Healthy New Albany January 2014

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inside 9

January/February 2014 Vol. 3, No. 3

First Glance

Letter from the Executive Editor

10 In & Out

What’s happening in and out of New Albany 11

My Story

Weighty Matters Battling the pounds and the health risks that accompany them

12 Personalities

Health Honcho

Wellness and nutrition are old hat for new director

16

On the Path

p. 16

p. 22

Farm Fresh Fitness Health was a huge factor in the design of Bob Evans’ new corporate HQ

20 Initiatives

From the City of New Albany 22

The Stats on Statins

25

Foods for Fitness

In the Market Chef demonstrations liven up indoor Farmers Market

28

Ask the Expert

32

Gadgets & Gear

34

4

New drug guidelines may double number of users

Battling the Winter Blues Lack of light and other issues bring on Seasonal Affective Disorder Health and Fitness finds

Insight

Brief updates from the world of wellness

p. 25 WIN!

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See page 32 for item details.

On the Cover Tracy Ingram, executive director of Healthy New Albany, Inc. Photo by Scott Cunningham Photography

Share comments/feedback at editor@healthynewalbany.org www.healthynewalbanymagazine.com

Create a roadmap for the financial future you envision.

Planning is the doorway to what’s possible. It’s the first step in our ongoing conversation to understanding your needs, developing a clear, actionable plan and adapting as circumstances change. Whether you need to save more intelligently, access your money more efficiently or borrow more strategically, you’ll have more confidence in being able to meet all of your goals, no matter what the environment.

It’s not just about your money, but what your money can do to change your life. Advice. Beyond investing.

Charles Dankworth, CIMA®, CFP® Senior Vice President–Wealth Management Senior Portfolio Manager, Wealth Advisor charles.dankworth@ubs.com The Dankworth Group 180 Market Street, Suite 200 New Albany, OH 43054 614-939-2202

ubs.com/team/thedankworthgroup

We will not rest UBS Financial Services Inc., its affiliates, and its employees are not in the business of providing tax or legal advice. Clients should seek advice based on their particular circumstances from an independent tax advisor. CFP® is a certification mark owned by Certified Financial Planner Board of Standards, Inc. CIMA® is a registered certification mark of the Investment Management Consultants Association, Inc. in the United States of America and worldwide. As a firm providing wealth management services to clients, we offer both investment advisory and brokerage services. These services are separate and distinct, www.healthynewalbanymagazine.com 5 differ in material ways and are governed by different laws and separate contracts. For more information on the distinctions between our brokerage and investment advisory services, please speak with your Financial Advisor or visit our website at ubs.com/workingwithus. ©UBS 2013. All rights reserved. UBS Financial Services Inc. is a subsidiary of UBS AG. Member FINRA/SIPC. 7.00_Ad_8.5x11_NV1121_DanC

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Phil Heit Executive Editor TM

781 Northwest Blvd., Suite 202 Columbus, OH 43212 614.572.1240 www.cityscenecolumbus.com

Experience the dream of calling New Albany home

Jean M. Lesnick

Charles L. Stein

Chief Executive Officer

Kathleen K. Gill

President/Publisher

Dave Prosser

Chief Creative Officer

Lynn Leitch

Controller/Circulation

Christa Smothers Lisa Aurand Garth Bishop, Duane St. Clair

220 Market Street Ste. D 614-939-8937 614-537-5376 JeanL@newalbanyrealty.com

Stephan Reed

Creative Director Editor Contributing Editors Editorial Associate

Joel Altschule, Scott McAfee

Contributing Writers

Aamna Aziz, Nathan Rhodes

Editorial Assistants

Gianna Barrett Julie Camp, Pam Henricks, Nick Lannan, Molly Pensyl

Advertising Director Advertising Sales

Healthy New Albany Magazine Advisory Board Healthy New Albany Magazine is the Official Publication of Healthy New Albany, Inc., convened by The New Albany Community Foundation.

Acupuncture of New Albany Fertility • Pain Issues IBS • Migraines Stress • Depression Hypertension • Allergies as well as Counseling and Wellness Coaching

Jamie Allen, M.D. Darrin Bright, M.D. April Domine Lisa Hinson Benita Jackson, M.D., M.P.H. Craig Mohre David Sabgir, M.D. Amy Sternstein, M.D. Lance White

Elizabeth Swanger, L.Ac. 614-933-0700 39 E. Main Street New Albany, Ohio 43054 acupunctureofnewalbany.com 6

Wexner Medical Center at The Ohio State University OhioHealth New Albany-Plain Local Schools Hinson Ltd. Public Relations American Health Holding Inc. New Albany Community Foundation Mount Carmel Health System Nationwide Children’s Hospital UBS Financial Services

The Publisher welcomes contributions in the form of manuscripts, drawings, photographs or story ideas to consider for possible publication.

Enclose a SASE with each submission or email laurand@cityscenemediagroup.com. Publisher does not assume responsibility for loss or damage.

The appearance of advertising in Healthy New Albany Magazine does not constitute an endorsement of the advertiser’s product or service by the City of New Albany or Healthy New Albany, Inc..

Healthy New Albany Magazine is published in January, March, May, July, September and November. Subscriptions are free for households within New Albany-Plain Local Schools. For advertising information or bulk purchases, contact Gianna Barrett at 614-572-1255 or gbarrett@cityscenemediagroup.com.

