A SPECIAL EDITION OF THE TIMES RECORD
HEALTHY
Local doctor shares his tips for healthy living
VOL. 1 EDITION 1 | FEB 2017
GIVE YOURSELF THE
BEST
HEART MEDICINE TODAY
SPECIAL Y FEBRUAR ISSUE
S R E T MAT
T R A E H E H T F O Y E K E B Y FTEN MA
O E R O M , S ER MEAL
SMALL
ƵŅĵåĹƉÚŅƉĜƋƉÚĜýåųåĹƋ do you know the warning signs for heart attacks in women?
HEALTHYU
Contents VOLUME 1 | FEBRUARY 2017
heart health starts earlier than you think
discover the best heart medicine
meal timing and frequency matters
4
heart of the matter 0RS[ XLI HMǺIVIRGI FIX[IIR E LIEVX EXXEGO LIEVX JEMPYVI ERH GEVHMEG EVVIWX
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the doctor will see you now
16
miracle man
22
medical directory
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about HEALTHYU Healthy U is a monthly publication of the Times Record, focusing on issues of health and wellness for the River Valley area. It publishes the third Saturday of every month. For more information: ccosta@swtimes.com
work + exercise = workercise! 2
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Publisher Crystal Costa Editor Mardi Taylor XEǺ ;VMXIV Alex Golden Contributor Carole Medlock Photographer Brian Sanderford Production Manager Christy Morrison ADVERTISING Sales manager Jule Newman Account Executives: Monica Duboise Mike Olpolka
Find out if you’re young at heart with our 5-minute Heart Risk Assessment. It will calculate your Heart Age and offer advice on how to maintain or improve your heart health. 8KUKV 5RCTMU*GCTV%CTG EQO VQ VCMG VJG CUUGUUOGPV
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Heart attack
Symptoms of heart attack
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H T L A E THINK HEART H OU’RE YOUNG WHILE Y
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hen it comes to a strong heart and preventing future heart problems, exercise prevails as one of — if not the most — important factors. (EVHMS MW OI] WEMH (SV] ;MPPMEQW ǻXRIWW coordinator at the University of Arkansas at Fort Smith.“It’s not really what kind of cardio you’re doing,” Williams said. “It’s making sure your heart rate is up.” Above: Michael Pierce of Fort Smith leads the way as he rides with his son, Sawyer, and daughter, Sally Beth at Ben Geren Park. — PHOTO BY BRIAN D. SANDERFORD/ TIMES RECORD
Some people prefer to run or ride a bike, while others prefer a Zumba class. “Maybe you love playing basketball or table tennis,” he said. UAFS senior Bobby Hill steers clear of the treadmill because it’s not the best for an ankle he broke in high school.
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“I like the stair master,” he said. Thirty minutes of exercise a day is a good rule of thumb for heart health, Williams said.
Senior Theresa Rolniak said that’s the hardest part of her workout routine, which WLI HSIW ǻZI XS WM\ HE]W E [IIO “Being a senior nursing student, it’s hard
If you do it consistently, it’s not even a big deal. It’s just a part of your day.“ —Theresa Rolniak Sometimes, students tell him that they don’t have 30 minutes. That can be broken up, he said. Fifteen minutes twice a day or 10 minutes three times a day works. But making time to work out can be a struggle.
to balance clinicals, studying and class,” she said. Rolniak usually begins with 20 minutes of cardio, either running or stepping on the stairmaster. Then, she does 45 minutes targeting either her legs, arms or back CONTINUED ON PAGE 9
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“I smoke when I am coloring.” When you smoke, it’s like they are smoking. Secondhand smoke can hurt their lung growth and permanently damage lung functions. Quit now. Quit together.
1-800-QUIT-NOW HEALTHYU
FEBRUARY 2017
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Washington Post
? E N I C I D E M T I MW G V I \ HEVGAMWR I I MW G V I I I\IVGMWI I\ Special to the By David Brown >>
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In other words, if you exercise.
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In general, the greater a person’s exercise capacity, the lower the risk of dying.
cise is able to add time to your life.� Although many organs, and the body as a whole, are helped by exercise, the cardiovascular system — the heart and blood vessels — is helped the most. Many people think exercise’s princiTEP FIRIǝX STIVEXIW XLVSYKL FPSSH lipids, the compounds that contribute to artery-clogging atherosclerotic plaques. In fact, exercise alone LEW SRP] E WQEPP IǺIGX SR XLIQ 8SXEP GLSPIWXIVSP 1)1 XLI HVIEHIH ƸFEH cholesterol�) and triglycerides go HS[R E PMXXPI ERH -)1 ƸKSSH GLSlesterol�) increases. However, the dramatic improvement in lipid proǝPIW XLEX QER] ǝVWX XMQI I\IVGMWIVW VITSVX MW QSVI ER IǺIGX SJ [IMKLX loss than exercise per se. Instead, exercise’s action on the heart and the blood vessels is the WYQ SJ WQEPP FIRIǝXW EGXMRK XLVSYKL many physiological pathways. Exercise lowers blood pressure. It makes the body more sensitive to the action of insulin, which lowers blood glucose. It makes platelets — the mini-cells that trigger clots in strokes and heart attacks — less sticky, and increases the amount of clot-dissolving enzyme in the blood. It reduces some markers of body[MHI MRǟEQQEXMSR WYGL EW ( VIEGtive protein. It slows the accumulation of calcium in arterial walls, a risk factor for heart attack. It increases
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the nitric oxide made by arteries, which allows them to expand and carry more blood when circumstances demand. Exercise also lowers the resting heart rate, which benIǝXW XLI LIEVX SZIV XLI PSRK VYR 8LI FSH] PSWIW QYWGPI QEWW [MXL age, and the heart, being mostly QYWGPI MWRƜX WTEVIH & ]IEV SPH QER LEW VSYKLP] TIVGIRX JI[IV heart muscle cells than a man in his W *\IVGMWI WPS[W XLI TVSGIWW .X reduces the rate at which cells are lost both through wear and tear and through the programmed process of cell death called apoptosis. Aging rats forced to swim an hour a day have hearts far younger-looking — less thickened and scarred — than their sedentary brethren.
