A Special Supplement to The Daily Home • Fall 2011
2 — THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011
health & fitness
Well-rounded exercise program is important Home staff writer
A man walks along a path in Lakeside Park, while a woman Zumba’s to upbeat music in a gymnasium; both have one thing in common — an exercise program. And while Dr. Ann Davis of Talladega said everyone can benefit from a well-rounded exercise program, it becomes more important as you grow older. She said it’s difficult for people to start an exercise program, especially if they haven’t exercised in years. “Start out simple,” Davis suggests. She said the simple act of walking daily will greatly benefit someone who has no exercise program at all. “Some people get so overwhelmed when they first start thinking about an exercise program,” Davis said. “The important thing is to get out of the chair and get active.” She said people can start with a simple exercise program, walking 30 minutes a day. “I do exercise every day,” Davis said. “I encourage people to set a certain time every day (to exercise). You can’t make excuses — at a certain time every day you do something.” She said there are a wide variety of activities people can participate in to get the necessary daily exercise. Some activities include walking, running, swimming, lifting weights, calisthenics and biking. She said if people participate in an enjoyable
recreation that provides physical exercise, it could make their exercise routine easier to adhere to. Davis agreed that people are more likely to continue their physical activity routine on a daily basis if they are having fun or enjoy the activity. She said it’s also important that people vary their exercise routine. “Ten years ago, you would run 6-7 miles and you were done,” Davis said. She said today’s thinking is to add variety to your exercise plan. Davis points to the new “CrossFit” strength and conditional training that combines a variety of activities and exercises so people get a more rounded workout. She said the CrossFit program could include running, situps, pushups and weight-lifting or the combination of other exercises or activities such as running, swimming and biking. “You’re working differ-
ent muscle groups,” Davis said. “That’s important as you get older.” She said activities like yoga and Zumba not only provide a good workout, but help people with balance and flexibility. Davis said whatever exercise program people select, they need to start out slow. “You can increase your intensity,” she said. “You have to be careful not to get injured.” Davis also suggests that people search the Internet for ideas for starting and getting involved in an exercise program. She said people must be consistent with whatever exercise activity or program they select, but a variety of exercise is most beneficial. “Don’t get discouraged,” Davis said of people getting started with an exercise program. “It takes time to see the results.” Contact David Atchison at datchison@dailyhome. com.
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Dr. Ann Davis of Talladega recommends that people vary their exercise routine for a more complete fitness program.
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4 — THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011
health & fitness
Nothing better than a good night’s sleep Home staff writer
Approximately 70 million Americans suffer from chronic sleep disturbances, according to the National Sleep Foundation. Staff at Coosa Valley Medical Center’s Sleep Disorders Center in Sylacauga believe many of those are in this community. “People like to pretend nothing is wrong,” said Carolyn Greger, director of the center. “There are still a large number of individuals in the community with undiagnosed disorders. We can diagnose and treat all sleep disorders, not just obstructive sleep apnea.” More than 12 million of those 70 million suffer from obstructive sleep apnea. Other disorders, not as common, include restless leg syndrome, insomnia, parasomnia and medical and neurological disorders. Sleep disorder symptoms
often include constant snoring, restless sleep, morning headaches, breathing interruptions during sleep, excessive fatigue and involuntary limb movement. If you feel you have a sleeping disorder, Greger said call the center and make an appointment for a Thursday morning. The center has a clinic on Thursdays during which self referrals and physician referrals are welcome. “We have patients come in and spend the night with us and we monitor them for sleep apnea and diagnose them with other sleep disorders,” Greger said. “A brief interview will be held at the beginning of the night, after which the patient will be hooked up with all types of monitoring devices.” Greger said many patients at first are apprehensive about the process, but they often say the next morning they were worried for nothing. The over-
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By answering these questions, you can find out if you are at risk for sleep apnea. If you answer yes to four or more questions, you may be at significant risk. • Do you snore loudly (louder than talking or loud enough to be heard through closed doors)? • Do you often feel tired, fatigued or sleepy during the daytime? • Has anyone observed you stop breathing during your sleep? • Do you have or are you being treated for high blood pressure? • Is your BMI (Body Mass Index) more than 35 kg/ m2? • Are you over 50 years old? • Is your neck circumference greater than 40 cm? • Are you male? night accommodations for the center are in a “comfortable setting,” she said. Patients are welcome to bring anything they would like with them, including their own pillow and health and beauty aids. The center is closed only on Saturday
nights. “You don’t even have to be off of work,” Greger said. “You can still go to work, so it’s convenient.” The center, accredited by the American Academy of Sleep Medicine, is staffed with experienced specialists
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avoid watching television in bed. Establishing regular sleep and wake times can also be beneficial. “The hours of sleep that a person should get per night depend on the individual,” Greger said. “Not everybody is the same and usually your body is going to tell you how many hours of sleep you need.” For children 5 to 12, 1011 hours of sleep is recommended, according to the National Sleep Foundation. Research says adults should sleep 7-8 hours each night. Still, “the number of hours that your body is required to sleep is dependent on the individual,” Greger said. “Some may say they have to have 8 hours and others say they need 6.”
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and equipped with leading technology. Although open for six years, staff members believe they have a large portion of the population to educate and diagnose. If you aren’t satisfied with your sleep and do not think you have a disorder, Greger said there are small things you can do to aid in getting a full night of rest. “If you take naps during the day, sometimes that can be what impacts your sleep during the night,” Greger said. “If you take naps during the day and you don’t sleep well at night, try shortening your nap to 30 minutes..” Eating large meals before bed and caffeine in the late afternoons are other bad habits. Greger suggests exercising regularly and
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THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011 — 5
health & fitness
Healthy living could help fight dementia Many people are apprehensive about getting older because of the fear of losing their faculties. Individuals may worry that dementia could rob them of precious memories and make daily living more difficult. Many factors can contribute to the onset of dementia, and recent research notes those factors include heart disease, strokes and other serious health conditions that affect the circulatory system. But other seemingly harmless conditions can play a role, too. Maintaining a healthy lifestyle could help seniors fend off dementia. Researchers in Canada studied data on more than 7,000 survey participants who answered questions of overall health. While circulatory diseases did correlate high to dementia onset, researchers discovered additional conditions, including arthritis, sinus infections, incontinence, and poor hearing, also played a role. The correlation between circulatory issues and brain function may be obvious, but researchers aren’t exactly sure why minor health infractions could contribute to senility. Some suggest that people with the burden of health problems may not be able to successfully thwart deterioration of the brain that comes with dementias, including Alzheimer’s disease. The World Alzheimer Report states that more than 35 million people around the world are living with Alzheimer’s disease and other types of dementia. These are largely brain-destroy-
ing illnesses that have no cure. But adults might be able to prevent or delay its onset. Placing a greater emphasis on overall health may help. According to Dr. Kenneth Rockwood, a professor of geriatric medicine and neurology at Dalhousie University, in Halifax, Nova Scotia, who participated in the dementia study published in July 2011 in the journal Neurology, “the best thing people can do to stay physically healthy — and thus maintain their brains, too — is to exercise.” Other things that can be done include adopting a healthy, balanced diet and keeping the brain active as much as possible. Here are ways to do just that. • Seniors can partici-
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pate in low-impact exercises that promote muscle strength and flexibility. Water exercises are very good because they don’t place strain on the joints. Stretching routines, like yoga or tai chi, are also
effective. Exercise plans should be discussed with a health care provider prior to starting. • Work with a nutritionist to develop a healthy eating plan. A healthy diet
is essential to keep many diseases at bay, including diabetes, obesity, heart disease, and even to help maintain proper digestion. • Keep the brain active
by engaging in puzzles, like crosswords or sudoku. Reading is a way to stimulate vocabulary and also keep the brain sharp. Interact with people on a daily basis and engage in conversation.
