Health & Well Being
Inside:
Curbing childhood obesity • Device detox Planned Parenthood’s new office • Health advice from healthy people
The Addison Independent • Monday, January 22, 2018
PAGE 2 — Health & Well Being • Addison Independent, Monday, January 22, 2018
Childhood obesity is on the rise By CHRISTY LYNN MIDDLEBURY — The epidemic of childhood obesity has become something we cannot ignore. An estimated 25 to 30 percent of Vermont’s children are overweight or obese, according to a study conducted by the Centers for Disease Control and Prevention in 2011. These children are twice as likely to remain obese as adults as median-weight children are to become obese. To local pediatrician Dr. Francisco Corbalan, these are very disturbing figures. “We are watching the creep of obesity in our culture inch its way down to the younger people and it’s having a profoundly negative affect on their lives,” Dr. Corbalan told the Independent in a recent interview. “We’re getting pretty close to a public health crisis.” Porter Pediatric Primary Care in Middlebury, where Dr. Corbalan practices, sees patients from birth to age 22. As a result, Dr. Corbalan and his fellow health care professionals can get to know their patients and
their patients’ families quite well and have to mention low self-esteem, depression and the unique opportunity to follow changes and other debilitating mental and psychological development of a person over time. disorders. Dr. Corbalan says he has watched a few These are health concerns that could plague things unfold over recent years that combine them for the rest of their lives and should be to exacerbate the problem. largely preventable early in life. First, kids are adopting Dr. Corbalan and other a more sedentary lifestyle. “We are watching the pediatricians face the difficult Games and social habits are creep of obesity in our and somewhat fragile task of less active and therefore kids culture inch its way motivating changes in behavior are not burning the calories down to the younger that can prevent or reverse these they need to in order to keep up people and it’s having damaging diagnoses. with eating habits. back and reversing a profoundly negative is “Turning Then, food is becoming harder work than preventing more caloric, “and not in a affect on their lives.” this from happening at the good way,” Dr. Corbalan says. — Dr. Francisco Corbalan, beginning,” Dr. Corbalan says, Porter Pediatric which is part of the reason why In other words, calories are Primary Care he has decided to take a strong coming from simple sugars and fats, rather than from complex stand in the face of this issue. nutrients that are healthy for your body and In a recent letter to the editor published support healthy growth. earlier this month in the Addison Independent, As a result, more and more kids are creeping Dr. Corbalan says, “As a general pediatrician, up into the overweight and obese ranges I spend a lot of time discussing nutrition with within the growth charts. And they’re starting my patients and their families. With the rates to develop some very serious long-term health of obesity and other chronic diseases linked to problems as a result. poor nutrition continuing to cause a significant Children as early as elementary school are burden on people’s quality of life and on developing Type 2 diabetes, hypertension, high our healthcare system as a whole, continued cholesterol and high blood pressure, stroke efforts are needed to help combat this everand early signs of cardiac disease. That’s not (See Obesity, Page 3)
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Health & Well Being • Addison Independent, Monday, January 22, 2018 — PAGE 3
Obesity The bill would not eliminate fries, ice cream (Continued from Page 2) or soda as options that kids could order out. It growing problem.” would simply require an intentional choice to A STEP IN THE RIGHT DIRECTION Dr. Corbalan goes on to support a bill that swap out milk or water for a soda, or a side of was introduced to the Vermont Senate last veggies for potato chips. According to Dr. Corbalan, that might seem year, Bill S.70, that would “require restaurants licensed by the Department of Health to like a lot of work for something that folks will serve only children’s meals that meet certain just slip around. But, he says, you might be surprised by how powerful the default choice requirements.” The aim of the bill is to adjust the default is. “Time and time again, the default option options for children’s menus so that unaltered is the most popular,” he says. children’s meals are properly “So all we’re really trying to do balanced with recommended “I am proud to offer here is to make that default the quantities of vegetables, healthier choice.” proteins, grains, fats, sugars and healthier options and According to S.70, American other nutritional components. it feels great when Attention would be given to the parents flag me down to children eat almost 20 percent of their total calories from total number of calories in the tell me how much they meal, limiting the amounts of appreciate the healthier eating out, and when they do, they consume almost twice as sodium, sugars, and fats while many calories per meal as they defaulting to vegetables, fruits, options for kids.” — Paris Rinder-Goddard, do when at home. whole grains and lean protein. owner of Unfortunately, restaurants do Addison County State Sen. Fire & Ice restaurant not always provide a healthy Claire Ayer says that while the option. A study of the 18 most bill has not been taken up yet in the senate, she has already heard some profitable fast food restaurants in the United States found that only 3 percent of the 3,494 feedback on it. “A number of folks in the Legislature and in meal combinations assessed met expert Vermont have let me know that they find the nutritional standards for healthy children’s idea of government telling them how to feed meals. In addition to the support of pediatricians their children offensive,” she said. Ayer says she has sympathy for that, but like Dr. Corbalan, S.70 has support from the on the flip side, she understands the good that American Heart Association, which has a kind of toolkit for restaurants about how to could come out of the bill, too. “The intent is to make the children’s menu build healthy meals for children. Several local default choices healthy ones,” said Ayer, a restaurant owners have also voiced support, registered nurse. “American families eat food too. prepared outside the home far more often than RESTAURANT PERSPECTIVE Paris Rinder-Goddard, owner of Fire & Ice ever, and childhood obesity is epidemic.”
