OurHealth Roanoke & New River Valleys Feb/Mar 2017 Edition

Making a Difference in Heart Health Locally | Roanoke and New River Valleys Nutrition, Wellness, and Fitness Resource Guide february march 2017 www.ourhealthswva.com

Heart & Lungs

MEMORY

Eye Care

Skin Care

FOOT CARE

MENTAL EXERCISE

Immunizations

Dental Care

HAIR &

SCALP

Stomach &

HEALTH

DIGESTION BONE & JOINT

Sleep

DIET &

NUTRITION

HEARING

SPORTS PHYSICALS

CARE

DIABETES

www.OurHealthswva.com

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TABLE OF CONTENTS FEBRUARY • MARCH 2017

12

Q&A ON HEALTH

16

PULSE

Healthcare questions answered by local professionals.

Keeping the pulse on local healthcare news and information including tips for healthy living, as well as a listing of new physicians, providers, locations and upcoming events in the Roanoke & New River Valley communities.

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THE ANATOMY CHALLENGE

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MAKING A DIFFERENCE IN HEART HEALTH LOCALLY

36

HELLO, HEALTH Capturing the spirit of those working in healthcare and of people leading healthy lives through photos.

HEALTHY RECIPE SWAP Tricia Foley RD, MS, OurHealth's resident nutritionist, shares heart healthy recipes with healthy ingredient swap tips.

64

BRADLEY FREE CLINIC KEEPS THE FOCUS ON PATIENTS Over the years, the Bradley Free Clinic has grown in size, scope, vision and capacity. But while it has evolved, its core reason for existing has remained.

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17 TIPS TO THINK ABOUT FOR 2017 Every new year is a new beginning, a chance to make positive changes in your health. In this article, OurHealth provides 17 quick tips to help you step into the new year on the right foot.

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FIT BITS | R.I.P.P.E.D. John Russell, BS, ACSM, a personal trainer at Green Ridge Recreation Center, shares the many training benefits of R.I.P.P.E.D.

COULD WEIGHT LOSS SURGERY BE FOR YOU? For some of us, weight loss is completely out of reach.

No amount of dieting or exercise is going to lead to a significant or lasting change. OurHealth explores the different types of weight loss surgeries available locally.

Test your knowledge when it comes to HEART DISEASE.

OurHealth shares the substantial impact the Roanoke Chapter of the American Heart Association has on the Roanoke & New River Valley communities.

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ROANOKE & NEW RIVER VALLEYS’ NUTRITION, WELLNESS, AND FITNESS RESOURCE GUIDE Your resource guide for nutrition, wellness and fitness in the Roanoke & New River Valley area.

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IF THE SHOE FITS...

Whether you are an avid runner or a recreational jogger, if running is part of your fitness plan, then choosing the right shoes will help you avoid injury, improve your performance and increase your comfort. www.OurHealthswva.com

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february • march 2017

PUBLISHER

PRESIDENT/EDITOR-IN-CHIEF

VICE PRESIDENT OF PRODUCTION

VICE PRESIDENT OF BUSINESS DEVELOPMENT

CHIEF DESIGNER

GRAPHIC DESIGNER WEBMASTER

ACCOUNTING MANAGER DIGITAL CONTENT MANAGER | EVENT SPECIALIST

DIGITAL MEDIA STRATEGY

ORIGINAL PHOTOGRAPHY

McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Kim Wood Karrie Pridemore Tori Meador Heidi McClintic Laura Bower Heidi McClintic Dalton Holody Shawn Sprouse / www.sdsimages.com

CONTRIBUTING MEDICAL EXPERTS Nicole Crowder, FNP Susan Dorsey, MD Saju Eapen, MD CONTRIBUTING PROFESSIONAL Rich Ellis EXPERTS & WRITERS Tricia Foley, RD Mike Grisetti Karen Jones Tina Joyce Todd Marcum Andrea Marinkovits Rick Piester Deidre Wilkes

ADVERTISING AND MARKETING Kim Wood | P: 540.798.2504 kimwood@ourhealthvirginia.com

SUBSCRIPTIONS To receive OurHealth via U.S. Mail, please contact Heidi McClintic at heidi@ourhealthvirginia.com or at 540.387.6482

@ourhealthSWVA

COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions.

Copyright © 2017 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Roanoke and New River Valleys is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483.

MAIN: ourhealthvirginia.com | ourhealthswva.com | ourhealthlbss.com | ourhealthrichmond.com | ourhealthcville.com | Advertising rates upon request.

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HEALTH H E A LT H C A R E QUESTIONS ANSWERED

BY LOCAL PROFESSIONALS

“

Chronic hives, generally defined as hives that occur over a period of more than six weeks, affect about 5 percent of the population. This is now known to be an autoimmune problem in the majority of cases, meaning that the immune system produces an abnormal antibody, which then signals the allergy cells to cause hives.

”

– Saju Eapen, MD

12

What is a dysplastic mole?

A dysplastic mole is a mole that is benign, but it does have some differences in appearance from a “normal” mole. These differences are not only visible to the eye, but also apparent to a pathologist who examines the mole under a microscope. These moles have a few abnormal features, but they are not cancerous, and most of them never will be. However, some of these moles will need to be biopsied, and some may even need to be removed completely, if the physician feels that this is in the patient's best interest. This is because there are varying degrees of abnormality amongst dysplastic moles, and they are therefore not all treated in the same manner.

The encouraging thing about this is that not all dysplastic moles are a problem. What they signal, however, is that the patient who has them should have their moles evaluated on a regular basis by someone who is trained and experienced in the evaluation of pigmented lesions. It is also advised that patients with a history of dysplastic moles examine themselves on a regular basis and wear sunscreen.

Susan Dorsey, MD

Dermatology Associates Roanoke | 540.981.1439 www.dermatologyassociatesofroanoke.com

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

What are some benefits of assisted living versus living at home for seniors?

Moving to a senior community offers many benefits for those who are transitioning to assisted living.

For one, senior communities offer socialization, fostering opportunities for companionship, peer support and a sense of community through in-house activities, spiritual enrichment, musical entertainment and outings.

Also, transportation is provided for the residents to their medical appointments, shopping and area attractions, which can make life much easier.

Additionally, daily nutritious meals are prepared and provided to the residents, and registered dietitians are available to assist with meal planning and offer nutritional tips.

Yet another benefit of assisted living is that stress-free housekeeping and maintenance are provided. Seasonal obligations like raking leaves and shoveling snow are taken care of by staff, which can be a particular relief for those who are no longer physically capable.

Karen Jones, Admissions and Marketing Director Our Lady of the Valley Retirement Community Roanoke | 540.345.5111 www.ourladyofthevalley.com

What causes hives?

Hives or welts, especially of the chronic variety, are quite common.

Acute hives can often be caused by either airborne or food allergies or by triggers such as drug or bee sting allergies. In some people, hives can result from other physical triggers such as heat or cold, pressure, sweating or sunlight. Viral infections can also occasionally lead to acute hives.

Chronic hives, generally defined as hives that occur over a period of more than six weeks, affect about 5 percent of the population. This is now known to be an autoimmune problem in the majority of cases, meaning that the immune system produces an abnormal antibody, which then signals the allergy cells to cause hives.

While hives is a common condition that causes much frustration and distress, it is not life-threatening and can generally be easily controlled with the appropriate medications.

Saju Eapen, MD

Asthma and Allergy Center Roanoke | 540.343.7331 www.asthmaandallergycenter.net

HEALTH H E A LT H C A R E QUESTIONS ANSWERED

BY LOCAL PROFESSIONALS

“

The benefits to consumers who choose to purchase dairy products that are hormone and antibiotic free include knowing that they will not be ingesting any artificial hormones or antibiotics.

”

– Mike Grisetti

What does it mean when dairy products are listed as “hormone and antibiotic” free?

Dairy products such as milk, cheese and ice cream that are sold as hormone and antibiotic free come from cows that are not given artificial hormones through food or injection or treated with unnecessary antibiotics. If a cow requires an antibiotic, she will not be returned to the herd for a period of time until the antibiotic treatment is over and the drug has passed through her system. Milk from cows that are treated with an antibiotic will not be used until tests confirm that they are free from any antibiotic residue.

The benefits to consumers who choose to purchase dairy products that are hormone and antibiotic free include knowing that they will not be ingesting any artificial hormones or antibiotics.

Can I reverse my diabetes?

The management of type 2 diabetes involves the prevention of the disease, the prevention of complications, and maintaining a healthy lifestyle to prevent one’s condition from worsening. To prevent and manage diabetes, eat a well-balanced diet with limited sugar and carbohydrates and concentrate on low caloric intake.

The American Diabetes Association recommends consuming a variety of foods, including vegetables, whole grains, fruits, non-fat dairy, lean meats, poultry and fish. It is also important to live an active life with regular exercise. The American Heart Association recommends 150 minutes per week of moderate exercise for people with healthy hearts. Medications are also used to manage diabetes. These work by restoring a person’s glucose levels to normal.

To prevent or manage type 2 diabetes and find the right plan for you, discuss your options fully with your healthcare provider.

Mike Grisetti

Homestead Creamery Wirtz | 540.719.1020 www.facebook.com/ HomesteadCreameryInc

Nicole Crowder, FNP LewisGale Physicians Endocrinology Salem | 540.772.3616 www.lgphysicians.com

How can I tell if my forgetfulness is age-related or the early signs of dementia or Alzheimer’s?

Age-related forgetfulness is usually something like forgetting to pay a bill, not immediately remembering what day it is, or misplacing things.

Dementia, caused by damage to the brain, operates by harming the brain’s system of conveying information regarding normal communication, thinking processes, behaviors and feelings. When the cells in each region of the brain are damaged, they cannot function normally.

The early signs of dementia include poor judgment and decision making, the inability to manage budgets, losing track of the date and season and the inability to retrace steps when misplacing things.

