FEBRUARY ISSUE • 2011
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Also in this issue Health Reform Law
Orthotics Can Keep You Moving. PAGE 3
Health Reform Law Is Unconstitutional
Is Unconstitutional ........2 Orthotics Can Keep You Moving ..........................3 105 Million in U.S. Have Diabetes or Prediabetes, CDC Says ......................4 Things Your Skin Says About Your Health .........5 5 Germiest Spots in Your Home.............................6
Surprising Benefits of Exercise. PAGE 7
Surprising Benefits of Exercise .........................7 Susan G. Komen Race for the Cure .....................8-9 Test Your Knowledge...10 TV: A Sneaky Part of the Food Pyramid ..............11
Susan G. Komen Race for the Cure. PAGE 8-9
Your Dog May Be Smarter Than You Know ...........12 6 cancer-fighting superfoods ..................13 How to Maintaining Your Happy Weight..............14 Drowsiness May Decline After Apnea Surgery ....15
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FLORIDA FEDERAL JUDGE:
Health Reform Law Is Unconstitutional Cites provision that says Americans must buy insurance or face penalty.
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federal judge in Florida ruled that the controversial health-care reform law passed by Congress last spring is unconstitutional because it requires people to purchase health insurance or pay a penalty.
health-reform law, including governors and attorneys general from 26 states opposed to the legislation.
White House officials have said in the past that a negative ruling would not affect the law's implementation because its major provisions don't take effect until 2014. By 2019, the law, unless changed, will expand health insurance access to 94 percent of non-elderly Americans.
Two other federal courts have upheld the constitutionality of the law -- a centerpiece of President Barack Obama's first two years in office and the first significant overhaul of the nation's healthcare system in decades. It also pitted Democrats, who backed the reform for the most part, against Republicans, who opposed it.
"I must reluctantly conclude that Congress exceeded the bounds of its authority in passing the act with the individual mandate," wrote U.S. District Judge Roger Vinson, becoming the second federal judge to rule against the law signed by President Barack Obama in March, USA Today reported.
Vinson had indicated in the past that he would likely rule that the so-called individual mandate overstepped constitutional limits on federal authority. "The power that the individual mandate seeks to harness is simply without prior precedent," Vinson wrote in an earlier opinion in October, the Wall Street Journal reported.
The law's constitutionality is expected to ultimately be decided by the U.S. Supreme Court. The Florida court case marked the largest challenge so far to the
On Dec. 13, a federal judge in Virginia sided with that state's attorney general, who contended that the individual insurance mandate - to take effect in 2014 -- violated
Florida's former attorney general, Bill McCollum, a Republican, filed the lawsuit minutes after Obama signed the 10-year, $938 billion health-care reform bill into law on March 23, 2010.
the Constitution, making it the first successful challenge to the legislation. The dispute over the constitutionality of the insurance mandate is similar to arguments in about two dozen health-care reform lawsuits that have been filed across the country. What made the Florida case different was that the lawsuit had
been filed on behalf of more than 20 states. The federal government contends that Congress was within its legal rights when it passed Obama's signature legislative goal in March. The U.S. Justice Department said the insurance mandate falls within the scope of the federal government's authority under the Commerce Clause.
He chose a court in Pensacola, one of Florida's most conservative cities, the Associated Press reported. Other states that joined the lawsuit were: Alabama, Alaska, Arizona, Colorado, Georgia, Indiana, Idaho, Iowa, Kansas, Louisiana, Maine, Michigan, Mississippi, Nebraska, Nevada, North Dakota, Ohio, Pennsylvania, South Carolina, South Dakota, Texas, Utah, Washington, Wisconsin and Wyoming, the AP said.
New U.S. Dietary Guidelines Focus on Salt Reduction
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cisions that food-processing companies, in particular, make over time so folk don't necessarily reject out of hand these guidelines because the taste is so fundamentally different," USDA Secretary Tom Vilsack said during a news conference.
ong-awaited U.S. dietary guidelines released Monday -- the first since 2005 - focus on getting Americans to slash their salt intake. Specifically, the seventh edition of the U.S. Department of Agriculture's Dietary Guidelines for Americans recommends that Americans limit their daily sodium intake to less than 2,300 milligrams (about a teaspoon) a day for most people and to less than 1,500 milligrams among people aged 51 or older, all blacks, and people who have high blood pressure, diabetes or chronic kidney disease, regardless of their age.
Given the current obesity epidemic and its attendant chronic health problems, this lower limit ends up applying to about half of the U.S. population, the guidelines stated.
"We know that most Americans are eating two times or more of what's recommended which is 2,300 milligrams a day for most people. We still need to reduce our daily intake." U.S. health officials agreed.
"The focus is still on salt," said Lona Sandon, an assistant professor of clinical nutrition at the University of Texas Southwestern at Dallas and a spokeswoman for the American Dietetic Association.
"Today the average American probably consumes 3,400 milligrams of sodium, so this is a fairly significant effort on our part and it must be reflected in the de-
The guidance should help Americans as they navigate product labeling outlining the sodium content of various foods, he added. Not everyone thought the USDA went far enough, however. In a statement, the American Heart Association said that by applying the 1,500 milligram per day intake level only to people aged 51 and over, the guidelines fail to address "the very real issue of excess sodium consumption across the population." Instead, the AHA believes that "the 1,500 mg recommendation should apply to all Americans -- children and adults." The 2010 advisory also puts "more emphasis on getting people to choose healthier types of fats," Sandon noted. This time around, there are highly specific recommendations on fats:
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These include eating smaller portions, reducing calorie consumption and increasing physical activity.
n Using fat-free or low-fat (1 percent) milk. n Staying away from added sugars, refined grains and solid fats, which tend to have many calories but few essential nutrients. n Making sodium comparisons for foods such as canned soup and frozen meals, then select those foods with the least salt. n Consuming less than 300 milligrams per day of cholesterol. n Avoiding trans fatty acids. n Gleaning nutrients primarily from eating nutritious food, instead of relying on supplements. n Consuming alcohol only in moderation, meaning one drink or less for women per day and two drinks for men. n Drinking water instead of sugary sodas or other sweetened drinks.
Specifically, the guidelines suggest: n Making half your plate fruits and vegetables and eating more whole grains to get more of needed nutrients. n Eating more lean meats and poultry, legumes and nuts and seeds.
