Health & Wellness Guide 2022

A special supplement to

HEALTH Guide FALL 2022

At Elk Run, Health and Wellness are at the forefront of what we do every day. Our mission each day is to provide services that enhance the quality of life for residents. We accomplish this through many facets of daily life including: caregiving, daily activities and nutrition.

NUTRITION: Feeding the mind and body nutritionally is one more critical piece to the health and wellness puzzle. At Elk Run, our Director of Culinary Services not only addresses nutrition for our resident’s daily, but he also brings creativity and variety to the menu. The kitchen considers fiber, protein and fruits and vegetables as well as making sure everything is pleasing the palate. Meals can be as simple as bacon and eggs and they can get as interesting and sophisticated as beef tips with chimichurri and tri-colored cauliflower or roasted tenderloin with truffle, garlic mashed potatoes. Our culinary team specializes in scratch-made ethnic dishes ranging from Greek, Chinese, Italian, Classic American and more.

ACTIVITIES: We are extremely proud of our robust and creative activities program at Elk Run. Each day includes opportunities for exercise for both the body and mind. Morning exercise classes like cardio drumming and tai chi are very popular among residents. Other activities promote conversation and comradery among residents such as our men’s and women’s groups. A favorite among our residents is our weekly pet therapy. From dogs, to goats, to horse, we have had lots of four legged visitors come to enrich the lives of residents. Some of the benefits of pet therapy include: increased self-esteem and confidence, improved social skills, reduced risk of depression, lessened levels of anxiety and reduced feelings of loneliness. Other popular activities that are good for mind, body and spirit include: bingo, jeopardy, happy hour and live music.

IndependentRehabApartmentsRespiteSuiteslivingwith services Content Page Table of Contents HEART HEALTH IN AMERICA 4-5 COPING WITH STRESS & ANXIETY 6 STROKE RISKS FOR WOMEN 7 KIDS AND INJURY 8 FINDING THE RIGHT DOCTOR 9 HEALTHY EATING WITH GRAPES 10 HEALTHY HABITS TO REDUCE STRESS 11

CAREGIVING: Making sure all resident’s health and medical needs are met is our number one priority. Our caregivers genuinely care for our residents and this is demonstrated in the attentive and professional way they go about each day tending to our resident’s needs. This can be as simple as reminding residents it’s meal time or making them aware of activities taking place. Or, it can be as involved as medication management, helping some residents dress for the day or transfer from beds to chairs, etc.

September 8, 20222 Health & Wellness Publisher LINDA SHAPLEY Editorial THELMA GRIMES Advertising Director ERIN ADDENBROOKE Advertising Sales TERESA ALEXIS RUTH DONNAMINDYDANIELSNELONREARDON Production Manager ERIN FRANKS Production Design BEN WIEBESIEK Advertising Design TOM FILDEY TINA MELTZER of 24 weekly & 3 monthly community papers and reaching over 350,000 readers. To advertise call: 303-566-4100 HEALTH Guide FALL 2022 PhotoShutterstock Elk Run Assisted Living offers: Apartments RehabRespiteSuites Physical OccupationalTherapyTherapySpeechTherapy Independent living with services The location you love. The lifestyle you’re looking for Call or email to learn more: 303 679-8777 Elk31383Monica.Carruth@cassialife.orgFrostWayEvergreenRunAssistedLiving.coma ministry of Newly Remodeled Apartments Health & Wellness in Senior Living and at Elk Run

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TIPS TO A HEART-HEALTHY LIFESTYLE

2. BE MORE ACTIVE – Adults should get 2.5 hours of moderate or 75 minutes of vigorous physical activity per week. Kids should have 60 minutes every day, including play and structured activities.

3. QUIT TOBACCO –Use of inhaled nicotine delivery products, which includes traditional cigarettes, e-cigarettes and vaping, is the leading cause of preventable death in the U.S., according to AHA. This includes about a third of all death from heart disease. It is estimated that a third of all children between ages 3 and 11 in the U.S. are exposed to secondhand smoke or vaping.

1. EAT BETTER – According to the AHA, Americans should aim for an overall healthy eating pattern that includes whole foods, lots of fruits and vegetables, lean protein, nuts, seeds and cooking non-tropical oils such as olive and canola.

