Rivertowns Enterprise To Your Health! by The Rivertowns Enterprise

A SPECIAL SECTION OF THE RIV ERTOWNS ENT ERPRISE E OCTOBER 19, 2012

To Your Health! Back to Basics

Best nutrition comes from simple foods By TRACI DUTTON LUDWIG

COURTESY MOUNT KISCO ACUPUNCTURE AND MASSAGE

managing the stress mess A GPS to navigate the road to relaxation By LAURIE SULLIVAN

urn off those stress machines and follow the road to relaxation. That’s right, take a break and turn off those iPads, iPods, iPhones, Kindles and other electronic gear and pick a path that can lead the way to lessen the tension of work and the demands of family life. It doesn’t have to take that much time to achieve. Some stress relievers take only 15 minutes a day and others might take up to an hour once or twice a week or once a month but worth every minute to relax your body and mind. Many people find it hard to relax, even when they have the time to do so. There are executives who go on vacation, but who check their work emails every five minutes. On weekends, instead of relaxing, taking in a ballgame or playing in one, are you checking those endless emails? Work sometimes encroaches on weekends, but often it’s just a habit. And that includes people who work late because their days could have been better organized. Couldn’t resist playing Words with Friends or had to check the sports scores on ESPN? I’m talking to all of you. We’re all programmed to live our lives, jam packing everything we can into our day. And the result? S-T-R-E-S-S! Well, there are lots of choices out there that will help you slow your life down a bit — enough to rid yourself of the stress that keeps you up at night. Turning off the stress machine that powers many of our lives can give you more energy for the stuff you want and need to do. Acupuncture and massage: nirvana!

James Silverman is an acupuncturist and massage therapist with an office in Mount Kisco. He sees patients who sometimes have specific pain issues that are stress related, such as migraines and back pain. He explained that the whole idea of acupuncture is the “qi of energy.” “I usually tell people the Nei Jing, the old classic book of Oriental medicine says, ‘Where there is no flow, there is pain; when there is continued on page 16a

implify your plate and feed good health. As nutritional science keeps developing, it still supports the basics — the most healthful diet is based on vegetables, fruit and whole grains in their whole food forms. High-quality protein and healthy fats are a necessary complement, but neither should dominate the diet as they often do in Western culture. The benefits of simple, healthy eating are manifold. A well-rounded, plant-based diet has the power to “achieve better health and reduce the risk for chronic disease,” said registered dietitian Allison Cecere. Cecere has been in practice for 18 years, with a master’s of science in clinical nutrition. Her practice, Nutrition Therapy and Educational Services, is in Bedford Hills. “People tend to overcomplicate diet and nutrition,” she said. “We need to refocus on how simple the strategies can be.” “The first step is to eliminate or minimize highly processed foods from the diet,” Cecere continued. “After that, the focus is on plant-based food sources — the very foods for which human physiologies were designed. It is something we have been advocating for years as the cornerstone of healthy eating. But new research has exciting evidence that supports this, particularly in the area of bioactive food components that exist in plant-based foods.” Beyond vitamins and minerals, bioactive food components, or phytochemicals, are unique chemical substances that offer farreaching protective health benefits. They work to support various body systems at the cellular level, which optimize biological performance and reduce the risk or acceleration of chronic disease. “Bioactive components are a complex science, but basically they work through antioxidant pathways to maintain the health and integrity of DNA, favorably regulate hormones and hormone response, reduce inflammation, protect cell-signaling pathways and enhance apoptosis pathways,” Cecere said. Apoptosis refers to the body’s automatic programming to kill and eliminate atypical cells — an important area of cancer research. “The research of bioactive food components is very exciting in the areas of cardiovascular disease, cancer and any inflammatorybased disease. When people understand the

significant health benefits they can achieve just from making better dietary choices, there is no better motivation,” Cecere said. To achieve maximum advantage of bioactive food components, consumers should expose themselves to high concentrations in whole food plant forms. “Whole foods” refers to the concept of eating food in a state that is closest to how the food looked when it was picked or harvested.

Vegetables and fruit

Seven or more servings of fruit or vegetables per day are recommended. (A fruit/ vegetable serving size is 1/2 cup cooked or 1 cup raw.) Since each fruit or vegetable family contains different phytochemicals with unique benefits, “eat the rainbow” for good variety. Overall intake should include more vegetables than fruit. continued on page 9a

InsIDe TO yOur HeAlTH! Oxygen: Better breathing, better living .......................................................................................................... 3A Spray-on skin cells: They could make wrinkles a thing of the past ............................................................... 4A Bad eating habits: When, why and how to control them ............................................................................... 6A Fluids: The fads, the facts & the fallacies ........................................................................................................ 8A Diet: Conjugated linoleic acid for a healthy weight ....................................................................................... 12A Working out: What fitness plan works for you? ............................................................................................14A To Your Health!: News and Notes ......................................................................................................... 18A-23A

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By JENNIFER LEAVITT-WIPF

Oxygen: Better breathing, better living

ost people laughed when the media claimed that Michael Jackson took his naps in a hyperbaric oxygen chamber. “What an eccentric,” many said. But years later, that very technology, along with other forms of oxygen supplementation, is starting to creep into the mainstream, from major hospitals to alternative health centers, and even into the home. Why is that? A person can survive up to eight weeks without food, as long as seven days with no water, but only three minutes in the absence of oxygen. Not only must we breathe it in to perfuse our cells, tissues and organs, but our other tools for survival incorporate it as well. Water is made up of hydrogen and oxygen. Add carbon and you’ve got carbohydrates. The addition of nitrogen gives us protein. And carbohydrates work with oxygen to produce the energy we use to function. Thus, some scientists have long theorized that the volume of oxygen we take in must influence our health in major ways. But don’t we get enough oxygen naturally? Some of those same scientists don’t believe we do. The average oxygen content of ambient air today is approximately 21 percent. We know that air bubbles trapped in fossilized amber contain about 38 percent. This means that, since prehistoric times, there has been a near 50 percent drop in the average oxygen content of the air we breathe. Some speculate that life on Earth today is much smaller in size and stature for this very reason. Of course, most of us are happy to live without giant cockroaches and dinosaurs, but the idea that oxygen supported such enormous tissue growth in the past hints at just how influential it is on cells and tissues, beyond its ability to keep us breathing. It also suggests that oxygen levels in the air

have been on the decline since life on Earth began, and that the current levels may not be optimal. Many of the health habits and environments we hear about — quitting smoking, exercising, fresh air, saunas, eating whole foods and drinking water — also increase our blood oxygen levels, and there is increasing evidence that low blood oxygen levels are usually present with disease, though scientists are debating which came

first, the disease or the deprivation. Dr. Otto Warburg, a German biochemist who won the Nobel Prize for his cancer research, was convinced that malignant cells can only proliferate in bodies that are oxygen deficient. He further found that cancer cells are severely inhibited in an oxygen-rich environment. Molecular biologist and geneticist Dr. Stephen Levine also concluded from his research that lack of oxygen in human cells and tissue

may be a common underlying cause of many diseases. Oxygen proponent Dr. Norman McVea believes that, “More than anything else, good health and well-being is dependent on the maximum production, maintenance and flow of energy, which is produced by oxygen. Oxidation is the key to proper metabolic function, correct circulation, assimilation, digestion and eliminacontinued on page 5A

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Your Health!

sPray-On sKin CeLLs: They could make wrinkles a thing of the past By JENNIFER LEAVITT-WIPF

e have come a long way when it comes to filling in those pesky wrinkles and grooves that come with age. Today, we can get a series of injections at lunchtime and still have time for a turkey on rye. Or we can opt for a mini peel on the fly. And the results of these and other procedures can last for many months. Sometime soon, though, we may be able to have our own cultured skin cells sprayed right into those wrinkles, literally turning back the clock on our skin to a younger age. Spray-on skin, patented under the name ReCell, is a culturing treatment originally developed for burn victims, developed by scientist Marie Stoner and plastic surgeon Dr. Fiona Wood of Perth, Western Australia. While previous techniques of skin culturing took 21 days to produce enough cells to cover large burns, ReCell does it in five. Wood’s research found that scarring can be dramatically reduced when it can be replaced within 10 days of injury. Wood is aiming at “scarless woundless healing.” Back in 1993, Wood established a company called Clinical Cell Culture to commercialize the procedure. Her inspiration had been a schoolteacher who arrived at Royal Perth Hospital the previous year with burns over 90 percent of his body. Wood employed fairly new American cultured skin techniques to save his

IntroducIng the brIstal

life, working long nights in the lab with scientist Stoner. The two women wondered whether they could improve and speed up the process by spraying skin on instead of growing it on sheets that had to be transferred. The technology harnesses the regenerative capabilities of our skin, enabling a surgeon to collect a tiny sample of the patient’s own skin, and to then re-apply these skin cells through a spray, for rapid healing and a return to original pigmentation and texture. The spray-on cell suspension contains just the right mix of cell types to: promote healing (keratinocytes), reinforce skin structure (fibroblasts) and reintroduce normal color (melanocytes). The resulting film is thin at first, but the cells quickly multiply, forming an even layer of new skin within days. The result is far more natural looking than a graft. An American company, Healthpoint BioPHOTOS COURTESY AVITA MEDICAL

continued on page 7a

t h e b e s t o f a s s I s t e d l I v I n g n ow c o m e s to w h I t e P l a I n s s Another Quality Community By The Engel Burman Group

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To Your Health! , ThE Rivertowns enterprise

Oxygen continued from page 3A

tion. It helps purify the blood, keeping it free from cellular waste build-up. Sufficient oxygen gives the body the ability to rebuild itself and strengthen its immune system, our natural defense against disease. It also has a calming and stabilizing effect on the operation of the nervous system.” The Townsend Letter for Doctors once asked, “If deficiencies of less vital elements such as vitamins, minerals and enzymes can rob the human body of its health and vitality, how much more damage must result from a deficiency of oxygen, the element universally acknowledged to be the most vital to life?” The amount of oxygen in our atmosphere is only one consideration. Diet is also key. Junk food, usually low in oxygen itself, forces our bodies to use up more of its oxygen reserves than usual to oxidize things like sugar and preservatives and metabolize what few nutrients may be left. Complex carbohydrates, though, are high in oxygen. Poor food choices can lead to posteating fatigue. Food is fuel. It is supposed to give us more energy, not sap it out of us. Medications and physical and emotional stress can all deplete oxygen as well. We can all increase our oxygen through lifestyle changes, but some conditions warrant more intensive oxygen strategies. Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized chamber. The air pressure is raised up to three times higher than normal air pressure so that far more oxygen fills the lungs. The blood then carries this oxygen throughout the body, stimulating the release of growth factors and stem cells, which promote healing. Currently, said Dr. Arthur Turken, medical director of wound care and hyperbaric medicine at Northern Westchester Hospital, “It is a wellestablished treatment for wound care, failing

Hospital grade hyperbaric oxygen units employ oxygen tanks.

A portable hyperbaric oxygen unit draws oxygen from ambient air.

