Sarasota Health Matters July 2015

Observer

Health Matters JULY 2015

SALT SHAKE-UP Experts say it’s time to change your eating habits if you are consistently reaching for processed and convenience foods. PAGES 2-3

GREAT GRAINS

OUTDOOR ACTIVITY

Unprocessed grains offer healthy benefits.

Make your workouts fun in the sun.

Fanny Younger picked up tennis six years ago.

PAGES 4-5

PAGE 7

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PICTURE OF HEALTH

HEALTH MATTERS

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YourObserver.com

JULY 2015

Swimming in

SALT Dietitians dish on the salty truth that many people eat a high-sodium diet.

AMANDA SEBASTIANO STAFF WRITER

DID YOU KNOW?

What are you eating for lunch today?

Whether it’s a can of chicken noodle soup, a sandwich from a local deli or a slice of pizza, there is likely salt hidden in the food you choose.

Salt, which is a product of sodium and chloride, is a necessary component of the diet. It plays a role in muscle contraction, and it contains nutrients that help break down food and aid the body in digestion.

But, too much salt can lead to potentially life-threatening diseases, such as heart problems, stroke and high blood pressure.

The American Heart Association says that most people consume too much salt daily.

Here, local dietitians detail foods that have a high salt content, tell us how much is too much salt and give tips for lowering the amount of salt in your diet.

Medical professionals say people shouldn’t consume more than 2,400 milligrams of salt a day. Most individuals are eating between 4,000 and 8,000 milligrams of salt, registered dietitian Kathy Namolik said.

She suspects the numbers are high because of the high sodium content in convenience foods, such as sandwiches from fast-food chains.

“Salt is an acquired taste. If you taste food without salt, gradually you start getting used to what food tastes like without it.”

– Kathy Namolik, registered dietitian

DEFINING ELECTROLYTES Commercials for Gatorade and other sports drinks boast about their ability to provide necessary electrolytes during and after exercise.

But what are electrolytes and how does salt affect them?

Think of the human body as an electrical system. Electrolytes are minerals that carry electrical charges, and they help balance salt within the body.

Sodium resides outside of blood vessels, and electrolytes flow through the bloodstream. If you don’t have enough electrolytes in your diet, the fluids contained in blood vessels leak into the fluid outside the vessels, creating blood pressure problems.

Certain electrolytes, such as calcium, have other roles, such as bone building.

Potassium helps to balance blood pressure when an excess amount of salt enters the body.

Salt, a vital mineral for the body, is most commonly lost through sweat.

“When you exercise, you sweat out a lot of salt from within your body,” said Kathy Namolik, a registered dietitian with Sarasota Memorial Health Care System. “So, electrolytes in drinks such as Gatorade help replace those salts so that you can maintain normal fluid balance.”

But, not every 30-minute stroll around the neighborhood requires chugging a sports drink. Those sugarheavy drinks are designed for individuals who regularly participate in physically strenuous activities, such as long-distance runners and cyclists, Namolik said.

Fruits, vegetables and beans are suitable electrolyte replacements.

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SALT SIDE EFFECT

BATTLE FOR HEALTH

The most common side effect from too much salt in a diet is high blood pressure.

Salt is a factor in increasing the force of blood flow, which stretches the walls of arteries and can lead to severe health problems When blood pressure is high, the heart is working harder, which can lead to a heart attack, stroke, hypertension and other potentially life-threatening diseases.

Individuals who have pre-existing conditions, such as diabetes or kidney disease, need to pay extra attention to their salt intake, Namolik said.

For the last 11 years, Suzette Lee has battled a disease that runs in her family.

She has high blood pressure, and has been on and off medication for more than a decade.

She also loves salt, which has a direct correlation to blood pressure. Two years ago, she gained 15 pounds when she entered menopause, she said. Weight gain also affected her blood pressure and can be a factor for heart attacks and other health problems.

Two months ago she started meeting twice a month with Pamela Mathis, a dietitian in Sarasota. Lee’s blood pressure readings have improved, partially from eating less salt and making

other lifestyle changes.

Her blood pressure readingdropped from 130 over 80 to 117 over 74 — close to a healthy reading, she said.

She exercises three to five times a week and transformed the way she prepares her meals.

She doesn’t add salt to any of her food, which took time to get used to, she said.

“Growing up, my mom seasoned everything, especially meat, with black pepper and salt,” Lee said. “I’ve always been that way, too, in my own kitchen.”

She also cut back on how often she eats red meat, which is high in salt. She aims to only eat it once a week.

A consultant for an IT company, Lee travels each month to

Chicago and Philadelphia.

She usually reached for quick and salty snacks, such as potato chips, and dinner meant heating up a frozen Lean Cuisine meal in the microwave of her hotel room.

Now she swaps the crunch of potato chips for the crunch of apples and walnuts.

But, she isn’t completely abandoning salt and foods she enjoys — just making smarter, more informed choices.

