Healthy Idaho | September '13
September is arguably the best time of year to begin anew and re-energize those goals. Maybe it's the back to school push, or the time when seasons begin to hint that change is coming. This year we turn our attention to teens, and the positives and pressures of being today's teen. The bottom line? The kids are alright!
into the FitOne Fu mp Ju ges 27- 30 e pa Se ! n Fit O ne Bo is e .org Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 1 “ We see patients who have the toughest of cancers. Here, we give them more than options... We give them hope.” Dr. Patrick Connor - Gynecologic Oncologist - Boise, Nampa, Caldwell & Ontario ACCESS TO OVER 100 OF TODAY’S MOST PROMISING CLINICAL TRIALS. COMPREHENSIVE BREAST CARE PROGRAM WITH THE STATE’S ONLY FELLOWSHIP-TRAINED BREAST SURGEON. SIX CANCER CARE CENTERS FOCUSED ON HEALING THE BODY, MIND AND SPIRIT. Find a physician: 367-DOCS (3627) 2 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com stitches stitches allergies allergies sprains sprains skin skinrashes rashes flu flu fevers fevers nausea nausea Home Sickness Sickness Home coughs coughs and andmore more things are better left not passed Some Some things are better left not passed on on to to the family. For aches, pains, injuries he family. For aches, pains, injuries andand thethe flu,flu, there's a Primary Health close there's a Primary Health close by.by. Urgent Urgent Care Care | Family | Family Practice Practice||Occupational Occupational Health Health 10 Urgent 10 Urgent Care Care Locations. Locations. | primaryhealth.com | primaryhealth.com Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 3 selectnavigate 4 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com “When my daughter was three, she developed a chronic illness. After a year of tears every month, when we were covered by a different insurance company, it really taught me how great SelectHealth is. I was so delighted to change back. At SelectHealth, they do what they say they’re going to do.” Hah Aas youtube.com/selecthealth Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 5 september Vol. XIII № 9 The Teen Age SEPTEMBER September is a good time to start fresh and begin a new season of success in your life. 8 Open Up! We all need nutrients, but it turns out that these needs differ by age. Educate yourself! 36 40 42 46 Torture Time Here we explain why some people hate exercise, and what those people can do about it. 16 18 22 A Broken Meal Fewer and fewer people are eating breakfast, especially among the younger generation. Here are some good reasons to reunite with your morning meal. TRX: You’re Suspended A Navy Seal secret revealed: how it works, and how to know if it’s right for you. Red White & Black & Blue Americans are a competitive bunch, no doubt. But is all the competition really helping us? THE ME GENERATION Many people worry that these teenagers and young adults are so self-absorbed that they will not innovate, improve, serve, and save the world we live in. But, the kids are alright. Crayons to Careers The modern way to reach adulthood is different than it was decades ago; and everyone needs to know the differences. Advanced Therapy Care No Waiting Lists Free Screenings Individual Therapy Therapy Preschool Music Therapy Pragmatics Group Cash Discounts We Accept Insurance & Medicaid 6 HEALTHY IDAHO SEPTEMBER 2013 Specializing in therapy services for children and adults. Meridian 1550 N. Crestmont Dr. Ste. E Meridian, ID 83642 208-898-0988 245 N. 3rd E. Mountain Home, ID 83647 208-587-8255 Mountain Home www.advancedtherapycare.com Healthy-Idaho.com Choose Southwest Passionate Patient Caregivers At our state-of-the-art 40 bed hospital, we care for patients who have suffered a catastrophic injury or illness such as: • Stroke • Trauma • Wound Management • Lung & Heart Disease • Spinal Cord Injury • Head Injury Southwest Idaho Advanced Care Hospital (SIACH) is YOUR CHOICE for advanced long-term ACUTE care. Our compassionate and highly-trained medical team provides SPECIALIZED medical and nursing services for patients who are medically complex, requiring extended critical and acute care to achieve recovery. 6651 West Franklin Road, Boise, Idaho 83709 • ph: 208.685.2400 • fax: 208.685.2369 SIACH.ernesthealth.com Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 7 I SEPTEMBER. I've recently been working with the students at our favorite local college in a semi-advisory role, and am amazed at the intern-talent that works in our office. The young people of today are bright, and their future is even brighter. I’m very impressed. Just this week, one young man asked me how he could pursue more promising opportunities into his life. Good question. I thought about the typical, and fundamental, answers and elements of pursuing opportunities, including persistence, preparation, and sheer tenacity. But these students are already quite diligent at working hard. They are already opportunists, seeking excellence in their future. They are definitely on the outlook. As I think about how to best direct these college students about properly pursing editor's note Healthy IDAHO WITH ID ® SEPTEMBER 2013 Volume V, № 9 Editor-in-Chief John A. Anderson | email@example.com Publisher Kenneth J. Shepherd | firstname.lastname@example.org Sales and Marketing Julie Guyer 208.371.4533 Steve Wallace 208.850.4983 Kristi Hendry 208.703.7448 email@example.com Design Editor Phillip Chadwick firstname.lastname@example.org Managing Editor Michael Richardson email@example.com ASSOCIATE Editor Whitney Lewis firstname.lastname@example.org Online editor Dallin Law | email@example.com DIRECTOR OF OPERATIONS Sandy Wise | 866.884.3258 firstname.lastname@example.org Contributing writers Aubrey Taylor, Jamie Gray, Jessica Hagy, Heather Hooke, David Joachim, Brooke Kittel, Lisa Mathews, Wayne Larsen, Colette Bouchez, Patty Trela Circulation like September. It’s my favorite time of year to begin anew; even more so than January. For some reason, September is when I kick it into gear and make plans and goals. Maybe it’s the back to school push, or the time when seasons start to change. Maybe it’s because all the summer plans have happened and are now memories. Maybe it’s that classic Earth, Wind and Fire song that gets stuck in my head every year. Whatever it is, September is my month to move forward and dig into a new routine of productiveness. the best opportunities in their lives, I reconsider my own position on prospects. Instead of seeing opportunity as something to pursue, I see it as something to attract. My belief is that opportunity comes to those who have become 'attractive' people. Sure, attractiveness pertains to beauty and appeal. But, attractiveness is, even more importantly, the art of becoming enticing and engaging, useful and necessary. I’ve noticed that the best opportunities for advancement in life come to those who have made themselves valuable, helpful, insightful, effective, enlivening, energizing, positive, constructive, crucial—attractive. This idea of attracting, rather than pursuing opportunity is echoed by business great Jim Rohn, who said: If you can develop your skills, keep refining all the parts of your character and yourself, your health, your relationships, etc. so that you become an attractive person to the marketplace— you’ll attract opportunity. Opportunity will seek you out. Your reputation will probably precede you and someone will want to do business with you. All of the possibilities are there by working on the philosophy that success is something you attract. The key to attracting opportunity and achieving success in life is to continue making yourself a more attractive person by honing and enhancing the abilities you have, the disciplines you have, the personality you’ve acquired, the character and reputation you have established, the language and speech you use—all of that refinement makes you more attractive in every role in your life, personal and professional. And, accomplishment makes you a fundamentally happier person. Every day holds the possibility to improve not only yourself, but also to attract opportunities and affect others. And the month of September is a good time to start fresh and begin a new season of success in your life. “ Healthy Idaho Magazine is printed monthly and delivered to higher income homes throughout Boise and is made available for pick up at hundreds of locations. Healthy Idaho Magazine is also mailed to all doctors, dentists, chiropractors, medical practitioners, health clinics, banks, and other businesses. If you would like to have Healthy Idaho Magazine delivered for distribution in your place of business, please contact us. ” Healthy Idaho Magazine email@example.com 866.884.3258 PLEASE NOTE: The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters, which should be obtained directly from a health professional. The opinions expressed by the authors and advertisers are not necessarily those of the publisher. Call for reprint permission. All photography courtesy of Shutterstock.com unless otherwise noted. Facebook.com/healthyidaho Twitter:healthyidahomag To be included in our free online directory, please email your contact information to firstname.lastname@example.org writ ten by john a. anderson, editor in chief Healthy Magazine is dedicated to using recyclable materials. stardocs media Copyright © 2013 Stardocs, LLC. All rights reserved. 8 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com DAHO DECLARATION OF INDEPENDENTS Presented by Idahoâ€™s IndePendent PhysIcIans We are an organization of independent physicians in Idaho. We own our practices so we are free to join our patients in choosing their best health care options. We believe that patients should enjoy a high degree of control of their own medical care, including choices of physicians, and their medical facilities. We believe patients should have choices in treatment decisions shaped by information, independent of potentially conflicting interests. We believe that patients should have knowledge of the most affordable and efficient options, as health care costs are often hidden or confusing. We believe that informed patients are optimally positioned to make intelligent choices. We, the independent physicians of Idaho, declare that our commitments are to our patients and to their personal care. Keeping our patients healthy and living independently are our goals. We work for you. IndependentDocsID.com Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 9 The results are in Average SAT score, class of 2012:1498 Critical reading: 496 Mathematics: 514 Writing: 488 For the latest in news and research go to healthy-idaho.com Teens Becoming Adults / by the numbers 10 Average ACT Scores, 2012: 21.1 English: 20.5 Math:21.1 Reading: 21.3 $26,600 The average amount of debt an American student has when graduating college. Source: The Institute for College Access and Success, Project on Student Debt Idaho’s composite: 21.7 Source: Collegeboard.com You Live With… Your Parents? people aged 18 to 30 live with their parents, up dramatically from just four years earlier. Source: University of Minnesota Population Center 2011: 20.7 million of Americans ages 25 to 29 had at least a bachelor’s degree in 2012. That’s a big jump from decades past. Source: National Center for Education Statistics 33.5% I’m a Graduate, Now What? How Parents Feel About Their Young Adult Kids Of parents who have kids aged 18-29: 38% have kids living at home. 64% say their children aren’t a source of stress. parent-child conflict. 