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skin grafts and radiation post care,” all of which have positive results. Other on-label conditions that can be treated include serious infections, CO2 poisoning and decompression sickness. The hospital has had their hyperbaric department for about a year and a half. There have been many claims that hyperbaric oxygen improves Alzheimer’s disease, Parkinson’s disease, cerebral palsy, cancer and even ADHD. “The possibilities for neurologic application are intriguing,” Turken said. “The indications for hyperbaric oxygen will probably be expanded quite a bit in 20 years.” Right now, he explained, the hospital can only offer on-label treatment, within reason: “We have many inquiries from people who want to have hyperbaric treatment for off-label illnesses or conditions, and we can’t take their money until these other indications are proven and approved by the FDA.” That doesn’t stop individuals from going to alternative medicine centers for the treatment, or even from buying lower-cost home units that extract oxygen from ambient air in the room. The well-known health guru Dr. Mehmet Oz advocates using hyperbaric oxygen to simply extend longevity. The home units in particular, because they don’t use pure oxygen, are considered very safe. Those who use them claim recovery from illness, as well as greater fitness and energy. Since the smallest portable hyperbaric units start at $5,000, they are not exactly mainstream retail. Those who are determined to buy a little more oxygen though can purchase oxygenated water, canned or liquid oxygen, or home inhalation units. Some people socialize at oxygen bars, where they ingest various flavors of O2 together. Few doctors advocate these treatments, though they aren’t likely dangerous for most of us. For now, the least expensive and most widely approved ways to get a little extra O2 are still the old fashioned ones — exercise, water, fresh air and nutritionally rich whole foods.

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Bad eating habits:

When, why and how to control them By MARY LEGRAND

t’s 10 p.m. Do you know where your ice cream is? Chances are it’s right there by your side, in a bowl with a spoon. Being in the habit of eating certain foods at certain times of the day or when dealing with specific circumstances is something most of us know all too well. But habits can change, particularly if we know why they began in the first place. Linda Arpino of Life Focus Nutrition Centers in Rye Brook and Stamford, Conn., has been in practice in Westchester County for more than 25 years and Connecticut for three years. A registered dietitian and certified dietician/nutritionist, Arpino said there “definitely are triggers why we choose certain foods at certain times of the day. We learn as infants that some foods make us feel good, and the hormonal response to certain foods certainly does play into that.” What we eat and why we eat those things, especially under times of stress, is important to recognize if habits are to change. “People making the transition of removing alcohol, drugs or any addictive substance from their lives sometimes will increase their cravings for sugar, whether it be through soda, candy or sweetened cereals,” Arpino said. “It’s the same with people who are under stress. We learn early in life that a baby bottle in the mouth makes us feel better when we cry; we get a lollipop when we have a cut. Children learn very early what makes them feel good, and under what circumstances.” Asking each patient to keep a food log is a very helpful way to document just how much is eaten and when, Arpino said, adding, “It lets dieticians assess food choices and the moods related to those choices. And if I have a patient with an eating disorder, there’s certainly a journaling component along with the food log.” Therapy may be required in certain circumstances, including restrictive or compulsive eating, which, Arpino said, may be triggered by some sort of emotional distress, undisclosed lifelong trauma, like a sexual abuse. “It helps to work with a therapist if a person can’t identify the obvious — he’s feeling depressed over a life circumstance and is making himself feel better through food,” she said. “Food’s a medication that’s used by the general population, particularly in difficult times like these. We’re inundated every single day with how the economy is plummeting out. There are all these tense things that can make us feel unstable at times, and that is connected to how we and when we eat.” To change one’s eating habits for the bet-

ter, Arpino suggests we “focus on eating three food groups three times a day. Fill up half the plate with vegetables and fruits, with proteins of higher fiber. Eating more plant-based proteins is better for us.” Arpino noted that in order to live more healthfully, “You’re always striving to have low glycemic load meals,” and that, in addition to adopting positive eating styles, can be done by incorporating more positive habits, producing “positive hormones from exercise, meditation, relaxation, even prayer. They all can help in keeping homeostasis in the body.” Not that reaching the goal of eating healthfully is easy, she acknowledged, thanks to food manufacturers who have “spent billions on research centered on what consumers will eat more of. It’s proven that people who drink diet soda gain more weight — it’s the sensation of sweetness and satiety that is not achieved, and it makes people want to eat more.” Bodies can be programmed to enjoy different kinds of tastes; however, the earlier the better, “We have to be sensitive to the fact that young children, especially, should not be consuming a lot of high sugar foods,” Arpino said. “The more you have, the more you want, and it is an addictive thing.” Sharon Farber, Ph.D., practices in Hastingson-Hudson and specializes in the treatment of people with eating disorders, including children and adolescents. She sees children as young as age 5 whose eating habits are not normal and

might, for example, claim that they cannot consume any fat. That said, the rates of obesity in children and adults keep climbing and climbing and climbing all over the United States, Dr. Farber said, adding “this is not the case in other countries, as I understand it.” Farber cited government officials who acknowledge obesity as the No. 1 public health issue in the country, adding to the indictment of the food industry creating products that are meant to be “super-palatable, absolutely delicious. And people become addicted to them.” Portion size matters, too, Farber said: “People think it’s normal to go to the movies and sit down with a tub of popcorn that could probably fill a bathtub, along with a cup of soda that’s the equivalent of a quart. I’m exaggerating, of course, but we really don’t need to eat and drink that much.” Triggers for overeating “are emotional,” she said. “People eat for emotional reasons, and they eat the same way others smoke pot or shoot heroin. It’s a way for them to feel better, at least temporarily.” Changing one’s eating habits “requires a lot of work on the part of the patients,” Farber said. “I can provide certain tools they can use, things they can do instead when they have the impulse to eat. They need to understand that the impulse is not going to last forever, so if they can ride it out, they can get past it. It’s kind of like a wave that comes in very strong at the beach; once the wave breaks it just flows out and it’s

easy to get through.” Farber endorses the concept of mindful eating, using tools in group sessions such as having each patient carefully unwrap a small piece of chocolate, then look at it before putting it in the mouth. Patients are instructed not to bite or chew the chocolate, but instead let it melt slowly in the mouth. “My patients were amazed at how much they enjoyed that little piece of chocolate, because they really allowed themselves to savor it,” she said. Farber’s advice to parents hoping to encourage healthy eating is to vary the foods offered to children. “Just keep putting out different foods for them to taste, different flavors, different textures, and don’t make a big deal about candy and cookies,” she said. “Don’t exclude them, but then again, don’t have loads of them around, because going from one extreme or another with food is what leads to eating disorders.” Certified nutritionist and cancer coach Kathleen Schoen, MS, CNS, is a resident of Katonah. She said there’s a science behind what people eat and when they eat it, mostly due to the hormones that trigger when we eat and regulate the brain to signal when we’re full and should stop eating. “People don’t choose to overeat and be obese,” Schoen said. “Our hormones get altered by diet and by stress, which along with emotional eating plays a huge role in most people’s weight.” In terms of the different kinds of food-related disorders, most people overeat, while others choose to eat too little or nothing at all. Schoen cited the concept of “positive eating,” noting it most typically takes place at “celebrations where your favorite food makes you think of a warm, comfortable environment.” “This is not always bad,” she said, “but too much of it is bad.” Schoen advises patients to keep a food and emotions diary “so we know what triggers it when they do overindulge. One entry might be something like. ‘I got into a fight with my husband and ate a box of cookies.’” In her practice, Schoen works with clients to help them realize “it’s not only about the food but realizing when those triggers hit. If you can recognize when you’re upset or having emotional eating you can then stop picking up the food — try meditation, take away, remove yourself from the situation. If you’re used to comforting yourself with ice cream or chocolate before it’s time to get ready for bed, I might suggest trying a cup of berries or some chamomile tea to treat yourself.”

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Spray-on skin cells continued from page 4A

therapeutics, is simultaneously developing a spray-on skin technology. Their spray was first tested on 228 people suffering from leg ulcers — painful open wounds that are often slow to heal. The findings, published in the Lancet, showed rapid healing of ulcers treated with ReCell. Experts are saying that, even if the cost of the spray is lower, a much shorter healing time with greater success rates inevitably saves money. Researchers said the size of the wound “began to decrease rapidly” almost immediately after the spray was applied. In those patients who received the spray treatment, 70 percent were healed after only three months, while only 46 percent of those receiving other treatments were healed. Collecting the skin cells from a patient is far less invasive than a skin graft. What this means is that not only will a patient’s original wound heal better and faster, but there is also no need to create a new wound where a graft would otherwise be taken from. In addition, the spray-on solution can be available to the patient immediately, as the skin-cell collection process is quick, easy and instant. A thin small sample of skin will be taken, usually from a discreet area of the body, and cells will be cultivated from that and combined in the spray. The biopsy is always taken from an area with similar consistency, texture and color to the area being treated to ensure consistency. If wrinkles or acne scars on the face are being treated, for instance, a tiny sample might be taken from behind the ear, or at the nape of the neck. The size and thickness of skin required would be about equal to two postage stamps. Skin grafts, on the other hand, require quite a bit of skin to be removed, followed by significant time and skill to prepare, which leaves a greater window for further discomfort

To Your Health! , ThE Rivertowns enterprise and infection. And no one offers skin grafting for minor cosmetic procedures either. Several researchers and companies are working on developing spray-on skin technologies. Avita Medical and Healthpoint are in the lead, with Avita’s product already approved for marketing and sale in Europe, Canada and Australia for wound, plastic, reconstructive, burn and cosmetic procedures. Cosmetic applications

Current cosmetic procedures often involve the removal of our top layer of skin — whether exfoliating or burning away wrinkles, skin blotches or other imperfections. Many people are very happy with chemical peels, laser resurfacing and dermabrasion, but they can also cause redness, irritation or even new scarring. In the future, spray-on skin might be used in conjunction with these methods, as a sort of polish and final touch, or it might be used on its own, because wrinkles are, in fact, a form of injury to the skin themselves. The application of color skin cells (melanocytes) may be used to even out skin color and tone. The biopsy and spray-on skin procedures don’t require sophisticated instruments or significant time. Researchers believe there is a very minimal chance of adverse side effects because a patient’s own cells are being used. And for something as minimal as wrinkles, the desired effects could take only three to five days to manifest. More complicated healing might take three to six months, but the final results of treatment would be permanent. It all sounds a bit like beauty science fiction, but if all goes well, spray-on skin cells could be available for leg ulcers, burn treatment and, yes, cosmetic reconstruction, in just a few short years. For those of us who are dreaming of looking just a little bit younger, this may be one of the few instances when we’d actually like to speed up time instead of slowing it down.

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Friday, October 19, 2012

Fluids: The fads, the facts & the fallacies Elders with limited mobility may consciously restrict their fluid intake in order to limit trips to the bathroom, because it’s just too hard to get up to get there. Or they may restrict their fluid intake before leaving the house for fear of having to find a bathroom while they’re out.

By JACKIE LUPO

luids are essential to good health. They help the body function, and if you don’t have enough of them, you may not even know it. A person who is dehydrated may have the classic signs: dark urine, nausea, dizziness and weakness. But people who are chronically underhydrated may get used to feeling unwell, without realizing the cause. And people with some medical conditions may have altered perceptions of thirst that affect their fluid intake. “Our bodies are somewhere between 50 and 65 percent water, and everything that happens in our body happens in a fluid medium,” said Karen Dolins, a registered dietician and board-certified specialist in sports dietetics in White Plains. “We need to be able to retain that for our bodies to function properly.” Even if you’re just sitting in your chair, you’re losing fluids just by sweating and breathing. But before you leave the house with that 64-ounce bottle of spring water, note that there are many ways to stay healthily hydrated.

Are sports drinks a more efficient source of hydration than regular water?

Does a person need at least eight glasses of water a day to be properly hydrated?