“I won’t cut out a whole food group,” Lee said. “I can’t go without carbohydrates or salt, I just have to be a little smarter and make healthier choices. I refuse to think I have to be medicated for blood pressure my entire life.”

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JULY 2015

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Suzette Lee

THE SALTY SIX

n BREAD The carbohydrate-filled food contributes 7% of the sodium in a typical diet. Just two slices of white bread can account for one-fourth of the recommended daily sodium intake of 2,400 milligrams.

(Source: Dietary Guidelines for Americans 2010)

n COLD CUTS (DELI MEAT) Slices of turkey, ham, salami and other meats sandwiched between two pieces of bread add up to a significant amount of sodium. Six thin slices of deli meat can contain nearly half of the recommended daily amount of sodium.

n PIZZA Are you an extra cheese, pepperoni, sausage and bacon meat-lover when pizza is involved? Depending on how many salty toppings decorate the pie, one slice of pizza can steal half of your recommended sodium intake.

Limit the cheese and swap pepperoni for peppers or other veggies.

n CHICKEN This varies, based on how it’s prepared and cooked.

Fried chicken basted in heavy seasoning is saltier than baked chicken with little salt or other seasonings added.

Remember: Grilled and baked are healthier options than frying chicken, but adding too much seasoning negates the healthier cooking method.

n SOUP Just one cup of soup (half the amount in a can of soup) can range from 100 to 940 milligrams of sodium. Look for soups with “lower sodium” marked on the front of the can.

n SANDWICHES Meat and bread marry to create a go-to meal that is also high in sodium and calories. A sandwich from a fast-food restaurant is especially high in sodium and can easily contain all of the sodium recommended for daily intake in just one meal. Try ordering half of a sandwich with a salad or fruit.

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HEALTH MATTERS

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JULY 2015

Great Grains Add a whole lot of crunch to your diet with these nutrition-packed diet staples.

PAM EUBANKS SENIOR EDITOR

They’re the staple of many things we eat, from breads and cereals to pastas and salads — grains.

But, did you know not all grains are created — or processed — equally?

Silvia Kovacs, clinical nutrition coordinator for Sarasota Memorial Hospital, says it’s important to choose whole grains, rather than refined ones, because they contain more fiber and other nutritional benefits.

Generally speaking, the darker the color, the better. Darker colors indicate the grain’s bran, or multilayered outer skin of the edible kernel, is intact. That’s the part that contains the most fiber,

CORN

n Serving size:

1/2 cup, cooked n Nutrition per serving: 105 calories, 1 gram fat, 0 mg cholesterol, 2.7 grams protein and 2 grams fiber Corn is high in B vitamins and thiamin, niacin, magnesium, phosphorous and folate. It’s also rich in fiber because it has a

which helps regulate the body’s use of sugars, keeps hunger in check and stabilizes blood sugar levels, among other attributes.

The American Heart Association recommends adults eat 25 grams of fiber daily.

“Because fiber has so many health benefits for the body, it is important to understand that whole grains provide so much more fiber per serving than some other very common and generally believed to be high-fiber foods,” Kovacs says. “As a comparison, one medium-size fresh orange provides 3 grams (of fiber).”

Here, Kovacs shares some grains that are easy to find and incorporate into your diet, and also pack a nutritional punch.

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Brown rice packs more nutritional punch than its white rice counterpart, because the bran part of the kernel is still intact. Brown rice contains magnesium, iron, fiber and healthy oils and fatty acids shown to lower bad (LDL) cholesterol, making it a good protector against cardiovascular disease. It also has been shown to have anti-inflammatory properties and to help with glucose management, Kovacs said.

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“Yellow corn in particular has pretty good antioxidant properties, including two good for eye health, luetin and zeaxanthin,” Kovacs says.

And, contrary to common belief, corn is not high in sugar.

“If you don’t avoid bananas, you shouldn’t avoid corn,” she says.

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JULY 2015

Go nuts for coconut Coconut oil can be used to add subtle flavor to foods.

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QUINOA

WILD ROLLED OATS

1/2 cup, cooked n Nutrition per serving: 111 calories, 2 grams fat, 0 mg cholesterol, 4 grams protein and 3 grams fiber

1/2 cup, cooked n Nutrition per serving: 150 calories, 2.5 grams fat, 0 mg cholesterol, 6 grams protein and 4 grams fiber

Perhaps quinoa’s best health properties are its high protein content compared with other grains and that it is a complete protein, meaning it contains all of the nine essential amino acids we must get from our diet because the body doesn’t produce them.

It’s also low in gluten, so individuals with a gluten allergy can tolerate it fairly well.

Wild rolled oats have a protein content comparable to soy. It’s gluten free, depending on the type of oats and where they are processed, and can be beneficial in decreasing the risk of colon cancer.

Oats also contain magnesium, phosphorous and B vitamins, particularly thiamin.

n Serving size:

n Serving size:

WHEAT BERRIES

n Serving size: 1/4 cup, uncooked n Nutrition per serving: 150 calories,

.5 grams fat, 0 mg cholesterol, 6 grams protein and 6 grams fiber

Don’t let the name deceive you: Wheat berries are actually seeds.

