Sunday, November 25, 2012

Healthy Snacking: What Do Nutritionists Eat Between Meals?


Good news for the snack-happy: Eating between meals may be a sign of overall healthier habits.

According to survey results published by market research company, the NPD Group, Americans with the healthiest overall eating habits were twice as likely to snack as their less-healthy counterparts. Put another way, those with the healthiest diets consumed 36 percent more snacks per year compared to the average American consumer. By comparison, those with moderately healthful diets ate just one percent more snacks per year than the average consumer.

But why? Analysts of the report, Snacking In America, point to shifting attitudes about the role of snacking mean that many people now view it as a healthful behavior. "“We are no longer as averse to snacking as we used to be – instead, snacking may be viewed as one way to improve healthy eating habits,” said Darren Seifer in the report.

Healthy eaters identified fruit, yogurt and nutritional bars as some of their top picks, but we wanted more. After all, we may need a bit more variety to deny ourselves the plethora of snack options available (thanks to office vending machines, must-try food trucks and co-workers' candy dishes).

So, we turned to the experts: We asked 10 nutritionists what they like to munch on when hungry in between meals. The R.D.'s were not short on snack food: From avocado halves to portable seaweed snacks, there's bound to be a tempting (and healthy) treat in the mix to keep you satiated. Check out their answers below for some snack-spiration, then let us know in the comments section what you love to nosh on.

Friday, November 23, 2012

Fix Your Form: How To Do The Perfect Shoulder Press

If you don't know your way around a weight room, heading to the gym can be intimidating -- and even dangerous. But paying attention to a few simple rules of proper technique can make you slimmer, stronger and healthier all over.

We spent an afternoon at Equinox with trainer and manager Rebecca Woll, learning the ins and outs of some of the most popular strength-training machines.

We've been sharing Woll's thoughts on the biggest mistakes we all make while building muscle, plus her tips and tricks for better form. This week, we're perfecting the shoulder press.

The Faux Pas: Woll says she sees many people set up this machine so that the handles are too high. "You would never pick something up, bring it to 90 degrees, and then press it -- imagine carrying your laundry bag and then giving it to someone else," she says. "You want every [exercise] to be functional."

2012-11-12-shoulderpressbefore.jpg
The Fix: Set up the bench so that the handles fall slightly below your shoulders, she says. Then press up so that the elbows are right by your ears. For a little added bonus, Woll suggests pulling slightly away on the handles to activate smaller parts of your muscles that aren't as developed.
2012-11-12-shoulderpressafter.jpg
Tell us how it goes in the comments below!

Beat the Winter Blues



With daylight savings time comes shorter days, colder temperatures, and darker mornings.

Winter can be a challenging time for many people. How do you feel as the days get shorter and colder? Do you gain weight or slack on your workout routine? What is your script about winter that you tell yourself and others?

If you honestly answer these questions, you will begin to see a pattern of behavior that may keep you stuck in a negative winter experience. Let's start with some reality testing, which is to say, recognizing that you have the power to "flip your script" about winter. There is no problem with modifying your routine because of the change in weather, but it does not have to be depressing or limiting. How you experience the colder months is totally up to you.

If you are debilitated in the winter months in a way that seriously impacts the quality of your life, you may suffer from seasonal affective disorder (SAD). Winter depression, as it is also called, is biochemical in nature, brought on by the lack of sunshine.

According to the Mayo Clinic:
Winter-onset seasonal affective disorder symptoms include:

  • Depression

  • Hopelessness

  • Anxiety

  • Loss of energy

  • Heavy, "leaden" feeling in the arms or legs

  • Social withdrawal

  • Oversleeping

  • Loss of interest in activities you once enjoyed

  • Appetite changes, especially craving foods high in carbohydrates

  • Weight gain

  • Difficulty concentrating
The Vitamin D Link
Numerous studies indicate that vitamin D may be helpful for people suffering from seasonal affective disorder. Vitamin D is not found in vast quantities in most foods. Mainly, our bodies produce vitamin D from the sun's rays hitting our skin. So, when there's not as much sun and you're indoors more, there's less vitamin D being produced. A simple blood test can determine your vitamin D level. If you do have a deficiency, your doctor will recommend a daily vitamin D supplement and the appropriate dosing. Vitamin D pills are inexpensive, and can be purchased at most grocery stores and pharmacies. There are also specially-designed lamps whose rays mimic sunlight to help with the body's vitamin D production. Studies have indicated that sitting in front of these lamps for as little as 30 minutes a day can also affect brain chemicals linked to mood, thereby easing SAD symptoms. As with any medical condition, consult with your doctor to get a proper diagnosis and discuss treatment options.

