Health and Wellness Spring 2014

4B

| MAY 7, 2014

THE MINER

and

Health

  

Wellness

Hospital staff help residents navigate ACA

EDITOR’S NOTE: With so many questions surrounding the Affordable Care Act, The Miner staff asked two experts on the topic at Newport Hospital and Health Services. Patient Account Representative Diane Schaff and her manager Trina Gleese some of the most common questions about how the ACA, or ObamaCare, is affecting residents in Pend Oreille and west Bonner counties.

Following are their answers.

1. About how many people a week do you assist with finding health care?

We assist in helping individuals and/or families with potential resources that might help assist them with health care costs. We help residents in Washington and Idaho as the need arises. Typically it is through a referral from the clinics or through recent services received through our hospital.

It has slowed down since the deadline, we assist approximately seven patients per week using the Washington Health Plan Finder, Washington Connections, or Medicaid of Idaho.

2. About what percentage of those qualify for Medicaid?

In Washington, it is fairly large percentage. I haven’t tracked this but as we are seeing an increase in the new adult population for healthcare coverage, with the Apple Health program we are finding most qualify. The small percentage needing to select an insurance plan and were eligible with or without tax credits were referred to an insurance broker for assistance in a plan selection.

3. What is the most common obstacle for people looking to sign up for health care?

In Washington the call center has been extremely busy with calls, so getting through when error codes arise in completing the application has been difficult.

In Idaho, adults need to obtain insurance coverage through a commercial insurance plan or thru the YourHealth Idaho website. Idaho did not expand their Medicaid program leaving a large population who do not qualify for Medicaid or the tax credits, which would reduce their insurance premium.

4. If someone doesn’t qualify for Medicaid, what are their other options for affordable health care?

Insurance through the Washington Health Plan finder – they potentially would qualify for tax credits to help offset the cost of their monthly insurance premium, but most will need to wait until the next open enrollment period. There are some exceptions for enrolling prior to the open enrollment.

In Idaho, the counties have a program to help with medical bills in a catastrophic situation, services have to be applied for, approved, and must be received through an Idaho facility and/or provider. We typically recommend they call the County Assistance program for the county they reside in.

Newport Hospital and Health

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Services also has an Uncompensated Services Program our patients can apply for to reduce their bill based on their family size and income.

5.What happens if someone signs up for health insurance, but doesn’t make their regular payments?

They are terminated from health care coverage if their insurance premiums aren’t paid within the grace period set by the insurance carrier.

6. When someone comes to you for help signing up for health insurance, briefly explain the process they will go through.

We usually set this up by appointment and ask them to provide us with names, birthdates, identification and verification of income for all family members, a current e-mail address, information about any health care plans. We are Community Assistors, we go online to help them set up a User Name and Password, all family members information and income is entered, then if all goes through they are typically approved the first of the month in which they apply.

For those that qualify for the Medicaid, they can request retroactive coverage for the three months prior if they meet the criteria for residence and household income.

For those that are able to do their own computer input, we also have a

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DEPART

8:15 AM 10:15 AM

Springtime brings warmer weather, outdoor family fun, barbecues, ballgames, and for many Americans, the start of allergy season.

As you plan outdoor activities this spring, Dr. Travis Stork, emergency room physician and host of the Emmy Award winning talk show “The Doctors,� shares his top five tips to ring in spring for a for a healthy and congestion-free spring season.

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Our Mission is to provide services to all persons who have been victimized and to promote a safe environment from domestic violence, sexual assault, and for the homeless.

STOCK PHOTO

Spring is the start of allergy season for many Americans.

Spokane: Bank of America Howard & Riverside 6:35 AM Newport: Safeway 8:30 AM Spokane Bank of America Howard & Riverside

P.M. ARRIVE

DEPART

2:00 PM

Spokane: Bank of America Howard & Riverside 2:35 PM

4:15 PM

Newport: Safeway

5:45 PM

Spokane: Bank of America

4:30 PM

In the City of Spokane, we pick up or drop off at the Bank of America on Riverside and Howard. Upon request, we can also pick up at the following locations: Spokane International Airport, any of the major Hospitals including VA hospital, NorthTown Mall, Northpoint Wal-Mart, 29th and Regal, Fancher and Sprague or Trent and Fancher.

If you have a disability that prevents you from reaching one of our stops, please call our office to see if we can arrange a pickup at your home.

One-way fares $3.00 Newport/Spokane Reserve seating has priority. Open seating is available without reservations as capacity allows.

To reserve a seat, please call 24-hours in advance or during office hours: 8:30am to 5:00pm

1-877-264-RIDE (7433) • 509-534-7171 Service is open to the general public. Service is available to all regardless of race, color, religion, sex, national origin or disability. This service meets the requirements of the American’s With Disabilities Act. This service is funded through grants from Washington DOT.

Now Serving Colville Area at Specialty Groups & Physical Therapy 143 Garden Home Dr, Colville Call our Spokane Office to Schedule appointments

An Option for Unpaid Family Caregivers IF the individual you are caring for: • Is not eligible for Medicaid long term care services

OR • Chooses not to receive Medicaid funded long term care services

AND you are caring for a parent, spouse, partner, other relative or friend (age 18+), you may want to consider the Family Caregiver Support Program (FCSP).

The program may be able to offer you things like: • Services to make your caregiving responsibilities easier • Problem-solving techniques • Training with routine care tasks for you or the person you care for • A break from caregiving or how to reduce your stress • AND other types of services to help you in caring for a friend or loved one.

To find your local Family Caregiver Support Program, contact JoDee at Rural Resources Community Action

509-550-7051

THE MINER

H E A LT H A N D W E L L N E S S

MAY 7, 2014 |

5B

A healthy breakfast and a healthy weight If you think skipping breakfast will help you maintain a healthy weight, you might want to think again. In fact, MyPlate recommendations include starting the day with a good breakfast.

MyPlate was developed by the U.S. Department of Agriculture to illustrate the five food groups that are the building blocks for a healthy diet, using the familiar image of a place setting for a meal.

Start with breakfast Eat a breakfast that helps you meet your food group needs. People who skip breakfast often weigh more. Eating a nutrient-dense breakfast may help you lose weight and keep it off.

By choosing a balanced breakfast, you can get off to the right start, and fill in the gaps in food groups likely to be missing in your diet. Milk is a perfect breakfast complement, yet more than eight out of 10 Americans still fall short of the recommended milk servings each day.

Milk is packed with nine essential nutrients, including eight grams of high-quality protein.

Along with building muscle and keeping bones strong, protein at breakfast can help you feel full and satisfied so you won’t feel hungry by mid-morning, which will help people stick to their weight management plan.

Studies show milk drinkers and breakfast eaters have more nutritious diets and tend to be leaner than non-milk drinkers and breakfast skippers.2,3,4 And to cut fat and calories, opt for fat free or low fat milk – they deliver the same nutrient-rich punch for fewer calories and less fat.

For more breakfast tips and recipes, visit http://thebreakfastproject.com/. Also, follow the Milk Mustache Campaign on Facebook at https://www.facebook.com/MilkMustache, and Twitter @MilkMustache.

Skillet eggs and polenta Serve this morning meal with an 8-ounce glass of fat free milk and a slice of whole grain toast to start right with a serving of veggies, whole grain, protein and milk all before noon.

