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You Really Are What You Eat

Despite the many advances in health care, one of the harsh realities that remains is the high rate of heart attacks in women. By now we are all conditioned to know the major symptoms of a heart attack. The sad reality is that those symptoms are for men, not for women. So, as we are fast approaching February, also known as National Heart Month, I thought it might be a good idea to talk how what we eat (or don’t eat) can help prevent a heart attack.

The most important thing to remember here is this: even if your current diet is filled with fast food, you can still make a big difference. Researchers have noted that when people make major changes to their diet, their cholesterol levels immediately and dramatically dropped.

So, here it is: when it comes to heart attacks, fat is not our friend. And, of all of the fats (saturated fats, trans fats, and polyunsaturated fats), saturated fats are the worst. Unfortunately, our bodies are set up to quickly turn saturated fat into LDL cholesterol. LDL, by the way, is the “bad” cholesterol that clogs arteries.

According to the American Heart Association, if you have coronary heart disease (and most of us don’t know), you should get less than 30 percent of your calories from fat, and less than 7 percent of those should come from saturated fat. That’s not a whole lot, especially if you’re like me and have been known to hit the drive-through at least once a week.

To put it in perspective, if you’re sticking to a 2,000-calorie diet (I can dream) that’s 16 grams total of saturated fat. If you like things with flavor, like pizza, or cookies or, sigh, Red Velvet Cake (a personal favorite), that 16 grams doesn’t go too far. In fact, it’s not a large serving at all. Did you notice that, by the way, not once have I mentioned French fries?

Trans fats are another problem. Trans fats are found in stick margarine, fried foods, cookies and snacks. You’ve probably noticed a trend among snack food makers to shift to “no trans fat” claims on their labels. The reason why: studies have shown that women who had high levels of trans fats in their bloodstreams also had a significantly higher risk of heart disease. That’s a good reason to put down the potato chips.

We also have learned that some types of fat are “heart healthy” and can actually lower LDL cholesterol levels. These fats can be found in olive and canola oil and some nuts. They also can be found in soybean and corn oil. However, keep in mind that this does not mean that they are “good” for you. They still should be consumed in extreme moderation.

You’ve also probably heard that foods high in Omega-3 fatty acids are good for your heart, and they are. Examples of high Omega-3 foods are coldwater fish such as salmon, herring and mackerel, walnuts, flaxseed and some fruits and vegetables.

Next to fats, cholesterol is another no-no. Cholesterol is found in things like butter, fatty meats and dairy products that are made from 2 percent or whole milk. And another problematic but common ingredient for coronary issues is sodium. Pick up any canned or packaged food and read the label. You’ll quickly see that we, as a nation, are big on salt.

Now for the good news: it only takes some minor adjustments to eat healthier. Skipping the drive-through is an obvious first step. We’re all pressed for time these days, so one of the best ways not to default to the “I’ll pick something up on the way home” is to plan. Pick a day in which you cook up two or three meals and then store them in the fridge or the freezer. Better still, get together with your friends and whip up two or three meals together. You get the benefit of cooking in larger batches and enjoy the time shared with your friends.

If you must do the “grab-and-go” think healthy. Pick up a roast chicken at the grocery (most have them these days), a bag of tossed greens or a pasta salad from the deli bar. Skip the potato salad, cream-based soups or the fruit salads that are suspended in whipping cream. And also walk right past the bakery. (That last step is always my downfall).

Ditch the salt. Those Salt and Vinegar potato chips, for example, are a one-two punch of fat and salt, neither of which is doing your heart or your hips any good. Use fresh herbs as seasonings. A few snips here and there, and not only will your food taste fresher, you’ll become a bit of a foodie as you dial in your favorite herb combinations.

Think white and light. Don’t skip your omelette, just use egg whites instead. And you can still enjoy milk, cottage cheese and yogurt; simply go for the low-fat or non-fat varieties. Same goes for cheese: swap the dense orange cheeses for lighter choices like fresh buffalo mozzarella and part-skim ricotta. And when it comes to red meat, skip it altogether or go for lean cuts. And add more turkey (white meat) and fish to your diet.