Keep Radiating!
Once seasonal affective disorder is ruled out or remedied, you can focus on actions and attitudes within your control. Decide how you want to feel and make choices in line with that goal.

Some ways to stay inspired this season include:

1. Exercise
Commit to at least 30 minutes of exercise every day. If you live in an area with harsh winters, exercising outdoors might require extra planning or may not be an option. Try a yoga DVD and turn your living room into your own mini-studio. Thanks to Sandy and now the nor'easter, I'm digging Tara Stiles' four-DVD set -- variety is the spice of life and thwarts boredom! Lots of DVDs, YouTube videos, and magazines offer at-home workouts that require little or no equipment. Dancing around to inspiring music is free, easy, and fun -- and not to mention, can burn some serious calories! Find what you enjoy, and you're more likely to stick to it. Exercise gets your endorphins (feel-good hormones) flowing, which is one of the best cures for the winter blues.

2. Meditation
Every summer sunset, day at the beach, and lazy outdoor afternoon is just a visualization away. Since you have internalized all of these experiences, a dedicated meditation practice can help you consciously access them. Create a sacred space in your home that reminds you of all of the summer experiences you love and get your butt on the pillow for a few minutes a day. You may be amazed at how this lifts your mood.

3. Intention
You are the same person in July as in November. You can actively choose to flip your script about the winter months and create a joyful and inspired fall/winter season this year. The past need not dictate your future. The power of your intention is mind-blowing. So set your intention on creating and maintaining your radiance from the inside out and see what magic your new attitude brings.

If you have struggled during the winter months in the past, remember now is not then. On autopilot, your mind and body can slip into familiar patterns of behavior that have not served you, but you have the power to choose. Practice extreme self-care this season and enjoy feeling and looking good all year round!

Binaural Beats And Soothing Sounds During Cataract Surgery Could Ease Anxiety



Relaxing sounds could help people going through cataract surgery to feel less anxious, according to a small new study.

Researchers at Chiang Mai University in Thailand found that exposing patients undergoing cataract surgery -- which is often performed with just local anesthesia, meaning the patient is awake while the surgery is being conducted -- to binaural beats helped them to feel less anxious and to slow their heart rates. Binaural beats are comprised of two tones at different frequencies, which spur brainwaves that are known to reduce pain and promote relaxation. For this study, researchers exposed patients to binaural beats along with music and natural noises.

More than 3 million people in the United States undergo cataract surgery every year, making it the most common kind of surgery in the country, according to the University of Iowa.

Even though the surgery is quick, many patients still report anxiety -- one past study showed that anywhere from 3 to 16.2 percent of people undergoing cataract surgery with just topical or retrobulbar anesthesia said that "they were frightened by the visual experience of the procedure," the University of Iowa reported. This anxiety has prompted research on methods to alleviate patient stress (one past study even suggested that handholding could help).

"Our study shows significant emotional and physiological benefits from adding binaural beats to music therapy for cataract surgery patients," researcher Dr. Pornpattana Vichitvejpaisal, M.D., said in a statement. "This provides a simple, inexpensive way to improve patients' health outcomes and satisfaction with their care."

The findings were presented at the annual meeting of the American Academy of Ophthalmology; because they have yet to be published in a peer-reviewed journal, they should be regarded as preliminary.
The study included 141 people in Thailand, who were grouped by cataract type and age, among other factors. They were split up into groups of 47 -- one group listened to the binaural beats and music with the natural noises, the second group listened only to the music with the natural noises, and the third group didn't listen to anything at all.

Researchers found that those who listened to the binaural beats plus the music and natural noises had a slower heart rate and decreased anxiety, compared with those who didn't listen to anything. And both the binaural beats and music group and the music-only group experienced lower blood pressure than the no-noise group.

Another small study published in 2007 in the Journal of Alternative and Complementary Medicine also showed that listening to binaural beats for 60 days seemed to alleviate anxiety, as self-reported by eight study participants.

Thursday, November 22, 2012

High Blood Pressure In Young Adults More Likely To Go Undiagnosed Than Older Adults



Younger people with high blood pressure are 28 percent less likely to be diagnosed with the condition than older people, according to a new study presented at the American Heart Association Scientific Sessions 2012

It's important to understand just how many young adults are not being diagnosed with hypertension because "we know that once high blood pressure is diagnosed and young adults receive the treatment they need, they can achieve pretty high control rates," study researcher Dr. Heather Johnson, M.D., an assistant professor of medicine in the cardiology division of the University of Wisconsin School of Medicine and Public Health, said in a statement.