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and shoulders followed by 15 minutes of abs. “If you do it consistently, it’s not even a big deal,� she said. “It’s just a part of your day.�
“If you’re stressed out, you might not see exercise as a priority because you have other things going on,� Williams said. Hill and Rolniak both said exercise helps them relax.
Weight management and a healthy diet are also important to a healthy heart, Williams said. Opting for healthy JEXW JSYRH MR ÇťWL beans, olive oil or nuts over trans or saturated fat in fried foods makes a HMÇşIVIRGI 1EGO SJ WPIIT SV LMKL stress levels can lead to overeating and weight gain as well as high blood pressure. Smoking has a negative effect as well.
“Really, it’s just a good stress reliever to me,� Hill said. “I like to challenge myself to do new workouts. I’m really into lifting heavier and heavier weights.� Overuse injuries such as shin splints or tendinitis or being tired all the time are signs to slow down on the workouts, Williams said.
It all adds up to longer life. But it isn’t an all-or-nothing relationship. Instead, the more a person exercises, the more the risk of heart attack and premature death goes down. Only at extreme and prolonged exercise do worrisome effects appear, and even then there’s no evidence that such behavior shortens life. 8LMW ƸHSWI VIWTSRWIƚ VIPEXMSRWLMT MW ETTEVIRX EW WSSR EW ]SY KIX SǺ XLI couch and do almost anything. It’s like a signing bonus.
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simply stood more than two hours a day had a death rate 10 percent lower than people who stood for less than two hours when followed over the course of four years. People on their feet for eight hours a day had a 24 percent lower death rate.
The average American spends more than half of all waking hours in sedentary behavior, principally commuting or sitting in front of a computer screen or television. Some experts WE] JSSXWXITW E HE] ƴ XLI IUYMZEPIRX SJ ǻZI QMPIW SJ [EPOMRK ƴ should be the goal.
In general, the greater a person’s exercise capacity, the lower the risk of dying. That became clear when researchers looked at the experience of 33,000 people (with an average age of 57) who took exercise stress tests at the Henry Ford Health System in Detroit. Treadmills measured the intensity of their exertion in METs (metabolic equivalent of task). A MET is the ratio of energy expended during an activity to energy expended while sitting motionless. Working at a computer is 1.5 METs. Bicycling at less than 10 mph requires 4 METs, and very brisk walking requires 5 METs; both fall into the category of moderate-intensity activity. Playing basketball is 8 METs, and running at a 10-minutes-permile pace is 10 METs. They are considered vigorous-intensity activities. In the 10 years after the stress tests, 41 percent of men and 23 percent of women who didn’t achieve 6 METs had died. However, for those who achieved more than 12 METs, mortality was only 3 percent for the men and 1 percent for the women. (All the patients in this comparison were taking statin drugs to lower their cholesterol). +MXRIWW TEMH SǺ IZIR EQSRK TISTPI YRPYGO] IRSYKL XS WYǺIV LIEVX EXtacks. A study published this month using the same group of patients found that the risk of dying in the month after a heart attack was 14
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Taking that many steps is virtually impossible in an indoor job, even with standing desks and walking meetings. Nevertheless, people can make headway with the help of devices that count steps and chart them by hour, day, month and year. percent in the under-6-METs group but only 6 percent in the over-12METs group. Ƹ=SYV FEWIPMRI ǻXRIWW RS[ TVIHMGXW ]SYV WYVZMZEP SJ XLEX ǻVWX LIEVX EXXEGO That’s an important message,” said Blaha, one of the authors of the new study. The bad news is that exercise isn’t enough. You also have to stop sitting around when you’re not exercising. It turns out that sedentary behavior
HIǻRId as anything that takes less XLER 2*8W SJ IǺSVX ƴ MRGVIEWIW the risk of cardiovascular disease even if a person gets enough exercise. A study of AARP members who got at least seven hours a week of moderate-to-vigorous exercise found that over an eight-year period, people who watched at least seven hours of TV per day were twice as likely to die of heart disease as people who watched less than an hour. Other
“Tracking what’s happening is half the battle in pretty much everything that involves changing behavior,” said Haitham M. Ahmed, another preventive cardiologist at Hopkins. So, if you don’t have one yet, there’s probably another screen in your future to obsess over, perhaps to betXIV IǺIGX XLER 8[MXXIV ERH .RWXEKVEQ Brown is a physician and a longtime writer on medical and health issues.
