix, Greater Union Cinemas,

From the CEO

Hot off the press

Shellharbour

Thursday 15: Rheumatoid Arthritis Program, North Ryde (6 weeks)

Q&A 6

Saturday 24: Kidsflix, Greater Union Cinemas,

Osteoporosis 11

Miranda

Nutrition 14

Saturday 25: Members picnic,

Lane Cove National Park

Kids Corner

Make a Difference

Board profiles

Out & About

Out of Joint

Local Happenings

Branch Listings

April 2012

Health & fitness

Tuesday 17:

FEATURES page

Arthritis Awareness Week

Monday 26:

JIA webinar

Friday 30:

Arthritis seminar, Bankstown

Saturday 31:

Splash for Arthritis

Sunday 22: William’s Walk,

Bondi to Bronte

Monday 30: Osteoarthritis of the Knee

Program, Blue Mountains (4 weeks)

Saturday 5: Kidsflix, Hoyts Cinemas,

Erina/Gosford

Nutrition & Managing Arthritis

Friday 25:

Arthritis seminar, Young

Friday 11 – Sunday 13:

Camp Twinkletoes

June 2012 Wednesday 20: Osteoarthritis of the Knee

Program, North Ryde (6 weeks)

The Power of Dairy Friday 22:

page

Afternoon tea with the Governor

May 2012

Focus on Arthritis: GOUT

page

Sunday 25Saturday 31:

page

Arthritis & Diabetes

Opinion: Healthy Eating

page

Arthritis seminar, Wollongong

NEXT ISSUE Out June 2012 Front Cover: Model: Danii Figueroa (ANSW member) Location: Store Espresso, Camperdown NSW Photographer: Nick Bowers

Do you have any feedback or suggestions for Arthritis Matters? If you do, e-mail info@arthritisnsw.org.au

ARTHRITIS & OSTEOPOROSIS

MATTERS FROM THE

CEO AUTUMN 2012

Arthritis NSW & Osteoporosis NSW Locked Bag 2216, North Ryde NSW 1670 1.15/32 Delhi Road, North Ryde NSW 2113

Phone: 02 9857 3300 Fax: 02 9857 3399 Web: www.arthritisnsw.org.au ABN 64 528 634 894 CAN 000587299 CFN 12845 Copyright© 2008 Arthritis NSW Arthritis Matters is mailed out to members and subscribers throughout NSW. Information & Helplines Arthritis: 1800 011 041 Osteoporosis: 1800 242 141 Challenging Arthritis Self-Management Program: 1800 332 131 Advertising: To advertise in Arthritis Matters call 02 9857 3300 Contribution and Advertising Closing Dates: Winter 2012: 11 May Spring 2012: 10 August Patron: Her Excellency Prof Marie Bashir AC, Governor of NSW President: Mr Greg Monaghan Vic President: Ms Judith Cantor Hon. Treasurer: Mr Dennis Messner Company Secretary: Mr Evan Manolios Directors Ms Diana Aspinall, Prof. Nick Manolios, Dr. Ben Marosszeky, Ms Cosi Pupo, Mr Neil Wildman Chief Executive: Karen Filocamo Manager Health Promotion & Service Development: Di Spragg Marketing and Fundraising Manager: Rob Novotny Marketing and Communications Officer: Kristine Snell Health Promotion Officer: Alex Jaksetic Business Manager: Michael Fazio Finance Assistant & Kidsflix Coordinator: Clarissa Jones Receptionist/ Information Officer: Ingrid Player Membership Officer: Melissa Denham Self Management Program Development Officer: Eloise Buggy Branches and Community Liaison Officer: Nena Doyle Executive Assistant: Brooke Jay Design: Sensory Creative Advertising Policy Statement Products and services advertised in Arthritis Matters are not necessarily recommended or endorsed by Arthritis NSW. Some readers may assume that anything advertised in these pages has been cleared, vetted or in some way approved by the charity. This is not so. Arthritis NSW is not equipped to test and approve products and services that are available to the general public. Please exercise careful judgment about whether the item or service is likely to help you personally, and where appropriate, take professional advice from your doctor or specialist before making a purchase. Whilst all reasonable care has been taken to ensure the accuracy of information inside Arthritis Matters, no warranties or guarantees are given nor any responsibility accepted by the publishers, its agents or anyone else involved in its production for any errors which may occur. Nothing contained inside is intended as medical advice – always consult your doctor regarding treatment or medicines.

In this issue we look at healthy eating and its importance in managing arthritis. Emerging evidence shows that the majority of joint replacement surgery is for people who are overweight or obese. Many people are just not aware of how much pressure even just a few extra kilos puts on hip and knee joints. By losing weight you can delay the progression of your osteoarthritis and help decrease your pain. You may even find you can avoid joint replacement, or at least delay it. Arthritis NSW and rheumatologists agree that using conservative strategies to manage arthritis (like weight loss, healthy eating and physical activity) is preferable to a major intervention like surgery, which can carry risks. If you’re in a lot of pain with your hips or knees, think about whether you might be carrying a few more kilos than you once did. Why not try some conservative strategies (like more regular physical activity and some low fat food choices) before you start talking about joint replacement surgery with your doctor. Having osteoarthritis myself, I know I’d do anything to avoid the surgical option, which is why I do my best to get regular physical exercise and I watch what I eat (well, most of the time!). Best wishes

Karen Filocamo

ARTHRITIS MATTERS / AUTUMN 2012

Hot off the press HEALTH REPORTER LAUNCHED: NEW HEALTH DAILY FOR AUSTRALIA

SWAP IT, DON’T STOP IT The Australian Government has launched a new phase of its Measure Up campaign to show Australians how they can take steps to help reduce their waist measurement and improve their overall health and wellbeing.

The Health Reporter is a daily news and opinion website focused on Australia’s health system created by experienced journalists from Australia’s leading newspapers and magazines.

http://www.healthreporter.com.au

NEW WEBSITE TO HELP THOSE WITH OSTEOARTHRITIS Arthritis Australia is developing a new interactive website to help those with osteoarthritis better manage the condition and its symptoms. It will provide information and treatment advice from experts as well as links to healthcare providers in your area who can assist with care. Funding for this new site is provided by the BUPA Foundation. The site will be launched mid-year. If you have osteoarthritis it will be well worth a visit as its focus will be on effective, evidence based care and helping you choose between treatment options. To get first access, register now at www.myjointpain.info

HEALTHSHARE Google is not the best place to go for medical advice, which is where Healthshare comes in. This Australian social network helps connect people with trustworthy health information, as well as others who share their experiences or interests. Within Healthshare there are three types of profiles – person, organisation and health practitioner – making it clear when you are talking to someone with credentials. See www.healthshare.com.au for more details.

The Swap It, Don’t Stop It campaign encourages people to consider swaps they can make in their everyday life to benefit their health and wellbeing. Key advice includes swap big for small (portion control); swap often for sometimes (occasional treats); swap fried for fresh; swap sitting for moving; and swap watching for playing. The Swap It, Don’t Stop It campaign will help you lose your belly without losing out on the things you love. For more details or to suggest a swap, head to

http://swapit.gov.au/

HOME MEDICINES REVIEW Do you know your medicines? If medicines aren’t used properly, or if the wrong ones are used together, the results can be serious. Each year more than 140,000 Australians have to go to hospital with problems caused by their medicine. It has been shown that in up to 69% of these cases the problem can be avoided. As a reponse to this problem, the Pharmacy Guild of Australia has developed the Home Medicines Review (HMR) Program. If you, or someone you care for, might benefit from having an HMR, talk to your GP or pharmacist about organising one.

Did you know we are on Facebook & Twitter? Like us on facebook.com/arthritisnsw or follow us at twitter.com/athritisnsw and find out the latest information regarding arthritis and osteoporosis in real time!

FOCUS

Q&A Welcome to Q&A, a section providing you with the opportunity to ask our specialist panel any questions you may have regarding arthritis or osteoporosis. If you do have a question, please e-mail us at info@arthritisnsw.org.au or call 1800 011 041. Please note: not all questions will be answered in the magazine.