No part of this publication may be reproduced without the written consent of the publishers. Healthy New Albany Magazine is a registered trademark of CityScene Media Group. Printed in the U.S.A.

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first glance

Building Better Health When people ask me about my occupation, I make it clear to them that I am in the construction business. The many projects I have initiated and completed over the years are built on a solid foundation and have been constructed to withstand the test of time. Amazingly, every construction project in which I have been involved required the usual tools of the trade. I am always guided by well-designed blueprints that are created in consultation with a team of knowledgeable professionals whose priority is to make sure that the final product will not only meet, but exceed, standards.

After scrutinizing, revising and agreeing on a final blueprint, the construction team forges ahead, equipment in tow, to create the desired product. However, this creation is not held together with bricks and mortar or, for that matter, wood and nails. Rather, this product is something that is revered by everyone – though some possess more of it than others. I am talking about good health.

In New Albany, we are building a culture of health that will permeate all aspects of our day-to-day living. It impacts the lives of everyone, whether resident, employer, employee or those in the learning community. Such is the Healthy New Albany initiative.

Healthy New Albany is the initiative, the concept, that currently serves as the central hub from which health-related programs and services emanate. Construction of Healthy New Albany began many years ago with the inception of the Walking Classic and evolved to a series of events such as the highly regarded Farmers Market, the sold-out plots of the Community Garden, the highly attended lecture series and, of course, this magazine.

As a part of the construction of Healthy New Albany, Tracy Ingram was hired as its executive director whose task it is to further build upon the momentum that has been generated. Get to know Tracy as you read about her in this edition.

And by the way, the brick-and-mortar version of Healthy New Albany, aka the Center for Healthy New Albany, is under construction on Main Street.

Healthfully,

Phil Heit, Executive Editor

www.healthynewalbanymagazine.com

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in & out

What's happening in and out of New Albany Jan. 22 Healthy New Albany Lecture Series: Author Dr. Leonard Sax 7 p.m., Jeanne B. McCoy Community Center for the Arts, www.healthynewalbany.org

Feb. 9

Jan. 9, 23, Feb. 13, 27

New Albany Symphony Orchestra presents Let’s Go to the Movies

Ideas, Inspiration and Input 10 -11:30 a.m., Plain Township Fire Department, www.healthynewalbany.org

3 p.m., Jeanne B. McCoy Community Center for the Arts, www.newalbanysymphony.net

Jan. 26 Annual Winter Hike Series 2 p.m., Inniswood Metro Gardens, Westerville, www.metroparks.net

Jan. 11, Feb. 8

Feb. 13

New Albany Indoor Farmers Market 9 a.m.-noon, Church of the Resurrection, www.healthynewalbany.org

Chris Botti Photo courtesy Cheryl Blair

8 p.m., Jeanne B. McCoy Community Center for the Arts, www.mccoycenter.org

Feb. 2 Audubon Bird Hike 9 a.m., Blendon Woods Metro Park, Westerville, www.metroparks.net

Jan. 16 The Temptations 8 p.m., Jeanne B. McCoy Community Center for the Arts, www.mccoycenter.org

10 10

Photo courtesy Barb Nye

For more events and detailed descriptions, visit www.healthynewalbanymagazine.com.

Feb. 27-March 2 Arnold Sports Festival Throughout Columbus, www.healthynewalbanymagazine.com www.arnoldsportsfestival.com

By Joel Altschule

my story

Battling the pounds and the health risks that accompany them Editor’s Note: “My Story” is our new, first-person column about health issues that touch New Albany community members. Have a story to share?

Email laurand@cityscenemediagroup.com. Submissions should be no more than 500 words.

M

y mother used to take me to the husky department.

I remember that vividly.

My weight has been a battle all my life. I look at pictures of myself from 30 years ago, and I remember how heavy I thought I was then, and now I think I look pretty thin. It’s all in your perspective. Of course, not being tall hasn’t helped things, but that’s just the way it goes.

I went on Weight Watchers in 1972. I lost 30 pounds. I went to Weight Watchers in 1981 and lost 25 pounds. Those were successful, but I had subsequent tries there and what worked before didn’t work anymore. I had always been able to keep my weight under control through exercise, but in 1999, my body started to break down. I probably put on 20 pounds in a threemonth period. With the stresses in life and the inability to exercise the way I had been, it seemed like I blew up overnight.

Then what? I was pretty much at an impasse.

I went to a nutritionist at The Ohio State University. I went into counseling to try to figure out why I eat. Weight loss is really multidimensional. It’s not just diet. It’s not just exercise. So much of it is emotional and habitual; you have to attack it on a number of different fronts.

You may not know this, but my degree is in pharmacy. I’m still licensed, but I don’t practice, so I’m well aware of what weight does. When I started trying to lose weight 40 years ago, it was ego-driven, but the older you get, the more impact being healthy has.

I’m 5’5” and my Body Mass Index is 37, and I have high blood pressure and sleep apnea, so I’m considered morbidly obese.

I had lap band surgery three years ago. I lost weight. It’s a 20-minute surgery. The lap band fits around the top part of the stomach and there’s a bladder on the inside that restricts food going down from your esophagus into your stomach. There are pluses and minuses. You cannot eat big pieces. You have to chew everything, and there are some things you cannot eat.

