Healthy Idaho | March '13

48
HEALTHY IDAHO MARCH 2013 1 Facebook.com/HealthyIdaho SCAN TO DOWNLOAD A FREE DIGITAL HEALTHY IDAHO MAGAZINE

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Our March Issue of Healthy Idaho is our women's issue—MADAME. Spring into Action, Cross Fit, Femailments, Human Rating, etc.

Transcript of Healthy Idaho | March '13

Page 1: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 1 FacebookcomHealthyIdaho

SCAN TO DOWNLOAD A FREE DIGITAL

HEALTHY IDAHO MAGAZINE

2 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

HEALTHY IDAHO MARCH 2013 3 FacebookcomHealthyIdaho

10 Urgent Care Locations | primaryhealthcom

Some things are better left not passed on to

the family For aches pains injuries and the flu

theres a Primary Health close by

Urgent Care | Family Practice | Occupational Health

stitches

allergies

sprains

skin rashes

flu

fevers

nausea

Home Sickness

coughs

and more

10 Urgent Care Locations | primaryhealthcom

Some things are better left not passed on to

the family For aches pains injuries and the flu

theres a Primary Health close by

Urgent Care | Family Practice | Occupational Health

stitches

allergies

sprains

skin rashes

flu

fevers

nausea

Home Sickness

coughs

and more

4 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

St Lukersquos Health System will transform healthcare by aligning with physicians and other providers to deliver integrated seamless and patient-centered quality care across all St Lukersquos settings

Advisor Healthcaregtgt

BETTER TOGETHERBetter Coverage Better Care

David C Pate MD JD is president and CEO of St Lukersquos Health System based in Boise Idaho Dr Pate joined the System in 2009 He received his medical degree from Baylor Col-lege of Medicine in Houston and his law degree from the University of Houston Law Center Read his blog at httpdrpatestlukesblogsorg

ABOUT THE AUTHOR

Good news for Idaho The care you appreciate from St Lukersquos is now aligned with top-ranked insurance from SelectHealth so that hospitals health insurance doctors and patients work together toward lower costs and stable premiums

exceptional healthcare exceptional health Insurance

Learn more about SelectHealth by calling 800-442-3125 or visit selecthealthorg

According to NCQArsquos Private Health Insurance Plan Rankings 2011-2012 copy 2012 St Lukersquos and SelectHealth All rights reserved 1943 0912

Wersquore proud to announce that healthcare and health insurance are doing just that

Isnrsquot it great when everythInG works toGether

St Lukersquos Health System will transform healthcare by aligning with physicians and other providers to deliver integrated seamless patient-centered quality care across all St Lukersquos settingsThatrsquos St Lukersquos vision and Irsquom excited about a significant milestone in attainment of our vision and our ldquoTriple Aimrdquo of better health better care and lower cost

Wersquove got an innovative new partner in SelectHealth an insurance company based in Utah that shares our vision and our values and has pledged to work with us toward achieving those much-needed goals

SelectHealth a Salt Lake City-based not-for-profit health insurance company that serves more than 500000 members in Utah and southern Idaho is committed to helping its members stay healthy offering superior service and facilitating access to high-quality care We believe our new relationship will help us align incentives for participating health care providers and their patients and will help SelectHealth and its members achieve long-term improvements in health

Our new alliance combines St Lukersquos quality with SelectHealthrsquos core competencies and expertise in supporting an integrated health care delivery system and will be supported by BrightPath an extensive network of St Lukersquos physicians and facilities and independent physicians and facilities

Herersquos why this is so important The transformation of health care delivery calls for a completely different business model Many insurance models only reward and therefore health care providers have only focused on improving the health of people who are already sick Most efforts at wellness health promotion fitness screenings

and preventative services have been poorly reimbursed or not paid for at all under many health plans The current system promotes fragmentation of care and there is little incentive for providers and payors to spend the extra time and effort to work together to coordinate care ensure patients get the proper follow-up and try to prevent the use of unnecessary or low-value services

Thatrsquos where SelectHealth comes in St Lukersquos alliance with SelectHealth is built upon trust a commitment to collaboration and data sharing by having each party perform the services they are best suited to without duplicating those same services and by paying the insurance company for the services they deliver It is also focused on providing financial support to health care providers to invest in better health and to reward providers for eliminating low-value to no-value ser-vices according to evidence-based medicine

It will take time to implement the necessary changes and to achieve the benefits and savings we are striv-ing to return to SelectHealth members but we are making a start

This is a very exciting time for St Lukersquos Health System Just as we set out to do we are transforming health care Join me in the journey and keep up with developments via my blog Dr Patersquos Prescription for Change (httpdrpatestlukesblogsorg)

MEANS BETTER HEALTH BETTER CARE AND LOWER COST

Triple Aim

HEALTHY IDAHO MARCH 2013 5 FacebookcomHealthyIdaho

BETTER TOGETHER

Good news for Idaho The care you appreciate from St Lukersquos is now aligned with top-ranked insurance from SelectHealth so that hospitals health insurance doctors and patients work together toward lower costs and stable premiums

exceptional healthcare exceptional health Insurance

Learn more about SelectHealth by calling 800-442-3125 or visiting selecthealthorg

According to NCQArsquos Private Health Insurance Plan Rankings 2011-2012 copy 2012 St Lukersquos and SelectHealth All rights reserved 1943 0912

Wersquore proud to announce that healthcare and health insurance are doing just that

Isnrsquot it great when everythInG works toGether

6 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

6651 West Franklin Road Boise Idaho 83709 bull ph 2086852400 bull fax 2086852369SIACHernesthealthcom

C hoose S o uthwe st

Passionate Patient Caregivers

HEALTHY IDAHO MARCH 2013 7 FacebookcomHealthyIdaho

6651 West Franklin Road Boise Idaho 83709 bull ph 2086852400 bull fax 2086852369SIACHernesthealthcom

Cho o se S o uthw est

Passionate Patient Caregivers

Advanced Therapy Care Speech Occupational amp Physical Therapy Services

Specializing in therapy services for Specializing in therapy services for children and adultschildren and adults

wwwadvancedtherapycarecom

No Waiting Lists Free Screenings Individual Therapy

We accept Insurance amp Medicaid

Cash Discounts

Therapy Preschool Handwriting Clinic Pragmatics Group

Meridian Mountain Home 1550 N Crestmont Dr Ste E 245 N 3rd E Meridian ID 83642 Mountain Home ID 83647 208-898-0988 208-587-8255

Improving the quality of life one patient at a time

VOLUME V 3

FITNESS12 WOMEN RUNNING WILD For the first time in history

women may be running more than men

SPRING INTO ACTION Here are three ways to help you get back on track and burn a quick 500 calories

CROSSFIT CRAZY CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

WELLNESS11 TRENDING IN NUTRITION There are fashion trends

hairstyle trends and yes there are even food trends So whats hot and whats not in 2013

HUMAN RATING Some people equate their value with their work with their bank account or with their appearance and this twisted measurement system is harming our health

EAT TO STAY YOUNG As oxidation browns an apple or rusts metal oxidation inside the human body causes wear and tear that contributes to aging heart disease cancer cataracts and many other disorders Learn about anti-oxidants

33

MADAME22 FEMAILMENTS The unfortunate truth is that when it

comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DYING TO BE THIN You may find it difficult to work toward a healthier relationship with your own body But you can learn to accept and appreciate yourself

BEAUTY BAFFLED Weve got 9 of your most embarrassing beauty questions mdash answered

42

0313IDAHO

reg

37Madame

8 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

MARCH 2013VOLUME V 3

EDITOR-IN-CHIEFJohn A Anderson | editorhealthy-idahocom

PUBLISHERKenneth J Shepherd| kenhealthy-idahocom

SALES AND MARKETING Julie Guyer 2083714533 Steve Wallace 2088504983 Kristi Hendry 2087037448 saleshealthy-idahocom

DESIGN EDITORSPhillip Chadwick | Kelsey Jones

designhealthy-idahocom

MANAGING EDITORSMichael Richardson | Emma Penrod

editorhealthy-idahocom

ONLINE EDITOR

Ashley Romney | ashleyhealthy-idahocom

DIRECTOR OF OPERATIONS Sandy Wise | 8668843258sandyhealthy-idahocom

CONTRIBUTING WRITERS

Gail Morrissey Jessica Hagy Heather Hooke David Joachim Brooke Kittel Wayne Larsen

Colette Bouchez Patty Trela Steven E Warren

CIRCULATIONHealthy Idaho Magazine is printed monthly and delivered to higher income homes throughout Boise and is made available for pick up at hundreds of locations Healthy Idaho Magazine is also mailed to all doctors dentists chiropractors medical practitioners health clinics banks and other businesses If you would like to have Healthy Idaho Magazine delivered for distribution in your place of business please contact us

Healthy Idaho Magazineinfohealthy-idahocom

8668843258PLEASE NOTE The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters which should be obtained directly from a health professional The opinions expressed by the authors and advertisers are not necessarily those of the publisher Call for reprint permission All photography courtesy of Shutterstockcom unless otherwise noted

To be included in our free online directory please email your contact information to

directoryhealthy-magcom

WITH

HealthyIDAHO

reg

Healthy Magazine is dedicated to using

recyclable materials

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

FACEBOOKCOMHEALTHYIDAHO

TWITTERHEALTHYIDAHOMAG

FIRST WORD

SPRING Just say it and you smile The simple thought of spring is energizing Itrsquos the perfect time to begin change the time to be activemdashspontaneously vigorous

Itrsquos caused me to rethink how I spend my time how I prioritize my lsquoworkrsquo and how I define work I mean really what are we working at as the years peel by Brings up a good question ndash if wersquore involved in a project how hard should we work at it ndash how much time should we spend I believe in the philosophy that our attitude and activity towards work affects the quality of our lives How we divide the ratio between work and play defines our work ethic which determines how grand or meager our future fortune turns out to be I believe the business gurus mdashenterprise is better than easemdash which essentially says that each time we choose to do less than we could we lose a bit of self-confidence and that a daily habit of minor mediocrity accumulates into a lifetime of disappointment If yoursquore going to do it do it well no matter what lsquoitrsquo is

The same thing applies to the non-work aspects of our lives We need to work harder at the non-work non-career facet of our lives We need to develop a new discipline of doing rather than neglecting in terms of rejuvenating activities in our lives and especially in our relationships Our ratio of work to play is skewed and hence stress levels are higher and obesity levels are abysmal

Any time we spontaneously choose action and activity over ease and rest we develop an increasing level of self-worth self-respect and self-confidence Itrsquos empowering And really isnrsquot how we feel about ourselves the kernel of life that is itrsquos own greatest reward A positive self-impression ripples across the entire ocean of our lives We become better at our careers better in our relationships and overall just plain better people

HERES THE POINT Our lives are spent too much on what we get and what we must do We schedule everything around it Rather we need to sprinkle a little more spontaneity of activity outside of what we must lsquodorsquo and develop a healthy focus on what we are becoming Whatever we get in life doesnrsquot make us valuablemdashitrsquos what we become in the process of living that brings value to others and ourselves If you are stuck in a mode of inactivity be spontaneousndashright now Get up and move Begin today Spring is almost here

SPRING FEVER WRITTEN BY

JOHN A ANDERSON

EDITOR-IN-CHIEF

I say that because I tend to struggle being unstructured But I try because spontaneity is liberating and pleasurable In fact I think the essence of pleasure is spontaneitymdashjust doing the things you really want to do but tend to push to the sidelines of your busy life

Donrsquot get me wrong I embrace planning organization and working towards goals My whole life swirls around a nucleus of deadlines and timelines but thatrsquos exactly what makes spontaneity so sweet Itrsquos the ability to jump up and do itmdashsimply because you feel like it at the moment Itrsquos trusting your instincts surprising yourself and jumping out of the confines of our well-organized routines to pursue a bit of unscheduled rejuvenation

Herersquos where Irsquom coming from Last week I was juggling a few projects under deadline Things were progressing but I was losing sharpness and creativity A friend called and asked me to go snowmobiling I had zero time for a it but convinced myself that sharpening the saw mid-job might have beneficial results It did A couple of sweat-inducing hours away from task not only felt refreshing but lsquore-bootedrsquo my brain

HEALTHY IDAHO MARCH 2013 9 FacebookcomHealthyIdaho

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

10 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

7SNACK SMARTS

When you need a little something to tie you

over reach for a three-cup serving of low-fat

popcorn Salty or sweet this crunchy comfort

food is surprisingly high in protein and fiber ndash

the dynamic duo when it comes to satiety

A 100-calorie bag serves up 4 grams of filling

fiber and 3 grams of satiating protein Plus

the awkward shape of the kernels fills a lot of

stomach room maximizing satiety

SWEET SATIATIONTo satisfy that sweet tooth after dinner add

a sweet and tangy accent to a savory meal

Remember your body seeks variety in taste and

texture at every meal A ldquochronicrdquo sweet tooth

can be quieted by adding apples berries or

orange slices to a dinner salad or a pilaf dish

Or try a fruit salsa over pork or fish These

sweet ndash and healthy ndash accompaniments

will help stave off dessert cravings

BREAKFAST BLUNDERSInstead of spooning refined carbs and milk

pack protein and fiber into your breakfast

routine Try an egg (fried or scrambled)

accompanied by a cup of low-fat yogurt with

one half cup of low-fat granola and chopped

fruit This high-mileage breakfast will energize

your morning and take you all the way to lunch

before you start feeling hungry

1 TIME OF DAY We each have our own eating routine throughout

the day Whether you wake up and immediately

eat a bowl of cereal or you wait to eat until after

going to the gym your body knows when to expect

food Hunger at certain times of the day becomes a

conditioned response not always out of hunger but

out of our bodyrsquos expectations2 SIGHT FOOD Seeing food you like whether real in pictures or in

your mind induces appetite and falsely triggers the

body to anticipate eating The false anticipation

followed by salivating the bodyrsquos natural preparation

for incoming food leads to actual eating

3 SMELL OF FOOD Who can resist the smell of the corner bakery or a

whiff of the mallrsquos Cinnabon Smelling food triggers

the insulin secretion that makes us feel hungry

4 REFINED CARBS Meals heavy with refined carbohydrates such as

sugars and white flour and pastas launch blood sugar

levels only to bring them crashing down just a few

hours after eating This blood-sugar crash mimics the

feeling of fasting provoking you to eat to recover

HUNGER GAMES

ways your body tells you yoursquore hungryhellip

even when yoursquore notEdited by Michael Alexander

5 VARIETY If you suffer from the munchies or

cravings for dessert on a full stomach your diet may suffer from lack of

variety At each meal our bodies crave diverse flavors and textures

If these cravings go unsatiated our bodies want to eat until they are

satisfied To solve a chronic sweet tooth add a fruit accompaniment to a

savory dinner

TEMPERATURE Ever wonder why restaurants keep

their temps so cool Restaurant managers and owners play on your

bodyrsquos hunger and satiety signals As you get hungry your metabolism

slows and your core temperature drops signaling a need for calories

As you eat and restore your metabolic rate your body warms

Body heat is a signal for satiety If you body cannot warm ndash say in a cold restaurant ndash the heat satiety