After going through the milling process they are used to make wholewheat flour. Rich in vitamin E, B vitamins and magnesium, this grain has been shown to lower blood pressure and prevent the development of Type 2 diabetes. They contain lignan, a phytochemical that protects against

breast cancer.

“They can be used in salad or baked into breads; they have a crunchy texture,” Kovacs says. “It’s similar to adding sunflower seeds or harder nuts.”

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Coconut oil, the most nutrient dense part of the coconut, is becoming a staple in households.

Coconut oil is solid at room temperature like butter and doesn’t break down in heat or light and become rancid like other oils.

Because of its ability to withstand higher temperatures than other oils, it makes a great option when sautéing foods. Coconut oil can also be used in place of butter when baking to add a subtle coconut flavor. Look for certified organic, either virgin (unrefined) or refined, depending on your taste preference. Organic virgin coconut oil has a more pronounced coconut flavor.

Coconut oil is made up of 90% saturated fat, however its structure differs from other saturated fats, such as those found in animal products. Coconut oil is abundant in medium-chain fatty acids (MCFA). MCFAs are easily digested and sent immediately to the liver for energy production.

Lauric acid makes up about 50% of coconut oil’s MCFAs. Although lauric acid does raise cholesterol levels, it mainly increases HDL, the healthy type of cholesterol.

Although mainly known as a staple in the kitchen, coconut oil has myriad uses, including as a moisturizer, hair conditioner and even as a substitute for mouthwash.

n Conditioner: Coconut oil turns to a liquid when heated to 76 degrees. While in the shower, run a jar of coconut oil under the water until it melts. After shampooing, apply the oil to your hair and let it sit for five minutes before rinsing. n Makeup remover: Coconut oil can remove traces of makeup on the skin, and it has been reported to help smooth wrinkles. n Body scrub: Mix a half cup of salt or sugar with an equal amount of coconut oil, and then rub the mixture over any rough patches of skin. n Mouthwash: Oil pulling is an Ayurvedic dental technique that involves swishing a tablespoon of oil in your mouth on an empty stomach for 20 minutes. The process draws out toxins in the body and improves oral health as the oil binds to plaque and reduces the amount of bacteria in the mouth.

Benefits include stronger teeth and gums, better breath and whiter teeth, along with reports of improved sleep, clearing of skin issues and even headache alleviation.

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HEALTH MATTERS

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JULY 2015

HEALTH BRIEFS

Waldemere Medical Center, 1921 Waldemere St., Suite 504.

the development of the baby, with a journal in which mom can make entries throughout her pregnancy and upload photos; n Pregnancy tools, including a kick counter, weight tracker, hospital packing list and contraction timer; n Links to the hospital’s childbirth education classes and other resources; n A weekly email providing moms with breastfeeding advice after their babies are born.

To search for the app online, use the keywords “SMH baby.”

SMH earns top ranking

Courtesy photo

Dr. Matthew Klima

Surgeon joins trauma center team Sarasota Memorial Hospital has welcomed surgeon Dr. Matthew Klima to the system’s First Physicians Group.

Klima, who worked the last three years in private practice in Bradenton providing orthopedic surgical and trauma care to patients in Manatee County, joined the FPG surgical group July 6 as the orthopedic surgeon/traumatologist for the hospital’s new Level II Trauma Center.

Klima specializes in treating patients who have suffered traumatic orthopedic injuries, including fractures of the pelvis and acetabulum, post-traumatic limb salvage, deformity correction and soft-tissue defects of the lower extremity.

His practice is located in the

An online consumer health site has placed Sarasota Memorial Hospital at the top of its list.

BetterDoctor has ranked the hospital No. 1 in the nation for having the lowest readmission numbers, complications and deaths, based on data from Medicare’s hospital quality readmissions complications and deaths database as well as other information, including statistics on common hospital procedures and situations.

The information now is required to be reported from hospitals as part of the Affordable Care Act implementation.

Mental health agencies merge Manatee Glens, a local mental and behavioral health hospital, officially joined forces with a similar Nashville, Tenn.-based

Hospital develops prenatal app Sarasota Memorial Health Care System has launched SMH Baby, a free app it developed for expectant mothers.

Designed to help guide women through their pregnancy and delivery, the app is available for download from the app store on iPhone/IOS devices and from Google Play for Android devices. After entering the baby’s due date and basic information, expectant mothers can enjoy weekly “milestones” that appear as different fruits, representing the size of the baby as it grows, and reminders, such as when to select a pediatrician or register for childbirth classes.

Other tools include: n Week-by-week education on

agency, Centerstone, July 1.

“We are delighted to welcome Manatee Glens to the Centerstone family,” Centerstone CEO David Guth Jr. said in a statement. “Our organizations have a great deal in common. Together, we have great opportunities to grow in the evolving health care landscape and transform the lives of more people in Florida and across the nation.”

As part of the agreement, Manatee Glens will change its name to Centerstone of Florida.