The guidelines follow closely on the heels of proposed new federal guidelines for making school lunches healthier. Those proposals, issued earlier this month, are similar, including having kids incorporate more grains and vegetables into school meals and switching to low- or nonfat milk.
That no more than 10 percent of calories should come from saturated fat and, in their place, eating monounsaturated fats and polyunsaturated fatty acids. Americans are also being urged to eat more seafood, particularly cold water fish, "in an attempt to up consumption of healthier fats like omega-3 fats that we know are health-promoting," said Sandon. That was not specifically stated in past versions of the guidelines. In a way, the messages contained in this new document aren't much different than what experts have been trying to drive home for years.
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Florida Health News is a newspaper published every month in Palm Beach county and surrounding areas. Copyright 2010, all rights reserved by SEA Publications, Inc. Contents may not be reproduced in any form without the written consent of the publisher. The publisher reserves the right to refuse advertising. The publisher does not accept responsibility for advertisement error beyond the cost of the advertisement itself. All submitted materials are subject to editing.
FEBRUARY ISSUE • 2011
FLORIDAHEALTHNEWS-ONLINE.COM
3
Orthotics Can Keep You Moving even cure some very inhibiting symptoms. Functional orthotics are most often made of rigid materials such as polyproprylene or carbon fiber. Accommodative orthoses function by accommodating rigid deformities of the foot and thus providing cushion of these potential problem areas.
More Evidence That TV, Computer Time Could Harm Heart After treadmill test, cardiac recovery worse in those with more 'screen time,' study finds.
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pending hours in front of a TV or computer monitor - known as "screen time" - has been linked to signs that the heart needs longer to recover from exercise, an indication of poor heart health. The new study, published online in the journal Heart Asia, included more than 2,000 people -- all in their 30s and from the United States -- who didn't have heart disease. The participants performed eight-minute exercise treadmill tests, which allowed the researchers to determine how long it took for their heart rates to return to normal after brisk activity. The hearts of people who spent more time in front of TV and computer screens tended to take longer to recover, even when researchers
took other possible factors into account and tried to reduce their influence on the statistics. The same thing happened in those who didn't exercise much or at all, according to Dr. Jien-Jiun Chen, of the Cardiovascular Center at National Taiwan University Hospital Yun-Lin branch in Douliou, Taiwan, and colleagues. Other research has linked more screen time to obesity, abnormal blood sugar metabolism and metabolic syndrome, which all are thought to boost the risk of heart disease, the study authors noted in a news release from the journal's publisher. They added that in comparison to other sedentary behaviors, screen time expends even less energy than reading, writing or driving.
Arthur Hansen DPM, M.S.
These orthoses are made of softer materials such as plastizote and
mine the optimal length and material of the orthotic best for your foot malady. It is important to realize that foot inserts are not custom orthotics. In order to be classified an orthotic, a device must provide medical benefit. Many store-bought shoe inserts are not orthotics and are often confused as such. Orthotics provide a very effective alternative to surgical intervention for many painful foot problems.
Orthotics are inserts that fit into shoes while providing medical benefits, often preventing surgical intervention.
T
are very effective at protecting bony prominences and diabetic feet from the development of ulcerations.
Functional orthoses are used to treat and prevent painful foot disorders. They work by keeping the foot in a neutral position which prevents pathological functions of the foot that can cause different problems to occur. Preventing pathological foot functions during the gait cycle can greatly reduce or
There are many types of intrinsic modifications that can be prescribed into the custom orthoses to help with alleviation of specific aches and pain. Metatarsal pads can be included to take excessive stress off the ball of the foot. Heel pads can be used to lift the heel slightly taking pressure off of the Achilles tendon providing relief for tendonitis. Heel cut-outs can be used for painful heel spur syndrome. Your podiatris will deter-
hey can be custom or prefabricated. Custom orthotics are traditionally made from a cast of your foot, with newer technologies utilizing high tech scanning and computer analyses. Over the counter or prefabricated orthotics are off the shelf supportive inserts.
They can also provide exceptional foot function to runners and athletes. Your podiatrist can provide a comprehensive gait examination and orthotic prescription that will keep you going all day long. Call to make your appointment
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105 Million in U.S. Have Diabetes or Prediabetes, CDC Says Obesity, changes in diagnostic criteria may be behind soaring rates.
at Maimonides Medical Center in New York City.
complications such as kidney failure and blindness," Ann Albright, director of CDC's Division of Diabetes Translation, said in an agency news release.
But changes in the way doctors diagnose the illness may have played a role in rising numbers, too, another expert said.
D
iabetes now affects nearly 26 million Americans of all ages and 79 million people have what doctors call "prediabetes," according to 2011 estimates released Wednesday by the U.S. Centers for Disease Control and Prevention. Prediabetes, which the CDC says affects 35 percent of adults, is a condition where blood sugar levels are higher than normal but not yet high enough to be diagnosed as diabetes. Prediabetes greatly boosts a person's odds for type 2 diabetes, heart disease and stroke. The vast majority of cases of diabetes are type 2, which develops when the body's cells gradually lose sensitivity to insulin. According to experts, there's one very big reason for type 2 diabetes' continuing rise among Americans -- weight gain. "The percentage of U.S. adults who are overweight or obese has also risen dramatically, and there is no doubt that rising rates of obesity are linked to the rising rates of diabetes," said Dr. Christine Resta, an expert on diabetes in the division of endocrinology
"One of the reasons the incidence of diabetes has been increasing in the last few years is because the American Diabetes Association lowered the guidelines for diabetes diagnosis," explained Dr. Jacob Warman, chief of endocrinology at The Brooklyn Hospital Center in New York City. "Last year, the ADA recommended using [hemoglobin] A1c levels to diagnose both diabetes and prediabetes. This change in criteria resulted in a great increase of the number of patients with this diagnosis. The decision to change the criteria remains controversial, but the guidelines to increase exercise and decrease carbohydrate intake are valid." In their report, the CDC agreed that the switch to hemoglobin A1c testing -- which measures levels of blood glucose (sugar) over a period of two to three months -- could help account for at least some of the rising numbers. But the CDC's National Diabetes Fact Sheet for 2011 also notes that about 27 percent of Americans with diabetes, or about 7 million people, still do not know they have the disease. Among the
"We know that a structured lifestyle program that includes losing weight and increasing physical activity can prevent or delay type 2 diabetes," she added.
other data included in the fact sheet: About 1.9 million American adults were diagnosed with diabetes in 2010. Diabetes rates continue to soar among racial and ethnic minorities. Among adults, diabetes rates were about 16 percent for American Indians/Alaska Natives, 12.6 percent for blacks, nearly 12 percent for Hispanics, 8.4 percent for Asian Americans, and just over 7 percent for whites. Half of Americans aged 65 and older have prediabetes and nearly 27 percent have full-blown diabetes. Around 215,000 Americans
younger than age 20 have diabetes, including type 1 diabetes. The 2011 diabetes incidence estimates mark a continued rise. In 2008, for example, the CDC estimated that 23.6 million Americans (7.8 percent) had diabetes and 57 million adults had prediabetes.
