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october 14
birds, bees & babies
FIVE QUIRKY GYM TOOLS EXPLAINED How many machines and devices do we actually feel confident using in a gym? Dumbbells and squat racks are pretty familiar, but there are other gym tools that are worth your time.
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TEN ENERGY BOOSTING FOODS A Snickers is probably a bad idea for an energy boost, but it might be what we grab because we don’t know what actually will pump us up.
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MIND THE CHILDREN’S MINDS Children, like adults, have heart problems. They have skin issues. They have lung diseases. It should come as no surprise that they have mental illnesses.
VOL. XIII № 10
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THE BIG DAY As the ninth month approaches, tension rises, especially for young couples. The day can be remembered fondly, but there are some keys to success. Here is a five step guide to a successful birth.
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TEN MOMMY MAKEOVER TIPS
DAD MATTERS Women do the heavy lifting when it comes to giving birth, but the husband’s role is vital.
IT’S NOT THE END Infertility is something millions of Americans deal with. Modern medicine has numerous options for couples dealing with this ultimate disappointment, but navigating those options can be intimidating.
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HEALTHY IDAHO OCTOBER 2013
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LIFE. O ne thing is clear to me. Life is precious. And fleeting. And more valuable the older we grow. Still, life is only as valuable as we make it.
I recently met with my financial planner to review our retirement plan, consider a health savings plan, and talk life insurance. From a legal, life-insurance perspective, the value of life is interesting. Am I worth a few thousand dollars, or a few million? Depends on how much I want to pay each month, apparently! Insuring 'life' is an ironic concept. Any insurance agent can tell you what the no-fault payout for killing someone in a car accident is. But, ask a war casualty's widow or parents what they are paid when a military member is killed, and what they would pay to have them back. Monetizing the value of an irreplaceable life is an intriguing disparity. When I hold a baby, I marvel. An infant truly is a priceless miracle. A healthy infant, even more so. When you think of all the systems at play in making a human body function properly—eyes, ears, lungs, bone structure, brain, etc.—it truly is a wonder that any of it goes right at all. And yet, it does most of the time. Except, when it doesn't. Life comes and goes. We win, and we lose. We experience highs and lows, joys and sorrows, disappointment and fulfillment. Opposition in all things is clearly part of the mortal plan.
WRIT TEN BY JOHN A. ANDERSON, EDITOR IN CHIEF
EDITOR'S NOTE
P H O T O B Y T I F F I N E E D AW N . C O M
HEALTHY IDAHO OCTOBER 2013
IDAHO
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WITH
OCTOBER 2013 VOLUME V, № 10
For any who have lived with, or cared for someone with some type of disability, you know and understand how difficult, and also how rewarding that can be. Not easy, yet enriching in peculiar ways. My oldest brother and his wife have cared for their beautiful, mentally disabled, though highly capable daughter, Candace, for over thirty years. She's brought so much unique joy to our entire family. I have a very active cousin who became completely disabled from the neck down within weeks of getting married in his 20's. It was tragic and unbearable. And amazing, as Jeremy has gone on to become a father, a teacher, and a PhD candidate. Through his extremity has come glorious capability and inspiration.
EDITOR-IN-CHIEF John A. Anderson | john@healthy-idaho.com PUBLISHER Kenneth J. Shepherd | ken@healthy-idaho.com SALES AND MARKETING Julie Guyer 208.371.4533 Steve Wallace 208.850.4983 Kristi Hendry 208.703.7448 sales@healthy-idaho.com DESIGN EDITOR Phillip Chadwick design@healthy-idaho.com MANAGING EDITOR Michael Richardson editor@healthy-idaho.com ASSOCIATE EDITOR Whitney Lewis editor@healthy-idaho.com ONLINE EDITOR Dallin Law | dallin@healthy-idaho.com DIRECTOR OF OPERATIONS Sandy Wise | 866.884.3258 sandy@healthy-idaho.com
I have another cousin who was highly intelligent, artistically inclined, with impressive scholarships to Stanford University. He suffered from mental illness and tragically took his very promising life. That was challenging to understand.
CONTRIBUTING WRITERS Aubrey Taylor, Jamie Gray, Jessica Hagy, Heather Hooke, David Joachim, Brooke Kittel, Lisa Mathews, Wayne Larsen, Colette Bouchez, Patty Trela
I have witnessed and feebly consoled other close family members who have struggled to have children, and/or whom have lost children at birth. Infertility and child loss are two very heartbreaking issues that further highlight the fragile nature of life.
Healthy Idaho Magazine is printed monthly and delivered to higher income homes throughout Boise and is made available for pick up at hundreds of locations. Healthy Idaho Magazine is also mailed to all doctors, dentists, chiropractors, medical practitioners, health clinics, banks, and other businesses. If you would like to have Healthy Idaho Magazine delivered for distribution in your place of business, please contact us.
As the saying goes, 'Whether it be a grain of sand or a rock, in water they sink the same.' No matter how big or small the trial, it's never easy to handle. But, it can be rewarding. Each of these personal life challenges I mention seemed to be offset by an increase of love and understanding, of closeness and caring that, perhaps, would not have been there without the pain and setback. Maybe, like the body itself, tragedy finds its own way of healing and harmonizing. So, this month, we turn our attention to life. Giving life. Infertility. Pregnancy. Living and loving life. And we also touch on the troubling trend of suicide, and taking life. Hopefully, the overall message is about joy, happiness, and hope for a better, more enriching life, whatever life opportunities you must embrace.
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CIRCULATION
HEALTHY IDAHO MAGAZINE info@healthy-idaho.com 866.884.3258 PLEASE NOTE: The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters, which should be obtained directly from a health professional. The opinions expressed by the authors and advertisers are not necessarily those of the publisher. Call for reprint permission. All photography courtesy of Shutterstock.com unless otherwise noted.
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Baby Talk / in the news
69
4,000,279 Number of US births in 2010, latest statistics Source: CDC
The most children born to one woman is 69. The woman died at age forty, and by that time had 16 twins, 7 triplets and 4 quadruplets.
MOST COMMON BIRTH MONTHS
"DIAPER backward spells REPAID. Think about it."
1. 2. 3. 4. 5.
August September July October June
35%
Researchers in Scotland found that if your mother was obese during pregnancy, you have a 35 percent higher chance of dying before the age of 55.
Giving birth in the U.S. is more expensive than any other country in the world. Amount Paid for Conventional Delivery Childbirth, 2012 United States: $9,775
Source: CDC
-Marshall McLuhan
Switzerland: $4,039 France: $3,541 Chile: $2,992 Netherlands: $2,669 Britain: $2,641 South Africa: $2,035 Source: International Federation of Health Plans
CRY BABY CRY
Recent research from Brown University says a baby’s cry is a window into his brain. Researchers there have developed a computerbased instrument that breaks recorded cries into millisecond segments, and analyzes them. The analysis can determine whether the child has neurological or developmental problems, researchers say.
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Journal of Speech, Language and Hearing Research
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HEALTHY IDAHO OCTOBER 2013
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.
>> Advisor FITNESS
EXERCISE M OTIVATION is different in Men and Women
Just finding the will, desire and time to exercise can be hard. It is scientifically proven that exercise can prolong our lives but many are obese. We all know what we have to do to stay healthy and yet we just can’t make ourselves. Motivation is the key to consistently exercising and ultimately improving our health. Understanding that men and women are usually motivated in different ways may help us overcome some of the road blocks that keep us from working out. The lists below are just general gender tendencies and may not exactly fit into what personally motivates you. The more we learn about what makes us tick the more success we will have. Try new things that will keep your workouts fresh. Staying excited about the same thing over and over doesn’t work. Change up your workout routine every 4-6 weeks. You have to mix things up. Your body adapts to the same stimuli so you need to challenge your body in different ways.