signal never registers and you overeat

7 ALCOHOL Drinking alcoholic beverages impairs

judgment which can easily lead to overeating especially when drinking around food However alcohol itself

does not stimulate appetite

nutrition notesNUMBERS STUDIES AND STATS

6

HEALTHY IDAHO MARCH 2013 11 FacebookcomHealthyIdaho

There are fashion trends hairstyle trends and yes there are even food trends It is not that the beneficial components of these foods havenrsquot been known before 2013 Rather they achieve prominence when a celebrity or famous nutritionist or doctor touts the purported benefits of certain ldquoexoticrdquo foods So what are the hot foodsbeverages in 20131) Green Tea This is perhaps the most praised compound

on the list for good reason Green tea contains

powerful antioxidants that inhibit growth of

cancer cells Research indicates that it also

lowers blood pressure and cholesterol If

yoursquore looking for an ally in your weight loss

battle green tea could be your new friend

Chemicals in green tea increase metabolism

reduce the amount of dietary fat the body

absorbs prevent fat cells from enlarging and

multiplying and regulate blood sugar levels

2) Greek YogurtBoth Greek and regular yogurt in their plain

non-fat or low-fat forms are healthy dietary

options Theyre low in calories and packed

with calcium and live bacterial cultures

which promote a healthy digestive track

The Greek version however has less sugar

half the carbohydrates half the sodium and

almost double the protein of regular yogurt

3) QuinoaIf you are looking for a low carbohydrate

alternative to pasta or rice quinoa might

be the answer Quinoa is a healthful grain-

like seed that is similar in appearance to

couscous It provides all nine essential amino

acids making it a complete protein It is rich

in B vitamins fiber and magnesium and is

gluten-free

4) Chia SeedsAlong with quinoa chia seeds are one of the

highest plant-based sources of a complete

protein These seeds which resemble

poppy seeds can be purchased in seed or

powder form and added to yogurt oatmeal

or smoothies They can also be used as a

substitute for eggs in baked goods since they

Brooke KittelBA Journalism Certified Personal Trainer (NASM)

ABOUT THE AUTHOR

TRENDING INWhats

Nutritiontake on a gelatinous texture when placed

in liquid (a secret of vegans) Chia seeds are

loaded with omega-3 fats fiber calcium

phosphorous magnesium manganese

copper iron niacin and zinc

5) Tart CherriesTart cherries have the highest anti-

inflammatory content of any food therefore

many people with gout arthritis and joint

pain report significant pain relief when

ingesting tart cherries Additionally studies

have shown that tart cherries fight heart

disease and help with sleep since they

contain melatonin the sleep hormone

Since you would need to eat an entire bag

of these cherries on a daily basis to reap the

benefits most people drink tart cherry juice

or take it in a pill form

6) KaleKale is a leafy green that comes from the

same cruciferous family as Brussels sprouts

cabbage and collard greens Kale packs a

punch when it comes to health benefits It

helps lower cholesterol fight cancer and

detox the liver It is high in Vitamin A C

K calcium fiber copper potassium iron

manganese and phosphorus Kale is also

rich in the eye-health promoting lutein and

zeaxanthin compounds

Advisor NUTRITIONgtgt

12 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

the wake of their new habit Running USArsquos 2012 Womenrsquos National Runner Survey found that 80 percent of female respondents spent more than $100 on running apparel in the last year

Considering the history of womenrsquos running and the plethora of science-backed health benefits running offers the modern female running trend is one to cheer for

For decades it was mistakenly thought that a womanrsquos body couldnrsquot handle the strain of distance running but that idea would seem alien to the more than 75 million women who completed a road race in 2011Rewind to 1928 when three women collapsed after running in the Olympic 800 meter race As a result officials banned any race for women longer than 200 meters until 1960 In the 80s science confirmed the safety of distance running for females and restrictions went away completely in 1984 when the womenrsquos marathon and 3000 meter race were added to the Olympic Games

Fast forward to 2011 when more women completed a road race than men marking a significant milestone in the sport But today running is much more than a matter of competition for women according to former collegiate track athlete and USA Track and Field Certified Coach Janae Richardson who founded UtahRunningcom with her husband

ldquoI think women are becoming more aware of the importance of healthrdquo she says

WO

ME

NR

UN

NIN

G

For the first time women might be running more than menldquoand realizing that running is an accessible avenue to get where they want to berdquo

Running is convenient requiring only a cute running outfit (Richardson says jokingly) and a pair of shoes But there is a mental aspect too she says

ldquoIt is a great mental breakrdquo Richardson says ldquoand often a needed break from the challenges of motherhoodrdquo

In addition running provides an opportunity to connect with friends neighbors and the community she says

ldquoIt becomes your own lsquorealrsquo social network as an alternative to the virtual social media network we all divulge inrdquo Richardson says

Those whorsquove completed a road race know the camaraderie that quickly develops between people sharing the ldquopain passion and finish line goalrdquo she says

There are a thousand reasons to run which might be why so many women are latching onto the sport it ldquotouches them on so many levelsrdquo according to runningusaorg

Almost 19 million women reported running or jogging at least six times per year in 2011 which is a 126 percent growth from 2010 according to the National Sporting Goods Association The trend is growing among men at half that speed

And women are leaving a money trail in

1990

Men

W

omen

2000

2011

0 3 6Millions - Source Running USA

Completed a Road Race

9 12 15

6377

36 5

12 36

Wild

When anyone tells me I cant do anything Im just not listening

anymore-Florence Griffith-Joyner aka Flo-Jo womenrsquos

World Record holder 100 m and 200 m

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 13 FacebookcomHealthyIdaho

14 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Wersquove got three different ways to help you burn 500

calories Thatrsquos equal to two bags of MampMs Herersquos how

to melt the pounds away

Lots of people feel a real vigor and

earnestness about losing weight and

getting healthy around New Yearrsquos But

by the time spring has sprung that New

Yearrsquos resolution has melted with the

winter snows Here are three ways to

help you get back on track and burn a

quick 500 calories

Spin away calories with a stationary-bike work-

out that will help you see results

BIKE

MINUTES000 - 500500 - 10001000 - 12001200 - 13001300 - 15001500 - 16001600 - 18001800 - 19001900 - 21002100 - 25002500 - 26002600 - 27002700 -28002800 - 29002900 - 30003000 - 33003300 - 35003500 - 4000

RPM808080859085958595901009010090100909580

LEVEL578686868686868684

If you consider yourself a stair-climbing

machine try this on for size Not only

will you burn calories yoursquoll tone too Be

sure not to cheat Stand upright with your

abdominals firm and if you can help it

avoid using the rails for support when you

get tired To pump up your workout go

hands-free and move your arms in motion

as if you were running

STAIRCLIMBER

MINUTES

000 - 500

500 - 1000

1000 - 1500

1500 - 1800

1800 - 2100

2100 - 5100

5100 - 6100

RPE

4-5 - Warm up

5-6 - Pick up the pace

6-7 - Getting warmer

8-9 - Go all out

5-6 - Recover

Repeat minutes 15- 21 five times

3- Cool down

The trick with this routine

is to keep the incline of your

treadmill at 1 percent the

entire time This can be modi-

fied to suit your fitness level

TREADMILL

MINUTES

000 - 10001000 - 10201020 - 11201120 - 1400

1400 - 17001700 - 27002700 - 31003100 - 35003500 - 39003900 - 5500

5500 - 6000

PACE

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

SPRINGINTOACTION

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 15 FacebookcomHealthyIdaho

J Brett Comstock DDS

Visit our website drbrettcomstockcom

ORAL ampMAXILLOFACIAL SURGERY

2 0 8 3 7 5 0 1 9 1 403 S 11th St 320 Boise ID 83702

PRACTICING THE FULL SCOPE OF ORAL AND MAXILLOFACIAL SURGERY FOR OVER 20 YEARS

Specializing in bullWisdom TeethbullDental ImplantsbullIV Sedation and General AnesthesiaThe HealthFest a FREE community event produced by the Nampa

Chamber of Commerce held at the Nampa Civic Center on March 16th from 900 am to 300 pm is one you donrsquot want to miss There is something for every age group from infants to seniors

With approximately 80 exhibitors the HealthFest focuses on all aspects of health Exhibitors range from healthcare professionals to community organizations The event will cover the full spectrum of health-related sectors which includes local hospitals physicians nutritional advisors care for the aging chiropractic physical fitness vision hearing dental and mental health care

Free screenings include osteoporosis breast cancer lung capacity body fat analysis blood pressure vision dental and more ldquoAsk the Docrdquo sessions and other interactive activities available throughout the day

Come join us at the 2013 HealthFest on March 16th 900 am to 300 pm at the Nampa Civic Centerhellip and remember itrsquos free

A Healthy Happy YOU

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAYldquoIf you can show it

we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

1000 N CURTIS RDSUITE 303 BOISE IDAHO (208) 377-4000 WWWTHEALLERGYGROUPCOM

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ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

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for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

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8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

beatuy tips

copyC

roliq

ue K

ulec

zka

| D

ream

stim

eco

m

HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

copyC

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

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PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
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  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 2: Healthy Idaho | March '13

2 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

HEALTHY IDAHO MARCH 2013 3 FacebookcomHealthyIdaho

10 Urgent Care Locations | primaryhealthcom

Some things are better left not passed on to

the family For aches pains injuries and the flu

theres a Primary Health close by

Urgent Care | Family Practice | Occupational Health

stitches

allergies

sprains

skin rashes

flu

fevers

nausea

Home Sickness

coughs

and more

10 Urgent Care Locations | primaryhealthcom

Some things are better left not passed on to

the family For aches pains injuries and the flu

theres a Primary Health close by

Urgent Care | Family Practice | Occupational Health

stitches

allergies

sprains

skin rashes

flu

fevers

nausea

Home Sickness

coughs

and more

4 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

St Lukersquos Health System will transform healthcare by aligning with physicians and other providers to deliver integrated seamless and patient-centered quality care across all St Lukersquos settings

Advisor Healthcaregtgt

BETTER TOGETHERBetter Coverage Better Care

David C Pate MD JD is president and CEO of St Lukersquos Health System based in Boise Idaho Dr Pate joined the System in 2009 He received his medical degree from Baylor Col-lege of Medicine in Houston and his law degree from the University of Houston Law Center Read his blog at httpdrpatestlukesblogsorg

ABOUT THE AUTHOR

Good news for Idaho The care you appreciate from St Lukersquos is now aligned with top-ranked insurance from SelectHealth so that hospitals health insurance doctors and patients work together toward lower costs and stable premiums

exceptional healthcare exceptional health Insurance

Learn more about SelectHealth by calling 800-442-3125 or visit selecthealthorg

According to NCQArsquos Private Health Insurance Plan Rankings 2011-2012 copy 2012 St Lukersquos and SelectHealth All rights reserved 1943 0912

Wersquore proud to announce that healthcare and health insurance are doing just that

Isnrsquot it great when everythInG works toGether

St Lukersquos Health System will transform healthcare by aligning with physicians and other providers to deliver integrated seamless patient-centered quality care across all St Lukersquos settingsThatrsquos St Lukersquos vision and Irsquom excited about a significant milestone in attainment of our vision and our ldquoTriple Aimrdquo of better health better care and lower cost

Wersquove got an innovative new partner in SelectHealth an insurance company based in Utah that shares our vision and our values and has pledged to work with us toward achieving those much-needed goals

SelectHealth a Salt Lake City-based not-for-profit health insurance company that serves more than 500000 members in Utah and southern Idaho is committed to helping its members stay healthy offering superior service and facilitating access to high-quality care We believe our new relationship will help us align incentives for participating health care providers and their patients and will help SelectHealth and its members achieve long-term improvements in health

Our new alliance combines St Lukersquos quality with SelectHealthrsquos core competencies and expertise in supporting an integrated health care delivery system and will be supported by BrightPath an extensive network of St Lukersquos physicians and facilities and independent physicians and facilities

Herersquos why this is so important The transformation of health care delivery calls for a completely different business model Many insurance models only reward and therefore health care providers have only focused on improving the health of people who are already sick Most efforts at wellness health promotion fitness screenings

and preventative services have been poorly reimbursed or not paid for at all under many health plans The current system promotes fragmentation of care and there is little incentive for providers and payors to spend the extra time and effort to work together to coordinate care ensure patients get the proper follow-up and try to prevent the use of unnecessary or low-value services

Thatrsquos where SelectHealth comes in St Lukersquos alliance with SelectHealth is built upon trust a commitment to collaboration and data sharing by having each party perform the services they are best suited to without duplicating those same services and by paying the insurance company for the services they deliver It is also focused on providing financial support to health care providers to invest in better health and to reward providers for eliminating low-value to no-value ser-vices according to evidence-based medicine

It will take time to implement the necessary changes and to achieve the benefits and savings we are striv-ing to return to SelectHealth members but we are making a start

This is a very exciting time for St Lukersquos Health System Just as we set out to do we are transforming health care Join me in the journey and keep up with developments via my blog Dr Patersquos Prescription for Change (httpdrpatestlukesblogsorg)

MEANS BETTER HEALTH BETTER CARE AND LOWER COST

Triple Aim

HEALTHY IDAHO MARCH 2013 5 FacebookcomHealthyIdaho

BETTER TOGETHER

Good news for Idaho The care you appreciate from St Lukersquos is now aligned with top-ranked insurance from SelectHealth so that hospitals health insurance doctors and patients work together toward lower costs and stable premiums

exceptional healthcare exceptional health Insurance

Learn more about SelectHealth by calling 800-442-3125 or visiting selecthealthorg

According to NCQArsquos Private Health Insurance Plan Rankings 2011-2012 copy 2012 St Lukersquos and SelectHealth All rights reserved 1943 0912

Wersquore proud to announce that healthcare and health insurance are doing just that