Dementia describes a decline in mental abilities severe enough to interfere with one’s daily life. This term does not refer to a specific disease; instead, it describes a wide range of symptoms. The most common type of dementia is Alzheimer’s disease, which comprises 60 to 80 percent of the existing cases.

There are also reversible conditions that can cause the symptoms of dementia, such as thyroid problems, vitamin deficiencies and depression.

Andrea Marinkovits, Regional Director of Nursing Commonwealth Senior Living Western Region www.commonwealthal.com

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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

KEEPING THE PULSE ON HEALTH NEW ADULT MEDICAL DAY CARE SERVICES IN ROANOKE >> Friendship Living shares about the opening of their new Adult Medical Day Care center.

SOCIALBUZZ The December/January edition of OurHealth Roanoke & New River Valleys featured the 2016 Best Bedside Manner Award winners. Here’s some of the love our readers shared about their award-winning providers.

+++

“Thankful for this man! Appreciate his knowledge and encouragement…for using his gift to God’s glory!”

- TERI MOORE NANCE In response to Blue Ridge Cancer Care’s William Fintel, MD and his Best Bedside Manner Award in the Hematology/Oncology category.

+++

“Congrats on this feature highlighting your well deserved award, Dr. Colby!”

Friendship Living is preparing for the opening of The Feinour Center – Adult Medical Day Care. Set to open early this year, The Feinour Center will offer a more affordable opportunity for daytime care for family members who can no longer stay home alone safely. The center will provide a safe, nurturing and healthy environment that will promote wellness. The staff will include therapy and nursing personnel to allow for some medical care. The center, located on the Friendship campus, will be open Monday through Friday, from 7:30 am to 5:30 pm.

For more information, visit www.friendship.us or call 540.283.4433.

LOCAL SENIOR SERVICE NONPROFITS RECEIVE $250,000 >> Foundation for Roanoke Valley announces $250,000 in grants to local nonprofits.

As part of the Foundation’s Special Interest Grants process, nonprofit organizations were given the opportunity to apply to the Foundation’s Mary Louise Home Fund and Marion S. and Willie Z. Camp Fund for Eldercare, both which support services to the elderly. “We continue to see an increasing need for services to the elderly population. The Foundation is thrilled to be in a position to award such large impact grants in an attempt to meet the need,” says Michelle Eberly, FRV Program Officer.

The following organizations are recipients: •

Adult Care Center of Roanoke Valley received $35,000 to support its Sue Nutter Scholarship Fund, providing its senior clients with financial constraints the opportunity to use the Center’s services.

•

Alzheimer’s Association, CWVA received $50,000 to supports its Arts Fusion Plus program.

•

Botetourt Resource Center received $20,000 to support its services to older adults.

•

LEAP for Local Food received $11,952 to expand its Senior Incentive Program.

•

Local Office on Aging received $40,793 to provide assisted transportation to its clients who currently receive intensive case management services.

- BECKI BIEHLER HOLODY -

•

In response to LewisGale Physicians’ Vashist Nobbee, MD and his Best Bedside Manner Award in the Internal Medicine category.

Mental Health America of Roanoke Valley was awarded $25,000 to continue supporting its Senior Extravaganza for the elderly.

•

New Vision was awarded $21,000 to provide equipment and training in the use of voice-activated virtual assistants.

•

Roanoke Symphony Orchestra received $50,000 to support its Wellness Arts program, bringing music adult facilities throughout Roanoke.

- JULIA HURLEY In response to Colby Ob/Gyn’s John Chris Colby, MD and his Best Bedside Manner Award in the Obstetrics and Gynecology category.

+++

“BEST…DOCTOR…EVER…I am more then thrilled to be a patient of his. ”

+++

“You have fantastic bedside manner, well deserved!”

For more information about Foundation for Roanoke Valley, visit www.foundationforroanokevalley.org.

-LARA LEININGER In response to Carilion Clinic’s Emily Evans-Hoeker, MD and her Best Bedside Manner Award in the Fertility Care category.

+++ For more comments or if you are interested in leaving a congratulatory message for your provider, visit @OurHealthMagazine on Facebook.

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JOIN THE OURHEALTH COMMUNITY

>> We would love to hear from you. Write us, tweet us, or tag us today! facebook.com/ OurHealthMagazine

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

@OurHealthSWVA on twitter

@OurHealth on pinterest

BOOK YOUR NEXT

APPOINTMENT

FOR...

26 on page

ADVANCE DIRECTIVES AND LIVING WILLS 101 Monday, March 20 from 6 – 7 p.m.

College Luthern Church, 210 S. College Ave. in Salem

>> Learn about the importance of having advance directives and living wills and why you need them. This event is free but registration is required by calling Carilion Clinic at 800.422.8482.

DOCS ROCK FASHION SHOW Saturday, April 1 Roanoke Country Club $100 per person, $75 for 2 or more tickets by March 1.

>> All proceeds benefit the Bradley Free Clinic and it’s mission to provide free quality healthcare to the low-income and uninsured.

Don’t forget to check out upcoming happenings on the OurHealth calendar of events. Visit www.ourhealthswva.com for local health related events including health fairs, workshops, screenings, support groups and much more! www.OurHealthswva.com

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WELCOME TO THE COMMUNITY

Lisa Austin, NP

Carilion Clinic Roanoke | 540.981.7000 www.carilionclinic.org

Natalie Austin, NP

Carilion Clinic Roanoke | 540.981.7000 www.carilionclinic.org

Michael Bowman, MD

LewisGale Physicians Blacksburg | 540.443.7400 Radford | 540.639.9023 www.lgphysicians.com

Laurie Buchwald, WHNP, FNP

LewisGale Physicians Obstetrics and Gynecology Blacksburg | 540.443.0500 www.lgphysicians.com

Denise Dillingham, PA-C Amy Doolan, DO LewisGale Physicians – Internal Medicine of Roanoke Roanoke | 540.344.3020 www.lgphysicians.com

Carilion Clinic Family Medicine Roanoke | 540.562.5700 www.carilionclinic.org

Daisy Edwards, FNP-BC Stephen Epperly, CP LewisGale Hospital Montgomery Blacksburg | 540.951.1111 www.lgphysicians.com

Excel Prosthetics and Orthotics Radford | 540.731.1481 www.excel-prosthetics.com

Lisa Gray, DO

Matt Hand, CO

Vanessa Hedge, NP

Angela Lilly, NP

Heather Mayer, PA

William Craig Mitchell, MD

LewisGale Physicians General Surgery Pulaski | 540.980.9660 www.lgphysicians.com

Carilion Clinic Family Medicine Pearisburg | 540.921.6110 www.carilionclinic.org

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Excel Prosthetics and Orthotics Radford | 540.731.1481 www.excel-prosthetics.com

Carilion Clinic Roanoke | 540.981.7000 www.carilionclinic.org

Carilion Children’s Endocrinology Roanoke | 540.224.4445 www.carilionclinic.org

LewisGale Physicians – Internal Medicine of Roanoke Roanoke | 540.344.3020 www.lgphysicians.com

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Carrie Champine, DO

LewisGale Physicians Obstetrics and Gynecology Blacksburg | 540.443.0500 www.lgphysicians.com

Deborah Davis, NP

Carilion Children’s Roanoke | 540.224.4520 www.carilionclinic.org

Patricia Fedorchak, NP Kelly Finnegan, PA-C Velocity Care by Carilion Blacksburg | 540.961.9466 www.carilionclinic.org

LewisGale Physicians Gastroenterology Blacksburg | 540.552.3670 www.lgphysicians.com

Laurie Hudgins, MD

Benjamin Hull, MD

Patricia Kitchin, DO

LewisGale Physicians Otolaryngology Blacksburg | 540.443.7400 Radford | 540.639.9023 www.lgphysicians.com

LewisGale Physicians – Internal Medicine of Roanoke Roanoke | 540.344.3020 www.lgphysicians.com

Paul Nielson, MD

Clay Pickard, MD

Pamela Price, NP

LewisGale Physicians Obstetrics and Gynecology Blacksburg | 540.443.0500 www.lgphysicians.com

Carilion Clinic Family Medicine Hillsville | 276.728.7731 www.carilionclinic.org

Carilion Clinic Dermatology Roanoke | 540.581.0254 www.carilionclinic.org

Velocity Care by Carilion Roanoke | 540.772.8900 www.carilionclinic.org

Elissa Rhed, NP

Carilion Clinic Family Medicine Blacksburg | 540.951.0352 www.carilionclinic.org

Thomas Schneider, MD LewisGale Physicians Pulmonary Disease, Internal Medicine Blacksburg | 540.961.0149 www.lgphysicians.com

Lauren Smith, PA-C LewisGale Physicians Internal Medicine Christiansburg 540.381.1882 www.lgphysicians.com

Sarah Watkins, NP

Carilion Clinic Pulmonary and Sleep Medicine Roanoke | 540.985.8505 www.carilionclinic.org

George Zolovick, MD

LewisGale Physicians Obstetrics and Gynecology Blacksburg | 540.443.0500 www.lgphysicians.com

* CORRECTION * John Chris Colby, MD

is an independent OBGYN provider in Christiansburg.

Dr. Colby is not an employee of Carilion Clinic.

ROANOKE & NEW RIVER VALLEYS

read this edition of

on your tablet or smartphone

www.OurHealthswva.com

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HEALTHY LIVING

WINTER PET HEALTH >> Tips for your pets during the cold months

The cold weather can be as difficult on pets as it is on their ‘human’ families. Remember, if it’s too cold for you, it’s probably too cold for your pet. Domestic animals should be kept inside during severe cold.

Other tips pet owners should be aware of include: •

PAMPER THE PAWS. Salt and other chemicals used to melt snow and ice can irritate a pet’s paws. Wipe their paws with a damp towel before your pet licks them and irritates their mouth.