Above: Kevin Hughes returns the ball to his wife, Melissa, as they practice at Ben Geren Tennis Center. Rocky and Michelle Underwood of Keota walk along the Greg Smith River Trail.
— PHOTOS BY BRIAN D. SANDERFORD/ TIMES RECORD
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New cath lab to open in Fort Smith 2*7(=ƶ 3*;* 8 &)).8.43 -& 247* )4(847 -41. 8.( &5574&(-
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Physicians at Mercy Fort Smith’s newest cardiac catheterization lab are Vani Sanon, MD (from left); Gayla Johnson, APRN; Julio Schwarz, MD; Melanie Gramling, APRN; Andre’ Nolewajka, MD; Alesia Davis, APRN; Donald Shows, MD; Janis SudFVMRO &573 0YVX 2ILP 2) 1EGI] +VIIQER &573 ERH /IǺV] 'PEGO[IPP 2) —PHOTO BY MERCY FORT SMITH
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FEBRUARY 2017
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lifestyle matters LOCAL DOCTOR URGES HEALTHY LIFESTYLE TO PROTECT HEART By Carole Medlock >> Contributing Writer
ne local doctor says a relatively small number of heart issues are because of heredity, and as a result, lifestyle adjustments can promote a healthy heart in most.
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Dr. Nasser Adjei, M.D., who specializes in interventional cardiology and cardiovascular disease at the Cardiology Center at Sparks, says in ArOERWEW ERH QSVI WTIGMǻGEPP] MR PSGEP communities, heart issues are largely lifestyle related. Will Lange of Fort Smith goes airborne as he hits a jump on the Roller Coaster mountain bike trail. The trail is part of the Ben Geren bike trail system covering more than 17 miles. Right: Dr. Nasser Adjei, M.D. of the Cardiology Center at Sparks, talks about tips for minimizing the risk of heart disease. — PHOTOS BY BRIAN D. SANDERFORD/TIMES RECORD
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Adjei listed a number of lifestyle factors that can contribute to heart disease: lack of exercise, dietary choices, smoking and obesity. He said risk factors are cumulative, meaning risk can increase if more than one risk factor is present. “Most of our free-time activities are
“
Just having the predisposition is not a sentence. You can make ±ƐÚĞýåŹåĻÏåƐĞĻƐDžŇƣŹƐ health even if you are predisposed to heart problems.” —Dr. Nasser Adjei, M.D.
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XLEX QE] MRXIVJIVI [MXL E LIEPXL] LIEVX MW E PMQMXIH RYQFIV SJ STTSVXYRMXMIW XS [EPO TPEGIW SV IZIR VMHI XLIMV FMOI &HNIM WEMH +SVX QMXL HSIWRƶX LEZI E PSX XS SǺIV MR XLI [E] SJ [EPOMRK SV FMOI XVEMPW XLEX GSRRIGX WIGXSVW SJ XLI GMX]
'IMRK TVSEGXMZI MR XLI EVIEW SJ I\IVGMWI WQSOMRK SFIWMX] ERH HMIX GER VIHYGI XLI VMWO SJ LIEVX HMWIEWI -S[IZIV LIEVX MWWYIW EVI RSX EP[E]W EZSMHIH WS &HNIM WEMH MX MW EPWS MQTSVXERX XS ORS[ XLI W]QTXSQW SJ E LIEVX EXXEGO WS XLEX ETTVSTVMEXI QIHMGEP GEVI QE] FI EHQMRMWXIVIH ;MXL CONTINUED ON NEXT PAGE
HEALTHYU
FEBRUARY 2017
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CONTINUED FROM PREVIOUS PAGE
AMERICAN HEART ASSOCIATION
advancing technology, cardiac care continues to improve with more rapid response to symptoms, which can result in less invasive procedures. Symptoms can include: Chest discomfort (not necessarily pain); shortness of breath; and Nausea/ fatigue.Those experiencing a feeling of indigestion could also be suffering from a heart problem, Adjei said. He added that men typically present with symptoms that are well-known or accepted as heartrelated, but women may not experience any of them. He said even a feeling of depression in women can be a symptom of a heart issue. If a heart attack is detected, today’s treatment has im-
proved over treatments of the past. Adjei said current diagnostic testing can identify a heart attack quickly. Blood tests with no wait time for results can immediately identify a problem.The idea of interventional cardiology would then allow a doctor to take the patient to a catheterization laboratory (cath lab) and unclog an artery right away. “In the past, if you had a heart attack, we put you in the hospital for two weeks. Now, we put a stent in and you go home,” Adjei said. The ability to treat patients in a cath lab through insertion of a stent or angioplasty keeps patients from undergoing open heart surgery. “If we are able to do the intervention, then you do not need the surgery,” Adjei said. Adjei would encourage those who have hereditary risk factors for heart disease to be vigilant. “Just having the predisposition is not a sentence,” he said. “You can make E HMǺIVIRGI MR ]SYV LIEPXL IZIR if you are predisposed to heart problems.” Adjei, who went to medical school in Turkey, has worked at Sparks since 2002. Completing a residency and fellowship in New York, Adjei said the decision to come “down south” was made because of his family. Adjei and his wife had two small children when they made the move. “We’ve been here ever since (2002) and we’ve never looked back,” Adjei said.