MEN
• Men generally focus on strength training and muscle gain. • They are motivated by measuring strength increases. • Love to compete whether it is with themselves and their weights or with others. • Tend to avoid group or choreography based classes. • Tend to work their upper bodies to bulk up.
WOMEN
An educated exerciser will be empowered and motivated to keep exercising. Know that your physiology doesn’t change from the waist up or the waist down. Women need to work their upper body and definitely add strength training to their workout routines. Women don’t have to bulk up when using weights. Men, don’t avoid your lower body. Be adventurous and try some group classes.
• Women are generally pushed to stay active so that they feel good about themselves. • They want to have a better body image and exercise to fix a certain body part. • They are more in touch with their bodies and use the mind-body connection to find good health. • They exercise to maintain the energy they need to face the dayto-day demands. • They don’t mind exercising in groups or classes and love the camaraderie and friendships. • Tend to work their lower bodies to lean down.
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Find what makes you tick and then grow from there. Never stop finding reasons to exercise. Your longevity depends on it.
ABOUT THE AUTHOR Lisa Mathews
ACE- Personal Trainer & Group Fitness Certification AFFA – Group Exercise Certification EXCEL – Certified Personal Trainer NESTA – Speed, Agility and Quickness NESTA Biomechanic Specialist Stott Pilates Certification Johnny G. Spinning Certification
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s s e n d t i F y aine k r i u Expl , s l Too
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TRUE STRETCH CAGE
If you ask me, this looks more like something you’d find in a zoo, but there is more to this big piece of metal than meets the eye. One stretch session with the True Stretch Cage after a body-crippling workout will have you coming back for more. Robinson says its complex design allows for more effective stretch positions. You know what this means; no more stretching on whatever area of floor you can find.
HOW TO USE IT:
Use the cage daily following any workout. There is an easy to follow diagram that shows how to stretch specific muscle groups. These stretches are designed to feel natural, yet help you improve muscle function and flexibility.
WE’VE ALL HEARD IT’S IMPORTANT TO SWITCH UP YOUR WORKOUT, BUT HOW DO YOU DO THAT WHEN SO MANY TOOLS AT THE GYM LOOK FOREIGN?
2
AB WHEELS
The ab wheel looks like a large version of a training wheel. Not too intimidating right? Think again. This small and seemingly innocuous devise presents quite a challenge, according to Robinson. This is a simple way to achieve rock hard abs.
HOW TO USE IT:
Start standing with the wheel at your feet holding on to the handles. Roll the wheel out until you are laid out as far as you can go, all while maintaining control. Then pull back until your feet and hands come back together. You can also use the wheel in a pushup position, resting your feet on the handles.
Follow advice from Personal Trainer Blake Robinson, owner of Evolve Fitness in Salt Lake City, so the unfamiliar gym equipment doesn’t stop you from achieving amazing results. His tips will help you utilize these quirky fitness tools, and look good while doing it.
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Healthy-Idaho.com
5
BOSU BALL
3
You may think this bubble shaped toy is only for those working on a balancing act, but it proves to be much more than that. The Bosu Ball has some very interesting strength training benefits. Robinson says trying to maintain proper form while doing simple exercises like pushups and squats can keep your body guessing. This pushes the difficulty to a whole new level, resulting in higher caloric burn and a stronger core.
HOW TO USE IT:
This is the perfect tool to use if you feel your workout routine is becoming too routine. Perform squats, lunges and holds on the Bosu. Your core muscles will work extra hard to keep you from falling off. A word of caution; make sure the Bosu ball you choose to stand on doesn’t say “no standing.” There are a few brands that are not made for standing.
VIBRATION PLATFORM
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This is what I like to call the “Jiggler.” Quirky, yes, but don’t be fooled by the machine’s shaky nature. There are lasting benefits from spending time on its platform. Will you lose weight? Not likely, but the physical benefits are there. By standing on the vibration platform, Robinson says you activate the fast twitch muscles in your legs. This no impact exercise can also help to strengthen bone density, improve muscle strength and help with balance. When recovering from an injury, the vibrating platform will increase your range of motion if you stretch.
PLYO BOXES
No, these boxes aren’t a place for lacing up your sneakers or resting. Jumping onto these metal boxes can turn up the calorie burn, sculpt your legs and butt and give your joints a break from the usual burpees and squat jumps, Robinson says.
HOW TO USE IT:
HOW TO USE IT:
The vibrating platform can be used before and after workouts for stretching. Start by placing one foot on the platform at a time and work your way up to standing on the platform with both feet while stretching. The platform can be used daily. A caution to women who may be pregnant: avoid the vibration machine all together.
Start with the smallest box available and work your way up to the biggest, slowly. Jumping both feet onto this box will torch calories and improve your ability to jump higher. Be sure to swing your arms up for momentum.
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HOPZ PRO
Vertical jump is a key component to athletic ability. Using the Hopz Pro, athletes will develop explosive leg drive and power increasing their vertical. With up to 80+ lbs of resistance this performance trainer pushes athletes to the next level.
HOPZ FEATURES
• Builds explosive jumping ability by training the lower body. • Portable unit includes heavy-duty belt, four resistance cords and foot attachments. • Resistance cords clip to belt and ankle straps easily with a carabiner.
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HEALTHSMART
Reel RECOVERY
BY KAREN ZATKULAK
SUN VALLEY – This summer fourteen men, fighting the battles of their lives, got to slow down and cast away their cancer diagnoses for one weekend. For three days, the men fished in a crystal clear river beneath the Pioneer Mountains in Central Idaho – casting, catching and counseling. It’s a retreat provided by the national Reel Recovery program, a relaxing getaway for men of any age, with any type of cancer.
THE EXPERIENCE
The men stay at Wild Horse Creek Ranch, not far from the water. While most of their time is spent fishing, they also take part in group counseling sessions called "courageous conversations." Dozens of volunteers are at hand, and each participant has a fishing buddy to help them on the river. The weekend is completely free for the men. The only thing they need is a fishing license.
"I'm going to fight this thing, and I'm going to win," said Higgins. "I don't have an option." Before the Reel Recovery retreat he felt like he was fighting the battle alone. "When you get diagnosed, it's all you think about," said Higgins. "You get out of bed, and it's with you the entire day." He says the weekend away, on the river with new friends, completely changed his perspective – from feeling alone, to understanding there are other men with similar stories. One of those other men was his fishing buddy for the weekend, Larry Boyd, who was diagnosed with the same cancer at the same age 20 years ago. "There were times it brought back memories and a fair amount of emotion for me." said Boyd. Higgins says it’s the support from people like Boyd, along with all the other participants, that really made the difference for him.
THE PROGRAM
41-year-old Dan Higgins was diagnosed with rectal cancer in May. He’s already been through chemotherapy.
Reel Recovery was founded by a group of fly-fishing friends in 2003 – inspired by their fishing buddy with brain cancer. After seeing the positive impacts fishing had on their friend, they created Reel Recovery – offering the same healing benefits to other men, free of charge. Their goals are simple, but impactful: provide support, education and friendship for men fighting cancer.