•

EXTRA KIBBLE TO NIBBLE. Pets burn extra energy by trying to stay warm in the winter. Feeding your pet a little bit more during the cold winter months can provide much needed calories.

•

LET THEM ROCK THE SHAGGY LOOK. Never shave your dog down to the skin in winter, as a longer coat will provide more warmth.

•

NO MORE BATHS, OR AT LEAST LESS. Bathe your pets as little as possible during cold spells.

Washing too often can remove essential oils and increase the chance of developing dry skin. In addition, repeatedly coming out of the cold into the dry heat of your home can cause itchy, flaking skin. Keep your home humidified and towel dry your pet as soon as he or she comes inside, paying special attention to the feet and in between the toes. Remove any snow balls from between the foot pads.

Winter Gardening

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>> The benefits of indoor herb gardening Gardeners take heart! Indoor winter herb gardening is rewarding and provides fresh herbs year round! The following selection of herbs do well in containers, and offer a nice pantry mix to spice up soups, chilis and casseroles for the cold winter ahead! Here are five herbs that you can safely grow indoors this winter:

Mint

Parsley

Chives

Rosemary

Basil

Mint grows heartily throughout the year for indoor container herb gardens. Mint plants require a good deal of moisture and partial shade to thrive.

Parsley requires well-drained soil and can tolerate some shade during the winter months but tends to grow at slower rates than other months of the year without full sun.

Chives make a delicious herb to grow in the winter.

Gardeners should use organically-rich and well-drained soil in potting containers for growing chives.

Rosemary is a vigorous herb that does well outdoors or indoors during the winter.

Basil grows well indoors for the winter in well-drained containers.

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

DID YOU KNOW: Gardening is a proven stress reliever?

Surviving the Drive Through Winter >> Tips for getting your car through the

harsh winter weather When it comes to safe driving and your vehicle, winter weather presents a unique set of challenges. While regular, preventive vehicle maintenance is important no matter the season, it becomes even more so when the temperature dips below freezing and the snow flies. Several vehicle systems are critical to driver and passenger safety, vehicle reliability and vehicle performance in winter weather, and should be checked before it snows to ensure they’re functioning properly.

•

•

TIRES

– Examine the tires for both tread depth and inflation pressure. Tires lose air pressure in cold weather and should be inflated to the pressure indicated on the driver’s side door, door frame or owner’s manual, not to the maximum pressure listed on the tire sidewall. After checking your tire inflation pressure, it is crucial to also check your tire tread depth. Tires that have shallow tread depth won’t deliver the traction or steering needed to drive in snow- or slush-covered roads. Purchase an inexpensive tread depth gauge or have the tires evaluated by a professional tire installer.

WIPERS – Road salt, snow and ice are constant threats to clear visibility in winter driving. To help ensure maximum wiping performance and visibility, windshield wipers that are more than six months old should be replaced.

•

BATTERY – The heat of summer weakens batteries, and the cold of winter kills them. Have your battery and charging system tested for free at one of the many auto parts stores offering the service.

•

LIGHTS – Fewer hours of daylight and bad weather mean more time spent driving with the lights on during winter months. Consider replacing headlights with new bulbs that utilize lighting technology to increase down-road visibility.

•

HEATER & BLOWER – Maintaining a comfortable temperature for passengers and keeping the windshield free of ice and fog depend on a properly functioning heating system. If any of the system’s components isn’t functioning properly or is making odd noises, it needs to be evaluated and fixed before driving in colder temperatures.

•

ANTIFREEZE – It prevents the engine from freezing in winter and from overheating in summer. Make

VEHICLE Emergency Kits ARE A MUST! An emergency kit stored in the trunk or cargo area can improve your chances of surviving plummeting temperatures, or even help get the vehicle unstuck. The kit should include water, food, blankets, emergency flares, a flashlight, extra batteries, jumper cables, a small shovel, sand or cat litter for traction, a first aid kit, foam tire sealant, and a fire extinguisher.

sure to take the time to check the antifreeze levels in your car. Not all antifreeze or coolant is the same; many vehicles require a specific type. Refer to the owner’s manual for recommendations.

www.OurHealthswva.com

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BOOK REVIEW words | RICK PIESTER

>> Showcasing some of the most authoritative books on how to get and stay healthy Americans have become very health-conscious in recent years. Thanks to that, there’s no end to the articles, books, websites, and folklore on how to stay healthy. Sifting through all of these sources of information can get confusing, so OurHealth Roanoke & New River Valleys is beginning a regular feature to highlight some of the most-respected and readable books on how to be healthy.

We’ll start with two respected books that deal with Alzheimer’s, a disease that has touched one out of every two families in America. One of these is among the first and most respected books on the disease, and the second is a relative newcomer.

Additionally, February is American Heart Month, a perfect time to bone up on all of the lifestyle changes — both large and small — that can lead to good heart health. There’s no lack of books on the subject, but here’s one that seems to rise above the rest.

The 36-hour Day

A Family Guide to Caring for People who have Alzheimer Disease, Related Dementias, and Memory Loss (5th Edition)

By Nancy L. Mace and Peter V. Rabins, MD, PhD Johns Hopkins Press | 384 pages Published originally in 1981 (the newest edition is from 2011), this is the book that experts call the “go-to” information source for caregivers, family members, and anybody else who loves someone who is affected by this progressive disease. The information is clear, compassionate, and complete, making this the best guide of its kind. It is also available in Spanish as “Cuando el Dia Tiene 36 Horas.”

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Before I Forget

Heart 411

By B. Smith and Dan Gasby with Michael Shnayerson

By Marc Gillinov, MD and StevenNissen, MD

Harmony Books | 319 pages

Three Rivers Press | 550 pages

Lifestyle maven B. Smith never expected to become an Alzheimer’s patient, but at 66, she and her husband Dan Gasby found themselves dealing with the dayto-day challenges of this disease that one person around the world develops every 67 seconds. Their story, which is as much a love story as an informational guide, is told in alternating chapters that weave valuable, practical tips and advice throughout their narrative. This book is a gem.

Don’t be misled by the subtitle, which was probably dreamt up by the publisher’s marketing department with an eye on sweetening sales. In truth, the constant research tends to change the way that medicine deals with heart disease on a regular basis. That aside, this book is an accessible, wide-spectrum work by two respected cardiac specialists at Cleveland Clinic. They provide a down-to-earth discussion of the many questions about heart health that their own patients have raised over the years.

Love, Hope, Help and Acceptance in Our Fight Against Alzheimer’s

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

The Only Guide to Heart Health You’ll Ever Need

www.OurHealthswva.com

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How much do you know about

Heart Disease?

2. Every ___________ someone dies from heart disease or stroke.

1. True or False: Heart disease is the leading cause of death in the United States.

A:

B:

17 seconds

D:

C:

39 seconds

4. True or False:

3. On average, ___________ deaths in the United States is caused by heart disease and stroke.

A:

B: 1 of 6

1 of 7

99

percent

B:

75

percent

C:

7. True or False: Lowering your blood pressure can decrease your risk of heart disease by about 50 percent.

9. Common heart attack warning signs include all of the following EXCEPT:

A: Chest discomfort

B: Shortness of breath

50

percent

women die from heart disease each year.

1 of 3

1 of 5

5. On average, ___________ of Americans need to improve their heart health.

A:

More men than

D:

C:

D:

60 seconds

52 seconds

6. Which of the following methods improve heart health?

25

percent

8. Which of the following is NOT a risk factor of heart disease?

A: Understand your heart risk

A: High cholesterol

B: Healthy diet and exercise

B: High blood pressure

C: Minimize stress and get enough sleep

C: Diabetes D: All of the above are risk factors

D: All of the above 2. B

3. D

4. False

5. A

6. D

7. True

8. D

9. C

Source: www.heart.org

D: Nausea

1. True

C: Metallic taste in mouth

www.OurHealthswva.com

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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Making a

DIFFERENCE

in

Heart Health LOCALLY

The Roanoke chapter of the American Heart Association focuses on improving heart health locally. words | RICH ELLIS

Heart disease is the leading cause of death in the United States, killing more than 370,000 people annually, according to the American Heart Association. When statistics for stroke and other cardiovascular diseases are combined with those of heart disease, the number of deaths attributable to one of these three causes rises to approximately one in every three deaths in the U.S. – which was more than 800,000 people in 2013 alone, the most recent year for which data is available.

Virginia is no exception to these sobering national statistics, but there is some good news.

The deaths attributable to heart disease and stroke in Virginia have been declining for more than a decade, and some of the credit for this undoubtedly lies with efforts put forth throughout the Commonwealth by the American Heart Association’s local chapters, including the one in Roanoke.

Cyndi Bade, the regional vice president for the American Heart Association (AHA) in Roanoke, outlined the organization’s goals, which guide efforts at both the local and national levels.

“Our mission is building healthier lives, free of cardiovascular diseases and stroke,” Bade says. “We fund innovative research, fight for stronger public health policy and provide critical education to healthcare providers and the public to help save and improve lives. We’re working on a goal by the year 2020 to improve the cardiovascular health of all Americans by 20 percent and reduce the deaths from cardiovascular disease by 20 percent.”

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“It’s a really fun night with a dinner program, auction and featured survivor story, and we expect between 300 and 400 guests. It’s also an opportunity to give back and support the mission through donations.”

“The Heart Ball is our signature black-tie event that brings together community leaders, healthcare providers, philanthropists – anyone with an interest in advancing AHA’s mission.”

That goal was set in 2010 by the association’s national board, Bade says. Statistics show that, while they’re on track to reach the death-reduction goal, there is still work to be done on realizing the health-improvement goal.

“Our mission is building healthier lives, free of cardiovascular diseases and stroke. We fund innovative research, fight for stronger public health policy and provide critical education to healthcare providers and the public to help save and improve lives. We’re working on a goal by the year 2020 to improve the cardiovascular health of all Americans by 20 percent and reduce the deaths from cardiovascular disease by 20 percent.”