Diabetes is the seventh leading cause of death in the United States and now costs $174 billion a year, including $116 billion in direct medical expenses, according to the CDC. People with diabetes are at increased risk for heart attack, stroke, high blood pressure, kidney failure, blindness and amputation of feet and legs.
Besides the obesity epidemic and the switch to A1c-based diagnosis, the agency said that improvements in diabetes management may mean that many people with the disease are living longer, raising the total number affected.
"With more patients, there are more costs. But even the cost per patient has gone up," Resta said. "Newer diabetes medications are expensive, often 10 times the cost of older generic medicines. When patients are diagnosed younger, they are more likely to eventually require multiple diabetes medications, which also drives up costs. Also, the longer the duration of diabetes, the more likely the patient is to have [expensive] complications."
Still, "these distressing numbers show how important it is to prevent type 2 diabetes and to help those who have diabetes manage the disease to prevent serious
If current trends continue, as many as one in three American adults could have diabetes by 2050, predicted a CDC study published last year.
Metal Tongue Piercings Linked to Raised Infection Risks Study found plastic studs harbored less bacteria.
I
f you're considering tongue piercing as a form of self-expression, know that new research suggests that whether the stud used is metal or plastic makes a difference when it comes to chances of infection.
Stainless steel studs may collect more bacteria than plastic studs, potentially increasing the risk of infec-
tion and other complications, a team of European researchers reports. "Consumers should avoid stainless steel and titanium studs in favor of [plastic], not only because of bacteria and a potentially higher risk of local infection of the piercing channel, but also because of the risk of tooth chipping and gum recession," study author Dr. Ines Kapferer, of Innsbruck Medical University in Austria, said in a statement.
gums, as well as gum disease, are some of the long-term complications associated with tongue piercing, prior research shows.
Tooth chipping and receding
One source of infection may be
Early complications include pain, swelling, prolonged bleeding and swallowing difficulties. What's more, the mouth contains so many bacteria that the piercing procedure itself may increase the risk of infection, one of the most common piercing complications.
thin layers of bacteria, called biofilms, that coat piercings and act as a reservoir for germs, according to Kapferer and colleagues. They speculated that using piercing materials that were less susceptible to biofilm accumulation may reduce infection risk. To test their theory, the study authors recruited male and female students throughout Innsbruck whose tongues had been pierced for at least six months.
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FEBRUARY ISSUE • 2011
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5
Things Your Skin Says About Your Health n organ itself (your body's largest in terms of both weight and surface area), skin protects against invasive bacteria, regulates body temperature, and picks up information from the stimulation of touch, pressure, pain, heat, and cold.
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ittle wonder, then, that when there's something wrong with you on the inside, your skin sometimes sends up the first warning flare. "Diabetes, for example, is generally a silent disease, but it can lead to distinct changes to the skin. So the skin may in fact be the first indicator of what's happening," notes dermatologist Amy Newburger, MD, of Scarsdale, New York, a spokesperson for the American Academy of Dermatology. Here's the skinny on ten dermatologic oddities worth watching for in yourself or someone you love.
Yellowish skin, orange palms and soles What it means: The cartoonish skin hues of carotenemia can be the unfunny result of an underactive thyroid gland -- hypothyroidism -- which causes in-
creased levels of beta-carotene in the blood. Beta-carotene is an antioxidant, found in fruits and vegetables, that normally gets processed by the thyroid. When there's a thyroid problem, the gland doesn't metabolize the vitamins as quickly, so betacarotene accumulates. You can also get Technicolor skin due to beta-carotene buildup thanks to a diet heavy on carrots, carrot juice, sweet potatoes, and squash. What to do: Carotenemia caused by a skewed diet isn't serious and resolves itself when a broader range of foods is consumed. Hypothyroidism, however, is a medical condition that can lead to such complications as heart problems, so a combination of skin changes plus fatigue warrants attention from a doctor.
Breaking out in hives in the sun
What it means: Being truly allergic to the sun is pretty rare (although this kind of immune system response can happen in some people). A more likely explanation for going outside on a sunny day and coming back with an itchy rash that looks like hives or eczema is having taken a photosensitizing drug. A chemical in the medication causes changes that increase the person's sensitivity to light. What to do: Check the labels of your prescription medications. Look for phrases such as "May cause chemical photosensitivity." Use a high-SPF sunscreen or sunblock but know that this may not prevent the rash; the best advice is to wear sunglasses and a broad-rimmed hat, cover the skin, and limit sun exposure. Tell your doctor, too; a switch in medicines may prevent further rashes.
Long dark lines in the palm What it means: A palm-reading mystic might have her own interpretation, but to a physician, a deepening of the pigment in the creases of the palms or soles is a symptom of adrenal insuffciency, an endocrine disorder. Also known as Addison's disease, the
name comes from its discoverer, physician Thomas Addison. Its two most famous victims include President John F. Kennedy and -- it's thought -- the writer Jane Austen. What to do: It's important to mention this visible symptom to a doctor, as skin changes may be the first symptoms seen before an acute attack
(pain, vomiting, dehydration, and loss of consciousness, a cascade known as an Addisonian crisis). Lab tests to measure cortisol (which is produced by the adrenal gland) provide a diagnosis.