Yes, you do need a lot of fluids, but water isn’t the only acceptable source of fluids in a healthy diet. “We do need approximately that much, but we now have more specific information about what people need. Most healthy adults use thirst to satisfy their fluid needs,” said Erica Leon, M.S., R.D., CDN. Leon is a dietician in private practice in Ardsley. She also works at the Cedar Associates eating disorders centers in Scarsdale and Mount Kisco. People with medical conditions, athletes and people living in severe weather conditions may have greater fluid needs. But, said Leon, other fluids count toward the total, including things like juice, milk and coffee. She said the most recent research indicates that women should get about nine cups of fluids a day and men 12 1/2 cups. But, she noted, that larger total includes foods with a high water content, such as fruits and vegetables. Leon said the perception that coffee and tea are diuretics is not true. “Coffee and tea do contribute to fluid requirements,” she noted, but added that some people with medical conditions such as heart problems may be advised to avoid tea and coffee. Dolins said that although all fluids are going to provide hydration, the specific recom-

mendation depends on the individual. For example, she said, “An older person with hypertension, you might not want them to have a can of soup for their hydration.” Is drinking diet soda a good way to get necessary fluids?

Here’s the catch: you could be drinking something that is better for you. “There’s been a lot of interest in the New York City ban on large sugary drinks,” said Leon. “Frankly, we as nutritionists are trying to discourage empty calorie beverages, so we encourage water, skim or low-fat milk as a good source of fluid. There really is a big crisis among teenage kids who have a shortage of calcium, and adults who have a vitamin D shortage and osteoporosis, so we’re talking about restricting intake of these sugary beverages.” Leon said research published by the American Medical Association showed that kids who consume fewer sugary beverages maintain lower weights. “Diet soda is considered a better choice, but I would put it at the bottom of the list,” Leon said. “I would promote water, skim or low-

fat milk. When I work with kids who have weight problems, I say, no more than 4 ounces of juice a day.” Are elderly people more at risk for dehydration?

They are, but not always for the reason most people think. Yes, says Leon, elderly people may have medical conditions that predispose them to being dehydrated. But most elderly people who don’t get enough fluids are just not drinking enough. “The elderly, No. 1, often have a hard time maintaining a good hydration level,” Dolins said. “But the additional problem is they have to often urinate more frequently so this makes them more fearful of drinking, and this can exacerbate the situation.” She added that medical conditions and the medications the person takes could make the problem more serious. “That issue of going to the bathroom is a big issue for elderly people,” agreed Leon. “Elderly people often don’t want to go to the bathroom as often, so they drink less and have a higher rate of dehydration; and they have more medical conditions that may predispose them to that.”

The answer to this one depends on who’s doing the drinking. “Athletes are losing fluid through sweat and their breath. Even if you don’t feel you’re sweating, you’re losing fluid,” Dolins said. “In general an athlete doing very sustained exercise, for example, a tennis player, would need not only the fluid, but the additional energy that would come from a sports drink.” Should kids be drinking Gatorade or another sports beverage? “The global answer should be no,” Dolins said. “But sports drinks have about half the amount of sugar [as regular soft drinks]. So if you have a kid used to drinking soda and who refuses to drink water, sports drinks may be a good way station to wean them away from sweetened drinks.” She added that child athletes have greater fluid needs than children who are sedentary, just as adults who work out strenuously need more fluids than people who work out for an hour a week or do no exercise at all. Are the new juice diets an effective means of weight control?

“The thing about ‘juicing’ is, it’s a way to concentrate nutrients for individuals who are not consuming adequate nutrients,” said Leon. “But a person who is juicing is not getting the full benefits of fruits and vegetables. It’s a concentrated source of calories, so in terms of weight management, you’re not getting the benefits of fruits and vegetables.” She explained, for example, that 4 ounces of orange juice had the same number of calories as one orange, but the juice is less satisfying and does not provide the fiber that the body needs. “From a weight control perspective, there’s no research saying that fluids aid in weight loss,” Dolins said. “We do know that people tend to eat, when, in fact, they’re thirsty. People are very prone to listening to marketing hype. But you need to look at the person’s total diet and exercise patterns. In reality, people will get the most boost from eating fruits and vegetables in their whole form.”

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Citrus

Oranges, lemons, limes and grapefruit possess bioactive components called terpenes, which have an antioxidant effect and help regulate hormones. In addition to the fruit flesh, the peel is also highly concentrated in terpenes and should be used in creative ways. Cecere suggests including zest in daily meal plans by adding it to cereal, yogurt, salads, whole grain dishes, fish preparations and pastas. “Of course, use only organic citrus to reduce your exposure to toxic pesticide residues,” she said. Tomatoes

To Your Health! , ThE Rivertowns enterprise servings of whole grains per day are recommended. (A whole grain serving is defined as 1/2 cup cooked.) Whole grains are complex, high-fiber, phytochemical-rich carbohydrates. As such, they may help to better regulate blood sugar levels and sustain energy over a period of time. “There is a difference between true whole grain and ‘whole gain’ commercially prepared products, such as whole grain bread and whole grain pasta,” cautioned Cecere. “Avoid manufactured products. Focus, instead, on whole grains as they exist in nature.” The important distinction is that many manufactured products rely on nutrientstripped milled grains. Brown rice, rolled oats, bulgur wheat, rye,

quinoa, corn, millet and buckwheat are delicious, versatile options. Cooked, these whole grains are a “blank canvas.” They can be served as a side dish, in place of potatoes or white rice; or they can be transformed into a variety of flavorful meals through the addition of protein, vegetables, dried fruits, herbs, spices and oils. Hearkening back to indigenous ancient cultures, whole grains lend themselves well to Mediterranean or Middle Eastern preparations. Cecere recommends: “Bulgur wheat is a good starting point for many people looking to introduce whole grains into their diet. With a cooking time of 15 minutes, bulgur wheat is convenient, and it has a subtle mild

Tomatoes are another nutritionally potent fruit. In addition to vitamin C, tomatoes contain lycopene, a member of the carotenoid phytochemical family. Carotenoids have antioxidant effects targeting prostate cancer, breast cancer and cardiovascular health. Because lycopene is bound to a fibrous matrix in tomatoes, lycopene must be liberated through heat. Therefore it is most concentrated in cooked preparations such as tomato sauce or even ketchup. “Another interesting thing about lycopene is that it needs fat for its transportation,” Cecere said. “Just think about how perfect tomato sauce, made with olive oil, is for that.” Berries and grapes

Vibrant red grapes and berries are identified as a “super food” category. They are rich in vitamins, fiber, ellagic acid (an antioxidant) and resveratrol. Resveratrol is a flavonoid that has been shown to improve cardiovascular health and to influence hormone response, an area of special interest to hormone-related cancer research. Increase berry intake by adding them to yogurt and cereal and eating homemade chutneys and jams with protein or whole grain bread. Cruciferous vegetables

Cruciferous vegetables stand out for their role in stimulating the body’s own detoxification system through bioactive components called isothiocyanates, which are abundant in broccoli, cauliflower, Brussels sprouts, collard, mustard greens, bok choy, turnips, radishes and kale. “Going beyond an antioxidant effect, isothiocyanates have the power to induce a detoxification response,” Cecere said. “Our bodies possess the capability to [expel toxins] if we support this role. Isothiocyanates enhance the process and promote efficiency. They’re a ‘biggie’ in any discussion of bioactive food; but they are sensitive to heat, so raw, stir-fried, lightly roasted or steamed preparations of cruciferous vegetables are best.” But the benefit of cruciferous vegetables doesn’t stop there. This powerhouse group favorably influences hormone levels and supports the communication pathways of apoptosis (the programmed action of cell death for malignant or unwanted cells.) Allium vegetables

Garlic, onions, leeks and chives contain the enzyme allicin, an organosulfur compound with natural antibacterial, antiviral, anti-inflammatory and blood-thinning properties. These properties play a positive role in cardiovascular disease, inflammatory diseases, bacterial conditions and other chronic conditions. Because allicin needs time to activate, Cecere recommends chopping allium vegetables to liberate the enzyme, and allowing them to stand for 10 minutes before subjecting them to heat. “My motto with these is ‘chop and stop,’” she said. Whole grains

Whole grains and seeds are another important category of plant-based foods. Four

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you’ll feel tired and sluggish. Protein also helps to keep your body feeling full, which is helpful with weight control,” Wolfson said.

Back To BAsics foods continued from page 9A

taste. It might already be familiar to people through its common use in tabouleh [a grain salad containing vegetables, olive oil, mint and parsley.]”

Yogurt

Protein

Most Americans eat more animal protein than their bodies need and, from a nutritional standpoint, most of it is the wrong kind of protein. The consumption of red meat (including beef, pork, lamb and their derivative products) should be generally reduced, while consumption of high-quality lean protein should be increased. High-quality lean protein sources include eggs, white meat poultry, soy and fish, especially deep cold-water fish that are rich in long-chain Omega-3 fatty acids. Beans and lentils are also good sources of plant-based protein and should contribute to overall protein intake. If red meat is to be eaten, grass-fed, organic varieties are best. According to Marti Wolfson, of Blum Center for Health in Rye Brook, most commercial cattle are fed a poor diet of corn to stimulate a greater production of inflammatory saturated fats in their bodies. If humans consume beef or dairy products from these animals, the same inflammatory fats transfer to the human body and increase inflammation. In contrast, “grass-fed cattle have a much better diet of high-quality Omega-3 fats,” Wolfson said. “These healthier fats pass to humans who eat their meat.” Eggs

The simple egg is one of nature’s perfect packages. High in vitamins A, E and B12, lutein, zinc, phosphorus, manganese, iron, iodine, copper, calcium and choline, eggs also contain “the full complement of essential

Friday, October 19, 2012

amino acids in the right amounts — giving them the highest-quality protein a food can possess,” Cecere said. The nutrient-dense egg supports cognitive and cardiovascular health and proper functioning of the nervous system. Concerns over cholesterol in eggs yolks have been reconsidered for the general population. Unless there is an existing blood lipid disorder, doctors recommend a safe consumption of up to three whole eggs per week, and after that, egg whites. “We have learned it’s not really the egg itself but what we do to the egg that has the greatest impact on blood lipids [cholesterol],” Cecere said. “Saturated fat from butter or bacon plays a much bigger role than the egg itself.” She recommends serving “breakfast for dinner” or adding hard-boiled eggs to grain dishes and salads. Legumes and seeds

Wonderful sources of plant-based protein are legumes, including chickpeas, lentils, black beans, garbanzo beans, pinto beans, navy beans and black-eyed peas. These foods

are high in fiber, support satiety and slow the rate at which sugar is absorbed into the blood stream. Because protein from legumes is incomplete, it should be supplemented with protein from nuts, seeds, grains or dairy. Pumpkin, sunflower, sesame or flax seeds are healthful and commonly available. Likewise with pecans, Brazil nuts, walnuts, almonds, peanuts and cashews. Cecere recommends eating one legume-based dinner each week to lower red meat intake and increase bean and lentil consumption. At cooking and nutrition classes at the Blum Center for Health, Wolfson stresses the importance of healthy protein and fat at every meal and snack. She suggests swapping prepared snacks for homemade trail mix, hummus or bean dip in order to increase plantbased protein intake. For protein-enhanced meals, nuts can be thrown into salads or chopped into whole grain dishes. “Protein is important because it helps keep your blood sugar at an even level throughout the day. If there’s too much fluctuation in blood sugar,

Another source of protein is found in dairy products — for example, milk, hard cheese, cottage cheese and yogurt. Yogurt is the best choice because its inherent fermentation process also makes it rich in probiotics. Probiotics add beneficial live bacteria to the gut to help keep harmful microorganisms in check, positively influence immune function and support digestion and nutrient absorption. While all yogurt contains probiotic bacteria in its production, look for labels that state “live active cultures” to make sure yogurt’s probiotic benefits will still be viable in the finished product. For people who eat dairy, Cecere recommends 6-12 ounces of plain low-fat or nonfat yogurt per day. Fish