CYNDI BADE Regional vice president for the American Heart Association (AHA) in Roanoke

With backing from the parent organization, Bade and her staff have a powerful ally in their local fight. The American Heart Association is the nation’s oldest and largest voluntary organization that is dedicated to fighting heart disease and stroke, she explains. Founded by six cardiologists in 1924, the organization today includes more than 22.5 million volunteers and supporters, 156 local offices and 3,000-plus employees, and it has a presence in every state.

Bade points to some of her organization’s specific and local community efforts that aim to improve heart health and lives throughout the Roanoke Valley. “On the preventive side, it requires people actually take measurable steps in their lives to be healthier,” Bade explains. “35 percent of Virginia adults are overweight or obese, and 74 percent of Virginians don’t eat enough fruits and vegetables daily. We know there’s a link between diet and cardiovascular disease, so one of the local Virginia priorities we’re working on this year is to try to bring healthy food and beverage options to all communities and public places. Working at the state level, this advocacy program – called the Virginia Grocery Investment Fund – is trying to bring grocery stores and other healthy retailers to all Virginia communities, particularly in areas where we have food deserts. It’s estimated that 1.7 million Virginia residents are living in areas with limited supermarket access.”

Statistics for Virginia’s children show room for health improvements too, as 30 percent of Virginia’s 10- to 17-year-olds are overweight or obese. Additionally, Virginia ranks first in the United States for childhood obesity rates among 2- to 5-year-olds.

Another example of the American Heart Association’s advocacy efforts resulting in positive change occurred in 2013, and it also targeted children, Bade says. That year, AHA advocates were instrumental in passing Gwyneth’s Law, which requires all high school students in Virginia to be trained in CPR before they graduate. The law went into effect this year for the 2017 graduating class; as a result of this policy, more than 8,000 students from the Roanoke and Salem-area high schools will learn CPR over the next four years.

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“The Go Red luncheon is held in May, it is actually part of a year-round campaign to educate women about their heart disease risks – risks that are considerable, given that heart disease is the leading cause of death for women, killing more women annually than all forms of cancer combined. ”

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AHA’s deep commitment to cutting-edge research benefits the Roanoke community.

The American Heart Association is the second-largest funder of cardiovascular research after the federal government, Bade explains. AHA funds research nationwide, with active research studies in Virginia being conducted at Virginia Commonwealth University, the University of Virginia and Virginia Tech. In the past year, AHA also funded research at the Virginia Tech Carilion Research Institute.

“The important thing is it’s funded nationwide, but the results of that research have implications that go everywhere,” Bade says. “Some breakthroughs in treatment that AHA has funded over the years included CPR techniques, artificial heart valves, pacemakers, stents and cholesterol drugs. All of those things came about because the researchers that discovered them were funded by AHA at some point in their career.”

The American Heart Association Impacts Local Communities By:

Funding Innovative Research

Funds that are raised here stay here.

To help fund all of this groundbreaking research, AHA’s Roanoke chapter hosts several fundraising events each year, including the annual Heart Ball, the Go Red for Women Luncheon and the Heart Walk.

“The Roanoke Heart Ball is February 25 at the Hotel Roanoke,” Bade says. “This is our signature black-tie event that brings together community leaders, healthcare providers, philanthropists – anyone with an interest in advancing AHA’s mission. It’s a really fun night with a dinner program, auction and featured survivor story, and we expect between 300 and 400 guests. It’s also an opportunity to give back and support the mission through donations.”

Another local event is the Go Red for Women Luncheon. While the luncheon is held in May, it is actually part of a year-round campaign to educate women about their heart disease risks – risks that are considerable, given that heart disease is the leading cause of death for women, killing more women annually than all forms of cancer combined. When the program began 15 years ago, Bade says, most women didn’t realize that was the case, nor did their physicians. Heart disease was traditionally considered a man’s disease, despite the fact that it leads to the deaths of just as many women per year as men.

Fighting for Stronger Public Health Policies

Providing Critical Tools and Information to Save and Improve Lives

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Individuals or organizations that are interested in donating to the American Heart Association’s Roanoke chapter or receiving information about local events or sponsorship opportunities should contact the AHA office in Roanoke at 540.774.0143.

“Since the start of Go Red around 2003 or 2004, we’ve increased awareness among women by 60 percent so that they now know that heart disease is their number one risk,” Bade explains. “And we’re working on an initiative to encourage women to go see their doctors annually for a wellness visit to have their cholesterol and blood pressure checked on a regular basis and mitigate that risk. We’re also doing a lot of education around taking charge of your own health by eating healthier, exercising regularly, getting enough sleep and reducing stress.”

AHA’s Heart Walk is a third fundraising and awareness event that occurs each fall, generally in October.

For every dollar raised through these events, 75 cents stay within the Mid-Atlantic Affiliate (of which Virginia is a member); 20 percent of this is allocated to supporting regional research projects, while 80 percent funds local mission programs and operations. The remaining 25 cents help fund nationwide programs, research and operations.

EXPERT CONTRIBUTERS Cyndi Bade is the regional vice president for the American Heart Association (AHA) in Roanoke.

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John Russell, BS, ACSM

THE ONE STOP BODY SHOCK®

John holds a BS degree in Exercise and Sports Science and is an ACSM certified personal trainer at Green Ridge Recreation Center.

Are you wanting a group exercise class which encompasses all the aspects of physical fitness? If so, R.I.P.P.E.D is for you! R.I.P.P.E.D. is an acronym for: Resistance, Interval, Power, Plyometrics, Endurance and Diet. The R.I.P.P.E.D class follows its acronym and changes up the workout every 6 to 9 minutes, allowing every muscle group to get a quick yet effective workout!

Resistance – You will use hand weights to sculpt and tone

your biceps, triceps, and shoulders. Feel the burn as you lift, curl and shape your muscles!

Interval – Ramp up your heart rate in this section and

burn some major calories! This section has shorts bursts of maximum effort, followed by active recovery periods. Push hard, recover and repeat!

Power – In this portion, you will once again use weights

to hone in on your legs, back, and chest. Work those large muscle groups to feel stronger and leaner!

Plyometrics – This sports-inspired section combines

agility, coordination and explosiveness. Channel your inner athlete to score major results!

Endurance – Punch and kick your way through knocking

out some calories! This mixed martial arts section utilizes punching and kicking combinations, while sharpening your mental focus.

Diet – You will find many helpful diet information online at www.rippedplanet.com.

HEAL ITNE ND F TH A

The class begins with a 5 minute head to toe warm up and ends with additional core work and a cool down. R.I.P.P.E.D is designed for all fitness levels which allows a beginner to an experienced athlete to reap its benefits of burning up to 1,000 calories per class. Instructors show modifications in every section for moves and exercises, as well as ways to intensify the workout for those looking to push to the next level.

Join us for R.I.P.P.E.D. – The One Stop Body Shock® at Green Ridge Recreation Center!

E GO N TH SS O

GREEN RIDGE RECREATION CENTER 7415 WOOD HAVEN ROAD ROANOKE, VA 24019 | 540.777.6300 www.greenridgerecreationcenter.com www.OurHealthswva.com

BONE & JOINT CARE

MENTAL HEALTH

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172017 for

to think about

Setting off on a year of better health words | RICK PIESTER

Every new year is a new beginning, a chance to make positive changes in our behavior, lifestyle, choices and health. Making significant changes, though, is a big undertaking. It’s best to start small, and we all need help. So in that spirit, we’ve assembled 17 quick tips that we hope will make the job a little easier. These tips are not meant to be all-inclusive, obviously, but think of them as a tasting menu on your trip to good health.

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1

STOMACH AND DIGESTION: Chew, chew, chew.

Chewing your food is the first step in proper digestion, so do it thoroughly. Chewing breaks your food down into smaller pieces, allowing saliva and enzymes in your mouth to act on the surface of food to chemically break it down. More chewing creates more surface areas, better enzyme action and better digestion.

HEALTH TIP

“The beginning of the insurance year can mean new deductibles, changes in copayments and increases in premiums. Read your annual renewal material carefully so that you are prepared for these changes when you go to the pharmacy or doctor for the first time in the new year.”

E. LYNN ATKINSON

EXERCISE:

30 minutes a day keeps the doctor away.

Experts say that it’s important to get at least 30 minutes of exercise each day, but what if you’re too busy to find a half-hour?

You can break it up into two or three shorter periods of exercise. For example, do ten minutes of strength training in the morning. At lunchtime, take a brisk ten-minute walk. And then after work in the evening, take the dog for a walk, or do another brisk stroll. The combination can help a lot in keeping up your health.

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Humana Roanoke | 540.685.3817 www.humana.com/eatkinson

DIABETES: Superfoods to the rescue.

The American Diabetes Association maintains a handy list of ten “superfoods” that are less likely to affect your blood sugar than other foods. The list includes beans, leafy dark green vegetables, citrus, sweet potatoes, berries, tomatoes, fish high in omega-3 fatty acids, whole grains, nuts and fat-free milk and yogurt. Post a copy of this list on your refrigerator and refer to it when you plan your meals or reach for a snack.

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MEMORY: Make note of it.

To be sure you remember something important, break the routine around it. For example, if you constantly forget to turn the heat down at night, make a small sign to remind you (write “HEAT” on it) and post it where you are bound to see it — on the steps going upstairs, or on the bathroom counter. Or if you normally keep your car keys in your right-hand pocket, put them in your left-hand pocket to trigger a reminder of something that must be done during the day.

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HAIR AND SCALP:

Brushing your way to healthier hair.

You know that gently brushing your hair is a good thing, but giving your hair a light brushing just before you step into the shower can be a big help. It will remove dead skin cells so that they can’t clog hair follicles and interfere with the growth of new hair. Brushing the hair stimulates circulation of the scalp, and it spreads natural oils down the shaft of hairs to moisturize dry ends. But plastic bristle brushes can’t distribute those oils. Invest in a natural bristle brush for best results.