But ice cream goes down really easily. So do cookies dipped in milk, and clearly those aren’t ideal. As with any of those surgeries, it’s a tool. It’s not going to solve everything for you.

They are just tools to help you.

I’m probably down 35 pounds from my high, but I still have another 25 to go, and right now I’ve plateaued. I bike a lot. This year I biked 2,500 miles, and that’s been a consistent thing during the last four years, so exercise isn’t really the problem. www.healthynewalbanymagazine.com

Exercise helps your heart, it helps your mood, but then you read reports that exercise alone really doesn’t cause weight loss.

Some people didn’t understand why I decided to have the surgery, but I’m 65 years old and I’m stubborn enough to do whatever I can to lead the life I want to lead.

I do feel very good about myself now. It’s very empowering. You have a different outlook on life. Before, I felt defeated, and most people would be surprised to hear me say that because it’s not my apparent personality. When you can achieve the goals you’d like to achieve, you feel better physically and emotionally.

But I have to stress, this is still a battle. There’s not a day I wake up and it’s not on my mind. There’s not a day that it doesn’t affect me. If I lose weight, I feel great. If my clothes fit, I feel great. If my weight is up a little bit or the pants are a little too tight, I don’t have as positive of an attitude. It’s on my mind every single day. It’s an issue I’m still working on.

Joel Altschule is vice president of wealth management and a financial advisor at The Altschule Hall Nader Group UBS in Market Square. As told to Lisa Aurand.

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Photos by Scott Cunningham Photography

“

Health can be not just what you eat and how much you exercise, but it’s your network and … a support group. It’s how you handle resilience and stress and whether you’re doing the things that build up your spirit versus tearing it down.

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“

- Tracy Ingram

www.healthynewalbanymagazine.com

By Lisa Aurand

personalities

Health Honcho Wellness and nutrition are old hat for new director

S

he’s still unpacking boxes in her office at The Ohio State University and her house on Bevelhymer Road, but Tracy Ingram has jumped right into her role as executive director of Healthy New Albany, Inc.

Her weeks are filled with meetings and decision-making – attending open forums with the New Albany community to discuss programming and finalizing placement of electrical outlets at the Center for Healthy New Albany, which is under construction, to name a few. The facility is a partnership with the city of New Albany, The Ohio State University Wexner Medical Center and Nationwide Children’s Hospital.

The newly hired director – the position is partially funded through the nonprofit organization and partially through the OSU Wexner Medical Center – is a recent transplant to the New Albany area, but she has extensive experience in the field of health.

Originally from Indiana, Ingram has a bachelor’s degree in nutrition and chemistry from Indiana University.

“I was always really good in the sciences, but I grew up very close to my grandmother and grandfather, and my grandmother loved cooking,” Ingram says. “I thought, ‘Wouldn’t it be cool if I could mix the two?’ And then (I got) into college and (learned) about food science and nutrition and (I thought), ‘This would be awesome.’ It kind of captured my heart – being healthy and understanding how food plays a role in both sustaining health and preventing future illnesses.”

While in college, she met and married her husband, Brett. She started her cawww.healthynewalbanymagazine.com

reer as a registered dietitian and eventually moved into the business side of health care.

She was a sales manager at Nabisco before returning to school at Indiana University Purdue University, earning her master’s in health care administration and becoming a health care economics instructor there. She began doing health care consulting shortly before Brett’s job in software brought him to central Ohio in 1998, and she continued that work until 2008, when she was offered a full-time position at OhioHealth.

All the while, the couple was raising their three sons – Luke, Clark and Caleb, now in their 20s. Tall and trim, Ingram has a bright smile and an easygoing manner. The bookshelf in her office at OSU holds a number of cookbooks, and she enjoys cooking on the weekends.

“I have 167 cookbooks.

I love to convert recipes to be more healthful. I love that. That’s a great hobby of mine. I read cookbooks on a regular basis. Is that a goofy hobby?”

Her other hobbies in-

clude hiking, golfing and tennis. “I started playing tennis in the street of my neighborhood when I was really young, like 8 or 9. I used to ride my bike to the local club, and I started taking tennis lessons,” Ingram says.

She played through high school in Anderson, Ind. and her freshman year at IU, then picked it back up as an adult and was a tennis pro at Wedgewood Golf and Country Club in Powell.

The family lived in Dublin while Ingram worked at OhioHealth as a senior leadership specialist in the Department of Organizational Development. Her project creating and overseeing a nurse management training program reduced

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turnover from 23.5 percent to under 5 percent and improved productivity so much that she was honored with the 2013 Management Innovation Award from the American College of Healthcare Executives.

The award prompted Ingram to take stock of her career.

“It kind of spurred me to say, ‘I’m at this time in my life when I’m an emptynester. I want a job that has purpose beyond myself,’” she says. “I really wanted to get my arms around something that would draw that kind of passion.”

A coworker at OhioHealth referred her for the Healthy New Albany director position, and Ingram was stunned at what a great fit it was for her background.

“It seemed to fit a lot of things that I do with my nutrition and the health administration background. It was a mixture of the two,” Ingram says. “I really felt like this job was made for me, and that’s a great blessing.”