Each year, the American Heart Association, or AHA, releases a checklist known as Life’s Essential 8. The list provides key measures for improving and maintaining cardiovascular health, which helps lower risk of heart diseases, stroke and other major health problems. In unveiling the 2022 list, the AHA had some new items and guidance for others, including new suggestions for diet and adding sleep. The Life’s Essential 8 list if comprised of two major areas –Health behaviors and health factors.

The Essential 8 list includes:

8. MANAGE BLOOD PRESSURE – Keeping blood pressure within acceptable ranges can keep a person healthier longer. Levels less than 120/80 are optimal. High blood pressure is defined as 130-139 for the top number and 80-89 for the bottom number.

To learn more about the American Heart Association’s recommendations for maintaining a healthy heart and lifestyle, visit the website at heart.org.Tofindout what your heart score is currently, visit mlc.heart.org. 6.8% of haveAmericansoptimalhearthealthExercise,dietandsleepcausingproblemsformany

By Thelma Grimes Colorado Community Media

September 8, 20224 Health & Wellness

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The study, done in conjunction with the American Heart Association, analyzed data from a National Health and SEE HEART HEALTH, P5

A chieving optimal heart health in the U.S. is not looking promising as Americans continue to lose ground. According to a recent study published by the American College of Cardiology, or ACC, only 6.8% of American adults have achieved optimal heart health. It breaks down fi ve key areas that affect heart health:• sugar pressure disease

• Blood

7. MANAGE BLOOD SUGAR – Most of the food American eat turns into glucose, which is the sugar that the body uses as energy.

5. MANAGE WEIGHT – Achieving and maintaining a healthy weight has many benefits. Body mass index, a numerical value of weight in relation to height, is a useful gauge, according to the AHA. An optimal BMI is 25.

6. CONTROL CHOLESTEROL – High levels of non-HDL, or bad cholesterol, can lead to heart disease.

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4. GET HEALTHY SLEEP – Sleep is a new addition to the Essential 8 list in 2022. It is estimated that adults need 7-9 hours of sleep each night. Children require more through nighttime rest and naps.

Sleep a newer key factor Every year, the AHA updates what is known as Life’s Essential 8, which are key measures for improving and maintaining heart health.

“Sleep is highly important, but I have to admit, even doctors have a lack of sleep,” Park said. “Being well rested makes a huge difference. It is associated with sleep apnea and obesity. Everything, when it comes to the heart, is really interconnected. It also just allows the body to reset.”

Making the 2022 list for the fi rst time is sleep, which Park said should be considered as Americans grow more tired.

Instead, Park said people should listen to their doctors and start implementing the recommendations slowly. When it comes to exercise, Park says it is important to take small steps towards achieving big goals. A person can take short walks and runs that will help lead up to exercise and fi tness goals over a short period of time. Park said people often say they do not have time for exercise, which he stresses cannot be completely true.

Vermont was ranked as the nation’s unhealthiest sleep state. Pennsylvania was ranked on the opposite end of the list as the nation’s healthiest sleep state. To get what is considered by medical professionals as a “healthy” night’s sleep, it is recommended that adults get between seven and nine hours. Children require more at 10 to 16 hours per day with night and naptime.

“It is hard to just tell someone to stop doing something they have formed a habit to,” he said. “Instead of just stopping, I encourage people to just start cutting back, taking less.”

According to a recent study released by countingsheep.net, Colorado is one of the states struggling to get enough sleep, ranking 23rd. The study was created through analyzing county health rankings and Google search data. Some of the data to rank each state is based on how many people attempt to treat insomnia with medications.Accordingto the study, overall, in the past year, 30% of Coloradans have not got suffi cient sleep each night, which is over 1.7 million adults. Based on Google search data, it was found that these insuffi cient sleepers have searched for sleep medication online 203,760 times over the past year. This indicated 11% of Coloradans who suffer from insomnia treat the condition with sleep medication, ranking the state’s residents as the 23rd unhealthiest sleepers in America.

Park said one of the common struggles between patient and doctor is getting on a realistic plan both can live“Aswith.aphysician, in general, you can tell your patients to do something but it comes down to if they will listen.”