Most important, see your doctor. Have him or her check your blood pressure and your cholesterol levels. High blood pressure, or hypertension, is often a symptomless disease, and it’s a first step toward heart disease. If you suffer from hypertension and regularly check your blood pressure, consider picking up an Omron or A&D Medical digital blood pressure monitor. Some models work with Microsoft HealthVault, which means that you can upload your data from these devices to your HealthVault record via the HealthVault Connection Center and track your blood pressure readings online. These kind of Web-based applications make it easy to get organized and make great choices. How’s that for handy?

We really are what we eat. That doesn’t mean I’m going to give up my occasional donut, but it does mean that most days I’ll start out with steel cut oats instead. Small changes really can make a big difference. Make a big difference for you and your family today.

10 Steps To Get You Ready for Your Annual Physical

As I’ve mentioned many times, I’m about as interested in putting on a paper examination gown as I am of getting a tooth filled without anesthesia, but unfortunately, the process hasn’t changed—yet. And, as bad fashion is not a good reason to avoid going to the doctor, I’ve compiled a quick “before you go” list so that when you do find yourself sitting on the examination table in a scratchy backless gown, you won’t be flustered and you’ll make the most of your time with the doctor.

Let’s start there: these days most doctors are overscheduled. That means that for a regular visit, you’ll get, at most, 10 minutes of undivided attention. For an annual exam, you’ll get more time, but your doctor will be appreciative if you arrive with a list of questions ready to go. So what’s the best way to prepare?

1. Make the appointment. I have not met one person who looks forward to an annual exam, and with our busy lives it’s really easy to put it off. Unfortunately avoidance is a big mistake. Nobody wants to think about the possibility of having a serious illness or underlying condition, but it is far easier to treat either of those scenarios in the early stages.

2. Create a family history. Many diseases have been shown to have a genetic component. Knowing that your grandmother had heart problems, and knowing the age at which she was diagnosed, will go far to help your doctor determine what tests he/she should consider for you.

3. Write down every medication you are taking, and the dosage. Do not guess. Even if you have to pull all of them out of the medicine cabinet and write them down, do it. Short on time? Sweep them all into your purse and take them with you. Many medications have multiple interactions, so it’s invaluable for your doctor to know what you are taking.

4. Over-the-counter medications are medications. Just because it’s “all natural” doesn’t mean it doesn’t have a potential interaction. Tell your doctor about every vitamin and supplement you are taking.

5. Describe your overall health. Be prepared to give your doctor a snapshot of how you usually feel. Are you getting enough sleep? Has your job recently become more stressful? Did you suddenly drop 10 pounds? Do you wake up with headaches? Have your bathroom habits changed dramatically? Are you tired all of time? Is your hair thinning? Nails breaking easily? Do you have dry skin? All of these are symptoms of potential chronic conditions. Describing these in detail helps your doctor pinpoint potential causes.

6. Be honest. It is hard to admit or discuss unhealthy habits. But it doesn’t do you any good to be dishonest with your doctor, and actually quite the opposite. If you smoke, admit it. Do you suffer from bulimia? Your doctor needs to know. Other lifestyle choices? Your doctor is not there to judge, he is there to help. And if you feel that you are being judged, find another doctor.

7. Ask if there are any chronic diseases you should be screened for. Early detection is the key to a positive prognosis, especially for heart disease, diabetes, kidney conditions and cancer.

8. Make a plan. Before beginning any new diet or exercise regimen you should talk to your doctor. He/she will be able to evaluate your current physical condition, determine if you have underlying conditions and tell you if such a program is safe for you.

9. Are you depressed? One of the great changes in our lifetimes is how we approach mental health. Previously swept under the rug and simply not discussed, individuals who suffered with chronic depression and other mental health issues were tormented. Today, there are a number of excellent medications that can literally turn your life around. Your doctor can help you do just that.

10. Get your numbers. You should know your blood pressure reading, cholesterol results (LDL, HDL and triglycerides) and waist circumference (you can do that one at home with a tape measure). These are baseline numbers that you should know. And, if you’ve had a recent blood test, be sure to ask your doctor your blood type. This is an enormously helpful detail when every second counts.