In the weeks, months and years to come, Ingram will guide the efforts of the volunteer-driven organization. The New Albany community will have just as much say in programming at the center as it has in the group’s efforts to date.

November marked the first of several open forums to discuss programming at the center, with approximately 35 people in attendance, Ingram says. Upcoming dates for the forums, dubbed “Ideas, Inspiration and Input,” are Jan. 9, Jan. 23, Feb. 13 and Feb. 27. All forums are held from 10-11:30 a.m. at the Plain Township Fire Department, 9500 Johnstown Rd. Ingram describes the center as a place where New Albany residents can go for a holistic plan for health. www.healthynewalbanymagazine.com

√

5 YEARS:

the length of time it takes to become a registered dietician. Students must first receive a bachelor’s degree in nutrition and dietetics from a school that is accredited by the Accreditation Council for Education in Nutrition and Dietetics. They then must complete an internship at a health care facility, community agency or food service corporation and take the national exam, administered by the Commission on Dietetic Registration. Source: The Academy of Nutrition and Dietetics

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“This is really taking health care as we know it and turning it on its head,” she says. “Instead of going to the doctor when you’re sick, you’re going to get a prescription for health – a prescription for exercise, a prescription for diet and nutrition – and we’re going to roll that into the community side (of the building) and that’s going to be part of the programming there, too.”

Health takes many forms, and the new center will touch on several aspects of it, including art, cooking and nutrition, exercise, and community, Ingram says.

“Health can be not just what you eat and how much you exercise, but it’s your network and … a support group,” she says. “It’s how you handle resilience and stress and whether you’re doing the things that build up your spirit versus tearing it down.”

Ingram is looking forward to the center’s opening, which is currently planned for Nov. 1. In the meantime, she’s getting to know New Albany and planning how best to pursue the goal that Healthy New Albany founder Phil Heit set: to make New Albany the healthiest city in the country.

“I feel like I’m a lifelong learner around health and nutrition,” Ingram says.

“That’s why this project is so exciting.

We’re taking the OSU research science and bringing it to a practical forum to help people improve their lives and become more healthy.”

Lisa Aurand is editor of Healthy New Albany Magazine. Feedback welcome at laurand@cityscenemediagroup.com.

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on the path

By Garth Bishop

Farm-Fresh Fitne F

rom the walking path and workout facility to the lighting system and building layout, wellness is a major component at the new Bob Evans Farms Inc. campus on Smith’s Mill Road.

The company relocated to New Albany in late October, coming from its longtime office campus in south Columbus.

The center of the 40-acre campus is the two-story, 135,000-square-foot main building. Company leaders knew about New Albany’s passion for health, and that helped convince them the city was a good place to locate their new office.

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Informally and in official company surveys and focus groups, employees were asking for more health options, says Joe Eulberg, executive vice president of human resources, and the south Columbus campus just didn’t have the facilities to make those things happen.

Eulberg is heavily involved in the company’s corporate wellness programs and was also the executive lead for the new building. Throughout the process, he says, the key was to make employees’ personal fitness challenges less complicated.

“Sometimes it’s easier to remove barriers than to try to convince people to do something,” he says.

A one-mile path loops around the campus, offering an easy fitness option for walkers and runners, and it connects to the New Albany leisure trail system for the benefit of distance runners and cyclists. www.healthynewalbanymagazine.com

40%:

the increased chance of mortality within the next three years for individuals who sit for more than 11 hours a day. Prolonged inactivity severely heightens the risk for cardiovascular disease. Want to cut your risk? Taking periodic breaks to stand or walk around can help, as can participating in a workplace wellness program.

Source: Archives of Internal Medicine

ess

Health was a huge factor in the design of Bob Evans’ new corporate HQ

The path winds through orchards with chestnut and apple trees and strawberry, blueberry and raspberry plants, which the company’s chefs will begin to use in the test kitchen in the spring.

“We’re excited for it to get warm again so we can really utilize this space,” says Frances Janakievski, corporate communications manager.

On the first floor of the main building is the BEing My Best Fitness Center (“BE” for “Bob Evans”), filled with weight machines, free weights and cardio equipment. It also sports a fitness room with various classes – including boot camp, Zumba, Pilates and kickboxing – scheduled throughout the week, and members can also arrange for one-on-one and small group training there. Educational seminars on such topics as fad diets and workplace health habits are soon to join the offerings. www.healthynewalbanymagazine.com

Bob Evans partnered with the YMCA of Central Ohio to operate the center, membership in which is voluntary and costs $20 per month. About a quarter of the 436 employees and contractors working at the Bob Evans headquarters were already center members as of early December.

“I think last count was over 110 members before the start of the January rush,” says Allison Kehlet, corporate wellness coordinator.

On the other side of the ground floor is the Farmer’s Market Café, which is open for breakfast and lunch as well as for togo dinner orders. Though operated by hospitality group AVI Foodsystems, the employee cafeteria incorporates Bob Evans favorites into its menu – think sausage sandwiches and mashed potatoes.

Each of the café’s stations, which include fusion and Italian, has two daily 17

The pond (above), Founders Garden (right), second-story office floor (far right) and Farmer’s Market Cafe (bottom) at the Bob Evans corporate campus

specials: one standard and one healthful. There’s also a grab-and-go area that features a short menu of standards and salads, plus the Bob Evans Express, a new company concept for locations such as airports and hospitals that sells coffee, smoothies and the like.