Isnrsquot it great when everythInG works toGether

6 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

6651 West Franklin Road Boise Idaho 83709 bull ph 2086852400 bull fax 2086852369SIACHernesthealthcom

C hoose S o uthwe st

Passionate Patient Caregivers

HEALTHY IDAHO MARCH 2013 7 FacebookcomHealthyIdaho

6651 West Franklin Road Boise Idaho 83709 bull ph 2086852400 bull fax 2086852369SIACHernesthealthcom

Cho o se S o uthw est

Passionate Patient Caregivers

Advanced Therapy Care Speech Occupational amp Physical Therapy Services

Specializing in therapy services for Specializing in therapy services for children and adultschildren and adults

wwwadvancedtherapycarecom

No Waiting Lists Free Screenings Individual Therapy

We accept Insurance amp Medicaid

Cash Discounts

Therapy Preschool Handwriting Clinic Pragmatics Group

Meridian Mountain Home 1550 N Crestmont Dr Ste E 245 N 3rd E Meridian ID 83642 Mountain Home ID 83647 208-898-0988 208-587-8255

Improving the quality of life one patient at a time

VOLUME V 3

FITNESS12 WOMEN RUNNING WILD For the first time in history

women may be running more than men

SPRING INTO ACTION Here are three ways to help you get back on track and burn a quick 500 calories

CROSSFIT CRAZY CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

WELLNESS11 TRENDING IN NUTRITION There are fashion trends

hairstyle trends and yes there are even food trends So whats hot and whats not in 2013

HUMAN RATING Some people equate their value with their work with their bank account or with their appearance and this twisted measurement system is harming our health

EAT TO STAY YOUNG As oxidation browns an apple or rusts metal oxidation inside the human body causes wear and tear that contributes to aging heart disease cancer cataracts and many other disorders Learn about anti-oxidants

33

MADAME22 FEMAILMENTS The unfortunate truth is that when it

comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DYING TO BE THIN You may find it difficult to work toward a healthier relationship with your own body But you can learn to accept and appreciate yourself

BEAUTY BAFFLED Weve got 9 of your most embarrassing beauty questions mdash answered

42

0313IDAHO

reg

37Madame

8 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

MARCH 2013VOLUME V 3

EDITOR-IN-CHIEFJohn A Anderson | editorhealthy-idahocom

PUBLISHERKenneth J Shepherd| kenhealthy-idahocom

SALES AND MARKETING Julie Guyer 2083714533 Steve Wallace 2088504983 Kristi Hendry 2087037448 saleshealthy-idahocom

DESIGN EDITORSPhillip Chadwick | Kelsey Jones

designhealthy-idahocom

MANAGING EDITORSMichael Richardson | Emma Penrod

editorhealthy-idahocom

ONLINE EDITOR

Ashley Romney | ashleyhealthy-idahocom

DIRECTOR OF OPERATIONS Sandy Wise | 8668843258sandyhealthy-idahocom

CONTRIBUTING WRITERS

Gail Morrissey Jessica Hagy Heather Hooke David Joachim Brooke Kittel Wayne Larsen

Colette Bouchez Patty Trela Steven E Warren

CIRCULATIONHealthy Idaho Magazine is printed monthly and delivered to higher income homes throughout Boise and is made available for pick up at hundreds of locations Healthy Idaho Magazine is also mailed to all doctors dentists chiropractors medical practitioners health clinics banks and other businesses If you would like to have Healthy Idaho Magazine delivered for distribution in your place of business please contact us

Healthy Idaho Magazineinfohealthy-idahocom

8668843258PLEASE NOTE The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters which should be obtained directly from a health professional The opinions expressed by the authors and advertisers are not necessarily those of the publisher Call for reprint permission All photography courtesy of Shutterstockcom unless otherwise noted

To be included in our free online directory please email your contact information to

directoryhealthy-magcom

WITH

HealthyIDAHO

reg

Healthy Magazine is dedicated to using

recyclable materials

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

FACEBOOKCOMHEALTHYIDAHO

TWITTERHEALTHYIDAHOMAG

FIRST WORD

SPRING Just say it and you smile The simple thought of spring is energizing Itrsquos the perfect time to begin change the time to be activemdashspontaneously vigorous

Itrsquos caused me to rethink how I spend my time how I prioritize my lsquoworkrsquo and how I define work I mean really what are we working at as the years peel by Brings up a good question ndash if wersquore involved in a project how hard should we work at it ndash how much time should we spend I believe in the philosophy that our attitude and activity towards work affects the quality of our lives How we divide the ratio between work and play defines our work ethic which determines how grand or meager our future fortune turns out to be I believe the business gurus mdashenterprise is better than easemdash which essentially says that each time we choose to do less than we could we lose a bit of self-confidence and that a daily habit of minor mediocrity accumulates into a lifetime of disappointment If yoursquore going to do it do it well no matter what lsquoitrsquo is

The same thing applies to the non-work aspects of our lives We need to work harder at the non-work non-career facet of our lives We need to develop a new discipline of doing rather than neglecting in terms of rejuvenating activities in our lives and especially in our relationships Our ratio of work to play is skewed and hence stress levels are higher and obesity levels are abysmal

Any time we spontaneously choose action and activity over ease and rest we develop an increasing level of self-worth self-respect and self-confidence Itrsquos empowering And really isnrsquot how we feel about ourselves the kernel of life that is itrsquos own greatest reward A positive self-impression ripples across the entire ocean of our lives We become better at our careers better in our relationships and overall just plain better people

HERES THE POINT Our lives are spent too much on what we get and what we must do We schedule everything around it Rather we need to sprinkle a little more spontaneity of activity outside of what we must lsquodorsquo and develop a healthy focus on what we are becoming Whatever we get in life doesnrsquot make us valuablemdashitrsquos what we become in the process of living that brings value to others and ourselves If you are stuck in a mode of inactivity be spontaneousndashright now Get up and move Begin today Spring is almost here

SPRING FEVER WRITTEN BY

JOHN A ANDERSON

EDITOR-IN-CHIEF

I say that because I tend to struggle being unstructured But I try because spontaneity is liberating and pleasurable In fact I think the essence of pleasure is spontaneitymdashjust doing the things you really want to do but tend to push to the sidelines of your busy life

Donrsquot get me wrong I embrace planning organization and working towards goals My whole life swirls around a nucleus of deadlines and timelines but thatrsquos exactly what makes spontaneity so sweet Itrsquos the ability to jump up and do itmdashsimply because you feel like it at the moment Itrsquos trusting your instincts surprising yourself and jumping out of the confines of our well-organized routines to pursue a bit of unscheduled rejuvenation

Herersquos where Irsquom coming from Last week I was juggling a few projects under deadline Things were progressing but I was losing sharpness and creativity A friend called and asked me to go snowmobiling I had zero time for a it but convinced myself that sharpening the saw mid-job might have beneficial results It did A couple of sweat-inducing hours away from task not only felt refreshing but lsquore-bootedrsquo my brain

HEALTHY IDAHO MARCH 2013 9 FacebookcomHealthyIdaho

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

10 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

7SNACK SMARTS

When you need a little something to tie you

over reach for a three-cup serving of low-fat

popcorn Salty or sweet this crunchy comfort

food is surprisingly high in protein and fiber ndash

the dynamic duo when it comes to satiety

A 100-calorie bag serves up 4 grams of filling

fiber and 3 grams of satiating protein Plus

the awkward shape of the kernels fills a lot of

stomach room maximizing satiety

SWEET SATIATIONTo satisfy that sweet tooth after dinner add

a sweet and tangy accent to a savory meal

Remember your body seeks variety in taste and

texture at every meal A ldquochronicrdquo sweet tooth

can be quieted by adding apples berries or

orange slices to a dinner salad or a pilaf dish

Or try a fruit salsa over pork or fish These

sweet ndash and healthy ndash accompaniments

will help stave off dessert cravings

BREAKFAST BLUNDERSInstead of spooning refined carbs and milk

pack protein and fiber into your breakfast

routine Try an egg (fried or scrambled)

accompanied by a cup of low-fat yogurt with

one half cup of low-fat granola and chopped

fruit This high-mileage breakfast will energize

your morning and take you all the way to lunch

before you start feeling hungry

1 TIME OF DAY We each have our own eating routine throughout

the day Whether you wake up and immediately

eat a bowl of cereal or you wait to eat until after

going to the gym your body knows when to expect

food Hunger at certain times of the day becomes a

conditioned response not always out of hunger but

out of our bodyrsquos expectations2 SIGHT FOOD Seeing food you like whether real in pictures or in

your mind induces appetite and falsely triggers the

body to anticipate eating The false anticipation

followed by salivating the bodyrsquos natural preparation

for incoming food leads to actual eating

3 SMELL OF FOOD Who can resist the smell of the corner bakery or a

whiff of the mallrsquos Cinnabon Smelling food triggers

the insulin secretion that makes us feel hungry

4 REFINED CARBS Meals heavy with refined carbohydrates such as

sugars and white flour and pastas launch blood sugar

levels only to bring them crashing down just a few

hours after eating This blood-sugar crash mimics the

feeling of fasting provoking you to eat to recover

HUNGER GAMES

ways your body tells you yoursquore hungryhellip

even when yoursquore notEdited by Michael Alexander

5 VARIETY If you suffer from the munchies or

cravings for dessert on a full stomach your diet may suffer from lack of

variety At each meal our bodies crave diverse flavors and textures

If these cravings go unsatiated our bodies want to eat until they are

satisfied To solve a chronic sweet tooth add a fruit accompaniment to a

savory dinner

TEMPERATURE Ever wonder why restaurants keep

their temps so cool Restaurant managers and owners play on your

bodyrsquos hunger and satiety signals As you get hungry your metabolism

slows and your core temperature drops signaling a need for calories

As you eat and restore your metabolic rate your body warms

Body heat is a signal for satiety If you body cannot warm ndash say in a cold restaurant ndash the heat satiety

signal never registers and you overeat

7 ALCOHOL Drinking alcoholic beverages impairs

judgment which can easily lead to overeating especially when drinking around food However alcohol itself

does not stimulate appetite

nutrition notesNUMBERS STUDIES AND STATS

6

HEALTHY IDAHO MARCH 2013 11 FacebookcomHealthyIdaho

There are fashion trends hairstyle trends and yes there are even food trends It is not that the beneficial components of these foods havenrsquot been known before 2013 Rather they achieve prominence when a celebrity or famous nutritionist or doctor touts the purported benefits of certain ldquoexoticrdquo foods So what are the hot foodsbeverages in 20131) Green Tea This is perhaps the most praised compound

on the list for good reason Green tea contains

powerful antioxidants that inhibit growth of

cancer cells Research indicates that it also

lowers blood pressure and cholesterol If

yoursquore looking for an ally in your weight loss

battle green tea could be your new friend

Chemicals in green tea increase metabolism

reduce the amount of dietary fat the body

absorbs prevent fat cells from enlarging and

multiplying and regulate blood sugar levels

2) Greek YogurtBoth Greek and regular yogurt in their plain

non-fat or low-fat forms are healthy dietary

options Theyre low in calories and packed

with calcium and live bacterial cultures

which promote a healthy digestive track

The Greek version however has less sugar

half the carbohydrates half the sodium and

almost double the protein of regular yogurt

3) QuinoaIf you are looking for a low carbohydrate

alternative to pasta or rice quinoa might

be the answer Quinoa is a healthful grain-

like seed that is similar in appearance to

couscous It provides all nine essential amino

acids making it a complete protein It is rich

in B vitamins fiber and magnesium and is

gluten-free

4) Chia SeedsAlong with quinoa chia seeds are one of the

highest plant-based sources of a complete

protein These seeds which resemble

poppy seeds can be purchased in seed or

powder form and added to yogurt oatmeal

or smoothies They can also be used as a

substitute for eggs in baked goods since they

Brooke KittelBA Journalism Certified Personal Trainer (NASM)

ABOUT THE AUTHOR

TRENDING INWhats

Nutritiontake on a gelatinous texture when placed

in liquid (a secret of vegans) Chia seeds are

loaded with omega-3 fats fiber calcium

phosphorous magnesium manganese

copper iron niacin and zinc

5) Tart CherriesTart cherries have the highest anti-

inflammatory content of any food therefore

many people with gout arthritis and joint

pain report significant pain relief when

ingesting tart cherries Additionally studies

have shown that tart cherries fight heart

disease and help with sleep since they

contain melatonin the sleep hormone

Since you would need to eat an entire bag

of these cherries on a daily basis to reap the

benefits most people drink tart cherry juice

or take it in a pill form

6) KaleKale is a leafy green that comes from the

same cruciferous family as Brussels sprouts

cabbage and collard greens Kale packs a

punch when it comes to health benefits It

helps lower cholesterol fight cancer and

detox the liver It is high in Vitamin A C

K calcium fiber copper potassium iron

manganese and phosphorus Kale is also

rich in the eye-health promoting lutein and

zeaxanthin compounds

Advisor NUTRITIONgtgt

12 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

the wake of their new habit Running USArsquos 2012 Womenrsquos National Runner Survey found that 80 percent of female respondents spent more than $100 on running apparel in the last year

Considering the history of womenrsquos running and the plethora of science-backed health benefits running offers the modern female running trend is one to cheer for

For decades it was mistakenly thought that a womanrsquos body couldnrsquot handle the strain of distance running but that idea would seem alien to the more than 75 million women who completed a road race in 2011Rewind to 1928 when three women collapsed after running in the Olympic 800 meter race As a result officials banned any race for women longer than 200 meters until 1960 In the 80s science confirmed the safety of distance running for females and restrictions went away completely in 1984 when the womenrsquos marathon and 3000 meter race were added to the Olympic Games

Fast forward to 2011 when more women completed a road race than men marking a significant milestone in the sport But today running is much more than a matter of competition for women according to former collegiate track athlete and USA Track and Field Certified Coach Janae Richardson who founded UtahRunningcom with her husband

ldquoI think women are becoming more aware of the importance of healthrdquo she says

WO

ME

NR

UN

NIN

G

For the first time women might be running more than menldquoand realizing that running is an accessible avenue to get where they want to berdquo

Running is convenient requiring only a cute running outfit (Richardson says jokingly) and a pair of shoes But there is a mental aspect too she says

ldquoIt is a great mental breakrdquo Richardson says ldquoand often a needed break from the challenges of motherhoodrdquo

In addition running provides an opportunity to connect with friends neighbors and the community she says

ldquoIt becomes your own lsquorealrsquo social network as an alternative to the virtual social media network we all divulge inrdquo Richardson says

Those whorsquove completed a road race know the camaraderie that quickly develops between people sharing the ldquopain passion and finish line goalrdquo she says

There are a thousand reasons to run which might be why so many women are latching onto the sport it ldquotouches them on so many levelsrdquo according to runningusaorg