Are fresh vegetables better than frozen ones? The nutritional difference between fresh and frozen seems to depend on the quality of the fresh vegetables. Vegetables lose goodness the longer they are out of the ground. Ideally, we would all be growing and harvesting fresh vegetables and herbs from our garden vegie patch, but this is not always possible. Interestingly, research has consistently found fresh vegetables to have similar nutritional value with frozen vegetables. Frozen vegetables are picked at the peak of their season and typically snap-frozen within hours of harvesting, resulting in a high retention of nutrients compared to fresh vegetables that have been transported long distances or that have been sitting for several days on a shelf or in cold storage. Frozen varieties can be a convenient alternative to fresh vegetables, particularly if you struggle to eat enough vegetables each day and are unable to make frequent trips to the supermarket to top up on fresh produce. They are easy-to-store and are not limited by seasonal availability. Having frozen vegetables on hand may help simplify meal preparation on days when you are experiencing symptoms of fatigue or where peeling and cutting raw vegetables is difficult.

If you prefer the taste and texture of fresh vegetables but can’t get to the shops on a regular basis, consider joining a local fruit and vegetable co-op or having your fruit and vegetables delivered. There are a number of companies where you can either order

a mixed box of seasonal fruit and vegetables or customise your selection. These companies visit the markets daily, ensuring that the produce you receive is as fresh as possible. Check out your local farmers’ market, if there is one close by.

To get the most nutritional value out of your vegetables, whether fresh or frozen: • Make vegetables the focus of as many meals as you can and aim for a rainbow of coloured vegetables to ensure you get a broad range of nutrients • Choose fresh vegetables that are inseason to minimise the length of time they are kept in commercial storage • Buy fresh vegetables in quantities that you can use quickly, rather than having soggy vegetables sitting in the fridge • Avoid buying bags of frozen vegetables that are iced together

in clumps, which may indicate mishandling during commercial distribution or storage • Frozen vegies retain most of their nutritional value for about six months, if kept at an optimal freezer temperature (-18 degrees Celsius) • Avoid letting frozen vegetables thaw out before cooking • Lightly cook vegetables to minimise nutrient loss during cooking. Microwaving, steaming or stir-frying is generally best.

References CHOICE. Are fresh vegies better? [webpage]. Sydney: CHOICE, 2007, http://www.choice.com. au/reviews-and-tests/food-and-health/food-and-drink/nutrition/are-fresh-vegies-better.aspx The Sanitarium Nutrition Service. Are fresh vegetables better than frozen ones? [webpage]. Sydney: ACP Magazines, 2009, http://aww.ninemsn.com.au/dietandhealth/ dietandnutrition/814345/are-fresh-vegetables-better-than-frozen-ones

ARTHRITIS MATTERS / AUTUMN 2012

Focus on arthritis:

GOUT Gout is a common form of arthritis that affects about 70,000 people in Australia It affects more men than women Gout is the result of too much uric acid in the blood causing crystals to form around the joints The condition is thought to be hereditary but being overweight can increase the risk of developing the condition.

Gout it is a common form of arthritis. The condition causes extreme pain in the joints – most often the big toe, feet, ankles or knees. The onset of gout can be very sudden; it can appear overnight. It’s considered a chronic and progressive disease. Gout results from the build-up of too much uric acid in the bloodstream – a waste product that the body normally rids itself of through the kidneys into urine. Although increased uric acid levels are usually due to the fact that the uric acid isn’t being properly flushed from the body, some people simply have higher levels of uric acid in their body, a condition called hyperuricaemia. An overload of uric acid forms small crystals that deposit around the joints causing inflammation, pain and swelling.

Lifestyle factors that add to the risk of developing gout include:

Men are more likely to develop gout than women and it usually affects men who are middle-aged. Gout is also hereditary and often several men in one family may be affected. To diagnose gout, doctors can take blood tests to measure the amount of uric acid in the bloodstream or can take a sample of fluid from the joint to confirm the diagnosis. With treatment, the symptoms of gout can be resolved within a week but without, the attack may persist. Another attack may not happen for months or even years. If gout is not managed well, the time between attacks may get shorter, the attacks more severe and the joints can be permanently damaged. The good news is that gout can be prevented, talk to your doctor to find out how or call our Information Line on 1800 011 041 to find out more. A gout factsheet is also available from our website, www.arthritisnsw.org.au.

• Being overweight • Drinking too much alcohol • Not drinking enough water • Eating certain foods that promote levels of uric acid, such as yeast-containing foods • Trauma e.g. from undergoing surgery • The use of some diuretics which cause the retention of too much uric acid • Strict dieting • Hormonal changes • Consuming too much fructose.

FEATURE

Nutrition for managing arthritis Lisa Simpson APD & Dr Joanna McMillan APD

ccording to estimates, arthritis affects 19% of Australians; this is a significant portion of our population. Globally scientists and researchers have been investigating a range of dietary factors that may help (or hinder) inflammatory states, but it’s important to note that there is no dietary cure for arthritis. Here is our take on some of the research and some practical tips to improve your diet. Omega-3 Fatty Acids and Fish Oil Omega-3 Polyunsaturated Fatty Acids (PUFA) are naturally occurring in plant and animal sources like linseed and oily fish. The human body needs to consume these sources, as our bodies do not produce them naturally.

For this reason it’s important to consume oily fish and/or take a fish oil supplement to ensure adequate levels. The levels required to produce a measurable change in arthritic symptoms is higher than can easily be achieved through diet alone. Using a high dose fish oil capsule or better still using liquid fish oil is the easiest means of getting enough.

The long chain omega-3 PUFAs docosahexaenoic (DHA) and eicosapentaenoic acid (EPA), have anti-inflammatory effects. Various studies into these effects appear very beneficial for the treatment of arthritis. These long chain omega-3s are only found in oily fish, in smaller amounts in lean meats (especially game and pasture-fed meats) and eggs. Plant sources of omega-3s are the shorter chain ALA which can be elongated to produce the longer chain fats, but only to a limited extent.

By contrast omega-6 PUFA (found in vegetable oils) produces arachidonic acid (AA), which leads to certain proinflammatory effects, not beneficial for the treatment of arthritis. To manage this, it’s important to consume greater amounts of omega-3 PUFA than omega-6 PUFA to tip the scales in favour of a less inflammatory state. Limit your consumption of seed oils and use olive, flaxseed or chia oil instead.

Olive Oil Mediterranean populations appear to have a relatively low incidence of arthritis compared to Australia, so it’s hard to ignore their diet and potential health benefits of a Mediterranean staple, olive oil. Olive oil contains large amounts of an omega-9 MUFA (monounsaturated fatty acid) called oleic acid. Metabolism of oleic acid produces eicosatrienoic acid (ETA). Similar to omega-3 products, ETA competes with omega-6 PUFA to a less inflammatory state. Studies of olive oil and its effects on arthritis are somewhat limited; however, with no side effects and a wealth of health benefits for the whole body, the inclusion of olive oil into your diet is relatively easy and one we recommend. Do, however, buy extra virgin olive oil as this is cold pressed and preserves all of the beneficial compounds in the olive fruit.

PRACTICAL TIPS:

• Consume oily fish such as salmon 2-3 times per week

• Drizzle extra virgin olive oil over roasted vegetables and fresh salads

• Add walnuts, chia seeds and flaxseed or chia oil to salads/vegetables • Consume wholegrain soy and linseed bread • Take a high dose fish oil supplement • Limit your use of vegetable oils and spreads and choose nut or olive oils instead

• Brush your pan/tray with olive oil when baking or stir-frying

ARTHRITIS MATTERS / AUTUMN 2012

Red Meat vs Vegetarian Several studies have explored the inflammation difference between red meat eaters and vegetarians. Certain studies have shown an apparent association between red meat and inflammation as it provides a dietary source of arachidonic acid (AA). More research into this area is certainly required, but a diet rich in plant foods is important for everyone and we encourage a diet that follows half a plate vegetables/fruit (with leaning towards more veg) for every meal. The elimination of meat may limit your intake of iron, zinc and B12, so we suggest eating more vegetable based meals but see no need to eliminate meat completely. Try including more fish and seafood meals, having at least one vegetarian meal a week and choosing lean red meat with plenty of vegetables in each meal.

PRACTICAL TIPS: • Have at least one meat free day each week e.g. ‘Meatless Monday’ • Include half a plate of vegetables/fruit at each meal • Use meat/protein alternatives like lentils, tofu and chickpeas in stir-fries, casseroles and soups

Green Tea

Vitamin C

Coffee

Nightshade Vegies

The anti-oxidant polyphenol compounds found in green tea are thought to reduce inflammation. Certainly worth trying, however, no human studies have proven green tea is effective for arthritis.