Makes: 4 servings 1 cup sliced mushrooms 1 cup red bell pepper, cut into strips 1 cup zucchini, halved lengthwise and sliced into half-moons 1 jar (32 ounces) marinara sauce 2 1/2 cups lowfat or fat free milk Salt 1/2 cup finely ground polenta or cornmeal 2 teaspoons olive oil, divided 4 eggs Chopped fresh basil (optional) Spray large nonstick skillet over medi-

um-high. Add mushrooms, bell pepper, and zucchini, and sauté until vegetables soften slightly, about 3 minutes.

Add marinara and simmer to heat through. Reduce heat to low and keep warm.

Bring milk and salt to a boil in medium saucepan over medium-high. Slowly whisk in polenta, stirring constantly to prevent lumps from forming.

Cook until thickened, about 5 minutes.

Remove from heat, cover, and keep warm.

Heat oil in large nonstick skillet over medium-high.

Carefully crack eggs into pan and cook until whites are set and yolks are cooked to desired doneness, 4 to 6 minutes.

To serve, divide polenta among 4 shallow serving bowls; top with marinara and an egg. Sprinkle with chopped basil if desired.

STOCK PHOTO

Breakfast in the most important meal of the day and milk is the perfect compliment. Studies show milk drinkers and breakfast eaters have more nutritious diets and tend to be leaner than non-milk drinkers and breakfast skippers.

6B

H E A LT H A N D W E L L N E S S

| MAY 7, 2014

THE MINER

Start early for good oral health habits You may wonder whether it’s important to take care of your child’s first teeth, which will fall out in early childhood.

However, healthy adult teeth start with healthy teeth during childhood. That’s why starting infants off with good oral care can help protect their teeth for decades to come.

A baby’s 20 primary teeth are already present in the jaw at birth. Baby teeth that begin coming through the gums around six months help set the stage for future smiles by keeping space in the jaw for adult teeth. The American Dental Association recommends that parents take children to a dentist no later than their first birthday and then at intervals recommended by their dentist.

To help ensure you are well prepared to provide your little one a lifetime of good dental health, the experts at Ameritas offer this information about the leading oral health concerns for youngsters: - Cavities. Early childhood cavities is the No. 1 chronic disease affecting young children. It is five times more common than asthma and seven times more common than hay fever. Tooth pain keeps many children home from school or distracts them from learning.

Consumption of sugary foods, soda, juice or energy drinks increases the risk for tooth decay and gum disease, so minimizing these items is an important aspect of dental health. It’s also important to always brush teeth twice daily for two minutes and floss once a day.

Another option to protect children’s teeth is sealants, which act as barriers to cavity-prone areas. They are applied to the chewing surfaces of the molars after the teeth erupt and are completely above the

gum. Both primary and permanent teeth can benefit from sealants.

- Sports Injuries. Mouth guards can help protect children from a dental emergency.

They should be worn whenever children participate in sports and recreational activities. Mouth guards cushion blows that can otherwise cause broken teeth, injuries to the lips and face, and even jaw fractures. Mouth guards are available at many retail stores or may be custom-made by a dentist.

- Jaw and bite problems. Malocclusion, or bad bite, is a condition in which the teeth are crowded, crooked, out of alignment or the jaws don’t meet properly.

This may become particularly noticeable between ages six and 12, when a child’s permanent teeth are developing.

If not treated early, a bad bite can make it difficult to keep teeth and gums clean where teeth are crooked or crowded, increasing the risk for cavities and gum disease. Bad bites can also affect proper jaw development, making protruding teeth at risk for chips and fractures. It can also affect eating and speaking, and make some teeth more likely to wear abnormally or faster than those that are properly aligned.

Teaching children good oral hygiene habits early is a simple way to create a lifetime of happy, healthy smiles. Remember, modeling your own good oral hygiene habits not only reinforces your advice, it improves your own dental health.

For more information on children’s dental health visit the dental section at www. ameritasinsight.com, where you also can find out how recent health care reforms affect dental insurance.

STOCK PHOTO

Children should visit the dentist no later than their first birthday to begin a healthy oral regimen.

ALLERGIES: Wash those allergens away; wash often FROM PAGE 4A

derived from natural ingredients can help.

Know when to work out Staying active and exercising for at least 30 minutes a day is a great way to fight off illness, but for allergy sufferers, be sure to plan workouts accordingly.

Pollen counts are highest in the morning, so it’s best to plan to work out during a time of day when pollen levels are a bit lower.

has a HEPA (high-efficiency particulate air) filter.

Mind the kids Congestion-causing allergens are everywhere – on the bus, in the park, on our clothes and even in our hair.

To avoid any impact on

your family fun this spring, especially for the little ones, Dr. Stork says, “Keep congestion remedies on hand, like Arm & Hammer Simply Saline Baby Nasal Relief for both infants and kids.”

Wash away those allergens

Don’t ditch your favorite outdoor hobby just because you suffer from allergies, ditch the allergens stuck to clothes, bedding and bags.

After a day in the garden, at the ballpark or family picnic, remember to wash clothes, bedding and bags as often as possible.

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Allergy-proof the house Allergens exist indoors and outdoors, so take steps to make your home allergy-proof. A simple way to keep allergens at bay is to wipe your feet and take off your shoes when entering the home. You can also prevent mold by keeping the indoor air dry with a dehumidifier and remove allergens by cleaning the floors with a vacuum that

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with some loss of mobility.

THE MINER

H E A LT H A N D W E L L N E S S

Home Modifications

Living at home longer may mean renovating a home to make it more accessible. This can include such things as installing ramps to building ost people prefer to stay inbypass theirstairs, home or a bedroom on the main floor, placing grab bars in the shower, changing the apartment for as long as possible.

The countertops best or height of kitchen making a bathroom safer and more accessible.

Before you way to make this a reality is to plan ahead make home modifications, you should evaluate your current and of time to make the amenities in your home as safe andthrough future needs by going your home room by room and answering a series of questions accessible as possible. It can be hard to imagine that to highlight where changes might be made. Several checklists are tasks around the house that were once done with ease available to help you conduct this review. The National Resource can one day pose a challenge. Anticipating theCenter chal-on Supportive Housing and Home Modifications is a good place to start. lenge and planning accordingly may allow to website at Go toyou the center’s http://www.homemods.org and click on the link to the “Safety remain in your home for an extended period of time.

Checklist and Assessment Instrument.”

MAY 7, 2014 |

Don’t skip the suds this cold and flu season

FAMILY FEATURES

M

Often, with some minor modifications, your home can

FAMILY FEATURES

M

ost people prefer to stay in their home or apartment for as long as possible. The best way to make this a reality is to plan ahead

of time to make the amenities in your home as safe and accessible as possible. It can be hard to imagine that tasks around the house that were once done with ease can one day pose a challenge. Anticipating the challenge and planning accordingly may allow you to remain in your home for an extended period of time.

Often, with some minor modifications, your home can be adapted to help you stay as long as possible even with some loss of mobility.

be adapted to help you stay as long as possible even with some loss of mobility.

Home Modifications

The importance of hand washing has long been advised by health professionals, especially during the cold and flu season. However, a recent study found that only 95 percent of Americans admit it is important to wash their hands after using a public restroom. This is particularly true with women compared to men.

What’s even more interesting is that a growing number of consumers admit to simply rinsing their hands with water without using soap in public washrooms. In fact, this number has increased from 54 percent to 70 percent on the national level over the past two years. And just how long are they “washing” their hands? Suds or no suds, a majority of Americans do not wash their hands long enough.

According to the Centers for Disease Control and Prevention, the recommended time to wash one’s hands with soap and water in order to kill bacteria is at least 20 seconds.