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HEALTH TIP “Choose carefully when it comes to a Medicare plan. In general, regular Medicare with a supplemental policy is preferable to a Medicare Advantage program. Be careful before opting out of regular Medicare. Understand the benefits that you will be giving up, often not apparent until you are hospitalized or have

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DIET AND NUTRITION: Filling your plate.

A good general rule to follow when plating food is to fill half of a dinner plate with vegetables (non-starchy veggies such as carrots, Brussels sprouts or asparagus). About a quarter of your plate should be reserved for starchy foods (potatoes, corn, rice or peas), and the remaining quarter should be filled with protein (preferably chicken, fish or beans). Use caution with baked goods and pasta, especially if you have high blood sugar.

other significant health issues.�

ANN MCGEE GREEN Anderson, Desimone & Green, PC Roanoke | 540.776.6434 www.andersondesimone.com

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50% Vegetables 25% Starchy Foods 25% Protein

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EYE CARE: The 20-20-20 rule.

The hours we spend staring at computer screens can seriously strain our eyes, disturb sleep patterns, and wipe out concentration. Heavy computer use doesn’t damage long-range vision; the eye strain comes from constantly focusing on something that’s about 18 inches away, rather than switching your gaze between objects of varying distances from your eyes, say by looking around a room. So follow the 20-20-20 rule: Every 20 minutes, focus on something that is 20 feet away for 20 seconds.

HEALTH TIP “Nearly 20 percent of all automobile accidents are caused by glare. Make sure you are using polarized sunglasses to help you see your best and get you where you are going safely.”

JOHN DOVIE, OD Blacksburg Eye Associates Blacksburg | 540.953.2020 www.blacksburgeye.com

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HEALTH TIP

DENTAL CARE: When to brush.

“The mouth can be home to over 700 different

Since childhood, we’ve been told to brush our teeth after every meal, at least three times a day. But now dentists know that that’s not quite right. Don’t brush your teeth immediately after every meal, especially if your food or drink was acidic. High-acid foods such as citrus fruits and tomatoes, as well as sports drinks and soft drinks, soften tooth enamel. Brushing your teeth when the enamel is slightly softened can speed up the effects of acid, eroding both the enamel and the layer under it. Better to wait 30 to 60 minutes after eating to brush.

types of bacteria! Maintaining oral health through brushing, flossing, and regular dental visits will greatly improve your overall health! ” FAWZIA BHAVNAGRI, DDS Blue Ridge Dental Group – Valley View Roanoke | 888.853.4477 www.blueridgedentalgroup.com

HEARING: Turning down the volume.

About 15 percent of Americans have hearing loss that is induced by loud work or leisure environments. Any place that is noisy enough to force you to shout so that the person next to you can hear you is an area with a dangerous level of sound.

To conserve your hearing, try using earplugs. They are easy to obtain, and you can have them custom made by a local hearing care provider. Otherwise, give yourself about 16 hours of quiet for your ears to recover from about six hours of loud noise.

HEALTH TIP

PAIN: Heat vs. cold.

“Hearing loss continues to be a major public health issue and is the third most common physical condition after arthritis and heart disease. Hearing loss affects all ages. Have your ears checked.”

JOANNE F. DILLON, MS,CCC-A, FAAA New River Valley Hearing Radford | 540.731.4327 Floyd | 540.745.8327 www.nrvhearing.com

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Applied correctly, both heat and cold can help reduce pain.

But there’s a great deal of confusion about what to use when.

As a general rule, heat is best used to take the edge off of muscle spasms and chronic pain such as back or neck pain. Ice is a mild, drug-free way of dulling the pain of damaged tissue that is red, inflamed or swollen. Keep in mind that heat can make inflammation worse, and cold can make muscle tension and spasms worse, so be careful.

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MENTAL HEALTH: Hugs, good for the soul.

Get a hug and give a hug. It’s fun, and science has learned that hugging releases oxytocin, the hormone that makes us feel good, as well as reducing levels of the stress hormone cortisol.

SLEEP: The he is hot while she is cold dilemma.

A constant demolisher of good sleep is losing all of your covers to your bed partner. If that happens to you a lot, or if one of you shivers while the other one sweats, try this: Make the bed with separate sets of sheets. Use one fitted sheet to start. Then top it off with twin-size flat sheets and blankets to match each person’s comfort needs.

Don’t worry that it might look weird.

You can top the whole thing off with a single comforter when making the bed each morning.

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BONE AND JOINT CARE: Get up and move!

Your joints may be painful, but don’t be inactive. Sitting at a desk all day or refusing to move around because it hurts can either cause joint pain or make it worse. You need to vary your routine, giving your body and your joints rest as well as activity. If you have to sit for long periods of time, try to remember to get up and move around every couple of hours.

HEALTH TIP “To help keep your eyes young and healthy remember these three S’s … Sunglasses, Salads, and (no) Smoking. Protect yourself from harmful ultraviolet radiation by wearing polarized sunglasses, eat your greens (especially spinach, kale, and broccoli) and no smoking!”

COLLEEN MITCHELL, OD Blacksburg Eye Associates Blacksburg | 540.953.2020 www.blacksburgeye.com

HEART AND LUNGS: Dangers of smoking.

You’ve probably heard it before, but it’s well worth repeating: If you are a smoker, stop. Smoking is the leading cause of preventable death in the United States. It causes heart disease, stroke, lung disease, osteoporosis, and cataracts, among other ailments. But don’t try to quit “cold turkey.”

Smoking is an addiction, so take a little time to prepare. Research methods, such as classes, counseling, medication or hypnosis, that will help you quit successfully. But determine that you are going to quit, and get to work on it.

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SPORTS PHYSICALS: When is the best time to go?

Participating in school or community sports teams is a great way for children to stay in shape, but it’s important that they see a healthcare provider for a sports physical to make sure that their bodies are ready for the season ahead. Most experts say that six to eight weeks ahead of the sports season is the best time to schedule a physical. That way, if the child has a condition that needs treatment, needs to see a specialist or needs any follow-up care, there will be enough time before play starts.

IMMUNIZATIONS: Build up the antibodies.

For many years, it was almost standard practice to give babies a dose of acetaminophen (Tylenol, for example) when it was time for their first vaccinations. But now pediatricians are warning against it since research has shown that the medication causes babies’ bodies to produce fewer diseasefighting antibodies, which reduces the effectiveness of the vaccinations. It’s best to give fever-reducing medicine only if a child’s fever is dangerously high, or if doing so has been recommended by your physician.

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SKIN CARE: Sun exposure, inside and out.

You’ve heard that it’s wise to avoid overexposure to the sun. But you should remember that when it’s sunny outside, it’s also sunny inside, and staying out of direct sunlight doesn’t fully protect you. Damaging UVA rays travel through the windows of your home, your workplace and your car. UVA rays weren’t considered a problem until recently, because UVB light causes the most damaging sunburns. But scientists have determined that UVA light is carcinogenic. UVA light is what causes the grayish-yellow cast on the skin of older people. The lesson: Unless you spend all your time deep in a cave, wear a broad-spectrum sunscreen all year, rain or shine.

HEALTH TIPS “The use of a Retin-A with daily sunscreen is your best defense against aging skin.”

SUSAN GAYLOR, MASTER LICENSED ESTHETICIAN Dermatology Associates of Roanoke Roanoke | 540.345.6010 x 310 www.dermatologyassociatesofroanoke.com

“Hearing loss is often very gradual; many times friends and family will notice it first! Before it causes communication or other health issues, schedule a comprehensive hearing evaluation. Many hearing care providers will do these for free! ” TRACY EUBANK, HIS Miracle-Ear of Southwest Virginia

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Hardy | 540.585.4007 www.miracle-ear.com

Photography by Richard Hankins.

The Guns topped the Hoses, 6-1, in the 14th annual matchup that saw a sellout crowd and raised $44,000!

It was a sellout crowd the night of January 21st at the 14th annual Guns N’ Hoses hockey game between local law enforcement (the Guns) and local area fire and rescue personnel (the Hoses). The annual event, which benefits the Muscular Dystrophy Association, has raised over $287,000 over the last 14 years and been attended by over 62,000 fans!

The Muscular Dystrophy Association is the official charity of the International Association of Firefighters. Last year alone, the IAFF raised more than $25 million for the MDA through events such as this.

The Guns have now won the last two years in a row! Will they be able to hold on to their title, or will the Hoses snag it away? Be sure to mark your calendar for the 15th annual matchup in 2018. Follow Guns & Hoses Hockey Roanoke on Facebook or visit www.gunsandhoseshockey.com for dates of the 2018 matchup!

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Could

WEIGHT LOSS SURGERY be right for you?

It’s not a cure-all, but it can be a dramatic help. words | RICK PIESTER

This is the time of year when many of us are trying to make good on our New Year’s weight-loss resolutions. We’re furiously dieting and steadfastly working out, trying to get our bodies down to that elusive “ideal weight” goal.

For some of us, however, the goal isn’t merely elusive: It’s out of reach. No amount of dieting or exercise is going to lead to significant and lasting weight loss. We are — in medical terms — obese. And the more obese we are, the less likely we are to lose weight and keep that weight off through diet and exercise.

Some people who have made repeated serious-but-failed attempts at traditional weight loss programs are turning to weight loss surgery, which is called “bariatric” surgery. This type of surgery alters the digestive system to help people lose weight by limiting how much they can eat. Bariatric surgeries have become so popular that about 200,000 of them are performed each year in the U.S., a tenfold increase since the early 1990s. Although they were considered to be rather exotic, high-risk procedures not long ago, they have now become a safe, relatively standard, and effective surgical approach to a lifestyle problem.