Some researchers have claimed that vitamin C found in fruits is particularly beneficial, but overall results into vitamin C are mixed. Include some vitamin C rich foods such as citrus, strawberries and green capsicum into your diet as part of a healthy diet.

Tested in only a few arthritis studies producing conflicting and inconclusive results. Our best advice is to consume in moderation, no more than two cups per day.

Vegetables such as potato, tomato and eggplant contain a chemical alkaloid called solanine, which reportedly triggers arthritic pain in individuals. There is no scientific evidence to prove this is the case, however, some people strongly believe that eliminating these vegetables does provide some relief.

FEATURE

MEAL IDEAS

Final Thoughts:

Breakfast: 2 poached omega-3 enriched eggs served

The best diet for arthritis is simply a balanced, healthy diet. Always choose foods close to nature and where possible avoid processed foods. It is important to acknowledge that extra body weight will increase the Snack: Fresh strawberries with a dollop of stress on joints, particularly the knees, hips and lower natural yoghurt. Sprinkle with chia seeds. back. So, if you are overweight, reducing your weight will minimise the stress on your joints and improve Lunch: Vegetarian salad using baby spinach, your general health and vitality. Gentle exercise is roasted sweet potato, chickpeas, also known to help with arthritis so be sure to move diced capsicum and crumbled regularly within your limitations. feta. Dress with flaxseed oil and a sprinkle of crushed walnuts. We would like to thank Dr Lisa Simpson and Dr Joanna with a slice of soy and linseed bread, steamed spinach, mushrooms and tomato

Snack: A selection of vegetable sticks with Âź

MicMillan for taking the time to write this article.

Dinner: Baked salmon fillet served with a side

You can see Dr Joanna McMillan as the resident nutritionist on The Today Show and also on Excess Baggage.

cup of hummus

of quinoa*, grilled asparagus, roasted beetroot and baby carrots.

* Quinoa is a tiny, nutritious seed that can be substituted for most cereals and is a good replacement for rice. It has a delicate, subtle flavour with a fluffy, creamy and slightly crunchy texture.

Now you can spend your time in the pool, not the changing room. ÂŽ

For details and a free info pack with DVD visit -

OSTEOPOROSIS

ARTHRITIS MATTERS / AUTUMN 2012

OsteoLink Goes Live

steoporosis Australia is delighted to have launched OsteoLink, an online and in-person social network specifically designed for people with osteoporosis. Developed by the International Osteoporosis Foundation (IOF) in collaboration with the University of Geneva and successfully launched in Austria, Sweden and Switzerland, Australia is now the fourth country to implement the program. OsteoLink aims to provide useful information and address many of the issues concerning those living with osteoporosis. A range of topics will be covered such as calcium rich recipes and the latest research in osteoporosis management. OsteoLink offers people an opportunity to share personal experiences with each other and form networks with those with similar interests. Readers can become members, which enables them to contribute to forums and blogs, ask questions and join groups. It is expected that the forums will be of particular interest to people living with osteoporosis, as members will be able to ask questions and share their insights on topics such as diet, supplements, medications and exercise. Chief Executive Officer of Osteoporosis Australia, Shelley Evans, said that OsteoLink is going to provide tremendous assistance to those with osteoporosis. Welcome to OsteoLink, the first social network dedicated to improving osteoporosis communications globally and locally.

Join the Conversation...

â&#x20AC;&#x153;Many people with osteoporosis feel isolated and have concerns regarding their condition. Being given the opportunity to have conversations on these issues, with others who are in the same situation, is sure to be a great help,â&#x20AC;? she says. Joining OsteoLink is an easy three step process and only requires a valid email address. People can choose to participate as little or as often as they like. Whereas some members will want to become actively involved in the forums and groups, others may just prefer to read the contributions of others. Readers can access OsteoLink on the homepage of the Osteoporosis Australia website, www.osteoporosis.org.au

OSTEOPOROSIS

The Power of Dairy

3 TO 4

SERVES

airy foods, such as milk, cheese and yoghurt, are one of five core food groups recommended for a healthy balanced diet. Dairy foods are a rich, and the most readily available, source of calcium in the Australian diet.

Getting three to four serves of dairy every day is relatively easy and something the whole family can get involved in. Here are some quick and simple ideas:

Calcium is best known for its essential role in building and maintaining healthy bones and teeth. Consuming enough calcium in childhood, adolescence and throughout adulthood may help bone mineral loss, thereby reducing the risk of osteoporosis later in life. Calcium is also involved in helping muscles and nerves to work properly, assisting blood to clot and regulating enzyme activity.

• top your cereal and milk with fruit flavoured yoghurt for a calcium boost

Eating three serves of dairy every day will provide most people with their daily calcium requirements. Adolescent girls and boys, women over 50 and men over 70 need an additional serve, that is, four serves a day.

• every time you have pasta, top it off with shaved or grated parmesan, tasty or mozzarella cheese • include a slice or two of cheese on your sandwiches • enjoy a tasty cheese and fruit platter at the end of a meal • snuggle up with a warm mug of milk before bed • throw together some seasonal fruit, yoghurt and milk for an energising fruit smoothie. Choose the reduced or low fat varieties of milk, cheese and yoghurt, where possible. If you don’t like drinking milk or eating yoghurt or cheese, consider: • adding milk or milk powder to soups, casseroles and sauces • adding cheese to pancakes, omelettes, pasta and vegetable dishes • using yoghurt with curries and in dips.

ARTHRITIS MATTERS / AUTUMN 2012

Beyond Bones

While dairy foods are best known for their calcium content, they also provide a unique package of nine other essential nutrients, which are important for healthy blood, nervous and immune systems, eyesight, muscle and nerve function, healthy skin, energy levels, and growth and repair in all parts of your body. References Dairy Australia. Dairy nutrients [factsheet]. Melbourne: dairy Australia, 2009. Dairy Australia. Three serves of dairy every day [factsheet]. Melbourne: Dairy Australia, 2008.

NUTRIENT

FUNCTION

Vitamin A

• Important for growth • Essential for healthy eyesight and skin

Vitamin B12

• Helps keep blood healthy • Assists in the formation of nerve cells

Riboflavin

• Helps release energy from food • Helps cells to function properly

Calcium

• Essential for strong bones and teeth • Needed for normal muscle and nerve function, and may help control blood pressure

Potassium

• Helps with blood pressure control • Important for nerve impulse transmission

Magnesium

• Important component in bone structure • Essential for energy transfer around the body

Zinc

• Aids wound healing •E ssential for normal growth and development of bones, the brain and many other parts of the body

Phosphorus

• Important part of the mineral structure in bones and teeth • Works with B vitamins to release energy from food

Carbohydrate

• Provides energy for the body

Protein

• Needed for growth and development • Helps repair damaged body tissues • Forms part of many enzymes and blood components • Essential for maintaining muscles

Nutrition

RECIPES

Do you have a healthy recipe you’d like to share? Simply post it to Locked Bag 2216, North Ryde 1670 or e-mail info@arthritisnsw.org.au.

CREAMY CRISPY FISH PIE

RICOTTA AND SPINACH CANNELLONI

INGREDIENTS (SERVES 4)

INGREDIENTS (SERVES 2 OR 4 AS AN APPETISER)

• 2 teaspoons olive oil

• 2 spring onions, finely chopped

• 1 leek, finely sliced • 2 cloves garlic, finely chopped • 2 cups Australian reduced fat milk • 1 teaspoon salt-reduced chicken stock powder • 2 tablespoons corn flour • 400g firm white fish fillets, cut into cubes • 300g broccoli, cut into florets, blanched

• 125g Australian reduced fat ricotta cheese • 50g spinach leaves, blanched and roughly chopped • freshly ground black pepper, to taste • 2 teaspoons chopped continental parsley • 1 fresh lasagne sheet (15cm x 30cm) • 1 cup good quality low salt tomato pasta sauce • 10g rocket, extra, for serving

• 1/2 cup frozen green peas, thawed

• 20g shaved Australian parmesan cheese, for serving

• 6 sheets filo pastry

1. C ombine spring onions, ricotta and rocket or spinach leaves. Season to taste.

• 2 tablespoons Australian reduced fat milk, extra • olive oil spray 1. Heat oil in a large frying pan. Add leek and garlic, cooking for 2-3 minutes until tender. 2. Pour in milk and stock powder, bring to a gentle simmer. 3. C ombine corn flour with 2 tablespoons of water until a smooth paste forms. Add to milk mixture and continue stirring over a low heat until thickened. 4. Add fish, broccoli and peas to sauce and heat through. Transfer mixture to a 2-litre capacity ovenproof dish. 5. Lightly brush pastry sheets with extra milk and layer on top of each other. Cut width-ways into 6 strips. 6. Scrunch each length of pastry and place on top of the fish mixture. Spray lightly with oil and bake at 180°C for 10-15 minutes, until pastry is golden and fish and vegetables are tender.