Deep cold-water fish are an excellent source of protein because they are particularly high in Omega-3 essential fatty acids. These fish species include tuna, salmon, sardines, Atlantic cod, halibut and char. Because the Omega-3 DHA and EPA fats already exist in all cell membranes, the consumption of cold-water fatty fish exerts powerful biological effects in cells. Particularly, Omega-3 benefits have been shown to play a positive role in cognitive functioning, inflammatory-based disorders, growth and development, heart disease and cancer risk. Mercury and toxin levels are a growing concern for some fish species, so it is best to check updated recommendations regarding safe consumption on the Environmental Protection Agency website (www.epa.gov). The American Heart Association recommends two 3-4-ounce servings of a variety of fatty fish per week. Because of possible toxicity concontinued on next page

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continued from previous page

cerns, they advise limiting consumption, per fish type, to no more than 7 ounces per week — and, overall, to a maximum of 12 ounces per week of a variety of fish types. Herbs and spices

Herbs and spices are important components of any diet, not only for their unique flavors, but also for their proactive benefits with respect to disease. “Spices are full of cancerfighting chemicals,” Wolfson said. “They have anti-inflammatory effects and hormone balancing effects. They are immune-boosting and detoxifying. Yet, herbs and spices are two of the most important things we forget to use.” Every pantry should contain organic versions of cumin, coriander, turmeric, curry, chili, paprika, fennel seed and cinnamon — as well as herbs such as oregano, rosemary, sage, basil, parsley and cilantro. “Get in the habit of adding spices and herbs to your cooking as flavoring. Mix them into dips and dressings; add them to soups, stews and whole grain dishes; snip fresh herbs into salads,” Wolfson recommended. “Make it a point to try one new recipe per week that uses an unfamiliar spice or one that you don’t eat very often.” Since jarred spices lose aroma and potency after about 12 months, Wolfson recommends replacing spices yearly to make sure their powerful properties are offering the best benefits. Well-stocked pantry

“Starting with a well-stocked kitchen is the first step in transforming your health through good nutrition,” Wolfson said. In addition to a variety of fresh herbs and spices, a healthful pantry should include a variety of whole grains and dry legumes. These might include quinoa, bulgur, brown rice, buckwheat noodles, rolled oats, lentils, black beans, kidney

beans, garbanzo beans and split peas. Good oils — such as olive, coconut, sesame and walnut — are important staples for cooking and flavoring. A variety of nuts, nut butters, seeds and organic unsweetened dried fruits can be kept in the pantry or, in the case of nuts and seeds, in the freezer. For unplanned meals, the freezer should also contain a stock of organic chicken, grass-fed beef and salmon filets. The refrigerator should be a colorful cornucopia of seasonal organic fruits and vegetables. Local organic sources are the best choices for peak ripeness and low toxicity. “I recommend planning out a week’s worth of meals on a Sunday and going food shopping twice a week,” Wolfson said. “Some people think you have to go everyday for food to be really fresh; but for most things, twice a week is fine. Otherwise, you’re running to the store all the time, and it can feel like it’s taking over. Instead, it should be manageable yet mindful.” Cecere agrees with Wolfson’s practical approach. In terms of dietary change, Cecere takes a linear approach with clients: “I see where a client is at through a dietary analysis, and we work from there. I identify where there might be inadequacies, and we work to increase foods that are underrepresented. If someone doesn’t eat any fruit or vegetables, we work to introduce just one or two servings per day at the beginning. However, if someone is already eating two to three servings per day, we try to make it even better. My philosophy is, ‘Some is better than none,’ and we always work to improve from the baseline. My goal is to teach people to think about food in a more meaningful way and to make at least one meaningful choice about it each day.”

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Back to Basics Recipies

Recipes courtesy of “Blum Kitchen: Nutrition Guide and Cookbook,” by Marti Wolfson and Susan Blum, M.D., M.P.H. It is available at Blum Center for Health, in Rye Brook, and online at www.blumcenterforhealth.com.

Place kale on sheet pan, laying flat. Drizzle with oil and salt. Bake until edges start to brown, about 10-15 minutes. Keep checking the tray, since the chips will cook unevenly. Remove pieces when they are crispy, but not burnt.

Trail mix

North African red lentil soup

Trail mix is one of the easiest foods to make yourself through combinations of nuts, dried fruit and other healthy ingredients. This recipe offers an energizing surprise from raw cacao nibs. Yields 20 1/4-cup servings

High in fiber and low in calories, lentils help lower cholesterol, stabilize blood sugar, and provide many vitamins and minerals. Yields six 1-cup servings.

1 cup walnuts 1/2 cup almonds 1/2 cup pumpkin seeds 1/2 cup Brazil nuts 1 cup shredded unsweetened coconut 1/2 cup goji berries, unsweetened cranberries or raisins 1/4 cup raw cacao nibs salt Toss all ingredients together and enjoy! Makes about 5 cups. Note: If desired, toast the nuts to enhance their flavor and satisfying crunch. Baked kale chips

Kale is one of the most phytonutrient rich vegetables, and this healthy version of a chip is so easy to make.Yields six 1/2-cup servings 1 bunch of kale 1 Tbsp. extra virgin olive oil 1 tsp. salt Preheat oven to 350 degrees. Line a sheet pan with parchment paper. Remove the stems and thick veins from kale and cut into bite-sized pieces. Wash and spin dry, or dry thoroughly with paper towels to remove all water.

1 cup of red lentils 2 Tbsp. olive oil 1 large clove of garlic, minced 1/2 medium yellow onion, chopped 1/2 large carrot, diced 1 tsp. ground cumin 1 tsp. salt 4 cups water or unsalted stock freshly ground black pepper 1 Tbsp. chopped parsley Lime wedges, for garnish Place a large soup pot over medium high heat for one minute. Add the olive oil and swirl to coat the pot. Add the onion, carrot, cumin, garlic and 1/2 tsp. of salt. Cook, stirring occasionally, for about 15 minutes, until the onion is golden and very soft and the carrot is tender. Combine the lentils, water and the remaining 1/2 tsp. salt to the onion mixture. Bring to a boil; then turn the heat to the lowest possible setting. Cover partially, and simmer gently for about 30 minutes, until the lentils are completely soft. For a thicker soup cook until lentils are nearly dissolved. Grind in a generous amount of black pepper and stir. Serve hot, with parsley and a lime wedge garnish.

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Friday, October 19, 2012

Diet: Conjugated linoleic acid for a healthy weight By JENNIFER LEAVITT-WIPF

mong the many weight management claims we hear about day in and day out, one that continues to resurface on the clinical radar is conjugated linoleic acid (CLA). Though not everyone in the medical community is convinced that supplementation is the answer, legitimate evidence continues to mount that CLA may be one piece of the puzzle when it comes to keeping our body mass index (BMI) in check. More than making people lose weight per se, what CLA seems to be doing is reducing areas of stubborn and dangerous fat, while increasing lean muscle mass and aiding in general weight control. So, while it may not promote a loss of poundage in most people, studies show that it can lead to a slow shift in our fat- to lean-body-mass ratios and can stabilize our metabolisms. For starters, the Journal of Nutrition published the results of a placebo-controlled study — double-blind and randomized — finding that CLA reduced fat and preserved muscle tissue in its subjects. The group taking CLA lost an average of 6 pounds of body fat taking 3.4 grams per day. “It doesn’t make a big fat cell get little. What it rather does is keep a little fat cell from getting big,” said Dr. Michael Pariza, who conducted research on CLA with the University of Wisconsin-Madison. According to the American Chemical Society, although Pariza did not observe weight loss in his group of 71 overweight participants, what he did see was that — when the dieters stopped dieting and gained back weight — those taking CLA “were more likely to gain muscle and not fat.” Our bodies expend more calories to maintain a pound of muscle than to maintain a pound of fat. In this way, CLA may promote a more vigorous metabolism over the long term, and there are many other benefits of having less fat and more muscle, not the least of which is improved immunity. In a Purdue University study, CLA was also found to improve insulin levels in two out of three diabetic patients while reducing blood glucose and triglyceride levels. Then too, a study of obese and overweight people spanning six months showed more fat loss in those taking CLA than in those assigned the placebo. A total of 105 people with BMIs ranging from 28 to 32 completed the study. The CLA group lost 5.6 percent more body fat and an additional 3.3 pounds over the placebo group. But what especially piqued researcher interest was where the fat was lost: both men and women taking CLA lost fat from their abdomens, while women also lost it from their legs. Participants lost an average of 1.2 inches too, independent of diet and exercise. A number of other human studies have been conducted over the past several years, with findings that suggest the following benefits of CLA: increased metabolic rate; decreased abdominal fat; enhanced muscle growth; reduced cholesterol, triglycerides, insulin resistance and allergic reactions; and enhanced immunity. CLA can be taken as a supplement, available at health food stores, and does not require a prescription. Experts recommend using a patented name brand, as some brands have inconsistent or insufficient amounts of CLA contained in them. The brand used in the largest study was Tonalin brand CLA, which comes in 1,000 mg capsules. To obtain the level determined to be effective in the

testing — 3.4 g or 3,400 mg, per day — four capsules would be taken per day, preferably with protein meals. Nutritionists and doctors warn that CLA is not a magic bullet, and those who decide to supplement should also be focused on diet and exercise. There is little dispute that CLA is important to our health. As Susan Blum, M.D., M.P.H. of Blum Center for Health points out, it is an essential fatty acid, so we should all be consuming it. But the jury is still out on whether taking supplements is the best way to go. For one thing, most CLA in our natural diets comes from animal products, while capsules of CLA come mostly from safflower oil. The isomers in vegetable sources of CLA tend to produce more side effects, including digestive irritation and, paradoxically, insulin resistance in some very obese individuals. “I try to minimize the amount of supplements that I prescribe and instead focus on a whole foods, low sugar diet. If someone is eating poorly, no amount of CLA can help,” Blum points out.

Some doctors believe that calorie-restricted diets do call for some supplementation because the limits make it difficult to get all we need from our food. Ronald Discenza of Central Weight Management in Yonkers uses individually tailored supplement use with his medically supervised diet programs. For those who wish to get their CLA from food however, “CLA is found in pork, beef and turkey franks, veal, lamb, chicken, ground beef, shrimp and salmon,” according to Blum. “Of the meat options available, lamb and beef products have the most CLA and seafood has the least. You can also get CLA from dairy products such as yogurt, milk, cheese, sour cream and butter.” Because grass-fed animals produce meat that is far higher in CLA than grain-fed, many nutritionists advocate its consumption. For the most part, grass-fed meats can only be found in health food stores, such as Food For Thought in Hastings or Whole Foods. Trader Joe’s carries grass-fed ground beef, as well as a cheddar cheese from grass-fed cows. As the demand for grass-fed meats rises, more mainstream groceries will likely be offering these

selections as well. The American Grassfed Association says on its website that a variety of research shows products from grass-fed animals are higher in beta carotene, CLA and Omega-3 fatty acids. Omega 3 — known for numerous health benefits, from cognitive to cardiac — is virtually nonexistent in grain fed animal products. “Initial research has shown all of these elements to be crucial in reducing cholesterol, diabetes, cancer, high blood pressure and other life-threatening diseases. Research also shows grassfed products to be lower in fat and cholesterol and less likely to contain harmful E. coli bacteria,” the trade group states. When farmers decided to feed their herds grain instead of letting them graze on grass, they probably had no idea that such beneficial elements would be removed from the food chain, and from our diets. To their credit, grain feeding is more environmentally friendly, so the issue is not black and white. But what the findings remind us of in general is that our bodies usually do best with food that comes in its original and most natural form.