6 — THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011
health & fitness
Labels help explain the food we eat By ELSIE HODNETT Home staff writer
Food nutrition labels offer valuable information, and understanding that information helps people understand the food they eat. “Nutrition labels are an important source of information about some of the food we eat, but it should also be pointed out that many, if not most, of the best choices for our grocery carts have no labels at all,” said Jennifer Dutton, a registered dietician with the Alabama Cooperative Extension System whose six-county coverage area includes St. Clair County. Dutton said most whole foods don’t come with a label. “I’m talking about the vegetables, meats, fruits and other fresh foods that
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have all of their nutrients intact and are usually low in sugars and starches,” she said. “Of course, there are whole food with labels, like nuts and frozen vegetables, and those that will tend to shoot blood glucose up, like potatoes, corn and sweet peas. But for the most part, staying away from packaged foods is a good guide to healthier choices.” Dutton said there is a lot of information on nutrition labels to help people understand the food they eat. “There are parts of the label which can be confusing,” she said. “So let’s
THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011 — 7
health & fitness
Labels From Page 6
how much that is, as it’s very easy to underestimate the amount we’re actually eating.” Dutton said when it comes to snack foods, it is helpful to separate a larger package into smaller bags that are the amount of food you want to eat. If the serving size is by weight, pay special attention to the number of servings in the package. Carbohydrates “When we are counting grams of carbohydrate, it is important to look out for the ‘rounding error,’” Dutton said. “For example, if a label says that one tablespoon of a food has one gram of carbohydrate that could be anything from .51 grams to 1.49 grams. That’s not a big deal if you are eating one serving. But there are 16 tablespoons in a cup, so the error could be as much as 8 grams in either direction if you are using that much in a recipe.” Dutton said one common example of the “rounding error” is heavy cream. “One tablespoon of heavy cream has slightly less than half a gram of carbohydrate, which labeling regulations say is ‘zero,’” she said. “This has led some low-carb dieters to believe that they can use several tablespoons at a time. But these ‘zero carbs’ can add up pretty fast.” Dutton said there are several parts to the carbohydrate section of the nutrition label, and it’s important for anyone who counts carbohydrates or is sensitive to sugar to understand each one. “The main thing that people on low-carb diets
are concerned about is the impact of the carbs we eat on our blood sugar (blood glucose),” she said. “We aim for blood sugar impact that is both low and slow. What we want to avoid are high peaks in blood glucose, and there is quite a bit of information on the label that can help us.” Total Carbohydrates “The grams of total carbohydrates is the first thing to look at,” Dutton said. “If it’s very high, you can almost always put that food right back on the shelf.” Dutton said even if the carbohydrates are coming from the “good” or nutritious source, too much carbohydrate at once will shoot blood glucose up.
“The exact amount that is ‘too much’ for you will depend on your own body’s ability to tolerate glucose, and the particular diet you are on,” she said. Dutton said beneath the Total Carbohydrates line in the nutrition label are two or three other lines — fiber, sugars and sometimes sugar alcohols. “You may notice that these figures do not add up to the total,” she said. “This is because starch is not listed on food labels. Therefore, any missing carbohydrate can be assumed to be starch. In processed foods, starch, which is made up of long strands of glucose, generally raises blood glucose as much or more than sugars.” Sugars Dutton said the amount
of sugar in a food is not a very reliable indicator of how much the food will affect blood sugar, because starches, and sometimes sugar alcohols, have similar effects. “Fiber is one type of carbohydrate that does not raise blood glucose,” she said. “In fact, the presence of fiber can slow down the impact of the other carbohydrates in a meal. Therefore, when counting carbs, we subtract the grams of fiber from the grams of total carbohydrate. This gives a number which is variously called effective carbs, or usable carbs, or net carbs or impact carbs. This figure is the amount of carbohydrate in a food that affects See Labels, Page 8
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health & fitness
Labels From Page 7
blood sugar.” Dutton said sugar alcohols can be tricky ingredients to interpret. “A product can be called ‘sugar-free’ and contain sugar alcohols,” she said. Dutton said in that case there must be a separate line for them on the nutrition label, although products that aren’t labeled sugar-free do not have to have this line. “Manufacturers would like us to believe that sugar alcohols have very little affect on blood sugar, but in fact it depends a lot on which sugar alcohol is in the product,” she said. “Note especially that many of the sugar alcohols aren’t as sweet as sugar, so more must be used to get the same sweetness. Also note that many sugar alcohols, most notoriously maltitol, can cause gas and other adverse intestinal reactions.” Dutton said erythritol is the only commonly used sugar alcohol she feels comfortable recommending not counting in the total carb count. “I don’t eat maltitol at all, but it could be counted
as having ¾ of the stated carbs,” she said. “Sorbitol can be counted as half of the stated carbs.” Dutton said it is important to eat enough protein, partially because our bodies use it to make needed glucose if we aren’t getting enough from carbohydrates. “Usually our appetites tend to regulate getting the right amount of protein,” she said. “Still, if you aren’t someone who tends to eat much protein, it doesn’t hurt to keep an eye on this. The National Academy of Sciences recommends that 10-to-30 percent of calories come from protein.” Dutton said there isn’t a whole lot of information about vitamins and minerals on nutrition labels, but information is required for Vitamins A and C, and the minerals iron, calcium and sodium. “Except for sodium, which we generally want to limit, the exact amount isn’t required to be listed, but rather the approximate percentage of the total daily recommended intake,” she said. “People on low-carb diets sometimes don’t get enough calcium, so lowcarb authors sometimes
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advise paying attention to this and taking a supplement if needed.” Dutton said people should be wary of some ingredients. Most of these have to do with blood sugar, and will give a clue as to the glycemic impact of the carbohydrates. • Refined and processed carbohydrates, including both sugars and refined grains. “Sugar” can go by a lot of different names, such as high fructose corn syrup, many of which are signs of a highly processed food. Processed starches often take the form of wheat or other flours. Processing grains or grinding them into flour makes them more glycemic. Note that if the first ingredient in the label is “wheat flour,” this almost always means “white flour,” otherwise it would say “whole wheat flour.” If the label doesn’t say the grain is “whole,” you can assume it isn’t. • Sugar Alcohols. Carefully check which sugar alcohols are in the ingredient list. If a label has erythritol, which is truly low-impact sugar alcohol, that’s good from the standpoint of low-carb eating.
• Special Low-Carb Ingredients. There are some other special ingredients that are put into lowcarb products to maintain taste or texture without raising blood sugar, such as artificial sweeteners. For example, inulin and wheat gluten can be seen as ingredients on many food labels. Wheat gluten is the protein part of the wheat. Inulin provides sweetness and texture. It’s a good idea to get familiar with some of these special ingredients. • Partially hydrogenated oils are trans fats. Avoid any food with this ingredient. “Here are a few quick tips to follow when trying to watch your total fat intake as well as the cholesterol-raising fats,” Dutton said. She said depending on your cholesterol level, most healthy individuals should limit total fat intake to around 25-35 percent of total energy (total calories eaten) each day. While it is important to watch each individual food’s fat content, remember that this 25-35 percent fat range is your overall dietary goal.
You’ll always encounter foods that are under or over this percentage. Your goal is to keep most foods you eat within this desired fat range. You can determine the fat level of a food in a few different ways. Look for foods that state the following claims: • Low Fat – means the food contains three grams (g) or less of fat per serving. If it is a whole meal, such as frozen entrée, it is low in fat as long as it contains no more than three grams of fat for every 100 calories. • Low Saturated Fat – means the food contains less than one gram saturated fat per serving. • Low Cholesterol – means the food contains 20 mg or less cholesterol per serving and no more than two grams saturated fat per serving. • Reduced Fat, Reduced Cholesterol – means the food has 25 percent less fat or cholesterol than the comparable food product. • Fat, Saturated Fat, Trans Fat and Cholesterol Free – the food contains inconsequential amounts of the nutrient specified
per serving. If you eat more than one serving you increase the amount of these nutrients; be aware that they add up quickly. • Light or Lite in Fat – means the food must have 50 percent or less fat than the comparable food. • Lean – refers to meat, poultry, seafood and game and means the following (per three ounces): less than 10 grams total fat, less than 4.5 grams saturated fat, no more than 95 milligrams cholesterol. • Extra Lean – refers to meat, poultry, seafood and game and means the following (per three ounces): less than 5 grams total fat, less than 2 grams saturated fat, less than 95 milligrams cholesterol. Dutton said the Nutrition Facts panel provides the number of calories from fat to the right of total calories per serving. Divide the calories from fat by total calories to determine the percentage of calories from fat. For example, Calories 160 – Fat Calories 30. Divide 30 by 160, which equals 19 percent calories from fat. This is a low-fat food.