In fact, these surgeries have become so effective that many healthcare insurers in Virginia and at least 47 other states as well as Medicare and Medicaid cover them, as long as the somewhat stringent eligibility requirements and patient education requirements are met.

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The Roanoke/Southwest Virginia area, unfortunately, is among the top five overweight communities in Virginia. In Roanoke, Arnold D. Salzberg, MD, heads the metabolic and bariatric surgery activities of the Carilion Clinic. Carilion’s program has earned it accreditation as a Center of Excellence by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). This accreditation means that the bariatric program at Carilion Roanoke Memorial Hospital is one of the most experienced in existence, with low surgical complication rates and a track record of favorable outcomes. The bariatric surgery program at Carilion is also a tertiary center, which means that it is a center for corrective surgery for people who have had technical problems with earlier surgeries elsewhere.

Dr. Salzberg says that Carilion Clinic’s criteria for people seeking bariatric surgery is fairly straightforward and has been largely determined by healthcare insurers. “It’s important that people understand that surgery is a tool to help meet weight loss goals,” Dr. Salzberg notes. “It’s not a magic bullet.” Even after weightloss surgery, people have to be mindful of what they eat. The operation doesn’t force anyone to eat the right foods and the right portion sizes.

“It’s important that people understand that surgery is a tool to help meet weight loss goals. People still have to be mindful of what they eat — that the operation doesn’t force you to eat the right foods and the right portion sizes.”

ARNOLD SALZBERG, MD Director of metabolic and bariatric surgery at Carilion Clinic. Dr. Salzberg is certified by the American Board of Surgery.

For that reason, candidates for surgery at Carilion must first participate in an unusually broad evaluation and informational activities by multiple professionals, including bariatric surgeons, physicians in allied medical specialties, clinical psychologists, specially trained nurses, exercise physiologists, dietitians, diabetes educators and more. Their job is to be sure that each person is fully aware of the post-surgical diet and exercise requirements so that he or she will have a successful life going forward.

To be sure that each patient will sustain the lifestyle changes that go along with the surgery, most insurance companies require that surgery candidates go through a medically supervised weight loss program of between 6 and 12 months. After that, the metabolic and bariatric surgery team members put each patient through an extensive program of evaluation, and patients are encouraged to participate in support groups where they can speak with people who have already had bariatric surgery.

“We mention this over and over again,” Dr. Salzberg stresses. “The surgery does not work on its own. The surgery works only as well as the patient allows it to by faithfully following a strict diet and daily exercise.”

One key criterion for receiving weight-loss surgery is having a body mass index (BMI) of 40 and above, if there are no accompanying (Continued on page 55...)

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HOW TO CALCULATE YOUR

BODY MASS INDEX STEP 1

(weight in pounds) x

STEP 2

(height in inches) x

.45

.025

STEP 3

(answer from step 2) 2

STEP 4

(answer from step 1) (answer from step 3)

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(...continued from page 52)

medical problems. If a person has diabetes, blood pressure issues, sleep apnea, reflux, or any other weight-related ailments, the BMI requirement drops to 35, Dr. Salzberg notes.

IS YOUR WEIGHT NORMAL, UNDER, OVER? SCAN HERE for a quick look at your Body Mass Index (BMI) or go to www.bmi-calculator.net.

BODY MASS INDEX BMI is a measurement of body fat based on each person’s weight and height. It’s a numerical score that applies to both women and men, and it is used to indicate whether a person is underweight, of normal weight, overweight, obese or severely obese. If you score a BMI of between 18.5 and 25, you are considered to be a normal weight for your height. If your BMI is between 25 and 30, you are considered overweight. Medical professionals consider you to be obese if your BMI is 30 or higher and severely obese if you have a BMI of 40 or higher.

About two out of every three American adults are overweight, and one out of three can be said to be obese. In 1990, hardly any states had obesity rates of more than 15 percent; today, all 50 states have obesity rates of at least 20 percent. A 2012 study in the Journal of Health Economics estimated the medicalcare costs of obesity in the U.S. in 2005 to have been as high as a 190 billion dollars, a figure that is steadily increasing each year.

This is a major problem because weight gain gives rise to looming health risks. The physical ailments that are associated with obesity include higher rates of heart disease, stroke, diabetes, sleep difficulties and www.OurHealthswva.com

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“For the patient, the surgery is the easy part. Surgery has to be accompanied by a lifestyle change.”

ARNOLD SALZBERG, MD Director of metabolic and bariatric surgery at Carilion Clinic.

Dr. Salzberg is certified by the American Board of Surgery.

joint problems as well as an increased risk of certain types of cancers.

Obesity, in fact, has become second only to tobacco as a major killer in the United States. This is part of the reason that healthcare insurers cover bariatric surgery. The surgery helps prevent the costs associated with serious weight-related diseases.

Bariatric surgeries do not remove fat tissue. Instead, surgeons rework the stomach and intestine to help a person feel full more quickly, ingest fewer calories, or both.

TYPES OF SURGERY Carilion’s gastric surgeons perform three types of bariatric operations, all of them laparoscopic surgeries.

This is a type of surgery in which small “keyhole” incisions rather than one larger open incision allow surgeons to introduce a video camera and surgical instruments. The laparoscopic techniques free patients from prolonged hospitalization and the risks of complications that were the norm when this branch of surgery was new 25 years ago.

GASTRIC BYPASS SURGERY Gastric bypass surgery is the “old faithful” of the bariatric operations.

It has been in use for the longest time and often offers the best and longest-lasting results. In this surgery, the stomach is made smaller by creating a small pouch at its top using surgical staples. The smaller stomach is connected directly to the middle portion of the small intestine, bypassing the rest of the stomach and the upper portion of the small intestine.

(Continued on page 58...)

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FOUR TYPES OF

BARIATRIC SURGERY

GASTRIC BYPASS In this surgery, the stomach is made smaller by creating a small pouch at the top using surgical staples.

The smaller stomach is connected directly to the middle portion of the small intestine, bypassing the rest of the stomach and the upper portion of the small intestine.

SLEEVE GASTRECTOMY

GASTRIC BANDING

In this surgery, the stomach is surgically narrowed to resemble a sleeve. The smaller pouch, about 15 percent the size of the “original,� has a capacity that is reduced from about 11/2 quarts to between 4 and 6 ounces.

In this surgery, a device is wrapped around the upper part of the stomach to form a ring. A thin tube is attached to the ring, and an access port in the body allows surgeons to tighten or loosen the band by injecting saline solution.

INTRAGASTRIC BALLOON In this surgery, a saline-filled silicone balloon is placed in the stomach to limit how much a person is able to eat.

The balloon stays in place for roughly 6 months and is especially suited for short-term weight loss.

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SLEEVE GASTRECTOMY SURGERY In a sleeve gastroectomy, the stomach is surgically narrowed to resemble a sleeve. The smaller stomach pouch is about 15 percent the size of the “original,” and the capacity of the stomach is reduced from about 1½ quarts to between 4 and 6 ounces.

“About two out of every three American adults are overweight, and one out of every three can be said to be obese.”

GASTRIC BANDING SURGERY The third approach, gastric banding, is falling out of favor with surgeons and patients alike, Dr. Salzberg says, because of the intensive level of follow-up it requires. In this surgery, a device is wrapped around the upper part of the stomach to form a ring. A thin tube is attached to the ring, and an access port in the body allows surgeons to tighten or loosen the band by injecting saline solution.

The recovery time with all approaches is relatively rapid, with most patients going home a day or two after surgery and getting back to work a week or two later, depending on the kind of work they do.

“In 1990, hardly any states had obesity rates of more than 15 percent; today, all 50 states have obesity rates of at least 20 percent.”

However, health professionals do note that bariatric surgery does not signal the end to a person’s fight against obesity. “For the patient, the surgery is the easy part,” Dr. Salzberg cautions. “Surgery has to be accompanied by a lifestyle change.” For those who have turned to the surgery, it creates new and different nutritional, medical and physical challenges along with changes in their emotional behavior.

That’s why the Carilion program has assembled a large team of healthcare professionals who treat and counsel bariatric surgery patients for as long as they live. ”We’re here to cure weight-related disease. We treat patients for life,” Dr. Salzberg explains.

1st 2nd

The results, on the other hand, can be dramatic. “Nationally, about half of the patients who are insulin-dependent diabetic and who have gastric bypass surgery never have to take their insulin after the moment of surgery,” Dr. Salzberg notes. “Some of the results are truly astounding. That’s where we get our passion for this from.”

3rd

“Obesity has become second only to tobacco as a major killer in the United States. This is part of the reason that healthcare insurers cover bariatric

For more information on bariatric surgery at Carilion Clinic, go to www.carilionclinic.org/bariatric-surgery or call 540.224.5170.

Carilion offers free informational seminars on bariatric surgery twice each month.

EXPERT CONTRIBUTERS Arnold Salzberg, MD is the director of metabolic and bariatric surgery at Carilion Clinic.

Dr. Salzberg is certified by the American Board of Surgery.

surgery. The surgery helps avoid the costs of serious weight-related diseases.”

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Healthy Tricia Foley’s

ARTICHOKE DIP Ingredients 2 1 4 1 2

cups artichoke hearts tablespoon black pepper cups chopped spinach teaspoon minced thyme cloves garlic, minced

1 tablespoon minced parsley 1 cup low-sodium white beans, prepared 2 tablespoons parmesan cheese ½ cup fat-free sour cream

Directions

Heat oven to 350 degrees. Meanwhile, in a medium bowl, mash the white beans and fat-free sour cream together until a paste is formed. In an 8 x 8 inch-baking dish, combine all of the ingredients and blend them together, spreading evenly. Bake the mixture in the oven for 30 minutes, then serve warm with whole-grain pitas or vegetables for dipping.

Ideas

LOW SODIUM WHITE BEANS Using low-sodium white beans instead of Alfredo sauce (typically found in many artichoke dips) will reduce sodium while improving the overall nutrition.