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HEART CARE TIPS
EAT MORE
AVOID FAT
BALANCE
• A variety of fruits and vegetables
• Look for foods low in saturated and trans fats. Try to choose from lean meats, ĀŸĘØ ƴåčåƋ±ÆĬåŸØ beans and nuts. Go for nonfat and low-fat dairy products. Replace butter and vegetable oils with items like canola or olive oils.
• Limit drinks and foods with added sugar.
• Look for bright colors, like dark green or deep orange. Think: spinach, carrots, peaches and berries. • Yellow fruits and vegetables are especially nutritious. • Get to know your whole grains and eat a variety everyday to get ĀÆåų ±ĹÚ åƻƋų± nutrients. Oats, whole wheat bread and brown rice are great! • )±Ƌ ĀŸĘ ±Ƌ Ĭ屟Ƌ twice a week. kĜĬƼ ĀŸĘ ĬĜĩå tuna, salmon, mackerel, lake troute, herring and sardines will load you up on needed omega-3 fatty acids.
• Limit trans fats and check food labels to make sure it doesn’t sneak in on you! Trans fat raises the levels of bad cholesterol (LDL and also lowers high-density lipoprotein, or good cholesterol in the blood. Trans fat is found in mnay processed foods like donuts, cookies, crackers, chips and many snack foods.
• Limit alcohol intake to two drinks a day for men and one drink a day for women. • Limit sodium. Most people get far more sodium than they need. This is especially important for those with high blood pressure to watch. Try to limit how much sodium (salt) you get to less than 2,400 milligrams a day. If you can limit to below 1,500 milligrams a day you can lower your blood pressure further. If you can’t get to these levels, try to cut your intake by at least 1,000 milligrams. When in doubt, read the labels!
QA
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/IVV] 7MGLEVHW ERH 7YXL (SPIQER EVI VIEH] XS TVSZMHI ]SY [MXL GSQTPIXI LIEVMRK LIEPXL GEVI
with hearing loss “had accelerated rates of brain atrophy compared to those with normal hearing.”
There is good news. Treating hearing loss can help alleviate both issues. It can help with hearing loss, which in turn can help reduce accelerated brain tissue loss. Win, win. (Unfortunately, hearing loss treatment isn’t proven to help with gray hair or wrinkles.) Ready to treat your hearing loss? The team at Graham Hearing would be happy to see how they can help.
workercise! 247* &2*7.(&3 +.3).3, ;&= 84 (42'.3* 8-*.7 ;470 &3) *<*7(. * By Sam Hananel >> The Associated Press
,
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XLI LIEVX VEXI YT FYX RSX XSS JEWX XS HMWXVEGX JVSQ VIEHMRK SV XEPOMRK SR XLI TLSRI GSQJSVXEFP] .XƶW FIIR E HIGEHI WMRGI WGMIRXMǻG WXYHMIW FIKER XS WLS[ XLEX XSS QYGL WMXXMRK GER PIEH XS SFIWMX] ERH MRGVIEWI XLI VMWO SJ HIZIPSTMRK HMEFIXIW LMKL FPSSH TVIWWYVI ERH LIEVX HMWIEWI *ZIR KSMRK XS XLI K]Q XLVII XMQIW E [IIO HSIWRƶX SǺWIX XLI LEVQ SJ FIMRK WIHIRXEV] JSV LSYVW EX E XMQI WEMH )V /EQIW 1IZMRI ER IRHSGVMRSPSKMWX EX XLI 2E]S (PMRMG Ƹ8LIVIƶW E KPSF SJ MRJSVQEXMSR XLEX WMXXMRK MW OMPPMRK YW ƹ 1IZMRI WEMH Ƹ=SYƶVI FEWMGEPP] WMXXMRK ]SYVWIPJ MRXS E GSǽR ƹ Ƹ*ZIR [EPOMRK EX QMPI ER LSYV LEW ZIV] WYFWXERXMEP FIRIǻXW ƹ 1IZMRI WEMH WYGL EW HSYFPMRK QIXEFSPMG VEXI ERH MQTVSZMRK FPSSH WYKEV PIZIPW Ƹ&PXLSYKL ]SY HSRƶX W[IEX ]SYV FSH] QSZMRK MW WSVX SJ TYVVMRK EPSRK ƹ SQI [SVOIVW LEZI STXIH JSV PS[IV TVSǻPI ƴ ERH PS[IV GSWX ƴ [E]W XS WXE] ǻX EX [SVO WYGL EW WMXXMRK SR KMERX I\IVGMWI FEPPW MRWXIEH SJ GLEMVW 9WMRK XLI MRǼEXEFPI FEPPW GER LIPT MQTVSZI TSWXYVI ERH WXVIRKXLIR EFW PIKW ERH FEGO QYWGPIW
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FEBRUARY 2017
15
MIRACLE MAN Local man gets second chance to enjoy days
By Carole Medlock >> Contributing Writer
A
local heart patient says he will be honored this month as he presides over the Mardi Gras parade in downtown Fort Smith. He credits a recent heart procedure for keeping him alive to realize this distinction. Albert Smith, 73, said a pacemaker, installed at the Cardiology Center at Sparks, has given him a new quality of life. Dr. Nassar Adjei, MD, performed the procedure in March 2016. “I’m doing much better since then,” Smith said. “I didn’t think I was going to make it to another birthday.” Smith said in addition to leading the parade, his band, Prince Albert and the Royal Knights, will perform their rhythm, jazz, and blues music into the night at local restaurant. Smith is a vocalist.