restaurant in Middlebury, updated his children’s the tables around them may not either.” menu back in July with similar goals in mind. That family may leave not feeling happy The Fire & Ice children’s menu now features about coming to dinner with their children and two sections, one for “Healthier Options” may not make the choice as readily again. It and one for “All the Favorites.” The latter stops feeling like a treat to go out to dinner as a list still offers cheeseburgers, grilled cheese, family. For Rinder-Goddard, and likely for any mozzarella sticks and the like, but the healthier restaurant owner, that would be concerning. options section includes grilled chicken breast Dr. Corbalan appreciates that most part and grilled salmon. Sides for kids’ meals now parents — and most members of society — include apple slices, vegetable du jour and long want to do the right thing for the health of grain wild ride. children. “I am proud to offer healthier options and it “This can be a sensitive conversation that feels great when parents flag me we always approach with care,” down to tell me how much they he says. “For us as pediatricians appreciate the healthier options “American families eat this is not just a matter of for kids,” Rinder-Goddard says. food prepared outside how much you weigh. It’s a At the same time, Rinder- the home far more matter of healthy lifestyles not Goddard says his feelings are often than ever, and measured at one point in time, but a long pattern that we watch mixed about the specific S.70 childhood obesity is and monitor, looking for small legislation around menu options epidemic.” changes we can make to improve and what could or could not be — Sen. Claire Ayer overall lifestyle habits.” marketed as options on a kids’ Dr. Corbalan also said that he menu. “All of our kid’s meals come with the salad feels especially lucky as a pediatrician because bar, milk and cheese,” Rinder-Goddard says, while his primary focus is on the children, he “which means kids are starting out their meals also by default gets to treat the whole family. at the salad bar. From there, we do let parents “Because we’re talking about nutrition and choose what’s a good meal option for their healthy habits, talking to parents about how to inspire healthy choices for their kids by chance kids.” As a business owner, Rinder-Goddard says also has a positive effect on them,” he says. So, will changing the default option on a he is always concerned about the overall customer experience and perceived value of restaurant children’s menu in Vermont solve the overwhelming epidemic of obesity in his restaurant. “If a family has a great time dining out, our culture? Probably not. But might it spark they’re far more likely to recommend us to a conversation about nutrition with your others and to come back time and again,” he pediatrician or inspire families to shift their says. “If a parent spends their dinner fighting choices and even preferences toward more with their kid about eating their vegetables, nutritious alternatives, starting a cascade of then they may not have as good of a time, and healthier choices for their lives? Just maybe.
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Health & Well Being • Addison Independent, Monday, January 22, 2018 — PAGE 5
Planned Parenthood makes move New building is brighter, spacious for patients By CHRISTY LYNN MIDDLBURY — Last fall, the Planned Parenthood office in Middlebury announced a move from their standalone building on Route 7 South to a suite in a medical office building at 1330 Exchange St. A local team of health care providers worked with local builders to retrofit an office that is the envy of many around. It’s bright, open, colorful and welcoming. Exactly what you need when you have to go to the doctor. The Middlebury center has moved several times since its founding two decades ago. Lucy Leriche, Planned Parenthood of Northern New England’s Vice President of Public Policy for Vermont, told the Independent that the move enables the Middlebury center to nearly double its capacity for care. “We are growing from a single exam room in the previous location to two exam rooms and a consultation room,” Leriche says. That will enable medical professionals to see up to 20 more patients each week, Leriche estimates, which is quite significant for a small clinic operating just three or four days a week. The Middlebury Planned Parenthood branch saw 874 patients in 2016 (the latest year for which data was available). The data shows that 22 percent of these patients were teens, and 43 percent were in their 20s.