Almost 19 million women reported running or jogging at least six times per year in 2011 which is a 126 percent growth from 2010 according to the National Sporting Goods Association The trend is growing among men at half that speed

And women are leaving a money trail in

1990

Men

W

omen

2000

2011

0 3 6Millions - Source Running USA

Completed a Road Race

9 12 15

6377

36 5

12 36

Wild

When anyone tells me I cant do anything Im just not listening

anymore-Florence Griffith-Joyner aka Flo-Jo womenrsquos

World Record holder 100 m and 200 m

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 13 FacebookcomHealthyIdaho

14 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Wersquove got three different ways to help you burn 500

calories Thatrsquos equal to two bags of MampMs Herersquos how

to melt the pounds away

Lots of people feel a real vigor and

earnestness about losing weight and

getting healthy around New Yearrsquos But

by the time spring has sprung that New

Yearrsquos resolution has melted with the

winter snows Here are three ways to

help you get back on track and burn a

quick 500 calories

Spin away calories with a stationary-bike work-

out that will help you see results

BIKE

MINUTES000 - 500500 - 10001000 - 12001200 - 13001300 - 15001500 - 16001600 - 18001800 - 19001900 - 21002100 - 25002500 - 26002600 - 27002700 -28002800 - 29002900 - 30003000 - 33003300 - 35003500 - 4000

RPM808080859085958595901009010090100909580

LEVEL578686868686868684

If you consider yourself a stair-climbing

machine try this on for size Not only

will you burn calories yoursquoll tone too Be

sure not to cheat Stand upright with your

abdominals firm and if you can help it

avoid using the rails for support when you

get tired To pump up your workout go

hands-free and move your arms in motion

as if you were running

STAIRCLIMBER

MINUTES

000 - 500

500 - 1000

1000 - 1500

1500 - 1800

1800 - 2100

2100 - 5100

5100 - 6100

RPE

4-5 - Warm up

5-6 - Pick up the pace

6-7 - Getting warmer

8-9 - Go all out

5-6 - Recover

Repeat minutes 15- 21 five times

3- Cool down

The trick with this routine

is to keep the incline of your

treadmill at 1 percent the

entire time This can be modi-

fied to suit your fitness level

TREADMILL

MINUTES

000 - 10001000 - 10201020 - 11201120 - 1400

1400 - 17001700 - 27002700 - 31003100 - 35003500 - 39003900 - 5500

5500 - 6000

PACE

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

SPRINGINTOACTION

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 15 FacebookcomHealthyIdaho

J Brett Comstock DDS

Visit our website drbrettcomstockcom

ORAL ampMAXILLOFACIAL SURGERY

2 0 8 3 7 5 0 1 9 1 403 S 11th St 320 Boise ID 83702

PRACTICING THE FULL SCOPE OF ORAL AND MAXILLOFACIAL SURGERY FOR OVER 20 YEARS

Specializing in bullWisdom TeethbullDental ImplantsbullIV Sedation and General AnesthesiaThe HealthFest a FREE community event produced by the Nampa

Chamber of Commerce held at the Nampa Civic Center on March 16th from 900 am to 300 pm is one you donrsquot want to miss There is something for every age group from infants to seniors

With approximately 80 exhibitors the HealthFest focuses on all aspects of health Exhibitors range from healthcare professionals to community organizations The event will cover the full spectrum of health-related sectors which includes local hospitals physicians nutritional advisors care for the aging chiropractic physical fitness vision hearing dental and mental health care

Free screenings include osteoporosis breast cancer lung capacity body fat analysis blood pressure vision dental and more ldquoAsk the Docrdquo sessions and other interactive activities available throughout the day

Come join us at the 2013 HealthFest on March 16th 900 am to 300 pm at the Nampa Civic Centerhellip and remember itrsquos free

A Healthy Happy YOU

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAYldquoIf you can show it

we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

1000 N CURTIS RDSUITE 303 BOISE IDAHO (208) 377-4000 WWWTHEALLERGYGROUPCOM

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ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

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Complete Womanrsquos Healthcare

Idahorsquos Leading Expert inBio-Identical Hormone Management

for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

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8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

beatuy tips

copyC

roliq

ue K

ulec

zka

| D

ream

stim

eco

m

HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 3: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 3 FacebookcomHealthyIdaho

10 Urgent Care Locations | primaryhealthcom

Some things are better left not passed on to

the family For aches pains injuries and the flu

theres a Primary Health close by

Urgent Care | Family Practice | Occupational Health

stitches

allergies

sprains

skin rashes

flu

fevers

nausea

Home Sickness

coughs

and more

10 Urgent Care Locations | primaryhealthcom

Some things are better left not passed on to

the family For aches pains injuries and the flu

theres a Primary Health close by

Urgent Care | Family Practice | Occupational Health

stitches

allergies

sprains

skin rashes

flu

fevers

nausea

Home Sickness

coughs

and more

4 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

St Lukersquos Health System will transform healthcare by aligning with physicians and other providers to deliver integrated seamless and patient-centered quality care across all St Lukersquos settings

Advisor Healthcaregtgt

BETTER TOGETHERBetter Coverage Better Care

David C Pate MD JD is president and CEO of St Lukersquos Health System based in Boise Idaho Dr Pate joined the System in 2009 He received his medical degree from Baylor Col-lege of Medicine in Houston and his law degree from the University of Houston Law Center Read his blog at httpdrpatestlukesblogsorg

ABOUT THE AUTHOR

Good news for Idaho The care you appreciate from St Lukersquos is now aligned with top-ranked insurance from SelectHealth so that hospitals health insurance doctors and patients work together toward lower costs and stable premiums

exceptional healthcare exceptional health Insurance

Learn more about SelectHealth by calling 800-442-3125 or visit selecthealthorg

According to NCQArsquos Private Health Insurance Plan Rankings 2011-2012 copy 2012 St Lukersquos and SelectHealth All rights reserved 1943 0912

Wersquore proud to announce that healthcare and health insurance are doing just that

Isnrsquot it great when everythInG works toGether

St Lukersquos Health System will transform healthcare by aligning with physicians and other providers to deliver integrated seamless patient-centered quality care across all St Lukersquos settingsThatrsquos St Lukersquos vision and Irsquom excited about a significant milestone in attainment of our vision and our ldquoTriple Aimrdquo of better health better care and lower cost

Wersquove got an innovative new partner in SelectHealth an insurance company based in Utah that shares our vision and our values and has pledged to work with us toward achieving those much-needed goals

SelectHealth a Salt Lake City-based not-for-profit health insurance company that serves more than 500000 members in Utah and southern Idaho is committed to helping its members stay healthy offering superior service and facilitating access to high-quality care We believe our new relationship will help us align incentives for participating health care providers and their patients and will help SelectHealth and its members achieve long-term improvements in health

Our new alliance combines St Lukersquos quality with SelectHealthrsquos core competencies and expertise in supporting an integrated health care delivery system and will be supported by BrightPath an extensive network of St Lukersquos physicians and facilities and independent physicians and facilities

Herersquos why this is so important The transformation of health care delivery calls for a completely different business model Many insurance models only reward and therefore health care providers have only focused on improving the health of people who are already sick Most efforts at wellness health promotion fitness screenings

and preventative services have been poorly reimbursed or not paid for at all under many health plans The current system promotes fragmentation of care and there is little incentive for providers and payors to spend the extra time and effort to work together to coordinate care ensure patients get the proper follow-up and try to prevent the use of unnecessary or low-value services

Thatrsquos where SelectHealth comes in St Lukersquos alliance with SelectHealth is built upon trust a commitment to collaboration and data sharing by having each party perform the services they are best suited to without duplicating those same services and by paying the insurance company for the services they deliver It is also focused on providing financial support to health care providers to invest in better health and to reward providers for eliminating low-value to no-value ser-vices according to evidence-based medicine

It will take time to implement the necessary changes and to achieve the benefits and savings we are striv-ing to return to SelectHealth members but we are making a start

This is a very exciting time for St Lukersquos Health System Just as we set out to do we are transforming health care Join me in the journey and keep up with developments via my blog Dr Patersquos Prescription for Change (httpdrpatestlukesblogsorg)

MEANS BETTER HEALTH BETTER CARE AND LOWER COST

Triple Aim

HEALTHY IDAHO MARCH 2013 5 FacebookcomHealthyIdaho

BETTER TOGETHER

Good news for Idaho The care you appreciate from St Lukersquos is now aligned with top-ranked insurance from SelectHealth so that hospitals health insurance doctors and patients work together toward lower costs and stable premiums

exceptional healthcare exceptional health Insurance

Learn more about SelectHealth by calling 800-442-3125 or visiting selecthealthorg

According to NCQArsquos Private Health Insurance Plan Rankings 2011-2012 copy 2012 St Lukersquos and SelectHealth All rights reserved 1943 0912

Wersquore proud to announce that healthcare and health insurance are doing just that

Isnrsquot it great when everythInG works toGether

6 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

6651 West Franklin Road Boise Idaho 83709 bull ph 2086852400 bull fax 2086852369SIACHernesthealthcom

C hoose S o uthwe st

Passionate Patient Caregivers

HEALTHY IDAHO MARCH 2013 7 FacebookcomHealthyIdaho

6651 West Franklin Road Boise Idaho 83709 bull ph 2086852400 bull fax 2086852369SIACHernesthealthcom

Cho o se S o uthw est

Passionate Patient Caregivers

Advanced Therapy Care Speech Occupational amp Physical Therapy Services

Specializing in therapy services for Specializing in therapy services for children and adultschildren and adults

wwwadvancedtherapycarecom

No Waiting Lists Free Screenings Individual Therapy

We accept Insurance amp Medicaid

Cash Discounts

Therapy Preschool Handwriting Clinic Pragmatics Group

Meridian Mountain Home 1550 N Crestmont Dr Ste E 245 N 3rd E Meridian ID 83642 Mountain Home ID 83647 208-898-0988 208-587-8255

Improving the quality of life one patient at a time

VOLUME V 3

FITNESS12 WOMEN RUNNING WILD For the first time in history

women may be running more than men

SPRING INTO ACTION Here are three ways to help you get back on track and burn a quick 500 calories

CROSSFIT CRAZY CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

WELLNESS11 TRENDING IN NUTRITION There are fashion trends

hairstyle trends and yes there are even food trends So whats hot and whats not in 2013

HUMAN RATING Some people equate their value with their work with their bank account or with their appearance and this twisted measurement system is harming our health

EAT TO STAY YOUNG As oxidation browns an apple or rusts metal oxidation inside the human body causes wear and tear that contributes to aging heart disease cancer cataracts and many other disorders Learn about anti-oxidants

33

MADAME22 FEMAILMENTS The unfortunate truth is that when it

comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DYING TO BE THIN You may find it difficult to work toward a healthier relationship with your own body But you can learn to accept and appreciate yourself

BEAUTY BAFFLED Weve got 9 of your most embarrassing beauty questions mdash answered

42

0313IDAHO

reg

37Madame

8 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

MARCH 2013VOLUME V 3

EDITOR-IN-CHIEFJohn A Anderson | editorhealthy-idahocom

PUBLISHERKenneth J Shepherd| kenhealthy-idahocom

SALES AND MARKETING Julie Guyer 2083714533 Steve Wallace 2088504983 Kristi Hendry 2087037448 saleshealthy-idahocom

DESIGN EDITORSPhillip Chadwick | Kelsey Jones

designhealthy-idahocom

MANAGING EDITORSMichael Richardson | Emma Penrod

editorhealthy-idahocom

ONLINE EDITOR

Ashley Romney | ashleyhealthy-idahocom

DIRECTOR OF OPERATIONS Sandy Wise | 8668843258sandyhealthy-idahocom

CONTRIBUTING WRITERS

Gail Morrissey Jessica Hagy Heather Hooke David Joachim Brooke Kittel Wayne Larsen

Colette Bouchez Patty Trela Steven E Warren

CIRCULATIONHealthy Idaho Magazine is printed monthly and delivered to higher income homes throughout Boise and is made available for pick up at hundreds of locations Healthy Idaho Magazine is also mailed to all doctors dentists chiropractors medical practitioners health clinics banks and other businesses If you would like to have Healthy Idaho Magazine delivered for distribution in your place of business please contact us

Healthy Idaho Magazineinfohealthy-idahocom

8668843258PLEASE NOTE The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters which should be obtained directly from a health professional The opinions expressed by the authors and advertisers are not necessarily those of the publisher Call for reprint permission All photography courtesy of Shutterstockcom unless otherwise noted

To be included in our free online directory please email your contact information to

directoryhealthy-magcom

WITH

HealthyIDAHO

reg

Healthy Magazine is dedicated to using

recyclable materials

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

FACEBOOKCOMHEALTHYIDAHO

TWITTERHEALTHYIDAHOMAG

FIRST WORD

SPRING Just say it and you smile The simple thought of spring is energizing Itrsquos the perfect time to begin change the time to be activemdashspontaneously vigorous

Itrsquos caused me to rethink how I spend my time how I prioritize my lsquoworkrsquo and how I define work I mean really what are we working at as the years peel by Brings up a good question ndash if wersquore involved in a project how hard should we work at it ndash how much time should we spend I believe in the philosophy that our attitude and activity towards work affects the quality of our lives How we divide the ratio between work and play defines our work ethic which determines how grand or meager our future fortune turns out to be I believe the business gurus mdashenterprise is better than easemdash which essentially says that each time we choose to do less than we could we lose a bit of self-confidence and that a daily habit of minor mediocrity accumulates into a lifetime of disappointment If yoursquore going to do it do it well no matter what lsquoitrsquo is

The same thing applies to the non-work aspects of our lives We need to work harder at the non-work non-career facet of our lives We need to develop a new discipline of doing rather than neglecting in terms of rejuvenating activities in our lives and especially in our relationships Our ratio of work to play is skewed and hence stress levels are higher and obesity levels are abysmal

Any time we spontaneously choose action and activity over ease and rest we develop an increasing level of self-worth self-respect and self-confidence Itrsquos empowering And really isnrsquot how we feel about ourselves the kernel of life that is itrsquos own greatest reward A positive self-impression ripples across the entire ocean of our lives We become better at our careers better in our relationships and overall just plain better people

HERES THE POINT Our lives are spent too much on what we get and what we must do We schedule everything around it Rather we need to sprinkle a little more spontaneity of activity outside of what we must lsquodorsquo and develop a healthy focus on what we are becoming Whatever we get in life doesnrsquot make us valuablemdashitrsquos what we become in the process of living that brings value to others and ourselves If you are stuck in a mode of inactivity be spontaneousndashright now Get up and move Begin today Spring is almost here