The change will take effect in September, at which time officials will hold an official ribboncutting ceremony for the installation of the new signage.

Mary Ruiz, president and CEO of Manatee Glens, will continue to serve as CEO of the Florida organization.

Centerstone is one of the

largest nonprofit providers of behavioral health care in the nation and has been in operation for more than 60 years.

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Local eye surgeons gave back to their community July 8, as they provided up to 90 free cataract surgeries to patients, at the Center for Sight Surgery Center, in Sarasota.

The effort was part of Mission Cataract, a program to provide cataract surgery to patients who otherwise have no means to pay. The Center for Sight Foundation provides all funding for lens implants, pharmaceuticals, protective eyewear and surgical equipment for these patients.

As part of Mission Cataract, the Center for Sight provided free cataract surgery to patients who were unable to afford the surgery July 8.

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HEALTH MATTERS

YourObserver.com

Make your workouts fun in the sun Take advantage of the area’s natural surroundings this summer to provide a break in your routine.

“You’ve got to be really careful to make sure you run equal distance both ways. If not, you’ll have one hip or ankle that might be more sore.”

Beach workouts aren’t limited to running, though. Doyle encourages incorporating equipment that is easy to clean, such as rubber resistance bands for upper body work and medicine balls.

RUNNING

AMANDA MORALES STAFF WRITER

One way to shake up your fitness routine is to work out against a new backdrop. With the beaches being less crowded during the summer, now is the time to take advantage of a seaside workout.

Owner of Shape Up Sarasota Boot Camp J.D. Doyle conducts 15 boot camp classes a week at three different locations throughout Sarasota. He takes his classes to the beach to mix up the routine.

Doyle recommends the sand for anyone avoiding exercise due to joint pain.

“The surface of the sand is more forgiving on your joints,” Doyle said.

He suggests taking it slowly and seeking out a level surface, such as packed sand, for running to ensure balance in muscle usage.

“The downside is when you run on the beach you’ve an incline going down to the water,” he says.

The tides help pack the normally soft sand near the water’s edge to create a firm running path. If conditions are right, you might even snag a breeze to help you stay cool during your run.

If you need a group to run with for encouragement, the Manasota Track Club organizes the Summer Beach Runs at 6:30 p.m. Tuesdays through Aug. 11, at Siesta Key Beach. Each event includes a 1-mile fun run for children and families. Following the fun run is a 5K course on the beach.

YOGA

Why limit your inner zen to a studio? Enhance your mind and body with yoga on the beach through classes such as the ones offered by Yoga on Siesta Beach.

Ava Csiszar teaches a 90-minute hatha yoga class for all levels of experience four times a week.

Csiszar has been teaching her class on Siesta for six years and

“Yoga is a spiritual practice ... You have to use your imagination in a locked, closed environment.

That’s ridiculous. Go outdoors.”

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JULY 2015

7

encourages all yogis to take their mats outside.

“Yoga is a spiritual practice where the senses of your body become aware of the connectivity of everything. You have to use your imagination in a locked, closed environment,” Csiszar said. “That’s ridiculous. Go outdoors.”

At 8:30 a.m. every Monday, Wednesday, Friday and Saturday, the class meets near either the red or green lifeguard stand on Siesta Beach. The class is donationbased, and Csiszar suggests participants bring a floppy hat and plenty of water for the class.

HULA-HOOPING

Hoops of Fun proves that exercise can still be fun and that hula-hoops aren’t just for children. Hoops of Fun offers a Beach Hoop-Fit exercise class using professional hula-hoops. If you need instruction to get moving, the class meets every Monday, Wednesday and Friday, on Siesta Key Beach, under the instruction of Jenny Jo Carleton. The class is open to all levels of experience.

In a one-hour class, Carleton estimates you can burn up to 420 calories. In addition to the calories burned, Carleton credits the sand’s surface with providing an extra challenge for your core.

“Even if you’re not successful with every move that I teach, you’re still getting your blood flowing,” Carleton said. “On the beach I think there is more of a benefit because you’re having to balance even more on the sand.”

Amanda Morales

Ava Csiszar instructs a yoga class on Siesta Beach four times a week.

– Ava Csiszar

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HEALTH MATTERS

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JULY 2015

Mother

MOM MUSCLES

OF A WORKOUT Baby Bootcamp offers moms a chance to stay active while connecting with each other.

PAULA AYALA WITH LOGAN, 1 Ayala started attending class about nine months ago because she wanted a place to exercise where she could keep her son with her and not in child care.

“I like the results I’ve gotten. I can tell my endurance is better.”

JESSICA SALMOND STAFF WRITER

Sonja Dickey’s voice cuts through the toddler babbles and baby giggles.

“OK, switch it up!”

Moms promptly turn and begin to do step-ups on the park bench behind them, occasionally stopping to pick up the water bottle their child throws out of the stroller.

Baby Bootcamp offers local moms the opportunity to work out while keeping their kids close by, instead of relying on a gym’s child care or trying to work out alone while wrangling a toddler.