Large, dusky blue leg veins What it means: Some of your veins are no longer working properly when you spy ropy, blue-to-purple lines snaking up your legs. Venous disease -a.k.a. varicose veins -- can be a mere cosmetic annoyance or can cause pain, cramping, and difficulty walking. Veins rely on oneway valves, like shutters, to keep blood circulating; when they stop working, blood leaks back into
the vein and pools there. What to do: Exercise, compression stockings, and avoiding constricting postures (like crossing your legs when seated) can help ease discomfort, but they won't make varicose veins disappear. Not all faulty veins cause problems. However, if the veins cause pain or become warm and tender to the touch, tell your doctor. Severe venous insufficiency can lead to dangerous blood clots. Treatments with good success rates include sclerotherapy (injecting a solution to shut the vein) and surgery -- also options if you just can't bear how your legs look at the beach.
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THE SOUTH FLORIDA BONE MARROW STEM CELL TRANSPLANT INSTITUTE 10301 Hagen Ranch Road, Suite 600, Boynton Beach, Florida, 33437. Please call 561-752-5522 to make an appointment. Visit www.bmscti.org for more information.
6 FEBRUARY ISSUE
• 2011
VFLORIDAHEALTHNEWS-ONLINE.COM
5 Germiest Spots in Your Home
1
Va c u u m Cleaner Brushes and Attachments You clean out the dust container or replace the bag routinely but when was the last time you cleaned the vacuum upholstery tool or brush roll? Check your manual for the how-to. Using scissors, cut off any carpet fibers or hair entangled around the brush.
2
Handbags Spot clean fabric bags with a gentle detergent solution like Woolite and flip the purse inside out to wipe down the inner lining. On finished leather purses, use a leather conditioning cleaner — I love Guardsman Leather Wipes. And, if you place your purse on the floor in a restaurant or even worse, in the ladies' room, never put it on your kitchen table or countertop.
3
Credit/Debit Cards These everyday essentials get handled by lots of people, and germs can lurk in the crevices
around the numbers. Give debit and credit cards a quick cleaning with an alcohol wipe and let them air dry before placing them back in your wallet.
4
Blinds The material they're made of — metal, wood, or fabric — determines how you dust them. For metal blinds, wipe with a sock lightly dampened with water or multi-purpose cleaner. For wood blinds follow the same procedure using only a little tap water. Do not overwet the wood and be sure to buff dry right away. For fabric blinds, go over the blinds with a dry microfiber cloth.
5
Yoga Mats After a few sessions, you probably notice that your sweaty hands and feet are leaving dirty marks on your mat, which can lead to yucky bacteria growth. Most mat manufacturers recommend occasionally hand cleaning their products with water and mild soap. All-purpose cleaners can eat away at the material.
Many Americans Over 50 Fear Colonoscopy: Survey
73% of those who underwent screening said pre-procedure bowel prep was hardest part.
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any Americans over the age of 50 ignore expert recommendations that they undergo a colonoscopy to screen for colorectal cancer, a new survey reveals. Seventy percent of the survey respondents in the age group recommended to get screened admitted that they hadn't done so primarily because of fear of the procedure. The survey was conducted last fall by the Washington, D.C.-based Colon Cancer Alliance, and involved nearly 1,700 people. The poll was funded by Salix Pharmaceuticals, Inc., a drug manufacturer that specializes in gastrointestinal treatments. "Colon cancer is the second leading cause of cancer death in the United States," Andrew Spiegel, CEO of the Colon Cancer Alliance, said in an organization news release. "More than 142,000 Americans will be diagnosed
with colon and rectal cancer this year, yet by getting tested, it could be prevented. The results from this survey reveal that Americans over the age of 50 forgo colonoscopies due in large part to fear." Survey results indicated that among those who had actually undergone a colonoscopy, 60 percent said they either didn't get or don't recall getting any pre-procedure explanatory information from their health care provider and would have preferred receiving such information. The Internet was cited as the source of information regarding colonoscopies for six in 10 of those surveyed. Half of those who had undergone a colonoscopy said that the actual procedure was the easiest aspect of the total experience, while about three-quarters said that the pre-procedure bowel preparation process was the hardest part of the screening endeavor. The U.S. Centers for Disease Control and Prevention recommends colonoscopy every 10 years starting at age 50 until age 75, when patients should consult their doctor about screening.
FEBRUARY ISSUE • 2011
FLORIDAHEALTHNEWS-ONLINE.COM
7
Surprising Benefits of Exercise For most people, weight loss is the main motivator for getting into shape. But there are a lot of other benefits to exercising than just fitting into those skinny jeans. Believe it or not, regular physical activity can improve your sex life, decrease your cancer risk, make your skin glow and more. 1. Reduces your dementia risk
stair climbing, step aerobics, dancing and racquet sports are best.
Over the years, studies have found that staying active can boost mind function and energy, decreasing the risk of dementia. Physical activity “improve[s] cognitive function in healthy elderly persons, and potentially reduce[s] the risk of developing cognitive impairment,” according to the Alzheimer’s Association. Dance classes particularly, which require learning skills like memory and concentration, are especially helpful for individuals with an increased risk of Alzheimer's disease.
2. Decreases your osteoporosis risk Fitness, especially load-bearing exercise, is important for bone health, according to certified personal trainer Leigh Crews. "Exercise can be one of the most important things you can do to prevent osteoporosis, protect yourself from falls and help maintain bone mass,” she says. According to The University of Arizona, strengthening exercises like weight-lifting, jogging, hiking,
3. Improves your sex life The Harvard School of Public Health found that just 20 minutes of regular exercise a day can improve sexual response in women. Not only does working out leave you feeling energized, but it can also make you feel more desirable. “Since exercise can improve health, vitality, appearance and self-esteem, it does indeed tend to increase interest in—and capacity for—sexual activity,” says David Katz, MD, director of Yale University’s Prevention Research Center.
4. Prevents muscle loss As we get older, not only do our bodies build muscle less efficiently, but the muscle we already have breaks down more quickly, according to a study in The American Journal of Clinical Nutrition. This makes regular exercise an integral part of healthy aging. “Exercise not only helps us maintain our muscle mass, it can increase it," says Crews.
5. Improves digestion The Gastroenterological Society of Australia found that exercise helps the intestinal muscles break down food and move it through your system correctly by strengthening the abdominal muscles and minimizing sluggishness. Dr. Katz seconds these findings, noting that regular exercise “can help prevent constipation.” He says even short, intermittent walking throughout the day can help keep things regular.