His energetic spirit is easy to see and is reflected in his promise to beat cancer.
If you’d like to know more about Reel Recovery, visit www.reelrecovery.org.
Some are seasoned fishermen, while others had never cast a line before.
A PARTICIPANT'S STORY
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any grab granola bars for a quick snack, not really even counting them into the day’s calorie count. It’s oats and grain, so how could it hurt?
HEALTHY IDAHO OCTOBER 2013
It turns out that granola bar makers take some measures to make their bars taste better. Take Nature Valley, for example, whose crunch Oats ‘N Honey bars have six grams of fat, and dish out 200 calories. Nature Valley’s much-loved Sweet and Salty Peanut bars are even worse, containing 13 grams of fat (a fifth of your daily intake) and 250 calories. Maybe it’s the frosting on the bottom half of the bar. But one bar is dry and crunchy, while the other is moist, you say. Chewy doesn’t have to mean fatty, it turns out. Take Kashi’s Chewy Granola Bar, for example, which has only 5 grams of fat. Cascadian Farms also makes some excellent bars with low fat content. Kind Plus Almond Cashew bars have a high amount of fat (10 g), but it comes from almonds and cashews, which is the kind of fat your body needs every day. 
S
SUGAR
ome bars are marketed as granola bars, but really they are more like lightweight candy bars. Consider the Kudos Bar, by Mars, which contains a reasonable amount of calories, but that is because it is about half the size of a normal granola bar. Besides, they offer very little valuable nutrition, which should be part of the reason to eat a granola bar in the first place. More traditional granola bars don’t often fare much better. There are 12 grams of sugar in Nature Valley’s Oats 'N Honey bars, and 18 grams of sugar in their Sweet and Salty Peanut Bars.
If you like a sugary snack bar, try a Larabar Pecan Pie, which has a high amount of sugar, but sugar that comes from natural dates, instead of additives. 
Staff favorites include Larabar's Cashew Cookie and Coconut Cream Pie bars.
M
FIBER
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GRANOLA BAR GUIDELINES 18
ANYTHING GRANOLA IS HEALTHY, RIGHT? WELL NOT IF YOU ADD MOUNDS OF SUGAR AND PACK IN FAT. BUT THERE ARE HEALTHY GRANOLA BARS. HERE ARE SOME GUIDELINES.
any Americans don’t get enough fiber in their diet, which should be at about 25 grams a day, according to the Academy of Nutrition and Dietetics. Fiber can help prevent heart disease, diabetes and digestive problems. The best sources of fiber are fruits, vegetables, whole grains and beans. Don’t rely on fiber bars to get your fiber. Also, if your excuse for eating a ton of granola bars is that you need the fiber, you might just try eating more fruit. Fruit gives you fiber and a bunch of other good nutrition at the same time. Furthermore, some report that eating multiple fiber-filled bars in one day leads to digestive issues. Another reason to not rely on bars for fiber. If you aren’t getting enough produce and whole grain, try a Kind Almond & Apricot, which combines a lot of natural ingredients with a good amount of fiber. 
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10 BO OST S QUICK ENERGY
W
hether you’re in the office trying not to let your head fall and smash into your keyboard because you’re so tired, or at home with the kids feeling exhausted just thinking about making dinner and carpooling and homework, you can jumpstart your body with a little bit of the right food for fuel. Tara Harwood, a registered dietician recommends “three meals and three snacks a day and to never go over three to four hours without eating something.” She warns that, “If you become too hungry, this can cause you to overeat.” The best quick energy foods are a combination of protein and complex carbohydrates. Stock up your shelves with a good selection of these options. They're not only quick to give you energy but they're also quick to prepare. Here are a list of favorites from doctors, dieticians, and even moms and dads:
1. CHEESE & CRACKERS
When you’re ready to crash you may be thinking "candy bar!" but a sugar shock will just leave you lagging again in an hour. “For a nearly instant energy boost that lasts, eat a healthy snack containing protein and a complex carbohydrate,” says Christine Gerbstadt, MD, a spokesperson for the American Dietetic Association and a weight control researcher. "Try a whole-grain cracker with low-fat cheese," Gerbstadt says. Whole grain crackers and some delectable cheese will pump you up and keep you going.
2. PBJ: TRIED AND TRUE FOR THE TIRED YOU It’s not just for kids anymore. Peanut butter on whole grain bread is another easy carb + protein snack.
This combination will digest more slowly than simple carbs and will keep your blood glucose sustained so your energy level can keep up.
3. WATER… OBVIOUS, BUT REALLY
Keep a water bottle or two close by to avoid getting tired. “Some studies suggest even mild dehydration can slow your metabolism and sap your energy. The solution is simple—drink plenty of water or other unsweetened beverages throughout the day,” recommends Laura Martin, MD and medical educator.
4. FRESH FRUIT
Loaded with vitamin C, antioxidants, and fiber, fruit is great for times when you need a little energy boost. Tara Gidus, RD, a spokesperson for the American Dietetic Association promoted these fruits saying, "It's got vitamins, minerals, and good carbs, which give you quick energy." Take your pick of any fruit. They’re all packed with natural sugars to get you going. Bananas, apples, and oranges are easy to pack along because they don’t require refrigeration. Berries are a sweet treat with a lower sugar density. Christine Richmond, a green health expert, recommends citrus because it will kick in within 20 minutes of eating it.
5. NUTS
A small portion, about 1 oz., will do the trick.
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6. QUINOA
“This super grain provides energy, heart healthy benefits and has powerful anti-oxidant properties. This is one of the most nutrient rich if not the most nutrient rich grains on earth,” wrote Robert Reames, personal trainer and dietician.
7. HONEY
A great, quick energy booster because it’s a sugar, but it is more complex than the processed white sugar found in jams and jellies which means it will digest more slowly and you get to avoid the sugar crash.
8. VEGETABLES
Your mom was right: Veggies are where it’s at. They are rich in fiber and are complex carbohydrates so they digest slowly leaving you feeling full for longer.
9. TRAIL MIX
If you don’t want to down a handful of nuts, make yourself a healthy mix of your personal favorites. Add some seeds, raisins, and even a little dark chocolate if you want and you’ll have an effective fix to your afternoon drag.
10. FRUIT JUICE
This energy booster has many of the same benefits as whole fruit, but it is often sugary, so dilute it with half a cup of water for every half cup of beverage unless it’s 100% juice.
HEALTHY IDAHO OCTOBER 2013
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HFCS:
The Super Sweetener in Everything I
t’s everywhere! If you check the food labels in your own grocery cart, chances are, many of the items there will contain high fructose corn syrup (HFCS). So why is HFCS so prevalent? The molecules in this sweetener are structured slightly differently than cane sugar molecules which make HFCS great to cook with because it gives foods a moist texture, beautifully browns baked goods, creates a lower freezing point for really cold drinks, and it makes foods taste sweeter because the sugars in HFCS more easily ferment than table sugar.