SPRING FEVER WRITTEN BY

JOHN A ANDERSON

EDITOR-IN-CHIEF

I say that because I tend to struggle being unstructured But I try because spontaneity is liberating and pleasurable In fact I think the essence of pleasure is spontaneitymdashjust doing the things you really want to do but tend to push to the sidelines of your busy life

Donrsquot get me wrong I embrace planning organization and working towards goals My whole life swirls around a nucleus of deadlines and timelines but thatrsquos exactly what makes spontaneity so sweet Itrsquos the ability to jump up and do itmdashsimply because you feel like it at the moment Itrsquos trusting your instincts surprising yourself and jumping out of the confines of our well-organized routines to pursue a bit of unscheduled rejuvenation

Herersquos where Irsquom coming from Last week I was juggling a few projects under deadline Things were progressing but I was losing sharpness and creativity A friend called and asked me to go snowmobiling I had zero time for a it but convinced myself that sharpening the saw mid-job might have beneficial results It did A couple of sweat-inducing hours away from task not only felt refreshing but lsquore-bootedrsquo my brain

HEALTHY IDAHO MARCH 2013 9 FacebookcomHealthyIdaho

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

10 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

7SNACK SMARTS

When you need a little something to tie you

over reach for a three-cup serving of low-fat

popcorn Salty or sweet this crunchy comfort

food is surprisingly high in protein and fiber ndash

the dynamic duo when it comes to satiety

A 100-calorie bag serves up 4 grams of filling

fiber and 3 grams of satiating protein Plus

the awkward shape of the kernels fills a lot of

stomach room maximizing satiety

SWEET SATIATIONTo satisfy that sweet tooth after dinner add

a sweet and tangy accent to a savory meal

Remember your body seeks variety in taste and

texture at every meal A ldquochronicrdquo sweet tooth

can be quieted by adding apples berries or

orange slices to a dinner salad or a pilaf dish

Or try a fruit salsa over pork or fish These

sweet ndash and healthy ndash accompaniments

will help stave off dessert cravings

BREAKFAST BLUNDERSInstead of spooning refined carbs and milk

pack protein and fiber into your breakfast

routine Try an egg (fried or scrambled)

accompanied by a cup of low-fat yogurt with

one half cup of low-fat granola and chopped

fruit This high-mileage breakfast will energize

your morning and take you all the way to lunch

before you start feeling hungry

1 TIME OF DAY We each have our own eating routine throughout

the day Whether you wake up and immediately

eat a bowl of cereal or you wait to eat until after

going to the gym your body knows when to expect

food Hunger at certain times of the day becomes a

conditioned response not always out of hunger but

out of our bodyrsquos expectations2 SIGHT FOOD Seeing food you like whether real in pictures or in

your mind induces appetite and falsely triggers the

body to anticipate eating The false anticipation

followed by salivating the bodyrsquos natural preparation

for incoming food leads to actual eating

3 SMELL OF FOOD Who can resist the smell of the corner bakery or a

whiff of the mallrsquos Cinnabon Smelling food triggers

the insulin secretion that makes us feel hungry

4 REFINED CARBS Meals heavy with refined carbohydrates such as

sugars and white flour and pastas launch blood sugar

levels only to bring them crashing down just a few

hours after eating This blood-sugar crash mimics the

feeling of fasting provoking you to eat to recover

HUNGER GAMES

ways your body tells you yoursquore hungryhellip

even when yoursquore notEdited by Michael Alexander

5 VARIETY If you suffer from the munchies or

cravings for dessert on a full stomach your diet may suffer from lack of

variety At each meal our bodies crave diverse flavors and textures

If these cravings go unsatiated our bodies want to eat until they are

satisfied To solve a chronic sweet tooth add a fruit accompaniment to a

savory dinner

TEMPERATURE Ever wonder why restaurants keep

their temps so cool Restaurant managers and owners play on your

bodyrsquos hunger and satiety signals As you get hungry your metabolism

slows and your core temperature drops signaling a need for calories

As you eat and restore your metabolic rate your body warms

Body heat is a signal for satiety If you body cannot warm ndash say in a cold restaurant ndash the heat satiety

signal never registers and you overeat

7 ALCOHOL Drinking alcoholic beverages impairs

judgment which can easily lead to overeating especially when drinking around food However alcohol itself

does not stimulate appetite

nutrition notesNUMBERS STUDIES AND STATS

6

HEALTHY IDAHO MARCH 2013 11 FacebookcomHealthyIdaho

There are fashion trends hairstyle trends and yes there are even food trends It is not that the beneficial components of these foods havenrsquot been known before 2013 Rather they achieve prominence when a celebrity or famous nutritionist or doctor touts the purported benefits of certain ldquoexoticrdquo foods So what are the hot foodsbeverages in 20131) Green Tea This is perhaps the most praised compound

on the list for good reason Green tea contains

powerful antioxidants that inhibit growth of

cancer cells Research indicates that it also

lowers blood pressure and cholesterol If

yoursquore looking for an ally in your weight loss

battle green tea could be your new friend

Chemicals in green tea increase metabolism

reduce the amount of dietary fat the body

absorbs prevent fat cells from enlarging and

multiplying and regulate blood sugar levels

2) Greek YogurtBoth Greek and regular yogurt in their plain

non-fat or low-fat forms are healthy dietary

options Theyre low in calories and packed

with calcium and live bacterial cultures

which promote a healthy digestive track

The Greek version however has less sugar

half the carbohydrates half the sodium and

almost double the protein of regular yogurt

3) QuinoaIf you are looking for a low carbohydrate

alternative to pasta or rice quinoa might

be the answer Quinoa is a healthful grain-

like seed that is similar in appearance to

couscous It provides all nine essential amino

acids making it a complete protein It is rich

in B vitamins fiber and magnesium and is

gluten-free

4) Chia SeedsAlong with quinoa chia seeds are one of the

highest plant-based sources of a complete

protein These seeds which resemble

poppy seeds can be purchased in seed or

powder form and added to yogurt oatmeal

or smoothies They can also be used as a

substitute for eggs in baked goods since they

Brooke KittelBA Journalism Certified Personal Trainer (NASM)

ABOUT THE AUTHOR

TRENDING INWhats

Nutritiontake on a gelatinous texture when placed

in liquid (a secret of vegans) Chia seeds are

loaded with omega-3 fats fiber calcium

phosphorous magnesium manganese

copper iron niacin and zinc

5) Tart CherriesTart cherries have the highest anti-

inflammatory content of any food therefore

many people with gout arthritis and joint

pain report significant pain relief when

ingesting tart cherries Additionally studies

have shown that tart cherries fight heart

disease and help with sleep since they

contain melatonin the sleep hormone

Since you would need to eat an entire bag

of these cherries on a daily basis to reap the

benefits most people drink tart cherry juice

or take it in a pill form

6) KaleKale is a leafy green that comes from the

same cruciferous family as Brussels sprouts

cabbage and collard greens Kale packs a

punch when it comes to health benefits It

helps lower cholesterol fight cancer and

detox the liver It is high in Vitamin A C

K calcium fiber copper potassium iron

manganese and phosphorus Kale is also

rich in the eye-health promoting lutein and

zeaxanthin compounds

Advisor NUTRITIONgtgt

12 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

the wake of their new habit Running USArsquos 2012 Womenrsquos National Runner Survey found that 80 percent of female respondents spent more than $100 on running apparel in the last year

Considering the history of womenrsquos running and the plethora of science-backed health benefits running offers the modern female running trend is one to cheer for

For decades it was mistakenly thought that a womanrsquos body couldnrsquot handle the strain of distance running but that idea would seem alien to the more than 75 million women who completed a road race in 2011Rewind to 1928 when three women collapsed after running in the Olympic 800 meter race As a result officials banned any race for women longer than 200 meters until 1960 In the 80s science confirmed the safety of distance running for females and restrictions went away completely in 1984 when the womenrsquos marathon and 3000 meter race were added to the Olympic Games

Fast forward to 2011 when more women completed a road race than men marking a significant milestone in the sport But today running is much more than a matter of competition for women according to former collegiate track athlete and USA Track and Field Certified Coach Janae Richardson who founded UtahRunningcom with her husband

ldquoI think women are becoming more aware of the importance of healthrdquo she says

WO

ME

NR

UN

NIN

G

For the first time women might be running more than menldquoand realizing that running is an accessible avenue to get where they want to berdquo

Running is convenient requiring only a cute running outfit (Richardson says jokingly) and a pair of shoes But there is a mental aspect too she says

ldquoIt is a great mental breakrdquo Richardson says ldquoand often a needed break from the challenges of motherhoodrdquo

In addition running provides an opportunity to connect with friends neighbors and the community she says

ldquoIt becomes your own lsquorealrsquo social network as an alternative to the virtual social media network we all divulge inrdquo Richardson says

Those whorsquove completed a road race know the camaraderie that quickly develops between people sharing the ldquopain passion and finish line goalrdquo she says

There are a thousand reasons to run which might be why so many women are latching onto the sport it ldquotouches them on so many levelsrdquo according to runningusaorg

Almost 19 million women reported running or jogging at least six times per year in 2011 which is a 126 percent growth from 2010 according to the National Sporting Goods Association The trend is growing among men at half that speed

And women are leaving a money trail in

1990

Men

W

omen

2000

2011

0 3 6Millions - Source Running USA

Completed a Road Race

9 12 15

6377

36 5

12 36

Wild

When anyone tells me I cant do anything Im just not listening

anymore-Florence Griffith-Joyner aka Flo-Jo womenrsquos

World Record holder 100 m and 200 m

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 13 FacebookcomHealthyIdaho

14 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Wersquove got three different ways to help you burn 500

calories Thatrsquos equal to two bags of MampMs Herersquos how

to melt the pounds away

Lots of people feel a real vigor and

earnestness about losing weight and

getting healthy around New Yearrsquos But

by the time spring has sprung that New

Yearrsquos resolution has melted with the

winter snows Here are three ways to

help you get back on track and burn a

quick 500 calories

Spin away calories with a stationary-bike work-

out that will help you see results

BIKE

MINUTES000 - 500500 - 10001000 - 12001200 - 13001300 - 15001500 - 16001600 - 18001800 - 19001900 - 21002100 - 25002500 - 26002600 - 27002700 -28002800 - 29002900 - 30003000 - 33003300 - 35003500 - 4000

RPM808080859085958595901009010090100909580

LEVEL578686868686868684

If you consider yourself a stair-climbing

machine try this on for size Not only

will you burn calories yoursquoll tone too Be

sure not to cheat Stand upright with your

abdominals firm and if you can help it

avoid using the rails for support when you

get tired To pump up your workout go

hands-free and move your arms in motion

as if you were running

STAIRCLIMBER

MINUTES

000 - 500

500 - 1000

1000 - 1500

1500 - 1800

1800 - 2100

2100 - 5100

5100 - 6100

RPE

4-5 - Warm up

5-6 - Pick up the pace

6-7 - Getting warmer

8-9 - Go all out

5-6 - Recover

Repeat minutes 15- 21 five times

3- Cool down

The trick with this routine

is to keep the incline of your

treadmill at 1 percent the

entire time This can be modi-

fied to suit your fitness level

TREADMILL

MINUTES

000 - 10001000 - 10201020 - 11201120 - 1400

1400 - 17001700 - 27002700 - 31003100 - 35003500 - 39003900 - 5500

5500 - 6000

PACE

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

SPRINGINTOACTION

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 15 FacebookcomHealthyIdaho

J Brett Comstock DDS

Visit our website drbrettcomstockcom

ORAL ampMAXILLOFACIAL SURGERY

2 0 8 3 7 5 0 1 9 1 403 S 11th St 320 Boise ID 83702

PRACTICING THE FULL SCOPE OF ORAL AND MAXILLOFACIAL SURGERY FOR OVER 20 YEARS

Specializing in bullWisdom TeethbullDental ImplantsbullIV Sedation and General AnesthesiaThe HealthFest a FREE community event produced by the Nampa

Chamber of Commerce held at the Nampa Civic Center on March 16th from 900 am to 300 pm is one you donrsquot want to miss There is something for every age group from infants to seniors

With approximately 80 exhibitors the HealthFest focuses on all aspects of health Exhibitors range from healthcare professionals to community organizations The event will cover the full spectrum of health-related sectors which includes local hospitals physicians nutritional advisors care for the aging chiropractic physical fitness vision hearing dental and mental health care

Free screenings include osteoporosis breast cancer lung capacity body fat analysis blood pressure vision dental and more ldquoAsk the Docrdquo sessions and other interactive activities available throughout the day

Come join us at the 2013 HealthFest on March 16th 900 am to 300 pm at the Nampa Civic Centerhellip and remember itrsquos free

A Healthy Happy YOU

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAYldquoIf you can show it

we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

1000 N CURTIS RDSUITE 303 BOISE IDAHO (208) 377-4000 WWWTHEALLERGYGROUPCOM

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ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

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for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

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8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

beatuy tips

copyC

roliq

ue K

ulec

zka

| D

ream

stim

eco

m

HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 4: Healthy Idaho | March '13

4 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

St Lukersquos Health System will transform healthcare by aligning with physicians and other providers to deliver integrated seamless and patient-centered quality care across all St Lukersquos settings

Advisor Healthcaregtgt

BETTER TOGETHERBetter Coverage Better Care

David C Pate MD JD is president and CEO of St Lukersquos Health System based in Boise Idaho Dr Pate joined the System in 2009 He received his medical degree from Baylor Col-lege of Medicine in Houston and his law degree from the University of Houston Law Center Read his blog at httpdrpatestlukesblogsorg

ABOUT THE AUTHOR

Good news for Idaho The care you appreciate from St Lukersquos is now aligned with top-ranked insurance from SelectHealth so that hospitals health insurance doctors and patients work together toward lower costs and stable premiums

exceptional healthcare exceptional health Insurance

Learn more about SelectHealth by calling 800-442-3125 or visit selecthealthorg

According to NCQArsquos Private Health Insurance Plan Rankings 2011-2012 copy 2012 St Lukersquos and SelectHealth All rights reserved 1943 0912

Wersquore proud to announce that healthcare and health insurance are doing just that

Isnrsquot it great when everythInG works toGether

St Lukersquos Health System will transform healthcare by aligning with physicians and other providers to deliver integrated seamless patient-centered quality care across all St Lukersquos settingsThatrsquos St Lukersquos vision and Irsquom excited about a significant milestone in attainment of our vision and our ldquoTriple Aimrdquo of better health better care and lower cost