6. Reduces stress, depression and anxiety We’ve been hearing for years that regular activity boosts your mood, but it does much more than that. According to the Mayo Clinic, “once you get motivated, exercise can make a big difference. Working out can definitely help you relax and make you feel better, keeping anxiety and depression from coming back.” How? When you exercise, neurotransmitters and endorphins that ease depression are released. Plus, you raise your body temperature, which has been shown to calm nerves.
7. Enhances mental performance and work productivity Dr. Katz is a firm believer that exercise is important for improving overall quality of life, especially when it comes to work. Not only does exercise improve self-confidence in the workplace, which helps you take on leadership roles and perform better, but it also in-
creases overall productivity and focus. A study released by the American College of Sports Medicine found that 65 percent of employees surveyed reported an increased ability to manage their time and produce more, as well as an overall improved mental and interpersonal performance when they worked out in the middle of the day.
8. Reduces cancer risk Several studies have confirmed that the risk of lung, colon and breast cancers can be greatly reduced in regularly active people. In fact, a 2007 study found that exercise is an important step to preventing breast cancer because higher levels of estrogen (which is stored in fat) increase your risk. “Women who exercise heavily are, in general, older at the time of the[ir] first period, and tend to have irregular periods and a shortened estrogen-producing phase," the American Association for Cancer Research reports.
9. Helps reduce stroke severity. A study by the Bispebjerg University Hospital in Copenhagen following first-time stroke patients found that “people who exercised
the most prior to their stroke were two and a half times more likely to have a milder stroke compared to those who exercised the least,”. Activities like “light housework, a walk outside and lawn care” count.
10. Improves your skin If vanity is still your number-one motivation to get in shape, then add glowing skin to the list of benefits. For one thing, “exercise enhances the blood flow to your skin,” Dr. Katz says. Studies have also shown that exercise improves acne by controlling the production of acne-inducing testosterone hormones like DHEA and DHT. Sweating can unclog pores and help clear up your breakouts—ultimately detoxifying the skin of oils and dirt.
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8 FEBRUARY ISSUE
• 2011
FLORIDAHEALTHNEWS-ONLINE.COM
20th annual Susan G. Komen
O
n Saturday 29th,2011 more than 20,000 participants raised nearly $2 million for Susan G. Komen Race for the Cure.This event is in its 20th year and honors survivors for whom each race is a milestone that marks another year of beating breast cancer. Hoda Kotb the cohost of the fourth hour of NBC's Today Show served as the race grand marshall. She is a breast cancer survivor. Kotb has also been a “Dateline NBC” correspondent since April 1998 and she is a New York Times Bestselling author for her book Hoda: How I Survived War Zones, Bad Hair, Cancer and Kathie Lee. Susan G. Komen for the Cure has played a critical role in every major advance in the fight against breast cancer over the past 25
years – transforming how the world talks about and treats this disease. They have helped turn millions of breast cancer patients into breast cancer survivors. With more than $1.3 billion invested to date, Susan G. Komen for the Cure is the world’s single largest source of nonprofit funds dedicated to curing breast cancer at every stage – from the causes, to the cures, to the pain and anxiety of every moment in between. Sponsors of the Race were as follows: Presenting Sponsor, Florida Power & Light. Host Hospital: Good Samaritan Medical Center. Premiere Sponsor: The Gardens Mall, Palm Beach Ford Dealers, La Croix, Panera Bread, The Breakers, South Florida Radiation Oncology, Primary Care Specialists. Media Sponsors: WPTV Newschannel 5, The Palm Beach Post, Palm Beach Illustrated, Palm Beach Daily News, KOOL 105.5 and WILD 95.5.
About Susan G. Komen for the Cure® and the South Florida Affiliate of Susan G. Komen for the Cure® Nancy G. Brinker promised her dying sister, Susan G. Komen, she would do everything in her power to end breast cancer forever. In 1982, that promise became Susan G. Komen for the Cure and launched the global breast cancer movement. The South Florida Affiliate of Susan G. Komen for the Cure is working to better the lives of those facing breast cancer in the local community. They join more than a million breast cancer survivors and activists around the globe as part of the world’s largest and most progressive grassroots network fighting breast cancer. Through events like the Komen South Florida Race for the Cure®, the Komen South Florida Affiliate has invested $10 million in community breast health programs in our service area of Palm Beach, Martin and St. Lucie counties. Up to 75 percent of net proceeds generated by the Affiliate stays in our service area. The remaining income goes to the national Susan G. Komen for the Cure Grants Program to fund research.
FLORIDAHEALTHNEWS-ONLINE.COM
FEBRUARY ISSUE • 2011
9
Race for the Cure, 2011
RESuLTS Overall Female Open Winners 1.
linda robb, 19:00.25
2.
Janine Peart, 19:17.40
3.
erica lazarus, 19:36.15
Overall Male Open Winners 1.
John reback, 16:47.94
2.
michael Burke, 16:52.81
3.
ed turrentine, 17:03.74
FACTS susan g. Komen for the cure has raised $1.3 billion toward breast cancer research, including $50 million for new screening tools and $28 million to explore how breast cancer spreads in the body. When breast cancer is discovered before it spreads, there is a 98 percent, 5-year survival rate, compared with a 74 percent survival rate in 1982, the foundation reports.
10 FEBRUARY ISSUE
• 2011
FLORIDAHEALTHNEWS-ONLINE.COM
Test Your Knowledge
Why a Woman May Avoid a Mammogram Pain, embarrassment, lack of time top the list, survey finds.
P Shekhar V. Sharma, M.D. Board Certified in Internal Medicine
I
am sure most of you out there have walked into a doctor’s office as patients, curious to know what is wrong with you. Below are a few unusual true case history scenarios which I would like you to diagnose the illness. Case #1: A fifty year old woman with Diabetes Mellitus walks into my office with complaints of frequent belching which was new to her. What is your diagnosis? (Look for answers on page 9).
could not sleep at night without raising his head on three pillows. What do you think he has? (Look for the answer on page 9). Case #4: A young man thirty five years of age walks into my office complaining of increased thirst, drinking a lot of water, urinating more frequently than before and has lost some weight over the past one month. What is your answer to
this complaint? (Find the answer on page 9). Case #5: A thirty year old over weight man started getting headaches almost every morning when he woke up. He is also a cigarette smoker and has never had any medical problems in his life and did not complain of anything else. What do you think he could be having?