These findings are part of the fifth annual Healthy Hand Washing Survey conducted by Bradley Corporation, a Milwaukee-based manufacturer of commercial plumbing fixtures and washroom accessories.

Getting Help Keeping a house running smoothly requires a lot of hard work. If you are no longer able to keep up with the demands, you may need to hire someone to do laundry, buy groceries, run errands, clean the house or perform any necessary repairs.

Those who are unable to perform Activities of Daily Living (ADLs), such as getting in and out of bed, walking, bathing, dressing, and eating, can often continue to stay at home with outside help. There are a number of services that can be brought in to assist with ADLs and other personal care. You can hire someone, such as a personal care aide or home health aide, to help you out a few hours a day or around the clock.

Some health care services can be provided at home by trained professionals, such as occupational therapists, social workers or home health nurses. Check with your insurance or health service to see what kind of coverage is available, although you may have to cover some of these costs out of pocket. If very specific conditions are met, Medicare will help pay for all or a portion of home health care.

Home

to do laundry, buy groceries, Modifications run errands, clean the house or perform any necessary repairs.

Those who are unable to perform Living at home longer may mean Activities of Daily Living Home renovating a home to make it (ADLs), such as getting in and Modifications more accessible. This can include out of bed, walking, bathing, Living at home longer may mean such things as installing ramps to dressing, and eating, can often renovating a home to make it more accessible.

This can include a bedroom bypass stairs, building continue to stay at home with such things as installing ramps to on the main floor, placing grab outside help. There are a number bypass stairs, building a bedroom onbars the main placing grabchanging the in floor, the shower, of services that can be brought bars in the shower, changing the height of kitchen countertops or in to assist with ADLs and other height of kitchen countertops or making a bathroom safer and safer and making a bathroom personal care. You can hire some more accessible. Before you Getting more accessible. you one, such as a personal careHelp aide make home modifications,Before you should evaluate your current and make home modifications, you or home health aide, to help you future needs by going through your home room by room your and should evaluate current and out a few hours a day or around answering a series of questions future needs by going the clock. to highlight where changes might through beyour made. home Several checklists are room and room by Some health care services can Transportation available to help you conduct often causes at home by trained answering a series of questions Declining behealth provided this review. The National a decline in independence and Resource Center on Supportive mobility.

Many seniors lose the such as occupa to highlight where changes mightabilityprofessionals, to drive or simply feel Housing and Home Modificauncomfortable behind the wheel be ismade.

Several tional therapists, social workers tions a good place to start.checklists are at night. Investigate transportaGo to the center’s website at tion options in your areahealth so you available to help you conduct or home nurses.

Check can maintain an active social http://www.homemods.org and life, get medical care and shop click on review. the link to the “Safety this The National with your insurance or health for necessities. You might find Checklist and Assessment members willing to take Resource Center on Supportive family to friends see what kind of you toservice the grocery store, Instrument.” who will drive you to social Housing and Home Modifica is available, although events,coverage nearby bus routes, reduced fare taxis or senior tions is a good place to start. you may have to cover some transportation services funded by a local not-for-profit. Staying Go to the center’s these costs in yourof home should not mean out of pocket. If Getting Help website at being cut off from community http://www.homemods.org and very specific conditions are met, activities you enjoy.

Finding Keeping a house running new ways to get around, even smoothly requires lot of to hardthe “Safety click on thealink Medicare will help pay for all or after you are no longer driving, Transportation may allow you to stay engaged work. If you are no longer able Assessment a portion of home health care. and active. toChecklist keep up with and the demands, you may need to hire someone Instrument.” to do laundry, buy groceries, Living at home longer may mean renovating a home to make it more accessible. This can include such things as installing ramps to bypass stairs, building a bedroom on the main floor, placing grab bars in the shower, changing the height of kitchen countertops or making a bathroom safer and more accessible. Before you make home modifications, you should evaluate your current and future needs by going through your home room by room and answering a series of questions to highlight where changes might be made. Several checklists are available to help you conduct this review. The National Resource Center on Supportive Housing and Home Modifications is a good place to start.

Go to the center’s website at http://www.homemods.org and click on the link to the “Safety Checklist and Assessment Instrument.”

Keeping a house running smoothly requires a lot of hard work. If you are no longer able to keep up with the demands, you may need to hire someone to do laundry, buy groceries, run errands, clean the house or perform any necessary repairs.

Those who are unable to perform Activities of Daily Living (ADLs), such as getting in and out of bed, walking, bathing, dressing, and eating, can often continue to stay at home with outside help. There are a number of services that can be brought in to assist with ADLs and other personal care. You can hire someone, such as a personal care aide or home health aide, to help you out a few hours a day or around the clock.

Some health care services can be provided at home by trained professionals, such as occupational therapists, social workers or home health nurses. Check with your insurance or health service to see what kind of coverage is available, although you may have to cover some of these costs out of pocket. If very specific conditions are met, Medicare will help pay for all or a portion of home health care.

Declining health often causes a decline in independence and mobility. Many seniors lose the ability to drive or simply feel uncomfortable behind the wheel at night. Investigate transportation options in your area so you can maintain an active social life, get medical care and shop for necessities. You might find family members willing to take you to the grocery store, friends who will drive you to social events, nearby bus routes, reduced fare taxis or senior transportation services funded by a local not-for-profit. Staying in your home should not mean being cut off from community activities you enjoy. Finding new ways to get around, even after you are no longer driving, may allow you to stay engaged and active.

Transportation

Photo courtesy of Getty Images

tion options in your area so you can maintain an active social life, get medical care and shop for necessities. You might find family members willing to take you to the grocery store, friends who will drive you to social events, nearby bus routes, reduced fare taxis or senior

run errands, clean the house or perform any necessary repairs.

Those who are unable to perform Declining health often causes Activities of Daily Living (ADLs), such as getting in and Keeping a house running a decline in independence and out of bed, walking, bathing, dressing, and eating, can oftena lot of hard smoothly requires mobility. Many seniors lose the continue to stay at home with work.

If you are no longer able ability to drive or simply feel outside help. There are a number ofto services that can be brought keep up with the demands, uncomfortable behind the wheel in to assist with ADLs and other you may need to hire at night. Investigate transporta personal care. You can hire some- someone one, such as a personal care aide or home health aide, to help you out a few hours a day or around the clock.

Some health care services can be provided at home by trained professionals, such as occupational therapists, social workers or home health nurses. Check with your insurance or health service to see what kind of coveragePAGE is available, FROM 4B although questions and help guide them through you may have to cover some the system. She can also help them with of these costs out of pocket. If very specific conditions are met, Health Authority adding family members, updating their Medicare Care will help pay for all or Medical Assisa portionSpecialist of home health care. tance located at our accountreviews, and making changes to their

Getting Help

transportation services funded by a local not-for-profit. Staying in your home should not mean being cut off from community activities you enjoy. Finding new ways to get around, even after you are no longer driving, may allow you to stay engaged and active.

Transportation

Declining health often causes a decline in independence and mobility. Many seniors lose the ability to drive or simply feel uncomfortable behind the wheel at night. Investigate transportation options in your area so you can maintain an active social life, get medical care and shop for necessities. You might find family members willing to take you to the grocery store, friends who will drive you to social events, nearby bus routes, reduced fare taxis or senior transportation services funded by a local not-for-profit. Staying in your home should not mean being cut off from community activities you enjoy. Finding new ways to get around, even after you are no longer driving, may allow you to stay engaged and active.

account.