WHY IT’S WORSE THAN SUGAR
Proponents of HFCS argue that it is similar to table sugar so it is digested the same way. If it’s so similar, then why does it react differently in baking and taste different in drinks? The structures between cane or beet sugar and HFCS are very similar, but not identical. Scientists explain that “as a result of the manufacturing process for high-fructose corn syrup, the fructose molecules in the sweetener are free and unbound, ready for absorption and utilization,” as opposed to cane and beet sugar molecules which are all bound to other glucose molecules. This extra bond requires that sucrose (beet and cane sugar) must go through another metabolic step before it can be used by the body. This distinction might make all the difference if HFCS is all being immediately stored as fat. A Princeton University research team has demonstrated that all sweeteners are not equal when it comes to weight gain: Rats with access to high-fructose corn syrup gained significantly more weight than those with access to table sugar, even when their overall caloric intake was the same. In addition to causing significant weight gain in lab animals, long-term consumption of high-fructose corn syrup also led to abnormal increases
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HEALTHY IDAHO OCTOBER 2013
in body fat, especially in the abdomen, and a rise in circulating blood fats called triglycerides. The researchers say the work sheds light on the factors contributing to obesity trends in the United States. "Some people have claimed that highfructose corn syrup is no different than other sweeteners when it comes to weight gain and obesity, but our results make it clear that this just isn't true, at least under the conditions of our tests," said psychology professor Bart Hoebel, who specializes in the neuroscience of appetite, weight and sugar addiction at Princeton University. "When rats are drinking high-fructose corn syrup at levels well below those in soda pop, they're becoming obese—every single one, across the board. Even when rats are fed a high-fat diet, you don't see this; they don't all gain extra weight."
THE ECONOMICS OF OBESITY
HFCS is infiltrating so many foods because it is cheaper and sweeter: just what the food corporations want. “Beginning in the late 1970s, the U.S. instituted tariffs that drove up the price of sugar. By coincidence, a few years later, the corn subsidy started driving down the price of corn. The combination suddenly made HFCS a great deal for food producers. Beginning in the mid1980s, the sweetener started working its way into foods, and within a few years, it was showing up in thousands of products—contributing thousands of empty calories a week to the average American diet,” wrote Daily Finance journalist Bruce Wilson. According to the Center for Disease Control, today, about one-third of American adults are obese. HFCS may be contributing to this dangerous trend because it is in so many common foods that could use more natural sweeteners. Don’t end up like the lab rats and check the food you’re taking home!
Foods to check for HFCS: Soda Fruit juice Cereal Bread Yogurt Peanut Butter Mayonnaise Healthy-Idaho.com
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5
The Day of Delivery
FIVE KEYS TO A SUCCESSFUL BIRTH
3. ESTABLISH COMMUNICATION GUIDELINES
When a woman’s labor extends for hours, worried phone calls start streaming in as family and close friends wonder what’s going on. Before the big day arrives, plan with your mother, mother-in-law, sisters, brothers, aunts, uncles and friends when you will let them know the news, so you don’t get a telephone tsunami in the middle of your labor hurricane. Usually it is best to plan on spreading the news once the delivery is over.
Especially for first-time couples, tension rises as the ninth month approaches. Here are five tips for making delivery day a success.
“This usually helps you be less stressed during the day, to not have to worry about others so much,” says Mark Saunders, Utah OB/GYN.
1. BE PATIENT Despite the pain for mom, the day your child comes into the world will most likely be one new parents will never want to forget. Let the process take its course and try to enjoy the day.
2. TRUST YOUR DOCTOR For soon-to-be moms, trust your own body, yes, but also trust the medical professionals surrounding you, whether you’re at a birthing center or at the hospital. This might mean not pushing to be induced, or pushing for more medication.
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4. FIGURE OUT DETAILS BEFOREHAND
You and your husband may have decided who will be present during delivery, along with some other big decisions, but don’t forget the small stuff. Do you want music? Would you rather wear your own clothes? Do you want to keep your contacts in the whole time? Do you want to spend the first part of labor standing, lying down, walking, etc.? What painkillers are you comfortable taking during the big day? What about cameras?
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COMMUNICATION MISHAP “A couple who didn't speak English came in ready to deliver. The man kept trying to get out of the delivery room, but we kept insisting he had to stay for moral support. When the baby emerged, I turned the man's head so his eyes were on the delivery. Unfortunately, the next day I found out that he wasn't the woman's husband. He was her brother.” Marilee, nurse, Hamilton, Ohio, Parents.com
5. THINGS YOU MIGHT WANT You might know about the essentials, but here are some extras that might be good. Music device: Bring headphones and an mp3 player (or smartphone, etc.) to help you relax during different moments of the day. Makeup: These pictures might be on your mantelpiece for decades, so some makeup might help you feel more excited about photos. Coming home clothes: You’ll probably want to feel fresh after delivery day. Bring : Your own bathrobe, slippers and socks. Some money for vending machines, food, etc. Cell phone charger.
Camera Ready “Eager to have her baby's birth captured on film, a mom started to get pretty annoyed when her husband, who was manning the camera, got woozy and sat down. She couldn't coax him out of his daze, so she grabbed the camera and started snapping away herself—while pushing the baby out.” -Cindy, nurse, West Columbia, South Carolina, Parent.com
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birds, bees & babies
Dad
Matters
5
Important Tips for Dads During Pregnancy A few decades ago, parenting was almost solely considered a woman’s responsibility, but not anymore. In the 1970s, fathers spent on average 15 minutes a day with their children. In 1999 that number soared to 2 hours per day, according to a study conducted by the Oregon Social Learning Center. Dads are more involved than ever, even during pregnancy. Expectations and privileges for father involvement have been rising in recent years. Here are 5 reasons they are crucial, even in this very beginning stage of life.
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1 Emotional Support
Women’s hormones are going crazy during pregnancy. The worry of being a good mother and having a safe delivery weighs heavy. Mothers may even cry spontaneously because they feel fat. They need their husbands there to help them stay calm and stable. Few can adequately replace the stabilizing role of the husband. They’re needed, at all hours of the day and night. Wives need to be proactive about involving their husbands emotionally in the pregnancy. “When [the wife is] feeling anxious, make time every day to talk to your husband about your worries, whether they're about how your relationship might change or how you'll handle the new financial demands," advises Heidi Murkoff, a pregnancy expert. “If your partner tunes out whenever you want to talk, he may be stressed, too. Ask him to vent. The most important thing is to keep the lines of communication open.” Sometimes men may even feel nauseous along with their spouse or experience anxiety and doubt about the future. Talk about it and be sympathetic of each other.
Tip: Be open & patient! Even at 3am. This is a challenging time of life for everyone involved.
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Physical Comfort The dad can provide much appreciated physical strength to help the wife be more comfortable. “As the pregnancy continues, the baby’s weight increases,” says Alice Sun-Cua, an OBGYN. “The woman’s back muscles will compensate by contracting against this weight to right the torso, and keep the body’s center of gravity to avoid falls. This will cause back pains.” By full term, a baby may weigh as much as a bowling ball you just can’t put down, so help getting around is greatly appreciated.
Tip: Offer your arm to your wife while walking, especially up or down steps. Give her a back rub and apply warm compresses to the lower back.
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Even before junior comes home from the hospital, parents can have expectations about what parenting life is going to be like. Planning the baby room, saving for college, helping your wife with buying the stroller and unexpectedly taking on the dishes are just the sort of things that will lay the foundation for what kind of parenting partnership will prevail. "If you establish the model of shared care at this point it pays dividends both in the short term and for years to come” wrote a fathering advocate.
Of course pregnancy can be rough on women, but it doesn’t leave men unscathed! With hormones running wild, sleep becoming fitful and finances strained, pregnancy can often lead to tense situations and arguments, however this doesn’t mean your marriage has to be on the rocks for nine months. Experienced healthcare professionals have found that these times can actually be a great opportunity to have meaningful chats as a couple which will improve your marriage.