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He also has plans to leave a few days after the local celebration and travel to New Orleans, where LI [MPP I\TIVMIRGI 2EVHM ,VEW ǻVWXhand. About a year ago, Smith said his heart symptoms would have never enabled him participate in these X]TIW SJ EGXMZMXMIW -I [EW WYǺIVMRK from shortness of breath, weight loss and fatigue. That’s when Smith’s primary care doctor referred him to Dr. Adjei. After some initial heart testing, including a stress test and electrocardiogram (EKG), a pacemaker was implanted to regulate Smith’s heart rhythm. “That’s what’s keeping me alive. Only 10 percent of my heart is working. I think I’ve been blessed. They call me ‘the miracle man’ around here,” Smith said speaking SJ XLI WXEǺ EX TEVOW (EVHMSPSK] Center. “I think (Dr. Adjei) has done
Albert Smith talks about being named the Grand Marshal of this year’s Mardi Gras Parade. Smith is one of Dr. Nasser Adjei’s heart patients at Sparks Health Systems. —PHOTO BY BRIAN D. SANDERFORD/TIMES RECORD
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HEALTHYU
FEBRUARY 2017
EAT
LESS and/but/also
EAT
MORE OFTEN By American Heart Association News
18 FEBRUARY 2017
HEALTHYU
W
hat times someone eats during the day and how frequently may play a role in having a healthy weight and heart. &GGSVHMRK XS E WGMIRXMǻG WXEXIment published this month, eating breakfast, avoiding latenight eating and mindful mealplanning are associated with a lower risk of heart disease, blood vessel diseases and stroke. However, current research doesn’t dictate the best approach. Ƹ8LIVIƶW GSRǼMGXMRK IZMHIRGI about meal frequency,” said Marie-Pierre St-Onge, Ph.D., writing group chair and associate professor of nutritional medicine at Columbia University in New York City. She said studies have WLS[R XLI FIRIǻX SJ MRXIVQMXXIRX fasting and eating smaller, frequent meals throughout the day. Eating frequent meals has also
been found to reduce the risk of cardiovascular disease risk factors, says St-Onge. One study of men showed that those who ate more than four times a day had a lower risk of obesity than those eating three or fewer times a day. But other studies have found the opposite, with a greater risk of weight gain over time in those reporting eating more frequently. Frequent meals may also be impractical, said St-Onge. “If you IEX ǻZI XS WM\ QIEPW MXƶW LEVH XS create a meal that’s so small that you aren’t overeating at each of the sessions,” she said. Eating dinner or snacking late at night had a detVMQIRXEP IǺIGX on weight and heart health, according to the statement. This may be due to how late RMKLX IEXMRK EǺIGXW XLI FSH]ƶW internal clock, which responds to circadian rhythms when metabolizing food and absorbing
nutrients, according to the statement. Circadian rhythms also guide sleep and wake cycles. Emerging evidence shows that the liver and other organs have their own clocks XLEX EPWS EǺIGX QIXEFSPMWQ [LMGL QE] EPWS I\TPEMR [L] late night snacks and meals are detrimental. +SV I\EQTPI ERMQEP WXYHies suggest that eating during times usually spent sleeping led to weight gain, insulin VIWMWXERGI ERH MRǼEQQEXMSR St-Onge said, but that hasn’t been shown in humans. Several studies have shown XLI FIRIǻX SJ IEXMRK FVIEOJEWX every morning: it may help reduce the amount people eat
the rest of the day, and lower the risk of high cholesterol and blood pressure. Some research reported that breakfast-skippers are more likely to be obese, have diabetes and not get recommended nutrients according to studies. But breakfast studies also have VIGIRXP] GSQI YRHIV ǻVI [LIR media reports showed Kellogg and General Mills, the two largest U.S. cereal manufacturers according to Hoovers, funded some of the research. This could have skewed posiXMZI VIWYPXW EFSYX XLI FIRIǻX of breakfast. Further research is needed to understand how breakfast could help people control their weight.