Nutrition

(Nutrition per serving, 1/2 cup) 120 calories, 14 grams carbohydrates, 6 grams fiber, 71 milligrams sodium, 2 grams fat, 0 grams saturated fat and 4 grams protein.

Source: www.mayoclinic.org

FAT FREE SOUR CREAM Using fat free sour cream instead of full-fat sour cream, will save six grams of saturated fat .

SPICE IT UP Thyme and parsley enhance the flavor that otherwise would have been lost when removing the Alfredo sauce, which is usually seasoned.

Healthy Ideas

Tricia Foley’s

BAKED APPLES Ingredients (serves 6)

SUBSTITUTE BROWN SUGAR By substituting honey and applesauce for brown sugar, we are able to maintain the flavors and sweetness of the dessert while cutting back on the calories.

6 2 1/2 ¼ 1 1

honey crisp apples tablespoons butter cup unsweetened applesauce cup honey tablespoon apple pie spice (blend of cinnamon, nutmeg and allspice). ounce chopped pecans

Directions

Heat oven to 375 degrees. Wash and core apples, leaving enough of the core at the base of the apple to contain the filling. Combine the butter, honey, applesauce, apple pie spice, and chopped pecans in a small bowl. Spoon the contents evenly into each apple to fill the core. Fill a baking dish with ¾ cup water. Place the apples upright and bake them for about one hour until the apples are soft and the filling is browned.

Nutrition

(Nutrition per serving): 161 calories, 7.4 grams fat, 2.4 grams saturated fat, 2 milligrams sodium, 26 grams carbohydrates, 23.9 grams sugar, 4.5 grams fiber and 0.5 grams protein.

Source: www.foodnetwork.com

GLAZED PECANS Substituting regular chopped pecans for glazed pecans also reduces the sugar while still maintaining the crunch of the original dish.

SPICE IT UP By decreasing the butter and adding more spices, we are able to maintain the flavor while cutting back on the saturated fat.

OLIVE OIL Searing the chicken in olive oil instead of butter reduces saturated fat and gives the dish a healthy dose of monounsaturated heart healthy fats.

Tricia Foley’s

CHICKEN WITH MUSHROOMS AND RICE Ingredients (serves 6) 1 6 1 2 1½ 1 1/4 1/4

tablespoon olive oil (4-ounce) chicken breasts pound white mushrooms, thinly sliced cups low-sodium chicken broth or vegetable broth cup water cup uncooked Brown rice teaspoon salt cup fresh cilantro or parsley, chopped Salt and pepper

Directions

Heat a large skillet on medium-high heat until hot. Add olive oil. Season the chicken breasts with salt and pepper. Sear the chicken for five minutes. Flip the breasts to the other side and sear for two more minutes on medium heat. Remove from the skillet (they will not be cooked through). In the same skillet, add the thinly sliced mushrooms and cook on medium heat for about one to two minutes, until the mushrooms soften.

Add the chicken broth, water, uncooked rice, and ¼ teaspoon salt and bring to a boil.

Mix everything well. Put the chicken breasts on top, making wells for them in the rice. Reduce the heat to a low boil simmer. Cover the skillet and simmer for 15 to 20 minutes until the rice is soft and the chicken is completely cooked. Sprinkle with chopped fresh cilantro before serving.

Nutrition (Nutrition per serving): 337 calories, 6.7 grams fat, 0.5 grams saturated fat, 468 milligrams sodium, 26 grams carbohydrates, 3 grams fiber and 38 grams protein.

Source: www.Juliasalbum.com

SKINLESS CHICKEN BREASTS Using skinless chicken breasts instead of chicken thighs saves nearly 14 grams of fat, about 5 grams of saturated fat, and 116 calories per serving.

BROWN RICE Substituting brown rice instead of white rice adds more than 2 grams of fiber per serving.

FRESH MUSHROOMS Using fresh mushrooms instead of condensed soup reduces sodium and adds a healthy dose of vitamins and antioxidants to the meal.

Image Below (from left to right) Wayne Chang, MD, Travis Thompson, MD, Thomas Hawken, MD, Randall Rhea, MD, Beth England, MD, Oliver Joseph, MD, and Yisrael Katz, MD

BRADLEY FREE CLINIC

KEEPS THE FOCUS ON PATIENTS words | TODD MARCUM

The new presidential administration promises sweeping healthcare reforms. The last administration enacted sweeping healthcare reforms.

In fact, healthcare reform has been a topic of the national dialogue for decades.

The only thing more constant than the talk about healthcare is the need for it among the low-income and uninsured. Since 1974, Bradley Free Clinic has been meeting this need for working patients with the help of a dedicated group of volunteer healthcare professionals.

The clinic is fueled by the energy of these volunteers. Under the auspices of our volunteer board, 288 local health and lay workers provided 5,977 hours of service to our patients in 2016. Our Future Healthcare Professionals initiative provides students of Jefferson College of Health Sciences, VCOM, the VCU School of Dentistry, the Virginia Tech Carilion School of Medicine and Virginia Western Community College with opportunities to deliver nearly 2,500 clinical hours of service annually.

The advantages of a strong and capable free clinic are profound. Without access to a medical home, people who lack the resources for healthcare often find their health 64

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problems spiraling out of control and end up in the emergency room or hospital for problems that could have been addressed much earlier by a primary care provider.

In 2016, the Free Clinic helped 2,108 people who fell into this gap. It received more than 15,500 patient visits and dispensed more than $5 million in service value. About 20,000 prescription were filled, with a value exceeding $3.5 million.

In addition to its core medical, dental and pharmacy services, the clinic now offers specialty care, patient education, mental health services and wellness programs. In the coming year, the Bradley Free Clinic will focus on expanding its health and wellness services and on community outreach projects by partnering with critical safety net and healthcare agencies. It will launch a Women’s Health Program and a new wellness class, Balanced Living with Diabetes. The clinic has also seen its impact on the community expand since opening its doors to volunteers from other partnering agencies with the Roanoke Valley HOPE Initiative.

Women’s Health Program The Women’s Health Program will provide comprehensive preventive well-woman care, increased access to reproductive health, and more problem-based care and diagnostic procedures. The clinic is working with TAP’s Domestic Violence Services, Sabrina’s Place, Sexual Assault Response and Awareness Inc. and the Salvation Army’s Turning Point Domestic Violence Shelter to provide women in crisis situations with fast-track access to these services.

Balanced Living with Diabetes Program The clinic is also collaborating with Virginia Cooperative Extension to introduce the Balanced Living with Diabetes program to a select group of patients. This program teaches people with diabetes about nutritional management of their disease and about lifestyle practices that will prevent or slow the development of complications.

Roanoke Valley HOPE Initiative The Roanoke Valley HOPE Initiative, started by the Roanoke Police Department, established a volunteer www.OurHealthswva.com

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BRADLEY FREE CLINIC CONTACT INFORMATION

1240 3rd Street SW | Roanoke, VA 24016

540.344.5156 www.bradleyfreeclinic.com

BUSINESS HOURS Monday & Wednesday | 9 am-5 pm Tuesday & Thursday | 9 am-varies

network of “angels� to help people suffering from SUDs (Substance Use Disorders) of all forms (opiates, marijuana, alcohol) to gain access to resources and services for treatment and recovery before an overdose or fatality occurs. This program also educates the community at large about the severity of the opioid epidemic facing our region. The Bradley Free Clinic, Carilion Clinic, other local agencies, a network of 32 volunteer angels and the Roanoke Police Department have created a community-based monthly drop-in session at the Bradley Free Clinic, where individuals with SUD can learn about the professional health services available to them.

Over the years, the Bradley Free Clinic has grown in size, scope, vision and capacity. But while it has evolved, its core reason for existing has remained. A strong free clinic is an indispensable part of a healthy community, and the staff and volunteers of the clinic believe that everyone deserves access to high quality healthcare from skilled professionals who care.

Friday | 8:30 am - 5 pm

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ROANOKE & N E W R I V E R VA L L E Y S

NUTRITION WELLNESS FITNESS

RESOURCE GUIDE

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ROANOKE & NEW RIVER VALLEYS'

NUTRITION + WELLNESS + FITNESS RESOURCE GUIDE

FITNESS CENTERS Anytime Fitness Blacksburg | 540.951.1340 Radford | 540.633.3004 Roanoke | 540.977.0830 Salem | 540.375.2900 www.anytimefitness.com

Big Lick Crossfit Roanoke | 540.793.1066 www.biglickcrossfit.com

Blacksburg Boxing and Fitness Blacksburg | 540.315.3231 www.blacksburgboxingandfitness.com

Blacksburg Health and Fitness Blacksburg | 540.951.2949 www.theweightclub.com

Brickhouse CrossFit Salem | 540.632.2045 www.brickhousecrossfit.com

Carbyne CrossFit Salem | 540.815.6998 www.carbynecrossfit.com

Carilion Wellness Botetourt | 540.992.2993 CRC (Blacksburg) | 540.989.5758 Downtown Roanoke | 540.581.1111 Roanoke | 540.989.5758 www.carilionwellness.com

Carter Athletic Center Roanoke | 540.989.7284 www.ncscac.org

Crimper’s Climbing Gym Christiansburg | 540.251.3040 www.crimpersclimbing.com

Curves

Pure Barre

Hollins | 540.563.5318 Moneta | 540.721.7032 Pulaski | 540.980.0094 Rocky Mount | 540.238.2388 Salem | 540.444.0367 Vinton | 540.345.3776 Wytheville | 276.223.1104 www.curves.com