FROM PAGE 4 HEART HEALTH

• Depression • Elevated blood pressure, blood sugar and cholesterol levels • Obesity On the other hand, putting a priority on getting enough rest, according to the AHA, can help with:

• Better brain function

• Cardiovascular disease • Cognitive decline and dementia

Diet and exercise A constant on the heart health lists from multiple organizations is healthy eating and exercise.The AHA stresses that developing a healthy eating pattern can increase heart health. Besides eating smaller portions in general, the AHA recommends a heavy dose of vegetables and fruits every day, along with limiting sweetened drinks, alcohol and sodium.Avoiding trans-fat is also recommended.When it comes to his patients, Park said diet is a constant discussion for patients suffering from heart disease and having other issues.The second continuous discussion is exercise. According to the AHA, adults should get a weekly total of at least 150 minutes of moderate aerobic activity or 75 minutes of vigorous aerobic activity. When it comes to eating, Park said this is one of the biggest struggles in making lifestyle changes. When a person is used to the fast-food line every day, taking small steps to realign habits is important.

• Health and repairing skin cells, tissues and blood vessels

September 8, 2022 Health & Wellness 5 Nutrition Examination Survey of more than 55,000 U.S. adults over the age of 20 from 1999 to 2018. The data revealed that many Americans meet at least one of the fi ve identifi ed risk factors, leading to potential risk for heart attack or heart failure, stroke or other associated complications such as Type 2 diabetes.Dr. Jeffrey Park, a cardiologist with Aurora Denver Cardiology at The Medical Center of Aurora, said the study results are eye-opening.“Americain general has been experiencing a decline in optimal heart health for some time,” Park said. “It may be surprising but it is also a matter of what we know now compared to what we knew from the past. We learn more as these risk factors are included in the equation.”

A marathon, not a sprint Park said a common disconnect between doctor and patient is people thinking they have to change lifestyle and everything they are eating and doing all at once. Park said this mentality leads to failure because a person cannot make lifestyle changes in only a day.

Even as more information and education is coming along to redevelop guidelines to achieve optimal heart health, Park said busy people are struggling to meet all fi ve key areas. When it comes to diet, Park said Americans are busy and constantly on the go. That means more fast, easy food. “We are on the go and eating out a lot more,” he said. “That also translates to not having enough time for exercise and we are not getting enough sleep.”

The result of a lack of sleep is not just tired people, it is now being associated with poor hearth health. According to AHA, poor sleep can put a person at higher risk for:

“Everyone has some time somewhere,” he said. “I waste plenty of time when I think about it.”

• Having a stronger immune system•Improving mood and energy

September 8, 20226 Health & Wellness

A child’s gender is also a factor in how much parents should be checking in with their children.

Having relationships with other parents is beneficial, Geva said, because children often leave out details about the day. Having other parents talking and telling each other what is going on can help in keeping tabs on the daily activities of the class. “When you hear news, confront (your child),” Geva said. “Tell them the news you have heard from other parents.”

Geva said as students are getting more adjusted to the school year, parents can help stave off some anxiety by talking things out, stressing that something that happened during fall or winter break last year may not happen again this year. A bad grade from a class last year doesn’t mean it will happen again this year.

When it comes to grades and expectations, Geva said parents should keep up with children and have set standards and expectations. However, she recommended only checking grades sporadically to keep tabs on a student rather than“Childrendaily. really do want independence,” Geva said. “But for parents, checking grades sporadically, doing routine check-ins with teachers and keeping in touch with other parents can keep you informed about your child.”

Geva said other students worry differently. These are the students who may not have had a bad year last year but worry about the unknown, stressing about what could happen and thinking the“Itworst.isnot uncommon to have a student have more anxiety by creating things that could go wrong and really thinking the worst in their minds,” Geva said. For these students, Geva said it’s important to communicate with children and talk them through the created anxiety. Emphasize that the horrible things they are imagining in their minds are likely never going to become reality. These days, students are worried about grades and meeting expectations. They worry about doing well in athletics and participating in various programs. As pressures mount, Geva said a student can stay stressed out and anxious throughout the school year.

By Thelma Grimes Colorado Community Media

While managing activities and time for elementary students is easier, Geva said overseeing how much high schoolers are relaxing and destressing can be more of a challenge.Gevasaid regular communication and encouragement is important for teenagers.

As the school year continues, Geva said parents should also promote structured schedules, regular bedtimes and push for good hygiene and eating habits.Through communication, reasonable expectations and check-ins, Geva said stress and anxiety cannot be completely eliminated for students, but it can be dealt with regularly. be

“Boys are a little more tricky,” she said. “It is really a societal thing, and every age is different. It is always important to check in and ask questions regularly.”Forany child, Geva said parents should grow concerned if a child is suddenly displaying different character traits or having abrupt changes in mood.Having an established relationship will help parents identify and react when children are struggling.

I

By nature, Geva said girls are encouraged and naturally tend to express themselves and show emotion.