Dr. Sharma's office in Belle Glade is at 1200 South Main Street, Suite 100 (opposite the Old Glades General Hospital). Dr. Sharma will be seeing patients at this location along with his nurse practitioner Grace VanDyk. He is currently accepting New Patients and the office accepts most insurances
Case #2: A forty five year old woman walks into the emergency with the worse headache that she has ever had along with nausea and vomiting. A CT scan of the brain was done and this was what she was found to have. (Answer to be found on page 9).
Please call 561-996-7742 for an appointment.
Case #3: A sixty five year old patient with shortness of breath and swelling of feet for a few days. He
ain, embarrassment and being too busy are among the main reasons why women avoid having mammograms, a new study finds. Researchers analyzed medical, physical and demographic information from 4,708 women at Kaiser Permanente in Oregon and Washington who had gone longer than 20 months since their last mammogram and were informed by post card and telephone that they were soon due for the breast cancer screening test. The study of women aged 50 to 69 found the factors associated with avoiding mammograms were being younger than 60, having an annual household income of less than $40,000, being obese and having had health insurance coverage for fewer than five years. A subset of 340 women explained why they didn't have a mammogram. The top reasons were that the test caused too much pain, they were too busy and they felt embarrassed to have the test. Obese women were much more likely than non-obese women to say that pain was a factor -- 31 percent vs. 19 percent. "We don't know why obese women report more pain with mammograms," lead author Dr.
Adrianne Feldstein, a senior investigator with the Kaiser Permanente Center for Health Research, said in a Kaiser news release. "Our previous study suggests that obesity might be associated with a lower pain threshold. Nearly half of the women in our study were obese, and obese women are more likely to get breast cancer so we need to find better ways to ensure that these women are screened," she added. Feldstein and her colleagues also found that women under 60 were more likely than those over 60 to say they were too busy to have a mammogram -- 19 percent vs. 6 percent. Offering more workplace screenings and after-hours appointments could help increase the number of younger women who have mammograms, the researchers said. The study, published in the Journal of Women's Health, notes that one in eight U.S. women will develop breast cancer in her lifetime.
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Answers to Dr. Sharma’s Questions Answer to Case #1: This was a tough case!! I did an EKG on her with a suspicion that she could be having a heart attack. I did a STAT EKG and found her to be having an acute myocardial infarction (In other terms a heart attack). If you notice there is a blatant absence of chest pain as a complaint. Why is that? This is because a certain percentage of diabetics have silent heart disease where they may have other symptoms to suggest heart disease without having chest pains. So diabetics have to be made aware and educated about this potential problem by their physicians Answer to Case #2: This lady had sub arachnoid hemorrhage due to a ruptured vessel in the brain. The bleed was found by the brain CT scan. The condition as far as I recollect was dangerous but not fatal in this case and the patient lived to walk back home later after being admitted in the hospital.
Answer to Case #3: He has congestive heart failure (CHF) which means having a weak heart that does not pump blood as normally as it should. Fluid starts building up in the lungs causing shortness of breath. He has a condition called orthopnea which is shortness of breath on laying down flat. He also has fluid in his feet which is a sign of CHF in this case. Answer to Case #4: Patient has new onset of Diabetes Mellitus which is a disorder of sugar metabolism. This disease can be potentially dangerous if left untreated. There are various oral medicines and injectables that are available now to control this very common disease. There is no known cure for this disease yet. Answers to Case #5: This person in fact has severe hypertension causing morning headaches and could potentially have a condition called sleep apnea that is associated with cardiovascular problems of which hypertension is one of them.
TV: A Sneaky Part of the Food Pyramid Many restaurants have them, but experts say they promote bad eating habits.
The deluge of televisions in American restaurants in recent years makes a mockery of the quaint 1950s vignette of families eating dinner on folding tray tables in front of the Ed Sullivan show. Instead of uniting families, experts say, today's ubiquitous screens are threatening people's health, leading them to eat more of the wrong foods and eroding the socializing that makes mealtime special. "It's a really hot topic," said Dianne Neumark-Sztainer, a researcher at the University of Minnesota's Project EAT. "People are really struggling with this." Several studies over the past decade have linked prolonged TV watching with obesity, which affects one-third of adult Americans. Scientists analyzing the Nurses' Health Study in 2003 looked at 50,000 women aged 30 to 55, finding their odds of obesity rising 23 percent and their risk of type 2 diabetes rising 14 percent for every additional two hours of television time they logged.
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avid Burley was excited about a new restaurant opening in his small Louisiana town, where vacant storefronts have become the norm as the recession lingers. But Burley, an assistant professor of sociology at Southeastern Louisiana University, wasn't thrilled that the eatery would be serving heaping helpings of flat-screened TVs -- one in every booth -- along with its family fare.
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or obese. A national sample of adolescents indicated that 64 percent of 11- to 18-yearolds had the TV on during meals. One reason for the weight gain, Burley says, is that people tend to eat more slowly -and consume less food -- when they are not glued to the tube. Television's impact on families' emotional health is perhaps harder to quantify. "The idea of the family meal is to interact with each other," said Neumark-Sztainer, also a professor of epidemiology and community health at the University of Minnesota. "I always say the nutritional value of the food may not be the best when you go out to eat, but the social interactions can [be valuable.] So if you're getting rid of that, it's sort of a shame." Family meals -- without TV -- strengthen family ties and the need for connection. Burley pointed out that kids also learn important principles of human interaction at family meals - listening to others and taking turns conversing, for example - and this opportunity is negated when everyone is focused on a screen. He challenges people to ask businesses to turn off the television, knowing it may be an uphill battle -- but a worthwhile one.
In 2007, Neumark-Sztainer's study in the Journal of Nutrition Education and Behavior indicated that teens in families that watched TV while eating together had a lower-quality diet than children of families that turned off the tube while eating together. Teens watching television ate fewer vegetables, calcium-rich food and grains; they also consumed more soft drinks than their peers who ate meals without the TV on.
"I think this has implications for how we want our society to operate in the larger realm," Burley said. "We love to go out to eat. To go out and be taken away by the TV, we lose sight of the cultural pleasure we used to get by just going out to eat."