If all of that feels like a lot of work, it is. There is an easier way: create a personal health record in HealthVault. This outstanding online resource offers significant benefits, the most significant being the timesavings involved.

If aggregating all of your family’s medical information online feels like an overwhelming or daunting task, there are applications available, like yourHealth™ by UNIVAL that will give you a hand. yourHealth™ offers three levels of assistance, ranging from having a trained nurse abstractor convert all of your important paper medical information into electronic data, to an online interface that enables you to tackle specific parts of your personal health record.

Save yourself from the “show up 15 minutes prior to your exam to fill out the same information that’s already in your online health record” exercise with NoMoreClipboard.com. This free application works with your HealthVault account. When its time to head to the doctor, NoMoreClipboard.com will deliver your personal health record to your doctor’s office, so it’s waiting for you when you arrive. You can even pull up your records on your cell phone, which is handy in an emergency.

HealthVault also has partnered with two of the largest labs in the country, LabCorp and Quest Diagnostics, so you can securely import your lab results right into your HealthVault record. If you have your prescriptions filled at Walgreens or CVS, you can link your HealthVault record and a copy of your prescriptions will be securely transferred to your HealthVault record.

And that’s just the beginning. HealthVault offers an array of online health tools, all designed to help you organize, track and analyze your important health information. Folders, papers and sticky notes can only take you so far. In today’s “need to know now” world, digital data is not the future, it’s today.

So, get your annual exam. Share your current health issues with your doctor. Tell him/her about your family history. And document your visit in an electronic record. You’ll be glad you did.

Ten Ways I Plan To Improve My Family’s Health in 2010

As my family knows only too well, I love to create “to do” lists. I create everything from “today’s to do” list to “this month’s hit list” to “projects I’d like to complete in the coming months” lists. These lists often terrify my husband, because they usually involve paint, caulk, nails or a significant volume of elbow grease. (Just ask him about the time I decided to dig out and amend the soil in all of our planters. Wait. Don’t.) So, with the New Year approaching, the family is slinking away fast because I am thinking about the BIG list: the “what do I want to achieve in 2010” list.

Don’t get me wrong, I am not a big “New Year’s Resolution” girl. I have resolved to give up chocolate, eating pizza for breakfast (seriously, it’s better cold), and to stop talking too much more times than I can count. Which is why I have given up. I will never stop doing any of those things. Instead I will try to do each just a bit less and see if it sticks.
However, I am a big proponent of identifying goals. A new year is like a fresh start, and what better time to give some thought to the things that you’d like to change, even if it’s a baby step at a time. So I am starting with health. And, since it’s 2010, I’ll make it a “10” list:

10. Reduce my drive-through trips. I lead a hectic life, which often causes me to take the easy way out when it comes to dinner. Long day? No problem, there’s a Taco Bell a block from my house. Now, I don’t get any complaints, but no matter how “healthy” the prep, no fast food is really good for you. So, to help bring down the saturated fat levels currently coursing through my family’s veins, I vow to spend more time with my cookbooks, looking for make-ahead meals and “two night” meals created from one cooking adventure. And, yes, Katie, I promise no Tuna Casserole.

9. Get more sleep. It would be far easier for me if someone would get the brilliant idea to add two more hours to the day. But since I doubt that lobbying for a 26-hour day is going to get me anywhere, I’ll just have to resize my goals and stop thinking that four hours’ sleep is a full night’s rest. Numerous studies show that sleep deprivation leads to bad, nasty things. Your body needs seven to eight hours’ of sleep to repair itself.

8. Eat more vegetables. Two kids just cringed. I don’t understand their issue, as I love all vegetables (okay, I lie, I hate Brussels sprouts with a passion). However, rather than argue, cajole and whine, lately I’ve been taking the easy way out and stopped serving the veggies. That’s not good for the kids and it’s bad follow-through on my part. Sorry kids. Steamed broccoli IS in your future.