Parents can

Geva said throughout the year, parents should often work toward doing mental health check-ins with both elementary and high-school level children. Working on time management skills and helping to manage required down time can also help relieve pressure and anxiety students feel today. Geva said parents can create down time by encouraging a child to just go to the grocery store for a bit, go for a calm, relaxing walk or even stress the importance of play time. “It’s important to do activities that have no real objectives,” Geva said. “Helping to give the child a connection and letting them know they are OK.”

For parents, cutting a child a break is also important, Geva said. “If a child is really wanting to shift, change or quit an activity – listen to them,” Geva said. “Allow them to adjust to do what is really best for them.”

“It is important in that child/parent relationship to establish a routine,” she said. “Make it a habit to keep hanging out and doing things together. Do not get into a habit of only talking to them when there is a problem.”

t is common when a new school year rolls around for students to be anxious and nervous, but experts agree that stress and worry can continue as the first days turn into weeks andDr.months.AnatGeva, a clinical psychologist with the HealthONE Behavioral Health & Wellness Center, said the beginning of a school year can come with a variety of nerves.Some students may be worried that bad things from the previous year will happen again this year.

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In the United States, high blood pressure during pregnancy is becoming more common, according to the CDC, and medical conditions including preeclampsia, gestational diabetes and blood clots during pregnancy all increase stroke risk during and immediately following a pregnancy.Managing conditions like high blood pressure before getting pregnant helps keep you and your baby healthy during pregnancy and beyond. In addition, your health during and immediately after a pregnancy can shape the lifelong health of you and your child. If you’re planning to become pregnant or are currently pregnant, it’s important to regularly monitor your blood pressure.

Some stress is unavoidable but constant stress is not healthy. Chronic or constant stress may lead to high blood pressure and other unhealthy behavior choices, which can increase risk for stroke. Based on findings in a Stress in America 2020 survey conducted by the American Psychological Association, the top sources of stress are money, work, family responsibilities and health concerns. Managing your stress and blood pressure can improve your overall health and well-being. Reclaim control of your schedule and build in time to invest in your health. Find 10 minutes every day to do something for you, like listening to music, meditating or going for a walk Plan for Pregnancy

• Arm weakness – Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward?

• Speech difficulty – Is speech slurred? Is the person unable to speak or hard to understand? Ask the person to repeat a simple sentence like “The sky is blue.”

• Face drooping – Does one side of the face droop or is it numb? Ask the person to smile. Is the person’s smile uneven?

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It may not be widely known that women face unique risk factors for stroke throughout their lifetime. Things like pregnancy, preeclampsia and chronic stress can increase the risk for high blood pressure, a leading cause of Cardiovascularstroke.disease, including stroke, is the leading cause of death among women, according to the Centers for Disease Control and Prevention (CDC), and 1 in 5 women will have a stroke. However, a large majority of strokes can be prevented.Caringfor yourself by understanding your risk factors can help reduce your risk for stroke and provide a better quality of life. Start managing your stroke risk with these tips from the American Stroke Association, a division of the American Heart Association: Monitor Your Blood Pressure

September 8, 2022 Health & Wellness 7

Learn the Warning Signs A stroke can happen to anyone at any point in life. Immediate treatment may help minimize the long-term effects of a stroke and even prevent death. Learn how to spot a stroke F.A.S.T:

• Time to call 911 – If someone shows any of these symptoms, even if the symptoms go away, call 911 and get to a hospital immediately. Check the time so you’ll know when the first symptoms appeared. Talk to your doctor about ways to improve your well-being and help prevent stroke. Find more wellness tips at stroke.org.

FAMILY FEATURES

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The first step you can take in reducing your risk for stroke is knowing your blood pressure and keeping it in a healthy range. High blood pressure is the No. 1 preventable cause of stroke, according to the American Heart Association. The best way to know your blood pressure is to have it measured at least once per year by a health care professional and regularly monitor it at home then discuss the numbers with a doctor. For most people, a normal blood pressure should be 120/80 mm HG or less. In addition to properly monitoring blood pressure, maintaining a healthy weight, being physically active, eating healthfully and reducing or eliminating alcohol and tobacco usage can help control blood pressure. If you do develop high blood pressure, work with a health care professional on a plan to help manage it.

Take Care of Your Mental Health

• Booster seat should be used once a child outgrows a forward-facing car seat and kept until a child fits safely on a seat with knees over the edge.