And a 2010 study in the International Journal of Food Sciences and Nutrition showed that school kids who spent prolonged hours in front of television tend to be overweight
If we turn the TV off, he added, "we can engage others and pay attention to our food. It gets closer to what we all claim our values to be."
11
12 FEBRUARY ISSUE
• 2011
FLORIDAHEALTHNEWS-ONLINE.COM
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Your Dog May Be Smarter Than You Know Border collie learned names of more than 1,000 objects, researchers say.
S
o you think your dog is smart? A Border collie named Chaser managed to learn the names of 1,022 objects over three years, say U.S. researchers.
It's likely she could have learned the names of more objects, but the training was stopped because of time constraints, said the team at Wofford College in Spartanburg, S.C.
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Chaser's ability to learn and remember the names of so many objects was tested repeatedly under carefully controlled conditions. She understands that the names refer to specific objects, independent of commands such as fetch. The study is published online in the journal Behavioural Processes.
"This research is important because it demonstrates that dogs, like children, can develop extensive vocabularies and understand that certain words represent individual objects and other words represent categories of objects, independent in meaning of what one is asked to do with those objects," researcher Alliston Reid said in a journal news release. Further research is needed to find out if other breeds of dogs have similar language capacity.
Bottle Rockets Can Cause Serious Eye Injuries in Kids
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Protective eyewear urged, even for bystanders, whenever these fireworks are used.
B
ottle rockets can cause serious eye injuries to children that can lead to permanent vision loss, a new study
warns.
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Researchers at Vanderbilt University Medical Center in Nashville, Tenn., detail the cases of eight boys and two girls, aged 18 or younger, who suffered eye injuries caused by bottle rockets between 2006 and 2009. Eight of the patients were injured while launching bottle rockets and two were bystanders. None of them was wearing eye protection when they suffered their injury, according to the report. The 11 eyes injured among the 10 patients included: defects in the epithelium lining the cornea (seven eyes); bleeding in the front of the eye (six eyes); traumatic inflammation of the iris (two eyes); a tear of the iris (four eyes); cataract (four eyes); retinal dialysis or a type of retinal tear (one eye); and bleeding into the eye's vitreous fluid (two eyes). Eight eyes required initial treatments such as surgical removal of the lens or removal of
damaged corneal tissue. Three patients required additional treatment, including muscle surgery and placement of a new lens, the investigators found. In recent follow-ups conducted on 10 of the eyes, visual acuity was 20/30 or better in four eyes and 20/200 or worse in six eyes. The most common cause of permanent vision problems was damage to the part of the retina responsible for central vision (maculopathy). The study findings were released online in advance of publication in the May print issue of the journal Archives of Ophthalmology. "This study demonstrates that bottle rockets can cause significant ocular injury in children and adolescents and, in turn, cause their parents and themselves to incur expenses through emergency department visits, surgical interventions and days missed from school and work," study author Mehnaz Kahn and colleagues wrote in a journal news release. "If children, adolescents and parents choose to launch bottle rockets, it is important for parents not only to supervise children and adolescents in the vicinity of bottle rockets but also to ensure that protective eyewear is being used," the researchers concluded.
FEBRUARY ISSUE • 2011
FLORIDAHEALTHNEWS-ONLINE.COM
6
13
cancer-fighting superfoods
To reduce your risk of cancer, look no further than your fridge. "All the studies on cancer and nutrition point to eating plant-based foods for their phytonutrients and other special compounds," says Richard Béliveau, PhD, chair in the prevention and treatment of cancer at the University of Québec at Montreal and author of Foods to Fight Cancer.
A
im for five to nine daily servings of all kinds of fruits and vegetables—especially these six superstars.
Broccoli All cruciferous veggies (think cauliflower, cabbage, kale) contain cancer-fighting properties, but broccoli is the only one with a sizable amount of sulforaphane, a particularly potent compound that boosts the body's protective enzymes and flushes out cancer-causing chemicals, says Jed Fahey, ScD. A recent University
of Michigan study on mice found that sulforaphane also targets cancer stem cells— those that aid in tumor growth.
which slow down the growth of premalignant cells and keep new blood vessels from forming (and potentially feeding a cancerous tumor), according to Gary D. Stoner, PhD, a professor of internal medicine at The Ohio State University College of Medicine.
Tomatoes
Berries All berries are packed with cancer-fighting phytonutrients. But black raspberries, in particular, contain very high concentrations of phytochemicals called anthocyanins,
This juicy fruit is the best dietary source of lycopene, a carotenoid that gives tomatoes their red hue, Béliveau says. And that's good news, because lycopene was found to stop endometrial cancer cell growth in a study in Nutrition and Cancer. Endometrial cancer causes nearly 8,000 deaths a year.
have been shown to block estrogen receptors in breast cancer cells, possibly slowing the cells' growth, says Elaine Hardman, PhD, associate professor at Marshall University School of Medicine in Huntington, West Virginia.
Garlic Phytochemicals in garlic have been found to halt the formation of nitrosamines, carcinogens formed in the stomach (and in the intestines, in certain
Walnuts Their phytosterols (cholesterollike molecules found in plants)
conditions) when you consume nitrates, a common food preservative, Béliveau says. In fact, the Iowa Women's Health Study found that women with the highest amounts of garlic in their diets had a 50 percent lower risk of certain colon cancers than women who ate the least.
Beans A study out of Michig a n State University that found black and navy beans significantly reduced colon cancer incidence in rats, in part because a diet rich in the legumes increased levels of the fatty acid butyrate, which in high concentrations has protective effects against cancer growth. Another study, in the journal Crop Science, found dried beans particularly effective in preventing breast cancer in rats.
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14 FEBRUARY ISSUE
• 2011
FLORIDAHEALTHNEWS-ONLINE.COM
How to Maintain Your Happy Weight It's one thing to exercise five times a week and watch everything you eat while you're trying to shed those pounds, but what's your game plan when you finally reach your goal weight? Here are six nutrition and exercise tips to help you simply stay in shape.
1
Change up your workout as often as possible. Just as your mind gets bored, so does your body. And when your body gets bored, it stops working as hard, and you stop seeing results. So, if you want to stay in shape, don't let
your workout routine become stagnant!
2
Try not to go more than two days in a row without a workout. Stay committed to the time you have put into creating
Loving Your Bedroom May Be Key to Good Sleep An extra hour each night makes the difference, survey suggests.