The group meets four times a week, twice at Lakewood Ranch Main Street and twice in Rothenbach Park in Sarasota County.

Dickey and Paula Cascane alternate between leading classes.

Dickey began as a class participant in 2009, when her daughter was about 6 weeks old. She’s stuck with it since, and has gotten her instructor’s certification.

“I love to see these new moms,” Dickey says. “They do their best, and they have a community where

GEORGINA FROST WITH FINDLEY, 1 Frost started attending class about nine months ago because she wanted to meet other moms who are active and see how other moms juggle having kids and staying active.

“My favorite part is that my baby gets to grow up seeing me active. I don’t have to stick her in day care.”

everyone is on the same page. It’s a good network for them.”

If someone’s child starts crying, it’s OK for a mom to stop and soothe her child, she said. Everyone in the group has been in the same situation.

No one workout is the same.

Dickey likes to do a full-body

workout and changes things up frequently. Cascane helps the moms target a specific body part during her sessions.

While the moms do solo cardio — usually short jogs of running a quarter mile or so — the instructors look after the children. Most of the babies are still in strollers, however, a few older kids play together while their moms work out. Sometimes, the older kids will jump in to work out with their moms.

Amy Bates started attending the class a little more than a month ago. With two boys, Liam, 5, and Declan 3, and a 3-month-old girl, Libby, Bates likes that she can be around other moms and still keep an eye on her kids. She used to go to the gym, but that ended when she had Libby. Even gyms with child care typically don’t take a baby under 6 months, she said.

“I like being with the other

“I love to see these new moms. They do their best, and they have a community where everyone is on the same page.”

– Sonja Dickey

moms, getting to talk about our experiences,” she said. “I can do something that makes me feel good while (the boys) have fun too.”

The classes also help the moms connect on a personal level. Many of them meet outside of class for play dates, and the bootcamp also hosts its own girls’ nights out, play dates and dad days.

Jessica Salmond

During the Lakewood Ranch workouts, moms take cover from the sun while getting in their core workouts.

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HEALTH MATTERS

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JULY 2015

Endurance House offers community for distance athletes From beginners to seasoned veterans, endurance athletes of all levels are welcome.

Jerry Johnson was never athletic growing up, but his dad, Dan, coaxed him into competing in a triathlon in 1988 — he’s been hooked ever since.

Endurance training motivated Johnson and his wife, Amy, to leave Amy’s small hometown of Bonduel, Wis., and open an Endurance House franchise store in Bradenton.

The move last August brought Johnson closer to his family — his parents lived in Lakewood Ranch.

Dan Johnson, who was retired, was going to be key in opening the new store. He had planned to be a presence after the opening, walking around the store and speaking with customers.

“He was encouraging,” Amy Johnson said.

Dan Johnson was at his peak fitness level — he completed several Ironman competitions in addition to triathlons — when he died from a heart attack in February.

But the couple has moved for-

ward with the store and opened Endurance House June 26, at the corner of Lockwood Ridge Road and State Road 70. The store serves as a tribute to Dan Johnson.

His photo is displayed in multiple locations around the store. The Johnsons also installed a mosaic tile in the floor with one of “Iron Dan’s” favorite catchphrases: “Do the damn work!”

The new store has continued to be a family affair: Johnson’s mother, daughter and son-in-law have been pitching in, too.

Endurance House first opened in Wisconsin and now has 10 stores across the country. Aimed at both triathletes and other endurance athletes, the store offers equipment for all levels of trainees, from entry to elite.

Amy Johnson said the store was designed to be welcoming to new people interested in endurance sports. Some stores are intimidating to newcomers, she said.

“We take people as they are and see what their goals are and what they want to do,” Johnson said.

The Johnsons plan to begin

Jessica Salmond

Jerry and Amy Johnson moved from Bonduel, Wis., to open Endurance House near Jerry Johnson’s parents.

hosting programs in about a month, starting with a weekday fun run group.

“It’s just a fun run, not a competitive thing — just getting people out and starting to get to know each other and get active,” Johnson said.

Eventually the couple will hold educational programs, such as how-to’s on foam rolling and proper stretching before runs, and also add on training programs for different experience levels, such as getting ready for your first 5K up to Ironman training. Their goal? Not just a store, but establishing a community spirit for an active group of people.

Endurance sports have picked

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up since the ’90s, Johnson said.

He attributes the uptick in a desire to get active.

“We’ve become more sedentary in our lives,” Johnson said.

“Everything is online, everything is a lot more sitting. I think it catches up to people and something inside them says, ‘Hey, get up!’”

Amy Johnson agrees. However, she also thinks people also compete in endurance sports for the social aspect.

“Part of it too is the community of people — it’s a whole new group of people to socialize with,” Amy Johnson said. “It’s another aspect of their lives in which they can be social.”

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HEALTH CALENDAR

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HEALTH MATTERS

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YourObserver.com

JULY 2015

CLASSES AND SEMINARS

to skin cancer and aging. Light refreshments available. Space is limited. Call 708-8100.