7. How long does the process take?

Positive responses to media The survey also revealed that increased media coverage or stories about food-borne or airborne illnesses have an impact on hand washing habits. More than half of consumers, 57 percent, claimed they wash their

Photo courtesy of Getty Images

SEE FLU, 9B

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CARE: Help is available ing building from Monday through Friday 8 a.m. to 5 p.m. She can answer

7B

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Photo courtesy of Getty Images

8B

scale of 1 to 100 based on Bravo’s hit TV show “Top Chef.” In his new book, “The Sweet Life: anced diet that includes plenty of fiber-rich fruits and vegetables and and insulin levels. Foods how rapidly a food item without Boundaries,” shares how diabetes has affected — but carbohydrates that rank lower on the Diabetes glycemic index (GI). (Seehesidebar with a low glycemic indexblood sugar levels raises has not compromised — his life and career, and offers 75 fresh, all-natural for more on the glycemic index.) after eating. Foods that recipes that can be enjoyed by both diabetics and non-diabetics.are digested slowly and “Pears are one of my favorite fruits to use in recipes,” says Talbot. raise blood sugar andrank high on the glycemic index are digested rapidly, “They are a low GI fruit, they’re highCooking in fiber, andtothe flavor of aDiabetes ripe Manage insulin levels gradually. which produces marked pear is just out of this world. They are incredibly versatile in sweet and follow a healthy, well balDoctors recommend that people with diabetes fluctuations in blood sugar Source: University of Sydney | MAY 7, 2014 savory recipes in all types of world cuisines. can beplenty part ofoffiber-rich any fruits and vegetablesGlycemic anced dietThey that includes and insulin levels. Foods Index Group, and Human carbohydrates that rank lower on the glycemic index (GI). (See sidebar meal of the day.”

Nutrition Unit, School ofwith a low glycemic index for more on the glycemic index.)

The two recipes here are from Talbot’s book, and showcase the fresh, Molecular Biosciences. are digested slowly and “Pears are one of my favorite fruits to use in recipes,” says Talbot. raise blood sugar andn One medium pear provides 24 percent sweet flavor of pears. For more information, “They are visit a low www.SamTalbot.com, GI fruit, they’re high in fiber, and the flavor of a ripe insulin levels gradually.of your day’s fiber, and 10 percent of and for additional pear recipes visit www.usapears.org. pear is just out of this world. They are incredibly versatile in sweet and One medium pear100 provides Source: University of Sydney your day’s vitamin C — for only savory recipes in all types of world cuisines. They can be part of any Glycemic Index Group, Human calories. 24 percent of your day’s fiber, meal of the day.”

Nutrition Unit, School of

H E A LT H A N D W E L L N E S S

Photo credit: Tara Donne

THE MINER

Photo credit: Tara Donne

and 10 percent of your day’s n One medium pear provides 24 percent of your day’s fiber, and 10 percent of vitamin C — for only 100 day’s vitamin C —of for only 100 n There are tenyour different varieties calories. calories.

USA Pears, each with its own color, There are ten different flavor and texture. varieties Pears, n There are of ten USA different varietieseach of USA Pears, each with its own color, with its own color, flavor and Photo credit: Sarahflavor Kehoe Sam Talbot’s “The Sweet Life” is available and texture. n More than 80 percent of the fresh pears texture. on amazon.com, at Barnes and Noble, grown in the U.S. are from the Pacific Morethan than 80 percent of Northwest states Washington and at book stores nationwide. n Moreof 80 percent ofand the fresh pears Oregon. USA Pears in season thegrown fresh pears grown in are the U.S. are fromfrom thein Pacific states of Washington and early fall through summer. theNorthwest U.S.early are from Pacific Oregon.

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Northwest states WashFAMILY FEATURES ington and Oregon.

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Spoon yogurt into 4 bowls and top • Legal Issues Add pears and simmer until you can easily with fruit and coconut mixture, or sprinkle pierce pears with the tip of a knife, about directly onto each individual container • State and Federal Aid 20 minutes. of yogurt.

To serve, transfer pear halves to 4 indivi• Housing ArtNote: Mathew This recipe can do double duty as dual bowls and ladle some of the cooking a dessert if you serve it up parfait style.

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Ripeness pearsSpoon atNavigator their sweetest juiciest. a pear’s 1/8 of the pears and into the bottomTo judge • MEDICAL EQUIPMENT: Wheelchairs, Check the Neck for Ripeness 509-684-3932 Peror Serving: ripeness, USA Pear growers advise you to of “check Press Add the neck, stem 72 calories, 1 g protein, 19 g of each 4 bowlsthe or neck.” parfait glasses.

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• Health Servicesyour pears • ATHLETIC PRODUCTS: Braces, Splints Photo credit: Tara Donne firm, simply leave the pear at room temperature to ripen within a few days. Don’t Recipes excerpted from the book, “The Per Serving: 265 calories, 15 g protein, • PRESCRIPTION SERVICES refrigerate your pears unless you want to slow their ripening.

Sweet Life: Diabetes without Boundaries,” 38 g carbohydrates, 8 g total fat (6 g • Emergencies

by Sam Talbot. Published by Rodale. saturated), 8 mg cholesterol, 6 g fiber, 509-447-2484 • 336 S. Washington Ave. Copyright © 2011.

157 mg sodium

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THE MINER

H E A LT H A N D W E L L N E S S

MAY 7, 2014 |

9B

FLU: Wash and thoroughly dry hands FROM PAGE 7B

hands more often and more thoroughly in response to news coverage. Sixty-six percent also reported washing their hands more frequently in response to news about seasonal flu outbreaks.

“These findings underscore the need for consumers to be mindful of good hand hygiene,” said Jon Dommisse, director of global marketing and strategic development for Bradley. “Everyone can play their part in preventing the spread of viruses such as influenza during the winter months.

Always remember, it takes less than a minute to effectively wash your hands.”

Stay healthy all year long To keep you and your family healthy, Bradley recommends five simple steps to effective hand washing: Wash More Frequently – It’s important to wash your hands not only after using the washroom, but, before and after preparing and eating food; before and after treating a wound; after blowing your nose, coughing or sneezing; and after touching the garbage.

Count to 20 – Proper hand washing means scrubbing

with water and soap for at least 20 seconds or the time it takes to sing “Happy Birthday” twice. Be sure to scrub the backs of your hands, between your fingers, and under your nails.

Don’t Forget to Dry – Smart hand hygiene should not only include washing, but thoroughly drying hands as well. The most hygienic and sustainable method is using an energy-efficient dryer such as the one found on the allin-one touchless Advocate Lavatory System.

Hand Sanitizers Aren’t Enough – While 29 percent of consumers surveyed use a hand sanitizer, it may not be as effective when hands are visibly dirty. Anti-bacterial gel is not a substitute for soap and water, and should only be relied upon if hand washing facilities are not available.

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FAMILY FEATURES

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| MAY 7, 2014

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FAMILY FEATURES FAMILY FAMILY FEATURES FEATURES

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H E A LT H A N D W E L L N E S S

1. Don’t smoke.

5. Manage blood pressure.

2. Maintain a healthy weight.

6. Take charge of cholesterol.

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4. Eat a healthy diet.