The study included 13,593 people ages 18 and older who had gone to a doctor two or more times over a three year period. All of these people also had high enough blood pressure levels to merit a diagnosis of hypertension, yet after four years, researchers found that 67 percent of people between ages 18 and 24 still had undiagnosed hypertension, while 54 percent of people ages 60 and older had undiagnosed hypertension.

The researchers also found that 65 percent of people between ages 25 and 31 had undiagnosed hypertension, as well as 59 percent of people between ages 32 and 39.

In addition, they found that younger people who smoked were less likely to receive a diagnosis of hypertension, while younger people who have diabetes, are minorities, who have severe hypertension or who made a lot of trips to clinics were more likely to receive a hypertension diagnosis.

Female doctors were more likely to diagnose hypertension than male doctors, and internal medicine doctors were more likely to diagnose hypertension than family medicine doctors, the researchers said.

High blood pressure may not manifest with any symptoms, but it's important to get under control because it can lead to heart attack and stroke, according to the Mayo Clinic.

Last year, an Epidemiology study from University of North Carolina-Chapel Hill researchers found that high blood pressure affects nearly 20 percent of young adults, between ages 24 and 32, USA Today reported.

"We were surprised by the figure," Kathleen Mullan Harris, the researcher of that study and a professor of sociology at UNC, told USA Today. "Nobody really knows or had known what the prevalence was of high blood pressure among young adults. This is the first estimate we have on this."

The Best Way To Eat Fruit


I have read many articles saying to eat fruit on an empty stomach because it can ferment when eaten with other foods. Then some articles say it does not matter when you eat fruit because it takes hours for your body to digest anyway. So when is the best time to eat fruit? 

-- Jacquelyn


Fruit is an incredibly healthy food group: packed with vitamins, nutrients, fiber and water. But there have been some nutritional claims circulating that suggest fruit can also be damaging if eaten in conjunction with other foods. The basic premise is that high-sugar fruits help to ferment the other digested foods in a "full" stomach, causing gas, indigestion and other problems. While it's true that fruit helps accelerate fermentation in things like bread starters, the idea that it could do so in a stomach is completely false.

"There is no need to eat any food or type of food on an empty stomach. This myth has been around for a long time. There is no science to support it even though proponents make scientific-sounding statements," Jill Weisenberger, MS, RD, CDE, author of Diabetes Weight Loss -- Week by Week, told HuffPost Healthy Living by email.

Fermentation is a process in which bacteria, fed by sugars, colonizes on food and changes their compositions. Fermented foods include things like wine, yogurt, bread and kombucha. To occur, a ferment requires bacteria. But stomachs, with their high concentrations of hydrochloric acid, are hostile environments that kill bacteria far before they are able to colonize and reproduce.

"One of the main purposes of the stomach is to sterilize food by mixing and churning it within the muscular, acid-containing stomach,” Dr. Mark Pochapin, director of the Monahan Center for Gastrointestinal Health at NewYork-Presbyterian Hospital/Weill Cornell Medical Center told the New York Times in an article on the topic.

Another claim, that the body has trouble digesting the carbohydrates in fruit in combination with other foods is also not supported by the science. "The body produces digestive enzymes for protein, fat and carbohydrates and releases them from the pancreas together," says Weisenberger. "If we could not digest mixed meals, we would not even be able to digest most foods since most foods are a combination of nutrients. For example, even vegetables like green beans and broccoli are a mix of carbohydrate and protein."

What's more, gas is produced by the colon -- not the stomach. So while fruit can cause gas in some people, the contents of their stomachs will have little relevance. But Jacquelyn is correct about one thing: according to Pochapin, food reaches the colon about six to 10 hours after we eat it. So while fruit isn't damaging to eat at any time, it is also true that we spend many hours digesting it anyway.

Ultimately, the better question is how much -- rather than when -- we eat healthful foods like fruit.

"The concern should not be empty stomach or with a meal. Rather the concern should be how can I eat more of this health-boosting food group," explains Weisenberger.

Prostate Cancer Research: 10 Things We've Learned So Far This Year



November marks the recognition of "Movember," the month where moustaches are heralded to raise awareness and funds for men's health issues, including prostate cancer.

Prostate cancer is the most common kind of cancer and the second leading cause of death from cancer for men in the United States, according to the Centers for Disease Control and Prevention.

This year alone, there are estimated to be 241,740 new cases of prostate cancer and 28,170 men are projected to die from the disease, the National Cancer Institute reported.

But it isn't all bad news -- each year, we make progress in understanding the disease. This year was no different. Is it good to undergo screening for prostate cancer or not? What can we do to lower our risk, and what are we doing now that's inadvertently raising it?