AQUATIC EXERCISE CLASSES Run from 10 to 10:45 a.m. July 16, July 21, July 23, July 28, July 30, Aug. 4, Aug. 6, Aug. 11, Aug. 13, Aug. 18 and Aug. 20, at Blake Outpatient Rehabilitation, 1894 59th St. W., Bradenton. This is an intermediate-impact water exercise program for individuals who want continued joint care. Visit blakemedicalcenter.com.

SURGICAL OPTIONS FOR WEIGHT LOSS Runs from 6 to 7 p.m. July 30 and Aug. 27, in the Manatee Memorial Hospital executive boardroom, 206 Second St. E., Bradenton. Dr. Stelios Rekkas offers free monthly seminars that include information about laparoscopic sleeve gastrectomy — a weight-loss surgery that removes approximately two-thirds of the stomach and can reduce diabetes and other obesity-related conditions.

Seating is limited. Call 7088100.

CHILDBIRTH AND PARENTING CLASSES Times and dates vary for the classes designed for families before and after children are born. Visit smh.com, lakewoodranchmedicalcenter.com or manateememorial.com.

CHRONIC KIDNEY DISEASE EDUCATION Times vary for this class, which is held at 520 Manatee Ave. E. and 5902 Pointe W. Blvd., both in Bradenton. Call 405-9683 for class times and dates.

DISCOVERING YOUR OPTIMAL WELLNESS Runs from 9 to 9:30 a.m. Aug. 20, at the lower level seating court in front of Macy’s at The Mall at University Town Center, 140 University Town Center Drive, Sarasota. Dr. Laura Hershorin will delve into sleep, lifestyle, stress and healthy diets, and their roles in overall health. Space is limited. Call 708-8100.

LIVING WITHOUT ORTHOPEDIC PAIN Runs from 9 a.m. to noon Aug. 22, at Lakewood Ranch Town Hall, 8175 Lakewood Ranch Blvd., Lakewood Ranch. Join the physicians of Sarasota Orthopedic Associates in three onehour sessions as they address common causes and types of orthopedic pain, non-surgical options and minimally invasive treatment. These free sessions will include Q&A opportunities.

Visit lakewoodranchmedicalcenter.com.

EXPERT INSIGHT ON SUN EXPOSURE, SKIN CANCER AND AGING OF THE SKIN Runs from 9 to 9:30 a.m. July 16, at the lower level seating court in front of Macy’s at The Mall at University Town Center, 140 University Town Center Drive, Sarasota. Dr. Robert Hillstrom will discuss the effects of sun exposure and how it relates

FITNESS BELLY DANCING FOR CANCER PATIENTS AND SURVIVORS Runs from noon to 1 p.m.

Wednesdays, at Blake Medical Center, 2010 59th St. W., Bradenton. Belly dancing improves circulation, the complexion and reflexes. It also helps combat fatigue by boosting energy levels, which could also lead to stress relief. Call 798-6500.

BREAST CANCER EXERCISE CLASS Runs from noon to 1 p.m.

Tuesdays, in the Cancer Resource Room, Suite 3400, of Blake Medical Center, 2010 59th St. W., Bradenton. Learn techniques to improve breast health, prevent and minimize risk of lymphedema, increase range of motion and increase strength. Call 798-6500.

PRENATAL YOGA WITH A TWIST Runs from 7 to 8:15 p.m.

Tuesdays, in the Community Room on the second floor of Sarasota Memorial Hospital, 1700 S. Tamiami Trail, Sarasota. Prenatal yoga is suitable for pregnant women of all levels of experience, from novice to expert, in any trimester. The class focuses on gentle movements to increase overall strength and flexibility, with modifications to accommodate the various trimesters of pregnancy. After yoga, each class will focus on topics such as nutrition and exercise during pregnancy and positions for labor. Call 9171700.

YOGA FOR CANCER PATIENTS Runs from 9:30 to 11 a.m. Mondays, in the Cancer Resource Room, Suite 3400, of Blake Medical Center, 2010 59th St. W., Bradenton. The class will promote circulation and will teach participants how to exercise muscles and joints. Call 798-6500.

ZUMBA CLASSES Runs from 5 to 6 p.m. Tuesdays, in the Cypress or Papaya rooms on the second floor of the Waldemere Medical Plaza, 1921 Waldemere St., Sarasota. Zumba integrates the basic principles of aerobic, interval and resistance training to maximize calorie burning, cardiovascular benefits and total body toning.

Cost is $5. Call 315-6868.

EVENTS SIESTA BEACH TRIATHLON AND DUATHLON NO. 2 n When: starts at 7 a.m.

Aug. 1 n Where: Siesta Key Beach, 948 Beach Road, Sarasota n What: The MultiRace event consists of a .25mile Gulf swim, 12.4-mile bike ride and 3.1-mile sprint; or 1.5-kilometer swim, 40-kilometer bike ride and 6.2-mile run. The duathlon features a 1-mile run, 12.4-mile bike ride and a 3.1-mile run. n Cost: Cost ranges from $99 to $129. n Information: Call MultiRace at (954) 213-6699.

