Indholdsfortegnelse for May 2017 i Prevention

WHO DOESN’T love a good game? I know I do. I like mobile Scrabble in the checkout line, Plants vs. Zombies in the waiting room, darts and boccie and shu_eboard in the backyard. If only I were better at billiards. My dad taught me chess in kindergarten so he’d have a playmate. While the prospect of beating him rarely won out over hide-and-go-seek, I did learn to enjoy a contest. I still like car games—especially one I made up called Bupkis (I’m happy to share the instructions)— and party games, too: A group of us have a revolving game night, when we play grown-up games like Salad Bowl, Taboo, and Scattergories. Some people think games are silly or childish. Au contraire! If anyone says you’re wasting your time, Ageless Brain,…

The Pap test is a simple and effective way to screen for cervical cancer. Until now, however, there hasn’t been an equally simple way to test for endometrial, or uterine, cancer. Scientists at Western Connecticut Health Network have high hopes for a procedure called uterine lavage, which involves flushing the uterus with salt water, then collecting the fluid to check it for the presence of cancerous cells. In a preliminary study, the lavage method identified potentially cancerous changes early. Previous tests for detecting uterine cancer involved anesthesia and an operating room, so the researchers are hoping that this much easier, less invasive test will soon be adopted as routine.…

Amwell Upload photos, lab results, or other information before video chatting with a doctor. Each consultation costs $59. Doctor on Demand Get a personal video chat with a doctor for $49 per consultation via this service, cofounded by TV’s Dr. Phil. HealthTap Submit personal health questions for free, or sign up as a Prime member for $99 a month for unlimited 24/7 video and text consults.…

Almonds _62 calories, _4 g fat, 4 g fiber, 6 g protein, 7.2 mg vitamin E, _2 mcg folate, 76 mg magnesium, 75 mg calcium, _ mg iron Cashews _57 calories, _2.5 g fat, _ g fiber, 5 g protein, 0.3 mg vitamin E, 7 mcg folate, 83 mg magnesium, _0 mg calcium, _.9 mg iron Hazelnuts _76 calories, _7 g fat, 3 g fiber, 4 g protein, 4.2 mg vitamin E, 32 mcg folate, 46 mg magnesium, 32 mg calcium, _.3 mg iron Macadamia nuts 204 calories, 2_.5 g fat, 2 g fiber, 2 g protein, 0.2 mg vitamin E, 3 mcg folate, 37 mg magnesium, 24 mg calcium, _ mg iron Peanuts _6_ calories, _4 g fat, 2 g fiber, 7 g protein, 2.4 mg vitamin E, 68…

Age 52 Pounds lost 13 Inches lost 11.25 Administrative assistant Janice Bishko had always been lean, even after having four kids. Then, in her 50s, she began to gain weight. Worse, she felt so stiff and achy in the morning that she found it hard to get out of bed. “My pants were digging into me, and I was ready for a nap by midmorning,” she says. But when she started the Fit in _0 program, all that changed. “Now I can whip up a delicious meal or squeeze in a workout in _0 minutes,” she says. “It’s life-changing.” After 8 weeks, she’d lost __ pounds and felt better than she had in years: “My clothes fit comfortably, and my pain and exhaustion are gone.”…

THERE’S A constant parade of “miracle” skin creams entering the market that promise fresher, younger skin. We found facial moisturizers with three unusual new ingredients their manufacturers claim can rebuild cells and promote healing. These products are right on trend. But do they work? Probiotics THE PRODUCT: Skin care industry giants and smaller companies alike are capitalizing on the popularity of these good bacteria, creating “probiotic technology” they say will help protect skin from environmental toxins and slow the skin’s aging process. THE CLAIM: Just like your gut, your skin has a microbiome composed of live bacteria that help it stay healthy. Most skin creams that tout their probiotics don’t actually contain live bacteria. Instead, they include parts of the bacteria’s cells that their manufacturers say moisturize the skin, reduce…