September 8, 20228 Health & Wellness By Thelma Grimes Colorado Community Media W

hether they are in elementary, high school or college, children and teenagers are always susceptible to getting hurt, so much so that injury designations are split by season in many hospitals. Amanda Abramczyk-Thill, the injury prevention education outreach coordinator at Children’s Hospital Colorado, said children and teens are always active and injuries come with the territory. From bumps and bruises from a simple bicycle crash to the more serious injuries related to a head bump –Abramczyk-Thill said parents should be constantly in tune with how their children are feeling and acting. Fall injuries In the fall, Abramczyk-Thill said it’s the start of the new school year and sports programs are getting back on track. Kids are playing at recess and the weather is still good enough for bike, scooter and evening activities.

“In the fall, (hospitals/doctors) see an uptick in a variety of falls,” she said. “More kids are playing on the playgrounds at recess and sports gets going.”When it comes to elementary-school children, Abramczyk-Thill said the falls on the playground are not usually due to the equipment itself. Instead, it usually comes down to how it is being used.

• Are they sad or depressed suddenly?

Abramczyk-Thill said concussions are a common theme throughout the year, and doctors see a lot during the winter months.While they see some sports injuries with falls and hits for indoor sports such as basketball and wrestling, the bulk of injuries can come form outside play. Abramczyk-Thill said a statistic that may surprise parents is the head injuries associated with sledding. Whether it’s a small hill in the neighborhood or a day trip to the mountains, she said sleds move at a quick speed and crashes often cause head injuries. Because of how hard a person can hit the ground in a crash, Abramczyk-Thill recommends requiring children to wear helmets while sledding. It has become more common in riding bikes, scooters and other equipment, and AbramczykThill said sledding should be added to the“Alist.lot of us grew up without wearing a helmet and, especially for something like sledding, we may not even think about it,” Abramczyk-Thill said. “It’s just important to protect your brain because you only have one.” Arm, leg and head injuries are often associated with the ice. Abramczyk-Thill said whether it is a child, teenager or adult, during the winter ice causes a wide variety of Abramczyk-Thillinjuries. said it is important to clear driveways, sidewalks and areas where children are most active during the winter. It is also important to teach safety to children when ice is present, meaning not walking and playing on it.

Year-round injuries In what is a year-round struggle for doctors, Abramczyk-Thill said hospitals often see children who were in the wrong car seat or not in one at all. Abramczyk-Thill said which seat a child is sitting in should never about their age. It should always be about their size.

The CDC reported that when it comes to car crashes, a large number of child deaths and injuries are due to improper restraints. In 2019, more than 600 children 12 and younger died in motor vehicle crashes, and more than 91,000 were injured. Of the children 12 and younger who died in a crash (for whom restraint use was known), 38% were not buckled up. Parents and caregivers can make a lifesaving difference by checking whether their children are properly buckled on every trip.

CHILDREN AND TEENS ARE ALWAYS SUSCEPTIBLE TO GETTING HURT TIS THE SEASON FOR INJURIES:

• Appears dazed and stunned • Moves clumsily • Answers questions slowly • Loses consciousness • Nausea or vomiting • Bothered by light or noise Winter injuries

Spring and summer In school, spring sports brings baseball, track and field and softball, which comes with more head injuries, especially when an athlete is hit by a line drive.The warmer months also bring more outdoor activities, including riding ATVs, Abramczyk-ThillAbramczyk-Thillsaid.said a variety of ages ride ATVs and there are usually lax rules with wearing helmets and rules for passengers.Seeing ATV injuries from a passenger falling without a helmet is common, Abramczyk-Thill.

• Inability to recall events prior to or after a hit or fall

Abramczyk-Thill explained that if a child is not big enough to be sitting in a seat with just a seatbelt, their knees do not quite reach properly over the edge of the seat. In the event of a crash, their bodies tend to slip under the seatbelt restraints and serious injuries can happen.