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THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011 — 9
health & fitness
Simple ways to reduce cancer risk and colon. What’s more, no fewer than 100 studies have found an increased risk of breast cancer with increasing alcohol intake. Men and women should consult their physicians about what constitutes a healthy consumption of alcohol. • Be safe in the sun. Though a deep tan might look good, individuals must emphasize protecting their skin from the sun. Skin cancer is the most common form of cancer in the U.S., and exposure to the sun’s ultraviolet (UV) rays plays a significant role in the development of skin cancer. When going out in the sun, apply sunscreen with a minimum sun protection factor, or SPF, of 15; wear loose fitting clothing and a protective hat, as many skin cancers happen on the face and neck; and always
wear sunglasses, preferably those that provide UVA and UVB protection. • Maintain a healthy weight. Being overweight or obese brings forth a host of potentially deadly side effects, not the least of which is increasing a person’s risk for cancer. A report from the National Institutes of Health that examined being overweight and obesity in men and women found that carrying excessive weight substantially increases an adult’s risk of getting breast, colorectal, endometrial (uterine), and prostate cancers. Healthy weight varies depending on the individual, so men and women concerned about their weight should consult a physician about the best ways to lose weight and maintain a healthy weight.
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10 — THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011
health & fitness
Dr. Kahn: Don’t overlook your child’s eye health By KENNY FARMER Home staff writer
Dr. Khalid Kahn of Talladega Optical says that, as parents, it is important not to overlook eye health when it comes to your children’s total well-being. Kahn offered tips to help ensure that your child experiences good vision. He says vision problems affect 1 in 20 preschoolers and 1 in four school-aged children. That is why it is so important to protect your child’s eyes by having them screened for any vision problems during his or her regular pediatric appointments. Early screenings can help control conditions such as Amblyopia (lazy eye), Strabismus (crossed eyes), Ptosis (drooping of the eyelid), Color Deficiency (color blindness), Refractive Errors (nearsightedness, farsightedness and astigmatism). Kahn says these problems can damage your child’s vision if not caught early. Some vision problems
are easy to miss, he said, so infants should be screened during their regular pediatric appointments and vision testing should be conducted for all children starting around the age of 3. However, if there is a family history of eye problems, or your child appears to have a problem, Kahn recommends contacting your eye doctor immediately. He says eye screenings are important because vision changes can occur without the child noticing them. If the child is having trouble seeing the blackboard or the words in a book, learning and participating in recreational activities might suffer. Children are encouraged to wear appropriate eyewear when participating in sports or other recreational activities. Kahn says there are an estimated 42,000 sports-related eye injuries each year. Contact your eye doctor for information on the recommended eyewear for your child’s activities. He also says it is imporServing Families of Talladega County For 31 Years
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Dr. Khalid Kahn examines a patient in his Talladega office. He says eye screenings are important because a child’s vision may change without him or her noticing, and vision testing for children should begin around age 3.
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an automobile. Kahn has served as chief of staff, chief of the Surgery Department and chief of the Ophthalmology Department at Citizens Baptist Medical Center in Talladega. He is a board certified ophthalmologist, Fellow of American College of Surgeons and Fellow of International College of Surgeons. He has received numerous honors and awards for service. Kahn has offices in Talladega and Pell City. Contact Kahn’s office in Talladega at 256-3621590 and in Pell City at 205-814-9284.
FOR PATIENTS CONVENIENCE WE ALSO OFFER OTHER SERVICES
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TALLADEGA
tant to make sure your child’s toys are age-appropriate. He says a child’s eyes can be severely injured by toys with sharp, protruding or projectile parts. He also encourages parents to prevent children from playing with fireworks, and instead take them to a professional fireworks show. One of the best ways to make sure your child keeps his or her good vision, according to Kahn, is to set a good example by taking proper care of your own eyes. This includes wearing protective eyewear when playing sports, doing yard work or working on
Phone (256) 362-0111
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THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011 — 11
He took the first step. Always There Took Him the Rest of the Way. Gene Davenport values his independence. But when he faced a difficult recovery from back surgery, he knew he’d need help. “My daughter lives in Texas, and I did not want to impose on her,” he recalls, “so when someone recommended Accordance, it sounded like the perfect solution.” Hard to believe for a man of his generation, but Mr. Davenport genuinely welcomed our caregiver’s support. “From the first day in the hospital, I knew Sherri Sparks was a perfect match for me,” he continues. “When I went home, she coordinated her schedule around mine. Then she handled all my daily personal needs—from assistance in dressing, to meal preparation and light housekeeping, to running errands. “What impressed me most of all, though, was her positive attitude. It had a huge impact on my recovery — and I can honestly say I’m better now than I was before surgery.” For short-term or long-term In Home Care: When it’s someone in your family, call Accordance. We’ll make them—and you—feel like part of ours.
Before you hire an in-home care company, be sure to ask: Who is responsible for payroll taxes, Social Security, and liability insurance on the worker? Who sends a replacement when my regular caregiver calls off sick? Is the company insured, licensed, and bonded? Are caregivers employees of the company or merely independent contractors? 931 Martin St. South, Pell City AL. (In the K-Mart Shopping Center)
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12 — THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011
health & fitness
Some vaccines needed during adolescence By KENNY FARMER Home staff writer
While most vaccinations are given to young children, there are a number of diseases that adolescents need protection from as well. Adolescents also need vaccinations to stay current with current school regulations. Phyllis Coughran, immunization manager for Alabama’s Health Area 6, says students must receive the Tdap vaccine before entering the sixth-grade. The following vaccines are recommended for adolescent-age children or adolescents who meet certain criteria:
not get all their scheduled doses of DTap or DTP as children should complete the series using a combination of Td and Tdap. The CDC says that DTap is not licensed for adolescents or any child over the age of 7. Meningitis Meningococcal disease is a serious bacterial illness, and is a leading cause of See Vaccines, Page 13
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Tetanus, Diphtheria, Pertussis Children 6 years of age and younger are routinely vaccinated against tetanus, diphtheria and pertussis, but the Centers for Disease Control recommends that adolescents be protected from these diseases also. Tetanus, or lockjaw, causes painful muscle spasms felt all over the body. It can also lead to the tightening of the jaw muscles so the victim cannot open his mouth or swallow. Tetanus kills about one out of five who are infected. Diphtheria causes a thick covering in the back of the throat. It can lead to breathing problems, paralysis, heart failure and even death. Pertussis, or whooping cough, causes severe coughing spells, vomiting and disturbed sleep. It can lead to weight loss, incon-
tinence, rib fractures and passing out from violent coughing. Up to two out of every 100 adolescents with pertussis have complications, including pneumonia, or become hospitalized. All three diseases are caused by bacteria. Diphtheria and pertussis are spread from person to person, while tetanus enters the body through cuts, scratches and wounds. Tdap is a vaccination that protects against tetanus, diphtheria and pertussis. A dose of Tdap is recommended for adolescents who had the DTaP or DTP as children and have not yet gotten a booster dose of Td. The preferred age for these vaccines is between 11-12. Adolescents who have already gotten a booster dose of Td are encouraged to get a dose of Tdap as well for protection against pertussis. Waiting at least five years between Td and Tdap vaccines is encouraged by the CDC, but not required. Adolescents who did
THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011 — 13
health & fitness
Vaccines From Page 12
bacterial meningitis in children 2-18 years of age in the United States, according to the CDC. Meningitis is an infection of the fluid surrounding the brain and spinal cord. The disease also causes blood infections. Anyone can get meningococcal disease, but it is most common in infants less than a year old and people with certain medical conditions. College freshmen who live in dormitories and teenagers 1519 have an increased risk of getting the disease. The meningococcal conjagate vaccine, or MCV4, was licensed in 2005, and is the preferred vaccine for people ages 2-55. A dose of MCV4 is recommended by the CDC for children and adolescents 11-18 years of age. This dose is normally given during the routine pre-adolescent immunization visit at around the time that the child is 11 or 12 years-old. Children who did not get the immunization during the pre-adolescent immunization visit should get it at the earliest opportunity.
Hepatitis A Hepatitis A is a serious liver disease caused by the hepatitis A virus, or HAV. HAV is found in the stool of people with hepatitis A. It is usually spread by close personal contact and sometimes by eating food or drinking water containing the virus. Hepatitis A can cause a mild “flu-like” illness, jaundice, severe stomach pains and diarrhea. Children and adolescents through 18 years of age who live in states or communities where routine vaccination has been implemented because of high disease incidence should get the HAV vaccine. Children and adolescents might also be recommended to get the vaccination if living in a community where outbreaks of hepatitis A are occurring.