2. Cut lasagne sheets into four. Cook sheets in a large pot of boiling water for 3 minutes or until tender, then refresh in cold water. 3. Divide ricotta mixture evenly along the longest length of the sheet. Roll up to form a tube. Place in a 30cm x 18cm baking dish. 4. Pour tomato pasta sauce over cannelloni tubes and bake at 180°C for 20 minutes or until heated through. 5. Serve cannelloni topped with rocket and shaved parmesan.

ARTHRITIS MATTERS / AUTUMN 2012

GLAZED HOT CROSS BUNS Get the kids in the kitchen this Easter to help you bake these traditional Easter delights!

BARBECUED SALMON WITH RED ONION MARMALADE

INGREDIENTS (SERVES 12) • 4 cups plain flour

• 300ml milk

The sweet caramelized red onions provide the perfect contrast to the fish, in colour as well as flavor.

• 2 x 7g sachets dried yeast

• 2 eggs, lightly beaten

• 1/4 cup caster sugar

FLOUR PASTE • 1/2 cup plain flour

INGREDIENTS (SERVES 4) • 4 salmon steaks, cut 2.5cm/1in thick • 30ml/2 tbsp olive oil • salt and ground black pepper • fresh flat leaf parsley, to garnish FOR THE RED ONION MARMALADE • 5 red onions, peeled •60ml/4 tbsp olive oil • 175ml/ ¾ cup red wine vinegar • 50ml/ ¼ cup crème de cassis • 50ml/ ¼ cup grenadine • 50ml/ ¼ cup red wine 1. Brush the salmon steaks with the olive oil on both sides. Season the fish well with salt and ground black pepper. 2. Finely slice the onions or chop them if that is easier. Heat the oil in a saucepan and add the onions. Sauté for 5 minutes. 3. S tir in the remaining ingredients. Cook for about 10 minutes, or until the onions are glazed. Season well. 4. Brush the fish with a little more oil and cook in a ridged grilling pan or on the barbeque for 4 minutes on either side. Transfer to warmed plates and garnish with parsley. Serve with red onion marmalade.

Cook’s tip: If you cannot find crème de cassis and/or grenadine, replace both with red wine. Fish cooks on barbeques well, but make sure it is at least 2.5cm/1in thick to make it easy to turn when cooking. Source: M. Berriedale-Johnson, 2000, Cooking for arthritis

• 1 1/2 teaspoons mixed spice

• 4 to 5 tablespoons water

• pinch of salt

GLAZE

• 1 1/2 cups currants

• 1/3 cup water

• 40g butter

• 2 tablespoons caster sugar

1. Combine flour, yeast, sugar, mixed spice, salt and currants in a large bowl. Melt butter in a small saucepan over medium heat. Add milk. Heat for 1 minute, or until lukewarm. Add warm milk mixture and eggs to currant mixture. Use a flat-bladed knife to mix until dough almost comes together. Use clean hands to finish mixing to form a soft dough. 2. Turn dough out onto a floured surface. Knead for 10 minutes, or until dough is smooth. Place into a lightly oiled bowl. Cover with plastic wrap. Set aside in a warm, draught-free place for 1 to 1 1/2 hours, or until dough doubles in size. 3. Line a large baking tray with non-stick baking paper. Punch dough down to its original size. Knead on a lightly floured surface until smooth. Divide into 12 even portions. Shape each portion into a ball. Place balls onto lined tray, about 1cm apart. Cover with plastic wrap. Set aside in a warm, draught-free place for 30 minutes, or until buns double in size. Preheat oven to 190°C. 4. Make flour paste: Mix flour and water together in a small bowl until smooth, adding a little more water if paste is too thick. Spoon into a small snap-lock bag. Snip off 1 corner of bag. Pipe flour paste over tops of buns to form crosses. Bake for 20 to 25 minutes, or until buns are cooked through. 5. Make glaze: Place water and sugar into a small saucepan over low heat. Stir until sugar dissolves. Bring to the boil. Boil for 5 minutes. Brush warm glaze over warm hot cross buns. Serve warm or at room temperature. 15

OPINION

Ella Teuben

Rheumatoid Arthritis I was lucky that I didn’t have to change my diet but I did discover that when I cut out citrus fruits, the ‘fever’ spells diminished considerably. These days I can usually trace a ‘Tahiti moment’ to having eaten citrus or potato-related foods. Try adding or deleting one specific food item to your diet, for a week at a time, and see if you have any improvements or deteriorations.

Danii Figueroa

Rheumatoid Arthritis

HEALTHY EATING Tips and tricks from people with arthritis

There is no diet that can cure arthritis, but having a healthy, balanced diet is essential to maintain your condition. We asked six special individuals, all with some form of arthritis, how they stay healthy. Here are their secrets... Arthritis NSW does not endorse any of these diets as they come directly from our members. If you do consider changing your diet, please consult your doctor or nutritionist.

I’ve changed my diet to include more foods with omega, spinach (folic acid) and less acidic food. It is better to eat less processed foods that are fresh and organic. When I used to consume foods high in fat with no nutritional value, my joints hurt more and I was more lethargic than usual, that is why being disciplined and maintaining a good diet for my body and exercising is good for my condition. My tip to readers is find a diet that works for you, persevere until you find something that works well with your body. Do not give up!

ARTHRITIS MATTERS / AUTUMN 2012

Leon Goltsman Psoriatic Arthritis

When I was diagnosed I became more conscious about my weight (less weight on my joints), so I began consuming foods with greater nutritional value and lower saturated fats. I modified my eating behaviour patterns by eating more selfprepared meals and less fast-food takeaways. I like to eat everything in moderation and I like my food to ‘look pretty’, which means I like a colourful plate with some green, red, yellow, orange and white. Too much of one type doesn’t seem balanced so I almost design my plate to look like a work of art. My tip to readers is do some form of exercise, as it plays a major factor in ensuring I continue to maintain a well-balanced diet, because I know that when I don’t consume the correct foods my performance is greatly reduced.

Bev Bradfield

Osteoarthritis To maintain a healthy, well-balanced diet, I go to the gym three times a week and I use a professional healthy eating plan supplied by the gym. I find this is the best way to keep my arthritis pain under control.

Lorna Fitzpatrick Rheumatoid Arthritis

I don’t keep a strict diet but I eat very little red meat, white bread or processed foods. I feel foods containing additives and colourings contribute to my joint problems. I eat several servings of fish each week, as research has shown omega-3 reduces inflammation in the joints and I prefer not to take analgesics. I also eat lots of vegetables as well as chicken. By eating sensibly, it ensures regulating a stable weight which helps my joints as well as my general health. My advice is to experiment with your foods and include foods containing large amounts of calcium. Arthritis often means a more sedentary lifestyle due to pain and disability, leading to a risk of osteoporosis. I also recommend drinking green tea – it contains potent antioxidants which studies are showing may have a powerful effect in reducing the incidence and severity of rheumatoid arthritis.

My diet includes no intake of unhealthy foods such as iced cakes, donuts and fatty foods. Natural fats, such as those from avocados, nuts especially almonds and walnuts, olive oil, fish oil and tumeric are good and I have these regularly. Drinking plenty of water a day I find helps with

Shanneen O’Reilly Psoriatic Arthritis

I always limit myself when I eat out and wherever possible, try to eat whole grains such as brown rice, load-up on fruits and vegetables, and explore healthy recipes in the kitchen. By eating healthy, it ups my mood and energy levels, which arthritis really does affect negatively sometimes. My advice to readers is; try and get enough calcium with a fruit and yoghurt smoothie every morning, reach for snacks containing whole grains, try turmeric and cinnamon, as these have natural antiinflammatory properties and don’t be afraid to try something new!

my arthritis as well. I find that by keeping healthy and eating healthy foods daily keeps my arthritis under control. Accept who you are, accept your arthritis, then and only then you can move on to a better control of your arthritis and yourself!