58% get a four-year degree. Source: collegecompletion. chronicle.com The bad news of college graduates took six years to 42% say money is a source of 52% say they consider their kids adults (shocker) Source: Clark University Unemployed, or Unemployable? Unemployment, June 2013: 16+: 7.6 16-19: 24 % % % Gallup asked more than 1,200 children and teens, in grades 5-12, if they thought they would have a better life, better home and better education than their parents. My Life Will Be Better 42% Very likely 52% Somewhat likely Source: gallup.com 20-24: 13.5 25-34: 7.6 Source: Bureau of Labor Statistics HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com LOOKING FOR A NEW EYE DOCTOR? Eye Exams • Vision Assessments • Glasses • Contact Lenses LASIK • Vision Therapy Check out our team of experts Specialized vision care for everyone in the family Dr. Ryan C. Johnson Neuro-Optometrist - Specializing in binocular vision dysfunction, including amblyopia and strabismus, and acquired brain injury in both children and adults. Residency trained in Binocular Vision, Neuro- Optometry and Vision Therapy at University of California, Berkeley. Dr. Jill A. Kronberg Pediatric Optometrist Specializing in comprehensive vision care for infants and children of all ages, as well as individuals with special needs. Residency trained in both Pediatrics and Primary Care at University of California, Berkeley. Dr. Jeffrey C. Johnson Developmental Optometrist since 1991. Specializing in hard to fit and multi-focal contact lenses, Computer Vision Syndrome, the diagnosis and treatment of convergence insufficiency and accommodative disorders. Dr. Mathew R. Tempest Ophthalmologist and LASIK surgeon. Specializing in Custom Wavefront LASIK using the latest IntraLase technology to provide a 100% blade-free experience. All in the comfort of our onsite LASIK suite. In-network with most insurances. Care Credit financing available. 208.377.8899 DOWNTOWN BOISE email@example.com 190 N 8th St, Boise Idaho , 83702 USA 208-338-0500 Facebook.com/HealthyIdaho UPTOWN BOISE firstname.lastname@example.org 7960 W Rifleman St #150 Boise , Idaho , 83704 USA 208-377-8899 HEALTHY IDAHO SEPTEMBER 2013 Schedule your appointment online - www.artisanoptics.com 11 = Lower BMI Modern Childhood / in the news Sleep Matters In the late 1970s, American children consumed an average of only one snack a day. Today, they are consuming nearly three snacks per day. As a result, daily calories from children's snacks have increased by almost 200 calories over the period. Source: USDA Snack On This The Perelman School of Medicine at the University of Pennsylvania recently published research showing that for people age 14 to 18, fewer hours of sleep at night is associated with an increased body mass index (BMI). Getting enough sleep at night could reduce the prevalence of obesity. Source: Pediatrics Getting Fat for Kids Is Different New research from the National Institutes of Health compares how both adults and children gain weight, and the data shows that, compared to adults, children may be eating many more calories for each extra pound gained. Children under the age of ten, for example, have to eat two times the amount of calories to gain a pound of extra weight compared to an adult. Source: National Institutes of Health High Anxiety “The average high school kid today has the same level of anxiety as the average psychiatric patient in the early 1950s.” Source: Prof. Robert Leahy, American Institute for Cognitive Therapy in New York City teen appetite A surge in appetite around the age of ten in girls and twelve in boys foreshadows the growth spurt of puberty. How much of a surge? Let’s just say that Mom and Dad might want to oil the hinges on the refrigerator door and start stockpiling a small cache of their own favorite snacks underneath the bed. “Adolescents seem like they’re hungry all the time,” says dietitian Mary Story, “especially boys.” Kids who are big and tall or who participate in physical activity will still need increased amounts of energy into late adolescence. healthychildren.org MORNING MATTERS For the latest in news and research go to healthy-idaho.com Eating a healthy breakfast is associated with improved cognitive function (especially memory), reduced absenteeism, and improved mood. Source: National Institutes of Health 12 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com Nutrition Metabolism/ Biochemistry Psychology or Beliefs Behaviors NO PROGRAM IN AMERICA PRESENTS BETTER STATISTICAL WEIGHT LOSS RESULTS! Discover what of over 15,000 patients have found out about losing weight - and maintaining a healthier weight! 97% NG OPENI IN SOON A !!! NAMP W. Allen Rader, MD Only Weight Loss Center In America With Three Physicians Certified By The American Board Of Obesity Medicine Facebook.com/HealthyIdaho Scan this QR Code to see KTVB's recent coverage of Idaho Weight Loss HEALTHY IDAHO SEPTEMBER 2013 13 healthsmart Tumor WRITTEN By Justin Corr Treatment BOISE -- A new type of treatment for kids with benign tumors is being hailed by many doctors and parents as a simple way to remove the growths. Boise's Ella McClain is a fun-loving 3-year-old. When she was born, she had a big red mark on her forehead. A few months after Ella was born, her mom, Jennifer McClain, noticed the mark was growing. "I took her in for a checkup, and that's when they told me it was a hemangioma," said Jennifer. Hemangiomas are benign tumors that can occur anywhere in or on the body. About 10 percent of newborns develop them. "One interesting thing is that two-thirds are in girls. They're associated with prematurity and advanced maternal age," said Dr. Jonathan Perkins of Seattle Children's Hospital. Dr. Perkins says no one knows exactly what causes hemangiomas, but he is researching treatments. Until now, doctors would treat the tumors with steroids, chemotherapy and surgery, which is what Jennifer thought Ella would have to go through. "I did not want her, at all, to have surgery, especially on the head. And a skin graft, that's a long painful procedure." But recently, a breakthrough was made, somewhat by accident. Doctors in France were treating a heart patient with a common beta blocker when the child's hemangioma suddenly began to fade away. When Jennifer heard about the new treatment, she cancelled the surgery and looked for a doctor who could do the new treatment. "I knew if I couldn't get it done here in Boise, I would go wherever I needed to go to get it done." Jennifer found Dr. Jill Beck in Boise, who administered medicine to Ella, which included a couple doses a day for about a year, and the tumor almost completely disappeared. "I did not want her to enter Kindergarten with, for all intents and purposes, a target on her head," said Jennifer. "So, we did that, and we didn't have to have surgery, and no one even sees it anymore." Some of the growths are too small to be of concern, and most fade away gradually on their own. But some hemangioma can interfere with a child's sight, breathing, or even heart function. Doctors say those could be life-threatening. If you're concerned, see your child's pediatrician. Also, the drug doesn't work for everyone. Dr. Perkins is researching exactly why that is. 14 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com FIND INSPIRATION FOR HEALTHY LIVING AT AND WATCH NEWS AT NOON EVERY WEDNESDAY WITH CAROLYN HOLLY TO LEARN LIFE STRATEGIES FOR YOUR BETTER HEALTH! Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 15 EXERC I S E Torture Time WHY SOME PEOPLE HATE EXERCISE & what THEY can do about it Written by Michael Richardson Some people like doing math, while others loathe it. Some people like a trip to the mall, while others would rather eat tree bark. Exercise is the same way: there are haters and lovers. But the hard part about this is that while we don’t all need to do calculus, we’re all supposed to exercise. Researchers keep saying that if we don’t become more active, we are going to die of cardiovascular disease, cancer, or some other horrible problem. Understand Your Body All human bodies are built a little differently. Some are built with a natural athleticism and capacity for physical exertion. Some people have a great lung capacity, or a great ability to transport oxygen through the body, even if they don’t exercise regularly. Those not endowed with these physical gifts might step onto the treadmill as if it were some kind of horrendous torture device. It may more painful than when a gifted person does a workout, causing the ungifted to hate exercise. Genes may be a factor in determining one’s inclination to exercise, but researchers don’t agree on just how big of a factor genetics are. Some say it may carry a weight of about 10 percent, others say 50 percent, when people are deciding to hit the gym. But there are plenty of other factors that can make you hate exercise, or even the prospect of exercising: ›› Past experiences: Memories of being forced to try a pull-up in gym class is enough to make anyone shy away from the gym in the future. ›› Looking stupid: There will always be that ripped guy and cut girl in the gym who make everyone else look bad. There will always be someone with an effortless running stride, which makes your own stride look like a chicken’s strut. ›› Pressure: The media, peers, your doctor and yourself provide a mountain of pressure to maintain a healthy weight. This can steal the enjoyment out of exercise, making it drab and painful. 