THE MINER

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Reduce heat to medium-low. medium-low. Cook for 35 minutes or until beans and corn. Cover and cook for 15 minutes o potatoes are tender, stirring occasionally. Stir until chicken is cooked through. Sprinkle with in chicken and parsley and cook until mixture cilantro. is hot and The Evangelical Lutheran Good Samaritan Society provides housing and services to (509) 684-2584 • 224 N. Main Street, Colville, WAbubbling.

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Easy Chicken Shepard’s Pie Easy Easy Chicken Chicken Shepard’s Shepard’s Pie Pie

Prep time: 1515 minutes Prep Prep time: time: 15 minutes minutes Heat oven tototo 350°F. Stir soup and 1/4 cup water Heat Heat oven oven 350°F. 350°F. Stir Stir soup soup and and 1/4 1/4 cup cup water water Total time: 1 1hour 1010 minutes Total Total time: time: 1hour hour 10 minutes minutes ininin large bowl.

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Easy Chicken Shepard’s Pie Easy Easy Chicken Chicken Shepard’s Shepard’s Pie Pie

B Y CHO I C E H O T E L S

Hearty Chicken & Vegetable Chowder

Easy Chicken Shepard’s Pie

Prep time: 15 minutes Heat oven to 350°F. Stir soup and 1/4 cup water Total time: 1 hour 10 minutes in large bowl. Season chicken with 1/2 teaspoon Servings: 4 black pepper, onion powder and poultry seasoning. Heat oil in 12-inch skillet over medium-high 1 can (10 3/4 ounces) Campbell’s® heat. Add chicken and cook until well browned, Healthy Request® Condensed Healthy stirring occasionally. Add chicken and vegetables Request® Cream of Mushroom Soup to soup mixture and stir to coat. Spoon chicken 1 1/4 cups water 1 1/4 pounds skinless, boneless chicken breast mixture into 2-quart round casserole. Microwave remaining water in microwavable bowl on HIGH halves, cut into 1-inch pieces for 1 to 2 minutes or until hot. Add potato flakes 3/4 teaspoon ground black pepper and stir until water is absorbed. Stir in milk and 1/2 teaspoon onion powder remaining black pepper. Loosely cover and micro• 1/2 Medical available teaspoonrates poultry seasoning, crushed wave on HIGH for 2 minutes or until mixture is 1 tablespoon vegetable oil hot. Spread potato mixture over chicken mixture.

1 package (16 ounces) frozen mixed Pharmacy • Next door to Walgreens Sprinkle with cheese. Bake for 40 minutes or until vegetables, thawed chicken mixture is hot and bubbling.

1 cup instant mashed potato flakes •1 Coveniently located cup fat free evaporated milk near: 1/4 cup shredded 2% milk Cheddar cheese

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Easy Chicken Shepard’s P

THE MINER

H E A LT H A N D W E L L N E S S

11B

MAY 7, 2014 |

Photo courtesy of Getty Images

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FAMILY FAMILYFEATURES FEATURES

elebrities, elebrities,athletes, athletes,talk talkshow showhosts hostsand andnearly nearly30 30percent percentofofpeople peoplesay saythey theyare areturning turningtotogluten-free gluten-free diets dietstotosolve solvehealth healthissues issuesfrom from“foggy “foggymind” mind”totobloating bloatingand andobesity. obesity.

FAMILY FEATURES But Butbefore beforeyou youthrow throwout outthe theflour flourororstart startembracing embracingall allthings thingsnon-wheat, non-wheat,barley barleyand andrye, rye,it’s it’simportant importanttoto elebrities, athletes, talk show hosts and nearly 30 percent of people say they are turning to gluten-free consider considerthat thatnutrition nutritionexperts expertsdo donot notadvocate advocateaagluten-free gluten-freediet dietfor formost mostpeople. people.InInfact, fact,atatleast least93 93percent percentofof diets to solve health issues from “foggy mind” to bloating and obesity. people people — —non-wheat, and andprobably probably many more moreto— —are arecompletely completelyhealthy healthyand andhappy happyfollowing followingaadiet dietthat thatincludes includeswheat wheat But before you throw out the flour or start embracing all things barley and many rye, it’s important consider that nutrition experts do not advocate a gluten-free for most people.

In fact, at least 93 percent of and andits itsdiet protein, protein, gluten. gluten. people — and probably many more — are completely healthy and happy following a diet that includes wheat According AccordingtotoDr. Dr.Stephano StephanoGuandalini, Guandalini,founder founderand anddirector directorofofthe theCenter Centerfor forCeliac CeliacDisease Diseaseatatthe theUniver Univer- and its protein, gluten.

According to Dr. Stephano Guandalini, foundersity and director of the Center for Celiac Disease at the Univer sityofofChicago, Chicago,“There “Thereisisaapopular popularbelief beliefthat thatgluten glutenisisbad badfor foreveryone. everyone.This Thisisisnot notthe thecase. case.There Thereisisno no sity of Chicago, “There is a popular belief that gluten is bad for everyone. This is not the case. There is no evidence evidence totoshow show thatanyone anyone who whodoes doesnot notsuffer sufferfrom fromceliac celiacdisease disease(CD) (CD)orornon-celiac non-celiacgluten glutensensitivity sensitivity evidence to show that anyone who does not suffer from celiac disease (CD) orthat non-celiac gluten sensitivity (NCGS) benefits from following a gluten-free diet.”

(NCGS) (NCGS)benefits benefitsfrom fromfollowing followingaagluten-free gluten-freediet.” diet.”

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Gluten: Wheat Protein Explained

“Wheat, like all other food plants we eat, has undergone farmer selection and traditional breeding over the years,” states Brett Carver, PhD, wheat genetics chair in Agriculture at Oklahoma State University. “The hybridization that led to bread wheat occurred 8,000 to 10,000 years ago. All cultivated wheat varieties, both modern and heirloom varieties, have these hybridization events in common, so the kinds of protein (and gluten) present in today’s varieties reflect the proteins present throughout the domestication process of wheat.”

In case there is any doubt of this, scientists have carefully reviewed available data back to 1925 and have not found any evidence supporting increased gluten content due to wheat breeding over the past century. Dr. Guandalini, like many other celiac specialists, is frustrated by the myths about wheat that are promoted by talk show hosts, articles and websites.

“Genetically modified wheat is not commercially available anywhere in the world,” said Guandalini. “Wheat has been, and continues to be, a life-saving and nutritious grain for most people.”

Photo courtesy of Getty Images

“There is a popular belief that Gluten: Gluten:Wheat WheatProtein ProteinExplained Explained gluten is bad for everyone. This “There isis aa popular popularbelief belief that that is not the case.” “There

Gluten is a protein matrix in wheat formed by gliadin and glutenin. It’s also present in barley and rye, and their many ancient grain ancestors. Gluten’s structure forms pockets that trap carbon dioxide released by leavening agents, such asGluten yeast, baking or bakingmatrix soda, giving bread and formed Gluten isispowder aaprotein protein matrix inin wheat wheat formedby bygliadin gliadinand and baked goods their texture. Gluten-free breads and products glutenin.

It’s It’sbecause also alsopresent present ininairbarley barley andrye, rye,and andtheir theirmany many areglutenin. denser and heavier they can’t form pockets and without gluten.grain ancient ancient grainancestors. ancestors.Gluten’s Gluten’sstructure structureforms formspockets pockets

“Wheat, “Wheat,like likeall allother otherfood foodplants plantswe weeat, eat,has hasundergone undergonefarmer farmer selection selectionand andtraditional traditionalbreeding breedingover overthe theyears,” years,”states statesBrett Brett Carver, Carver,PhD, PhD,wheat wheatgenetics geneticschair chairininAgriculture AgricultureatatOklahoma OklahomaState State University.