Hepatitis B Hepatitis B is a serious disease that affects the liver. It is caused by the hepatitis B virus, or HBV. HBV can cause acute, or short-term, illness that can lead to loss of appetite, tiredness, jaundice (yellow skin or eyes), diarrhea, vomiting and pain in muscles, joints and stomach. Acute illness from HBV is more common among adults than children. HBV can also cause a chronic, or long-term, infection that can lead to liver damage, liver cancer or death. Chronic infection is more common among children than adults. All children should get their first dose of hepatitis B vaccine at birth, and should have completed the vaccine series by 6-18 months of age. However, children and adolescents up to 18 years of age who did not get the vaccine when they were younger See Vaccines, Page 14
CAMP CHIROPRACTIC CLINIC
Serving The Community For 35 Years
DR. CARY CAMP
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Chickenpox Chickenpox, or varicella, is a common childhood disease. Its effects are usually mild, but can be serious, especially in young infants and adults. The CDC says children who have never had chickenpox should get two doses of the chickenpox vaccine. The first should come between 12-15 months of age, and the second is usually given between the ages of 4-6. However, people 13 years and older who have never had chickenpox
or received the vaccine should get two doses at least 28 days apart.
14 — THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011
Vaccines From Page 13
should still get the hepatitis B vaccine. Human Papillomavirus Genital human papillomavirus, or HPV, is the most common sexually transmitted virus in the United States, according to the CDC. More than half of sexually active men and women are infected with HPV at some time in their lives. The CDC says the HPV vaccine is important because it can prevent most cases of cervical cancer in females, if given before she is exposed to the virus. It is important for girls to get the vaccine before their first sexual contact because they won’t have been exposed to human papillomavirus. Once infected with the virus, the vaccine might not work as well or at all. The vaccine is recommended for girls 11-12 years of age. It may be given to girls as young as 9. The CDC also recommends the vaccine for girls and women between the ages of 16-26 who did not get all three doses of the vaccine when they were younger. Males, ages 9 through 26, may get the HPV vaccine to prevent genital warts. Pneumococcal disease Pneumococcal disease causes blood infections, pneumonia and meningitis, mostly in young children. It can also lead to other health problems, including deafness and brain damage. The vaccination is recommended for children who are younger than 6, but a dose of the PCV13 may be administered to children and adolescents 618 who have certain medical conditions, even if they have previously received PCV7 or PPSV23.
health & fitness
9 ways to eat better now Doctors, fitness professionals and nutritionists all have ideas on what men and women should and should not eat. Choosing the right foods can help save waistlines and lives. The country is growing larger, and that has nothing to do with the population. Individuals are heavier than ever before. About one-third of Americans are considered obese. No state in the U.S. has an obesity level less than 20 percent. The Centers for Disease Control and Prevention states that 36 states had a prevalence of 25 percent or more; 12 of these states (Alabama, Arkansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Oklahoma, South Carolina, Tennessee, Texas, and West Virginia) had a prevalence of 30 percent or more. The obesity story is much the same in Canada, although residents of that country are slightly less obese than Americans. Statistics Canada states that from 2007 to 2009, 24.1 percent of adults in Canada were obese. Women have higher levels of obesity than
men in both countries. Although it is widely known that eating a healthy diet and exercising frequently are the key ways to maintain a healthy weight, it’s easy to fall into bad habits. Some men and women find it difficult to avoid temptation and stay on track with diet. But balance and portion control are great ways to enjoy food without gaining weight. Here are some tips to live by.
with the remaining portion for a protein or starch.
1. Use a smaller plate. This will trick the eye and brain into thinking you are eating a lot. A large plate seems empty with smaller portions, prompting many men and women to eat more than is necessary. Using a smaller dish can give the impression of eating from an overflowing dish.
4. Switch to skim products. It is widely known that dairy products are an important component of healthy living. However, whole-milk varieties tend to be heavy on calories and saturated fat. Opt for skim milk whenever possible. Today, there are ultra-pasteurized varieties of skim milk that are creamy and filling. 5. Rely on seafood protein. Eating fish once or twice a week is an excellent way to cut calories and enjoy a food that is rich in essential fatty acids. 6. Experiment with herbs, not salt. A lot of sodium in a diet may not
2. Make vegetables a priority, not an afterthought. Fill up on vegetables and make meat and other higher-calorie foods the afterthought, instead of vice-versa. In fact, twothirds of your dish should be consumed by vegetables,
3. Avoid family style meals. That means placing large serving dishes full of food directly on the table. It encourages going in for seconds when you really may not be hungry. It takes the brain at least 20 minutes to register feeling full. So serve yourself from the stove and wait to see if you’re still hungry before going back for more.
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be good for blood pressure and it can lead to water retention. Instead, reach for herbs to add flavor to foods. Keep a fresh selection of parsley, chives, cilantro, basil, and other herbs at the ready and chances are you won’t even miss the salt. 7. Go sparingly on dressings and sauces. You can quickly turn a healthy salad into an unhealthy meal if you drizzle on too much creamy salad dressing. Studies show that some fast food salads have more fat than other fast food fare, including hamburgers. Opt for the dressing on the side, or select among fat-free alternatives. Use only about 1 to 2 tea-
spoons for flavor. 8. Indulge once in a while. Depriving yourself of everything that is tasty can lead to binge eating or overeating. Just remember to keep the portions of sweets or fattening foods modest and try not to overdo it the rest of the day. 9. Don’t forget the exercise. The American College of Sports Medicine offers benefits of exercise beyond helping you to lose weight: • Lowers risk of heart disease by 40 percent. • Lowers risk of breast cancer by 20 percent. • Lowers risk of depression by 30 percent. • Lowers risk of hypertension by 40 percent. • Lowers risk of type 2 diabetes by 58 percent.
ALABAMA DIGESTIVE CARE CENTER Board Certified Gastroenterologists Bashar A. Hakim, M.D.
Peter A. D’Sa, M.D.
UNDERSTANDING COLON CANCER & PREVENTION
Colon Cancer is the second most common cancer in men and third most common cancer in women. Colon Cancer is diagnosed in approximately 150,000 patients annually. Colon Cancer claims the lives of more than 50,000 patients every year. More than 95% of Colon Cancer arise from colon polyps. RISK FACTORS INCLUDE: Family history of colon cancer. Personal history of colon polyps. Low fiber diet, smoking, obesity. Red meat, diabetes. Colon Cancer is a preventable disease. Colonoscopy is most effective in prevention and early detection of Colon Cancer. Screening colonoscopy should start at age 50, and earlier for patients with a family history of colon cancer.
Learn More About Colon Cancer Prevention Call 256-249-6050 or 256-362-0266 294109
THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011 — 15
health & fitness
RMC Welcomes to our staff: Juan C. Velásquez, M.D. Vitamin supplements can be useful, but it is always best to get nutrients from food whenever possible.
Vitamins take over when diet not balanced By CHRIS NORWOOD
Home staff writer
Dr. Velásquez is now taking appointments for new patients, please call 256-231-2552 RMC welcomes Dr. Velásquez to Anniston and to our medical staff.
crunched for time, that can be a problem. Your See Vitamins, Page 16
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Of course, good nutrition is important throughout life, but is particularly crucial in growing children and older people who are not as naturally healthy. Joni Baker, who runs the Child Nutrition Program for the Talladega City School System, pointed out that “if you eat healthy, no matter what your age, you don’t necessarily need to take any supplements. But with young children, you can’t always do that. Not all kids are willing to eat a balanced diet.” What supplements might be necessary vary from child to child. “That would really be up to a doctor to say,” Baker said. “But the key is to get some dairy, some protein, some leafy green vegetables and
some fruit. But like I said, not all kids want to eat properly, and especially in cases where parents are
Dr. Velásquez has joined The Salame Heart & Vascular Clinic. Dr. Velásquez completed his Cardiology and Interventional Cardiology Fellowships at Emory University School of Medicine in Atlanta, Georgia. Dr. Velásquez is board certified in Cardiovascular Medicine.
16 — THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011
Vitamins From Page 15
pediatrician might very well recommend a multivitamin.” A multivitamin is also a good idea for children with severe allergies or digestive issues, Baker said. With older people, the first issue that usually needs to be addressed is calcium, according to Jennifer Norman, a nutritionist at Talladega Health Care and Rehab Select. “As we get older, our bones tend to get weaker. The rule of thumb is 1,200 mg per day, which is four servings of dairy. If they can’t get what they need or aren’t eating well, Ensure is good to have, or Carnation Instant Breakfast, which you can add to milk.” Women tend to need slightly more than men, but the target calcium intake for both sexes between the ages of 51 and 70 is right around 12 mg. Other supplements may be needed based on lab tests conducted by a doctor. “Most of the patients here (at Talladega Health Care) take a multivitamin supplement,” Norman said. “That includes a lot of the B complex vitamins, which may not be absorbed as well as in younger people. You can buy those in most over-the-counter vitamins. Women will probably need something with a little extra iron, and both sexes sometimes need a vitamin D supplement, or a multivitamin with vitamin D in it, to help absorb calcium.” The ideal is a multivitamin with all of the above, including calcium. “A lot of times with smaller, older people, it’s hard to get four dairy servings per day. So a lot of times a multivitamin is the best route to go.”