THE NEW PLANNED Parenthood office is not only colorful and welcoming, it is also double the size of the old office on Route 7.
Independent photo/Trent Campbell
Approximately 87 percent of patients were females, but Leriche says males are the fastest-growing service population for the organization nationally. “We are proud to offer services to anyone,”
Leriche says of Planned Parenthood’s open door approach. “We offer a sliding fee scale and never turn a patient away for inability to pay.” In fact, 47 percent of patients served at the Middlebury location in 2016 earned
less than $18,000 per year and were funded through Medicaid or other public assistance programs. Of course that means that most other patients fall in higher-income brackets (See Planned Parenthood, Page 8)
PAGE 6 — Health & Well Being • Addison Independent, Monday, January 22, 2018
Health & Well Being • Addison Independent, Monday, January 22, 2018 — PAGE 7
Put down your device, detox your mind Getting healthy might be more than a workout By ALEXIS CASWELL Information technology is enormously beneficial, we live our lives by every ping and tweet. You probably have your phone close by as you read this. How about the constant notifications from that Apple watch you were gifted over Christmas? It’s not just our personal lives that keep us charging our phones, we live in an age where Twitter is mentioned on the news multiple times an hour, and constant news alerts keep your pocket buzzing. Most people will take January as their cue to think about their health and create healthier habits, everyone is talking about “new year, new me” — and trying all sorts of diets. What about a digital diet? “Digital detoxing” has become one of the latest trends in health, but this buzzy phrase was added to the Oxford English Dictionary way back in 2013. According to Scientific American and numerous other publications, detoxing your life of screens and anything digital, just for a short time, can do wonders for you in a number of ways. For one, it could “From a societal drastically improving your sleep. Who standpoint, wouldn’t want a little computers more sleep? replace the And we know excessive screen time attachment, is hurting us on a nurturance physical level. The and social American Optometric interactions Association has coined the term “digital eye that we get from our family strain,” which amounts to vision issues caused and what we by extended periods need to develop staring at screens. Symptoms include into confident, headaches, eyestrain, generous and and dry eye. Shoulder patient people.” and neck pain are — Doug Engel, associated with longer clinical social worker computer use. And the National Library of Medicine terms “text neck” as what is happening to our spines as we perpetually look down. We tend to twist our bodies into uncomfortable positions and stare at fuzzy, poorly lit screens in order to stay connected to our online space and social media platforms. We want to know what’s happening on Tumblr, what the president is
doing on Twitter, your mother is messaging you on Facebook, and you can’t help checking the ’Gram (Instragram for those not in the know). The idea of unplugging seems all well and good until you actually try to curb a constant Facebook-checking habit. But the results could be just what you’ve been missing. It’s not only those of us who spend all day staring at a computer screen for our jobs that need to monitor our screen time. In an age where three-year-olds can easily operate an iPad, should we also be concerned about kids and their amount of time staring at devices? Everyone has a personal barometer of what too much tech looks like for younger people. And it is something that affects us all. According to Doug Engel, a licensed, independent clinical social worker who specializes in working with families, adults, and couples in Middlebury, technology use is changing children’s ability to stay present. “The internet also changes our brain to
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respond to very fast and constant stimulation, so that ‘real’ life (i.e. school, conversations) feels too slow and boring,” he said. And ultimately, Engel fears, it is messing with our ability to connect to each other. “From a societal standpoint, computers replace the attachment, nurturance and social interactions that we get from our family and what we need to develop into confident, generous and patient people.” Now it’s not all doom and gloom and few people are advocating a world without technology. I couldn’t, I love it too much. But maybe this year we could take more time to be present by taking our phones off the table at dinner. A coffee with friends can be more relaxing without the distractions of texts and emails, and more fulfilling time with your loved ones doing activities that have (See Device detox, Page 8)
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PAGE 8 — Health & Well Being • Addison Independent, Monday, January 22, 2018
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THE MIDDLEBURY PLANNED Parenthood office has moved to the medical office building at 1330 Exchange St.