“You have cases where a child may be using equipment that is not quite for their age or size,” she said. “Or, you have cases where the children are using the equipment improperly and that leads to injury.”With playground equipment, besides the traditional scrapes and bruises, Abramczyk-Thill said hospitals see more arm and leg injuries. In sports, Abramczyk-Thill said there are a variety of injuries from everything from football and cheerleading to soccer. In recent years, hockey has also grown in Inpopularity.sports,Abramczyk-Thill said it might be surprising to learn that besides concussions, a common injury doctors see is to the Abramczyk-Thilleye. said in any sport, parents might consider getting protective eye gear for athletes in all sports. This should become as common as the helmet and mouth guards, she added. Learn the signs Because concussions receive the most media attention and are one of the injuries coaches and parents are more vigilant about, it is important to understand the signs and symptoms, especially the subtle ones no one expects. “There are some common myths out there,” she said. “One of those being that they will show symptoms right away. Signs and symptoms can be delayed.” Because of the variety of symptoms someone with a concussion might show, Abramczyk-Thill said it is important to know the child well and be weary of any sudden changes in the following:

Abramczyk-Thill said all of these signs can come over days, not immediately after a head injury. According to the Centers for Disease Control, other symptoms of a concussion include:

• Mood – Are they more irritable and irrational?

• Are they complaining of headaches?

• Are they getting confused easily and showing cognitive issues?

• Rear-facing seats from birth until ages 2 to 4, depending on weight and state law.

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CDC recommendations include:

• Forward-facing car seat is not to be used for children until age 5, depending on weight and state law.

Some of the providers you consider may not be viable options for simple reasons, like their practice isn’t currently taking new patients or they don’t have office hours matching your schedule. You can also consider questions such as hospital affiliations and whether other providers can help if you need emergency care and your doctor isn’t available.

Stop missing out on life’s moments & visit our specialists today!

Narrow Your Options

September 8, 2022 Health & Wellness 9

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Any number of reasons can result in needing to find a new doctor, such as moving to a new community, changes to your insurance, your old doctor retiring or needing a specialist.These suggestions from the Centers for Medicare & Medicaid Services (CMS) can help you be more efficient and thorough as you look for a doctor who is right for you.

Talk to people you know about whether they have a provider they like. If you’re looking for a new provider because of a move or retirement, ask your current doctor for a recommendation. If you need to make a change with your primary care doctor but see specialists or other medical professionals you like and trust, you can also request referrals from them.

Check with Your Insurance Company

FAMILY FEATURES

Listen to Your Gut If you’re undecided, request an introductory appointment with a provider you’re considering. Look for a clinic where you are treated with respect and the medical team listens to your opinions and concerns. You should feel comfortable asking questions, and the doctor needs to be able to explain things in ways you understand. Find more resources for your health care needs at cms.gov. doctorrightthe Aids

Whether you’re rarely sick or have conditions that require frequent visits to the doctor, having a trusted and skilled health care provider is an important step in protecting your health.

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If you have health insurance, you may need to choose from a list of doctors in your plan’s network. Some insurance plans may let you choose a doctor outside your network if you pay more of the cost. To find a doctor who takes your insurance, call your insurance company and ask for a list of doctors near you who are in-network or use the insurance company’s website to search for a doctor. It’s also a good idea to call the doctor’s office and ask for confirmation they take your plan. You should have your insurance, Medicare or Medicaid card handy in case the office needs your plan details.

Take a Deeper Look Online research can tell you a great deal about potential doctors, from biographical information and credentials to ratings by former patients.When searching for a new provider, another important area to consider is financial relationships. One resource patients can consider is Open Payments, a national disclosure program within CMS that provides visibility into financial relationships between drug and medical device companies and physicians, and teaching hospitals. The government requires pharmaceutical companies, device manufacturers and group purchasing organizations to report funds they give health care providers in the form of meals, entertainment, travel, gifts, consulting fees, research payments and more, promoting transparency and helping uncover potential conflicts of interest. It’s important to know most health care providers receive payments. Just because financial ties are reported does not mean anyone has done anything wrong. However, patients can use the information to talk with their provider about why they recommend certain medications or treatments, including asking about generic options, which are equally as effective as name brands but typically less expensive. It’s also an opportunity to start a discussion with a provider about areas of professional interest and expertise based on research or consulting.

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FAMILY FEATURES

As an easy, versatile ingredient that can be used in a wide variety of recipes, grapes offer delicious taste, texture and color – plus a healthy boost – that make them an appealing addition to snacks and meals. An added bonus: Grapes help support heart, brain, colon and skin health.