Roanoke | 540.904.7446 www.purebarre.com/va-roanoke

Dublin Fitness Center Dublin | 540.674.4826

Blacksburg | 540.955.2553 www.akkesyogaplace.com

Blue Ridge Aikido and Yoga

Roanoke | 540.685.2360 www.riverrockclimbing.com

Downey Dog Yoga

Fit Studio

Roanoke Valley CrossFit

Radford | 540.505.0432 www.downeydogyoga.com

Roanoke | 540.777.1177 www.fitstudiova.com

Foley Health & Fitness Christiansburg | 540.381.8391 www.foleyhealthandfitness.com

Franklin County YMCA Rocky Mount | 540.489.9622 www.franklincountyymca.org

Gold’s Gym Roanoke Roanoke | 540.527.4653 www.goldsgym.com/roanokeva

Gold’s Gym Roanoke VA (North) Roanoke | 540.366.4496 www.goldsgym.com/ roanokenorthva

Green Ridge Recreation Center

Roanoke | 540.777.6300 www.greenridge recreationcenter.com

Lancerlot Sports Complex

CrossFit NRV

Vinton | 540.981.0205 www.lancerlotsportscomplex.com

Christiansburg | 301.616.0092 www.crossfitnrv.com

New River Fitness Center

CrossFit Radford

Radford | 540.633.1100 www.newriverfit.com

Radford | 540.818.9040 www.crossfitradford.com

Planet Fitness

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Salem | 540.404.3713 Roanoke | 540.777.1177 www.fitbodybootcamp.com

Akke’s Yoga Place

Roanoke | 540.397.4688

CrossFit Blacksburg

Roanoke | 540.904.7647 www.crossfitunifyroanoke.com

Roanoke Fit Body Boot Camp

Roanoke | 540.798.8146 www.108yogaworks.com

Roanoke | 540.992.2212 www.braikidoyoga.com

Blacksburg | 540.509.1460 www.crossfit460.com

CrossFit Unify Roanoke

Salem | 540.404.1262 www.railyardcrossfit.com

108 Yoga Works

River Rock Climbing

Elite Health and Fitness Center of Roanoke

CrossFit 460

Blacksburg | 540.552.0625 www.crossfitblacksburg.com

Railyard CrossFit

MIND + BODY

Roanoke (Orange Ave) 540.904.7400 Roanoke (Towers Shopping Center) 540.904.6288 www.planetfitness.com

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Roanoke | 540.798.6043 www.roanokevalleycrossfit.com

SNAP Fitness Vinton | 540.278.1760 www.snapfitness.com

Spa Fit Salem | 540.389.2348 www.bespafit.com

EmPower Pilates & Yoga Roanoke | 540.915.6081 www.empowerpilates.net

Grace Yoga and Healing Pathways Cloverdale | 540.761.5635 www.graceyogahealingpathways.com

Waldron Wellness Center Shawsville | 540.268.1623 www.waldronwellnesscenter.com

Workout Anytime Ridgewood Farms Salem | 540.404.9496 www.workoutanytime.com /ridgewoodfarms

Hybrid Martial Arts Roanoke | 540.345.8609 www.hybridroanoke.com

In Balance Yoga Blacksburg | 540.961.1030 www.inbalanceyogastudio.com

Linda Mood’s Martial Arts Center

YMCA of Roanoke Valley

Botetourt Family YMCA COMING SOON! YMCA Express at Gainsboro 540.344.9622 Kirk Family YMCA 540.342.9622 Salem Family YMCA 540.387.9622 www.ymcaroanoke.org

Roanoke | 540.961.0900 www.lindamoodstkd.com

New River Tang Soo Do Blacksburg | 540.998.9682 www.newrivertangoodo.com

New River Valley Wellness Christiansburg | 540.391.0664 www.nrv-wellness.com

NRV Pilates Blacksburg | 540.552.1392 www.nrvpilatesmassage.com

Omkarra Yoga Christiansburg | 540.577.7730 www.omkarrayoga.com

River Rock Yoga Roanoke | 540.685.2360 www.riverrockclimbing.com (Continued on page 72...)

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NUTRITION + WELLNESS + FITNESS RESOURCE GUIDE

(...continued from page 70)

Tonete’s Taekwondo

GNC

Roanoke Wellness Center

Roanoke Parks and Rec Yoga

Christiansburg | 540.200.5070 www.tonetestkd.com

Roanoke | 540.772.8043 www.roanokewellnesscenter.com

Roanoke | 540.583.2236 www.playroanoke.com

True Blue Studio

Roanoke Taekwondo America

Roanoke | 540.520.9170 www.trueblue-studio.com

Towers Shopping Center 540.342.4500 Valley View Mall | 540.366.0934 Vinton | 540.982.1170 Salem | 540.986.0165 www.gnc.com

Roanoke | 540.989.6765 www.abbottstkd.com

Uttara Yoga Studio

Roanoke Valley Academy of Martial Arts Salem | 540.529.4160 www.rvama.com

Roanoke | 540.309.0071 www.uttarayogastudio.com

Yoga with Caryl Roanoke | 540.588.0548 www.yogawithcaryl.com

Shiro Tora Martial Arts Radford | 540.505.0333 www.shirotoramartialarts.com

Tech MMA and Fitness Academy

NUTRITION AND WELLNESS

Christiansburg | 540.449.9365 www.techmmaacademy.com

Annie Kay’s

The Centre at Vita Zen Hardy | 540.721.9365 www.thecentreatvitazen.com

Blacksburg | 540.552.6870 www.anniekays.com

Eats Natural Foods Blacksburg | 540.552.2279 www.eatsnaturalfoods.com

Healing Tree Wellness Center Floyd | 745.3030 www.healingtreehealth.com

Nature’s Outlet Promenade Park | 540.989.5109 Salem | 540.389.9583 Valley View | 540.366.1764 www.naturesoutlet.net

New River Valley Wellness Christiansburg | 540.391.0664 www.nrv-wellness.com

Roanoke Natural Foods Co-op Downtown | 540.904.2733 Grandin | 540.343.5652 www.roanokenaturalfoods.com

The Weigh Station Christiansburg | 540.381.2670 Roanoke | 540.982.0250 www.weighstation.net

Vitamin World Christiansburg | 540.381.7972 www.vitaminworld.com

PERSONAL TRAINING GreneFitness Blacksburg | 540.392.4711 www.grenefitness.com

House of Strength Roanoke | 540.632.1871 www.houseofstrengthgym.com

Peak Strength and Conditioning Christiansburg www.pscgym.com

Xcelerated Performance Roanoke | 540.330.3936 www.xceleratedperformance.net

Star Fitness Roanoke | 540.206.3777 www.starfitnessroanoke.com

SPORTS PERFORMANCE AND TRAINING Lab Sports Performance Roanoke | 540.206.3820 www.labsportsperformance.com

Peak Strength & Conditioning Christiansburg www.pscgym.com

Spectrum Sports Academy Roanoke | 540.561.0921 www.spectrumsportsacademy.com

STACK Velocity Sports Performance Roanoke | 540.613.5777

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If the

SHOE fits... words | TINA JOYCE

The urge to keep your New Year’s resolutions may have you rushing out to hit the pavement for a few miles. After all, you don’t want to lose your momentum. However, it’s important to put your health and long-term goals first and make avoiding injuries your top priority.

Whether you are an avid runner or a recreational jogger, if running is part of your fitness plan, then choosing the right shoes will help you avoid injury, improve your performance and increase your comfort.

SEEK EXPERTS Contact your physician or local running club and ask for retailers in the area with knowledgeable staff to assist you. Ask to be measured each time you purchase shoes. Choosing a size that is ultimately too tight on one or both feet may cause you discomfort and/or injury.

To enhance your natural gait, ask for help seeking lightweight shoes with minimal heel-to-toe drop and adequate support. “By getting in a properly fitted shoe, according to gait analysis, you will limit the risk of running- and walking-induced injuries,” explains Stephen Howard, Retail and Events Manager at RunAbout Sports. “A properly fitted pair of running/walking shoes will reduce the stress on your body by improving your form.”

“Not only can a properly fitted pair of running/walking shoes reduce the stress on your body by improving your form, having a good pair of shoes will motivate you to get out and be healthy!”

STEPHEN HOWARD RunAbout Sports Blacksburg | 540.552.9339 Roanoke | 540.989.2064 www.runaboutsports.com

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The American College of Sports Medicine offers clear and thorough information on “Selecting Running Shoes” that can be an excellent guide for information seekers.

Additionally, do your research and verify your sources; don’t simply trust the first thing that you read or hear.

INVEST Avoid trendy shoes or those that are not designed for forward-motion mechanics (a.k.a., running). There is no one particular brand that works for every individual.

In fact, many familiar brand names make shoes that are ideal for running, but they also manufacture shoes that are not designed for this purpose. Therefore, choosing by brand is not the best decision.

Although a good pair of running shoes may seem expensive, once you consider the miles you will log and the ramifications of a possible lingering injury, you will realize that your health is well worth the investment.

WHAT IS VIDEO GAIT ANALYSIS? Video analysis software can assess your running style by analyzing your biomechanical patterns with angles, measurements and shapes.

This analysis can assist you in selecting a comfortable and well-fitting shoe.

LISTEN TO YOUR BODY There is no single shoe that fits best for every individual and every activity. If the retailer will allow it, you can try running on a treadmill in the store. If something doesn’t feel right, try another shoe.

“We always say that you can walk in a good running shoe, but you can't run in a good walking shoe,” explains Howard.

A FEW GUIDELINES •

There should be a half inch between your toes and the end of the shoe.

•

Make certain that the heel doesn’t slip.

•

The shoes should not be too tight or pinch your toes, so they should have a wide toe box.

•

Be careful with “stability components” that may interfere with your natural foot motion.

•

The arch support should match your arch needs.

Selecting well-fitting shoes will help motivate you to stay on track with your fitness goals. Remember, happy feet equal a happy you! read this edition of

EXPERT CONTRIBUTERS Stephen Howard is the retail and events manager at RunAbout Sports in Blacksburg.

on your tablet or smartphone

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