16 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com 3.5 % Changing Your Mind About Hating Exercise The pain will fade. Research from the University of Heidelberg in Germany found that athletes have a higher pain tolerance than non-athletes, and that physical activity can change how we perceive pain, for pretty much anyone. So fight through that first wall of pain, because the next wall will probably be smaller. Tips for An absurdly low percentage of people get the recommended amount of exercise in America Avoid comparison. If you are faster and stronger, you might get complacent. If you are slower and weaker, you might want to give up. So exercise for yourself. If you can’t avoid comparisons, find another place besides the gym to exercise. Don’t commit exercise suicide. Take small steps towards fitness. Progression is the key, not killing yourself on the track the first time you run. Find motivation besides “because I should.” This type of motivation usually leads to puttering out. Establish goals, and establish the why’s, and exercise will become less hated. Find something you enjoy. Baby Steps Researchers from Iowa State University and Washington State University say that baby steps may be required to begin the journey to loving exercise. Sometimes, even walking is too much to begin with for sedentary people, their research suggests. A person’s ventilator threshold is the point when the amount of oxygen coming in versus the amount of CO2 leaving becomes skewed. The CO2 begins to exceed the body’s intake of oxygen, a sign that the muscles are more acidic, which the body finds stressful. Most people reach this threshold at about 50 to 60 percent of their maximum capacity. But for sedentary people, the threshold comes much sooner. Researchers say some people can reach it by washing dishes. So when they say baby steps, they mean baby steps. Getting off the couch to cook dinner could the baby step. Then progress towards more strenuous exercise. An absurdly low percentage of people get the recommended amount of exercise in America (about 3.5). This may be in part because we have such a narrow minded view of what constitutes exercise. Dumbbells and treadmills are good tools, yes, but the list of physical activities that humans are capable of is miles long. Recognize that some pain is good. Halfway through a workout, exercise begins to feel like an illness, in many respects: aching, soreness, lack of breath and maybe a headache. But exertion is healthy. Source: npr.org/blogs Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 17 EXERC I S E TRX Youâ€™re suspended 18 HEALTHY IDAHO SEPTEMBER 2013 H ave you ever wondered how Navy SEALs stay in shape during their covert operations, while they stay in safe houses, and generally when they live a life that doesnâ€™t include 24-hour gyms, accessible free weights, and personal trainers? It turns out that they have to get creative to find out ways to stay fighting fit in situations decidedly not convenient nor easy. One SEAL, sick of trying to make weights out of logs and milk jugs, took some parachute cord, tied it to a pole and creatively developed an exercise regimen using only his own body weight and Healthy-Idaho.com Written by Healthy Magazine Staff How does it work? The concept is fairly simple: the TRX system is a long, sturdy strap with a carabiner in the middle to attach it to an anchor point and handles and loops at either end from which you can suspend your feet or your hands. The length of the strap is very easily adjusted which allows for many different positions for your body. Depending on the length of the strap you can get into positions leaning forward or backward, lunges, push up positions, and many more. Depending on the position, the suspension focuses your body weight on your arms, legs, abs, etc. and works out nearly any group of muscles. On the TRX website they feature over 300 exercises that can be done focusing on different muscles and developing strength in different movements. What makes it great? As the inventor found out, carrying around just a strap with a carabiner and handles is much more convenient that trying to find weights or a gym when traveling. Suspension training is ideal for people who want to exercise while on the road or who have a small amount of room in their house or apartment. There is an inherent element of instability while hanging from straps which requires your body to balance itself using the supportive core muscles near the spine during nearly every exercise. For this reason, this system promotes so-called functional strength training, which doesnâ€™t isolate individual muscles, but instead is more synergistic in recruiting larger groups of muscles for each movement. The core muscles are constantly engaged, which is essential to back health and everyday, functional strength. Furthermore, the intensity of the workout is also adjustable depending on the angle of your body to the anchor point and obviously the tempo of workouts. Workouts vary from a light warmup, stretching exercise to a high-intensity interval training to a powerful strength training regimen. Is it right for me? Suspension training has been criticized for its reliance on core strength for the majority of its exercises. Some physiologists and exercise scientists have expressed concern that first time adopters without a good core fitness base could injure themselves. However, suspension fitness supporters point out that by simply adjusting the angle exercises can be made harder or easier depending on individual fitness level which should limit muscle strain to people just starting out. But to be safe, if you do have back or joint problems, consult your doctor before trying out suspension training. gravity that kept him flexible, healthy and, most importantly, functionally strong. This former SEAL began marketing his homespun invention as the TRX suspension trainer and many gyms, and even some military groups, have adopted the system as an effective and flexible whole-body workout. Now a new, interesting phenomenon is occurring in many gyms, homes, and even hotel rooms around the country. Men and women are tying straps to poles, trees, even attaching them to a door jam to partially suspend themselves in air before they start acrobat-like workouts that some claim is a mix between mid-air yoga and weight lifting. How do I get it? Many gyms offer the equipment and sometimes have classes built around suspension training. Some are more like meditative yoga mixed with slow, controlled weight lifting while others are an extremely intense high-intensity interval training. You can opt to buy the TRX system and instructional programs to keep you on track or even make one out of climbing materials for under twenty dollars if you feel crafty. Sources: nytimes.com, militarytimes.com Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 19 '13 The 29th Annual Harvest Classic Fun Run offers something for everyone, from the professional runner looking for a fast course to families and kids looking for a fun, outdoor activity. The 8K route starts at Lake Lowell and finishes at the Nampa Rec Center. Shuttles are provided to the start line for convenience. The 2 mile run/walk is a paved route starting and ending at the Nampa Rec Center. The course includes mostly street racing but also utilizes Wilson pathway providing a scenic run along Wilson Creek. The 1 mile noncompetitive race is designed just for fun. Racers are not timed but all youth 14 and under receive a participation ribbon. The 1 mile race starts and finishes at the Nampa Rec Center and loops around Liberty Park. This year, the race will feature disposable bib chips for the 8K and 2 mile timed races for added convenience for our runners. In addition to the disposable chips, our new timing system offers many live features for racers, including quick check in, live updates of race progress sent straight to your smart phone, Facebook updates and immediate results via race kiosks. But the races are just the beginning! Once the run is over, participants and spectators can enjoy a variety of post race activities including live music, vendor booths, jump houses for the kids, and lots of food - including a baked potato bar provided by Texas Roadhouse. In addition, everyone registered in the Harvest Classic receives free admission to the Nampa Recreation Center on race day. Donâ€™t forget about the fabulous prize baskets! All race participants are entered into a drawing to win great prizes donated by local businesses. The Harvest Classic Fun Run is more than just fun. Proceeds from the event give back to the community by supporting physical education programs in schools and providing funds for recreation program scholarships. Upon registration, participants can designate a school to be entered into the race day drawing. Eight $250 awards are given to the winning schoolsâ€™ P.E. Departments to purchase much needed equipment. The more students and family members that participate, the more chances a school has to win. In addition to the school awards, the Harvest Classic helps fund youth recreation scholarships, enabling low income kids to participate in Nampa Parks and Recreation Department programs like swimming, basketball, softball, and more. The Harvest Classic Fun Run is a greatly anticipated community event in Nampa, appealing to families, kids, walkers, recreational runners and competitive racers. People of all ages and all walks of life make this Fun Run an event to remember. This year experience the Harvest Classic Fun Run for yourself. It is truly a Fun Run! The 29th annual event is Saturday, September 14, 2013 at the Nampa Rec Center. For more information or to register for the Harvest Classic Fun Run visit www.namparecreation.org or call 208-468-5858. 20 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 21 THE TEEN AG E ME 22 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com We’re leaving our world in whose hands? Guest: “My self-esteem is through the roof because no one has ever been honest with me about how mediocre I am.” Interviewer: “What would you do if someone were to be honest with you?” Guest: “I would immediately cry.” Funny lines from a Saturday Night Live skit may capture a bit of truth or at least typify a trend may notice in America. More and more people complain of confident yet incompetent "adults" who can't handle the real world and instead are more interested in starting bands, playing video games, and balking at evaluation. Did the Baby Boomers just raise a bunch of big babies? Criticism of the rising generation runs rampant: kids live with their parents into their thirties; they don’t have real jobs, even after college; and many of these jobless, single, ungrateful “adults” think the latest smartphone is a necessity, not a luxury. In her intensely researched and widely read book, Generation Me, Jean M. Twenge wrote: Generation Me [those born 1970-2000] has never known a world that put duty before self, and believes that the needs of the individual should come first. This is not the same thing as being selfish – it is captured, instead, in the phrases we so often hear: "Be yourself," "Believe in yourself," "You must love yourself before you can love someone else." These are some of our culture's most deeply entrenched beliefs, and Generation Me has grown up hearing them whispered in our ears like the subliminally conditioned children in Aldous Huxley's Brave New World.” Many people worry that these teenagers and young adults are so self-absorbed that they will not innovate, improve, serve, and save the world we live in. And to top it off, Twenge suggests that this me-based generation isn’t happy, even though they’re cocky. So are we doomed, leaving the world to Generation Me-ers? Breathe easy. It turns out that not all is lost in a sea of student debt or the abyss of a video game-ridden basement. This group differs greatly from their parent generation of Baby Boomers, but contrary to common belief, Generation Me is surprisingly more of a generation WE. WRItten by WHITNEY LEWIS The Truth About “Generation Me” done with school, or about to be. Not anymore, much to the dismay of some