Friday, October 19, 2012

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Friday, October 19, 2012

Working out: What fitness plan works for you? Weighing in on building muscle, burning calories By EVE MARX

t’s that time of year when everyone is crazy busy and food — especially holiday food — becomes a terrible temptation. Starting with Halloween (Oh, the candy!) and running straight through Thanksgiving (Pumpkin pie! Stuffing!), Christmas (Cookies!), Hanukkah (Latkes with sour cream!) and right through the New Year (Alcohol!), finding the time, not to mention the motivation, to hit the gym can be frustrating. Donna Singer, with business partner Elle Jardin, co-owns and operates the Center for Movement, a classical Pilates studio. “We’ve been in Scarsdale since 1998,” Singer said. “Plus we have two locations in Manhattan on the Upper East Side.” The Center for Movement is a faithful adherent to the undiluted Joseph Pilates approach to training. “We have an elite team of classical Joseph Pilates certified instructors,” Singer said. While clients come in for strength training, muscle toning and weight loss, the overall goal Singer and Jardin set for their clients is mindful movement. “Mindful movement leads to a better overall appearance,” Singer said. “From the time you take your first class, you’ll notice an improvement in your posture. Your stomach is pulled in. You’ll stand taller and sit straighter. Best of all, you’ll immediately look and feel better.”

Pilates, Singer said, is not an aerobic program, which many people believe is critical for losing weight. Aerobics are great, she said, but she said that as one becomes more proficient in the traditional Pilates method, it becomes an anaerobic exercise. Why? “Because you’re continuously moving,” she said. Anaerobic exercise is any exercise intense enough to trigger anaerobic metabolism. This form of exercise has successfully been used for decades by athletes in non-endurance sports as a way to enhance speed, strength and power. Anaerobic training leads to greater performance within short duration, high intensity activities, which is Pilates in a nutshell. “The beauty of Pilates is you don’t need a Pilates studio to do it,” Singer said. “There are many floor exercises to do at home. If you invest in learning the technique and do the exercises properly, Pilates is a training system you can do for your entire life.” Singer said she advises clients when they leave the studio to be mindful of their posture at all times: “The main thing I tell them is, ‘Don’t slouch.’ Slouching takes less energy than holding yourself upright. Always stand tall. Always keep your stomach tucked in and engaged. Don’t ignore your core. You’ll burn more calories even if you’re standing still if you remember these things.” People in Manhattan have an advantage over those in the suburbs in that they’re out and about walking. In the suburbs, people tend to spend more time in their cars. Singer said that even if you’re doing tons of driving, never fear, you can still burn calories. “While you’re driving, keep your stomach pulled in, continued on the next page

Friday, October 19, 2012 continued from previous page

and your shoulders pushed back,” she advised. “The most important thing is not to slouch in your seat. You can practice postural improvements even behind the wheel. Good posture really burns calories. An active, strong body in any case will burn more calories than someone who is slouching or slumping.” She also advises sneaking in a couple of stretches throughout the day. “Keep your body flexible and supple,” Singer said. “Small movements will make a huge difference in your overall appearance.” Gabriela Saint Denis is a Pilates instructor/personal trainer in Katonah. Her studio is in her home on Mustato Road. A Pilates instructor and personal trainer for 11 years, Saint Denis offers clients something she calls “embellished Pilates.” “I’m a believer in core training,” Saint Denis said. Her method is not the strict Joseph Pilates discipline, but her own hybrid. “I take Pilates exercises that are founded on physiology, and add my own style of core training to it,” she said. Her regime is an individually tailored fusion of core training Pilates exercises combined with strength training. Saint Denis also teaches a class she calls Barre Sculpt, based on the Lotte Berk method. “This method has evolved over time,” Saint Denis said. “It’s the Lotte Berk method, but with some changes in the movements.” “I’m also all about lengthening muscles,” she said, not being a fan of bulk. “The truth is that any exercise you choose to do will help you lose weight, put on muscle, and burn fat; the secret is about making a commitment. Any discipline of training will work, but you have to stick with it. Then you have to watch your nutrition.” Saint Denis said the most difficult thing for most people is maintaining their commitment. “It matters less what you do, than

To Your Health! , ThE Rivertowns enterprise that you keep on doing it,” she said. “If you are committed to an exercise routine that you like, that it’s convenient for you to do and get to, you will lose weight and tone up. And once you start gaining affirmations, you’re more likely to keep on doing it, and watch what you put in your mouth.” She said even a simple routine like daily walking will pay off, “Although if you’re only walking, you’ll need to add some resistance training to your routine and also watch your caloric intake.” Saint Denis said the most important thing is to not let anything interfere with your commitment: “You have to stay with it.” Anthony Tarricone of Equalize Fitness in Yonkers said there are basically two kinds of workouts if you want to lose weight and gain strength and you have to do both if you want results. “There’s the anaerobic workout which burns fat and builds muscle, and there’s aerobic for your heart and circulation,” he said. “If your goal is losing weight, you want to warm up your core before your anaerobic workout by putting 15 or 20 minutes in on the treadmill.” Before you can burn fat, you must burn sugar. “Once the sugar is gone, you can burn the fatty acids. We call this a metabolic workout.” He said the problem for most people is they won’t push themselves. “We have a saying here,” Tarricone said. “It’s ‘get comfortable with being uncomfortable.’ We want to get your heart rate up (with prior medical approval of course) to 180 beats per minute for anywhere from 45 seconds to two minutes. That burns sugar. Then we take you back down to a heart rate of 120 and then back to 180 again. It’s ‘burn,’ then ‘rest,’ then ‘burn’ again. Typically most people on their own don’t get to the point where they’re burning sugar because they don’t push themselves.” Tarricone said that his Equalize Fitness is a gym that takes responsibility for getting clients in shape. He has worked with people

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who are morbidly obese, whose organs aren’t able to function efficiently, and who can barely walk because they are so out of shape and overweight. Under his gym’s tutelage, one man lost over 120 pounds and is now able to play with his grandchildren. “We’re a gym that’s known for getting results,” Tarricone said. “If you want results, come to us.” Tarricone is a huge fan of the metabolic workout in no small part because it’s brief. “The actual workout is 20 minutes,” he said. “The class is 45 minutes in total because we build in time for the warm up and the cool down. The beautiful thing is that after 20 minutes of serious exertion, the body will continue to burn fat for the next two days. If you do this workout twice a week, you will see results very quickly.”

More, more, more! Been working out for years and seeing less results for your efforts? Exercise experts advise you push yourself a little harder to put your body to work. Making your workout a little harder really isn’t that hard. Training experts suggest you include these simple additions to your regular routine: • Carry light dumb bells on the treadmill and do one minute sets of curls, standing shoulder presses and triceps kickbacks. • Do heel raises and wall sits after your run to stretch your hamstrings and strengthen your quads and glutes. • This winter, shovel your own driveway. • While you’re watching TV, jump rope. — Eve M arx

Page 16A ThE Rivertowns enterprise , To

Your Health!

Friday, October 19, 2012

The stress mess: A GPS to navigate the road to relaxation continued from page 1A

flow there is no pain,â&#x20AC;? he said. Silverman looks at the tongue first and checks the meridian points. â&#x20AC;&#x153;Pain is usually caused by stress in the system,â&#x20AC;? Silverman said. â&#x20AC;&#x153;Something in the body stagnated it. When the system is freed up and allowed to go back to its normal state, then relaxation occurs. When thereâ&#x20AC;&#x2122;s tension in your life, shoulders are hunched up to your ears, headaches can be caused.â&#x20AC;? This stagnation of muscles not moving can also cause irritable bowel syndrome. â&#x20AC;&#x153;People have so many ailments,â&#x20AC;? Silverman

noted. â&#x20AC;&#x153;Specific areas including in vitro support, gynecologic issues, sinus issues. Pain is the biggest one.â&#x20AC;? He explained that the master point placement is the Yn Tang for healing these ailments, with the needles placed right between the eyebrows. Acupuncture needles are put in various parts of the body depending on the ailment, allowing endorphins to be sent out which then send out tiny little punctures. The body recognizes it and a healing response takes place, sending out an anti-inflammatory response. And when needles are put in a specific part of the body,

itâ&#x20AC;&#x2122;s working on another part of the body. Silverman earned a masterâ&#x20AC;&#x2122;s of science, then attended acupuncture school to get his state certification and later got his state certification as a massage therapist. He said that for people who have injuries, the injured area has tension and the process of acupuncture â&#x20AC;&#x153;releases tensions and brings you to rest and relaxation and heals those areas of pain.â&#x20AC;? So much so, he said, that when patients get off the table they are relaxed, feeling really well. In order to receive the lasting effects of these treatments he recommends having six to 10 sessions. Silverman

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said the effect is cumulative, with some people coming for maintenance. Pathway to sleep

With acupuncture, Silverman said people find better sleep: â&#x20AC;&#x153;People say it helps them sleep after the third session. The body knows how to normalize itself. It just needs a little help, like a clogged sink. People just donâ&#x20AC;&#x2122;t know how to do it. The practitioner just helps it along. People are there to help themselves.â&#x20AC;? Some of his acupuncture patients come for massage as well, explaining that he has an eclectic group of clients. If massage patients are comfortable with needles, he might recommend acupuncture. Some come for both. He spends an hour and a half with his clients. He does trigger point and deep tissue massage that helps muscles stretch and helps patients relax. Silverman, who gets massages and practices yoga himself, said that every modality has its benefits: â&#x20AC;&#x153;I donâ&#x20AC;&#x2122;t think any one is the best. If someone has a specific injury, you want to use the right tool for that job. You wouldnâ&#x20AC;&#x2122;t want to use a hammer for putting in a screw.â&#x20AC;? Meditation tapes: short and sweet

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On the other end of the spectrum that can set you on the path to relaxation is a short 15-minute a day meditation CD developed by Claire McDermott of Hastings. She used to meditate for 45 minutes a day and found it too time consuming and felt it would be easier for people to stay with for a shorter amount of time. McDermott, who teaches second grade in Yonkers, created a CD series, â&#x20AC;&#x153;Taking Care of Tension,â&#x20AC;? targeted to specific audiences. The CDs are sold on her website (www.takingcareoftension.com) for $13.95 and are guided meditations with soothing background music. â&#x20AC;&#x153;I prefer [meditating in] the morning or when I come home from work,â&#x20AC;? McDermott said. â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s meant to fit into your schedule. The important fact is that you can fit 15 minutes into your day so you can calm down and let go of the challenges of your day. Your body calms down, your mind calms down after you meditate and relax. It impacts how you respond to stress.â&#x20AC;? The CDs start with breathing exercises and continuous narratives, helping you focus on your breath for about three minutes; then you go on to the next step. â&#x20AC;&#x153;Like anything, you have to practice. Practicing every day is very beneficial,â&#x20AC;? McDermott explained. â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s challenging and it takes a while to quiet the mind. As I say to people, give it 15 minutes and keep practicing it and youâ&#x20AC;&#x2122;ll see a difference. People just have to focus on 15 minutes. I think itâ&#x20AC;&#x2122;s a manageable time that people can fit into their schedule.â&#x20AC;? continued on the next page

Friday, October 19, 2012 continued from previous page

She noted that meditation is very helpful to your health — it lowers your heart rate and stress level all around, aids digestion and “definitely helps with sleep.” As a teacher, McDermott conferred with colleagues about developing a CD targeted at them, so there is one just for teachers. For medical and physical illness there is “Taking Care of Tension for Medical Patients,” as well as one for health care professionals and caregivers. The list of CDs runs the gamut from CDs for brides and students to veterans, boomers and working mothers. According to McDermott’s website, “The purpose of ‘Taking Care of Tension’ is to acknowledge and recognize each person’s individual source of stress and address it with a personalized message with relaxation exercises and soothing music.” McDermott, who has a master’s in education specializing in learning disabilities, started the business three years ago. She has 21 years’ teaching experience and 10 years’ experience working in a major medical center as a health care professional. For the past 10 years, she has done relaxation exercises and meditation. She said it doesn’t matter when you meditate. “The important message is the benefits to your mind and body,” McDermott said. “Some people like to do it in the mornings because it sets the tone for the day or then again after work after a hectic day.” Finding balance

You don’t have to spend a week or a weekend at a spa to achieve a newfound balance that leaves you feeling relaxed and beautiful inside and out. A visit to Allison Adamiak’s Balance Day Spa at 280 Mamaroneck Ave. in White Plains can take you there in an hour. She draws clients from all over Westchester, Connecticut, New Jersey and Manhattan, with 15 percent of her clientele being males.