SOME OF the strongest couples I know are the ones who survived in_delity. Their secret: They were willing to go to the basement. Let me explain. In couples therapy, I compare a marriage to a house. The main oor is where we eat, sleep, argue, laugh, make love, and deal with life’s problems—even potentially destructive ones like in_delity. The basement is our emotional underground (our own and the one we’ve built with our partner). Down there are our vulnerabilities, our traumas, and our childhood legacies. The goal is to create a staircase so we can better understand ourselves and our partners. Infidelity is like a bomb going o­, and afterward you’ll need to examine the foundation. Do both partners want to rebuild? It’s not uncommon to feel unsure about the…

The dictionary defines stress as “a state of mental or emotional strain or tension resulting from adverse or demanding circumstances.” And you know it when you have it. It’s been blamed for so many health consequences—weight gain, hair loss, insomnia, even heart attacks— that it’s been dubbed an epidemic, naturally stirring up misinformation and myth-conceptions about it. We examined five of them. MYTH 1: Alcohol soothes stress MYTHBUSTER: Alcohol stimulates production of the stress hormone cortisol and can disrupt sleep, making stress worse. Some people think that if a little alcohol takes the edge o_, more might be even better, says Karina Davidson, a professor of behavioral medicine in the departments of medicine, cardiology, and psychiatry at Columbia College of Physicians and Surgeons. But in addition to risking dependency, increasing…

Joint Base Elmendorf-Richardson, Alaska “I’d do anything to keep spirits high.” + Has spent 20 years in the air force + Assisted in 180 medical evacuation missions + In 2016, rated No.1 among 139 captains by the Commander of the 673rd Medical Group + Volunteers for the Wounded Warrior Project and the American Red Cross MY MOTTO, “Live life silly,” might seem unusual for a military nurse, but having fun on the job is the only way to survive the stress. One Halloween, I was in an ICU in Afghanistan treating our wounded soldiers—most were sedated, missing limbs, hooked up to breathing tubes, or burned from blasts. My patients also included the injured enemy who ­red the bombs that hurt our men and women. It’s so di.cult emotionally to follow…

NYU Hospital for Joint Diseases, New York City + Earned a doctorate in nursing in 2015 + Volunteered in Haiti as part of the earthquake relief team + Collaborates with other health care centers to raise awareness about disorders affecting disabled women + Hosts health workshops in the community “I make a di_erence for women with disabilities.” MY FAMILY came to America from Haiti the summer before I started eighth grade—and we couldn’t go back because of the political unrest. It was hard on us. But even in a new country, my parents showed other people kindness and compassion. They loaned them money, gave them food, and even allowed their friends’ children to stay with us so they could ful?ll their American dreams. After high school, I wanted to ?nd…

Normal Being unable to recall the details of a conversation or event of a year ago Occasionally forgetting appointments or names Sometimes searching for the right word Fretting about your memory when no one else is, including your family Talk With Your Doctor Being unable to remember the details of an event or conversation that happened last week Forgetting things you once recalled easily Frequently pausing to find the right word or using substitute words when the right one won’t come to mind Lack of concern about your memory while relatives or friends worry…

BREAKFAST Zap half of a sweet potato in the microwave. Scramble 2 eggs with ½ cup diced bell peppers and ¼ cup black beans. Combine and top with 2 Tbsp salsa, a kick of cayenne, and chopped cilantro. NUTRITION: 290 cal, 18 g pro, 31 g carb, 8 g fiber, 7 g sugars, 10 g fat, 3 g sat fat, 410 mg sodium SNACK 1 small apple or pear plus 1 cup low-sodium cottage cheese NUTRITION: 240 cal, 28 g pro, 27 g carb, 4 g fiber, 22 g sugars, 2.5 g fat, 1.5 g sat fat, 30 mg sodium LUNCH Mix 4 oz tuna (canned in water) with 2 shredded carrots and 1 tsp shredded ginger. Spread on 6" whole wheat wrap and top with handful of spinach and…