The two-story test kitchen, arranged just like a Bob Evans restaurant, is smack in the center of the main building. That central location makes it much easier for the test kitchen employees to collaborate with the company’s other departments and participate in taste tests, and the state-of-the-art equipment helps entice other large companies to work with Bob Evans to develop new items, Eulberg says.

The kitchen is the hub of the company’s menu-tweaking efforts, which have recently included emphasis of a 450-calories-and-under menu, a gluten-free menu and an interest in local sourcing.

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Other health-centered highlights include adjustable standing desks for employees who request them, “Burn Calories, Not Electricity” signs on the elevators to encourage use of stairs, tall fountains with purified water to make refilling water bottles easier and privacy rooms for employees who need a minute or two to collect their thoughts.

When the company moved to the building, each employee received an insulated bag containing a pedometer and a recycled cup for water, as well as earbuds, a notebook and a sausageshaped USB drive.

A huge part of the effort to improve

employee health – not just at the main campus, but across the entire company – was making the entirety of Bob Evans tobacco-free Jan. 1, 2013, including the office campus, all restaurants and all plants. To make that happen, the company partnered with the American Cancer Society to roll out a major smoking

www.healthynewalbanymagazine.com

cessation program, giving employees who wanted to quit smoking a huge menu of options to help them do so and covering costs of items such as nicotine patches.

“We basically gave a year and a half notice,” Eulberg says.

The focus on wellness is also incorporated into the design of the LEED goldcertified building. Departments are separated in such a way as to get employees up and moving to and from meetings, and the company is strongly encouraging pediconferencing, especially once the weather gets warm.

“You go to four or five meetings, walking back and forth across the building, and you can get your 10,000 steps (for the day) pretty quick,” Eulberg says.

The roof of the main building is covered with solar panels, and the hanging lights inside are regulated by the amount of natural light coming in – they’ll dim when it’s sunny and intensify when it’s overcast.

Research shows direct access to sunlight has positive effects on mood, and about 75 percent of employees have such direct access, says Eulberg.

Additional campus highlights include a pond, a pavilion and multiple areas emphasizing the company’s history.

The campus also features a training facility north of the main building and a shipping facility to the south.

Garth Bishop is a contributing editor. Feedback welcome at laurand@ cityscenemediagroup.com.

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initiatives

By Scott McAfee

Nurturing Nature Preserving New Albany’s beauty requires community cooperation

D

Drive around town or walk along our 30-plus miles of leisure trails, and it quickly becomes evident that our natural landscape is an important facet of our community. Trees, streams, golf courses and meadows are methodically maintained and surrounded by our white horse fencing, classic architecture and rural roadway design to create a rustic beauty for everyone to enjoy. All of us – municipalities, developers, residents and business partners – are embracing the idea that preserving natural amenities and practicing environmentally friendly endeavors enhances our quality of life.

Examples abound. The New Albany Country Club received a “Certified Audubon Cooperative Sanctuary” designation for its dedication to provide a sanctuary for wildlife on its golf course.

Corporate partners such as Abercrombie & Fitch and Bob Evans are able to maintain a scenic setting on their campuses in the middle of the largest planned office park in the state of Ohio. Bob Evans and many new businesses located at the International Personal Care & Beauty Campus in our business park built LEED certified structures, and the city implemented a greywater irrigation system to support this campus.

Village Center – Rose Run Restoration One of New Albany’s best natural assets is the Rose Run Stream and corridor, which runs through the Village Center between Market Square and the school learning campus. Since 2010, the city has received nearly $1.2 million in federal and state grants to make improvements to the stream, including the removal of invasive species; replanting of native trees, shrubs and plants; stabilization of the stream itself; and daylighting a previously piped section of Rose Run adjacent to the McCoy Center. These measures are improving water quality and enhancing overall wildlife habitat while providing opportunities for students to learn more about their environment and facilitating future recreational improvements to this corridor.

Tree Replacement & Treatment Some residents have inquired about the significance of pink ribbons on select street trees (those trees planted within the city right-of-way that are not on private property) around town. These trees, nearly 1,000 in all, are along U.S. Route 62, state Route 605, Dublin-Granville Road and Fodor Road as well as in the Hampstead Heath, Prestwould Close and New Albany Links subdivisions. Many became infested by the Emerald Ash Borer and have already been replaced or are in the process of being removed and replaced by the city, New Albany Company and local homeowners’ associations. These same partners are treating some of the larger ash trees with some degree of success as they attempt to save them.

Rocky Fork Metro Park in Plain Township A partnership between the city of New Albany, Plain Township, Franklin County Metro

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www.healthynewalbanymagazine.com

Parks and the city of Columbus, the park itself will be located north of Walnut Street between Schott and Bevelhymer roads. Planned nearly a decade ago, the park is expected to begin development next year.

The park will feature the preservation of natural features including the headwaters of Rocky Fork Creek. It will also include picnic areas, horseback riding trails and leisure trails. New Albany leaders are exploring ways to connect the community leisure trail network to this metro park to provide alternative transportation choices and enhance the park user experience.