ONGOING & SUPPORT AMPUTEE SUPPORT GROUP Runs from 5:30 to 6:30 p.m. every third Thursday of each month, in the Dolphin Room at Blake Medical Center, 2020 59th St. W., Bradenton. Call 798-6171.

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HEALTH MATTERS

YourObserver.com

CARING FRIENDS SUPPORT GROUP Runs from 5:30 to 6:30 p.m.

Wednesdays, in the Pelican Room at Blake Medical Center, 2010 29th St. W., Bradenton. Cancer patients, their families and friends are invited. Call 798-6262.

BREASTFEEDING SUPPORT GROUP Runs from 6 to 7:30 p.m. the first Tuesday of every month, at St. Mary Magdalene Church, 11315 Palmbrush Trail, Bradenton; or 10 to 11:30 a.m. the second Thursday of every month, at Rosemary Birthing Home, 800 Central Ave., Sarasota. La Leche League of the Suncoast offers the sessions, which focus on breastfeeding facts and answers to common questions. Visit suncoastLLL. wordpress.com.

BONE BUILDERS OSTEOPOROSIS SUPPORT GROUP Meets from 11 a.m. to noon every third Tuesday of each month, at Sarasota Memorial Hospital Institute for Advanced Medicine, 5880 Rand Blvd., Sarasota. Call 917-7000.

CAREGIVER SUPPORT GROUP Runs from 10 to 11:30 a.m.

Thursdays, at the Senior Friendship Center Caregiver Resource Center, 1820 Brother Geenen Way, Sarasota. This group is for caregivers of individuals with Alzheimer’s or dementia-related diseases. Call 556-3270.

SARASOTA-MANATEE GLUTEN-FREE SUPPORT GROUP n When: Runs from 1 to 3:30 p.m. the third Saturday of every other month n Where: the Cypress Room at the Waldemere Medical Plaza, 1921 Waldemere St., Sarasota n What: Meetings include support for individuals who require a gluten-free diet and provide research-based information and recipes. n Information: Email amyeliezer@sarasotaglutenfreesupport.org.

CHRONIC PAIN SUPPORT GROUP Runs from 5:30 to 7 p.m. every second Wednesday of each month, in the Cypress Room at the Waldemere Medical Plaza, 1921 Waldemere St., Sarasota.

Call 917-6700.

DEPRESSION AND BI-POLAR SUPPORT GROUP Runs from 7 to 8 p.m. Thursdays, at St. Andrew United Church of Christ, 6908 Beneva Road, Sarasota. Call 966-3315.

HEPATITIS LIVER DISORDER SUPPORT GROUP Runs from 7 to 9 p.m. every third Tuesday of each month, in the Magnolia Room at the Waldemere Medical Plaza, 1921 Waldemere St., Sarasota. Call 917-6700.

KIDNEY DISEASE SUPPORT GROUP Runs from 4:30 to 6:30 p.m. every second Thursday of each month, in conference room No. 1 at Lakewood Ranch Medical Center, 8330 Lakewood Ranch Blvd., Lakewood Ranch. Call 556-3220.

LITTLE NIPPERS ­— NEW PARENT SUPPORT GROUP Runs from 11:30 a.m. to 1 p.m.

Wednesdays, in the Women’s Center Classroom at Lakewood Ranch Medical Center, 8330 Lakewood Ranch Blvd., Lakewood Ranch. Lunch is optional and

costs $3.50. Visit lakewoodranchmedicalcenter.com.

MS FRIENDS OF HOPE SUPPORT GROUP Runs from 6 to 8 p.m. every third Thursday of each month, at the Institute for Advanced Medicine Education and Resource Center, 5880 Rand Blvd., Sarasota.

Meetings offer ongoing direction, motivation and support for MS patients and their families. Call 917-5111.

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PARKINSON’S POWER HOUR & CARE PARTNERS CONNECTION SUPPORT GROUP Runs 9:30 to 11 a.m. every second Wednesday of each month, at the Institute for Advanced Medicine at Sarasota Memorial Hospital, 5880 Rand Blvd., Sarasota. Attendees will receive information on local resources and support available to caregivers. Patients are provided with complimentary activities during meetings. Call 926-6413.

POSTPARTUM ADJUSTMENT SUPPORT GROUP Runs from 9:30 to 11 a.m. Thursdays in the Women’s Center Classroom at Lakewood Ranch Medical Center, 8330 Lakewood Ranch Blvd., Lakewood Ranch.

This group is for women who find the adjustment to becoming a new mother is more difficult than anticipated. Children up to age 3 are welcome. Visit lakewoodranchmedicalcenter.com.

STROKE SUPPORT GROUP Runs from 1 to 2:30 p.m. the first Wednesday of every month, at the Institute for Advanced Medicine at Sarasota Memorial Hospital, 5880 Rand Blvd., Sarasota.

Meetings provide education, support and socialization for stroke survivors and their families. Call 917-7048.