Set Expectations RIGHT from the Start
“Doing everything possible to properly engage fathers at this stage [pregnancy] would mean that fathers would be connected with their children's lives from the start, and would be able to build on this engagement in the future” reported The Guardian, a national British magazine reporting on women’s health.
Tip: You can already connect with the baby even though he/ she is in the mother’s womb by going to pre-natal appointments to ask questions, hear the heartbeat, etc.
Turning Stress to Success
“Because being parents is a lifetime endeavor and not only a nine-month exercise, both would-be mother and father will have many fears, doubts, and anxieties,” suggests Dr. Sun-Cua. “Pregnancy is the best time to talk about these together, perhaps with their healthcare provider, to discuss parenting styles, financial preparation, and just about anything. These moments will make the couple become closer, and the male partner will certainly feel more involved.”
Tip: Shop together—choosing the crib, stroller and blankets together is an opportunity for bonding as a couple, and with the coming baby the experience may be something to fondly reminisce about when the child is grown. And of course being co-conspirators on your spending spree eliminates any financial blame.
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Fitness Matters
Women are much more likely to eat well and exercise often if their partner is too. By walking, jogging, swimming, or biking together, the health of the baby and ease of the delivery can be improved. You and your wife can prepare for a healthy delivery right now! TIP: Take your wife on a walk or leisurely ride bikes together. A healthy mom and dad are more likely to have a healthy baby.
Dad may not be the one carrying the baby to full term, but he can step in as his wife and baby’s hero by following the simple tips above. The role of a father can save the day, or even all nine months.
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birds, bees & babies
It’s Not the End WRITTEN BY WHITNEY LEWIS
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CHILDREN, ALTHOUGH EXPENSIVE AND WHINY,ARE THE BEST PART OF LIFE FOR MOST PARENTS.
MODERN TACTICS
Unfortunately, not everyone can become a parent so easily. Infertility plagues millions of Americans, which means you probably know someone having fertility issues.Ten to eleven percent of married couples in the U.S. experience difficulty in acheiving pregnancy, according to the Centers for Disease Control and Prevention.
FOR
So what can be done? With modern technology, medical advancements, and instant communication around the world, couples wanting to have a baby can hold onto hope.
DEFEATING INFERTILITY
FERTILITY DRUGS THE PROCESS: Either in the form of pills or injections, fertility drugs use a hormone to induce ovulation which boosts egg production and makes the uterus more receptive to embryo implantation. RECOMMENDED FOR: Women who ovulate irregularly or have partners with poor sperm quality. NOT RECOMMENDED FOR: Women with damaged or blocked fallopian tubes from endometriosis as overcoming these conditions requires IVF. PROS: Low cost, convenience, and no surgery or intrusive procedures necessary. CONS: Possible side effects include bloating, headaches, hot flashes, nausea, premature delivery and the formation of large ovarian cysts. PRICE: Costs vary as much as $60 per cycle to thousands per cycle depending on whether the drug is taken in pill form or as shots and whether blood tests and ultrasounds are included.
1530%
SUCCESS RATE: 15-30% by pill, and higher with injections.
There are a myriad of treatments to help couples get pregnant. Below are many of these options with explanations to help families know which route is right for them.
ARTIFICIAL INSEMINATION (also known as Intrauterine Insemination or IUI)
THE PROCESS: Sperm is specially prepared and inserted directly into the uterus through a thin catheter. RECOMMENDED FOR: Women whose partners have slow-moving or low quality sperm or a low sperm count. It is also recommended for women who have produced antibodies to their partner’s sperm or whose cervical mucus is too scant, acidic or thin to transport sperm to the egg. PROS: The procedure is simple and can be done in a doctor’s office. CONS: IUI can result in unexpected multiple births such as twins or triplets. There’s the ultimate more for your money! PRICE: About $1200–$2000 without insurance, according to IVF Info Organization’s 2012 report.
2070%
SUCCESS RATES: 15–20% per cycle. 60–70% chance of pregnancy after 6 cycles. This is the most common fertility method and is often coupled with taking fertility drugs.
IN VITRO FERTILIZATION (IVF) THE PROCESS: This procedure involves conception in a lab. Eggs are extracted and fertilized with sperm in a lab where they grow into embryos. One or two embryos are then placed in the uterus to grow to full term. RECOMMENDED FOR: Older women or those with blocked or severely damaged fallopian tubes or scarring. Men with poor sperm quality and couples with unexplained infertility are also recommended this option. PROS: Pregnancy becomes even possible for couples with serious fertility problems. CONS: It’s expensive and physically demanding, including a rigorous schedule of fertility drugs before and after each cycle. PRICE: About $12,400 according to WebMD
2148%
SUCCESS RATES: 47.6% chance of pregnancy for women 35 and under and 29.9% chance of pregnancy for women 38–40, according to the Center for Disease Control and Prevention’s 2010 report.
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OTHER INFERTILITY TREATMENTS TO CONSIDER DONO R SPER M O R E G G S Some men and women carry genetic disorders that they don’t want to pass onto their children. Using donor eggs or sperm is a way around this issue. It is also a good option for those couples experiencing male factor infertility, or if the woman has prematurely failing ovaries. Donor eggs can cost up to $30,000, though sperm is much cheaper ($300-$700).While success rates with donor sperm or eggs are decent, the main hang-up might be that one parent won’t have genetic relation to the child. SURRO GACY Some women are incapable of carrying a baby, due to disease or previous medical procedures. Infertility specialists can create an embryo from the sperm and egg of either parent, and place it in a surrogate mother. This is a reliable ladder over infertility issues, but it is also the most expensive. Expect to pay $50,000-$100,000, according to parents.com.
ZYGOTE INTRAFALLOPIAN TRANSFER (ZIFT)
THE PROCESS: Only one healthy sperm is selected by the doctor from the male’s semen and is injected directly into the egg with a microscopic needle. Once an embryo forms, it is placed in the uterus through IVF.
THE PROCESS: In vitro fertilization and gamete intrafallopian transfer are combined in this process to stimulate and collect eggs which are then inserted into the fallopian tubes (not the uterus which occurs in GIFT)
RECOMMENDED FOR: Couples who struggle with male-factor infertility due to low sperm count or poor sperm quality. PROS: Works well for men with very low sperm count or poor sperm quality CONS: Can be expensive, intrusive and the accompanying drugs may have unpleasant side effects. PRICE: The average cost was found to be $1,544 (before IVF costs) based on a survey of costs conducted by Family Building Magazine.
2045%
SUCCESS RATES: Success rates are similar to those of IVF.
RECOMMENDED FOR: Couples with unexplained infertility or those in which the man has a low sperm count, the woman has at least one tube open, and/or there are ovulation problems. PROS: This procedure allows the reproductive endocrinologist to ensure that the egg has been fertilized before implantation. Many also see this procedure as more natural because the egg travels down the fallopian tube into the uterus on its own. CONS: Requires two surgical procedures: one when the eggs are retrieved, the other when it is implanted. There is a higher risk of multiple births. PRICE: $15,000 - $20,000 per cycle according to Women’s Health of the UK.
2936%
AGE MATTERS
DONO R EMBRYO S In some relationships, both partners are infertile, but they want to experience pregnancy. These couples can use unneeded donor embryos from other couples undergoing IVF. These donated embryos are transferred to the infertile woman. The live birth rate with this technique can be as high as 50 percent, with a cost much lower than IVF, but there may be legal hoops to jump through.