New Albany initially pledged $2.5 million for land acquisition in 2005 for this park. Since then, more than 900 acres have been purchased for park development, with plans for an additional 300 acres. To move these expansion plans forward, New Albany and Columbus officials are committing another $1.25 million each over the next five years for land acquisition. Metro Parks committed another $1.25 million and Plain Township another $250,000 over that same time frame for either land acquisition or park development.

Our combined efforts are helping to preserve New Albany’s natural beauty.

Each of us is doing our part to look after this exceptional place we call home.

Scott McAfee is public information officer for the city of New Albany and a contributing writer. Feedback welcome at laurand@cityscenemediagroup.com. www.healthynewalbanymagazine.com

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By Stephan Reed

The C Stats on Statins New drug guidelines may double number of users 22

Cardiovascular disease is the leading cause of death in the United States. Heart disease kills more than half a million people annually, according to the Centers for Disease Control and Prevention.

Recent guideline changes to preventative prescriptions could help in the battle – but not without a little controversy.

An updated heart attack risk calculator was recently released by the American College of Cardiology and the American Heart Association, along with four new guidelines for statin use.

Patients with a 10 percent or greater chance of suffering a heart attack or stroke were prescribed the medication.

Now doctors may prescribe medications to those with a risk greater than 7.5 percent. The number of statin users could double as a result, says Dr. David Sabgir, clinical cardiovascular specialist at Mount Carmel Medical Group and a member of the Healthy New Albany Magazine Advisory Board.

“(Originally,) 15.5 percent of adults were recommended statins,” Sabgir says. “Now, they will be recommended to 31 percent of adults.”

Statins reduce the amount of cholesterol in the blood by inhibiting the enzyme HMG-CoA reductase from being produced. This enzyme is active in cholesterol production in the liver.

Not every doctor agrees with these changes, and the findings are based on limited data, Sabgir says.

“Suppose we know that your heart attack or stroke risk in the next 10 years is 20 percent or more – that data is very solid. You need to be on a statin,” he says. “However, the data between 7.5 and 10 percent is limited.

Some people say, ‘What’s it going to hurt?’ But you have to be careful of what you put in your body.”

Even if someone reaches the threshold of statin recommendation based on the ACC and AHA calculator, his or her actual risk percentage may be lower than the test shows. www.healthynewalbanymagazine.com

“The kicker is a lot of those numbers that come out as a 7.5 percent risk may actually be a 2.5 or 3 percent,” Sabgir says.

According to medical journal The Lancet, the calculator greatly overestimates the risks, sometimes by as much as 75 to 150 percent.

“The panel that made this decision is not free of commercial bias,” Sabgir says.

Some of them are being funded by drug companies, so you have to consider the source, but that doesn’t mean they’re making decisions that will hurt (people).”

The other three changes to the guidelines are less controversial and are generally agreed upon.

27%:

the increased risk of developing diabetes during statin treatment, according to a 2008 study from the New England Journal of Medicine.

New-onset diabetes mellitus is more common in patients who received treatment, but the risk of heart attack was lowered by 54 percent and stroke risk was lowered by 48 percent because of the statin use.

Patients with LDL levels greater than 190, those who have had coronary heart disease previously and those who are between the ages of 40-75 and have LDL between 70 and 189 will be recommended a statin to help control cholesterol levels.

Statins are relatively effective and side effects are mild, but the drugs shouldn’t be taken lightly.

“You need to treat 140 people to save one heart attack,” Sabgir says. “Of those 140, 18 percent of those people will experience myalgia, slight increase in diabetic risk in women, sexual dysfunction and possible liver problems. If the patient is stricken with one of these, it goes away as soon as treatment ends.”

Statins also run the risk of reacting poorly with other medications. Communication with a doctor is advised before starting treatment.

“By definition, every medicine is a poison,” Sabgir says. “It is reacting with something in your body and you have to decide if it is worth that risk.”

Costs for these medications are another concern. While some drug stores www.healthynewalbanymagazine.com

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give the generic version of the medication out free of charge, the name brands such as Crestor often come with a problematic price tag.

“Cost varies for each person, but it is not small,” Sabgir says. “Most doctors would be better off starting their patients on one of these generic drugs.”

While increased statin use brings along a little extra baggage, there are some positives to the new guidelines, and the change was rooted in trying to help.

“There’s a lot of good to this,” Sabgir says. “People are going to be talking to their doctors more. It will need to be a discussion between a patient and their doctor.”

Check with your doctor to get an accurate cholesterol reading and remember that cholesterol isn’t the only factor in heart disease and stroke risk, Sabgir says.

“Cholesterol is only one part of the risk,” he says. Other factors include age, gender, blood pressure and whether or not a patient is a smoker. Lifestyle change is the key to decreasing heart disease and stroke risks and the eventual need for a statin.

“The main things that aren’t included in the risk calculator are exercise, following a good diet of lean protein, fruits and vegetables, not smoking and keeping a healthy body weight,” Sabgir says. “If you keep up with these things, the odds of you needing a statin will decrease significantly.”

Stephan Reed is an editorial associate. Feedback welcome at laurand@ cityscenemediagroup.com. www.healthynewalbanymagazine.com

Foods for Fitness

Chef Alfonso Contrisciani

By Lisa Aurand

Chef demonstrations liven up indoor Farmers Market

T

Photo by Lisa Aurand

That delicious smell in the air at the indoor New Albany Farmers Market could be any number of things – baked goods, produce, jam, flowers, greenery or candles, to name a few of the items on hand each month.