For the conscientious human companion of a cat or dog, a trip to the pet food aisle can be a bewildering experience. Over the past decade, the options have exploded. There are foods for di_erent breeds; foods that promise to clean teeth and sharpen minds; foods that claim to be natural, organic, artisanal, or holistic. There are raw foods, gluten-free foods, and foods containing trendy ingredients like kale and chia. The packaging conjures idyllic farms, high-tech research labs, or the kind of hipster restaurant where bearded waiters wear denim aprons. Many shoppers are left to ponder whether they’re being neglectful if they fail to provide their toy poodle with antioxidant-rich “superfoods.” The pet food industry has experienced its share of scandals and recalls— including a major one 10 years ago…

THE WALKING CURE Reading this article was like reading my own story. I played soccer for 20 years but had to give it up after breaking my collarbone at age 50. I’ve recently found my new passion: stand-up paddleboarding. It’s great exercise and very serene. Mimi Halligan / Havertown, PA Your focus on walking is lovely. Three years ago, I joined an acquaintance in trying to walk 2,014 miles in 2014. I bought a Fitbit and by mid-November had reached my goal. Ute Heidenreich / Norfolk, VA AMERICA’S OPIOID CRISIS One issue not addressed in your interview with the Surgeon General: When doctors prescribe too many pills and only one or two are taken, the rest have to be disposed of. It’s a waste of money and pills, and the…

The Coalition for Epidemic Preparedness Innovations, a new alliance of governments and charities, has allocated $460 million to developing vaccines for viruses they consider potential dangers, including: • MIDDLE EAST RESPI_ RATORY SYNDROME, which originated in camels and is so far limited to the region •LASSA FEVER, spread by rodents and prevalent in West Africa • NIPAH VIRUS, transmitted by infected pigs or bats in parts of Asia There’s no need to panic, says Brian T. Garibaldi, associate director of the Biocontainment Unit at Johns Hopkins University, a facility that trains US health care providers in handling epidemics. The likelihood of any one of these viruses causing a large-scale outbreak is low, he says. But having a vaccine ready just in case is smart.…

AFTER A positive result on a blood test that screens for prostate cancer, men usually go on to have a biopsy for a more de nitive diagnosis. British researchers say an MRI might be a better screen. The scientists found that using MRI testing would allow more than a fourth of the men tested to avoid a sometimes painful biopsy by identifying cases considered clinically insigni cant, meaning they don’t require treatment. Ask your doctor; diagnostic MRIs are already available at some medical centers in the United States. >$1 trillion Estimated cost of treating cardiovascular disease in this country by 2035. In 2016, the figure was $555 billion.…

SERVES 4 Place 4 whole wheat pita flatbreads on baking sheet. $2.69 Divide ¼ cup pesto among flatbreads and spread in even layer. $4.05 Slice 6 oz fresh mozzarella into rounds and divide evenly among flatbreads. $3.99 Thinly slice 2 medium tomatoes and layer onto flatbreads. Cook in 450°F oven untill edges of pizzas are 0 minutes. $2.00 Top each pizza with small or thinly sliced basil leaves. $1.00 Total: $__.__ NUTRITION (per serving) 327 cal, _5 g pro, 28 g carb, _ g fiber, 2 g sugars, _8 g fat, 8 g sat fat, ___ mg sodium…

High-intensity interval training is the gold standard for improving cardiovascular health, and it’s safe and effective for any age, says geriatrics researcher Eivind Wang of the University of Utah. Do this routine twice a week for best results. 1 Warm up by running or walking for 6 minutes, working up to about 70% of your maximum heart rate (220 minus your age, times 0.7). You should be able to carry on a conversation. 2 Run or walk uphill for the next 4 minutes, or use a treadmill at an incline of 5 to 20%. You should reach 85 to 95% of your maximum heart rate and be breathing heavily. 3 Slow to a conversational pace for the next 3 minutes. 4 Repeat steps 2 and 3 three more times. 5…