Wersquove got an innovative new partner in SelectHealth an insurance company based in Utah that shares our vision and our values and has pledged to work with us toward achieving those much-needed goals

SelectHealth a Salt Lake City-based not-for-profit health insurance company that serves more than 500000 members in Utah and southern Idaho is committed to helping its members stay healthy offering superior service and facilitating access to high-quality care We believe our new relationship will help us align incentives for participating health care providers and their patients and will help SelectHealth and its members achieve long-term improvements in health

Our new alliance combines St Lukersquos quality with SelectHealthrsquos core competencies and expertise in supporting an integrated health care delivery system and will be supported by BrightPath an extensive network of St Lukersquos physicians and facilities and independent physicians and facilities

Herersquos why this is so important The transformation of health care delivery calls for a completely different business model Many insurance models only reward and therefore health care providers have only focused on improving the health of people who are already sick Most efforts at wellness health promotion fitness screenings

and preventative services have been poorly reimbursed or not paid for at all under many health plans The current system promotes fragmentation of care and there is little incentive for providers and payors to spend the extra time and effort to work together to coordinate care ensure patients get the proper follow-up and try to prevent the use of unnecessary or low-value services

Thatrsquos where SelectHealth comes in St Lukersquos alliance with SelectHealth is built upon trust a commitment to collaboration and data sharing by having each party perform the services they are best suited to without duplicating those same services and by paying the insurance company for the services they deliver It is also focused on providing financial support to health care providers to invest in better health and to reward providers for eliminating low-value to no-value ser-vices according to evidence-based medicine

It will take time to implement the necessary changes and to achieve the benefits and savings we are striv-ing to return to SelectHealth members but we are making a start

This is a very exciting time for St Lukersquos Health System Just as we set out to do we are transforming health care Join me in the journey and keep up with developments via my blog Dr Patersquos Prescription for Change (httpdrpatestlukesblogsorg)

MEANS BETTER HEALTH BETTER CARE AND LOWER COST

Triple Aim

HEALTHY IDAHO MARCH 2013 5 FacebookcomHealthyIdaho

BETTER TOGETHER

Good news for Idaho The care you appreciate from St Lukersquos is now aligned with top-ranked insurance from SelectHealth so that hospitals health insurance doctors and patients work together toward lower costs and stable premiums

exceptional healthcare exceptional health Insurance

Learn more about SelectHealth by calling 800-442-3125 or visiting selecthealthorg

According to NCQArsquos Private Health Insurance Plan Rankings 2011-2012 copy 2012 St Lukersquos and SelectHealth All rights reserved 1943 0912

Wersquore proud to announce that healthcare and health insurance are doing just that

Isnrsquot it great when everythInG works toGether

6 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

6651 West Franklin Road Boise Idaho 83709 bull ph 2086852400 bull fax 2086852369SIACHernesthealthcom

C hoose S o uthwe st

Passionate Patient Caregivers

HEALTHY IDAHO MARCH 2013 7 FacebookcomHealthyIdaho

6651 West Franklin Road Boise Idaho 83709 bull ph 2086852400 bull fax 2086852369SIACHernesthealthcom

Cho o se S o uthw est

Passionate Patient Caregivers

Advanced Therapy Care Speech Occupational amp Physical Therapy Services

Specializing in therapy services for Specializing in therapy services for children and adultschildren and adults

wwwadvancedtherapycarecom

No Waiting Lists Free Screenings Individual Therapy

We accept Insurance amp Medicaid

Cash Discounts

Therapy Preschool Handwriting Clinic Pragmatics Group

Meridian Mountain Home 1550 N Crestmont Dr Ste E 245 N 3rd E Meridian ID 83642 Mountain Home ID 83647 208-898-0988 208-587-8255

Improving the quality of life one patient at a time

VOLUME V 3

FITNESS12 WOMEN RUNNING WILD For the first time in history

women may be running more than men

SPRING INTO ACTION Here are three ways to help you get back on track and burn a quick 500 calories

CROSSFIT CRAZY CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

WELLNESS11 TRENDING IN NUTRITION There are fashion trends

hairstyle trends and yes there are even food trends So whats hot and whats not in 2013

HUMAN RATING Some people equate their value with their work with their bank account or with their appearance and this twisted measurement system is harming our health

EAT TO STAY YOUNG As oxidation browns an apple or rusts metal oxidation inside the human body causes wear and tear that contributes to aging heart disease cancer cataracts and many other disorders Learn about anti-oxidants

33

MADAME22 FEMAILMENTS The unfortunate truth is that when it

comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DYING TO BE THIN You may find it difficult to work toward a healthier relationship with your own body But you can learn to accept and appreciate yourself

BEAUTY BAFFLED Weve got 9 of your most embarrassing beauty questions mdash answered

42

0313IDAHO

reg

37Madame

8 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

MARCH 2013VOLUME V 3

EDITOR-IN-CHIEFJohn A Anderson | editorhealthy-idahocom

PUBLISHERKenneth J Shepherd| kenhealthy-idahocom

SALES AND MARKETING Julie Guyer 2083714533 Steve Wallace 2088504983 Kristi Hendry 2087037448 saleshealthy-idahocom

DESIGN EDITORSPhillip Chadwick | Kelsey Jones

designhealthy-idahocom

MANAGING EDITORSMichael Richardson | Emma Penrod

editorhealthy-idahocom

ONLINE EDITOR

Ashley Romney | ashleyhealthy-idahocom

DIRECTOR OF OPERATIONS Sandy Wise | 8668843258sandyhealthy-idahocom

CONTRIBUTING WRITERS

Gail Morrissey Jessica Hagy Heather Hooke David Joachim Brooke Kittel Wayne Larsen

Colette Bouchez Patty Trela Steven E Warren

CIRCULATIONHealthy Idaho Magazine is printed monthly and delivered to higher income homes throughout Boise and is made available for pick up at hundreds of locations Healthy Idaho Magazine is also mailed to all doctors dentists chiropractors medical practitioners health clinics banks and other businesses If you would like to have Healthy Idaho Magazine delivered for distribution in your place of business please contact us

Healthy Idaho Magazineinfohealthy-idahocom

8668843258PLEASE NOTE The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters which should be obtained directly from a health professional The opinions expressed by the authors and advertisers are not necessarily those of the publisher Call for reprint permission All photography courtesy of Shutterstockcom unless otherwise noted

To be included in our free online directory please email your contact information to

directoryhealthy-magcom

WITH

HealthyIDAHO

reg

Healthy Magazine is dedicated to using

recyclable materials

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

FACEBOOKCOMHEALTHYIDAHO

TWITTERHEALTHYIDAHOMAG

FIRST WORD

SPRING Just say it and you smile The simple thought of spring is energizing Itrsquos the perfect time to begin change the time to be activemdashspontaneously vigorous

Itrsquos caused me to rethink how I spend my time how I prioritize my lsquoworkrsquo and how I define work I mean really what are we working at as the years peel by Brings up a good question ndash if wersquore involved in a project how hard should we work at it ndash how much time should we spend I believe in the philosophy that our attitude and activity towards work affects the quality of our lives How we divide the ratio between work and play defines our work ethic which determines how grand or meager our future fortune turns out to be I believe the business gurus mdashenterprise is better than easemdash which essentially says that each time we choose to do less than we could we lose a bit of self-confidence and that a daily habit of minor mediocrity accumulates into a lifetime of disappointment If yoursquore going to do it do it well no matter what lsquoitrsquo is

The same thing applies to the non-work aspects of our lives We need to work harder at the non-work non-career facet of our lives We need to develop a new discipline of doing rather than neglecting in terms of rejuvenating activities in our lives and especially in our relationships Our ratio of work to play is skewed and hence stress levels are higher and obesity levels are abysmal

Any time we spontaneously choose action and activity over ease and rest we develop an increasing level of self-worth self-respect and self-confidence Itrsquos empowering And really isnrsquot how we feel about ourselves the kernel of life that is itrsquos own greatest reward A positive self-impression ripples across the entire ocean of our lives We become better at our careers better in our relationships and overall just plain better people

HERES THE POINT Our lives are spent too much on what we get and what we must do We schedule everything around it Rather we need to sprinkle a little more spontaneity of activity outside of what we must lsquodorsquo and develop a healthy focus on what we are becoming Whatever we get in life doesnrsquot make us valuablemdashitrsquos what we become in the process of living that brings value to others and ourselves If you are stuck in a mode of inactivity be spontaneousndashright now Get up and move Begin today Spring is almost here

SPRING FEVER WRITTEN BY

JOHN A ANDERSON

EDITOR-IN-CHIEF

I say that because I tend to struggle being unstructured But I try because spontaneity is liberating and pleasurable In fact I think the essence of pleasure is spontaneitymdashjust doing the things you really want to do but tend to push to the sidelines of your busy life

Donrsquot get me wrong I embrace planning organization and working towards goals My whole life swirls around a nucleus of deadlines and timelines but thatrsquos exactly what makes spontaneity so sweet Itrsquos the ability to jump up and do itmdashsimply because you feel like it at the moment Itrsquos trusting your instincts surprising yourself and jumping out of the confines of our well-organized routines to pursue a bit of unscheduled rejuvenation

Herersquos where Irsquom coming from Last week I was juggling a few projects under deadline Things were progressing but I was losing sharpness and creativity A friend called and asked me to go snowmobiling I had zero time for a it but convinced myself that sharpening the saw mid-job might have beneficial results It did A couple of sweat-inducing hours away from task not only felt refreshing but lsquore-bootedrsquo my brain

HEALTHY IDAHO MARCH 2013 9 FacebookcomHealthyIdaho

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

10 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

7SNACK SMARTS

When you need a little something to tie you

over reach for a three-cup serving of low-fat

popcorn Salty or sweet this crunchy comfort

food is surprisingly high in protein and fiber ndash

the dynamic duo when it comes to satiety

A 100-calorie bag serves up 4 grams of filling

fiber and 3 grams of satiating protein Plus

the awkward shape of the kernels fills a lot of

stomach room maximizing satiety

SWEET SATIATIONTo satisfy that sweet tooth after dinner add

a sweet and tangy accent to a savory meal

Remember your body seeks variety in taste and

texture at every meal A ldquochronicrdquo sweet tooth

can be quieted by adding apples berries or

orange slices to a dinner salad or a pilaf dish

Or try a fruit salsa over pork or fish These

sweet ndash and healthy ndash accompaniments

will help stave off dessert cravings

BREAKFAST BLUNDERSInstead of spooning refined carbs and milk

pack protein and fiber into your breakfast

routine Try an egg (fried or scrambled)

accompanied by a cup of low-fat yogurt with

one half cup of low-fat granola and chopped

fruit This high-mileage breakfast will energize

your morning and take you all the way to lunch

before you start feeling hungry

1 TIME OF DAY We each have our own eating routine throughout

the day Whether you wake up and immediately

eat a bowl of cereal or you wait to eat until after

going to the gym your body knows when to expect

food Hunger at certain times of the day becomes a

conditioned response not always out of hunger but

out of our bodyrsquos expectations2 SIGHT FOOD Seeing food you like whether real in pictures or in

your mind induces appetite and falsely triggers the

body to anticipate eating The false anticipation

followed by salivating the bodyrsquos natural preparation

for incoming food leads to actual eating

3 SMELL OF FOOD Who can resist the smell of the corner bakery or a

whiff of the mallrsquos Cinnabon Smelling food triggers

the insulin secretion that makes us feel hungry

4 REFINED CARBS Meals heavy with refined carbohydrates such as

sugars and white flour and pastas launch blood sugar

levels only to bring them crashing down just a few

hours after eating This blood-sugar crash mimics the

feeling of fasting provoking you to eat to recover

HUNGER GAMES

ways your body tells you yoursquore hungryhellip

even when yoursquore notEdited by Michael Alexander

5 VARIETY If you suffer from the munchies or

cravings for dessert on a full stomach your diet may suffer from lack of

variety At each meal our bodies crave diverse flavors and textures

If these cravings go unsatiated our bodies want to eat until they are

satisfied To solve a chronic sweet tooth add a fruit accompaniment to a

savory dinner

TEMPERATURE Ever wonder why restaurants keep

their temps so cool Restaurant managers and owners play on your

bodyrsquos hunger and satiety signals As you get hungry your metabolism

slows and your core temperature drops signaling a need for calories

As you eat and restore your metabolic rate your body warms

Body heat is a signal for satiety If you body cannot warm ndash say in a cold restaurant ndash the heat satiety

signal never registers and you overeat

7 ALCOHOL Drinking alcoholic beverages impairs

judgment which can easily lead to overeating especially when drinking around food However alcohol itself

does not stimulate appetite

nutrition notesNUMBERS STUDIES AND STATS

6

HEALTHY IDAHO MARCH 2013 11 FacebookcomHealthyIdaho

There are fashion trends hairstyle trends and yes there are even food trends It is not that the beneficial components of these foods havenrsquot been known before 2013 Rather they achieve prominence when a celebrity or famous nutritionist or doctor touts the purported benefits of certain ldquoexoticrdquo foods So what are the hot foodsbeverages in 20131) Green Tea This is perhaps the most praised compound

on the list for good reason Green tea contains

powerful antioxidants that inhibit growth of

cancer cells Research indicates that it also

lowers blood pressure and cholesterol If

yoursquore looking for an ally in your weight loss

battle green tea could be your new friend

Chemicals in green tea increase metabolism

reduce the amount of dietary fat the body

absorbs prevent fat cells from enlarging and

multiplying and regulate blood sugar levels

2) Greek YogurtBoth Greek and regular yogurt in their plain

non-fat or low-fat forms are healthy dietary

options Theyre low in calories and packed

with calcium and live bacterial cultures

which promote a healthy digestive track

The Greek version however has less sugar

half the carbohydrates half the sodium and

almost double the protein of regular yogurt

3) QuinoaIf you are looking for a low carbohydrate

alternative to pasta or rice quinoa might

be the answer Quinoa is a healthful grain-

like seed that is similar in appearance to

couscous It provides all nine essential amino

acids making it a complete protein It is rich

in B vitamins fiber and magnesium and is

gluten-free

4) Chia SeedsAlong with quinoa chia seeds are one of the

highest plant-based sources of a complete

protein These seeds which resemble

poppy seeds can be purchased in seed or

powder form and added to yogurt oatmeal

or smoothies They can also be used as a

substitute for eggs in baked goods since they

Brooke KittelBA Journalism Certified Personal Trainer (NASM)