To Your Health! , ThE Rivertowns enterprise

“Yoga is about quieting the mind from all the information that is ping-ponging all over the place.” Nancy Kardon Adamiak, whose spa has been open for two years, has a total of 10 years in the business. She is a licensed aesthetician and works by herself, focusing her undivided attention on one client at a time. The spa offers different kinds of facials, waxing and aromatherapy; hand-applied bronzing, lash and brow tinting; makeup application; and ear candling using beeswax to remove earwax. A lot of her business is waxing (personal grooming). “When you look better, you feel better,” Adamiak said, noting that her treatments are a nonmedical approach to skin care. She sells the skin care products she uses, including YonKa from Paris, which has been around since the 1950s, but is difficult to get. Adamiak also uses Eve Taylor of London, which she said is “pretty hard to come upon.” She also mails products to her customers on request. According to her website, www.balance-dayspa.com, clients can choose from a half dozen types of facials tailored to their needs, including a “quench facial” that’s a super-hydrating, antiaging facial — “the answer to a dehydrated skin’s prayers.” Another anti-aging facial is the “wisdom facial,” which gives immediate visible results. Adamiak said the balance facial, which costs $100, is the basic European facial. For some of the facials she adds massage, which helps people feel more rested, makes them feel rejuvenated and helps them sleep better. Adamiak offers her clients “true therapeutic aromatherapy,” explaining that no two batches of the essential oils that mix into the carrier oil are alike, giving clients the benefit of not de-

veloping a tolerance to it, which would lower its effectiveness. Aromatherapy is a holistic therapy that treats the mind, body and spirit. When asked why someone would want aromatherapy, Adamiak said it works to calm the body down. “It penetrates the body quickly and it lets the body relax,” she explained. “It works on the dermal level; it’s not just to clear the skin.” For fall she offers fruit acid peels, which is good for resurfacing the skin, acne and wrinkles. The peels are offered in series with a three-week half series and the full six-week series. Peels are $75 each. “It helps clear the sinuses,” she said. “It’s pretty awesome.” Several of the treatments include foot reflexology. And does she suggest other ways to relax? Adamiak teaches yoga in addition to running her spa and recommends it for deep breathing and stretching. She said she named the spa Balance Day Spa because “you need to find balance in your life. Find what works for you to achieve balance. You need to take some time out for yourself and if you do you can be more available to others, your family and kids.” Healthy, strong, relaxed

Long practicing student and certified Iyengar teacher Nancy Kardon of Scarsdale trained in her 20s as a dancer and has a degree in psychology. She has been teaching Iyengar yoga since 1994 and in 2000 she built a home studio. Kardon has made many trips to India to study with Iyangar, the founder of this type of yoga, who is now 91. She has already signed up to make the trip to India again in 2014.

Page 17A

Kardon described yoga as a cultivation of mindfulness that evolves over time — a way of living that promotes being healthy and strong. She said the postures should be steady and relaxed. “If there’s too much effort, there’s tension,” she said. “People are so used to sweating and working out. Yoga is an alert type of relaxation.” Kardon said yoga is about finding equilibrium and balance, “We learn how to soften.” Yoga is a discipline that takes focus. The word “asanas” literally means “posture” or “seat” that gives you the idea of balance. “We’re working to find the steadiness, just like our lives so that we can be steady when all our buttons are pushed,” Kardon offered. “Yoga is about quieting the mind from all the information that is ping-ponging all over the place. We work with asanas, quieting the senses.” She went on to say that some people don’t know how to let go into the state of quietness and fidget during “quiet time” at the end of class. Kardon pointed out that yoga is not just about self-improvement and being healthy and living longer — it promotes accepting ourselves and learning to work with other people in a “more loving way.” Kardon said her students take her classes to relax and exercise: “I think they come for balance. Doctors recommend it.” So does she recommend any other way to relax? “In our supermarket mentality, like worker bees, offering to do so many things, you have to choose a path. The path is the goal,” Kardon said. “You can’t deepen your practice doing too many things. Choose one or two. We’re always wanting to be better than we are. It doesn’t mean we have to give up our curiosity. We have to keep learning and learning.” With so many paths to follow to find relaxation, use your inner GPS to find what works best for you — and make it work. After all, you deserve it!

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Page 18A ThE Rivertowns enterprise , To

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Friday, October 19, 2012

To Your Health! News Notes Home physical therapy and wellness Since 2007, A Healthier You, LLP has brought personalized home physical therapy and wellness services to the doorsteps of Westchester and Fairfield county residents. Dedicated to restoring function, reducing pain, preventing disability and promoting independence, A Healthier You has become a one-stop resource to the communities it serves. Their formula for success is simple: collaboration, convenience and expertise. A Healthier You practitioners include an array of health and wellness professionals working as a team to provide integrative and personalized services. Collaboration with clients, caregivers and physicians is also a priority. A Healthier You practitioners are available to go to your home or place of business for early morning, evening and weekend appointments. This added convenience allows even the busiest individuals the opportunity to make improved health and well-being a priority. Owners Dr. Delali Goka, PT, DPT and Stacey Rittenberg, PT, MPT, NCS are licensed physical therapists with over 20 years of experience in rehabilitation, fitness and wellness. As of 2012, Rittenberg is one of only 49 physical therapists in New York and 15 in Connecticut that achieved board certification as neurologic clinical specialist. A Healthier You’s practitioners take pride in applying research and proven techniques to help their clients achieve results. A Healthier You’s specialty home physical therapy services include balance training, fall prevention programs, vestibular reha-

characteristics that make it hard for those with this trait to reach their highest potential. Dr. Edward Hallowell (www.drhallowell.com) considers ADHD to be a trait, not a disability. When managed effectively, those with ADHD have accomplished extraordinary successes, but if undiagnosed or untreated, ADHD can wreck lives. Dr. Hallowell says that having ADHD is like having a Ferrari engine for a brain, but with bicycle brakes. In keeping with this analogy, Dr. Seth Pearl, of Optimal Health and Development Center (www.DrSethPearl.com) says, “We teach children and adults with ADHD how to strengthen their ‘brakes’ while also giving their bodies and ‘engines’ a tune-up. Medication is not the only answer.” Recent studies indicate that the use of medication to help manage ADHD is on the rise, however, many people with ADHD prefer a holistic, alternative approach and are already familiar with Dr. Hallowell and his New York Times best-selling book, “Delivered from Distraction.” Dr. Pearl will combine Dr. Hallowell’s strengths-based approach by first identifying the unique gifts inherent in everyone, and then tailoring their proven chiropractic techniques to help the person with ADHD achieve their full potential.More information on the SHINE program can found at http:// www.shinefordoctors.com. Dr. Hallowell, M.D., is a child and adult psychiatrist, best-selling author, world-renowned speaker and leading authority in the field of ADHD. He was a faculty member at Harvard Medical School for over 20 years, graduated from Harvard College and Tulane School of Medicine. He has been featured on Dr. Oz, Oprah, Good Morning America and interviewed for The New York Times, Newsweek, Time Magazine and many other publications.

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bilitation, home safety evaluations, aquatic physical therapy, injury prevention programs, caregiver training and customized exercise portfolios. In addition, personalized wellness assessments, corporate wellness programs, wellness parties and disease specific wellness programs for diabetes, osteoporosis and multiple sclerosis are provided. A Healthier You offers a free 20-minute initial consultation for new clients. Monthly promotions are also available on their website, www.AHY4life.com. To learn more about A Healthier You’s personalized home physical therapy and wellness services, call 458-2249.

Optimal Health and Development Center, with offices in Larchmont and Mount Kisco, now offers a holistic approach to help people manage the challenges associated with ADHD. Optimal Health and Development Center is a certified “SHINE for Doctors: Special Help for Integrating Neurological Experience” practice that combines ADHD expertise, chiropractic alignment, neurological assessment with exercise and nutrition counseling. ADHD is typically characterized by impulsivity, inattentiveness and hyperactivity —

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    

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Karyn F Schorr, LCSW is a licensed Psychotherapist with 24 years experience in individual, couples and group psychotherapy. She has offices in Scarsdale, Hastings and NYC.

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    

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  

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Friday, October 19, 2012

To Your Health! , ThE Rivertowns enterprise

Page 19A

To Your Health! News Notes National Food Day Westchester County Healthy food choices for the whole family don’t have to break the bank. The Blythedale Children’s Hospital and Kohl’s Eat Well, Be Well Nutritional Outreach Program will show you how at the Westchester celebration of National Food Day on Sunday, Oct. 21, from 1 to 4 p.m. at the Westchester County Center in White Plains. “The celebration of National Food Day in Westchester is a family-focused event to help our community focus on budget-friendly healthy eating and also reduce hunger,” says Lena Cavanna, Blythedale’s director of community relations. “Attendees will have the opportunity to taste delicious foods, collect healthy recipes and learn strategies and connect to local resources to feed their families healthier meals for less money.” This free event will feature an exciting array of local chefs, nutrition experts, food vendors and health organizations offering up tasty samples, and cooking demonstrations will show attendees how to transform low-cost grocery staples into nutritious family favorites. There will be raffle prizes like an Xbox Kinect, games and plenty of activities for kids, including a poster contest. While admission is free, attendees are encouraged to bring a nonperishable food donation for local food pantries as admission. For more information about National Food Day Westchester or the Blythedale & Kohl’s Eat Well, Be Well Nutrition Outreach Program, visit www.blythedale.org/eat-well-be-well or contact Cavanna at 831-2410 or at lenac@blythedale.org. National Food Day Westchester is co-spon-

sored locally by Blythedale Children’s Hospital, Kohl’s Cares and Westchester County. National Food Day is a national celebration aiming to inspire adults, children and families to eat healthy, sustainable and affordable food, and is led nationally by the nonprofit Center for Science in the Public Interest. For more information about Blythedale Children’s Hospital, visit http://www.blythedale.org.

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Play was suspended for a scary moment on Sept. 8 following an accidental helmet-to-helmet hit during the Tulane-Tulsa college football game. Reports indicate that college senior Devon Walker was responsive following surgery on his fractured cervical vertebrae, but it’s too early to exhale, says John M. Abrahams, M.D., a Scarsdale resident and a principal with Brain & Spine Surgeons (BSSNY) of New York in White Plains. And, he warns that even lightweight players — such as children playing youth football in Westchester — can cause or suffer serious, permanent brain or spine damage. “Football is a game of collisions,” Dr. Abrahams says. “New research shows that head impacts among second-grade football players can be as severe as those seen at the college level. So parents need to reconsider whether team contact sports are really worth the risk.” In the Head Impact Exposure in Youth Football (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3310979/) study, sensors installed in the helmet padding of players between the ages of 7-8 measured impacts as forceful as 80 Gs, similar to the more severe impacts that col-

what you might have been.” -George Elliot

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continued on page 20A

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Page 20A ThE Rivertowns enterprise , To

Your Health!