Or it could be a tasty dish whipped up by a guest chef – and if you stop by the chef’s table, you’ll be welcome to sample it. At the November market, Chef Alfonso Contrisciani, owner and master chef at Plate, served up a chowder featuring duck sausage, along with kale, potatoes and baby ginger procured from vendors at the market.

“I had a lot of fun,” says Contrisciani, who decided what to make after he arrived at the market. “I know what’s in season and I brought some herbs, some oil, basic supplies, pots and pans.”

Farmers Market organizers made the decision to bring in a variety of guest

IN the

Market www.healthynewalbanymagazine.com

25

Chef Alfonso Contrisciani’s duck sausage chowder

chefs this year to augment the offerings and demonstrate how to use them in cooking.

“Eating fresh and local has health, economic and environmental benefits everyone can enjoy,” says Market Coordinator Kristina Jenny, MS, RDN, LD. “Having professionals available to discuss these ideas adds to the goal of the Farmers Market and Healthy New Albany: to bring health-related programs into our community.”

The list of guest chefs includes Jason Baehr, executive chef at the Courtyard Columbus West, who cooked a roasted butternut squash soup with candied apples at the October market.

Baehr, too, took his inspiration from ingredients on hand.

“The produce that was available was obviously fresh and delicious. I didn’t want to do too much with it to change its composition,” Baehr says. “It was one of the coldest days of the month that day, so I decided a warm soup would

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be something that people would enjoy.”

Baehr says he enjoyed talking to market attendees and helping them with their shopping.

Columbus Culinary Institute student Eileen Pewitt cooked at the December market. In the coming months, market organizers will tap one of their vendors for a demonstration. Daineal Donovan of GoldenLife Dog Food is a chef for humans as well as for their furry friends. In addition to owning the fresh dog food business, Donovan is a certified culinary executive chef and a culinary arts teacher at Bradford School.

“It makes the market a little more upscale because there aren’t any (other) indoor farmers markets that I know of that do demonstrations right now,” Donovan says.

Donovan, who specializes in desserts and pastries and has a lot of experience doing cooking demonstrations, anticipates that he may make crepes with orange liqueur at a future market.

“Doing demonstrations is really exciting because you can represent to people different flavors and different tastes and educate people on how to use flavors. There are so many new developments in the culinary world right now that people are not even aware of.”

This is the second year for the winter incarnation of the New Albany Farmers Market, and turnout has been consistently increasing, thanks to the variety of products available. The market touts more than 30 merchants selling fresh food and artisan products. Markets are www.healthynewalbanymagazine.com

Chef Jason Baehr

held the second Saturday of the month.

Upcoming markets are scheduled for Jan. 11, Feb. 8 and March 8. The summer market held in Market Square opens in June.

Contrisciani, one of only 67 Certified Master Chefs in the U.S., was impressed with the spread at the November event.

“The products I saw were just unbelievable. There was gorgeous produce,” he says. “It was a learning experience for me and I had a blast over there.”

Lisa Aurand is editor of Healthy New Albany Magazine. Feedback welcome at laurand@cityscenemediagroup.com.

www.healthynewalbanymagazine.com

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Ask the Expert

Lack of light and other issues bring on seasonal affective disorder

F

Feeling more down than usual and wondering how to get out from under the grey clouds of winter? It might be the weather, but if you’re experiencing symptoms that affect your daily life, it could be something more.

Dr. Richard Nockowitz from the Ohio Hospital for Psychiatry sheds some light on seasonal depression, also known as seasonal affective disorder.

28

Battling the Winter Blues

What is seasonal depression and what causes it?

light (measured in lux) does not stimulate those cells adequately, causing a Seasonal affective disorder is sim- change in brain chemistry leading to ply a mood (affective) disorder that these mood symptoms. has a seasonal pattern to it. It typically occurs in the winter months, begin- What are symptoms of ning in late fall/early winter and end- seasonal depression? What ing in late spring/early summer. Less should I look for in myself commonly, depression can occur in or my loved ones? summer rather than winter months.

To meet the conditions necessary The main characteristic is a predictfor diagnosis, one must have five of able, yearly seasonal pattern to the the following nine symptoms at least mood symptoms.

50 percent of the time during a miniThe definitive cause is not known, mum two-week period of time. Sympas is the case for nearly all mood/psytoms include either depressed mood chiatric disorders, but there are many or loss of interest and enjoyment in theories. For seasonal mood disorusual things, plus at least four of the ders, changes in circadian rhythm, following seven symptoms: serotonin levels and melatonin levels are all thought to contribute. One 1. changes in sleep (more or less); interesting theory is that it’s not the 2. increased guilt and negative feelchange in the duration of daylight one ing, or some degree of hopelessis exposed to (shorter days during the ness and helplessness; winter), but rather that the intensity of the light is diminished during the 3. decreased energy; winter months. There are cells on the 4. poor concentration or absentmindedness; retina (back of the eye) that are sensitive to light, and the lower intensity www.healthynewalbanymagazine.com

Dr. Richard Nockowitz

Dr. Richard Nockowitz, M.D., received his medical education at the Albert Einstein College of Medicine in New York, followed by training at Harvard Medical School’s Massachusetts General Hospital in Boston. There, he completed a clinical fellowship in medicine, a general psychiatry residency and a fellowship in consultation psychiatry. In 1997, he went to The Ohio State University Department of Psychiatry to serve as chief of the Psychiatry Consultation Service for OSU Hospitals. Since then, he has been in private practice, lecturing around the country about psychiatric conditions and treatments and working as a medicolegal expert in psychiatry.