Contact Chris Norwood at cnorwood@dailyhome. com.
health & fitness
Heart attacks: What you need to know Bt MATT QUILLEN Home staff writer
Heart disease remains the leading cause of death in the United States. But with improved treatment and increased awareness of heart attack signs and symptoms, many people who have a heart attack now survive. According to the Mayo Clinic website, common symptoms for someone suffering a heart attack, also called a myocardial infarction, include prolonged pain in the upper abdomen, episodes of chest pain, “pressure, a feeling of fullness or a squeezing pain in the center of your chest that lasts for more than a few minutes” and pain extending beyond your chest to your shoulder, arm, back or your teeth and jaw. Other listed symp-
toms are shortness of breath, sweating, fainting, nausea or vomiting and an “impending sense of doom.” Other possible symptoms in a woman having a heart attack are abdominal pain or heartburn, clammy skin, lightheadedness and unusual fatigue. “A heart attack can occur any time — at work or play, while you’re resting, or while you’re in motion,” the website states. “Some heart attacks strike suddenly, but many people who experience a heart attack have warning signs and symptoms hours, days or weeks in advance. The earliest warning of a heart attack may be recurrent chest pain (angina) that is triggered by exertion and relieved by rest. Angina is caused by a temporary decrease in blood flow to the heart.”
A heart attack occurs when one or more of the arteries supplying the heart get blocked. “Over time, a coronary artery can become narrowed from the buildup of cholesterol,” the website states. “This buildup — collectively known as plaques — in arteries throughout the body is called atherosclerosis.” One of these plaques can rupture and form a blood clot, causing the heart attack. Mayo Clinic staff said when the coronary arteries have narrowed due to atherosclerosis, the condition was known as coronary artery disease, the major underlying cause of heart attacks. Also, a heart attack can be caused when a spasm of a coronary artery pre-
vents blood to the heart. Although the occurrence of that type of heart attack is uncommon, it can be brought on through the use of drugs such as cocaine. “A heart attack is the end of a process that typically evolves over several hours,” the website states. “With each passing minute, more heart tissue is deprived of blood and deteriorates or dies. However, if blood flow can be restored in time, damage to the heart can be limited or prevented.” According to the National Heart, Blood and Lung Institute, part of the U.S. Department of Health and Human Services, lowering risk factors for heart disease can help prevent a heart attack. Their website states that
even people who already have coronary heart disease can take steps to lower their risk. One of the methods for doing this is through a diet low in saturated and trans fats, cholesterol, sodium and added sugars. “A healthy diet includes a variety of fruits, vegetables and whole grains,” it states. “It also includes lean meats, poultry, fish, beans and fat-free or low-fat milk or milk products.”
The institute recommends that people who are overweight or obese work with a doctor to create a reasonable weight loss plan. Physical activity can improve a person’s fitness level and overall health as well. “If you smoke, quit,” it states.
TALLADEGA OPHTHALMOLOGY CLINIC Expert Care For Your Eyes
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THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011 — 17
health & fitness
Does late-night eating cause weight gain? more if they are eaten at night or during the day. Furthermore, the body’s metabolism never stops working, organs are functioning and energy is being used even as one sleeps. Opponents to the “late night eating equals weight gain” theory state that it’s not what is eaten at a specific time that matters, but it’s how many calories are consumed over a week or month. As anyone who has tried to diet knows,
one day of dietary changes will do little to influence weight. Weight loss is a process not a quick fix. Limiting caloric intake will help a person lose weight. That’s because it limits the number of calories a person will need to burn off. There’s no evidence eating late at night plays a role in weight gain. It’s rather the number of calories and types of foods eaten as part of a normal diet.
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The correlation between late-night eating and weight gain has been studied and debated for quite a while. Although common sense might suggest there is a connection, there is no statistical proof to confirm the claim. Many of the studies involving late-night eating have been conducted on lab mice or on people who are deemed “late sleepers,” not necessarily on people who routinely eat the biggest or most caloric meals late in the day. Those who are dieting are routinely told to cut off meals after 7 or 8 p.m. to improve metabolic rates and reduce weight gain. Although it would seem to be good advice, there is no definitive scientific research that equates eating at night to weight gain. The speculation behind the eating and weight gain connection has to do with metabolism and human evolution. Humans evolved from situations where they ate and foraged between sunrise and sunset. There were no video games to play at night, no TV shows, and certainly no refrigerators to raid for late-night snacks. The body simply adapted to getting the bulk of its caloric intake in between daylight hours. Furthermore, people tended to be their most active during the day, when calories consumed could be burned off through exercise or daily activity. At night people tended to simply be lying around relaxing or sleeping. The calories can’t be burned off. Others debate that this is a myth, that calories consumed are simply calories. They do not weigh
50 or over?
18 — THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011
health & fitness
Yoga embraces both body and mind By LAURA NATION-ATCHISON
ing in air through their noses, and to inhale deeply, letting the air fill the belly and move away from the spine, and on exhales, letting the belly move back toward the spine. “We are clearing our minds, and slowing our heart rates,” she says. Then she reminds the students to “sit tall, and elongate your spine.” The breathing exercises continue for about 5 minutes before the positioning and poses begin, and Gann leads the class into the extended child
Home staff writer
See Yoga, Page 19
Laura Nation-Atchison/The Daily Home
Yoga and Pilates instructor Rhonda Gann demonstrates the warrior pose.
tly pull your chin back and relieve any tension in your
neck.” Gann goes on to remind
the class to breathe with their mouths closed, tak-
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You’ll do “trees” and “sunflowers,” “warrior one” and “warrior two,” and use your “starfish hands” to ease yourself into a “plank” position. The poses and positions of yoga are designed to stretch and strengthen the body, but there are many other aspects of yoga that add up to a pursuit that embraces both body and mind. Rhonda Gann has been a believer in what yoga offers for close to 15 years. The University of Alabama graduate is a fitness professional with certification from the American Council on Exercise in personal training and by the Aerobics and Fitness Association in group exercise. She holds a variety of certifications in yoga, Pilates, boot camp and core conditioning and is CPR/AED certified by the American Heart Association. Gann now teaches yoga and Pilates at Celebrations in Pell City, as well as at her home studio, Evolve Fitness Consulting, LLC. She starts her classes guiding members into a relaxed state, using voice and body to instruct. There’s soft music playing in the background, lighting is kept low using strands of tiny white lights hung on potted plants. She begins in a soft voice, she and her students seated on mats with legs crossed underneath them, arms and hands relaxed by their sides. “Let the day go, and just be here,” she says. “Your eyes are closed, gen-
position, and with legs tucked underneath and folding themselves into a ball, the class stretches their arms out in front on their mats, and then hands down alongside their body, reaching footward, for the child position. With a few minutes of this, the class is led into a plank pose, stretching out long on their mats, and extending their hands into “starfish” to support raising their bodies upward from the mats.
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Since 1996, NHC Place has been recognized as the premier Assisted Living Center in Calhoun County, delivering quality assisted living through a spectrum of services. Today, NHC Place continues that tradition providing an innovative lifestyle alternative and continuum of care for seniors.
Call or stop by today to see the freedom, elegance and assistance we provide.
My husband and I moved to NHC Place in July 1999. We needed an assisted living community in which to live, due to our heatlh. Our son made the arrangements for us to come to Alabama, and NHC Place and we came here sight unseen! We were so happy here! I lost my husband in March of 2010 and I miss him. I continue to enjoy the many services that NHC Place provides for me. The staff is very kind and helpful. I enjoy shopping, special activities and the fact that you can have guest to come and dine with you anytime. Oh not to mention, transportation is provided to Doctor’s appontments. I am very happy, and so gratetful for NHC Place. I would recommend NHC Place to anyone looking for retirement or assisted living. Come visit us soon! Jan Ross
1335 Greenbrier, Anniston 256-835-3959 View floorplans and our newsletter online! 293501 ww.nhcplaceanniston.com
health & fitness
THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011 — 19
Yoga From Page 18
That’s one of the things Gann stresses throughout the class, doing the moves and positions as your individual body allows. In a move to stretch the body downward to the floor from a standing position, Gann reminds the group that some may have their hands resting at their knees, some may be reaching to their ankles and
some may be reaching to the floor. “This is all about you being comfortable and where you need to be,” she says. “It is different for everyone.” Gann calls her classes “real world yoga,” and her goal is to make each session as great as possible for those who practice with me. “I want them to maintain as high a quality of life as possible for all their years,” she said. “Everyone practices the poses to their own ability and at their own pace.” Gann supplies the “props” — the bands and rings — and those who need them use them, along with chairs for support for class members who need them.