SW FLORIDA MYOSITIS SUPPORT GROUP EIGHTH ANNIVERSARY CELEBRATION Starts at 10:30 a.m. Aug. 1, at Sarasota Memorial HealthFit, 5880 Rand Blvd., Sarasota. This group supports people who have been diagnosed with myositis, a rare autoimmune disease. The

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JULY 2015

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Aug. 1 meeting will celebrate the group’s eighth anniversary, help patients find online resources and agencies and provide a preview of the The Myositis Association annual patient conference in September, in Orlando.

WOMAN TO WOMAN BREAST CANCER SUPPORT GROUP Runs from 4:30 to 6 p.m. every third Wednesday of each month, at Waldemere Medical Plaza, in the Jacaranda Room, 1921 Waldemere St., Sarasota. Call 917-2636.

WOMEN LIVING WITH CANCER SUPPORT GROUP Starts at 6 p.m. every second Thursday of each month, at MOMM's Place Medical Office Building, 250 Second St. E., Suite 3F, Bradenton. This group provides support to women of any age who have experienced any type of cancer. Call 745-6925.

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HEALTH MATTERS

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YourObserver.com

JULY 2015

PI CTURE O F HE ALTH WITH FANNY YOUNGER REGIMEN

Younger plays both singles and doubles tennis five to six days a week and takes yoga classes four days a week.

She strives to walk as much as possible and rides her bicycle. She also volunteers at a hospital every Friday, where she walks 8 miles.

DIET Younger is a vegetarian and eats various types of fruits and vegetables several times a day. She enjoys the occasional indulgence and emphasizes a life of moderation.

Fanny Younger plays both singles and doubles tennis five to six days a week and takes yoga classes four days a week.

KRISTEN HERHOLD

fruits and veggies.”

OBSERVER STAFF

HEALTHY HABITS

Fanny Younger played her first sport, tennis, at age 52.

“I’ve always loved sports, but I never played them growing up,” she said. “I was always fooling around with my brothers outside and staying active that way. I’ve always done something physical, even if it wasn’t a sport.”

Since she was a child, Younger has never been one to sit still.

“I’ve always had lots of energy,” she said. “When I have to do a crossword or something like it, I sit down, do a little bit and come back. I love DVR, so I can pause something and come back to it

ON THE COURT

It’s been just six years since Younger began playing tennis, but it’s become one of her main passions.

“I’ve been a spectator for years,” she said. “My daughter is a player, so, visually, I’ve played the game for 20 years. Six years ago, I thought it was my time. I took a lesson and said, ‘If I can hit the ball, I’ll stick with it,’ and I love it.

I got this really euphoric feeling the first time I played.”

Younger first learned to play doubles tennis, and she began playing singles four years ago. She currently plays at the Longboat Key Public Tennis Center and in an Ultimate Tennis League, which consists of women who live from

ON THE MAT

Younger discovered yoga 15 years ago when she was living in Atlanta.

“While at a Jazzercise class, the instructor’s sister gave us a short session of yoga,” she said.

“I immediately thought it was for me.”

Younger has learned many types of yoga, such as ashtanga, or power yoga, and Bikram, or hot yoga. She recently began Iyengar, which emphasizes alignment.

“Yoga has been the reason I’ve built upper body strength without a machine,” she said. “My upper body is the strongest it’s ever been because of the yoga. My body feels it when I’m away.”

SWEET TOOTH

Younger may follow a mostly healthy diet, but that doesn’t stop her from the occasional treat.

“I do love my sweets,” she said.

“I’m not one to say no to chocolate, cookies, ice cream or brownies.”

She believes every person leading a healthy lifestyle deserves a little indulgence.

“I never deny myself,” she said.

“I’ve never been on a diet. I just try to eat smart and healthy. It’s important to treat yourself too.

Eat what you like, but just do it in moderation and balance.”

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ongboat Key resident Fanny Younger is a vegetarian because of a cartoon.

“I have two older brothers, and we would see the Elsie the Cow cartoon, and my brother would say, ‘That’s Elsie on the table,’ whenever we ate meat,” she said. “That mortified me. I’ve been a vegetarian ever since.”

Younger’s parents emphasized healthy eating when raising her and her brothers.

“My family raised me on seafood and a Mediterranean diet with lots of fruit,” she said. “I love

later. I’m high energy, and I hope that continues.”

For Younger, moderation is key to leading a healthy lifestyle.

“My advice is just look for moderation and balance,” she said.

“Extremes aren’t good in any part of life. I listen to my body. If I feel I’ve done enough, I’ve done enough. Your body will tell you what it wants.”

Younger also emphasizes the importance of not harming her body with substances.

“I’ve had no bad vices,” she said. “I’ve never smoked, never done drugs, and I’m a light social drinker. It feels right. I can’t imagine doing something to ruin my body.”

Bradenton to Naples.

“I would tell people if they’ve ever thought about taking up a sport late in life, go do it,” she said. “I never thought in a million years I could do something new like this. It’s never too late. Just go for it.”