baby boomers longing for grandkids and much to the dismay of many who only connect maturity with marriage and graduation. Nowadays, families start much later. The average age of marriage in the United States has been rising since 1970 when the median age was 22. Now the average age of couples entering a first marriage is 26 according to the U.S Bureau of the Census. Of course, whether or not the increased age is good is left up to debate. Tom Brokaw wrote a New York Times bestseller titled The Greatest Generation, referring to the men and women who fought in the world wars and shaped modern America. Their lives were in many ways and for many years, sacrificed for their country and families. He describes them as generally an unselfish, loyal group. In contrast, living with parents longer and postponing marriage are often seen as selfish decisions. Four Generational Differences 1. Tech Savvy You don’t have to spend time in a retirement home to know that older generations and computers don’t mix. Recently this point was proven and I couldn’t help but chuckle the other day when I overheard a sweet 62 year old call a BlackBerry phone a blueberry. Technology is evolving not quite at light speed, but at Google Fiber speed—and this current generation is keeping right up. 2. Open Book Life 4. Egocentric Personal technology such as smart phones, tablets, blogs and Facebook have paradoxically made it possible to connect to millions of people while sitting alone in front of a glowing screen. While this trend has made staying in touch easier than ever, overwhelmingly numbers of useless, minute-by-minute updates from oversharing acquaintances flood the internet, reducing privacy and commodifying personal lives. From marriage and birth announcements to break-ups, dance parties and cupcakes successes, there's a growing impulse to document and share with a largely uncaring world. To Twenge and others, it appears that this generation just wants to be happy! Is that too much to ask for? Twenge cited an Ellen episode where Ellen Degeneres said the most important thing is, "how you feel and being happy." But when I [Twenge] asked my mother (born in 1943) about this, she said, "In the early 1960s, most people would have said the most important things were being honest, hardworking, industrious, loyal, and caring about others. I can't even remember thinking about whether I was 'happy.' That's not to say we weren't happy—we just didn't focus on it. We do now. And in many ways it’s not working. People focusing on their own happiness are not shown to be any happier than those focused 3. Postponed Marriage & Parenting Unlike prior generations though, this generation’s major life milestones do not mark the entryway to adulthood. In the 70s young adults around age 21, were probably married, or about to be. They were probably parents, or about to be. They were probably >>>>>>>> continued HEALTHY IDAHO SEPTEMBER 2013 Facebook.com/HealthyIdaho 23 24 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com on others or on developing character traits or talents. As a matter of fact, Twenge’s study shows that they are actually unhappier. Fortunately, not all Generation Me-ers agree with Ellen and Dan. The host of 13-33 year olds in the country compose the era Twenge named Generation Me. It is interesting to note that the focus on self—self-esteem, self-worth, selfrespect, self-acceptance, self-talk, etc.— has not produced more happiness. But luckily, having fun and living according to the adage "you only live once" are not the sole focuses of this chunk of the population. Contrary to accusations of selfishness, a study performed by the National Service Organization found that service is at a thirty-year high. Even in an economic downturn, the Me Generation is showing that they are not always self-absorbed. Many Americans who are hunting for jobs use some of their free time to volunteer with local charities, schools and church in such noble causes like saving libraries from closing, helping clean up parks, and helping children learn to read. The capitalists are involved too. “Companies such as Timberland and PricewaterhouseCoopers allow employees time off for public service. Others, like Target, are going into partnership with non-profit groups to provide pro bono marketing and financial advice,” reports The Economist. These companies are mostly staffed by Gen Me-ers who are advocates for the public good and taking advantage of opportunities to help. When new service opportunities recently opened up with The Church of Jesus Christ of Latter-day Saints, thousands of young adults applied to volunteer 18-24 months to do service. Applications to serve a mission increased 470% in the first month the opportunity was presented. In less than a year the number of serving missionaries surged from about 50,000 to 70,274. A large portion of Generation Me is flipping their title over and proving that they are Generation We. Along with service increasing, so is higher education. Higher education means higher levels of debt. This debt, along with a floundering economy, has parked many young adults back at home. Far from being like the Lost Boys in Neverland, however, never wanting to grow up, these young people are just trying to get some breathing room. Many university students and recent grads would prefer to move out and are trying to, surveys show. However, with housing and tuition costs going up and the economy going down, some are forced back to the nest for a while. In this year’s survey, more teenagers said they planned to be financially independent— around the time they turn 26 reported Robby Soave in The Daily News Caller. Fewer teenagers said they would be able to support themselves between the ages of 18 and 24, so many have no choice but to live at home. Living at home isn’t all that bad, even for the state of the union. “In most countries young people are increasingly sober and well behaved,” reports The Economist. “They are more likely to live with their parents and to be in higher education— across the European Union 28% of adults aged 25-34 still live at home. In Britain, the current generation of 18- to 24-yearolds is a lot less likely to have tried an illegal drug or to drink than those ten years older were at their age, and the same is true in most European countries.” Living at home seems to have decreased crime. The number of violent crimes has fallen by 32% since 1990 across America as a whole; in the biggest cities, it has fallen by 64% according to an article in The Economist. Beyond school and money, some resent this generation for how it appears more narcissistic than any before. But before we call them out for being oh so vain, consider the new scenario: camera phones and the internet. In response to this vanity accusation, a Generation Me-er wrote, “Our lives are published, printed, poked, and hashtagged with or without our consent, so naturally they [we] will be more concerned about their looks.” Facebook, Instagram, Snapchat, and video surveillance cameras are constantly capturing every outfit, hairdo and blemish. Any generation who expects to be debuted around the world would make sure to dress up, dress down, and be concerned about their appearance. Young adults get a bad rap, but circumstantial differences explain that these young adults aren’t as selfabsorbed as some like to think! DOWNFALLS REFUTED…MOSTLY WE “Keeping up with the Joneses is harder now that Facebook shows you every cool picture all 687 of your 'friends' have ever taken,” writes Paul Hudson. “It takes a toll on how one views one’s own life. The comparing game encourages the exaggeration.” Young adults have high expectations for life and want straight out of college what they see their parents have 20 years after college graduation. Their high expectations are hitting a hard job market and the clash of reality, combined with the hourly Facebook and Instagram reminders of how fun everyone else’s lives are, creates great disappointment. Comparison is the name of the game leading to dissatisfaction and unhappiness. Twenge’s study based on the responses of 1.3 million young people analyzed against the same test questions administered to Baby Boomers in the 1950s and 60s resulted in evidence that the young people today who do focus on self first, suffer from more anxiety, loneliness, and depression. So young people, give Facebook and the Joneses European vacation photos a break. Live life for others by focusing on doing good and being good, and your experience will line up with research and Twenge’s mother’s theory that, by not worrying about your own happiness, happiness will still happen. Service-Centered ME to WE = HAPPY : Tips For the New Gen In Love With Yourself Graduating Back Home “Keeping up with the Joneses is harder now that Facebook shows you every cool picture all 687 of your 'friends' have ever taken.” Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 25 5 Aerobic Activity Five Ways to Activate Your Teens phone or computer, chances are your kids will do that too. Be a good example by getting a move on yourself. Not only will you benefit your family, you will benefit yourself with more energy and better health. Make it a team effort. Your family can be a team. You can walk together, ride bikes, play tennis, go for a swim. Enter a 5k as a family. Even a brisk walk can be a perfect way for you to burn some calories while catching up on the latest news in your child’s life. The opportunities are endless. Active time together is quality time together. Be a joiner. Join a gym. Sign your kids up for sports activities. If you make exercise a priority by investing in it, your kids are more likely to be motivated. Obesity, stress and internet safety are high on the list of health issues for teens today. It’s hard to tell which comes first, but they are all related. The antidote to these health hazards is good, old-fashioned physical activity. Knowing that exercise is important is one thing. Getting out there and doing it is another. The Centers for Disease Control and Prevention offer many tips and ideas to get your children moving, including the following five ways to activate your teens: 4. Praise and encouragement work wonders. Be sure to reinforce 2. 5. positive behavior. A “way to go!” goes much further than all the lecturing and nagging in the world. Provide safety equipment. Your child isn’t going to stay active if she or he is injured. Helmets, pads, shoes and other appropriate gear protect your precious athlete. 