Friday, October 19, 2012

To Your Health! News Notes continued from page 19A

lege players experience. The average player in the study sustained 107 head impacts during the course of 9.4 practices and 4.7 games. With approximately 3.5 million youth players and 1.3 million high school athletes participating in organized football in the United States today, the potential for long-lasting brain damage looms large. Dr. Abrahams says there is no reason why young football players should tackle each other. â&#x20AC;&#x153;My 7- and 9-year-old children are currently playing no-contact, flag football,â&#x20AC;? he says, adding, â&#x20AC;&#x153;If I thought they suffered even one concussion, I probably would not let them play anymore.â&#x20AC;? If children do play contact football, he urges coaches and parents to educate themselves on the diagnosis of, and recovery from, concussions. â&#x20AC;&#x153;The after-effects of concussions last longer in children relative to adults. Concussions are serious injuries,â&#x20AC;? Abrahams says. He points out that, too often, children with these injuries are treated as outpatients and are seen exclusively by the childâ&#x20AC;&#x2122;s pediatrician or a neurologist. Concussion damage is receiving more scrutiny from organizations such as the National Football League, which recently pledged $30 million for medical research to the Foundation for the National Institutes of Health. Potential areas of research under the grant include the brain, specifically concussion management and treatment, and the understanding of the relationship between traumatic brain injury and late-life neurodegenerative disorders, especially Alzheimerâ&#x20AC;&#x2122;s disease. The journal Neurology (http://www.neurology.org/content/ early/2012/09/05/WNL.0b013e31826daf50. abstract?sid=457ceb22-bbb0-478c-abb82ffc0f5a50b3) recently reported that former

NFL players are unusually prone to dying from degenerative brain disease. â&#x20AC;&#x153;We will learn much more in the future,â&#x20AC;? Dr. Abrahams explains. â&#x20AC;&#x153;Players are hitting hard, using performance drugs and playing longer. As these athletes age and are affected with disease, our knowledge base will improve. Still, the best practice is to avoid injury altogether by minimizing risky, contact sport behaviors, especially in children.â&#x20AC;?

The new war on drugs â&#x20AC;&#x201D; here at home Dr. Ross Fishman

The war on drugs is failing for many reasons. One of them is that the drug abuse and drug dependence on the rise is not a result of cocaine or marijuana being smuggled into our country. No, the fastest growing problem is home grown and it is hitting our young people the hardest. The misuse of and addiction to prescription pain medications is the latest craze, fad and potential epidemic to impact our society. Teenagers and young adults are discovering the short-term benefits and long-term consequences of trying something new. These medications are available because pharmaceutical companies are overproducing them, physicians are overprescribing them, Internet pharmacies are peddling them and poorly monitored medicine cabinets in our homes are leaving them exposed for the taking. Pain medications such as Hydrocodone, Oxycontin, Oxycodone, Percocet, Roxycodone, Opana and a few others have hit the streets big time. At Innovative Health Sys-

tems, our fastest growing patient population on to a prescribed medication with phenomcomprises teenagers and young adults from enal properties. 16-22. They are initiated to these medications What does Suboxone do? It reduces cravinnocently enough in a couple of ways. Many ings for their previous drugs of choice, it are introduced by their physicians treating blocks the effects of the drugs they were abusback pain or sports injuries; others get their ing, it does not produce a â&#x20AC;&#x153;high,â&#x20AC;? it eliminates first doses from dentists to alleviate the pain the need to buy illegal and expensive pain of root canals or wisdom tooth surgery. Still medications and it allows patients to begin a others are merely looking for â&#x20AC;&#x153;something dif- return to somewhat normal functioning. ferentâ&#x20AC;? and may blindly follow a friendâ&#x20AC;&#x2122;s inviâ&#x20AC;&#x153;Somewhatâ&#x20AC;? means that the abuse of these tation to â&#x20AC;&#x153;try this!â&#x20AC;? pain medications either begins as a response Not a week goes by during which my clinic to, or results in, various emotional and relareceives one or more phone calls from people tionship problems. Whatever the antecedents who desperately want to get on Suboxone, the or the consequences are, the problems do not miracle medication that, when used properly, get resolved through the use of Suboxone stops the cycle of addiction in its tracks. The alone. stories are very similar: â&#x20AC;&#x153;I started taking pain At Innovative Health Systems participation meds for fun, to get high. I liked the way they in Suboxone counseling groups is a requiremade me feel; I felt energized and became ment. The program is designed to maintain more productive. When I didnâ&#x20AC;&#x2122;t have them, I patients on a steady dose of the medication felt down and driven to get more. Itâ&#x20AC;&#x2122;s getting for an extended period of time. Since they are too expensive to buy them on the street but stabilized on a regularly available medication, when I tried to stop I became deathly ill.â&#x20AC;? they can begin the difficult task of addressing Alternatively, â&#x20AC;&#x153;It was prescribed to me by the important problems in their lives. Learnmy doctor to relieve my pain. I got a refill or ing to handle their emotions realistically and two, but then the doctor refused to give me effectively and learning how to communicate any more so I turned to buying them on the better in their relationships with family and street. But it was getting too expensive and friends prepares them for the time when they dangerous and I was getting sick every time can taper down off Suboxone until it is no I tried to stop. I just want to get my life back longer needed. together. Iâ&#x20AC;&#x2122;m sick and tired of living this way.â&#x20AC;? For the parents of the teens and young At Innovative Health Systems, our outpa- adults, Innovative Health Systems offers a tient chemical dependency clinic in White parents group to help them learn about narPlains since 1985, we started a specialized cotic addiction and how to respond effectively Suboxone program to help people address to their childrenâ&#x20AC;&#x2122;s behavioral challenges. this serious problem from which there is no Dr. Ross Fishman, director of Innovative easy escape. Although the majority of these Health Systems, is a licensed psychologist with 40 patients are teens and young adults, we assist years of experience in the chemical`Bdependency adults of various ages. Following a standard Z. B CÄšZ C q field. Z` ZHeC Author of â&#x20AC;&#x153;Alcohol and Alcoholismâ&#x20AC;? (Chelinduction procedure, we transition these pasea House Publishers), he is on the medical staff ` +CH<H&t HC Z < CHq tients off these illegally obtained medications of Rye (Psychiatric) Medical Center.

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To Your Health! , ThE Rivertowns enterprise

Page 21A

To Your Health! News Notes Head lice: nuisance or health issue?

combing, it is essential to continuously check the child’s head or comb out once a week as a preventive method. Head lice cannot thrive on household pets.

By DALE LONGWORTH

Prevention of head lice

When my daughter contracted head lice in 1996, I had no idea on how to treat it the proper way. My primary concern was getting my whole house cleaned from top to bottom, which included throwing away unnecessary items that I thought would be carrying lice or their eggs. At the time I did not have the accurate education on how to get rid of head lice, which led to my daughter having it six times for three months. I felt I would never see the end to this lice nuisance, but I did manage to get rid of these pesky parasites in my daughter’s hair. This led me to educate others, give consultations and treat thousands of children and their families for 15 years as the Lice Expert of Dobbs Ferry/Westchester. As a Professional Lice Expert since 1997, I have spent the majority of my time making sure that every parent knows all the important lice facts and prevention measures about head lice in today’s society. I believe the best way to prevent lice is to educate yourself and your child about how to avoid contracting them.” Here is a list of lice facts and prevention that every parent should know. Head lice facts

Girls with long hair should wear their hair up and off the shoulders if possible so it is less likely to come in contact with someone else’s hair or clothing. Make sure your child knows not to share brushes, combs, hats, headphones, bike helmets and any other articles that can transmit head lice.

Use hair sprays or gels to make the hair a deterrent and stiff. Lice love clean hair. Other preventive methods are using leave-in spray conditioners with tea tree, lavender, coconut, peppermint and rosemary oils in them. Blowdrying the hair as often as possible is very important because lice do not like high heat. Teach your child to avoid head-to-head contact. If your child does come in contact with someone with head lice, check your child’s hair every other day for 14 days in natural light outside or good lighting inside to see if there are any eggs

glued on an angle to a piece of hair. If you are not sure if your child has lice, you can ask the school nurse or a lice professional to check for you. Although lice and their nits are not a health risk, it can be a nuisance, which can impact a family in many stressful ways. Most parents simply don’t know what to look for and the right way to treat it. That is when an experienced professional lice expert can help, give you advice and treat your household. Dale Longworth can be contacted at 424-1367, dlong2758@aol.com or www.liceoffinc.com.

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Head lice are small, wingless parasitic insects about the size of a sesame seed. Diagnosis is often made on the basis of finding lice eggs. Eggs are tiny, grayish white, tan or brown ovals that are glued very tightly to the side of a hair shaft on an angle. These eggs cannot wash off or be blown away. It takes some effort to remove them from the hair shaft and when removed by hand, they turn brown. Eggs may be found throughout the hair, but often are seen at the nape of the neck, behind the ears and at the crown of the head. Head lice can move around and crawl very quickly. However, it is not true that they jump or fly. The lice bug feeds from the blood on the scalp of the head several times a day. The nits are what the female louse lays and she can lay 3-10 eggs a day. It only takes 7-10 days for that nit to hatch and then develop into an adult bug within 12 days after hatching. Once it mates with another adult bug, it can then lay more nits (sometimes 100 or more eggs in a 14-day cycle). The louse bug can then live up to 35 days on a host. However, head lice cannot live for more than 24-36 hours away from its human host. A child who has head lice will have constant scratching or complaints of an itchy scalp, especially on the back of the neck or crown of the head. Sometimes, children might have excessive scratching of the head during their sleep. However, not everyone will necessarily itch. There also may be red pin dot marks or a rash along the nape of the neck or behind the ears. Other symptoms might include a tickling feeling in the hair or tiny scabs throughout the scalp of the head. Remember the head that has lice is the most important thing, not the house. The nits are not contagious or transmittable. It is the lice bug that is contagious because it travels from head to head. Lice and their nits cannot be drowned, especially in chlorinated water. They need to be suffocated, removed by hand or combed out. Special shampoos like the over-the-counter pesticides are not 100 percent effective and can be toxic. Combing is the essential key to getting rid of lice and their nits. Depending on the infestation, an infected individual should be combed out every other day for 8-14 days with conditioner and baking soda. A professional metaltoothed lice comb, not plastic, should be used to remove all the lice and their eggs. Even after

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Friday, October 19, 2012

To Your Health! News Notes ONS offers free patient education in Greenwich Physicians at Orthopaedic and Neurosurgery Specialists (ONS) in Greenwich, Conn., will present four health talks on topics ranging from non-operative treatments for musculoskeletal pain to common conditions of the hand and wrist. The talks will be given by physiatrist Tamar Kessel, M.D., neurosurgeon Scott Simon, M.D., and hand and wrist specialist Mark Vitale, M.D. ONS’s patient education programs are designed to raise awareness of viable solutions to common health issues as well as recent medical advances that are available in the Greenwich community. ONS programs support a national emphasis that encourages individuals to be actively involved in their own health care by providing reliable health information to help patients make informed medical decisions. All programs are held in the Noble Conference Center at Greenwich Hospital and are presented free of charge. Registration is required. To register, call Greenwich Hospital at (203) 863-4277 or (888) 305-9253 or register online at www.greenwichhospital. org. For more information, visit www.onsmd. com. Following is the fall schedule of talks: • Ultrasound Guided Injections: Targeting Pain with Precision on Thursday, Oct. 25, at 6:30 p.m. by Kessel Injection therapies for musculoskeletal injuries like PRP (Platelet Rich Plasma), viscosupplementation and steroidal injections can now be administered with even greater accuracy using ultrasound. Ultrasound uses sound waves to provide high-resolution images of tendons, ligaments, muscles and nerves