Serves _ Prep time: 5 minutes Total time: __ minutes ½ c yellow lentils _ Tbsp white wine vinegar _½ tsp avocado oil ½ tsp Dijon mustard ½ tsp lemon zest ½ c halved yellow cherry tomatoes ½ c peeled and sliced cucumber _ Tbsp chopped parsley _ Tbsp shaved Parmesan (optional) _. Bring lentils and 2 cups water to a boil. Cook until lentils are tender but not mushy, _5 minutes. _. Whisk vinegar, oil, mustard, and lemon zest. Set aside. _. Toss cooked lentils with tomatoes, cucumber, parsley, and dressing. Top with cheese, if using. NUTRITION (per serving) 429 cal, 27 g pro, 6_ g carb, _6 g fiber, 5 g sugars, 9 g fat, _ g sat fat, 98 mg sodium…

BRUXISM, THE medical name for clenching your jaw or grinding your teeth, is a common disorder a_ecting up to 20% of adults while they’re awake and 8% of adults while they’re asleep, often as a response to emotional stress. Symptoms include sore cheek muscles, loose or temperaturesensitive teeth, frequent headaches or earaches, and morning jaw pain. In the past, bruxism was thought to be due to a misaligned bite (malocclusion), but recent evidence suggests that other factors are more commonly at play, including nervous tension or suppressed anger, poor sleeping conditions (too much light or noise, an uncomfortable pillow), or side e_ects of some medications. Researchers believe that mood disorders such as anxiety primarily a_ect daytime bruxism, not the type of teeth grinding that occurs at night. If you habitually…

YOU MAY have incorporated some of these seemingly helpful nutrition guidelines into your lifestyle for years, but we know now that they could be sabotaging your health. 1 Choosing low-fat or fat-free dairy. New research shows no link between full-fat dairy and heart disease—and no link to type 2 diabetes or weight gain, either. That may be because the fatty acids in dairy have bene.cial metabolic e.ects. Fat also promotes satiety and can limit overeating. Additionally, products labeled “low-fat” or “fat-free” don’t necessarily have fewer calories or less sugar. “Manufacturers may add other ingredients such as sugar, salt, or arti.cial .avoring to make up for the lost taste,” says Philadelphia-based nutritionist Ha Nguyen. It may sound counterintuitive, but full-fat dairy is actually better for you. 2 Steering clear of carbs.…

Memorial Sloan Kettering Cancer Center, New York City + Edited two nursing books on leadership and global health + Volunteered at Agahozo-Shalom Youth Village in Rwanda, a haven for the country’s most traumatized youth + Cofounded the New York City chapter of the American Holistic Nurses Association “I treat the person and the family holistically.” I WAS ALWAYS a bit of an overachiever. I dreamed of being on Broadway during childhood, graduated from a performing arts university, and danced in the Radio City Christmas Spectacular at age 23. But my dreams collapsed one day when I fractured my hip during a Broadway audition. Suddenly, I couldn’t take care of my most basic needs. My mom had to bathe me. If there was a silver lining, it’s that my parents’ loving…

Sign Up for a Class Take up a musical instrument or learn a new language. Formal education—at any age—reduces the risk of cognitive decline and dementia. Find a Moment to Meditate The practice of focusing and calming the mind not only relieves stress but also seems to stave off brain shrinkage associated with aging. Switch Hands Using your nondominant hand for everyday activities like brushing your teeth or combing your hair can build new neural connections. Exercise Your Mind Regularly playing cards or putting together puzzles has been linked with greater volume in brain regions known to be damaged by Alzheimer’s. Give your brain a boost with our games on p. 96.…

HOW TO DO IT: Perform 10 reps of each move, resting 1 minute before moving to the next exercise. Do the circuit 3 times. Aim to do the routine 3 times a week, with at least 1 rest day between workouts. 1. HIP BRIDGE Targets: butt, core, back of thighs Lie on back with knees bent. Push through heels, squeeze glutes, and lift hips up until body forms a straight diagonal line from knees to shoulders. Hold for 1 to 2 seconds, then lower to starting position. 2. CHAIR SQUAT TO BICEPS CURL Targets: thighs, butt, front of arms Stand in front of chair, a 2 to 5 lb dumbbell in each hand. Shift weight into heels and squat until butt taps chair, then stand and curl both dumbbells toward…