Independent photo/Trent Campbell
Planned Parenthood Planned Parenthood clinic among many other (Continued from Page 5) and simply choose to seek care with Planned health practices with offices in that part of town. Leriche says the local reception has Parenthood’s providers. Leriche says the Middlebury move into a been incredibly supportive, positive and larger space is with hopes and plans to expand encouraging. “One of our main interests when determining services and meet what Planned Parenthood of Northern New England has deemed a greater sites for clinics is accessibility,” Leriche says. “We want to be visible and a place that people opportunity in the area. “We draw clients to that office from can travel to easily and frequently so they know where we are, but we also Middlebury, Bristol, Vergennes, New want people to have privacy and Haven and Brandon,” Leriche says. confidentiality when they come It is one of 12 Planned Parenthood to our clinics.” Exchange Street health centers in Vermont, with the seems to be a perfect fit. next closest locations in Rutland, The new office is situated Williston and Burlington. within the office building at 1330 The most routine services provided Exchange St., alongside Eye Care at Planned Parenthood clinics Associates, Porter Pediatrics, and in Vermont are family planning, several other Porter Medical Center counseling and contraception health clinics and offices. People (37 percent), symptom screening walking into the building could and care (24 percent), testing for just as easily be going to any of sexually transmitted infections these other offices, which helps (13 percent), cancer screening and “We are very the anonymity factor important to treatment (10 percent), abortion proud of all of many patients. care and counseling (6 percent), the services we “We are very proud of all of the pregnancy testing (5 percent) and offer.” services we offer,” Leriche states, other care (5 percent). — Lucy Leriche “but also recognize that to some Not all services are offered at extent there is a stigma that’s been all clinics, with more procedural associated with our brand and some of the services limited to large clinics. Middlebury’s clinic to date has had limited services we provide. We want to do everything services, not including abortion procedures or we can to erase that stigma.” As with many things, direct experience other more invasive services, but with their expanded space Leriche says they do expect works quickly to increase accuracy of to add some services and hope to expand the knowledge about what Planned Parenthood really does, Leriche says. Knowing that 99 options to meet patient needs. One service new to the Middlebury clinic is percent of women of reproductive age have that they now have a mental health counselor used birth control in their lives and that one who will be onsite during all open hours and in every five women have used Planned can address a wide range of mental health care Parenthood may help others recognize the need for safe, professional and caring clinics needs. The move to Exchange Street puts the to care for these needs.
Device detox (Continued from Page 7) nothing to do with tech. The next time a friend has a birthday, a phone call feels more personal than a “Happy Birthday” on their timeline. While a week is said to be the typical length of time for a “digital detox” a “device-free weekend” might be a great way to dip your toe into the tech-free water. Don’t open your laptop, leave the work emails on unread, and put that cellphone in a drawer. Read from a paper book, write in a paper diary or planner, and see how you feel come Monday morning. Perhaps you will feel more present, clearer minded and have
better posture? Or what about a “device-free hour”? For those of us who would be considered indoor people, I usually stash my phone in a different room when I’m in desperate want of some quiet time with a book. For the outdoorsy persons among us, being where we are also presents an opportunity to reconnect a bit more with nature. Go out for a walk where you can enjoy having your head turned upwards toward the birds in the trees and the snowy sky and enjoy the present moment, not just about how great it would look on your Instagram.
Healthy people… healthy goals Dr. Carrie Wulfman, MD; Brandon Primary Care, Porter Medical Center Health-related goals/ resolutions for 2018? “Get my rest. Play tennis three to four times a week. Keep a positive attitude.” Health habit you want to break this year? “Curb my sweet tooth. Need to control it more.” Something different you wish you had done with your health last year? “Exercise more. Last year was an unusual year for me. I normally exercise three to four times a week.” Something new you want to try this year? “Pickleball. It’s like mini-tennis.” Best health-related goal you’ve ever set for yourself? “I always drink plenty of water every day. Usually 2 or 3 liters. It’s really important.” Health Extra: “I read a daily inspirational book called ‘Daily Gratitudes.’ I don’t know the author. I don’t usually pay much attention to things like that.”