PREP TIME: 20 minutes

Grapes and Your Skin

COOK TIME: 10 minutes SERVINGS: 4 1 frozen cauliflower pizza crust (11 ounces) 1 tablespoon, plus 4 teaspoons, extra-virgin olive oil, divided 2 medium carrots, peeled and trimmed 1 medium fennel bulb, quartered and trimmed 1 medium yellow bell pepper, halved and 1/2trimmedmedium red onion 16 black California grapes, halved 1 cup canned or cooked chickpeas, drained and rinsed, divided 2 tablespoons finely chopped fresh parsley 2 tablespoons pesto salt, to taste freshly ground black pepper, to taste 1 ounce fresh goat cheese, crumbled Heat oven to 400 F. Place frozen crust on large, parchment-lined baking sheet and brush top lightly with 2 teaspoons olive oil. Bake until crust is lightly golden, about 10 minutes. Transfer to cutting board and cut into quarters. Using mandolin, peeler or large, sharp knife and cutting board, thinly slice carrots, fennel, bell pepper and onion. Transfer to mixing bowl and add grapes and 1/2 cup chickpeas. Add parsley, pesto and 1 tablespoon olive oil; toss well. Season with salt and pepper, to taste.

PREP TIME: 10 minutes COOK TIME: 20 minutes SERVINGS: 4 2 tablespoons extra-virgin olive oil 1 small onion, chopped 1 1/2 teaspoons ground cumin 1/2 teaspoon kosher salt, plus additional, to taste, divided 1/8 teaspoon ground allspice 1 cup Israeli pearl couscous 3/4 teaspoon ground turmeric 1 1/2 cups water 1 can (15 ounces) no-salt-added chickpeas, 1drainedcupred California grapes, halved 2 tablespoons chopped fresh cilantro or freshlyparsleyground black pepper, to 4tastecups lightly packed baby arugula lemon wedges In large saucepan over medium heat, heat oil. Add onion, cumin, 1/2 teaspoon salt and allspice; cook, stirring, until onion is softened, about 3 minutes. Add couscous and stir 1 minute to toast lightly. Add turmeric and water; bring to boil. Reduce heat, cover and simmer until couscous is tender, about 15 minutes. Stir chickpeas, grapes and cilantro into couscous then season with salt and pepper, to taste. Transfer couscous-grape mixture to large bowl, add arugula and toss well. Serve warm or at room temperature with lemon wedges. Nutritional information per serving: 370 calories; 12 g protein; 61 g carbohydrates; 9 g fat (17% calories from fat); 1 g saturated fat (2% calories from saturated fat); 0 mg cholesterol; 160 mg sodium; 8 g fiber.

COOK TIME: 7-8 minutes SERVINGS: 4 4 wild sockeye or coho salmon fillets (about 5 ounces each) 3 tablespoons extra-virgin olive oil, divided salt, to taste freshly ground black pepper, to taste 1/3 cup dry white wine 1 cup green California grapes 1/4 cup shelled, unsalted pistachios, coarsely chopped 2 tablespoons finely chopped Italian parsley 5 ounces baby spinach 1/4 red onion, thinly sliced 1 tablespoon white wine vinegar Heat oven to 400 F. Lightly oil shallow, 9-by-13inch baking dish. Pat fish dry and place skin side down in pan.

If you’re like many Americans who put a priority on well-being, choosing simple yet healthy snacks and ingredients is an easy first step. For example, grapes are a popular and convenient fruit that can also be an ally in wellness, offering an abundance of health benefits that can help you get (and stay) on the right track.The next time you enjoy an outdoor adventure, pack along a healthy snack such as California grapes. They can go with you on hikes and bike rides or to the gym as a healthy and hydrating source of energy. Heart-healthy grapes also deliver beneficial antioxidants and other polyphenols and are a good source of vitamin K, which supports bone and heart health. With no need to peel, cut, core or slice, grapes are perfectly portable when you’re on the go.

Warm-Spiced Chickpeas and Couscous with Grapes and Arugula

PREP TIME: 15 minutes

Roast salmon 7 minutes for medium-rare; 8 minutes for medium.

While naturally hydrating and delivering beneficial antioxidants and other polyphenols, grapes also offer more: they may help support healthy skin even when exposed to UV light. In a study conducted by the University of Alabama, subjects consuming 2 1/4 cups of grapes every day for two weeks showed increased resistance to sunburn and reduced markers of UV damage in skin cells.

Crunchy Salad Pizza on Caulifl ower Crust

September 8, 202210 Health & Wellness

Nutritional information per serving: 490 calories; 9 g protein; 66 g carbohydrates; 22 g fat (40% calories from fat); 4 g saturated fat (7% calories from saturated fat); 30 mg cholesterol; 380 mg sodium; 4 g fiber.