The Good To earn the USDA organic seal, the product must include at least 95% organic ingredients. The label “made with organic ingredients” means the food contains at least 70% organic ingredients. If the product is labeled “complete and balanced,” no other food is needed for your pet to be nourished at a particular life stage. Look for the statement “Animal Feeding Tests using AAFCO procedures substantiate that [product name] provides complete and balanced nutrition.” This indicates the food has been tested with animals. The Rest Meat or poultry by-products are parts of slaughtered animals such as lungs, spleens, kidneys, blood, and bones. They’re not desirable for us but generally fine for animals. Animal carcasses that are rendered (cooked to remove fat and water), dried, and ground are called meat…

Which foods help pets live the longest? Science hasn’t found the answers. But anecdotal evidence suggests that in combination with good genes and care, a variety of diets can succeed. • The oldest cat on record, a Texan known as Creme Puff, lived to 38 on a regimen that included dry cat chow, eggs, turkey bacon, broccoli, coffee with cream, and a little red wine. • The oldest dog, an Australian cattle dog called Bluey, spent his 29 years reportedly eating mainly kangaroo and emu. • The second-oldest dog—a Louisiana terrier mix named Max, who came within weeks of Bluey’s record—subsisted on cheap kibble.…

Q: Are there any vitamins or supplements that stroke survivors should take? A: A general once-daily multivitamin that contains B vitamins including folic acid may very well be bene_cial. There is now a fairly strong and established link between folic acid de_ciency and an increased risk of stroke. I don’t recommend any of the other supplements marketed for brain health. We don’t always know what’s contained in those supplements, and it’s very hard for medical professionals to recommend things when we don’t know what’s in them. —David Chiu, medical director of the Houston Methodist Eddy Scurlock Stroke Center From the new book Healing the Broken Brain: Leading Experts Answer 100 Questions about Stroke Recovery, by Mike Dow and David Dow…

Despite the common belief that joint pain signals a change in the weather, scientists can’t ?nd much proof. Two recent Australian studies, one on knee osteoarthritis and another on lower-back pain, found no signi?cant link between temperature, air pressure, humidity, precipitation, or wind and the onset or exacerbation of discomfort. Weather can a?ect allergies, asthma, and migraines, but the forecast most likely isn’t causing your knee or back pain. Some researchers surmise this belief may exist because of “con?rmation bias,” which is when people remember events (like a storm that occurred right after new knee pain) that reinforce opinions they already hold.…

If you’ve ever broken your arm, you might remember that the radius and ulna are the two bones of the forearm between the elbow and wrist. And if you’ve ever felt pressure in your ears on a plane, you might know that the Eustachian tubes are involved. See if you can identify these five body parts by matching the scientific name with the definition. Body Parts _. canthus _. glabella _. gnathion _. hallux _. pollex Definitions a. the tip of the chin b. the corner of the eye, where the upper and lower lids meet c. the big toe d. the thumb e. the part of the forehead above the nose and between the eyebrows Answers: _. b, 2. e, 3. a, 4. c, 5. d…

This creamy and delicious smoothie harnesses the fat-busting benefits of two weight loss superfoods: strawberries and avocados. The berries trigger production of a hormone that may rev metabolism and suppress appetite. Avocados get a bad rap because of their fat and calorie content, but the fat is the healthy monounsaturated type that takes a long time to digest, quells hunger, and has even been shown to reduce belly fat. STRAWBERRY-AVOCADO REFRESHER Blend cup halved strawberries, ½ avocado, ½ lg frozen banana, juice of half a lime, and a handful of ice. NUTRITION 276 cal, 4 g pro, 38 g carb, 2 g fiber, 17 g sugars, 15.5 g fat, 2 g sat fat, 10 mg sodium Percentages of adults who own a wearable fitness device like a Fitbit AGE 50-59…