ARTHRITIS & DIABETES

Arthritis and Diabetes

rthritis and diabetes are common chronic conditions that can often occur together. In Australia, two in five people with diabetes also have arthritis, with osteoarthritis being the most common form. The good news is that many of the lifestyle changes that help in managing diabetes, such as maintaining a healthy weight, keeping physically active and adopting a healthy diet, are also beneficial for arthritis. While arthritis and diabetes are not directly related they do share some connections.

Type 1 Diabetes

and rheumatoid arthritis Type 1 diabetes and rheumatoid arthritis are both autoimmune conditions and research shows there may be some genetic association between the two conditions, as well as other autoimmune diseases. People with rheumatoid arthritis also face an increased risk of insulin resistance which can increase their risk of developing type 2 diabetes.

Type 2 Diabetes

and osteoarthritis Age and excess weight are risk factors for both osteoarthritis and type 2 diabetes, and being sedentary or overweight can worsen both conditions. Excess weight puts extra strain on weight-bearing joints and over time they may become worn under the pressure. The pain and limited mobility associated with arthritis may also increase the risk of type 2 diabetes by making people less active, increasing the risk of weight gain. Diabetes may also cause musculoskeletal changes that lead to arthritis-like symptoms such as joint pain and stiffening.

Treating arthritis Medications

Arthritis treatment aims to reduce the pain, inflammation and stiffness associated with the disease and to slow or stop the progression of joint damage. Treatment includes medications such as analgesics (pain killers) and nonsteroidal anti-inflammatory drugs (NSAIDS) for inflammation. This can sometimes affect diabetes management, as large doses of certain anti-inflammatory medications may affect blood glucose levels in people with diabetes. For this reason, it is important to tell all your doctors about any medications or dietary supplements you may be taking.

exercise If you are overweight, losing weight can reduce the risk of developing both osteoarthritis and type 2 diabetes. If you already have osteoarthritis or diabetes, losing weight can improve your symptoms and slow down deterioration. Every kilogram of weight lost takes four kilograms of load off your knees, as well as helping to reduce blood glucose levels. Regular exercise is one of the most effective treatments for arthritis because it helps to maintain joint mobility and strengthen muscles, taking the load of your joints and making the joints more stable. It is also important in managing type 2 diabetes, as it can lower blood glucose levels and improve the bodyâ&#x20AC;&#x2122;s ability to use insulin. There are many activities that can be beneficial for people with arthritis including walking, warm water exercise, strength training and yoga or tai chi. Diabetes occurs when the pancreas no longer produces the insulin needed by the body.

Type 1 represents 10 to 15 per cent of all cases of

diabetes and is not caused by lifestyle factors. While the exact cause of type 1 diabetes is not known, it is thought that some people have a genetic predisposition for this condition and when exposed to a trigger the immune system then destroys the insulin producing cells in the pancreas. Symptoms can include excessive thirst and urination, unexplained weight loss, weakness and fatigue, irritability.

Type 2 is the most common form of diabetes, representing 85 to 90 per cent of all cases of diabetes. While it usually affects mature adults, more young people and even children, are being diagnosed. Risk factors include family history and being overweight. Often symptoms go unnoticed as the disease develops gradually. Symptoms may include blurred vision, skin infections, slow healing, tingling and numbness in the feet Reference: Arthritis Australia

CELEBRITY INTERVIEW

ARTHRITIS MATTERS / AUTUMN 2012

What was your first reaction to the diagnosis? Well it’s never particularly great in your thirties to hear you have the hips of a 65-year old lady. I did wonder if next he was going to tell me where I could get a new set of dentures and a box-set of the Best of Matlock.

How did you communicate your condition to your family and friends? Well my girlfriend was obviously already aware of the condition seeing that when I get out of bed in the morning it sounds more like the weightlifting at the Olympics (and takes about as long as the marathon).

Wil Managed Arthritis Widely regarded as the best stand-up comedian in this country, when Wil Anderson isn’t hosting ABC TV’s Gruen Transfer or Gruen Planet, he’s touring his live shows both here and abroad. Diagnosed with osteoarthritis in his early thirties, here he humorously recalls and explains his experiences and perspective.

What do you do to maintain your arthritis? The hardest thing for me was to find new ways to exercise. I had to stop running altogether and even cycling was painful, so now I try to walk every day, go to the gym as regularly as possible and swim when I can. I have taken anti-inflammatory medicines when the pain is really bad, but I don’t really like to take them regularly because of the side-effects.

What type of arthritis do you have?

Is there anything you can’t do anymore?

I have osteoarthritis related change on a background of femoroacetabular impingement. I don’t really understand what any of that means, but I know it is a fancy way of saying I have bloody sore hips!

How old were you when you were diagnosed?

Plenty! And even the things I can do take longer. This has been the hardest adjustment. I was quite an active person and the things I really miss are just simple things like going down to the beach for a jog. I was on holiday over Christmas and we hired some bikes to ride along the coast in San Diego and it was great fun, but the next day I couldn’t walk.

I first started feeling the pain in my early thirties. The problem has got progressively worse and in the last two years it’s been pretty constant pain.

You can catch Wil’s new 2012 show Wilarious in Adelaide, Brisbane and Melbourne. Tickets on sale now, visit www.wilanderson.com for details.

Kidsâ&#x20AC;&#x2122; corner

Healthy breakfasts for kids living with arthritis

ating a healthy well-balanced diet is important for children with arthritis, giving them energy, building strong muscles and bones and helping to maintain an ideal body weight. A nutritious breakfast that provides kids with adequate energy is a great way to start the day.

An ideal breakfast includes a fruit or vegetable, a dairy food and a wholegrain bread or cereal. Here are some ideas for a healthy breakfast that you can mix and match according to your childâ&#x20AC;&#x2122;s tastes and preferences and how much time you have in the morning. Your children might even like to prepare their own breakfast!

r aisin bread or fruit loaf, either plain or topped with ricotta cheese and chopped strawberries or banana

holegrain cereal (low fat, low sugar w varieties) with milk and freshly chopped or pureed fruit

+ + + +

warm porridge with milk, chopped banana or berries yoghurt topped with muesli style cereal and chopped or pureed fruit aked beans with wholegrain toast and b a small glass of water-diluted fruit juice

+ + +

holegrain muffins with a slice of w cheese and tomato and piece of fruit t oasted bagels with avocado and a glass of milk holegrain toast with a thin spread of w jam or honey, plus sliced banana and a small tub of yoghurt

f ruit smoothies, blended with milk, yoghurt, soft fruit and a sprinkle of wheatgerm

r for an on-the-go breakfast, take a o piece of fruit, a cheese stick and a few low fat crackers.

crambled, poached or boiled egg with s wholegrain toast and a glass of milk

If you have specific questions or concerns regarding your childâ&#x20AC;&#x2122;s diet or weight, speak to your doctor who can refer you to a dietitian for specialist advice if needed. Source: Nutrition Australia. Kids brainy breakfast ideas [factsheet]. Brisbane: Nutrition Australia, 2010.

ARTHRITIS MATTERS / AUTUMN 2012

Children’s Support Contact List Western Sydney Alex Roache P: 02 4576 6389 M: 0418 127 451 airoache@tpg.com.au

Outer West Jacki Janosi or Graeme Andrews

Camp

Twinkletoes

CAMP TWINKLETOES IS A FUN WEEKEND FOR CHILDREN UNDER 8 YEARS OF AGE WITH JIA, TOGETHER WITH THEIR FAMILIES. THIS YEAR’S CAMP IS ON FROM FRIDAY 11 MAY TILL SUNDAY 13 MAY.