ABOUT THE AUTHOR

TRENDING INWhats

Nutritiontake on a gelatinous texture when placed

in liquid (a secret of vegans) Chia seeds are

loaded with omega-3 fats fiber calcium

phosphorous magnesium manganese

copper iron niacin and zinc

5) Tart CherriesTart cherries have the highest anti-

inflammatory content of any food therefore

many people with gout arthritis and joint

pain report significant pain relief when

ingesting tart cherries Additionally studies

have shown that tart cherries fight heart

disease and help with sleep since they

contain melatonin the sleep hormone

Since you would need to eat an entire bag

of these cherries on a daily basis to reap the

benefits most people drink tart cherry juice

or take it in a pill form

6) KaleKale is a leafy green that comes from the

same cruciferous family as Brussels sprouts

cabbage and collard greens Kale packs a

punch when it comes to health benefits It

helps lower cholesterol fight cancer and

detox the liver It is high in Vitamin A C

K calcium fiber copper potassium iron

manganese and phosphorus Kale is also

rich in the eye-health promoting lutein and

zeaxanthin compounds

Advisor NUTRITIONgtgt

12 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

the wake of their new habit Running USArsquos 2012 Womenrsquos National Runner Survey found that 80 percent of female respondents spent more than $100 on running apparel in the last year

Considering the history of womenrsquos running and the plethora of science-backed health benefits running offers the modern female running trend is one to cheer for

For decades it was mistakenly thought that a womanrsquos body couldnrsquot handle the strain of distance running but that idea would seem alien to the more than 75 million women who completed a road race in 2011Rewind to 1928 when three women collapsed after running in the Olympic 800 meter race As a result officials banned any race for women longer than 200 meters until 1960 In the 80s science confirmed the safety of distance running for females and restrictions went away completely in 1984 when the womenrsquos marathon and 3000 meter race were added to the Olympic Games

Fast forward to 2011 when more women completed a road race than men marking a significant milestone in the sport But today running is much more than a matter of competition for women according to former collegiate track athlete and USA Track and Field Certified Coach Janae Richardson who founded UtahRunningcom with her husband

ldquoI think women are becoming more aware of the importance of healthrdquo she says

WO

ME

NR

UN

NIN

G

For the first time women might be running more than menldquoand realizing that running is an accessible avenue to get where they want to berdquo

Running is convenient requiring only a cute running outfit (Richardson says jokingly) and a pair of shoes But there is a mental aspect too she says

ldquoIt is a great mental breakrdquo Richardson says ldquoand often a needed break from the challenges of motherhoodrdquo

In addition running provides an opportunity to connect with friends neighbors and the community she says

ldquoIt becomes your own lsquorealrsquo social network as an alternative to the virtual social media network we all divulge inrdquo Richardson says

Those whorsquove completed a road race know the camaraderie that quickly develops between people sharing the ldquopain passion and finish line goalrdquo she says

There are a thousand reasons to run which might be why so many women are latching onto the sport it ldquotouches them on so many levelsrdquo according to runningusaorg

Almost 19 million women reported running or jogging at least six times per year in 2011 which is a 126 percent growth from 2010 according to the National Sporting Goods Association The trend is growing among men at half that speed

And women are leaving a money trail in

1990

Men

W

omen

2000

2011

0 3 6Millions - Source Running USA

Completed a Road Race

9 12 15

6377

36 5

12 36

Wild

When anyone tells me I cant do anything Im just not listening

anymore-Florence Griffith-Joyner aka Flo-Jo womenrsquos

World Record holder 100 m and 200 m

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 13 FacebookcomHealthyIdaho

14 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Wersquove got three different ways to help you burn 500

calories Thatrsquos equal to two bags of MampMs Herersquos how

to melt the pounds away

Lots of people feel a real vigor and

earnestness about losing weight and

getting healthy around New Yearrsquos But

by the time spring has sprung that New

Yearrsquos resolution has melted with the

winter snows Here are three ways to

help you get back on track and burn a

quick 500 calories

Spin away calories with a stationary-bike work-

out that will help you see results

BIKE

MINUTES000 - 500500 - 10001000 - 12001200 - 13001300 - 15001500 - 16001600 - 18001800 - 19001900 - 21002100 - 25002500 - 26002600 - 27002700 -28002800 - 29002900 - 30003000 - 33003300 - 35003500 - 4000

RPM808080859085958595901009010090100909580

LEVEL578686868686868684

If you consider yourself a stair-climbing

machine try this on for size Not only

will you burn calories yoursquoll tone too Be

sure not to cheat Stand upright with your

abdominals firm and if you can help it

avoid using the rails for support when you

get tired To pump up your workout go

hands-free and move your arms in motion

as if you were running

STAIRCLIMBER

MINUTES

000 - 500

500 - 1000

1000 - 1500

1500 - 1800

1800 - 2100

2100 - 5100

5100 - 6100

RPE

4-5 - Warm up

5-6 - Pick up the pace

6-7 - Getting warmer

8-9 - Go all out

5-6 - Recover

Repeat minutes 15- 21 five times

3- Cool down

The trick with this routine

is to keep the incline of your

treadmill at 1 percent the

entire time This can be modi-

fied to suit your fitness level

TREADMILL

MINUTES

000 - 10001000 - 10201020 - 11201120 - 1400

1400 - 17001700 - 27002700 - 31003100 - 35003500 - 39003900 - 5500

5500 - 6000

PACE

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

SPRINGINTOACTION

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 15 FacebookcomHealthyIdaho

J Brett Comstock DDS

Visit our website drbrettcomstockcom

ORAL ampMAXILLOFACIAL SURGERY

2 0 8 3 7 5 0 1 9 1 403 S 11th St 320 Boise ID 83702

PRACTICING THE FULL SCOPE OF ORAL AND MAXILLOFACIAL SURGERY FOR OVER 20 YEARS

Specializing in bullWisdom TeethbullDental ImplantsbullIV Sedation and General AnesthesiaThe HealthFest a FREE community event produced by the Nampa

Chamber of Commerce held at the Nampa Civic Center on March 16th from 900 am to 300 pm is one you donrsquot want to miss There is something for every age group from infants to seniors

With approximately 80 exhibitors the HealthFest focuses on all aspects of health Exhibitors range from healthcare professionals to community organizations The event will cover the full spectrum of health-related sectors which includes local hospitals physicians nutritional advisors care for the aging chiropractic physical fitness vision hearing dental and mental health care

Free screenings include osteoporosis breast cancer lung capacity body fat analysis blood pressure vision dental and more ldquoAsk the Docrdquo sessions and other interactive activities available throughout the day

Come join us at the 2013 HealthFest on March 16th 900 am to 300 pm at the Nampa Civic Centerhellip and remember itrsquos free

A Healthy Happy YOU

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAYldquoIf you can show it

we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

1000 N CURTIS RDSUITE 303 BOISE IDAHO (208) 377-4000 WWWTHEALLERGYGROUPCOM

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ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

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for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

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Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

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22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

beatuy tips

copyC

roliq

ue K

ulec

zka

| D

ream

stim

eco

m

HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 5: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 5 FacebookcomHealthyIdaho

BETTER TOGETHER

Good news for Idaho The care you appreciate from St Lukersquos is now aligned with top-ranked insurance from SelectHealth so that hospitals health insurance doctors and patients work together toward lower costs and stable premiums

exceptional healthcare exceptional health Insurance

Learn more about SelectHealth by calling 800-442-3125 or visiting selecthealthorg

According to NCQArsquos Private Health Insurance Plan Rankings 2011-2012 copy 2012 St Lukersquos and SelectHealth All rights reserved 1943 0912

Wersquore proud to announce that healthcare and health insurance are doing just that

Isnrsquot it great when everythInG works toGether

6 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

6651 West Franklin Road Boise Idaho 83709 bull ph 2086852400 bull fax 2086852369SIACHernesthealthcom

C hoose S o uthwe st

Passionate Patient Caregivers

HEALTHY IDAHO MARCH 2013 7 FacebookcomHealthyIdaho

6651 West Franklin Road Boise Idaho 83709 bull ph 2086852400 bull fax 2086852369SIACHernesthealthcom

Cho o se S o uthw est

Passionate Patient Caregivers

Advanced Therapy Care Speech Occupational amp Physical Therapy Services

Specializing in therapy services for Specializing in therapy services for children and adultschildren and adults

wwwadvancedtherapycarecom

No Waiting Lists Free Screenings Individual Therapy

We accept Insurance amp Medicaid

Cash Discounts

Therapy Preschool Handwriting Clinic Pragmatics Group

Meridian Mountain Home 1550 N Crestmont Dr Ste E 245 N 3rd E Meridian ID 83642 Mountain Home ID 83647 208-898-0988 208-587-8255

Improving the quality of life one patient at a time

VOLUME V 3

FITNESS12 WOMEN RUNNING WILD For the first time in history

women may be running more than men

SPRING INTO ACTION Here are three ways to help you get back on track and burn a quick 500 calories

CROSSFIT CRAZY CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

WELLNESS11 TRENDING IN NUTRITION There are fashion trends

hairstyle trends and yes there are even food trends So whats hot and whats not in 2013

HUMAN RATING Some people equate their value with their work with their bank account or with their appearance and this twisted measurement system is harming our health

EAT TO STAY YOUNG As oxidation browns an apple or rusts metal oxidation inside the human body causes wear and tear that contributes to aging heart disease cancer cataracts and many other disorders Learn about anti-oxidants

33

MADAME22 FEMAILMENTS The unfortunate truth is that when it

comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DYING TO BE THIN You may find it difficult to work toward a healthier relationship with your own body But you can learn to accept and appreciate yourself

BEAUTY BAFFLED Weve got 9 of your most embarrassing beauty questions mdash answered

42

0313IDAHO

reg

37Madame

8 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

MARCH 2013VOLUME V 3

EDITOR-IN-CHIEFJohn A Anderson | editorhealthy-idahocom

PUBLISHERKenneth J Shepherd| kenhealthy-idahocom

SALES AND MARKETING Julie Guyer 2083714533 Steve Wallace 2088504983 Kristi Hendry 2087037448 saleshealthy-idahocom

DESIGN EDITORSPhillip Chadwick | Kelsey Jones

designhealthy-idahocom

MANAGING EDITORSMichael Richardson | Emma Penrod

editorhealthy-idahocom

ONLINE EDITOR

Ashley Romney | ashleyhealthy-idahocom

DIRECTOR OF OPERATIONS Sandy Wise | 8668843258sandyhealthy-idahocom

CONTRIBUTING WRITERS

Gail Morrissey Jessica Hagy Heather Hooke David Joachim Brooke Kittel Wayne Larsen

Colette Bouchez Patty Trela Steven E Warren

CIRCULATIONHealthy Idaho Magazine is printed monthly and delivered to higher income homes throughout Boise and is made available for pick up at hundreds of locations Healthy Idaho Magazine is also mailed to all doctors dentists chiropractors medical practitioners health clinics banks and other businesses If you would like to have Healthy Idaho Magazine delivered for distribution in your place of business please contact us

Healthy Idaho Magazineinfohealthy-idahocom

8668843258PLEASE NOTE The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters which should be obtained directly from a health professional The opinions expressed by the authors and advertisers are not necessarily those of the publisher Call for reprint permission All photography courtesy of Shutterstockcom unless otherwise noted

To be included in our free online directory please email your contact information to

directoryhealthy-magcom

WITH

HealthyIDAHO

reg

Healthy Magazine is dedicated to using

recyclable materials

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

FACEBOOKCOMHEALTHYIDAHO

TWITTERHEALTHYIDAHOMAG

FIRST WORD

SPRING Just say it and you smile The simple thought of spring is energizing Itrsquos the perfect time to begin change the time to be activemdashspontaneously vigorous

Itrsquos caused me to rethink how I spend my time how I prioritize my lsquoworkrsquo and how I define work I mean really what are we working at as the years peel by Brings up a good question ndash if wersquore involved in a project how hard should we work at it ndash how much time should we spend I believe in the philosophy that our attitude and activity towards work affects the quality of our lives How we divide the ratio between work and play defines our work ethic which determines how grand or meager our future fortune turns out to be I believe the business gurus mdashenterprise is better than easemdash which essentially says that each time we choose to do less than we could we lose a bit of self-confidence and that a daily habit of minor mediocrity accumulates into a lifetime of disappointment If yoursquore going to do it do it well no matter what lsquoitrsquo is

The same thing applies to the non-work aspects of our lives We need to work harder at the non-work non-career facet of our lives We need to develop a new discipline of doing rather than neglecting in terms of rejuvenating activities in our lives and especially in our relationships Our ratio of work to play is skewed and hence stress levels are higher and obesity levels are abysmal

Any time we spontaneously choose action and activity over ease and rest we develop an increasing level of self-worth self-respect and self-confidence Itrsquos empowering And really isnrsquot how we feel about ourselves the kernel of life that is itrsquos own greatest reward A positive self-impression ripples across the entire ocean of our lives We become better at our careers better in our relationships and overall just plain better people

HERES THE POINT Our lives are spent too much on what we get and what we must do We schedule everything around it Rather we need to sprinkle a little more spontaneity of activity outside of what we must lsquodorsquo and develop a healthy focus on what we are becoming Whatever we get in life doesnrsquot make us valuablemdashitrsquos what we become in the process of living that brings value to others and ourselves If you are stuck in a mode of inactivity be spontaneousndashright now Get up and move Begin today Spring is almost here

SPRING FEVER WRITTEN BY

JOHN A ANDERSON

EDITOR-IN-CHIEF

I say that because I tend to struggle being unstructured But I try because spontaneity is liberating and pleasurable In fact I think the essence of pleasure is spontaneitymdashjust doing the things you really want to do but tend to push to the sidelines of your busy life

Donrsquot get me wrong I embrace planning organization and working towards goals My whole life swirls around a nucleus of deadlines and timelines but thatrsquos exactly what makes spontaneity so sweet Itrsquos the ability to jump up and do itmdashsimply because you feel like it at the moment Itrsquos trusting your instincts surprising yourself and jumping out of the confines of our well-organized routines to pursue a bit of unscheduled rejuvenation

Herersquos where Irsquom coming from Last week I was juggling a few projects under deadline Things were progressing but I was losing sharpness and creativity A friend called and asked me to go snowmobiling I had zero time for a it but convinced myself that sharpening the saw mid-job might have beneficial results It did A couple of sweat-inducing hours away from task not only felt refreshing but lsquore-bootedrsquo my brain