EVERYONE should grow at least a few herbs at home— whether in an outdoor garden, a few pots, or a window box indoors— to treat everyday ailments. For a basic medicinal herb garden, I recommend four common plants that thrive in ordinary conditions: lemon balm, peppermint, sage, and thyme. They can be used in teas, tinctures, and salves to treat a variety of common aches and pains. Here’s more on each herb. Lemon balm (Melissa o_cinalis) helps relieve headaches and muscle tension, ease indigestion, and reduce the severity of cold sores. Peppermint (Mentha × piperita) relieves nausea, intestinal gas, abdominal cramping, and diarrhea. Menthol, the active compound in peppermint, can also help loosen phlegm and ease a cough • Sage (Salvia o_cinalis) helps clear the mind and improve cognition. The…

At age 35, my life seemed perfect. My husband and I had just brought our newborn daughter, Lily, home from the hospital. I was recovering from a C-section, but I felt so good the next day that I decided to make banana bread. Lily and our toddler son, Hudson, were napping when the pain began. At first, I thought it could be heartburn. But as the ache got stronger and radiated down my left arm, I realized it was something worse. “I think I’m having a heart attack,” I told my mom, who’d ?own out from the East Coast to our home in Orange County, CA, to help with the kids. “You just had major surgery,” she said. “Go lie down. You’re doing too much.” By then, pain was stabbing…

Huntsville Hospital, Alabama + Spearheaded innovative programs for women with breast cancer, such as a postsurgery occupational therapy plan and post-treatment wellness classes + Raised more than $200,000 for women who lose income while being treated + Created and leads a team of volunteers to help patients get to their appointments “The best way to love others is to make everything around them easier.” I HAD BEEN a surgical trauma nurse in the intensive care unit for more than 20 years when one of my former supervisors asked me to apply for a new hospital position. I’d be a “navigator,” helping patients understand the type of breast cancer they have and the treatment options and resources available to them in our community. Although I had no experience in this specialty,…

Greater Baltimore Medical Center, Maryland + Manages a team of 13 forensic nurses and 5 victim advocates who see more than 400 cases a year + Completed her forensic certifications while working full-time in the emergency department + Raises money to fund sexual-assault examinations, which are offered at no charge to patients “This job has opened my eyes to something deeply painful but very real.” I MEET my patients on what’s likely the worst day of their lives. Some are hysterical; others are depressed. Many blame themselves for being sexually assaulted. I sit down with each of them, and I take my time—in some cases, 4 hours or more—to listen, conduct an exam, photograph injuries, and collect other evidence, all of which may be used to link a suspect to…

You used to able to eat your favorite foods without padding your waistline, but now every spare calorie seems to stick around— around your middle, that is. If this is a familiar scenario, you’re in line with millions of other women and men over 50 facing the same struggle— and there’s a good reason for it. Starting in your 30s and intensifying in your 50s, hormonal shifts cause your resting metabolism—the number of calories your body burns just to stay alive—to drop. The main reason your calorie-burning furnace douses the ?ames: muscle loss. Once you exit your 20s, you begin to lose about 5 pounds of lean tissue each decade. Even worse, the muscle that remains becomes fatty, weak, and less e.cient at using energy. As a result, you burn…

1 Name the Colors Challenge your ability to stay focused! Quickly say aloud the color each word is printed in, not the word itself. Try it repeatedly to see if you can improve. BLACK PINK BLUE GREEN BLUE YELLOW RED BLUE GREEN RED YELLOW BLACK RED PURPLE PINK 2 List It Flex your recall power by writing down as many types of animals as you can think of in 1 minute. We got 18. How did you do? 3 Scrambler To test your brain’s  exibility, try to make as many words out of the following as you can. Can you ­nd 20 per word? BALDERDASH CACOPHONY ONOMATOPOEIA 4 Word World Find as many words as you can in 3 minutes in the grid below to bolster pattern recognition and mental…