1. Show them. Be active yourself. If you sit around watching television or spend your spare time glued to your cell 3. The table below shows the three types of activities needed with amounts and examples. Activ it y Amount Nee ded 60 minutes at least three times each week Three times each week Ex amples Walking, running, biking, jumping rope, basketball, tennis, soccer, in-line skating Sit-ups, push-ups, weight-lifting, working out with bands, gymnastics, football, basketball, tennis Jumping rope, running, soccer, tennis, gymnastics, skateboarding, dancing, volleyball Muscle strengthening Bone strengthening Three times each week Make the teen years a lot easier to survive by helping your child get the activity he or she needs. You’ll all benefit from those extra endorphins. To learn more about healthy living, visit www.ahplans.com. This important information brought to you by: 26 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 27 28 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 29 30 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com A WORD FROM THE EXPERTS 30 By Deed E. Harrison, DC Owner & Director of the Ideal Spine Health Center 29 Chiropractic Care: For Elite Athletes, For Everyone! C hiropractic has long been associated with keeping athletes performing at their highest level. As a matter of fact, some professional athletes will not get out onto the field (or court) without a proper and thorough adjustment by their chiropractors. For examples, Tiger Woods, Kobe Bryant, Jerry Rice, Tom Brady, and Terrell Owens are among athletes who count on their chiropractors – as much as their trainers – to get them ready for a big game. Just last month, basketball fans around the world were watching Miami battle San Antonio for the 2013 NBA championship. But most people don’t realize just how much of an impact a grueling six-month NBA basketball season and a two-month playoff run can have on an athlete’s body. NBA teams everywhere understand the importance of proper spinal alignment and how it can affect the health and longevity of their athletes. That’s why all 30 NBA teams have a team chiropractor on staff. Furthermore, the athletes, themselves, understand that maintaining a healthy and aligned spine will keep their bodies working like a well-oiled machine. They understand how chiropractic can impact their overall health, wellness, and athletic abilities. Chiropractic care helps enable elite professional athletes to continuously compete on a phenomenal level, elongate their careers, and avoid debilitating injuries that could sideline their dreams. Unfortunately most sport fans may not realize just how important chiropractic care can be for themselves and their families. After all, great chiropractic care isn’t just reserved for the elite professional athletes. Sitting behind a computer for eight hours a day, lifting grocery bags and children, making a wrong move at the gym, slouching while watching television, or sleeping in the wrong position at nights can exert strain on your spine, just like a professional player experiences strain on their spine during a game. Whether you spend your time behind a desk, in front of a television, or out of the field chasing after victories, your spine needs to 58 | July 2013 | www.eagleinformer.com Facebook.com/HealthyIdaho be in alignment and performing at its best all the time. If left untreated, a misaligned spine – whether it’s a small kink or a postural deformity – can lead to aches, pains, fatigue, and other more serious health issues throughout your body. Over time, a misaligned spine (in more complicated cases) can put unnecessary and dangerous pressure on the delicate nerves in your neck and back, creating pain and diminishing vital nerve energy from reaching your limbs and organs. Eventually your body will start to show signs of dysfunction and go into a state of disease. There are only a few ways to truly realign the spine back to its normal curvature and shape; ensuring proper nerve flow to your body parts. One of these methods is through a state of the art and scientifically studied corrective care technique called Chiropractic BioPhysics® or CBP® technique (go to www.idealspine.com for more detailed information). If you or a loved one is needlessly suffering from neck and back pain and discomfort, diminished health, poor posture, or spinal misalignment, we can help. Contact us. HEALTHY IDAHO SEPTEMBER 2013 31 Alas, Acne Dealing with the most common of skin conditions Written by Healthy Magazine Staff 4 Try oil-free makeup. Look for the word “noncomedogenic.” It’s just a red spot, but it weighs on your mind throughout the day. You feel like everyone is looking at it, even if they aren’t. Here is a modern guide to prevention, and the best ways to deal with acne when it rears its ugly head. The National Institutes of Health estimates that 80 percent of all people between the ages of 11 and 30 have an acne outbreak at some point, so don’t go crazy when you have an episode. But if the acne persists, and scarring is starting to occur, it may be time to see a dermatologist and get some help from medication. 3 5 Being Clean Doesn’t Work? Try wearing your hair off your face. Hair gets oily and dirty, and sometimes having it in your face can cause pimples. Keep it clean. Change how you shave. Sometimes hand-held razors irritate the skin and lead to acne. Try both to see which is best for you. Whatever the case, make sure the blades are sharp, to avoid bothering the skin. Common acne meds: Benzoyl Peroxide: This medicine provides an oxygen-rich environment that the acne bacteria cannot survive in. Retin-A: This is a vitamin A derivative that helps clean out pores, and shuts down overactive oil glands. Salicylic Acid: This comes from the bark of the willow tree. It works to dissolve dead skin cell build up in the pores. This medicine is best for mild to moderate acne. Oral antibiotics: Can help reduce the colonization of bacteria on skin and in hair follicles. Sulfur: An ancient approach to clear skin, sulfur, also called brimstone, is found in many acne treatment products. It exfoliates the skin, dries the acne and also has antibacterial properties. Medications can be a big difference in your appearance years down the road. Remember, however, that acne doesn’t really have a known cause, and medication doesn’t always work. Researchers think changing hormone levels may be to blame, along with heredity, certain medications and a number of other things. 1 Deal with stress immediately. Stress changes your body, and may result in physical changes on your face that you don’t want. 6 Don’t touch! This is perhaps the most common advice from dermatologists, to simply avoid touching your face. 2 Wash your pillowcase once a week. This is an obvious, yet important tip. Nothing is as intimate with your face as your pillow. 32 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com SMILING NEVER F E LT T H I S G O O D ! Creating beautiful smiles begins with creating a healthy mouth! Approximately 200 million Americans have old silver ﬁllings that need to be replaced. Most of the time the cavities that have found there way under the old silver ﬁlling, produce little to no discomfort. According to Dr. Dolby, “Patients make the assumption that if it doesn’t hurt everything is ok. Unfortunately, when discomfort does occur, it is likely the nerve can be damaged beyond repair and may require a root canal or worse, tooth removal!” You Have a Choice: The advent of bonding teeth has provided a superior alternative to the traditional silver ﬁlling. Through the process of bonding ﬁllings, a mechanical link is formed to the enamel of your tooth that allows dentists to restore a persons tooth to the correct strength, function and esthetics! Get Checked Today… Your Health is too Important: Regular check-ups to conﬁrm your oral health is at it’s best! Dr. Dolby is offering Eagle Magazine readers the opportunity to have a complimentary silver ﬁlling evaluation, complete with intra-oral photographs, so you can be assured you are in the best health of your life! Call Dr. Michael Dolby today to schedule your complimentary Silver Filling Evaluation. 208.323.8545 Follow us on: Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 33 34 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 35 NUTR ITION Open Up! N u t r i e n t n e e d s by ag e Written by Healthy Magazine Staff 36 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com these days, with myplate.gov) provides a good guideline, but at different stages of life your body needs different things. So before you go putting your baby on a skim milk diet or get fed up with your teenage son’s requests for more meat, look at what each stage of life calls for. I N FA N T S Omega 3 fatty acids are needed for your infant’s brain development. whole milk (dairy products should only be consumed after first year of life) flax seed cheeses olive oil Liquids (but avoid soda which weakens bones and contains a high concentration of sugar) The truth is, the food pyramid (or plate Supplementalicious Wouldn’t a vitamin supplement just be easier than worrying about all the different foods and their vitamins? Easier, yes, but a pill won’t give you the health you’re looking for. Even the supplement industry and doctors agree that in an ideal world, we'd all—kids, teens, and adults—get our nutrients from food. "A pill will never replace the goodness that a wellbalanced diet brings," says Shaikh. Experts say there is definitely a place for vitamin or mineral supplements in our diets, but their primary function is to fill in small nutrient gaps. They are "supplements" intended to add to your diet, not take the place of real food or a healthy meal plan says Kathleen Zelman, Registered Dietician. There are thousands of phytochemicals, fiber, and other nutrients in food which all work together to promote good health. These natural combinations cannot be duplicated by a pill or a cocktail of supplements. And large doses of vitamins aren’t good for kids. They can even be toxic at times. If you’re set on dietary supplements, think healthy food choices first, then add vitamins and minerals as needed to fill in the gaps, and do so in combination with healthy food choices. Water may seem obvious but it is especially important for toddlers because, “children have larger body surface area per unit of body weight and a reduced capacity for sweating when compared with adults” according to NutritionMD. C H I LD R E N Vitamin A promotes normal growth and development; tissue and bone repair; and healthy skin, eyes, and immune responses. Vitamin Bs (The family of B vitamins: B2, B3, B6, and B12) aid metabolism, energy production, and healthy circulatory and nervous systems. milk eggs yellow-to-orange vegetables like carrots, yams, and squash. chicken fish nuts eggs milk beans soy beans. citrus fruit strawberries kiwi tomatoes broccoli milk fortified dairy products egg yolks fish oil sunlight ( The best source of vitamin D doesn't come from the diet —it's sunlight!) Vitamin C promotes healthy muscles, connective tissue, and skin. Vitamin D promotes bone and tooth formation and helps the body absorb calcium. Advice from the doctors at WebMD: “Spread the variety of foods into several small meals and snacks throughout the day. If your child won't eat a particular food for a few days—like vegetables— don't fret. But reintroduce those foods again a day or two later, perhaps prepared in a different way. Kids' 'food strikes' usually end by themselves.” For Children T E E N AGE R S Iron builds muscle and is essential for healthy