He is the medical director of Ohio Hospital for Psychiatry and is founder and medical director of My Psychiatric Partner, LLC, www. mypsychiatricpartner.com, a telepsychiatry service that utilizes videoconferencing to provide psychiatric care in various medical settings and directly to patients at home. Nockowitz has expertise in the areas of the medical-psychiatric interface, neuropsychiatry, dementia and delirium, and complex partial seizures, and has authored numerous book chapters on depression and suicide, psychopharmacology, and enhancing patient compliance.

5. change in appetite (increased or decreased); 6. slowed down thinking and movement, or increased thinking and movements/restlessness; and 7. thoughts of death or wishing to not be around any longer.

When the above criteria are met, it is absolutely necessary to see a doctor for further evaluation and possible treatment.

What types of treatments are available for this disorder?

Medication is going to be necessary, as this is a biological condition. Light therapy (phototherapy) is sometimes helpful as well, but be aware that it is a specific intensity of light (certain amount of lux) and very specific intervals and durations. Going about light therapy improperly can actually make the condition worse.

How does phototherapy work?

Exposing the retinal cells to a higher intensity and spectrum of light at specific intervals and durations can alter brain chemistry. The light is usually delivered using a “light box” that is specifically designed for such use. A person would sit in front of the light box, at a specific distance, while reading or doing normal tasks at the prescribed time of day and for the prescribed amount of time.

Blood levels of the light-sensitive hormone melatonin, which may be abnormally high at certain times of day, causing tiredness and other symptoms, are rapidly reduced by light exposure. Sewww.healthynewalbanymagazine.com

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the minimum recommended daily light therapy duration to typically determine responsiveness to treatment. Therapy can last as long as two hours per session and should continue for two to four weeks to properly measure responsiveness.

The time of day when light therapy is done is important, but is tailored to an individual and his or her needs. Source: U.S. National Library of Medicine and

National Institutes of Health

rotonin levels, which are central to the regulation of mood, are also affected by light stimulating cells in the retina. Also, the pineal gland – the body’s internal clock that controls daily rhythms of body temperature, various hormone secretion, and sleep patterns – is affected by the timing of bright light exposure.

A small number of patients can experience side effects including headaches, eyestrain or eye irritation, or nausea at the beginning of treatment. These are usually mild and usually abate after a few days. Of greater concern, although it doesn’t occur often, is that some patients’ mood state and other symptoms can worsen – switching to an overactive state, during which they may have difficulty sleeping, become restless or irritable, and feel “too high.”

Should phototherapy be done under the care of a physician?

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Definitely. It is important for the treatment to be prescribed and monitored properly, as one would with medications. Questions need to be asked before starting treatment to determine if the diagnosis is correct, to make sure this is an appropriate treatment for you, and to prescribe what time of day and for how long you should utilize the light therapy, depending on your symptoms.

Can seasonal depression be prevented?

Not necessarily. Mood disorders are biological conditions that will occur in those genetically predisposed to having them. However, if you have used medication or light therapy for your depression, you may be able to prevent a recurrence by starting or staying on these treatments at the time of year when you would normally become symptomatic.

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Insight

Brief updates from the world of wellness

Veggie Power

Spraying broccoli with a plant hormone adds to its cancer-fighting properties, according to a study published in the Journal of Agricultural & Food Chemistry.

Glucosinolates in broccoli and the substances left behind when glucosinolates are broken down can boost levels of an enzyme that helps rid the body of carcinogens.

One way to increase glucosinolates in broccoli? Spray it with methyl jasmonate, a natural plant hormone, which also protects the plants against pests. Researchers tested five types of broccoli by spraying them in the field with the hormone and found that, of the glucosinolates break-down products, sulforaphane is the major contributor toward enhanced cancer-fighting enzyme levels, though other substances also likely contribute. Consuming broccoli regularly has been linked to lower rates of prostate, colon, breast, lung and skin cancers.

Something Fishy

In a study published in Maternal and Child Nutrition, researchers from Nationwide Children’s Hospital found that many children under the age of 5 have a deficiency in polyunsaturated fatty acid (PUFAs).

Fish is an excellent source of fatty acids and was shown to be the richest source of PUFAs in a diet, but only 54 percent of children in the study ate fish at least once in the previous month. These fatty acids play a key role in cell function, inflammation, eye development and neural functioning. The ideal dietary intake for children is unclear, but it has been found that infants often receive significant and sufficient amounts of key PUFAs through breast milk and infant formula during the first year of life. Making sure toddlers and preschoolers, with their picky palates, get enough PUFAs is a challenge for parents.

Daddy Diet

Science has long recognized the link between maternal diets and the health of their children – especially regarding folate, low levels of which have been linked to miscarriages and birth defects.

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AWARD-WINNING

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