University.“The “Thehybridization hybridizationthat thatled ledtotobread breadwheat wheatoccurred occurred 8,000 8,000toto10,000 10,000years years ago. ago.

All All cultivated wheat varieties, varieties, elebrities, athletes, talk cultivated show hosts and nearly 30wheat percent of people say they are turningboth toboth gluten-free diets to solve health issues from “foggy mind” to bloating and obesity. that thattrap trapcarbon dioxide dioxidereleased byleavening leaveningagents, agents,such such modern modernand andheirloom heirloom varieties, varieties, have have these these hybridization hybridization in But before you throw out the flour or start embracing all things non-wheat, barley and rye, events it’sevents important to in Wheat andcarbon Gluten Facts releasedby consider that nutrition experts do not advocate a gluten-free diet for most people. In fact, at least 93 percent of asasyeast, yeast,baking bakingpowder powderororbaking bakingsoda, soda,giving givingbread breadand and common, common, so so the the kinds kinds of of protein protein gluten) gluten) present in today’s today’s people — and probably many more (and —(and are completely healthy andpresent happy following ain diet that includes wheat Celiac disease, an autoimmune disease, is very real and and its protein, gluten. seasoned mixes and seasoned tortilla or potato chips may conbaked baked their their texture.

Gluten-free Gluten-free breads breads and andrice products products varieties varietiesreflect reflectthe the proteins proteinspresent presentthroughout throughoutthe thedomestication domestication affects aboutgoods 1goods in 141 people —texture. less than 1 percent of the According to Dr. Stephano Guandalini, founder and director of the Center for Celiac Disease at the Univertain small amounts of gluten,” said Tricia Thompson, registered population.

For people whoheavier have celiac,because even a small they amount sity of Chicago, “There is a popular belief that gluten is bad for everyone. This is not the case. There is no are aredenser denser and and heavier because theycan’t can’tform form air air pockets dietitian andpockets founder of the Gluten Free Watch Dog. “The new process process of of wheat.” wheat.” evidence to show that anyone who does not suffer from celiac disease (CD) or non-celiac gluten sensitivity of gluten is unsafe. When they eat it, their bodies immediately FDA labeling rules define ‘gluten-free’ foods as having less than (NCGS) benefits from following a gluten-free diet.” without without gluten. react, damaginggluten. the lining of their intestinal tract. The damage InIncase casethere thereisisany anydoubt doubtofofthis, this,scientists scientistshave havecarefully carefullyreviewed reviewed 20 parts per million of gluten. This is extremely helpful for people allows many proteins and other substances to enter the blood with celiac disease or NCGS who must avoid all gluten, even in available available data data back back toto1925 1925and andhave havenot notfound foundany anyevidence evidencesupport support- stream that should not, setting up physical reactions and digestive tiny amounts.”

Gluten: Wheat Protein Explained problems with seriousand health consequences. ing ingincreased increasedgluten glutencontent contentdue duetotowheat wheatbreeding breedingover overthe thepast past Wheat Wheat and Gluten Gluten Facts Facts Incidences of all autoimmune diseases are on the increase, with “There is a popular belief that century. century.Dr. Dr.Guandalini, Guandalini, like like many manyother other celiac celiacspeci specialalists, ists,isisfrus frus- The Topic of Weight Management CD four times more common than it was 60 years ago. Research gluten is bad for everyone.

This Celiac disease, disease, an anautoimmune disease, disease, very real realand and is Celiac being conducted by a number ofautoimmune leading medical and scientific isisvery trated tratedby bythe themyths about about wheatthat thatare arepromoted promotedby bytalk talkshow show According to the NPD Group, a leading market research firm rice seasoned seasoned rice mixes mixesand and seasoned seasoned43 tortilla tortilla ororpotato potato chips chipsmay maycon con- ismyths not the case.”wheat “Grains provide percent of the insti tutions to investigate if changes in our gut bacteria might be affects affectsabout about11inin141 141people people— —less lessthan than11that percent percent ofofthe the trends for more than 20 years, the has followed nutrition hosts, hosts,articles articlesand andwebsites. websites. the cause. tain tain small amounts amountsofofgluten,” gluten,”said saidTricia TriciaThompson, Thompson,registered registered biggest driver behind the gluten-free trend is weight loss.small In population. population.

Forpeople people people who who have have celiac, celiac,even even aasmall small amount amount “It’s very importantFor that who have celiac get diagnosed Wheat and Gluten Facts inofofthe U.S. wheat “Genetically “Geneticallymodified modifiedwheat wheatisisnot notcommercially commerciallyavailable availableany any- addition, gluten-free products can be significantlydietitian more dietitian and andfiber founder founder the theGluten Glutendiet Free Freeand Watch Watch Dog. Dog.“The “Thenew new and tested so that they can begin following a gluten-free diet as expensiveimmediately — one study showed an average of 242 percent of of gluten gluten is is unsafe. unsafe.

When When they they eat eat it, it, their their bodies bodies immediately soon as possible. And, it’s something they have to stay on for the where whereininthe theworld,” world,”said saidGuandalini.

Guandalini.“Wheat “Wheathas hasbeen, been,and andcon con- FDA FDA labeling labeling rules rules define define ‘gluten-free’ ‘gluten-free’ foods foods as as having having less less than than higher in cost. is approximately three-quarters rest of their damaging lives,” said Dr. Joseph celiac react, react, damaging the theMurray, lining lining ofofdisease their theirresearcher intestinal intestinaltract. tract.The Thedamage damage “Eliminating wheat products (bread, rolls, cereals, tinues tinuestotobe, be,aalife-saving life-savingand andnutritious nutritiousgrain grainfor formost mostpeople.” people.”

20 20pasta, parts partsper permillion millionofofgluten. gluten.This Thisisisextremely extremelyhelpful helpfulfor forpeople people at the Mayo Clinic. tortillas, cakes, cookies, crackers) will result in fewer allows allowsmany manyproteins proteinsand andother othersubstances substancesto toenter enter the the blood blood of theororgrains eaten inavoid the all U.S.” with withceliac celiacdisease disease NCGS NCGSwho whomust must avoid allgluten, gluten,even eveninin calories, but important nutrients like B-vitamins (thiamin, stream stream that that should should not, not, setting setting up up physical physical reactions reactions and and digestive digestive The Topic of Weight Management A Rare Condition riboflavin, niacin and folic acid), and iron and fiber will amounts.” tiny tiny amounts.”

“Grains provide 43 percent of the also be lost,” said Pam Cureton with Boston’s Center for problems problems withserious serious health consequences.

Non-celiac gluten with sensitivity (NCGS) ishealth the other consequences. condition that Celiac Research and chair of the Academy of Nutrition and fiber in the U.S. diet and wheat proponents of a wheat-free style say affects everyone when in Incidences Incidences ofoflife all all autoimmune autoimmune diseases diseases are are on on the the increase, increase, with with Dietetics’ sub-practice group, Dietitians in Gluten Intolerance fact, research indicates that it, too, is quite rare. According to Dr. is approximately three-quarters The The Topic Topic of of Weight Weight Management Management Diseases (DIGID).

“Grains provide 43 percent of the fiber in CD CD four four times times more more common common than than it it was was 60 60 years years ago. ago.