5VSZMRK HIǻRMXMZI FIRIǻXW SJ breakfast will require more direct head-to-head studies, as most of the research is based on weaker, observational studies, St-Onge said. “It makes sense that eating more earlier during the day and less at night is more healthful, but the studies aren’t available,” she said. Regardless of timing, statement authors continue to IQTLEWM^I XLI FIRIǻX SJ E diet that includes fruits, vegetables, whole grains, low-fat dairy products, poultry and ǻWL ERH PMQMXW VIH QIEX WEPX and sugary drinks and foods. Having the right mindset about
eating and planning ahead can EPWS EǺIGX [IMKLX ERH LIEVX health, said St-Onge. She recommends paying close attention to hunger cues. “All or none” thinking can lead XS FMRKI IEXMRK I\GIWWMZI GEPories, she said. A research participant told St-Onge he could not eat one piece of pizza without consuming the entire pie. “You don’t have to eat like there’s no tomorrow,” she said. “Have a little pleasure today … and tomorrow!” Despite evidence about meal timing, the bottom line to healthy eating is calories, KrisEtherton said.
Researchers recommend smaller, more frequent meals, without going over on total calories, to reduce your risk of heart disease. Being mindful of when your metabolism is at its peak — earlier rather than later — is also helpful in keeping obesity at bay.
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FEBRUARY 2017
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How do I know if I need hearing aids? Only a comprehensive hearing screening performed by a licensed hearing care professional, audiologist or medical doctor can tell you if you need hearing aids. Often, people think they need hearing aids, but they really donâ&#x20AC;&#x2122;t. ,Qâ&#x20AC;«Ù»â&#x20AC;¬K]T\a PMIZQVO KIV [\MU from excess ear wax, an infection, or a physical irregularity, such as a perforated ear drum. These issues can be corrected medically, without the need for hearing aids. A simple hearing quiz can tell you if your hearing should be checked. However, everyone over age 50 should have a baseline
FEBRUARY 2017
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RED FLAGS
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Heavy Perspiration hearing screening. A proper hearing exam uses sounds, tones and speech to test your hearing.
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It must be performed in the right environment and analysed correctly.
Disrupted Sleep
Your results, which are plotted on an audiogram, will indicate whether or not you are a candidate for hearing aids. Call today to schedule an appointment for a free hearing test.
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Brittney Sivils APRN Cardiology Center at Sparks 1500 Dodson Ave Sparks Medical Plaza, Suite 60 Fort Smith 479-709-7325
IS HEART DISEASE HEREDITARY? Yes, heart disease can be hereditary; however, if you inherit the risk factors that predispose you to heart disease, including high blood pressure, high cholesterol, and diabetes, there are preventive measures you can take to decrease your risk.
DOES DIET PLAY A PART IN DEVELOPING HEART DISEASE? Yes. A heart healthy diet, such as a variety of fruit and ^MOM\IJTM[ _PWTM OZIQV[ IVL [SQVTM[[ XW]T\Za IVL Å[P PI[ proven to decrease the risk of cardiovascular risk.
-4; )4 8-* =25842 4+ -*&78 &88&(0 ).++*7 '*8;**3 ;42*3 & MEN? Yes. A heart healthy diet, such as a variety of fruit and ^MOM\IJTM[ _PWTM OZIQV[ IVL [SQVTM[[ XW]T\Za IVL Å[P PI[ proven to decrease the risk of cardiovascular risk. HEALTHYU
FEBRUARY 2017
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HEALTH & WELLNESS DIRECTORY BEHAVIORAL MEDICINE Sparks Behavioral Health 1500 Dodson Ave. Fort Smith, AR 72901 479-709-7455 Mercy Clinic Behavioral Health 2713 S. 74th St., Ste. 203 Fort Smith, AR 479-573-3130
CARDIOLOGY Cardiology Center at Sparks 1500 Dodson Ave., Ste. 60 Fort Smith, AR 72901 479-709-7325
CONVENIENT CARE Mercy Convenient Care – River Valley 3505 S. 79th Street Fort Smith, AR 479-709-8686 Mercy Convenient Care – Zero Street 1400 Zero Street Fort Smith, AR 479-573-3082
COSMETIC SURGERY Surgical Associates of Fort Smith - Sparks 923 Lexington Ave. Fort Smith, AR 72901 479-709-73504