STEVE HARE
Health & Well Being • Addison Independent, Monday, January 22, 2018 — PAGE 9
DR. CARRIE WULFMAN, MD
Steve Hare-Owner, Vermont Sun Fitness Health-related goals/resolutions for 2018? “I’m a bad one to answer that. I’m just continuing the same plan that I’ve had for 45 years ... I want to motivate more young people to start a lifestyle of fitness. My one splurge is locally brewed beers. I’m going to keep it to two.” Habit you want to break this year? “Probably the local brew thing ... Also I want to break the habit of snacking before bed.” Best health-related goal you’ve ever set for yourself? “Adopting a healthy lifestyle and a vegan lifestyle that has evolved over the years. Adopting a diet high in nutrients. Keep my eyes and brain sharp. I’ve been vegan pretty much for 40 years. Will make the occasional exception for milk in my coffee if need be.” Health Extra: “I’m reading ‘Power Foods for the Brain’ by Neil Barnard, and I really enjoyed ‘The Starch Solution’ by John McDougal.”
Olga Pschorr, Yoga Instructor, and Director of New Leaf Montessori Health-related goals/resolutions for 2018? “That’s big. We have a flow and glow culture, we are constantly being asked to jump from one thing to another, to be soft on our metatarsals. I like to resist the lickety-split in my yoga teaching when I can. I have found in my yoga practice that the slower practice is more healing for myself and for other people. So my goal for the next year is to do less rushing, give myself plenty of space before my practice and before teaching. I’d like to improve my steadiness, creativity and softness in my practice And to make room for more meditation.” Habit you want to break this year? “Balancing more so I don’t feel rushed. Give myself space before having to be ‘on’ for a class. Give myself more rest and sleep. Slow down.” Best health-related goal you’ve ever set for yourself? “Having a regular, steady, focused yoga practice is the best goal I’ve ever set. Meditation has also been extremely positive. Also teaching, and learning more to improve my teaching.” Something you wish you had done differently? “The constant change and turmoil of last year, nourishing myself more so I can tend to and care for others. I want to slow down and focus on the felt sense more closely.” Looking forward to trying anything new this year? “Focusing more on creativity, yoga, and other pursuits.” Health Extra: Approaching your yoga practice with more softness is much more healing with people, especially if you are trying to relieve stress. (See Healthy goals, Page 10)
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PAGE 10 — Health & Well Being • Addison Independent, Monday, January 22, 2018
Healthy goals (Continued from Page 11) Joanna Colwell-Owner, Otter Creek Yoga Health goals/resolutions for 2018? “In the past I would have said increase the amount of time in headstands or eat more kale. But the deeper I got into yoga the less concerned I am with my health and the more concerned with our wider community. We also have to focus more on justice for marginalized communities. I’m now more focused on society’s emotional well-being.” Health habit you want to break this year? “The habit of worrying about what people think of me. The ‘Me Too’ movement has inspired me to break the habit of being so concerned with being polite over standing up for what is right.” Something new you want to try this year? “Try pushing myself out of my comfort zone. To be more emotionally present in the quest to break down barriers.” Best health-related goal you have ever set for yourself? “I’m now 50, I started practicing yoga in my 20s. Over half of my life, and all of my adult life I have practiced yoga. It has shown me compassion and presence. It has taught me to honor my own body and to honor the bodies of others. My body is not better than anyone else’s body. I want everyone’s body to be cared for and safe.” Health Extra: “Stay fit to smash the patriarchy.”
JOANNA COLWELL-OWNER, OTTER CREEK YOGA
SHELLY HARE
Shelly Hare-Owner, Vermont Sun Fitness, Fitness Instructor of Aqua Aerobics, Spinning, Bootcamp & Many Others Health-related goals/resolutions for 2018? “Be kinder to others. Be kinder to myself. Helping others to be healthier. I don’t personally make resolutions, just continue my health habits from the previous year.” Habit you want to break this year? “To not be so hard on myself. It’s fine if you miss a workout and have to miss a day. Need also to be mindful of my sweets consumption. I enjoy jelly beans and dark chocolate.”
Best health-related goal you’ve ever set for yourself? “To put exercise into my daily routine. I made that goal at 18.” Looking forward to trying anything new this year? “Well when I travel to different places and foreign countries I take fitness classes there. I don’t know where I will go this year. I love seeing what new things I can learn and bring home.” Health Extra: “I come from an Italian family that cooked all our meals. Don’t eat out a lot. Restaurant food is always going to have more fat and salt.”
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Health & Well Being • Addison Independent, Monday, January 22, 2018 — PAGE 11
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PAGE 12 — Health & Well Being • Addison Independent, Monday, January 22, 2018