“This helps everyone to be successful and comfortable as they participate in the classes,” she said. “Our classes offer a very supportive and safe place to become stronger, more flexible and also to relax.” Gann ends the session with students lying on their backs on the mats, arms relaxed by their sides. There’s total quiet except for the music as the class ends. Pilates sessions make a great partner to yoga, Gann said. “It is an incredible builder of core strength, as well as balance and flexibility,” she said “Pilates moves are very effective and prove that you don’t have to do endless crunches to obtain strong and toned abdominals.”
But Pilates provide more than core training, they’re great for an incredible workout for legs and the entire body, and for posture, too, Gann said.
“The entire body seems to grow longer and leaner when you practice Pilates,” she said. See Yoga, Page 20
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The feet are raised on tip toes, body off the mat, and Gann calls for the arched “cat” back, then the “dog tilt,” when the back is positioned into a downward U shape. The class has begun its poses, and for a good hour Gann takes the members through standing, sitting and reclining positions that address the total body with toning, balance and strengthening poses. A “tree” pose puts students balancing on one leg, the other leg raised and tucked into position with the foot placed on the standing leg’s knee. Lying back down on the mats, the class raises one leg off the floor, slowly circling it over and across the body. Both legs
once back down, the class stretches the same leg back over the opposite side of the body into a twist to stretch their spines. The moves are repeated on the opposite side, some in the class holding their legs using stretchy bands held in their hands to support the move, some using Pilates rings, others doing the move without support.
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20 — THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011
Yoga From Page 19
Gann has conducted yoga and Pilates classes for all kinds of students, those with medical concerns such as cancer and arthritis, and some who are recovering from heart attacks and strokes. “Fitness and overall wellness are things I believe everyone should strive for, and that continual pursuit of these will keep the body, mind and spirit active and youthful,” she said. “I have a strong passion for helping others achieve overall wellness.” Yoga classes now meet Tuesdays and Thursdays at 5:30 p.m. at Celebrations in Pell City, as well at Gann’s home studio Tuesdays at 7 p.m. She
will soon add a Pilates class at her home. There are plans, too, to host some special events with the classes, and in October, which is Breast Cancer Awareness Month, Gann is planning a Yoga on the Lake event to raise awareness of the disease. It is planned to be in honor of her college roommate, who is a breast cancer survivor. She also plans to host events for promoting education and awareness for ovarian cancer; her mother is an ovarian cancer survivor; and for heart disease, as well. She lost a long-time friend to heart disease in 2010 and her mother-in-law died from the disease as well. Gann works to make her classes fun, keep the
sessions fresh and challenging and continually fine tunes them to keep them that way. Class member Marian Sloan has been taking yoga for a little over two years and at age 75, said she was facing serious health issues before trying yoga. She was told she needed a knee replacement, and was using a cane to get around. But not anymore, she says, and her arthritis has improved, too. “I call it yoga for life,” she said. Sloan easily makes the
moves in the class without showing strain. It was personal health issues that turned Gann to yoga, and she urges that others understand how underestimated the power of properly using something as simple as their breath for their wellbeing. “This is a natural way of managing some of these issues,” she said. “And this is part of what keeps us coming back to our mats.” Contact Laura NationAtchison at lnation@dailyhome.com.
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C H I LD R E N ’S H EALT H SYS T E M
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‘The entire body seems to grow longer and leaner when you practice Pilates.’
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2850 Dr. John Haynes Drive Pell City, AL
Children Are The Center Of Our Lives
Irfan Rahim, M.D.
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Board Certified Pediatricians Hours: Mon., Tues., Wed., Thurs. 8:30 a.m. ’til 4:30 p.m. Friday 8:30 a.m. ’til 11:30 a.m.
(205) 884-2260 Pell City, Alabama 272663
259096
THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011 — 21
health & fitness
New technology helps keep skin moisturized (MS) — With so much attention being paid today about new technologies used in cell phones, video games and music downloading, it is surprising that there hasn’t been enough written about the newest approach to maintaining proper skin hydration. Your skin is the largest organ of your body. It protects you from bacteria and viruses that can cause infections. It also helps your body sense the outside world, such as whether it is hot or cold, wet or dry. And yes, your skin regulates your body temperature. Just about everyone, at one time or another has skin that reacts to factors in the environment: germs, chemicals, harsh weather, animals, poor air quality, stress related irritations and sleep deprivation. Conditions that stress, clog or inflame your skin can cause symptoms such as redness, swelling, burning and itching. Allergies, irritants, genetic makeup, certain diseases and immune system disorders can cause dermatitis, hives and other skin con-
ditions. Proper care of the skin is a vital part of total body maintenance. As we grow older, our skin begins to dry out and lose elasticity. This dehydration process eventually causes skin to become so dry that it begins to crack and develop lines and age spots. While there are literally thousands of different types of skin moisturizing products sold throughout the world today, almost all of them are based on an old technology known as “barrier” technology. The idea behind this technology was to cover the skin with a thin coating and protect it from the elements. This was the standard approach to skin care products for the past few hundred years. While it was better than no treatment at all, many of these barrier products can clog the pores of the skin which results in stress and it can impair the natural skin breathing process. When you skin isn’t breathing properly, it can become inflamed and worse. Also, any benefits these products were washed away as soon as the skin came in contact
ing very dry and unhealthy skin. This group working together and sharing their discoveries, led to the creation of a new generation of skin moisturizing products which when applied to the skin become completely absorbed into the skin and leave no greasy film. The ingredients used
in these products combine botanicals, vitamins and minerals, and they actually stimulate the body to moisturize itself naturally. A recent clinical trial conducted at a prestigious laboratory in the United States confirmed that the daily use of Columbia Healing Cream results in skin that appears to be
younger looking, firmer and healthier looking after just three weeks. For more information about Columbia Healing Cream you may search the web at www.fcsturtevant. com, or call toll free at 1-888-871-5661, or write to: The F.C. Sturtevant Company, PO Box 607, Bronxville, NY 10708.
talladega ob-gyn
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Your health and that of your baby are important to us. That’s why we offer a full line of prenatal care and gynecological services. Our staff of professionals are on hand to help you with diet, exercise, testing and more.
SERVICES OFFERED:
The Ark
•Cervical Cancer Vaccine •Comprehensive Care For Women •General Obstetrics and Gynecology Care •Osteoporosis Evaluation and Treatment •Infertility Evaluation •Operative Laparoscopy •Abnormal Pap Smear Evaluation and Treatment
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• Gulf-Fresh Shrimp & Oysters • Choice Charbroiled Steaks • Mouth-Watering Fried Chicken • Grilled, Skinless Chicken Breasts Highway 78 East, Riverside, AL 205-338-7420
with water. Fortunately about a dozen or so years ago, a team of dermatologists and scientists from around the world began to work together on a project to develop a skin moisturizing system to help the millions of people who work outdoors and as a result were prone to hav-
health & fitness
22 — THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011
Men can drink to good prostate health More scientists, medical professionals touting medical benefits of coffee
component of coffee and prostate cancer is still hard to identify completely. The insulin factor and coffee’s effect on type 2 diabetes could be just one component. But compounds in coffee also have effects on sexual hormones that may also play a role in prostate health. This study comes on the heels of a Swedish study that found women who drank five or more cups of coffee per day decreased their risk for a particularly aggressive form of breast tumor.
An apple a day may keep the doctor away for the general population. But men looking to avoid serious types of prostate cancer, a cup of coffee a day could be a good option.
Insulin might play a role in prostate cancer formation. Coffee is high in antioxidants and also regulates glucose metabolism and insulin levels. This could be the correlation between high quantities of coffee and low occurrences of prostate cancer and other cancers. The cause-and-effect
Although the detriments and benefits of coffee have long been debated, more and more scientists and medical professionals are touting the medical benefits of coffee. Along with its link
to warding off certain cancers, coffee has been associated with lower risk of Parkinson disease, type 2 diabetes, gall stones, and even depression. Coffee may also help prevent muscle pain and weakness associated with vigorous athletic workouts.