P: 02 4782 6841 jackiejanosi@tpg.com.au

Southern Sydney

MANY THANKS TO SAN SOUCI SOCCER CLUB WHO RAISED OVER $5,800 FOR ARTHRITIS NSW AND KIDS WITH ARTHRITIS

Leanne Minny M: 0409 223 212 mlminny@optusnet.com.au

Central Coast Kate Dives P: 02 4328 2727 M: 0402 826 027 Jodie Lincoln P: 02 4328 3278 Jodiel9@bigpondd.com

PUZZLES sudoko

(answers pg 27)

spot the difference (answers pg 27)

Make a difference

In memory of the beautiful little boy,

WILLIAM Lauren Harris

Arthritis NSW has joined forces with my husband and I to get the word out about kids and arthritis, by hosting William’s Walk on Sunday 22 April 2012. You may have read in previous editions of Arthritis Matters about my beautiful little boy William. William Harris was born 12 November 2004. He was a son to David and Lauren and brother to Taylor, Jhai and Makaylah. He was adored by everyone that had the pleasure to meet him. He was bold, charming and at times highly opinionated. William suffered from the chronic pain of arthritis and was diagnosed on 9 May 2006, with systemic onset JIA. He never crawled or walked properly and suffered from spiking fevers and a rash. His day-today life involved painful, swollen and stiff joints. Nobody will ever truly understand the pain of watching their five year old son crawl up the hallway, because he couldn’t walk. He knew he was different and at times he would ask why he got arthritis. There are some questions that are just too hard to answer.

Sadly our beautiful little boy left this earth bound for Heaven on 17 April 2011. William was six years old. Our lives will never be the same again and we live with a constant reminder that kids get arthritis too and they can indeed die. Arthritis NSW has formed William’s Wish to raise awareness and funds for kids with arthritis. The first activity is William’s Walk, which will be held on Sunday 22 April 2012, starting from Bondi Beach and finishing at Bronte Beach (4km walk). Our aim is to get as many people there as possible, to raise awareness with the media and amongst the community, as well as raise much needed funds for Arthritis NSW and to remember William. I knew that William was far too loud in life to ever leave quietly, and I don’t want the world to forget him and the countless other children who suffer every day. If you can attend this event, please do. Please also let your friends and family know. Thank you.

LOCATION: Bondi Beach to Bronte Beach

LENGTH OF WALK: 4 kms DATE: Sunday 22 April 2012 FROM: 11am PRICE: From $15 for ANSW members and children. From $25 for non-members

www.williamswalk.org.au or call 1800 011 041

WHY: To remember William and support kids with arthritis

Want to fundraise for kids with arthritis? We are looking for dedicated individuals or teams who would like to get together and raise extra funds for kids with arthritis. To set up your own fundraising page, please visit www.williamswalk.org.au or contact 1800 041 011. Supported by

Event Partner

Media Partner

ARTHRITIS MATTERS / AUTUMN 2012

Be one of 10 people to receive the golden ticket for this yearâ&#x20AC;&#x2122;s City2Surf Arthritis NSW has just announced its partnership with RealBuzz, to offer our supporters the opportunity to run in the City2Surf 2012. This opportunity allows you to participate in the special Golden Charity section of the race and raise much needed funds for the cause. The City2Surf is a 14 kilometre run which has become a tradition of Sydney. Held every year on the second Sunday of August, the run starts at Sydney CBD and finishes at the world famous Bondi Beach. We have 10 exclusive golden charity passes for any individual who would like to run the City2Surf and be a part of the Arthritis NSW running team. You may be lucky to run next to a few celebrities as well! For further information, please contact Rob Novotny at rnovotny@ arthritisnsw.org.au or 1800 011 041. Further information can also be found on our website www. arthritisnsw.org.au.

When: Sunday 12 August 2012

Making the most of claiming your medical expenses Saeed Mirzakhani, Director of CharterNet As a member of Arthritis NSW, you most probably know how much your medical expenses add up in one year. Did you know, however, that if your net medical expenses exceed $2,000 for the financial year ending 30 June 2012, then you may be eligible for a 20% tax offset for all amounts over the $2,000 threshold? Your net medical expenses are the balance you have paid out of your pocket after health insurance and Medicare subsidies. The offset may be used to claim medical expenses for yourself, your spouse and dependent children under 21 years of age.

Price: $250 to register, but if you raise over $1,000, the fee will be waived

Medical expenses that can be included as part of the tax offset need to be paid to legally qualified doctors, nurses, chemists and public or private hospitals. This can be extended to residential aged care expenses, such as nursing homes or hostels for approved care.

There are certain expenses, which do not qualify as medical expenses eligible

Where: Sydney CBD Why: Register before it opens to

the general public in May and raise money for Arthritis NSW

for the offset, including cosmetic procedures, therapeutic treatments without doctor referrals, nonprescription vitamins and health foods. To claim the offset you will need details of medical expenses you have paid and details of rebates you have received from Medicare and your private health insurer. To help you work out your net medical expenses, you can ask for an itemised statement from Medicare, your private health insurer and the chemist/s where you have had prescriptions filled. Please contact CharterNet on (02) 9233 3305 or team@chartered. net.au for any assistance relating to the medical expenses tax offset â&#x20AC;&#x201C; we are always happy to help. This is a new column in 2012 for Arthritis NSW. If you have an accounting, taxation, superannuation question or just need some general financial advice, e-mail Arthritis NSW at info@arthritisnsw. org.au or phone 1800 011 041.

BOARD PROFILES

meet the board President:

Mr Greg Monaghan

We are fortunate to have the support of a diverse range of dedicated people who fulfill the role of Board Directors in our organisation.

Greg is a career banker specialising in Automatic Teller Machines and other cards and electronic banking media. He also has severe osteoarthritis in his knee as a result of sporting injuries. Greg became involved in Arthritis NSW through his mother Enid Monaghan, a 30+ year member of Arthritis NSW with severe rheumatoid arthritis.

Judith has extensive experience in direct and interactive marketing, website management and development, relationship and database marketing, media relations, event management, and print, TV and radio production. Judith joined the Board in late 2010 after a period of working with Arthritis NSW on its marketing and fundraising strategy and practice.

Hon. Treasurer: Mr Dennis Messner

Ms Judith Cantor

Dennis is a qualified chartered accountant and runs his own accountancy practice. Dennis joined the Board in 2006 and has a desire to add business and commercial experience to the organisation. He also has a personal interest and understanding of the needs of arthritis patients as his mother has severe arthritis.

Evan is a practicing lawyer in a commercial law firm. He sought the role of Arthritis NSW Company Secretary as he had an interest in working for a not-for-profit organisation that was making a positive contribution to the community.

Vice President:

Company Secretary:

Mr Evan Manolios

ARTHRITIS MATTERS / AUTUMN 2012

Director: Diana Aspinal

Diana joined the Board in 2005. She is a registered nurse with post graduate qualifications and experience in health promotion planning and program development. She is involved in various sub-committees of the Board and has worked with the Education Team on the development of Challenging Arthritis and the Moving On Program.

Ben is a rehabilitation specialist and following two years training in the care of arthritis patients at Prince Henry Hospital, he was invited to Chair the Education Committee. He became a member of the Board in 1988.

Director:

Prof Nick Manolios

Mr neil wildman

A/ Prof Ben Marosszeky

Nick is an expert rheumatologist who is in constant contact with arthritis patients. He is also a scientist at the forefront of research and is the Chair of the Arthritis NSW Research Subcommittee.

Cosi has been a member of the Arthritis NSW Education Committee since the 1980s and joined the Board in 2008. Like the members she serves, Cosi is living with a chronic musculoskeletal disease and constant pain.

Director:

Director: Ms Cosi Pupo

Neilâ&#x20AC;&#x2122;s background is in mental health but he has also worked for the Australian General Practice Network and the Pharmacy Guild of Australia. For Neil, the impact of arthritis is very real as his brother was diagnosed with psoriatic arthritis at the age of 24.

OUT & ABOUT

Members’ picnic

Need a holiday? Join the Arthritis NSW members’ vacation for 2012! On 9 November 2012 we set sail out of Sydney for a three night Gourmet Food & Wine cruise on P&O’s fabulous Pacific Jewel. You can either relax at sea for two full days or join in all the wonderful activities on board. Take part in wine tastings and barista classes, learn a new dance, enjoy jackpot bingo, trivia games or try a new yoga class. In the evening, enjoy a special seven-course gourmet dinner prepared by the Executive Chef, then watch a Broadway Show or enjoy a flutter in the casino.

To celebrate Arthritis Awareness Week 2012, Arthritis NSW will hold a members’ picnic. The picnic will be held at Lane Cove National Park on Sunday 25 March.

ARTHRITIS NSW MEMBERS PICNIC, FOR MEMBERS’ AND THEIR FAMILIES

Supported by Ku-ringgai Lions Club, there will be a sausage sizzle, drinks and activities. The event aims to be a positive family experience, providing the opportunity for everyone to socialise and meet others with similar conditions.