INTRACYTOPLASMIC SPERM INJECTION (ICSI)
SUCCESS RATES: 36% per cycle; 29% of these pregnancies are carried to term reports Women’s Health of the UK.
Many women are waiting until their 30s and 40s to have children. In fact, about 20 percent of women in the United States now have their first child after age 35, and this leads to age becoming a growing cause of fertility problems. About one-third of couples in which the woman is older than 35 years have fertility problems. Aging not only decreases a woman's chances of having a baby but also increases her chances of miscarriage and of having a child with a genetic abnormality. Aging decreases a woman's chances of having a baby in the following ways— ›› Her ovaries become less able to release eggs. ›› She has a smaller number of eggs left. ›› Her eggs are not as healthy. ›› She is more likely to have health conditions that can cause fertility problems. ›› She is more likely to have a miscarriage. Source: Center for Disease Control & Prevention
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GAMETE INTRAFALLOPIAN TRANSFER (GIFT) THE PROCESS: A woman’s eggs are removed, mixed with sperm and immediately placed into a fallopian tube. Unlike IVF and ZIFT, fertilization takes place inside the fallopian tube rather than in a laboratory, according to the American Assoc. of Pregnancy. RECOMMENDED FOR: Couples where the female has at least one working fallopian tube and/or the male suffers from low sperm count or sperm with poor motility. PROS: Allows fertilization to occur in a natural environment.
HOW TO PREVENT INFERTILITY While many causes of infertility remain unexplained, doctors now have many answers for couples who wonder why they struggle to conceive. There are many factors contributing to fertility problems, some of them preventable and some not, but thankfully the most common causes can be prevented. Living a healthy lifestyle free of drugs and alcohol, having consistent good eating and exercising habits, and starting a family before the woman’s mid-30s all increase a woman’s ability to become pregnant. Female infertility is known to increase with age, smoking, excessive alcohol use, extreme weight gain or loss (eating disorders, for example) and excessive stress causing amenorrhea (the absence of a menstruation cycle). Although heartbreak and breaking the bank are often associated with fertility challenges, there are more options now than ever to help parents bring children into their family. Exploring these options may just produce a miracle—one that you’ll love forever.
CONS: There is no immediate verification that fertilization has been successful. There is a higher risk of multiple births than with normal pregnancy. PRICE: $15,000–$20,000 according to WebMD
2530%
SUCCESS RATES: 25–30% reported a 2007 study by the Human Fertilisation and Embyrology Authority
REPRODUCTIVE SURGERY THE PROCESS: Can remove obstructive tissue or alter an abnormally shaped uterine cavity for women. Men may also have reproductive surgery to remove ejaculation obstructions or to harvest sperm for IVF. Reproductive surgery can also be performed to try to regain fertility by reversing sterilization. RECOMMENDED FOR: Couples diagnosed with endometriosis (a female disorder where cells from the uterus grow in other places but cannot be shed in the normal outlets leading to inflammation, adhesions, and blockage). Can also help couples who have undergone a vasectomy or tubal ligation. PROS: Not only does this increase the likelihood of pregnancy, but surgery may also decrease pain associated with the excess tissue or other problems. CONS: Surgery can be invasive, expensive, and may require long recovery time.
CRISTIN C. SLATER, M.D.
World Class Reproductive Specialist
PRICE: Varies based on the type of procedure and severity of the problem. SUCCESS RATES: Vary greatly based on the type of procedure and severity of the problem.
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SMILING NEVER F E LT T H I S G O O D ! Creating beautiful smiles begins with creating a healthy mouth! Approximately 200 million Americans have old silver fillings that need to be replaced. Most of the time the cavities that have found there way under the old silver filling, produce little to no discomfort. According to Dr. Dolby, “Patients make the assumption that if it doesn’t hurt everything is ok. Unfortunately, when discomfort does occur, it is likely the nerve can be damaged beyond repair and may require a root canal or worse, tooth removal!” You Have a Choice: The advent of bonding teeth has provided a superior alternative to the traditional silver filling. Through the process of bonding fillings, a mechanical link is formed to the enamel of your tooth that allows dentists to restore a persons tooth to the correct strength, function and esthetics! Get Checked Today… Your Health is too Important: Regular check-ups to confirm your oral health is at it’s best! Dr. Dolby is offering Eagle Magazine readers the opportunity to have a complimentary silver filling evaluation, complete with intra-oral photographs, so you can be assured you are in the best health of your life!
Call Dr. Michael Dolby today to schedule your complimentary Silver Filling Evaluation.
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birds, bees & babies
10 LIFE AFTER BABY CAN BE HARD FOR MANY WOMEN – I.E. CHANGES IN YOUR BODY, SLEEP DEPRIVATION AND STRESS. WHILE ALL THESE THINGS COME WITH THE TERRITORY OF PREGNANCY AND BABY, SIMPLY MAKING A FEW ADJUSTMENTS WILL HELP YOU TO FEEL MORE BEAUTIFUL, EMPOWERED AND LIKE YOUR OLD SELF AGAIN!
1. Get fitted for a new bra—If
there was ever a time to properly support your breasts, now is the time. As a new mom your body will go through many changes and likewise your breasts. As your breast size changes, get fitted for a new bra that properly supports your breasts. You’ll find that wearing the right bra size will help you to look better and feel better too!
2. Ditch the maternity clothes—I know, your maternity clothes are right there in your closet and comfortable to wear but getting rid of your maternity clothes and getting some new ones will help you feel like your old self again. Clothes play an important role in how you look and how you feel about yourself. So as soon as you can, get rid of the maternity clothes and get yourself a few stylish pieces that will get you back on the path to “you.”
3. Get a new haircut—Life as a new mom can wreak havoc on your hair, because of things like poor nutrition, stress and fluctuating hormones. Getting a fab new haircut will get rid of damaged and/or lifeless hair and help you to look younger, sexier and feel more beautiful!
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Mommy Makeover Tips Written by Notoya Green, Founder of TripletsInTribeca.com
4. Wear makeup always—Wearing make-up is an easy way to add life and youthfulness to your face, especially as a new mom! Your life is going to change a lot as a new mom and many of those changes will negatively affect your skin. Simply applying foundation, blush and gloss will do away with unevenness in your skin, brighten your face and hide the effects of those sleepless nights!
BIO: Notoya Green, Family Law Expert and Mother of Triplets Notoya Green is truly an expert on all family matters, from her professional experience as a family law attorney to her personal life as mother to three-year-old triplets.
5. Brighten those eyes—There is
no way to avoid those sleepless nights as a new mom but your eyes don’t always have to tell the story. Brighten those dark and tired eyes with some concealer under your eyes even if you don’t have time for make-up!
6. Cover those grays—It’s difficult
to find time for yourself as a new mom and it’s even more difficult to make time for your appearance. Make time to cover those grays. Not covering grays can be a tipping point of other things we are neglecting with respect to our appearance. Covering your grays will help you to look healthier, more stylish and more youthful!
7. Put Vaseline on those hands!
—When you are a new mom you’re constantly washing your hands, which can rob the skin on your hands of its natural moisture. Constant hand washing (especially during the winter months) can make your hands look older, flaky and as though you’ve been living a hard life. I know this because it happened to me. Take care of your hands at night with good old fashion Vaseline. I’ve found that it is the most effective moisturizer for softening your skin when you are washing your hands constantly, and it will give your hands a more youthful appearance all while you sleep!