Research Research Guandalini, “Around 0.5 percent of people react to gluten in a way Gluten-Free: The Bottom Line of the grains eaten in the U.S.” the U.S. diet and wheat is approximately three-quarters of the that is not a food allergy but is also not celiac.” isisbeing beingconducted conductedby byaanumber numberofofleading leadingmedical medical and and scientific scientific A Rare Condition Most of us can eat and enjoy the many varieties of wheat foods grains eaten in the U.S. Nutritionally, many gluten-free products to Dr. Alessio Fasano, one of the world’s top scientists in celiac According According tothe the NPD NPD Group, Group, aaleading leading market market research research firm firm are equal replacements forbe their insti insti tutions tutions toto investigate ifchanges changes inin ourgut gutnotbacteria bacteria might might be wheat-containing counterparts.” available to us. And, luckily, for the few of us who can’t, there are disease and director of theinvestigate Center for Celiacif Research at Massa - our thathas followed followed nutrition nutrition trendsfor formore morethan than20 20years, years,the the gluten-free options.trends Cureton recommends that anyone thinking aboutthat starting ahas glutenchusetts General Hospital in Boston, Mass., explained, “Some Gluten-Free: The Bottom Line the thecause. cause.

“The increased awareness by the trend food industry ofweight the need loss. for free diet see a skilled dietitian first to be sure it isbiggest nutritionally people simply don’t react well to gluten and feel better when it’s biggest driver driverbehind behind the thegluten-free gluten-free trend isisweight loss.InIn gluten-free foods has helped provide many options for those on sound and to help guide them through the difficulties of the diet.

“It’s “It’s very importantthere that that who whohave haveceliac celiacget getdiagnosed diagnosed removed fromvery the diet.important Unfortunately, is people nopeople test for NCGS addition, addition,gluten-free gluten-free products products can can be be significantly significantly more gluten-free diets. There are more choices and better tastingmore products and this is part of why gluten-free has ‘the’ answer and and tested tested sosogoing that that they theycan canbecome begin begin following following aagluten-free gluten-freediet dietasas everystudy day,” said Amy Jones,an dietitian at Mary Rutan Hospital, to all that ails us digestively and otherwise. It’s unfortunate because expensive— —one one study showed showed anaverage average ofof242 242 percent percent Facts Wheat Breeding expensive Facts About Wheat Breeding Bellefontaine, Ohio, and chair-elect of DIGID. soon soon asofpossible. possible.

And, And, it’s it’s something something theyhave have totoAbout stay stayon on for forthe the there are a as lot causes besides gluten for digestive issues.” they higher higher inincost. cost. But for the vast majority of us, going gluten-free can be expenSome promoters of the gluten-free lifestyle say that recent wheat rest restofoftheir theirlives,” lives,”said saidDr. Dr.Joseph JosephMurray, Murray,celiac celiac disease disease researcher researcher Understanding Gluten-Free Diets breeding practices have led to higher, more “toxic” types of wheat. sive, less nutritious and just plain unnecessary.

The bottom line: “Eliminating “Eliminatinggluten wheat wheat products products(bread, (bread,rolls, rolls,cereals, cereals,pasta, pasta, Understanding Gluten-Free Diets They believe that such practices are increasing the rates of celiac is a complex plant protein found in some of our favorite atatthe theMayo MayoClinic.

Clinic. cakes, cakes,foods, cookies, cookies, crackers) will result result infewer fewer and gluten sensitivity, even though you must havetortillas, atortillas, gene to develop and mostcrackers) of us have beenwill tolerating it for in thousands of years.

“Following a gluten-free diet is very difficult and one must know celiac disease.

For more information, visit www.wheatfoods.org. how to read labels. Foods such as broths, soups, gravies, sauces, calories, calories,but butimportant important nutrients nutrientslike likeB-vitamins B-vitamins(thiamin, (thiamin, AARare RareCondition Condition riboflavin, riboflavin,niacin niacinand andfolic folicacid), acid),and andiron ironand andfiber fiberwill will also alsobe belost,” lost,”said saidPam PamCureton Curetonwith withBoston’s Boston’sCenter Centerfor for Non-celiac Non-celiacgluten glutensensitivity sensitivity(NCGS) (NCGS)isisthe theother othercondition conditionthat that Celiac CeliacResearch Researchand andchair chairofofthe theAcademy AcademyofofNutrition Nutritionand and proponents proponentsofofaawheat-free wheat-freelife lifestyle stylesay sayaffects affectseveryone everyonewhen wheninin Dietetics’ Dietetics’sub-practice sub-practicegroup, group,Dietitians DietitiansininGluten GlutenIntolerance Intolerance fact, fact,research researchindicates indicatesthat thatit,it,too, too,isisquite quiterare. rare.According AccordingtotoDr. Dr. Diseases Diseases(DIGID).

(DIGID).“Grains “Grainsprovide provide43 43percent percentofofthe thefiber fiberinin Guandalini, Guandalini,“Around “Around0.5 0.5percent percentofofpeople peoplereact reacttotogluten glutenininaaway way Gluten-Free: Gluten-Free:The TheBottom BottomLine Line the theU.S. U.S.diet dietand andwheat wheatisisapproximately approximatelythree-quarters three-quartersofofthe the that thatisisnot notaafood foodallergy allergybut butisisalso alsonot notceliac.” celiac.”

Most Mostofofususcan caneat eatand andenjoy enjoythe themany manyvarieties varietiesofofwheat wheatfoods foods grains grainseaten eatenininthe theU.S. U.S.Nutri Nutritionally, tionally,many manygluten-free gluten-freeproducts products Dr. Dr.Alessio AlessioFasano, Fasano,one oneofofthe theworld’s world’stop topscientists scientistsininceliac celiac available availabletotous. us.And, And,luckily, luckily,for forthe thefew fewofofususwho whocan’t, can’t,there thereare are are arenot notequal equalreplacements replacementsfor fortheir theirwheat-containing wheat-containingcounterparts.” counterparts.” disease diseaseand anddirector directorofofthe theCenter Centerfor forCeliac CeliacResearch ResearchatatMassa Massa- gluten-free gluten-freeoptions. options.

Cureton Curetonrecommends recommendsthat thatanyone anyonethinking thinkingabout aboutstarting startingaaglutenglutenchusetts chusettsGeneral GeneralHospital HospitalininBoston, Boston,Mass., Mass.,explained, explained,“Some “Some “The “Theincreased increasedawareness awarenessby bythe thefood foodindustry industryofofthe theneed needfor for free freediet dietsee seeaaskilled skilleddietitian dietitianfirst firsttotobe besure sureititisisnutritionally nutritionally people peoplesimply simplydon’t don’treact reactwell welltotogluten glutenand andfeel feelbetter betterwhen whenit’s it’s gluten-free gluten-freefoods foodshas hashelped helpedprovide providemany manyoptions optionsfor forthose thoseon on sound soundand andtotohelp helpguide guidethem themthrough throughthe thedifficulties difficultiesofofthe thediet. diet. removed removedfrom fromthe thediet. diet.Unfortunately, Unfortunately,there thereisisno notest testfor forNCGS NCGS gluten-free gluten-freediets. diets.There Thereare aremore morechoices choicesand andbetter bettertasting tastingproducts products and andthis thisisispart partofofwhy whygoing goinggluten-free gluten-freehas hasbecome become‘the’ ‘the’answer answer every everyday,” day,”said saidAmy AmyJones, Jones,dietitian dietitianatatMary MaryRutan RutanHospital, Hospital, totoall allthat thatails ailsususdigestively digestivelyand andother otherwise. wise.It’s It’sunfortunate unfortunatebecause because Facts FactsAbout AboutWheat WheatBreeding Breeding Bellefontaine, Bellefontaine,Ohio, Ohio,and andchair-elect chair-electofofDIGID. DIGID. there thereare areaalot lotofofcauses causesbesides besidesgluten glutenfor fordigestive digestiveissues.” issues.”