7. Get annual physicals. Are you like me? As I get older the last place I want to go is the doctor. Why? He might find something! However, I’m trying to talk myself into the fact that if she finds anything early enough, it won’t be as big of a deal as it will be if I wait. Frankly, I had sworn off going until they got rid of those horrible paper gowns, but I don’t think my stonewalling is having any effect.

6. Check my blood pressure. My husband was born with genetics that, despite his preferred lunch (cheeseburgers), seasoning of choice (salt), and favorite exercise level (none), his blood pressure and cholesterol levels are ridiculously youthful. My genetics are different. Despite my preference for a low-sodium, high fiber, work out whenever I can lifestyle, my family’s middle name seems to be hypertension. Now, I am not displaying those symptoms as yet, but my grandmother did and, now, so does my mother. So I am stepping up my vigilance, monitoring my blood pressure and making lifestyle adjustments. Hypertension is a silent disease, so be sure to get your blood pressure checked regularly (those cuffs at the drug store work!) or get a blood pressure monitor and check it yourself.

5. Drink more water. It’s not my favorite beverage, sadly. I far prefer Diet Coke. However, numerous studies bear out the sad truth: soda makes us fat. Even diet soda. So I’m cutting the carbonation (sorry Katie, that includes your Cherry Dr. Pepper) and adding more water and milk to our fridge.

4. Reducing our sugar intake. Note that I didn’t say “eliminating,” because my entire family would fail on the first day. We like our sweets, and my pantry is continuously packed with all of the supplies needed to whip up a batch of chocolate chip cookies, brownies or a Red Velvet cake. It’s how we roll. But sugar is pretty much devoid of any nutritional value, making it a lousy supplement to any diet. So I am going to cut “dessert” back to two days a week, and tell myself that Junior Mints are not a breakfast food. (On that note, please notice that most cereals are chock full of sugar and offer absolutely nothing for our children. To that end, rather than serve up a steaming hot plate of diabetes with extra syrup, I’ve been whipping up scrambled egg whites and wheat toast).

3. Going for the family jog. I work out a lot. I love to work out. So does my son. The rest of the family, though, would rather play Xbox or watch a movie than lace up their shoes and go outside. Which is exactly why I’m going to start hiding the remote and challenge them to a jog around the neighborhood or a game of touch football at the park. Our children are less active than any generation before them, and that is not a good thing. Lack of activity leads to obesity, which in turn leads to diabetes and high blood pressure, among other things. We don’t have to turn them into gym rats, but we do need to get them out there, moving around. Best part of this? Family time!

2. Updating all of my medical files. I am a big proponent of personal health records. After reading story after story where electronic medical records saved a patient from repeated tests, unnecessary procedures or actually saved their life, I am sold. I have read just as many pointing out that, had the patient created a PHR for themselves, the hospital or E.R. or physician would have been alerted to an issue that would have changed the outcome. And, frankly, I’ve had more visits than I care to count in which the doctor missed a detail, didn’t notice that my child has asthma (hello, first page, right there), or didn’t see a test result.

I created a HealthVault account to help me manage my family’s health care, and now I need to spend some time and start getting more information. Reaching out to physicians and asking for files is tedious and time-consuming, but the end result is invaluable. And, because I know I’m pressed for time as it is, I’m thinking I’ll be using Your Health by UNIVAL to help me transform some of that paper to an electronic record. All I have to do is fax my paper records to UNIVAL. It’s the perfect one-two punch: getting the information and having a trained medical professional convert it into the type of file that I need. I feel better already.

1. Laugh more. Did you know that laughing is one of the fastest and easiest ways to improve your health? Studies have shown that laughter alleviates pain, relieves tension and boosts your immune system. It also can help prevent heart attacks and other cardiovascular problems. Now who doesn’t want all of that? Best of all, laughter costs nothing. And if you’re worried you’ll get wrinkles, stop! By cutting out sugar, eliminating soda and upping your water intake, you’ll be taking significant strides in keeping your skin beautiful and youthful. So laugh it up.

And, while you’re at it, have a wonderful New Year, too!!