In large bowl, toss spinach, onion, remaining oil and vinegar. Season with salt and pepper, to taste; toss again and divide among four plates. Place fish on top of greens. Spoon roasted grapes around fish. Nutritional information per serving: 360 calories; 31 g protein; 12 g carbohydrates; 19 g fat (48% calories from fat); 3 g saturated fat (8% calories from saturated fat); 65 mg cholesterol; 105 mg sodium; 2 g fiber.

Brush fillets lightly with 1 tablespoon olive oil and sprinkle with salt and pepper, to taste. Pour wine in pan, scatter grapes around and sprinkle pistachios and parsley on fish.

recipe. When it’s time for a filling yet nutritional dinner, Warm-Spiced Chickpeas and Couscous with Grapes and Arugula makes for an ideal vegetarian meal. Plus, this easy-to-make dish includes 8 grams of fiber to help support colon health. Grapes and seafood are a classic combination, and this Roasted Salmon and Grapes with Pistachios

Over Fresh Greens is no exception. A perfect dish for family dinners or inviting guests for a meal, it offers antioxidants and other polyphenols from grapes along with healthy omega-3 fats from fish. Whatever your path to health, eating well and encouraging healthy habits can be deliciously easy with the benefits of grapes. Find more health benefits and good-for-you recipe ideas at GrapesFromCalifornia. com.

Crunchy Salad Pizza on Cauliflower Crust is a simple way to get your fruits and veggies in a fun, tasty

Using fork, coarsely mash remaining chickpeas and remaining oil; spread among pieces of crust. Mound grape-vegetable mixture on top. Dot with goat cheese and serve.

Roasted Salmon and Grapes with Pistachios Over Fresh Greens

Show Gratitude

Gratitude – or thankfulness – is a powerful tool that can reduce levels of depression and anxiety and improve sleep. Start by simply writing down three things you’re grateful for each day.

A positive mindset can improve overall health. Studies show a positive mindset can help you live longer, and happy individuals tend to sleep better, exercise more, eat better and not smoke. Practice positive self-talk to help you stay calm. Instead of saying, “everything is going wrong,” re-frame the situation and remind yourself “I can handle this if I take it one step at a time.”

STRESS 101

Healthy Habits to help reduce stress

Practice Positivity

• Today, 1 in 3 adults in the U.S. report being worried or depressed.•Higher levels of the stress hormone cortisol are linked to increased risk of high blood pressure and cardiovascular events like heart disease and stroke.

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• Work-related stress is associated with a 40% increased risk of cardiovascular disease like heart attack and stroke

Having a pet may help you get more fit; lower stress, blood pressure, cholesterol and blood sugar; and boost overall happiness and well-being. When you see, touch, hear or talk to companion animals, you may feel a sense of goodwill, joy, nurturing and happiness. At the same time, stress hormones are suppressed. Dog ownership is also associated with a lower risk of depression, according to research published by the American Heart Association.Findmore stress-management tips at Heart.org/ stress.

FAMILY FEATURES

Find a Furry Friend

September 8, 2022 Health & Wellness 11

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Understanding stress is an important step in managing and reducing it. Consider these things to know about stress and how it could affect your life:

Stay Active Exercise is one of the easiest ways to keep your body healthy and release stress. Physical activity is linked to lower risk of diseases, stronger bones and muscles, improved mental health and cognitive function and lower risk of depression. It can also help increase energy and improve quality of sleep. The American Heart Association recommends adults get at least 150 minutes per week of moderate-intensity activity, 75 minutes of vigorous activity or a combination. Meditate Incorporate meditation and mation.abilityandtheimprovereduceshowstress.distanceminutestopracticesmindfulnessintoyourdaygiveyourselfafewtocreatesomefromdailySomestudiesmeditationcanbloodpressure,sleep,supportimmunesystemincreaseyourtoprocessinfor-

B etween work, family obligations and a constantly changing world, people in the United States are stressed. In fact, U.S. workers are among the most stressed in the world, according to a State of the Global Workplace study. While some stress is unavoidable and can be good for you, constant or chronic stress can have real consequences for your mental and physical health. Chronic stress can increase your lifetime risk of heart disease and stroke. It can also lead to unhealthy habits like overeating, physical inactivity and smoking while also increasing risk factors, including high blood pressure, depression and anxiety. However, a scientific statement from the American Heart Association shows reducing stress and cultivating a positive mindset can improve health and well-being.

• The top sources of stress are money, work, family responsibilities and health concerns.

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