Some Somepromoters promotersofofthe thegluten-free gluten-freelifestyle lifestylesay saythat thatrecent recentwheat wheat But Butfor forthe thevast vastmajority majorityofofus, us,going goinggluten-free gluten-freecan canbe beexpen expen- breeding breedingpractices practiceshave haveled ledtotohigher, higher,more more“toxic” “toxic”types typesofofwheat. wheat. sive, sive,less lessnutritious nutritiousand andjust justplain plainunnecessary. unnecessary.The Thebottom bottomline: line: Understanding UnderstandingGluten-Free Gluten-FreeDiets Diets They Theybelieve believethat thatsuch suchpractices practicesare areincreasing increasingthe therates ratesofofceliac celiac gluten glutenisisaacomplex complexplant plantprotein proteinfound foundininsome someofofour ourfavorite favorite and andgluten glutensensitivity, sensitivity,even eventhough thoughyou youmust musthave haveaagene genetotodevelop develop foods, foods,and andmost mostofofusushave havebeen beentolerating toleratingititfor thousands thousandsofofyears.

“Following “Followingaagluten-free gluten-freediet dietisisvery verydifficult difficultand andone onemust mustknow know “One of the greatest giftsforyou can years. celiac celiacdisease. disease.

For Formore moreinformation, information, visit visit www.wheatfoods.org. www.wheatfoods.org. how howtotoread readlabels. labels.Foods Foodssuch suchasasbroths, broths,soups, soups,gravies, gravies,sauces, sauces,

C

FAMILY FEATURES

gluten gluten isis bad bad for foreveryone. everyone.This This isis not not the the case.” case.”

Gluten is a protein matrix in wheat formed by gliadin and glutenin. It’s also present in barley and rye, and their many ancient grain ancestors. Gluten’s structure forms pockets that trap carbon dioxide released by leavening agents, such as yeast, baking powder or baking soda, giving bread and baked goods their texture. Gluten-free breads and products are denser and heavier because they can’t form air pockets without gluten.

Celiac disease, an autoimmune disease, is very real and affects about 1 in 141 people — less than 1 percent of the population. For people who have celiac, even a small amount of gluten is unsafe. When they eat it, their bodies immediately react, damaging the lining of their intestinal tract. The damage allows many proteins and other substances to enter the blood stream that should not, setting up physical reactions and digestive problems with serious health consequences.

Incidences of all autoimmune diseases are on the increase, with CD four times more common than it was 60 years ago. Research is being conducted by a number of leading medical and scientific institutions to investigate if changes in our gut bacteria might be the cause.

“It’s very important that people who have celiac get diagnosed and tested so that they can begin following a gluten-free diet as soon as possible. And, it’s something they have to stay on for the rest of their lives,” said Dr. Joseph Murray, celiac disease researcher at the Mayo Clinic.

seasoned rice mixes and seasoned tortilla or potato chips may contain small amounts of gluten,” said Tricia Thompson, registered dietitian and founder of the Gluten Free Watch Dog. “The new FDA labeling rules define ‘gluten-free’ foods as having less than 20 parts per million of gluten. This is extremely helpful for people with celiac disease or NCGS who must avoid all gluten, even in tiny amounts.”

According to the NPD Group, a leading market research firm that has followed nutrition trends for more than 20 years, the biggest driver behind the gluten-free trend is weight loss. In addition, gluten-free products can be significantly more expensive — one study showed an average of 242 percent higher in cost.

“Eliminating wheat products (bread, rolls, cereals, pasta, tortillas, cakes, cookies, crackers) will result in fewer calories, but important nutrients like B-vitamins (thiamin, riboflavin, niacin and folic acid), and iron and fiber will also be lost,” said Pam Cureton with Boston’s Center for Celiac Research and chair of the Academy of Nutrition and Dietetics’ sub-practice group, Dietitians in Gluten Intolerance Diseases (DIGID). “Grains provide 43 percent of the fiber in the U.S. diet and wheat is approximately three-quarters of the grains eaten in the U.S. Nutritionally, many gluten-free products are not equal replacements for their wheat-containing counterparts.”

Cureton recommends that anyone thinking about starting a glutenfree diet see a skilled dietitian first to be sure it is nutritionally sound and to help guide them through the difficulties of the diet.

“Wheat, like all other food plants we eat, has undergone farmer selection and traditional breeding over the years,” states Brett Carver, PhD, wheat genetics chair in Agriculture at Oklahoma State University. “The hybridization that led to bread wheat occurred 8,000 to 10,000 years ago. All cultivated wheat varieties, both modern and heirloom varieties, have these hybridization events in common, so the kinds of protein (and gluten) present in today’s varieties reflect the proteins present throughout the domestication process of wheat.”

In case there is any doubt of this, scientists have carefully reviewed available data back to 1925 and have not found any evidence supporting increased gluten content due to wheat breeding over the past century. Dr. Guandalini, like many other celiac specialists, is frustrated by the myths about wheat that are promoted by talk show hosts, articles and websites.

“Genetically modified wheat is not commercially available anywhere in the world,” said Guandalini. “Wheat has been, and continues to be, a life-saving and nutritious grain for most people.”

“Grains “Grains provide provide 43 43 percent percent of of the the fiber fiberin in the the U.S. U.S. diet diet and and wheat wheat isis approximately approximately three-quarters three-quarters of of the the grains grains eaten eaten in in the the U.S.” U.S.”

Non-celiac gluten sensitivity (NCGS) is the other condition that proponents of a wheat-free lifestyle say affects everyone when in fact, research indicates that it, too, is quite rare. According to Dr. Guandalini, “Around 0.5 percent of people react to gluten in a way that is not a food allergy but is also not celiac.”

Dr. Alessio Fasano, one of the world’s top scientists in celiac disease and director of the Center for Celiac Research at Massachusetts General Hospital in Boston, Mass., explained, “Some people simply don’t react well to gluten and feel better when it’s removed from the diet. Unfortunately, there is no test for NCGS and this is part of why going gluten-free has become ‘the’ answer to all that ails us digestively and otherwise. It’s unfortunate because there are a lot of causes besides gluten for digestive issues.”

“Following a gluten-free diet is very difficult and one must know how to read labels. Foods such as broths, soups, gravies, sauces,

Some promoters of the gluten-free lifestyle say that recent wheat breeding practices have led to higher, more “toxic” types of wheat.

They believe that such practices are increasing the rates of celiac and gluten sensitivity, even though you must have a gene to develop celiac disease.

Most of us can eat and enjoy the many varieties of wheat foods available to us. And, luckily, for the few of us who can’t, there are gluten-free options.

“The increased awareness by the food industry of the need for gluten-free foods has helped provide many options for those on gluten-free diets. There are more choices and better tasting products every day,” said Amy Jones, dietitian at Mary Rutan Hospital, Bellefontaine, Ohio, and chair-elect of DIGID. But for the vast majority of us, going gluten-free can be expensive, less nutritious and just plain unnecessary. The bottom line: gluten is a complex plant protein found in some of our favorite foods, and most of us have been tolerating it for thousands of years.

For more information, visit www.wheatfoods.org.

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