Time: 10.30am to 3.30pm

Date: Sunday 25 March 2012 Venue: Tunks Hill (site 22) Remember to bring your picnic chair or blanket!

RSVP to Nena Doyle on

1800 011 041 before 16 March 2012

Afternoon tea with the

Governor

You’re invited to an afternoon of elegance and luxury with Arthritis NSW and special guest, Her Excellency Professor Marie Bashir AC. On Tuesday 17 April 2012 at 3pm, take a seat at Government House and enjoy wonderful food, while chatting and making new friends. Tickets are $45 per person and all money raised will go towards Arthritis NSW initiatives. For more event details contact Arthritis NSW on 1800 011 041 or visit www.arthritisnsw.org.au. Places are limited.

Whatever your desire, we have it covered on this action-packed three night cruise. Only $699 per person (twin share). $300 deposit required by 12 April 2012. For further information, contact Nena Doyle at Arthritis NSW on 1800 011 041.

Memorial gift

We thank the family and friends of the following people who have marked their passing by making a donation to Arthritis NSW: Mrs Esma Whitmarsh, Ms Margaret Ewins, Mr Giacomo Rando, Ms Shiela Maureen Frith We are grateful for this support and join in the commemoration of the lives of these valued members of the community and our branches. 26

ARTHRITIS MATTERS / AUTUMN 2012

Out of Joint Nena Doyle

Branches and Community Liaison Officer

Regional Meeting Dates: Central West: 6 March, Molong Bowling Club

elcome back to all our branches and support groups. Christmas and the New Year celebrations are well and truly behind us now and I hope you are all feeling rejuvenated after the holiday break.

Regional meetings have been organised and there are eight in total. These meetings are there for all Arthritis NSW members to attend, there is no need to be a member of a branch or support group to be able to attend. This year, all the regional meetings will have an education session included, and they are also a great way to meet like minded members. Morning tea and lunch will be provided.

South Coast: 14 March, Figtree RSL City: 27 March, Ryde-Eastwood Leagues club Riverina: 11 April, Corowa RSL Far North Coast: 17 April, Grafton Ex-Services Club Mid North Coast: 2 May, Port Macquarie Golf Club Central Coast: 8 May, Diggers The Entrance Upper Hunter: 14 May, Diggers Newcastle City Please RSVP to your branch, support group or ANSW head office on 1800 011 041, if you’d like to attend.

DELICIOUS MEALS HOME DELIVERED

Most meals are Tick Approved and Gluten Free WINNER 2011 NSW SEN ACHIEVEMENT IORS AWARDS Outstandin g Achievement In Health & Wel lbeing

Best Value Healthier Meals Home delivered! Phone now for your FREE menu

Call 1800 801 200 or order online at www.tlc.org.au

CERT TM used under licence

Nena Doyle Sudoku Solutions:

Spot the Difference Solutions: 1. shovel handle removed 2. Line on right shell removed 3. seam in boy’s hat removed 4. Girl’s chin missing 5. Girl’s shovel changed 6. tail of girl’s hair ribbon removed 7. pail of water coloured-in 8. umbrella top coloured-in 9. Boy’s short button moved 10. window in sandcastle moved 11. starfish moved 12. Flagpole longer

LOCAL

Local Happenings

Long Jetty Long Jetty Branch had a good year in 2011. We managed to keep going steadily and were helped by several new members who joined us through the year. We had some interesting speakers last year and finished in December with a splendid lunch at a local restaurant and we started 2012 with a talk on complementary treatments for arthritis by Di Spragg in February. Many of our members donâ&#x20AC;&#x2122;t attend meetings, but enjoy our hydrotherapy classes each Monday at Mingara heated pool. Consideration is being given to letting the pool members know of any speakers we might have in case they might consider joining us for a particular interest.

Port Macquarie We have some interesting guest speakers for 2012, including Catherine Vaara, CEO Lifeline; John Howell from the Lions Club; Laurie Barber from Rotary, along with representatives from the SES and paramedics. We had a successful bus trip last year and plan another one for this year. We visit local areas have a meal; support the small towns by purchasing their very original goods. This year we are also hosting the regional meeting in May and hope it is as successful as our last one.

Our branch is still raising funds for Camp Footloose by bringing in our change we have collected. As the majority of our members are in their 70s or 80s, we are unable to do a lot of fundraising but the support at our meetings and outings is very good and I think this is what we are about, supporting our members.

Southern Highlands Our last meeting was held at Mittagong Ten Pin Bowling, followed by a light luncheon and presentation to the warm water volunteers and the executive members. It was a morning filled with fun and laughter and a great ending to 2011. The Branch 2012 program commences in February when Helen Martin will speak about the benefits of warm water exercise. Eloise Buggy, from Arthritis NSW, will join us on 9 March with information on complementary therapies. In April, Dr. David Browning will give a visual presentation on the developments of the proposed Southern Highlands Hospice and the members are looking forward to a bus trip in May. We look forward to welcoming all Arthritis NSW members to our monthly meetings in a sharing and caring arena.

Warilla/Shellharbour Our branch is lucky to have such an enthusiastic group who work hard, but it makes it hard to decide who will receive our Branch Person of the year award. Our 2011 person was Selma Yusuf. Selma is a pool coordinator, helps on our stalls, at meetings, on our bus trips and last year at our AGM took on positions of Junior Chairperson and Welfare Officer, so she is a worthy recipient of this award. The Welfare officerâ&#x20AC;&#x2122;s position became vacant after Kevin Ryan, who served for many years, had to stand down due to ill health. We had some very interesting speakers this year with our speaker in November, Renee Clark, Dietitian, giving us a wakeup call just before Christmas about what we should not indulge in over the festive season. We are sure chocolate and pudding came into the conversation. We finished up the year with our Christmas lunch at Warilla Bowling Club with over seventy people enjoying a fantastic meal.

Interested in joining a branch or support group? Or would you like to start one in your own local area? Please contact Nena Doyle on 1800 011 041

BRANCH LISTINGS BRANCH Blue Mountains Coffs Harbour

ARTHRITIS MATTERS / AUTUMN 2012

Corowa Dubbo Eastern Suburbs Hawkesbury Holroyd Kincumber Lithgow Lismore

MEETING DATE 3rd Tues 12pm 1st Tues 9.30am Bi-monthly, beg. Feb. 3rd Mon 11.15am Bi-monthly, beg. Feb. 1st Wed 10.30am 2nd Thurs 2.00pm Last Wed 10.15am 3rd Tues 10.00am 4th Wed 10.00am Last Fri 10am 3rd Wed 11am 2nd Tues 10am

Long Jetty

1st Thurs 10am

Lower Clarence Maitland District Milton/Ulladulla

4th Mon 9.30am 1st Thurs 10am 3rd Wed 10am

Molong Nowra Parramatta Penrith Port Macquarie Quirindi Southern Highlands Taree Turramurra Wagga Wagga Warilla/Shellharbour Wollongong Woonona/Bulli Woy Woy Young SUPPORT GROUPS Albury/Wodonga

2nd Mon 11am 1st Thurs 10am 1st Mon 1.00pm 2nd Wed 9.30am 2nd Tues 10am 4th Tues 2pm 2nd Fri 10am 1st Friday 10 am 1st Friday 10am 1st Thurs 1pm 3rd Thurs 1.30pm 2nd Tues 10am 1st Wednesday 9.30am 3rd Tues 10am 4th Wed 10.30am, Bi-monthly

Cooma

Chinese Support Grafton Kids with Arthritis

Social gatherings Warm water ex. only Bi-monthly 3rd Thurs 10am

LOCATION Katoomba Hospital Education Centre Community Centre 22 Earl St

CONTACT Adrienne: 02 4787 1124 George: 02 6652 7464

Ex Servicemenâ&#x20AC;&#x2122;s Club

Vi: 02 6456 3325

Kalianna Social Enterprises Centre, 93 Guy St Masonic Hall Darby Cl Bondi Jt RSL Club Function Room Tebbutt Room, Windsor Library 300 George St Com. Hlth Centre, 14 Memorial Ave Merrylands Brentwood Village Lithgow Library Main St Cedar Room, Neighborhood Centre Carrington St Karagi Court Community Hall Yakalla Rd, Bateau Bay Com Hlth Centre Maclean East Maitland Bowling Club Building 1 Comm Resources Centre St Vincents St Bowling Club Eucharenna Rd Shoalhaven Lib. Meeting Room Room C, Old Council, Admin Building CWA Rooms Cnr Tindale St & Castlereagh St Senior Citizens Ingall Centre, Nowlend St, Quirindi Henrietta Rose Rm Bowral Uniting Church, Albert St. Taree Seniors Citizens Rms, Gilroy Lne Rules Club Warilla Bowling Club Wesley Auditorium Bulli Community Centre, 328 Princes Hwy, Bulli Community Centre, John Hoare Ct. Uniting Church Hall, Young.