Get Up, Not Down, Over the Holidays

The holidays are in full swing, and at my house that means just one thing: I am exhausted. Layered atop of my usual and customary overload are all of the activities that make the holidays “festive,” like baking cookies, trimming the tree, decorating the house, planning large family dinners, Christmas shopping, Christmas cards, holiday parties and business obligations. Just typing that list made me hyperventilate a bit. I don’t know about you, but when I push myself to do more in less time, I get stressed, agitated, and emotional.
Every year, my favorite magazines blast out great ideas for dissolving stress. These usually involve drinking tea, making time for yourself and taking up yoga. That last one actually ups my stress levels: I am not stretchy. So, given that my goal is to keep my blood pressure at 110/70 (thank you Omron BP monitor!) I’ve developed my own go-to stress eliminators. Perhaps they will work for you, too:

• Don’t stretch yourself too thin. “No” is a powerful word. And sometimes you just have to use it. As in: “No, I cannot manage the Christmas pageant.” Or “No, I can’t bake four dozen cookies tonight.” If this is just too uncomfortable for you, try modifying the request into something you could find time to do, like: “No, I can’t bake four dozen cookies tonight, but I could stop by the store and pick up some from the bakery. Will that work?” While it’s still an additional errand, it’s far faster to grab and go than the full baking extravaganza.

• Don’t try to create the perfect holiday. Rare is the Rockwell moment. When you stop trying to make everything perfect, you immediately lighten up. The pursuit of perfection, at my house, leads to a cranky mom, which in turn creates a cranky dad, and a host of cranky kids. So if you forgot to iron the napkins and have to use paper, guess what? Nobody cares. And, in my opinion, if they do, they can grab my iron and fix the problem.

• Allow yourself to be sad. As I grow older, some cherished faces are no longer at my table. Sometimes that makes me weepy, and instead of pushing it down, I take a moment to acknowledge my sadness. If you have sad moments, don’t try to ignore them, because that could actually make the feelings even stronger. Instead, think about a wonderful time you experienced with that person. Then move on. Sometimes it also helps to share your thoughts with family. You’d be surprised to find you’re not the only one walking around thinking about Grandpa Robert or Uncle Ned.

• Don’t feel obligated to spend money (or time) you don’t have. I’m all for making sure everyone has a wonderful time, but I do get tired of the cash expenditures that crop up for school parties, teacher gifts, secret Santas, unplanned presents, company lunches, and the list keeps growing. If you’re on a tight budget (and who isn’t these days), all of this extra cash outlay can create additional stress. Don’t let it. If you’re a wonderful cook, make or bake gifts. If you are crafty, create special gifts. They’ll be treasured and enjoyed as much, if not more, than anything you find in a store.

• Share your time or talent. Advertising tells us that the holidays are about presents. But the reality is that the best way to get into the spirit of the holidays is to do something for someone else. Volunteer at a soup kitchen, visit your local senior center or stop in and say hello to a friend. You’ll feel better instantly.

• Create your own holiday traditions. Replace time-consuming or stress-inducing traditions that you feel obligated to do with ones that you enjoy. For example, instead of cooking a full five-course Christmas dinner, create a festive make-ahead buffet. Replace a sit down Christmas breakfast with a family jog. Not sure what to do with the extended family on Christmas Eve? Go caroling!

• Get organized. Chaos makes me crazy. Nothing makes me happier than reorganizing my pantry, cleaning out my closets or eliminating piles. Which is just one reason I also like HealthVault; I was able to electronically organize my health information AND get rid of an array of large an unwieldly folders. Use the holidays to create a comprehensive picture of you and your family’s health by talking with extended family members over the holidays. The holidays are an excellent time to find out if anyone in the family had diabetes, or confirm when Great Aunt Emma developed arthritis, or how old Grandma Dorothy was when she had a stroke.

Knowing those details is invaluable because almost all diseases, including heart disease, cancer, diabetes and even arthritis, have a genetic component. A complete extended family history can help your doctors determine what tests you may want to incorporate into your regular physical to keep you healthy now and for years to come.