Dr. Tamar Kessel

Dr. Mark Vitale

and allows doctors better visualization of the site of damage and inflammation, improved visualization and has been shown to improve treatment results for some types of injections. Kessel will discuss the advantages of using ultrasound with interventional treatments to address problems from sports injuries in young athletes to arthritis in aging baby boomers. Kessel graduated from Cornell University and earned her medical degree from Albert Einstein College of Medicine. After completing a residency in physical medicine and rehabilitation at New York Presbyterian Hospital of Columbia and Cornell, she received fellowship training in spine and sports medicine at Hospital for Special Surgery in New York. • Adult Spinal Deformity Evaluation and Management on Thursday, Nov. 8, at 6:30 p.m. by Simon Learn about new technologies that are being used to evaluate and manage spinal deformity and about the latest surgical and

Dr. Scott Simon

nonsurgical treatment options. As people with spinal deformities like scoliosis, kyphosis or spondylolisthesis age, symptoms often worsen. For severe deformities of the spine associated with pain, functional impairment or severe cosmetic deformity, spine stabilization surgery may be a good option. Dr. Simon will also discuss the use of an intra-operative CT scan at Greenwich Hospital to improve alignment of surgical devises. Simon is a board-certified neurosurgeon at ONS in Greenwich Office Park. He is fellowship-trained and specializes in the treatment of spinal disorders, including operative and non-operative treatment of scoliosis. • Hands On, a seminar on common hand conditions and their solutions on Wednesday, Nov. 14, at 6:30 p.m. by Vitale Attend a presentation and discussion on common conditions affecting the hand and wrist, including carpal tunnel syndrome, trigger finger, arthritis of the fingers and wrist, common forms of tendonitis of the wrist

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To relieve we use back pain, To relieve pain,available. we use back every tool every tool available. Except one. Except one.

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and Dupyutren’s contractures of the fingers. Learn about common misconceptions as well as treatments for these maladies which affect millions of people each year in the U.S. Vitale is a specialist in the operative and non-operative management of hand, wrist, forearm and elbow disorders. He graduated from Tufts University and earned a doctorate in medicine and a master’s degree in public health from Columbia University. He completed his residency in orthopaedic surgery at Columbia-Presbyterian Medical Center and then received fellowship training in hand surgery at the Mayo Clinic. • Non-operative Treatments for Neck and Back Pain on Tuesday, Dec. 4, at 6:30 p.m. by Kessel When physical therapy and oral antiinflammatory medications fail to resolve a spine-related problem, some patients achieve significant relief from a spinal injection. Injection therapy is a way of delivering anti-inflammatory medication directly to the injured area of the spine. ONS physiatrist Kessel uses steroidal and nonsteroidal injections to help patients return to their normal lifestyle. Learn how these treatments are given, who is benefited most and what to expect from interventional therapy. Orthopaedic and Neurosurgery Specialists (ONS) is an advanced multispecialty orthopedic and neurosurgery practice in Fairfield and Westchester counties. ONS physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. For more information, visit www.onsmd.com or call (203) 869-1145.

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Friday, October 19, 2012

To Your Health! , ThE Rivertowns enterprise

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To Your Health! News Notes the Family Medicine Center coordinates paProtect your family this tient care over time and works to build an active partnership between patients and staff. winter with vaccinations These centers, according to Kondamudi, work

Whether you are an adult or a child, viruses, bacteria and disease can strike at any time and are not something which can always be dismissed with bed rest and soup. Terrible viruses, such as measles, have vaccines available, but have seen a continued rise in cases over recent years, according to the Centers for Disease Control and Prevention. “Adults may take on a little of the ‘not me’ idea where they feel it’s not something they personally have to worry about because their body is strong enough,” says Dr. Sherly Abraham, residency program director of the Family Medicine Department at The Brooklyn Hospital Center. “But the reality is many of these individuals will become sick over the fall and winter, which could have been prevented with a vaccination.” To help minimize the number of vaccinetreatable conditions, the American Academy of Family Physicians (AAFP) Foundation, through support from Pfizer Inc, presents awards to family medicine residency programs that have achieved increased immunization rates in their communities through creative solutions. The mission of the AAFP Foundation is to advance the values of Family Medicine by promoting humanitarian, educational, and scientific initiatives that improve the health of all people. The Brooklyn Hospital Center (TBHC) Family Medicine residency program was recognized for its outstanding achievement in improving vaccination rates. The team, led by Dr. Abraham and Dr. Vasantha Kondamudi, chair of TBHC’s department of family medicine, has been recognized the last two years for its out-

standing achievement in improving vaccination rates among children (2011) and adults (2012). The program overcame a number of challenges - including vaccine availability, language barriers and community concern regarding vaccines - that contributed to low immunization rates. Abraham noted one of the best things patients can do is ask questions about vaccines and treatments so each are fully understood. If parents are unsure about a vaccine for their child and choose not to immunize, that child may be extremely vulnerable to future diseases. Once at TBHC, Abraham noted one of the most effective ways to accommodate patient schedules is giving “work notes” at the end of each visit to alleviate the stress of missing work. In addition, Kondamudi emphasizes pre-visit coordination to further strengthen the patient/ physician partnership. “Prior to the patient’s visit, our staff reviews the medical record and alert the physician to any needed services such as seasonal flu vaccination or childhood immunization,” Kondamudi says. “This helps ensure that patients receive vaccinations in a timely manner.” Their Family Medicine Center became recognized as a Patient Centered Medical Home in 2010. As a Patient Centered Medical Home,

to provide education and support for patients to take active role in their own health care. To help ensure you and your family remain properly vaccinated this season, Abraham and Kondamudi recommend considering the following: • During an upcoming medical visit, ask your doctor to check your immunization history and confirm all vaccines are up-to-date. • If you have additional questions concerning a vaccine after speaking with the doctor, office support staff is readily available to help answer any questions. •Ask for “work notes” when scheduling a medical visit during the week to help alleviate the stress of taking time off from work. • Don’t be afraid to call the office and speak with an assistant to confirm your immunizations. They can usually check your chart and let you know if an appointment is needed! Founded as the borough’s first voluntary hospital in 1845, TBHC’s Community Family Health Centers bring the resources of the hospital directly into a variety of Brooklyn neighborhoods, offering a full range of primary and specialty care services for adults and children. “Curable diseases cost the U.S. over $83 billion every year,” Abraham says. “Adults may be afraid of missing a few hours of work for vaccinations, but the truth is they are putting themselves at risk to miss more substantial time by missing these appointments.” For more information, including a tip sheet of best practices from past winners, visit www. aafpfoundation.org/immunizationawards.

Central Animal Hospital

Central 317 Animal Hospital Ardsley Road Central Animal Hospital Central317 Animal Hospital Ardsley Road 317 Ardsley Road Scarsdale • 723-1250 317 Ardsley Scarsdale •Road 723-1250 www.bestvets.net Scarsdale 723-1250 Scarsdale • • 723-1250 www.bestvets.net www.bestvets.net www.bestvets.net

Veterinarians… Many Doctors in One… Veterinarians… Many Doctors in One… Veterinarians… Many Doctors in One… Veterinarians… Many Doctors in One… In your lifetime, there are many doctors who will take

In your lifetime, there are many doctors who will take In your lifetime, there are many doctors who will take In your lifetime, arethe many doctors who willpediatrician, take you from birth to death: the obstetrician, you from birth tothere death: obstetrician, pediatrician, you from birth to death: the obstetrician, pediatrician, youdentist, from birth to death: the obstetrician, pediatrician, internist, surgeon, radiologist, anesthesiologist, dentist, internist, surgeon, radiologist, anesthesiologist, dentist, internist, surgeon, radiologist, anesthesiologist, dentist, internist, surgeon, radiologist, anesthesiologist, endocrinologist, urologist, neurologist, oncologist, endocrinologist, urologist, neurologist, oncologist, endocrinologist, urologist, neurologist, oncologist, endocrinologist, urologist, neurologist, oncologist, dietician, cardiologist, and geriatrist, to name a few.a few. dietician, cardiologist, and geriatrist, to dietician, cardiologist, and geriatrist, to name aname few. dietician, cardiologist, and geriatrist, to name a few.

But, only one doctor takes But, only one doctor But, onlyone onedoctor doctor takestakes But, your petonly through life… atakes veterinarian. your petthrough through life… veterinarian. your pet through life… a veterinarian. your pet life… a aveterinarian.

The veterinarians at Central Animal Hospital perform The veterinarians at Central Animal Hospital performperform The veterinarians atdoctors Central Hospital The skills veterinarians at Central Animal Hospital perform the of the different in Animal preventing, diagnosing, the skills of the different doctors in preventing, diagnosing, thetreating skills of the different doctors inare preventing, diagnosing, theand skills of the different doctors in preventing, diagnosing, animal health problems. We dedicated to and treating animal health problems. We are dedicated to and treating animal health problems. We dedicated to andproviding treating animal health problems. We your are dedicated to life. the highest quality care for pet’sare entire providing the highest quality care for your pet’s entire life. providing the highest quality care for your pet’s entire life. providing the highest quality care for your pet’s entire life. Stop by to meet us and tour our hospital Stop by to meet us and tour our hospital Stop Stop by toby meet us and us tour ourtour hospital and boarding facilities. toboarding meet and our hospital and facilities. boarding facilities. Ourand hours, by appointment, are: facilities. Our hours,and by boarding appointment, are: OurMonday hours, thru by appointment, Friday 8 am are: – 7 pm Our hours, by appointment, Monday thru Friday 8 am – 7 pm are: Monday thru Friday8 8 – 7 Saturday amam– 3 pmpm Monday thru Friday 8 am – 7 pm Saturday 8 am – 3 pm 8 am 3 pm SundaySaturday 9 am – 11 am –(for emergencies). Sunday 9 am – 11 am (for emergencies). am – 3 pm Sunday 9 am – Saturday 11 am (for8emergencies).

am – 11 am (for emergencies). Michael Sunday Woltz, 9VMD Lester B. Sills, DVM Michael Woltz, VMD Lester B.Sills, Sills,DVM DVM Michael Woltz, VMD Lester B. Cheryl Gross, VMD Zsach Ben Adi, DVM Cheryl Gross, VMD Zsach Ben Adi, DVM Michael Woltz, VMD Sills, DVM Cheryl Gross,Hecht, VMD DVM Zsach Ben Adi,B.DVM Donatella AuraLester Truslow, DVM Donatella Hecht,DVM DVM AuraTruslow, Truslow, DVM Cheryl Gross, VMD Zsach Ben Adi, Donatella Hecht, Aura DVM Jason Siegelheim, DVM Alison Abramson, VMDDVM Jason Siegelheim, DVM Alison Abramson, VMD Jason Siegelheim, DVMDVM Alison Aura Abramson, VMD DVM Donatella Hecht, Truslow,

Jason Siegelheim, DVM

Alison Abramson, VMD

– ARA Content

To Your Health! A special section of

The Rivertowns Enterprise 95 Main Street, Dobbs Ferry, NY 10522 (914) 478-2787 www.rivertownsenterprise.net

PUBLISHER...........................................Deborah G. White SECTION EDITOR............................................. Todd Sliss ART DIRECTOR......................................Ann Marie Rezen ADVERTISING DESIGN.................................. Kathy Patti ADVERTISING SALES............................Marilyn Petrosa, Thomas O’Halloran, Barbara Yeaker, and Francesca Lynch ©2012 W.H. White Publications, Inc. All rights reserved. Reproduction in whole or in part is forbidden without the Publisher’s written permission.

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Friday, October 19, 2012