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8. Exercise —There is no doubt that exercise is the fastest and best way to regain your pre-baby body. So make time to exercise. Exercising will also help you to have more energy (which you need) and it will enhance your mood.
9. Get A little Zen —Your physical
appearance is important but so is your emotional well being. Life as a new parent will offer many challenges emotionally and it’s important to find time to reflect, meditate and/or pray. It will help you deal with some of the more challenging aspects of motherhood while staying sane.
10. Stay current—Mommy life can
swallow you whole sometimes and it’s easy to lose track of current beauty and fashion trends. Subscribe to a fashion magazine or blog even if you don’t think you’re interested in fashion. Looking at beautiful clothes and reading about fashion will keep you connected to the world and help you to find your personal style as a woman and as a mom!
With her law degree that she received in 2001, Notoya took on everything from child support to divorce. In 2007, Notoya took her passion for family law and parenting to the Administration for Children's Services (ACS), where she protected children by prosecuting parents accused of neglect and abuse, handling as many as 90 cases at a time. While at ACS she learned that all parents need support and information and how vulnerable children can be when their parents don’t have it. Upon the birth of her triplets in September of 2010, Notoya put her law career on hold to become a stay-at-home mom and care fulltime for her children. Like most multiples, Notoya’s triplets were born prematurely, at just 26 weeks, and stayed in the NICU for several months. The triplets were tiny at birth, yet fairly healthy. One preemie can be a lot for a family to handle, but preemie triplets created a special parenting challenge for Notoya and her husband. As infants the three were underweight and physically delayed in activities like rolling, sitting up and crawling. However, the triplets have since caught up and today are walking, talking, counting and will be attending preschool next fall. To create an outlet for herself, Notoya turned to the world of blogging, sharing her unique parenting experiences at www.tripletsintribeca. com. Notoya not only shares details of her family life but also helps all mothers by sharing her expertise and experiences, from selecting nannies to proper nutrition to navigating the preschool process. She’s also shared her wisdom with both The New York Times and the Wall Street Journal, along with multiple TV stations.
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WELLNESS
Mind the Children MENTAL ILLNESS AMONG CHILDREN IS MORE COMMON THAN WE TREAT IT WRITTEN BY MICHAEL RICHARDSON
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CHILDREN, LIKE ADULTS, HAVE HEART PROBLEMS. THEY HAVE LUNG PROBLEMS. THEY HAVE DIGESTIVE PROBLEMS. IT SHOULD COME AS NO SURPRISE THEN, THAT CHILDREN ALSO EXPERIENCE MENTAL PROBLEMS. Unfortunately, a myth persists that children are largely immune from problems of the mind, a myth that results in lack of needed treatment and the escalation of problems into adulthood.
SCOPE OF THE ISSUE For the first time in thirty years, mental health conditions have displaced physical illnesses as the top 5 disabilities in US children, according to a recent report published in the Journal of the American Medical Association (JAMA). These disabilities include problems with speech, learning, attention, emotion, behavior and development. Clair Mellenthin, a psychotherapist at Wasatch Family Therapy in Utah who works primarily with children, says that children often experience the same mental illness as adults, but the illness is just expressed in a different way. She says she’s seen a huge increase in the last few years of little kids with anxiety and attachment issues. Certain children have a biological disposition to develop certain mental problems, such as anxiety or negativity. But the majority of children in her experience, Mellenthin explains, are dealing with issues from outside events. Adoption, divorce, abuse, witnessing a traumatic event and many other things can be the root of mood disorders, anxiety disorders and more.
NO HELP? The disaster is that most mentally ill children don’t actually receive treatment, according to the American Psychological Association (APA). Part of the reason for this is the stigma and misperception that comes with mental illness. Incorrect beliefs associating mental illness with violent behavior, incurability and character flaws have caused mental illness to be an especially negative health issue, making parents and their children understandably hesitant to admit that
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“Everyone is going to have a bad day now and then, but if you notice that extreme emotions or behavior are lasting for days or weeks, it is time to seek advice.” mental illness exists in their family and to seek help. But stigma aside, it’s simply difficult for parents to determine whether their child’s behavior is problematic or just typical childish behavior, according to Teri Brister, PhD, who serves as the Director of Content Integrity and the NAMI Basics Education at NAMI, the National Alliance on Mental Illness. “Some parents mistakenly think they are just dealing with what other parents deal with, because they have no point of comparison,” she says.
CONSEQUENCES Whatever the cause for not seeking treatment, untreated mental illness carries far reaching consequences. It can be compared to a broken bone, Brister says. If you wait to set a broken bone, the problem becomes much more complicated than if you set it immediately. Research shows that untreated mental illness during childhood may be a risk factor for suicide, substance abuse, involvement in the correctional system, failure to complete high school and adult psychopathology, according to the APA. As schools and government try to work out some kind of solution, more and more mentally ill juveniles are finding themselves in the justice system.
FIXING THE PROBLEM A shortage of child psychologists and counselors is part of the reason why kids aren’t getting the needed help. Mental health treatment for the young is difficult to provide, Mellenthin explains, which may be why some health professionals shy away from it. Traditional talk therapy doesn’t really work with the younger group, she says, because they are still learning how to express themselves and interpret their feelings. Mellenthin says her patients often come in from hours away to get treatment.
>>>>>>continued
Seven out of ten youth involved in state and local juvenile justice systems throughout the country suffer from mental health disorders, according to the National Center for Mental Health and Juvenile Justice. In more than 20 percent of these youths, symptoms are severe enough to significantly impair function.
>>>>>>continued page 38
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The shortage is national in scope. In 2009 the US Congress introduced a bill for the Child Health Care Crisis Relief Act, which would “increase the number of well-trained mental health service professionals providing clinical mental health care to children and adolescents.” The bill cited reports by the Center for Mental Health Services estimating that “20 percent or 13,700,000 of the Nation’s children and adolescents have a diagnosable mental disorder, and about 2/3 of these children and adolescents do not receive mental health care.” Despite this enormous need, there were only about 7,000 child and adolescent psychiatrists in the US in 2009, the bill reads, with only 300 new psychiatrists in this field each year. The Department of Education reported that there were 479 students for each school counselor; almost double the recommended ratio of 250 to 1. The Act called for loan repayment and scholarships for child mental health professionals to help pay back educational loans, and for grants promoting the training of these professionals. Another act, the Mental Health in Schools Act of 2011, aimed to assist local school districts in implementing mental health programs and counseling. Both bills died. But some action has been taken. In 2011, the US Department of Education awarded $15.2 million in grants to 43 school districts in 19 states to establish or improve counseling programs.
"We believe that school-based counseling programs offer great promise for improving the prevention, diagnosis and treatment of students with mental-health issues," said US Secretary of Education Arne Duncan in a press release. Utah’s Early Light Academy and the Cache County School District both received more than $330,000 in grants. Most recently, President Obama proposed action that would provide 5,000 additional mental health professionals to serve younger people. "We've got to do a better job of recognizing mental health [problems] in our children," he said in a recent address. He has also called for increased dialogue on the subject of mental health.
PARENTS’ ROLE While it is vital that institutions attempt to find ways of coping with mental illness in youth, Mellenthin says what happens at home is critical in determining if a child gets needed care.