5
Weigh yourself once a week. One of the easiest things to do is relish in accomplishing your goal by spoiling yourself with tasty treats. If you want to maintain your goal, you'll have to check in with it regularly and get on a scale.
your new body. If you let too many days go by without working out, you may slip back into old habits.
3
Stay hydrated. Drink water first whenever you think you are hungry. Often times, hunger is mistaken for dehydration.
6
Set new goals! Now that you're in shape, what else do you want to accomplish? A sprint triathlon? Scuba diving? Hike the Grand Canyon? If you were willing to work hard enough to get this new body, you obviously enjoy a challenge, so give yourself something new!
4
Always have healthy snacks on hand. You will be less likely to buy something unhealthy if you have something with you to curb your appetite.
The so-called "Bedroom Poll" found that great sleepers get an average of about one hour more shuteye than others. On weekdays, a great sleeper gets an average of seven hours and nine minutes of slumber per night, compared with an average of six hours and two minutes for those who get good sleep less often.
O
On weekends, a great sleeper gets an average of seven hours and 41 minutes of sleep per night, compared to an average of
nly 42 percent of Americans say they sleep well almost every night and can therefore be categorized as "great sleepers," according to a new National Sleep Foundation survey.
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six hours and 52 minutes for others, the poll found. The telephone survey of 1,500 adults aged 25 to 55 also found that most Americans believe the comfort and cleanliness of their bedroom are key to getting a good night's sleep. More than nine out of 10 respondents said mattresses and pillows play an important role in good sleep, and more than three-quarters also believe the comfortable feeling of sheets and bedding are crucial. In fact, more than 70 percent reported being more comfortable when sheets have a fresh scent. Other important factors include keeping the bedroom at a cool
temperature, keeping the sleeping area dark and quiet, and making sure the room has clean air that is free of allergens, according to twothirds of the survey participants. The poll also found that people who make their bed every day are 19 percent more likely to say they get a good night's sleep than those who don't make their bed every day. "Love your bedroom and make it the best place you can, but at the end of the day, it's crucial to give yourself enough time to wind down and get the seven to nine hours of sleep that most people need to feel their healthiest and best," David Cloud, CEO of the National Sleep Foundation, said in a news release from the organization.
FEBRUARY ISSUE • 2011
FLORIDAHEALTHNEWS-ONLINE.COM
15
Depression in Rheumatoid Arthritis Patients Linked to Social Status Race, income, education affect degree of suffering, study finds.
R
heumatoid arthritis (RA) patients with low socioeconomic status are at increased risk for depression, a new study finds.
Drowsiness May Decline After Apnea Surgery
D
aytime sleepiness, a common complaint of people with obstructive sleep apnea, improves greatly after surgery for the disorder, according to a new study.
Sleep apnea occurs when the airway becomes partially or completely blocked in short spurts, causing pauses in breathing that usually last a few seconds but can occur 30 times or more an hour, disrupting sleep. The most common treatment for adults is continuous positive airway pressure, or CPAP, which uses a machine to increase air pressure in the throat to keep the airway open. But surgery to open the airway is another option. The study, by researchers at Henry Ford Hospital in Detroit, involved 40 people who had one of the three types of surgery used to treat obstructive sleep apnea: uvulopalatopharyngoplasty (removal of excess tissue in the throat), tonsillectomy or radiofrequency ab-
Previous research has shown that 13 percent to 42 percent of RA patients experience depression, which is associated with worse outcomes. In this new study, researchers analyzed data from 824 hospital or clinic visits made by 466 RA patients and found that 37 percent of them had moderate to severe depression.
Differences in depression severity were not affected by gender, age, disease duration, steroid use and dose or biological therapy, said the researchers at the Arthritis Research Group, University of California, San Francisco, in a news release from the journal's publisher. The researchers, reporting in the February issue of the journal Arthritis Care & Research, also looked at measures of socioeconomic status, such as race, income, education and health access. There were significant differences between depressed and non-depressed patients in terms of race, physical limitations, treatment with disease modifying antirheumatic drugs, and care at a public vs. university hospital.
"For the same level of disability, patients with low [socioeconomic status] may be more likely to experience depression," the researchers concluded. "Detection and documentation of the differing effects of disability on depression between patients of different socioeconomic status can help rheumatologists improve health outcomes by initiating appropriate and timely treatment for depression."
lation of the base of the tongue. Before their surgery, all of the study participants reported being very sleepy during the day. After surgery, however, ratings on standardized scales revealed that daytime sleepiness was greatly reduced in 38 of them. In addition, the participants experienced, on average, a 50 percent reduction in nighttime sleep interruptions, the study reported. "This study validates what patients have told us regarding their improved alertness after surgery," Dr. Kathleen L. Yaremchuk, a study co-author who chairs the department of otolaryngology-head and neck surgery, said in a hospital news release. The findings were presented at a recent Triological Society meeting in Arizona. Experts note that research presented at meetings is not subjected to the same scrutiny given research published in medical journals.
Classified
Kids Fed Unhealthy Foods Learn to Prefer Them U.S. preschoolers able to recognize fast-food, cola brand images, study found.
M
ost preschool children develop a taste for salt, sugar and fat at home, and quickly learn which types of brand-name fast foods and sodas meet these preferences, U.S. researchers say. In one experiment, the mothers of 67 children, aged 3 to 5, were asked to list their youngsters' taste preferences and listed foods high in sugar, fat and salt. The researchers tested the children and found that the parents' answers were accurate. In a second experiment, the researchers looked at the association between the taste preferences of 108 preschool children and their
emerging awareness of brands of fast food and sugar-sweetened beverages. The children were shown 36 randomly sorted product cards -- 12 related to each of two popular fastfood chains, six related to each of the two leading cola companies, and six depicting non-related products. All of the children were able to place some of the product cards with the correct companies, which demonstrated that they recognized these brands. The results "suggest that fast food and soda brand knowledge is linked to the development of a preference for sugar, fat and salt in food," the researchers reported.
Parents need to carefully consider the types of foods they give to young children at home and in restaurants, said study co-author T. Bettina Cornwell, a professor of marketing at the University of Oregon Lundquist College of Business. "Repeated exposure builds taste preferences," she said in a university news release. The study findings were released online ahead of publication in an upcoming print issue of the journal Appetite.
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