Joan: 02 6033 3198 Norma: 02 6882 2506 Susan: 02 9389 8140 Julienne: 02 4574 1928 Betty: 02 9632 3302 Merle: 02 4368 6399 Lorna: 02 6352 1984 Marie: 02 6628 6692 Liz: 02 4332 5245 Ron: 02 6646 3067 Veronica: 02 4966 4649 Trish: 02 4454 0205 Margaret: 02 6366 8045 Gary: 02 4423 3633 Val: 02 9632 6636 Norma: 02 4751 3417 Pam: 02 6584 6687 Val: 02 6747 4727 Margaret: 02 4885 1430 Margaret: 02 6552 4183 Jan: 02 9987 4237 Lorraine: 02 6926 3203 Bruce: 02 4296 4420 Dot: 02 4228 1576 June: 4283 1450 Valda: 02 4341 5881 Brenda: 02 6382 3247 Marie: 02 6021 6204

Town Hall, 8 Carlton St Granville White House, Prince St Internet only

Macarthur Newcastle

1st Wed 10am 4th Wednesday 1pm

Orange Ryde

1st Mon 12pm, Bi-monthly 4th Thurs 1pm

H J Daley Library, Campbelltown Mayfield Seniors Centre 102 Hanbury St, Mayfield HACC Centre, Lords/March Sts Ryde/Eastwood Leagues Club

Scone

1st Wed 11am

Beverly: 02 9872 5495 Margaret: 02 6643 3801 Alex: kidswitharthritis@arthritisnsw.org.au Carol: 0400 439 505 Judy: 0417 263 512

Bowling Club

Rita: 02 63620998 Doris: 02 9817 7470 doris_carrall@tpg.com.au Susan: 02 6545 9191

Tuggerah Lakes 1st Friday 10am INFORMAL SUPPORT Gilgandra 1st Tues 10am Parkes Last Tues 10am, Bi-monthly Singleton 1st Friday 1.30pm ARTHRITIS INFORMATION Cowra Manly FIBROMYALGIA SUPPORT GROUPS Bowral 2nd Friday 12pm Charlestown Bi-monthly FIBROMYALGIA INFORMAL SUPPORT

Uniting Church, Summerside St Toukley

Lorraine: 02 4390 2177

Cooee Lodge Parkes Hospital Education Centre Activity Centre

Anne Hall: 02 6817 8744 Fiona: 02 6862 1866 Maureen: 02 6571 1922

Henrietta Rose Rm, Bowral Charlestown Multi Purpose Centre

Dianne: 02 4861 4639 Julie: 02 4982 5264

Southern Illawarra Womens Group Last Wed 2pm

Warilla Womens Health Centre

ACT 2nd Tues 12.30pm FIBROMYALGIA INFORMATION Wollongong

Pearce Com. Cent. Collette St

Barbara: 02 4296 3744 Shelagh: 02 4272 9251 Roz (Mon/Tues):02 6290 1984

Joyce: 02 6342 5192 Viviene: 02 9982 930

Winsome Stephenson: 02 4284 8890

Health & fitness

Timetable for Term 2, 2012 Please contact your support group or branch for classes in your area, not listed below.

Warm Water exercise Venue

Day

Times

Mowll Village Retirement Village – Castle Hill

Monday- Tuesday

1.30pm, 2.30pm

Thursday

1.15pm, 2.15pm

Karonga School - Epping

Saturday

8.00am

Royal Prince Alfred Hospital – Camperdown

Monday

5.00pm, 6.00pm

St Lukes Hospital – Potts Point

Wednesday

12.30pm

Saturday

9.00am, 10.00am

Canterbury Hospital - Campsie

Wednesday

1.30pm, 2.30pm

Lane Cove Physio

Thursday

4:45pm

Venue

Day

Times

Salvation Army Church Hall - Hurstville

Saturday

9.00am

Tai Chi Please contact Melissa at Arthritis NSW, on 1800 011 041, for more details or to attend any of these classes.

Aqua Zumba®

Brings the Fitness-Fiesta to the Water Number of calories gained while sitting by the pool or on the beach eating a Paddle Pop: 107. Number of calories you could BURN by taking an Aqua Zumba class for one hour: 400. Level of happiness: immeasurable! Aqua Zumba®, a water-based version of the international-inspired Zumba® workout, will make a splash this season. The Aqua Zumba program follows the traditional Zumba formula already popular with more than 12 million weekly participants worldwide and adapts the routines to use the water’s resistance for a safe and extremely effective aquatic workout. The program is offered by Zumba fitness-trained instructors at locations across the country including fitness

clubs, community centers and rehabilitation centers. Currently in Australia and New Zealand, more than 10,000 people take Aqua Zumba classes every week.

“The aqua sessions bring to the pool the same fun and carefree environment that Zumba classes are famous for – it’s not like attending a fitness class, it’s more like a pool party.”

In fact, because of the added element of water resistance, participants are able to get a complete workout in half the time because the resistance of the water is 12 times that on land, according to Zumba Education Specialist, Maria Teresa Stone.

“Aqua Zumba classes are also a smart alternative for those whose movements are confined due to injury, chronic pain or those going through rehabilitation,” concluded Maria.

“Aquatic workouts provide tremendous benefits for the body, but they’re also fun and invigorating, especially during the hot summer months,” said Maria.

Participate in Sydney’s Biggest Aqua Zumba Fiesta from 3.30pm on Saturday 31 March at Macquarie University, with our special instructor – Maria Teresa Stone. Visit www.arthritisnsw.org.au to register

ARTHRITIS MATTERS / AUTUMN 2012

THE ORIGINAL

Save with the Over 50’s Insurance specialist. Home & Contents

Motor Vehicle

Landlords Insurance

Travel Insurance

At Australian Seniors we understand the need to provide real value for money – without compromising your protection. Home is where the heart is. Not to mention your most valuable possession. That’s why our policies aim to provide all the necessary cover and protection you would expect at a competitive price. Plus many more benefits including competitive premiums on Motor Vehicle Insurance and Landlords Insurance.

We make it our business to offer you benefits that really matter. Genuine savings of up to 40% off our standard premiums* Monthly payments at no additional charge* Combined policy 10% discount * Conditions apply.

Ask for your FREE quote today! www.seniors.com.au

13 13 43

And now you can also save on travel insurance. Want to make every travel dollar count? Australian Seniors brings you a low-premium travel insurance offering worldwide protection 24/7.

Automatic inclusions: such as cover for loss of luggage, cancellation charges, replacement of money - and more Unlimited overseas medical expenses cover (Plans A&B only) Covers domestic and overseas travel Competitive

prices: low-premium policies from $49 for international single-trip travellers. Visit www.seniors.com.au or call

1800 024 848 Terms, conditions and exclusions apply.

Home & Contents and MotorVehicle Insurance - Australian Seniors Insurance Agency Pty Ltd (ABN 48 097 746 391), policies are issued by The Hollard Insurance Company Pty Ltd (ABN 78 090 584 473) AFS Licence number 241436. To decide if it is right for you please carefully read the Product Disclosure Statement which is available by phoning 13 13 43. Hollard is an Australian Prudential Regulation Authority authorised insurer. Quotations may not be available in some limited areas. Travel Insurance - Seniors travel insurance products are issued and underwritten by ACE Insurance Limited ABN 23 001 642 020, AFSL No. 239687 (ACE), and promoted by Australian Seniors Insurance Agency Pty Ltd (ABN 48 097 746 391) Authorised Representative No. 270983 (Seniors). ACE and Seniors only provide general advice, and do not consider your objectives, financial situation or needs. To decide if the product is right for you, read the Seniors Travel Insurance Policy Wording and Product Disclosure Statement available by calling 1800 024 848. Authorised Representative Number 270983.