Brister says that it is important for parents to become familiar with how a child behaves in a variety of settings. Find out how behavior at home may differ from behavior at school. If you suspect a problem, you don’t have to start with a psychiatrist, she says. A pediatrician can provide direction as to what action should be taken. The choice to seek treatment is difficult, but finding the appropriate treatment is often equally or even more difficult. Brister says that the mental health field is still evolving to accept and understand mental illness in children and adolescents. “I frequently run into parents who are seeing mental health professionals who won’t diagnose their child with mental illness,” she says. This can be due to a reluctance to label a child, or even a belief on the part of the professional that mental illness cannot actually be present until the age of 18 years.
How can parents recognize mental illness in their children? Brister says the key is to recognize changes in patterns of behavior.
For this reason, parents should be tuned in to the emotional and mental state of their children. Emotional suffering and uncommon behavior should be taken seriously, and action should be taken without regard to outside perception.
“Everyone is going to have a bad day now and then,” she says, “but if you notice that extreme emotions or behavior are lasting for days or weeks, it is time to seek advice.”
“The culture of your family system really influences whether a person will seek out treatment or whether a parent will seek out treatment for their child,” Mellenthin says.
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WELLNESS
New Trends in
Suicide
38,364 suicides in US, 2010
Suicide deaths surpass deaths from motor vehicle crashes WRITTEN BY MICHAEL RICHARDSON
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SUICIDE IS INCREASINGLY BECOMING A NATIONAL CONCERN, AS DEATHS FROM SUICIDE CONTINUE TO RISE. Health professionals are beginning to recognize new suicide trends in recent years, and have highlighted the need for a new approach to suicide prevention. First, according to the Centers for Disease Control and Prevention (CDC), the age groups that traditionally are at highest risk for suicide are changing. “Traditionally, suicide prevention efforts have been focused mostly on youths and older adults,” the CDC writes, “but recent evidence suggests that there have been substantial increases in suicide rates among middle-aged adults in the United States.” Statistics show that over the last ten years, suicide in the 35-64 year-old age group increased by nearly 30 percent. Among white people of that age, the increase was more than 40 percent. Men in their 50s and women in their early 60s were the age groups with the most pronounced increases in suicide rates. In the younger age group (10-34), suicide rates also increased, but not nearly as dramatically. The same is true for the oldest age group (>65). So why is the middle-age group of Americans suddenly more prone to suicide? The CDC offers a possible explanation: the recent economic downturn. “Historically, suicide rates tend to correlate with business cycles, with higher rates observed during times of economic hardship,” the CDC writes. In a comment on a recent New York Times article about the rise in suicide rates, one IDAHO - STATEWIDE Suicide Prevention & Hotline 24 hours / 7 days (800) 564-2120
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person blamed economic hopelessness for her brother’s suicide. “My brother committed suicide last July. He had just turned 60. He lost his IT job in the Great Recession in 2008. Despite hundreds of resumes being sent out, and a lifetime of IT experience, he got few interviews and no job offers. He spent down his 401(k) and when he died the only thing he owned was a beat-up car. We later found out he had a lot of credit card debt, with which he had tried to keep himself afloat. After four years of no job offers, unemployment running out, having no health insurance, etc., his dignity was shot. He had lost hope of ever working again. How I wish he had not committed suicide; how I would give anything and everything to have him back.” But economics cannot fully explain the increase, researchers explain, and more study is needed to understand the underlying causes. And health professionals are feeling the pressure to find effective prevention measures, as suicide rates are beginning to pass other historically more common causes of death. In 2010, for example, there were 33,687 deaths from motor vehicle crashes, and 38,364 suicides. Suicide remains an incredibly complex issue. Communities and community leaders should be aware of the problem, and seek effective prevention methods.
TWO FACTS ABOUT SUICIDE 1. The West Coast has the highest suicide rates. 2. The three most common methods for suicide are to use a firearm, poisoning (often from drug overdose), and suffocation.
BOISE (Westgate) Adult Mental Health Services For Severe and/or Persistent Mental Health Issues. 8am-5pm Weekdays & After Hours (208) 334-0808
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nutrition
Udders or Almonds Which milk carton should we reach for? WRITTEN BY H ALLI T IN T I
Got milk? Yes we do
COW’S MILK If you’re not allergic or lactose intolerant, cow’s milk is the most nutritious choice, says Trish. It’s high in protein, calcium and vitamin D and it’s a complete protein, meaning it contains all of the essential amino acids.
Things to consider:
Children under the age of two should drink whole milk or vitamin D because they need the extra fat to help their brains and bodies develop. Anyone above the age of two should opt for a lower fat milk, like one or two percent. “I recommend avoiding skim milk all together,” says Trish. “There is little to no nutritional benefit from drinking skim milk. People who drink low fat milk verses skim milk tend to maintain a lower body weight.”
and plenty of it! From cow’s milk to almond milk and everything in between, how do we know which carton to reach for at the grocery store? Registered Dietician Trish Brimhall with Nutritious Intent says it’s all in the milk’s label. Trish says you don’t have to drink milk, but you do need calcium and milk is the easiest way to get it. Let’s look at the five most common types of milk you see in your local dairy isle.
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SOY MILK
ALMOND MILK
Soy milk comes in second best behind cow’s milk, says Trish. It provides a considerable amount of protein and is generally a great tasting option.
Almond milk is thicker in texture and better tasting than most other varieties of milk. It is naturally a great source of calcium, but contains less protein than soy milk.
Things to consider:
Make sure you check the soy milk label for at least a 25-percent daily value of vitamin D and calcium. Unless the label states “unsweetened” you can assume it has already been sweetened. Unsweetened soy milk will have a notso-sweet bean-like taste.
Things to consider:
Make sure that the almond milk you buy is fortified with vitamin D, although it will already be high in calcium.
HEMP MILK RICE MILK Rice milk is thinner in texture than other varieties of milk. It tastes great, but buyer beware: this milk does not contain enough protein to meet your daily needs and contains the highest amount of carbohydrates. While rice milk is no nutritional star, however, it is the closest milk to cow’s milk in both appearance and taste, says Trish.
Things to consider:
Make sure the rice milk in your grocery cart is fortified with at least 25-percent daily value of protein and calcium. Drinking rice milk is basically drinking fortified carbohydrates. You will not get the protein content that cow’s milk provides.
This newly popular drink provides a great source of protein, however, it is not a substitute for cow’s milk. It’s gritty and most people don’t love the plant-like taste.
Things to consider:
Be sure to check the label for protein, calcium and vitamin D content, all of which are common reasons for needing milk in our diet, says Trish.
GOAT’S MILK Goats rival cows, when it comes to milk. Goat’s milk has more calcium than skim cow’s milk, and more potassium. It is also a good source of phosphorous.
Things to consider:
Goat’s milk isn’t an alternative for anyone with more than a mild lactose intolerance. Furthermore, it carries more calories per cup than cow’s milk. The best advice may be to drink goat’s milk, but to drink it sparingly. At the end of the day, your choice of milk has to come down to what tastes good. Trish says, you won’t put in your mouth what you don’t like. Find a type of milk you like and stick with it, and don’t beat yourself up over that tablespoon of chocolate flavoring you know you love to add. The health benefits of drinking milk far outweigh the sugar content.
Harvard Researchers found in a study of 12,829 kids ages 9 to 14 from across the country that
"Contrary to our hypothesis, skim and 1% milk were associated with weight gain, but dairy fat was not." This is because fat helps you feel full and will curb your appetite and help you make better nutrition choices throughout the day.
For more tips on which milk is best for you, visit www.nutritiousintent.com
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