red blood cells. Iron deficiency is a risk in adolescence, especially for girls once they begin to menstruate. beef turkey pork spinach beans prunes Teens are at particular risk of dietary shortfalls, since they often skip breakfast, consume much of their food outside the home, and are more likely to have sodas, snack foods, and fast foods rather than low-fat milk, fruits, and vegetables, says Ulfat Shaikh, a pediatrician at the University of California-Davis School of Medicine and supplement scholar, so these recommendations are especially important for them. Teens Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 37 The Pressures of Being a Teen Today among teens. In fact, 95 percent of those with eating disorders are between the ages of 12 and 25. The two most common eating disorders, anorexia nervosa (self-starvation) and bulimia nervosa (bingeing and purging), can often lead to health risks such as: of those with eating disorders are between the ages of 12 and 25 95% ›› Slowed heart rate ›› Low blood pressure ›› Loss of bone and muscle mass ›› Cessation of a menstrual cycle in females ›› Dehydration ›› Electrolyte and chemical imbalances resulting from frequent vomiting. Such imbalances can lead to irregular heartbeat, a decline in cardiac function, and death ›› Chronic gastrointestinal irregularity and distress due to abnormal eating and elimination habits or the abuse of substances such as laxatives and diuretics ›› Damage to the esophagus caused by regular, self-induced vomiting ›› Fainting or lightheadedness How can parents help their teen develop positive weight control habits? ›› Educate yourself regarding exercise and nutrition so you can model healthy lifestyle habits. ›› Stress the importance of staying active for health and longevity. ›› Discuss unrealistic portrayals of body types in media. ›› Eat as a family at home as much as possible so you can control ingredients and portions. ›› Pack school lunches with your teen. This will provide you with an opportunity to discuss nutrition. ›› Watch for warning signs of eating disorders such as sudden weight loss, excessive exercise, frequent vomiting and laxative/diuretic usage. O nce upon a time, teenage life was infinitely simpler than it is today. In my day, there were no smartphones or social media websites. Processed “convenience” foods and fast food outlets were much less prevalent. “Super-sizing” was an unknown term. Fast-forward to 2013. According to the Pew Research Center, 95 percent of teens use the internet and 47 percent own smartphones. A lot of screen time means less time being active. 84 percent of parents report taking their teen to fast food at least once a week. Teens between 13 and 18 years old consume an average of 800-1100 calories during one of these fast food visits. This represents roughly one-half of a teen’s total daily calorie requirement in one meal! It’s no wonder that 1 in 3 American teens are overweight or obese, triple the rate seen in 1963. The combination of technology and super-sized convenience foods has not only led to expanding teen waistlines, but also to a marked increase in unhealthy teen dieting and eating disorders. Over one-half of teenage girls and nearly onethird of teenage boys use unhealthy weight control behaviors such as skipping meals, fasting, smoking cigarettes, vomiting and taking laxatives. The depiction of “ideal” celebrity body types on the internet further pressures teens to diet and lose weight. In fact, the more time teen girls spend on social media sites, the more likely they are to develop an eating disorder according to the National Eating Disorders Association. While many of these teen dieters don’t have an eating disorder per se, diagnosed eating disorders are the third most common chronic illness About the Author Brooke Kittel Certified Personal Trainer Emphasis: Weight loss management, functional training, program design for rehabilitation 38 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com ALLERGIST PROVIDED ASTHMA CARE LEADS TO: 76% Fewer E.R. Visits 77% Less Missed Work/school 77% Fewer Hospitalizations 45% Fewer Sick Visits The Allergy Group delivers friendly, competent, and experienced medical care for allergy, sinus, asthma, and related medical problems. Dr. Callanan is a board-certified physician in Internal Medicine and Allergy/Immunology, practicing Allergy in Boise since 1971. Feel the difference ALLERGY ASTHMA IMMUNOLOGY ST LUKES MERIDIAN 520 S. EAGLE RD. #1245 1000 N CURTIS RD SUITE 303 BOISE, IDAHO WWW.THEALLERGYGROUP.COM (208) 377-4000 D Varicose veins holding you back? o you experience burning, aching pain in your legs? Do you have swelling or noticeable bulging veins? What about a darker, “stain-like” copper color around your ankles? These vein conditions are common, sometimes serious—and treatable. Don’t Let your varicose veins hold you back any longer, call Advanced Vein Therapy today! Before After In-office procedure—no surgery necessary. Endovenous Laser Treatment (EVLT) offers less risk of reopening veins compared to other laser treatments commonly used. Treatment is typically covered by most insurance carriers. Highly skilled physicians specialized in vascular radiology from Gem State Radiology. https://www.facebook.com/AdvancedVeinTherapy Find us on Facebook 161 E Mallard Dr | Suite 130 | Boise ID 83706 | Office: (208) 947-0100 | Toll Free: 866-941-VEIN (8346) | AboutAVT.com Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 39 NUTR ITION l a e M n e k o r B A W ritten a b y He M ag lt h y a z ine f Sta f So what’s in a typical American breakfast? Why yo ung people d breakf on’t eat a why ev st, and ery shouldone ›› Occurs within two hours of waking, before 10 am. ›› Energy content provides about 20-35 percent of daily needs. ›› Breakfast food has changed significantly over the years, from bacon, eggs and toast to Readyto-Eat Cereals and breads. This means Americans switched from high fat, high protein breakfasts to high fat, high carbohydrate breakfasts. A recent report from the Food Research and Action Center found that in 2012 more than 175,000 local low-income students got lunch at school, but only about 60,000 got breakfast. This puts us last in a nation where, on average, more than 50 percent of low income kids who get school lunch get school breakfast. This news is a two-fold tragedy. First, thousands of children may be starting the day hungry, and second, missing breakfast may be making them fatter. Research shows that eating in the morning is a key component to obesity and diabetes prevention. Journal of Lifestyle Medicine found “evidence documenting the strong protective effect of breakfast consumption to prevent and/or treat obesity/type 2 diabetes and promote overall health in young people.” That said, research also warns that breakfast is good only if you make it good. Don’t feel too proud of yourself if you walk out the door having scarfed Pop-Tarts and a glass of chocolate milk. Some skip breakfast because they don’t have a choice. Others make the skip part of their diet, or just don’t feel like eating in the morning. Some just don’t feel like time permits. For dieters, it isn’t often that our weight loss plan revolves around eating when we don’t feel like it, but in the case of breakfast, it may be just what you need to do. For those seeking a drop in weight, foregoing breakfast isn’t the way to go. Here’s why: at an inconvenient time, which means that you will be eating on the run. That usually translates to packaged foods with preservatives, fast food and other dietary disasters that make losing weight more difficult. • Eating breakfast makes body-weight management easier: Keeping your body fueled up with calories by eating consistenly helps you control your weight better. Roller coaster eating habits, such as skipping meals, can make weight harder to control. Eat to Lose Weight • Eating breakfast causes physiological changes in satiety (how full you feel): In studies comparing breakfast skippers and breakfast eaters, breakfast skippers were shown to actually have a greater daily energy intake, even though they missed out on calories in the morning. More and more, American breakfast is characterized by an empty table, especially among young people. Almost a third of adolescents skip breakfast on a daily basis, and most skip breakfast multiple times per week, studies show. Girls, overweight and obese people are more likely to skip breakfast than others. People who skip breakfast are more likely to participate in unsuccessful and unhealthy weight loss practices, researchers say. A recent article published in the American Young People and Breakfast • Eating breakfast generally gives you a higher quality diet: Starting the day with toast, eggs and orange juice gives you the vitamins, minerals and energy you need to successfully tackle your morning’s endeavors. • Breakfast eaters avoid snacking so frequently: When you don’t eat breakfast, hunger is bound to strike Sources: Medscape.com, Food Research and Action Center 40 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com independent practice since 1996 Selah Medical Center is your medical home for primary care and the regionâ€™s first board certified Lipidologists (cholesterol and related disorders) Family Clinic | Heart Clinic Friendly, professional staff Adult medicine Pediatrics Newborn care Preventive medicine Stress management Minor surgery Osteopathic manipulative treatment Sports medicine and physicals A physician is always available on call.. Facebook.com/HealthyIdaho | Clinical Research Unit Selah Medical welcomes Amber Vania, DO Amber Vania, DO is board certified in Family Medicine and Osteopathic Manipulation. She specializes in womenâ€™s health and preventative medicine. Dr Vania is a native of a small town, Cuba, Missouri. She completed her internship and residency at McLaren Oakland Hospital in Pontiac, Michigan. She completed her medical school at Kansas City University of Medicine and Biosciences and her undergraduate training at Missouri State University. Dr Vania is a member of the American Academy of Family Practice, the American Osteopathic Association, and the American Medical Association. She lives in Boise with her husband, Cyrus, and two little girls Gabriella and Sophia. Hobbies include cooking, hiking, and spending time with her family. HEALTHY IDAHO SEPTEMBER 2013 Bryan Pogue, MD Lawrence Brown, MD Stephen Spencer, MD D. David Hartman, MD Renee Wilson, PA-C Gloria Beery, NP Julie Israelsen PA-C 208-377-5055 www.selahmedical.com 41 THE TEEN AG E Red White and Black &Blue 42 HEALTHY IDAHO SEPTEMBER 2013 Troubling American Co m p e t i t i v e n e s s WRItten by DALLIN LAW Healthy-Idaho.com General George S. Patton inspired his troops by appealing to their rough and ready American character. Before the Normandy landings during WWII, “All real Americans love the sting and clash of battle. . . Americans love a winner and will not tolerate a loser.” Conflict and competition are stark realities of life, certainly for a general and his troops dealing with mortal