EAR, NOSE & THROAT
Mercy Clinic Cardiology - Phoenix Ave. 6101 Phoenix Ave., Ste. 401 Fort Smith, AR 479-573-3042
Sparks Ear, Nose & Throat Center – West 1500 Dodson Ave., Ste. 260 Fort Smith, AR 72901 479-573-7985
Mercy Clinic Cardiology - Rogers Ave. 7001 Rogers Ave. Fort Smith, AR 479-314-4650
ENDOCRINOLOGY
CARDIOTHORACIC & VASCULAR Mercy Clinic Cardiothoracic & Vascular Surgery 7001 Rogers Ave., St. 401 Fort Smith, AR 479-452-1188
CARDIOVASCULAR SURGERY Sparks Cardiothoracic and Vascular Surgery, Inc. 600 Lexington Ave. Fort Smith, AR 72901 479-709-7025
Sparks Thyroid and Endocrinology 4700 Kelley Hwy. Fort Smith, AR 72904 479-709-7460
FAMILY MEDICINE
Alma Family Medical Clinic - Sparks 937 Highway 64 East Alma, AR 72921 479-632-3855 CarePlus - Sparks 14 Gothic Ridge Rd. Van Buren, AR 72956 479-471-0011 Cornerstone Family Medical Clinic - Sparks 14 Gothic Ridge Road
22 FEBRUARY 2017
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Van Buren, AR 72956 479-474-1100 Greenwood Family Medical Clinic - Sparks 1480 West Center Street Greenwood, AR 72936 479-996-5585 SouthPointe Family Practice - Sparks 3808 Gary Street Fort Smith, AR 72903 479-709-7120
Spiro Family Medical Clinic - Sparks 702 West Broadway Spiro, OK 74959 918-962-2442 Van Buren Family Medical Clinic - Sparks 209 Pointer Trail West Van Buren, AR 72956 479-474-3399
Sparks Clinic Family Medicine 2010 Chestnut, Suite H Van Buren, AR 72956 479-471-4280
Mercy Clinic Primary Care – Cliff Drive 3700 Cliff Drive Fort Smith, AR 479-259-9286
Sparks Clinic Family Medicine 6100 Massard Road Fort Smith, AR 72916 479-709-7250
Mercy Clinic Primary Care – Free Ferry 1000 Waldron Road Fort Smith, AR 479-221-9922
Sparks Clinic Family Practice 4700 Kelley Hwy. Fort Smith, AR 72904 479-573-7990
Mercy Clinic Primary Care – Paris 500 E. Academy Paris, AR 479-963-5421
Sparks Plaza Family Practice 1500 Dodson Ave., Ste. 195 Fort Smith, AR 72901 479-573-7910
Mercy Clinic McAuley Family Medicine 3420 S. 74th Street Fort Smith, AR 479-573-3740
Sparks Fort Smith Family Practice 1500 Dodson Ave., Ste. 175 Fort Smith, AR 72902 479-573-7840
Mercy Clinic Family Medicine – Charleston 107 S. Logan Charleston, AR 479-573-3120
Sparks Family Medicine – South 8600 South 36th Terrace Fort Smith, AR 72908 479-709-7465
Mercy Clinic Family Medicine – Ozark 201 S. 70th Street Ozark, AR 479-667-1590
Sparks Medical Clinic 5428 Ellsworth Road Fort Smith, AR 72903 479-709-7440
Mercy Clinic Family Medicine – Van Buren 2800 Fayetteville Road Van Buren, AR
479-314-4000 Mercy Family Medicine – Waldron 1341 W. 6th Street Waldron, AR 479-637-2136 Mercy Family Medicine – Booneville 128 Daniel Ave. Booneville, AR 479-675-2455 Mercy Family Medicine – Cedarville 708 Pirates Way Cedarville, AR 479-235-3025 Mercy Family Medicine – Magazine 351B E. Priddy Street Magazine, AR 479-969-8768 Mercy Family Medicine – Mansfield 100 N. Walnut, St A Mansfield, AR 479-928-4404 Mercy Clinic Family Medicine – Poteau 2110 N. Broadway Poteau, AR 918-647-7416 Mercy Clinic Family Medicine – Rice Road 2074 Rice Road Waldron, AR 479-637-0250
1500 Dodson Ave., Ste. 250 Fort Smith, AR 72901 479-573-7940 Surgical Associates of Fort Smith - Sparks 923 Lexington Ave. Fort Smith, AR 72901 479-709-7350
GERIATRICS Adult Medicine Specialists - Sparks 1120 Lexington Ave. Fort Smith, AR 72901 479-709-7260 SeniorCare Behavioral Health - Sparks 1001 Towson Ave. Fort Smith, AR 72901 479-441-5601
HEARING
Beltone 1100 Lexington Ave Fort Smith, AR 479-782-5858
*UDKDP +HDULQJ Graham Hearing Services, Inc. 1005 Lexington Ave. Fort Smith, AR 479-783-5250
GASTROENTEROLOGY Gastroenterology Center - Sparks 1001 Towson Ave., Ste. 100 Fort Smith, AR 72901 479-709-7430
GENERAL SURGERY Arkansas Surgical Group - Sparks
Center For Hearing 4300 Rogers Ave., Ste. #15 Fort Smith, AR 479-785-3277
HEALTH & WELLNESS DIRECTORY HEMATOLOGY/ ONCOLOGY Sparks Clinic Cancer Center 1001 Towson Ave. Ste. 300 Fort Smith, AR 72901 479-709-7435 Sparks Radiation Treatment Center 1502 Dodson Ave. Fort Smith, AR 72901 479-709-7190 Mercy Clinic Oncology 7001 Rogers Ave., Ste. 200 Fort Smith, AR 479-314-7490 Mercy Radiation Oncology 7301 Rogers Ave. Fort Smith, AR 479-314-7545