More research needs to be conducted to further strengthen the link between coffee and reduced risk for prostate cancer. Although medical professionals have yet to advocate increasing coffee consumption, researchers say that moderate coffee drinking is likely not a contributor or harmful in terms of prostate cancer development.
STOP Coffee may be instrumental in preventing prostate cancer, including some of the more lethal varieties of the disease.
COOSA VALLEY CHIROPRACTIC CENTER THERAPY EQUIPMENT ACUPUNCTURE
Dr. Scott V. Zylstra
11 Western Ave. Sylacauga, AL 35150 Phone: 256-245-0404
www.drzylstra.com
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A recent major study by Harvard researchers published in The Journal of the National Cancer Institute found that men who drink 6 or more cups of coffee each day have a 60 percent lower chance of contracting lethal cases of prostate cancer. Those who drink 3 or more cups a day have a 30 percent lower risk. In general, heavy coffee consumption lowers men’s risk of developing any type of prostate cancer by 20 percent over 20 years.
CORE Oncology reports that prostate cancer is the second leading cause of cancer deaths
among American men. The National Prostate Cancer Coalition says that prostate cancer represents 30 percent of all new cancer cases in American men, while the Canadian Cancer Society says that, in 2011, an estimated 25,500 Canadian men will be diagnosed with prostate cancer and 4,100 will die of it. It is the most common form of cancer cases among men in Canada.
health & fitness
THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011 — 23
What to look for in an elder care facility
Determine Individual Needs Men and women researching potential living facilities might find it difficult to determine their specific needs. Unforeseen health conditions, for instance, might dictate which option is the best fit. Men and women who have a medical condition that requires routine monitoring will almost certainly want a skilled nursing facility.
But those without medical conditions who need help with simpler tasks of everyday life are likely to have those needs met by an intermediate facility. Some facilities provide both types of care, which can make transitioning from one to another much easier if or when that need arises. Facilities typically have intake planners on staff who evaluate each individual and determine which level of care is the best fit. Research Policies and Procedures Each facility should be ready and willing to share and discuss its policies and procedures with regards to residents. What is the procedure when a resident has a medical emergency? What if a resident finds a living situation unpleasant? What is the facility’s philosophy regarding staff and resident interaction? What are the facility’s hiring practices, including certification requirements, for its personnel? What is the ratio of staff to residents? Each facility should be able to answer these questions promptly and adequately. Those who can’t should be checked off the list of residences to consider. Facility Ratings According to the AARP, recent research has shown that nonprofit nursing homes offer higher-quality
viduals should spend some time at the facilities they’re considering to get a firsthand account of what life at that facility is like. Observe the staff interactions with residents, including if they address residents with respect and patience. How do the current residents look? Are they unkempt and left to
their own devices, or do they appear well groomed and are they encouraged to interact with other residents? Does the facility seem warm and welcoming, or is it antiseptic? The move to an elderly care facility is often difficult and sometimes depressing, so each of the above conditions can carry sig-
nificant weight when choosing a facility. Finding a nursing home or a similar facility for yourself or an aging relative is not necessarily easy. Men and women facing such a difficult decision should begin the process as early as possible to ensure they find the facility that is the best fit.
SPECIALISTS, P.C.
Paul R. Goldhagen, M.D., F.A.A.O.S. Orthopedic Surgery
ANTERIOR TOTAL HIP REPLACEMENT A “Revolution” in Recovery
Get a Firsthand Account of the Facility Before choosing a facility for themselves or an elderly relative, indi-
LINCOLN PHARMACY
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As men and women enter their golden years, many decide they can no longer maintain their homes and choose to downgrade to something smaller, be it an apartment or a condominium. For millions of others, health plays a significant role when deciding where to move when it’s time to sell their homes. According to the AARP, slightly more than 5 percent of people 65 years and older live in nursing homes, congregate care, assisted living, and boardand-care homes. Statistics Canada notes that by 2004-05, the most recent year for which statistics are available, 1 in 30 Canadians over the age of 65 were living in homes for the aged. Though no one plans to live in a nursing home, seniors and their families should at least know what to look for just in case.
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Finding the right facility not necessarily easy
care, better staff-resident ratios, and have fewer health violations than facilities managed by forprofit companies. Men and women researching facilities can visit Caring. com, an online resource for men and women caring for aging relatives. The Web site enables adults to compare nursing homes in their areas, including if a home is for profit or nonprofit, and the home’s capacity. U.S. residents can even learn each facility’s Medicare ratings, which are determined by examining the safety of the facility and its overall quality of care and a host of other factors.
24 — THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011
health & fitness
Look to Latin cooking to improve health lesterol health. Pumpkin seeds: These seeds contain phytosterols that help promote healthy immune systems as well as protein. Instead of fatty snacks, people can munch on low-fat, low-calorie pumpkin seeds. Beans: An undisputed leader in fiber and protein, beans have three times the soluble fiber of oatmeal. They can help reduce cholesterol and also help fill a person without a lot of fatty meats or other ingredients. Beans are another good component for vegetarian diners. Cilantro: That spicy punch in salsas and other Latin dishes may not be
from peppers but from cilantro. This herb is often mistaken for parsley in a dish, but one bite will tell otherwise. Cilantro is the leafy part of a coriander plant and is a good source of antioxidants. It can be a flavorful addition to foods instead of adding calories through other ingredients. Plantains: Similar in appearance to bananas, plantains contain similar nutritional content as well. They are high in vitamin A, potassium and fiber. But they should be eaten in moderation because they can be high in fat. Seafood: Many Latin dishes feature seafood, which tends to be high
in good forms of essential fatty acids, especially oily fish like salmon, tuna and snapper. Coconut milk: Coconut milk has a number of benefits, including being
a rich source of manganese, which may help with glucose intolerance. It is rich in calcium and phosphorus, essential nutrients for strengthening bones. Coconuts also may help
209 West Spring St., Suite 200 • Sylacauga, AL 35150 Craddock Health Center physicians have a proud heritage of medical care dating back to 1912
Appointments: (256) 249-1100 Main # (256) 245-5241 Ammar S. Aldaher, M.D. Stephen R. Bowen, Ph.D., M.D. Laura G. Deichmann, M.D. Mahgoub A. Eltoum, M.D. Walter P. Pinson, M.D.
We accept most insurances Visit our web-site at www.craddockhealthcenter.com
reduce anemia by offering the body substantial iron. Enjoying a Latininspired meal may not just be a tasty experience, but it can be a healthy one as well.
Diseases We Treat *Diabetes *High Blood Pressure *Cholesterol *Heart Disease *Vascular Disease *Liver, Stomach & Colon Disease *Arthritis *Osteoporosis *Menopause * Prostate Disease *Memory Disorders *Headaches Services We Provide *Breath Alcohol Testing *Drug Screening *D.O.T.s *Diabetic Education Classes * Infectious Disease Control *Weight Loss Clinic *Vascular Imaging *EKGs *Cardiac Event Monitoring *Hearing Tests *Vaccinations *Laboratory Testing *Company Physicals *Pulmonary Function Testing *Ultrasounds * X-Rays *Workman’s Compensation Claims *Screenings for Hypertension, Diabetes, Cholesterol, Thyroid Disorders, Obesity, Osteoporosis, Cancer and others 276266
There has been much interest in Mediterranean cuisine and its possible medical benefits. However, individuals who prefer the spice and flair of Latin dishes may also be better for it with respect to their health. There are certain components of Latin cooking that can be advantageous to those watching their weight or making dietary changes for another reason. Mainstay ingredients of Latin cooking have a multitude of benefits. Here are just some of the ingredients to consider. Quinoa: Quinoa is a grain that offers substantial protein and essential amino acids. Because of the protein it packs, it is a good option for vegetarians. Chiles: The capsaicin in chiles that give the peppers their hot bite can help reduce inflammation in the body. The peppers are also another good source of vitamin C. Papaya: This fruit is a healthy addition to any fruit salads or as a side dish to meat and fish. Papaya contains potassium, folic acid and more vitamin C than some fruits more commonly associated with vitamin C, including oranges. Avocado: Avocados are found in dips and toppings for many Latininspired foods. Although many people shy away from the fruit because of its high content of fat, avocados are excellent sources of good monounsaturated fats that help lower cholesterol. When enjoyed in moderation, it can be a good component for cho-
THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011 — 25
Get back in the swing. UPDATE ON TOTAL JOINT REPLACEMENTS Dr. Scott Appell, Orthopedic Surgeon Monday, September 26 | 6 p.m. | Trinity Medical Center Member of the Medical Staff
If hip or knee pain has taken you out of your game, turn to the advanced orthopedic care at Trinity Medical Center. Our skilled physicians offer comprehensive bone and joint care. And, we’ve been named a Blue Distinction Center® for Knee and Hip Replacement for better overall quality of care and results for patients having these surgeries. So join us at our free seminar and find out how you can get back in the game. Visit TrinityMedicalOnline.com/ortho.