combat, but modern research shows that treating every aspect of our daily lives as a battle may be destructive to success and happiness. Evident in sports games, standardized tests, piano recitals, reality TV and a hundred other venues, competition clearly defining winners and losers does seem to be a hallmark of American ideology. This famous general’s philosophies still seem true today; American culture appears uniquely competitive and motivated by conflict. This competitive focus seems to begin quite young, inculcated in part by parents. Despite its accepted prevalence, research is beginning to show that everyone, parents and children should be wary of certain forms of competition, especially as a motivator. Parents may be at the root of many forms of competitiveness. The way they see their children may partially reveal an American parenting style that emphasizes competition. In a recent international study, researchers asked parents from many cultures to describe their children, and the cultural differences between Americans and Europeans were telling. They found that Americans describe their children most often as alert, intelligent, cognitively advanced, prone to asking questions, independent, adaptable, and rebellious. In stark contrast, Italians and other Europeans describe their children mostly often as even-tempered and simpatico (pleasant, amiable), stressing an emotional and social competency. These different descriptors have little if anything to do with a difference in American children versus European. American parents tend to place their children on a cognitive development scale, whereas European parents instead stress emotional and social competency. While parents overseas are content to classify their child as “nice,” American parents are quick to idealize their child as a mover and shaker, a future entrepreneur or artistic revolutionary. They look to distinguish some kind of competitive advantage or early sign of success. It’s important to remember that American children don’t come hardwired from birth to be competitive. Sports surveys of children 5 to 18 show that many children are not interested in many aspects of competition. For example, 65 percent of children say they are in sports to be with their friends, 71 percent wouldn’t care of the score wasn’t kept and 90 percent would prefer playing on the losing team over sitting on the bench of the winning team. Considering that 85 percent of coaches are dads on their kids’ teams, it seems that parents are part of the driving force for teaching children how to view sports and life as a competition. Why do we seem to want to breed competitiveness into our children? American culture and, some would argue, our capitalist economy rely on the theory that rivalry and competition drive success, build character and produce excellence. In the face of harsher economic times, rising college costs, and an uncertain global future, it’s only natural for parents to try to give their children any possible developmental advantage to prepare them for the future. In other words, in many parents’ minds, the sooner kids are prepared for the cutthroat business world, the better. However, this assumption that competition drives success certainly isn’t proven; in some cases competition may actually be the enemy to children’s performance and happiness. A large 2012 meta-study of other studies examining competition and performance shows that in general, there is no relationship between the two. Competition sometimes helps people perform better and other times it hinders their performance. Other studies elaborate, showing that the prospect of winning can encourage high performance and success and build confidence, which also improves performance. However, when the goal is merely trying not to lose, competition cripples performance. Likewise, if stakes are low and the motivation is not just to win but to achieve mastery, healthy amounts of competition drive progress. Many studies agree that competition can often be a detriment to living a happy life. The competition that our culture relies on and prides itself on can promote anxiety, damage selfesteem and performance and lead to disengagement. How then can concerned parents strike a balance between the often inescapable and institutionalized American obsession with winners and losers and the healthy, constructive form of competition that encourages growth and increased performance? Organizations like TrueCompetition. Org are ”dedicated to reclaiming competition for excellence, ethics, and enjoyment, enable[ing] competitors of all abilities to maximize potential, compete with purpose, and reap a sense of lasting fulfillment.” Perhaps one solution is to look at competition less as domination over another, but a partnership or collaboration to progress. Like weights and gravity, we sometimes need a competitor to give us the needed resistance to grow stronger. In the end, General Patton’s advice might not be great advice for parents to give their kids or for them to live by themselves. While there will always be winners and losers, the objective in life isn’t to beat someone, but to become someone. Pros and Cons of Competition The Parent Factor Should you Worry? 1. Do you emphasize winning above best effort? 2. Are you afraid to lose? 3. Do you turn daily activities into competitions? 4. Do your social or work interactions suffer because of competitiveness? 5. Do you view competitors as partners or enemies? Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 43 You cannot turn back the clock, but we can wind it up again. Do you have type 2 diabetes? Do you have difficulty in controlling your blood sugar levels on your current antidiabetic medication? If the answer is yes, you might be suitable to participate in a clinical research study. This study will look at whether an investigational medication (a new medication, which is under development) is safe and effective in people with type 2 diabetes who are taking antidiabetic medication but whose blood sugar levels are not effectively controlled. • are 18 years of age or older You might be ablehave to participatetype in the GRAND-303 Study if you: Do you 2 diabetes? Do youbeen have difficulty in controlling • have diagnosed with type 2 diabetes your blood sugar levels on your current antidiabetic medication? • have difficulty in controlling your blood sugar levels. If thestudy answer islast yes, you might beand suitable to participate in 13 a clinical The will 30–38 weeks will require between research study. study will look at whether an investigational and 15 visits toThis a study center. Suitable participants will receive medication (a new medication, which assessments is under development) is medication and health at no cost. study-related safe and effective in people with type 2 diabetes who are taking antidiabetic medication but whose blood sugar levels are not To find out more, please contact: effectively controlled. You might be able to participate in the GRAND-303 Study if you: • are 18 years of age or older • have been diagnosed with type 2 diabetes • have difficulty in controlling your blood sugar levels. The study will last 30–38 weeks and will require between 13 and 15 visits to a study center. 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B, Nampa Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 45 THE TEEN AG E Crayons to Careers T h e m o d ern w ay t o re a c h a d u lt h o o d Written by MICHAEL RICHARDSON Stern looks and “back when I was a boy” speeches will always be parental remedy for a child’s mistakes and lack of responsibility. With millions of twenty-somethings returning to the nest instead of settling into careers and marriage, parents may be tempted to doubt their child’s future, and to unleash a barrage of anecdotal advice from the '70s and '80s. While in some cases the child may need the motivation, many parents fail to realize that becoming an adult today is wholly different than it was 30 years ago, because of the new economic landscape, changed perspectives and an altered path to professionalism. 46 HEALTHY IDAHO SEPTEMBER 2013 A New Economic Landscape In post-World War II America, manufacturing jobs were often how to make a living. Crudely summarized, you could graduate from high school and begin working at a factory, and have enough money to support a family. The ambitious would go to college and then manage the factories. But over time, manufacturing jobs went overseas. After a few decades, we saw the result: you needed to go to college to have a good chance at making a healthy professional living, because manufacturing jobs just didn’t pay enough and weren’t plentiful. College attendance soared. With college attendance came debt. Add to the mixture the rising costs of food and housing, and it’s not a big surprise that young people often don’t settle into careers and family until after their mid-twenties. They simply don’t have the money. Research from Patrick Wightman and Robert Schoeni of the University of Michigan found that the average young adult receives more than $7,000 a year in support from their families. Interestingly, Wightman says, most of these young adults are actually working, but not making enough to survive on their own. “We rarely see kids who are completely supported by parents,” he says. More interestingly, the research shows that this number actually is comparable to how much support young adults have received in decades past. The difference is that the support is coming for a longer duration, for more years. And the data show that the recent recession isn’t what’s driving their kids back to their parents. >>>>>>continued Healthy-Idaho.com In many respects, telling an 18-yearold today to go out and fend for himself is a lot like telling a 13-yearold in 1950 to go out and survive. Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 47 “The dominating factor is that it is taking longer for young adults to transition into adulthood,” Wightman says. This transition period is the subject of much study. In fact, researchers have named this new stage of life that previously didn’t exist, settled between childhood and traditional adulthood, calling it “emerging adulthood.” This new stage may exist for a number of reasons, the economic factor being just one. The standard of living is rising, and many young people are used to luxury. The drive to make it on one’s own may be outweighed by the prospect of living in poverty. New Approach to Communication and Relationships Another vital factor in the creation of the emerging adulthood stage is that young people see marriage and serious relationships differently than their parents. While the choice to get married is much easier to make when you have a stable income and a reasonably sure future, there are other issues. Besides money, young people might also be delaying marriage because they grew up in an era when half of the adults they knew got divorced. Andy Griffith and Leave It to Beaver portrayed families that were just dandy, but not realistic in the eyes of many young people. The rising generation wants to be sure of who they marry, and they aren’t anxious to make a decision. And the ever-rising average age of marriage worries adults, because marriage is what defines part of being an adult, in the eyes of some. Certain mile posts of maturity marked the path to adulthood in decades past, like learning a trade, buying a car and getting married. While many of these mile posts still count for something, many young people just ignore them, and wish people would instead focus on their ability and mental capacity. But not all parents aren’t buying it. According to a survey from Clark University, only half of parents with kids aged 18-29 consider their child to be an adult. Poor, poor misunderstood kids, right? Well, not always. Growing up in the digital age has given the rising generation some great tools, and left them completely devoid of others. A teen in the 80s learned how to speak with others well, to interact professionally, because that was how _______ The dominating factor is that it is taking longer for young adults to transition into adulthood _______ communication happened. With texting and social media, young people keep up a “vibrant” social life without ever talking to anyone. The result is that we have a lot of twentysomethings without the basic skills required for professional life and long-term relationships. Yet often this generation feels entitled to respect, high pay and their own work schedule, research shows. Yes, today’s emerging adults do lack some critical skills, which often lands them in parents’ basements, but others are taking the world by storm, and doing it in their own way, and in their own time. Changing economics, new ways of higher education and fresh ideology must all be considered before final assessments are made on our mid-twenties population. The Housing Issue Millions of young adults live with their parents (20.7 million 18 to 30 year-olds to be exact, according to the University of Minnesota Population Center). Some have failed to grasp life by the horns. Others just don’t have the money. “For many recent college grads, starting a career and finding their own place to live isn’t an option in an economy where well-paying entry-level jobs are scarce to nonexistent,” writes Leslie Garisto Pfaff in Rutgers Magazine. “Some have dealt with this new economic reality by going back to school to earn a graduate degree; others have opted to accept low-paying (or nonpaying) internships to gain a foothold in their chosen field. And when you can’t afford to pay the rent, boomeranging to your parents’ home makes a certain degree of financial sense.” The housing market is doing a little better of late, but the key word here is “house.” Renting is currently terrible, and renting is all most young people can hope to afford. Apartment List looked at 1.8 million listings from 2011-12, and found that rental prices rose by almost 10 percent during that time, significantly surpassing inflation rates. More and more people are renting, and fewer people are buying houses, and the change in demand is causing prices to rise. Last year, according to the Harvard Research Center, there was a 1.1 million increase in renter households, while house ownership fell for the eighth year in row. So why don’t people buy houses? Because the housing market stabbed a lot of people in the back just a few years ago, and because, again, young people don’t have the money. Financial experts generally advise spending no more than a third of your income on housing, but almost 18 percent of households are spending more than 50 percent of their income for a roof over head, according to the Harvard Research Center. And for low income families (and poor college graduates), the percentage is even worse. Sources: apartmentlist.com, jchs.harvard.edu 48 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com Let us help you get back in the game! Hand Procedures Sports Medicine Fracture CAre Joint Replacement • George A. Nicola, M.D. • Charles P. Schneider, M.D. • John Q. Smith, M.D. • Michael J. Shevlin, M.D. • Robert G. Hansen, M.D. • Hodaka Abe, PA-C • Craig R. Jamison, PA-C • Thomas W. Tryon, PA-C • Bryce Wikfors, PA-C 208-895-0888 Facebook.com/HealthyIdaho Meridian - Caldwell - Fruitland - Emmett westidahoorthopedics.com HEALTHY IDAHO SEPTEMBER 2013 49 Life Lives Better at Heatherwood... Can Retirement Living really be different? Yes. At Heatherwood, the idea of ‘aging’ is redefined. We expect more out of the day because life is meant to be lived. We make a choice to turn left when everyone else is turning right. Bingo’s fun, but we prefer to be a little more adventurous and involved… like learning to blow glass at Boise Art Glass or create beautiful ceramics to donate back to local charity Idaho Food Bank for their ‘Empty Bowls’ event. Our creativity flows in our Soap project, making organic and natural variety’s to showcase at this year’s state fair. We’re going for a “clean” sweep of the awards. If you want to be a part of something special in retirement, join us at Heatherwood and “turn left” ! It can be different...let us show you how. Call for information about our Life-Long Learning Series. “Different” starts today! 5277 Kootenai Street, Boise, Idaho 83705 • 208-345-2150 50 HEALTHY IDAHO SEPTEMBER 2013 heatherwoodretirementcommunity.com Healthy-Idaho.com Store Hours: 10:30am - 5:30pm Monday thru Saturday Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 51 FRESH RECIPIES Mango, Jicama, Pumpkin Seed & Fresh Herb Salad This light yet intense salad is bursting with fresh summer flavors and interesting textures. It is sure to impress your guests at a dinner party or Saturday afternoon picnic. Makes 2 main-course or 4 side salads 2 cups 1 cup 1⁄2 cup 2 tbsp 2 tbsp 1⁄4 cup 1⁄4 cup 1⁄4 cup Pinch sliced peeled jicama sliced peeled mango raw pumpkin seeds freshly squeezed lime juice cold-pressed olive oil chopped parsley leaves chopped cilantro leaves chopped basil leaves fine sea salt In a serving bowl, toss jicama, mango, pumpkin seeds, lime juice and olive oil until evenly coated. Set aside to macerate for 15 minutes. Add parsley, cilantro, basil and salt and toss gently. Serve immediately or cover and refrigerate for up to 3 days. To peel and chop a mango, cut a small slice from the top and bottom of the fruit to make flat ends. Using a vegetable peeler, carefully peel away the skin. Stand mango upright on a cutting board. Using a chef’s knife, run the blade through the flesh, taking approximately three slices from each of the four sides. When you are close to the stone, use a paring knife to remove any remaining flesh from around the middle. Pumpkin seeds provide an impressive array of nutrients. They contain healthy poly- and monounsaturated fats, protein, fiber, iron, magnesium, potassium, zinc, manganese, thiamine (vitamin B1) and vitamin E — not bad for the seeds of a common squash. Tips Excerpted from Eat Raw, Eat Well by Douglas McNish © 2012 Robert Rose Inc. www.robertrose.ca Reprinted with permission of publisher. 52 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com FREE This rich cake is particularly delicious served with fresh berries andAdmission. a sprinkle of cinnamon. I like to save this for special occasions. You will need a high-powered FREE Parking. blender to achieve the smoothest consistency possible. Makes 16 servings Cashew Cheesecake 21st Annual Idaho High-powered blender 9-inch springform pan 4 cups 1 cup 1 cup 1 cup 1 tbsp 2 tsp Filling HEALTH beauty & fitness fair raw cashews, soaked (see Tips) filtered water raw agave nectar melted coconut oil (see Tips) raw vanilla extract freshly squeezed lemon juice whole raw pecans chopped pitted soft dates fine sea salt October 5 -6 Corner Chinden & Glewood Sat 10am-4pm Sun 11am-4pm Expo Idaho Excerpted from Eat Raw, Eat Well by Douglas McNish © 2012 Robert Rose Inc. www.robertrose.ca Reprinted with permission of publisher. These bars are the perfect way to start your day, as they contain proteins, healthy fats and carbohydrates and an abundance of micronutrients such as calcium, magnesium and potassium. Makes 9 bars Morning Energy Bars 2 cups 1⁄4 cup 1⁄2 tsp 1. 2. Crust SUBMIT THIS COUPON at soaked show entrance toWIN Filling: In a high-powered blender, combine cashews, water, agave Massages, Hair Cut & Color, Spa Products, Gift Baskets nectar, coconut oil, vanilla and lemon juice. Blend at high speed until smooth and creamy. aside. and more!Set No purchase necessary. 2 cups 2 tbsp 3 tbsp 2 tbsp 1⁄4 cup 1⁄4 cup 1⁄4 cup 3 tbsp 2 tsp Pinch 1. chopped pitted dates raw cacao powder (see Tips) raw agave nectar (see Tips) water raw cashews walnuts raw whole almonds raw shelled hemp seeds sesame seeds fine sea salt Name:_________________________________________ pieces should remain). Press into bottom of pan, ensuring that there are no gaps. Phone/Cell:_____________________________________ 3. Email Assembly: Pour filling over crust and freeze for at least 2 hours or until firm in Address:___________________________________ 4. Crust: In a food processor, pulse pecans, dates and salt until smooth (no large the center. This dessert can be made ahead and kept in the freezer for up to 1 month. When you are ready to serve, remove from freezer and set aside to thaw for 15 to 20 minutes. Remove pan sides and slice. Serve immediately or cover and refrigerate for up to 1 week. Show Info www.idahobusinessleague.com 2. In a food processor fitted with the metal blade, process dates, cacao powder, agave nectar and water until smooth. Add cashews, walnuts, almonds, hemp seeds, sesame seeds and salt. Process until the ingredients come together to form a sticky mass, stopping the motor once and scraping down the sides of the work bowl. Transfer to a cutting board. Using your hands, press out the mixture until it is 1 inch (2.5 cm) thick and shape into a square about 6 inches (15 cm) long. Cut into 9 bars, each approximately 3 inches (7.5 cm) long and 1 inch (2.5 cm) wide. Place on a platter or baking sheet lined with parchment paper and refrigerate for one hour to set. Serve immediately or cover and refrigerate for up to 2 weeks. There are numerous varieties of dates, but Medjool are my favorite. Although they are generally more expensive, they are larger, softer and ideal for using in raw food recipes. Cacao powder is powdered raw chocolate. Is it similar to cocoa powder but tastes even better, with a deeper, richer flavor. Cacao powder is available in well-stocked supermarkets, natural foods stores and online. If you are transitioning to a raw foods diet or can’t find it, substitute an equal quantity of good-quality cocoa powder. When purchasing agave nectar, be sure to look for products labeled “raw.” Most of the agave nectar on the market has been heated to a high temperature and does not qualify as raw food. If you have concerns, ask your purveyor. Tips Facebook.com/HealthyIdaho HEALTHY IDAHO SEPTEMBER 2013 53 54 HEALTHY IDAHO SEPTEMBER 2013 Healthy-Idaho.com Life Happens. Get Covered. 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