INFECTIOUS DISEASE Sparks Center for Infectious Disease 1001 Towson Ave., Ste. 200 Fort Smith, AR 72901 479-709-7447
INTERNAL MEDICINE Adult Medicine Specialists – Sparks 1120 Lexington Ave. Fort Smith, AR 72901 479-709-7260 Sparks Plaza Internal Medicine 1500 Dodson Ave., Ste. 180 Fort Smith, AR 72901 479-573-7820 Mercy Clinic Primary Care – Cliff Drive 3700 Cliff Drive Fort Smith, AR 479-259-9286 Mercy Clinic Primary Care – Sallisaw
1015 E. Choctaw Ave. Sallisaw, OK 918-774-0034
INTERNAL MEDICINE & PEDIATRICS Mercy Clinic Internal Medicine & Pediatrics 7800 Dallas Street Fort Smith, AR 479-314-4940
INTERVENTIONAL PAIN MANAGEMENT Mercy Clinic Interventional Pain Management 3501 W.E. Knight Drive Fort Smith, AR 479-709-6755
NEPHROLOGY Renal Care Associates Sparks 1500 Dodson Ave., Ste. 280 Fort Smith, AR 72901 479-709-7480
NEUROLOGY Sparks Clinic Neurology 3808 Gary Street Fort Smith, AR 72903 479-709-7050 Sparks Neurology Center 1504 Dodson Ave. Fort Smith, AR 72901 479-709-7175 Mercy Clinic Neurology 7303 Rogers Ave., Ste. 101 Fort Smith, AR 479-314-7590
NEUROSURGERY Mercy Clinic Neurosurgery 2713 S. 74th Street, Ste. 301 Fort Smith, AR 479-573-3723
OBSTETRICS/ GYNECOLOGY Mercy Clinic OB/GYN 7001 Rogers Ave., Ste. 403 Fort Smith, AR 479-785-2229
OCCUPATIONAL MEDICINE
Fort Smith, AR 479-709-6700
PULMONOLOGY Sparks Clinic Lung Center 1001 Towson Ave., Ste. 400 Fort Smith, AR 72901 479-709-7433
Sparks Occupational Medicine 8600 South 36th Terrace Fort Smith, AR 72908 479-709-7422
Mercy Clinic Pulmonology 7303 Rogers Ave., Ste. 302 Fort Smith, AR 479-314-4620
ORTHOPEDICS
SLEEP DISORDERS
Mercy Clinic Orthopedics – River Valley 3501 W.E. Knight Drive Fort Smith, AR 479-709-6700
Sparks Sleep Disorders Center 1001 Towson Ave. Fort Smith, AR 72901 479-441-5255
PEDIATRICS Sparks Pediatrics 5428 Ellsworth Road Fort Smith, AR 72903 479-709-7337 Summit Pediatric Clinic - Sparks 209 Pointer Trail West Van Buren, AR 72956 479-474-3399
Mercy Clinic Sleep Medicine 7001 Rogers Ave., Ste. 200 Fort Smith, AR 479-314-8917
SPORTS MEDICINE Mercy Clinic Sports Medicine 3501 W.E. Knight Drive Fort Smith, AR 479-709-6700
Mercy Clinic Pediatrics 3224 S. 70th Street Fort Smith, AR 479-314-4810
PLASTIC & RECONSTRUCTIVE SURGERY Mercy Clinic Plastic & Reconstructive Surgery 2717 S. 74th Street Fort Smith, AR 479-573-3799
PODIATRY Mercy Clinic Podiatry – River Valley 3501 W.E. Knight Drive
SURGERY Mercy Clinic General Surgery 2713 S. 74th Street Fort Smith, AR 479-573-3101
THERAPY SERVICES Sparks Outpatient Physical, Speech & Occupational Therapy 624 Towson, Ste. B Fort Smith, AR 72901 479-441-5361 Sparks–Van Buren Outpatient Physical Therapy Pulmonary Rehab 2020 Chestnut Van Buren, AR 72956 479-471-4545
The Women’s Center Sparks 1500 Dodson Ave., Ste. 140 Fort Smith, AR 72901 479-709-1913
WOUND CARE Sparks Wound Care & Hyperbaric Center 1001 Towson Ave. Fort Smith, AR 72901 479-441-5078 Mercy Wound Care & Hyperbaric Center 7306 Rogers Ave. Fort Smith, AR 479-314-2804
UROLOGY Sparks Urology Group 5500 Ellsworth Road Fort Smith, AR 72903 479-709-7295
WOMEN’S SERVICES Sparks Obstetrics & Gynecology 1500 Dodson Ave., Ste. 230 Fort Smith, AR 72901 479-709-7490
COMING UP....
ALL ABOUT ALLERGIES healthy NEXT EDITION: SATURDAY, MARCH 18
living well in the river valley
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Mercy Clinic Cardiovascular and Thoracic Surgery 7001 Rogers Avenue | Suite 401 Fort Smith, AR | 72903
Keep the beat going with a vascular screening. If youâ&#x20AC;&#x2122;re over 35 with a family history of heart disease, high blood pressure or cholesterol, smoking or other risk factors, consider a screening to evaluate your risk for cardiovascular disease - even before symptoms appear. Our screenings help identify factors that may lead to stroke, aneurysm, cardiovascular disease and other serious conditions.
Screenings are just $99.
Schedule your screening or learn more at mercy.net/FtSmithScreen Your life is our lifeâ&#x20AC;&#x2122;s work. Screenings are not covered by health insurance, and payment is due at time of service.
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