Designation as Blue Distinction Centers means these facilities’ overall experience and aggregate data met objective criteria established in collaboration with expert clinicians’ and leading professional organizations’ recommendations. Individual outcomes may vary. To find out which services are covered under your policy at any facilities, please call your local Blue Cross and/or Blue Shield Plan; and call your provider before making an appointment, to verify the most current information on its Network participation and Blue Distinction status. Neither Blue Cross and Blue Shield Association nor any of its Licensees are responsible for any damages, losses, or non-covered charges that may result from using Blue Distinction or other provider finder information or receiving care from a Blue Distinction or other provider.
health & fitness
26 — THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011
Tomatoes inspire simple, delicious meals (MS) — Creating simple, delicious meals does not have to be difficult. With the right ingredients on hand and a little knowhow, you can create tasty meals right from your own kitchen. Italian dishes full of flavorful, fresh, tomato bases are some of the most popular around. Just think of the multitude of pasta options or meat, seafood and vegetable a la parmigiana dishes.
Origin of cancer not always known
When diagnosed with cancer, patients are typically informed where the cancer is or, when the cancer is in an advanced stage, where it started. However, in some instances doctors struggle to determine the origin of a cancer in the body. According to the Canadian Cancer Society, cancer of unknown primary, commonly referred to as CUP, means that the cancer has already metastasized at diagnosis and doctors do not know where it started. Upon further testing, the primary site See Cancer, Page 27
Not all tomatoes are created equal. Those from Pomi are specially grown in Italy and processed right next to the fields where they were harvested. These 100-percent natural tomatoes yield some of the freshest flavor for cooking. Studies indicate that cooked tomatoes are an important component
in immune system health. Tomatoes are high in lycopene — an antioxidant that gives tomatoes their bright color and can fend off certain cancers. You also want to look for tomatoes that are safely packaged, without the use of BPA (bisphenol A), a carcinogenic chemical that
is often used in plastics and in resin linings of metal cans. Pomi stay-fresh packaging is always BPA-free and is specially designed to ensure a long shelf life. These tomatoes are always available. So, just Pomi when the urge to create delicious food strikes you.
Inspired menu creation Chefs looking to get started on their next mouthwatering culinary creation can consider this recipe for Chicken Breast
Sorrento, courtesy of Pomi. Chicken Breast Sorrento 2 whole chicken breasts, skinned 1 cup water 1-1/2 cups Pomi, strained 1 small onion 1 small carrot 3 tablespoons olive oil Juice of one lemon Salt and pepper Lettuce for garnish Simmer chicken breasts in water, tightly covered, with 1/4 teaspoon salt, onion and carrot until tender (about 1/2 hour), adding water if necessary. Cool, drain, remove bones and slice breasts. Mix the lemon juice with olive oil, 1/4 teaspoon salt, pepper and Pomi. Pour a small portion of the sauce onto a platter, place the sliced chicken breasts on top and pour the remaining sauce over the chicken. Garnish with lettuce.
COOSA VALLEY MRI “Providing Answers for Life”
315 West Hickory Street Sylacauga, Alabama 35150
256-207-2686
292978
Tomatoes: A staple of Italian cooking Tomatoes are the heart of many popular Italianstyle or Mediterranean meals. Not every home chef has the time or the space to grow their own tomatoes. Even still, certain varieties taste better than others. Pre-packaged tomatoes are a handy option for home cooks. When shopping, select high-quality, fresh-tasting, garden-ripe tomatoes, like those from Pomi.
Secret of the professionals The popularity of cable how-to cooking channels has enabled home cooks at learn some insider secrets from some of the world’s most renowned chefs. For decades, Mario Batali has wowed diners with his culinary flair at several successful restaurants, including “Del Posto” and showed his expertise on many long-running television cooking shows. He has also authored several best-selling cookbooks. In his 2010 release Molto Gusto, Batali — an expert on authentic Italian cuisine — routinely recommends the use of Pomi tomatoes for his collection of pizza, pasta and antipasti recipes.
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THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011 — 27
New SIDS research suggests link to serotonin and controls sleeping and waking. The research team found serotonin levels in 25 of the 41 SIDS infants were 26 percent lower than the levels in the children who died from other causes. There was also a 22 percent deficiency in another enzyme that stimulates serotonin production. Binding to serotonin receptors was 50 percent lower in the SIDS babies. Serotonin is a neurotransmitter, a substance that is designed to transmit messages from one nerve cell to another in the central nervous system. Low levels of serotonin can lead to depression, sleep disorders and various forms of addiction. Serotonin affects and controls mental and emotional processes, some motor functions, temperature control, regulation of blood pressure, and some hormonal functions. Serotonin also plays an important role in the onset of sleep. SIDS is a term medical professionals and scientists use to describe the unexplained death of a child under the age of one. Although scientists are still trying to unlock potential biological factors
From Page 26
idea of where the cancer might have begun. But the primary cancer may not be found for a number of reasons, including: • The primary cancer is very small and grows slowly, • The primary cancer was actually killed by the body’s immune system,
Cancer
for the cancer might be identified, but in many cases doctors never learn where the cancer began. In some instances, the primary cancer can be identified thanks to the cancer cells’ appearance. The cancer cells usually look like the cells in the type of tissue in which they began. For instance, if breast cancer cells spread to the lungs, the cancer cells in the lung will look like breast cancer cells, giving doctors a good
• The primary cancer was removed during surgery for a different condition and doctors never realized a cancer had formed.
in SIDS, doctors recommend controlling the environmental and physical factors that may contribute, including: • Mothers avoiding drugs, alcohol and cigarettes while pregnant; • Keeping the house smoke-free; • Ensuring the infant is not overheated; • Placing the baby to
sleep on his or her back; • Keeping the crib free of breathing obstructions, such as pillows, heavy bedding or stuffed animals; • Maintaining routine well visits with a pediatrician; and • Having the infant sleep close to mom or dad (but not in the same bed) so that breathing can be
Implant Seminar
Tuesday, September 27 • 6:00-8:00 p.m. Hampton Inn
220 Vaughn Lane Pell City, AL 35125
(Located in Wal-Mart Shopping Center)
Come join our friendly team and learn how we can help change your oral health with implant crowns, bridges or dentures. Dr. Barnett and staff will be there to explain the benefits of dental implants and answer your questions. You are invited to join us for an educational experience and refreshments. This is a FREE seminar used to help educate our community. For directions and reservations call (205) 884-2370 or Toll free 1-877-372-3272.
Scott R. Barnett D.M.D., F.A.G.D.
Pell City Dental Center, P.C. (205) 884-2370 or Toll Free 1-877-372-3272 1605 Cogswell Ave. Pell City, AL 35125
monitored. Eventually, researchers hope to devise a way to recognize serotonin deficiencies in infants so that parents will be aware of
the potential SID risk in advance. Until that time occurs, caregivers can simply follow the current, long-standing advice on SIDS.
Sylacauga Pediatrics 115 West Clay Street, Sylacauga
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Sudden infant death syndrome can be a devastating blow to new parents. Seemingly out of nowhere an infant can lose his or her life. Although SIDS research is ongoing, recent research suggests a link between SIDS and serotonin deficiency. SIDS remains the leading cause of death for children ages one month to one year. Although the rate of fatalities has decreased in the last two decades, there are still some babies who die despite parents doing everything right. This could leave people to believe there might be a biological factor as well. Recently, a team led by a Children’s Hospital Boston neuropathologist pinpointed a defect in the brain that could be responsible for some cases of SIDS. The team studied the brainstems of 41 children who died from SIDS; the brainstems of seven who died of other causes; and the brainstems of four who died after being treated for low oxygen levels, a condition thought to contribute to SIDS. The brainstem is the part of the brain that regulates blood flow, controls breathing, regulates body temperature,
(256) 245-3267
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28 — THE DAILY HOME, Talladega and St. Clair counties, Ala., Wednesday, September 21, 2011