With less than two weeks to go before Christmas, we’re all feeling the stress. Hopefully some of my ideas will give you the get up and go to get you to have a stress-free holiday season.

Enjoy a Weigh Cool Holiday Season

Of all of the things that I love about the holidays, food is always near the top of my list. I’m not sure what inspires me to put the oven in overdrive and pull out the casserole dishes, but somewhere around Halloween I get the holiday food bug. Perhaps you do, too.

The downside of this foodie motivation (thanks, in part, to programs like “Top Chef”) is the propensity to put on a few pounds. But this is the year that I have promised myself NOT to have “Lose 10 lbs.” on the top of my New Year’s Resolutions. And here are the five ways that I am going to do it:

• No deprivation. I know. That sounds counter-intuitive to my goal. But it’s not. By allowing myself to have one of Fran’s Amazing Pecan Tarts (and they are, btw, and I should have her post her to-die-for recipe) I’ll be more likely not to eat four of them around 11:00 p.m. when my celery and cottage cheese dinner has left me more than a little hungry.

Trick here is portion size. One Amazing Pecan Tart isn’t going to undo my workout progress. Four, however, is another story. So, if you love cheesecake, and your neighbor makes the best in the world, please have a slice. Just make it a small one. Then, really enjoy each bite. Don’t feel guilty and move on.

• Avoid the hors d’oeuvres. I know, I just said that I’m not going to deprive myself. But on the other hand, when you look at the total caloric content of a holiday meal, you might be surprised by how fat- and calorie-laden those pretty little finger foods really are.

If you know that you will be attending a function that begins with cocktails, you can do one of two things: have a healthy snack beforehand OR look for the cold veggie platter when you arrive. This might sound bizarre, but a small bowl of Fiber One is really filling, really good for you and, honestly, will keep you away from the “deep fried mussels with caviar on a crouton” snack bite and the 300+ calories that little morsel has to offer. Yes, that’s my trick: Fiber One.

• Limit the “holiday cheer.” I love a champagne toast. Nothing says “it’s a celebration” at my house like wine with bubbles (wine snobs, you can pick yourself off the floor, yes, I did say ‘wine with bubbles’). However, more than one glass earns me a splitting headache. So, I start out the evening with sparkling water and lime, or another light and refreshing cocktail. And I save my special glass of bubbly for later. After my special toast, I switch back to my sparkling water. Added bonus: water helps make your skin look gorgeous.

• Do a little extra heavy lifting. I’ve become a weight-lifting fanatic. But I’ll also be stepping it up a bit in the gym over the next few weeks. Why? Burning fat and adding muscle makes you look leaner, feel better, and kicks your metabolism into high gear. Now, if the idea of doing 50-pound squats makes your knees weak and your shoulders ache, don’t despair. Just grab a pair of 10-pound weights and start doing some lunges. (But trust that you’ll get so good with those, you’ll be working your way up the weights in no time).

• Buy a sexy holiday outfit. In these economic times, it’s not like any of us can go have a big splurge at the mall. However, there are some great places to find deals. (I found an amazing little black sweater with rhinestone buttons for $19.99 at Target, for example). But the point here is if you find something you love, and that you know you look amazing in, you’re going to be less likely to go on a buffet splurge. One hot dress is amazingly empowering.

One last thing: one of the best ways to control your eating, outside of that little black dress, is the scale. I have a Tanita scale that I adore. It tells me my percentage of body fat, bone mass and how much muscle I’m building, and all sorts of fun stats. But most of all, I can immediately see “weight creep.”

And, I love my Tanita scale so much that I may have to put the new Tanita BC-590BT Bluetooth Wireless Body Composition Scale on my Christmas wish list. Not only does it measure weight, body fat, body water, bone mass and muscle mass, I can upload my daily weigh-ins into my HealthVault record and do some serious weight tracking.

“Lose 10 lbs.” is definitely not going to be at the top of my New Year’s Resolutions this year. Seeing how all those pounds “look” on me definitely is.

So, what are your holiday weight tips? I’d love to hear them.

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