HEALTHY IDAHO MARCH 2013 9 FacebookcomHealthyIdaho

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

10 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

7SNACK SMARTS

When you need a little something to tie you

over reach for a three-cup serving of low-fat

popcorn Salty or sweet this crunchy comfort

food is surprisingly high in protein and fiber ndash

the dynamic duo when it comes to satiety

A 100-calorie bag serves up 4 grams of filling

fiber and 3 grams of satiating protein Plus

the awkward shape of the kernels fills a lot of

stomach room maximizing satiety

SWEET SATIATIONTo satisfy that sweet tooth after dinner add

a sweet and tangy accent to a savory meal

Remember your body seeks variety in taste and

texture at every meal A ldquochronicrdquo sweet tooth

can be quieted by adding apples berries or

orange slices to a dinner salad or a pilaf dish

Or try a fruit salsa over pork or fish These

sweet ndash and healthy ndash accompaniments

will help stave off dessert cravings

BREAKFAST BLUNDERSInstead of spooning refined carbs and milk

pack protein and fiber into your breakfast

routine Try an egg (fried or scrambled)

accompanied by a cup of low-fat yogurt with

one half cup of low-fat granola and chopped

fruit This high-mileage breakfast will energize

your morning and take you all the way to lunch

before you start feeling hungry

1 TIME OF DAY We each have our own eating routine throughout

the day Whether you wake up and immediately

eat a bowl of cereal or you wait to eat until after

going to the gym your body knows when to expect

food Hunger at certain times of the day becomes a

conditioned response not always out of hunger but

out of our bodyrsquos expectations2 SIGHT FOOD Seeing food you like whether real in pictures or in

your mind induces appetite and falsely triggers the

body to anticipate eating The false anticipation

followed by salivating the bodyrsquos natural preparation

for incoming food leads to actual eating

3 SMELL OF FOOD Who can resist the smell of the corner bakery or a

whiff of the mallrsquos Cinnabon Smelling food triggers

the insulin secretion that makes us feel hungry

4 REFINED CARBS Meals heavy with refined carbohydrates such as

sugars and white flour and pastas launch blood sugar

levels only to bring them crashing down just a few

hours after eating This blood-sugar crash mimics the

feeling of fasting provoking you to eat to recover

HUNGER GAMES

ways your body tells you yoursquore hungryhellip

even when yoursquore notEdited by Michael Alexander

5 VARIETY If you suffer from the munchies or

cravings for dessert on a full stomach your diet may suffer from lack of

variety At each meal our bodies crave diverse flavors and textures

If these cravings go unsatiated our bodies want to eat until they are

satisfied To solve a chronic sweet tooth add a fruit accompaniment to a

savory dinner

TEMPERATURE Ever wonder why restaurants keep

their temps so cool Restaurant managers and owners play on your

bodyrsquos hunger and satiety signals As you get hungry your metabolism

slows and your core temperature drops signaling a need for calories

As you eat and restore your metabolic rate your body warms

Body heat is a signal for satiety If you body cannot warm ndash say in a cold restaurant ndash the heat satiety

signal never registers and you overeat

7 ALCOHOL Drinking alcoholic beverages impairs

judgment which can easily lead to overeating especially when drinking around food However alcohol itself

does not stimulate appetite

nutrition notesNUMBERS STUDIES AND STATS

6

HEALTHY IDAHO MARCH 2013 11 FacebookcomHealthyIdaho

There are fashion trends hairstyle trends and yes there are even food trends It is not that the beneficial components of these foods havenrsquot been known before 2013 Rather they achieve prominence when a celebrity or famous nutritionist or doctor touts the purported benefits of certain ldquoexoticrdquo foods So what are the hot foodsbeverages in 20131) Green Tea This is perhaps the most praised compound

on the list for good reason Green tea contains

powerful antioxidants that inhibit growth of

cancer cells Research indicates that it also

lowers blood pressure and cholesterol If

yoursquore looking for an ally in your weight loss

battle green tea could be your new friend

Chemicals in green tea increase metabolism

reduce the amount of dietary fat the body

absorbs prevent fat cells from enlarging and

multiplying and regulate blood sugar levels

2) Greek YogurtBoth Greek and regular yogurt in their plain

non-fat or low-fat forms are healthy dietary

options Theyre low in calories and packed

with calcium and live bacterial cultures

which promote a healthy digestive track

The Greek version however has less sugar

half the carbohydrates half the sodium and

almost double the protein of regular yogurt

3) QuinoaIf you are looking for a low carbohydrate

alternative to pasta or rice quinoa might

be the answer Quinoa is a healthful grain-

like seed that is similar in appearance to

couscous It provides all nine essential amino

acids making it a complete protein It is rich

in B vitamins fiber and magnesium and is

gluten-free

4) Chia SeedsAlong with quinoa chia seeds are one of the

highest plant-based sources of a complete

protein These seeds which resemble

poppy seeds can be purchased in seed or

powder form and added to yogurt oatmeal

or smoothies They can also be used as a

substitute for eggs in baked goods since they

Brooke KittelBA Journalism Certified Personal Trainer (NASM)

ABOUT THE AUTHOR

TRENDING INWhats

Nutritiontake on a gelatinous texture when placed

in liquid (a secret of vegans) Chia seeds are

loaded with omega-3 fats fiber calcium

phosphorous magnesium manganese

copper iron niacin and zinc

5) Tart CherriesTart cherries have the highest anti-

inflammatory content of any food therefore

many people with gout arthritis and joint

pain report significant pain relief when

ingesting tart cherries Additionally studies

have shown that tart cherries fight heart

disease and help with sleep since they

contain melatonin the sleep hormone

Since you would need to eat an entire bag

of these cherries on a daily basis to reap the

benefits most people drink tart cherry juice

or take it in a pill form

6) KaleKale is a leafy green that comes from the

same cruciferous family as Brussels sprouts

cabbage and collard greens Kale packs a

punch when it comes to health benefits It

helps lower cholesterol fight cancer and

detox the liver It is high in Vitamin A C

K calcium fiber copper potassium iron

manganese and phosphorus Kale is also

rich in the eye-health promoting lutein and

zeaxanthin compounds

Advisor NUTRITIONgtgt

12 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

the wake of their new habit Running USArsquos 2012 Womenrsquos National Runner Survey found that 80 percent of female respondents spent more than $100 on running apparel in the last year

Considering the history of womenrsquos running and the plethora of science-backed health benefits running offers the modern female running trend is one to cheer for

For decades it was mistakenly thought that a womanrsquos body couldnrsquot handle the strain of distance running but that idea would seem alien to the more than 75 million women who completed a road race in 2011Rewind to 1928 when three women collapsed after running in the Olympic 800 meter race As a result officials banned any race for women longer than 200 meters until 1960 In the 80s science confirmed the safety of distance running for females and restrictions went away completely in 1984 when the womenrsquos marathon and 3000 meter race were added to the Olympic Games

Fast forward to 2011 when more women completed a road race than men marking a significant milestone in the sport But today running is much more than a matter of competition for women according to former collegiate track athlete and USA Track and Field Certified Coach Janae Richardson who founded UtahRunningcom with her husband

ldquoI think women are becoming more aware of the importance of healthrdquo she says

WO

ME

NR

UN

NIN

G

For the first time women might be running more than menldquoand realizing that running is an accessible avenue to get where they want to berdquo

Running is convenient requiring only a cute running outfit (Richardson says jokingly) and a pair of shoes But there is a mental aspect too she says

ldquoIt is a great mental breakrdquo Richardson says ldquoand often a needed break from the challenges of motherhoodrdquo

In addition running provides an opportunity to connect with friends neighbors and the community she says

ldquoIt becomes your own lsquorealrsquo social network as an alternative to the virtual social media network we all divulge inrdquo Richardson says

Those whorsquove completed a road race know the camaraderie that quickly develops between people sharing the ldquopain passion and finish line goalrdquo she says

There are a thousand reasons to run which might be why so many women are latching onto the sport it ldquotouches them on so many levelsrdquo according to runningusaorg

Almost 19 million women reported running or jogging at least six times per year in 2011 which is a 126 percent growth from 2010 according to the National Sporting Goods Association The trend is growing among men at half that speed

And women are leaving a money trail in

1990

Men

W

omen

2000

2011

0 3 6Millions - Source Running USA

Completed a Road Race

9 12 15

6377

36 5

12 36

Wild

When anyone tells me I cant do anything Im just not listening

anymore-Florence Griffith-Joyner aka Flo-Jo womenrsquos

World Record holder 100 m and 200 m

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 13 FacebookcomHealthyIdaho

14 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Wersquove got three different ways to help you burn 500

calories Thatrsquos equal to two bags of MampMs Herersquos how

to melt the pounds away

Lots of people feel a real vigor and

earnestness about losing weight and

getting healthy around New Yearrsquos But

by the time spring has sprung that New

Yearrsquos resolution has melted with the

winter snows Here are three ways to

help you get back on track and burn a

quick 500 calories

Spin away calories with a stationary-bike work-

out that will help you see results

BIKE

MINUTES000 - 500500 - 10001000 - 12001200 - 13001300 - 15001500 - 16001600 - 18001800 - 19001900 - 21002100 - 25002500 - 26002600 - 27002700 -28002800 - 29002900 - 30003000 - 33003300 - 35003500 - 4000

RPM808080859085958595901009010090100909580

LEVEL578686868686868684

If you consider yourself a stair-climbing

machine try this on for size Not only

will you burn calories yoursquoll tone too Be

sure not to cheat Stand upright with your

abdominals firm and if you can help it

avoid using the rails for support when you

get tired To pump up your workout go

hands-free and move your arms in motion

as if you were running

STAIRCLIMBER

MINUTES

000 - 500

500 - 1000

1000 - 1500

1500 - 1800

1800 - 2100

2100 - 5100

5100 - 6100

RPE

4-5 - Warm up

5-6 - Pick up the pace

6-7 - Getting warmer

8-9 - Go all out

5-6 - Recover

Repeat minutes 15- 21 five times

3- Cool down

The trick with this routine

is to keep the incline of your

treadmill at 1 percent the

entire time This can be modi-

fied to suit your fitness level

TREADMILL

MINUTES

000 - 10001000 - 10201020 - 11201120 - 1400

1400 - 17001700 - 27002700 - 31003100 - 35003500 - 39003900 - 5500

5500 - 6000

PACE

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

SPRINGINTOACTION

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 15 FacebookcomHealthyIdaho

J Brett Comstock DDS

Visit our website drbrettcomstockcom

ORAL ampMAXILLOFACIAL SURGERY

2 0 8 3 7 5 0 1 9 1 403 S 11th St 320 Boise ID 83702

PRACTICING THE FULL SCOPE OF ORAL AND MAXILLOFACIAL SURGERY FOR OVER 20 YEARS

Specializing in bullWisdom TeethbullDental ImplantsbullIV Sedation and General AnesthesiaThe HealthFest a FREE community event produced by the Nampa

Chamber of Commerce held at the Nampa Civic Center on March 16th from 900 am to 300 pm is one you donrsquot want to miss There is something for every age group from infants to seniors

With approximately 80 exhibitors the HealthFest focuses on all aspects of health Exhibitors range from healthcare professionals to community organizations The event will cover the full spectrum of health-related sectors which includes local hospitals physicians nutritional advisors care for the aging chiropractic physical fitness vision hearing dental and mental health care

Free screenings include osteoporosis breast cancer lung capacity body fat analysis blood pressure vision dental and more ldquoAsk the Docrdquo sessions and other interactive activities available throughout the day

Come join us at the 2013 HealthFest on March 16th 900 am to 300 pm at the Nampa Civic Centerhellip and remember itrsquos free

A Healthy Happy YOU

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAYldquoIf you can show it

we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

1000 N CURTIS RDSUITE 303 BOISE IDAHO (208) 377-4000 WWWTHEALLERGYGROUPCOM

ALLERGY ASTHMA IMMUNOLOGY

Feel the difference

ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

Bio-Identical Hormone Therapy for Men and WomenPreventative and Age-Management Medicine

Complete Womanrsquos Healthcare

Idahorsquos Leading Expert inBio-Identical Hormone Management

for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

HEALTHY-IdahoCOM

8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

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ika

Bak

os |

Dre

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com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

beatuy tips

copyC

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| D

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eco

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

copyC

roliq

ue K

ulec

zka

| D

ream

stim

eco

m

34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

beatuy tips

copySa

ndor

Kac

so V

ling

| Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

copySa

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 6: Healthy Idaho | March '13

6 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

6651 West Franklin Road Boise Idaho 83709 bull ph 2086852400 bull fax 2086852369SIACHernesthealthcom

C hoose S o uthwe st

Passionate Patient Caregivers

HEALTHY IDAHO MARCH 2013 7 FacebookcomHealthyIdaho

6651 West Franklin Road Boise Idaho 83709 bull ph 2086852400 bull fax 2086852369SIACHernesthealthcom

Cho o se S o uthw est

Passionate Patient Caregivers

Advanced Therapy Care Speech Occupational amp Physical Therapy Services

Specializing in therapy services for Specializing in therapy services for children and adultschildren and adults

wwwadvancedtherapycarecom

No Waiting Lists Free Screenings Individual Therapy

We accept Insurance amp Medicaid

Cash Discounts

Therapy Preschool Handwriting Clinic Pragmatics Group

Meridian Mountain Home 1550 N Crestmont Dr Ste E 245 N 3rd E Meridian ID 83642 Mountain Home ID 83647 208-898-0988 208-587-8255

Improving the quality of life one patient at a time

VOLUME V 3

FITNESS12 WOMEN RUNNING WILD For the first time in history

women may be running more than men

SPRING INTO ACTION Here are three ways to help you get back on track and burn a quick 500 calories

CROSSFIT CRAZY CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

WELLNESS11 TRENDING IN NUTRITION There are fashion trends

hairstyle trends and yes there are even food trends So whats hot and whats not in 2013

HUMAN RATING Some people equate their value with their work with their bank account or with their appearance and this twisted measurement system is harming our health

EAT TO STAY YOUNG As oxidation browns an apple or rusts metal oxidation inside the human body causes wear and tear that contributes to aging heart disease cancer cataracts and many other disorders Learn about anti-oxidants

33

MADAME22 FEMAILMENTS The unfortunate truth is that when it

comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DYING TO BE THIN You may find it difficult to work toward a healthier relationship with your own body But you can learn to accept and appreciate yourself

BEAUTY BAFFLED Weve got 9 of your most embarrassing beauty questions mdash answered

42

0313IDAHO

reg

37Madame

8 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

MARCH 2013VOLUME V 3

EDITOR-IN-CHIEFJohn A Anderson | editorhealthy-idahocom

PUBLISHERKenneth J Shepherd| kenhealthy-idahocom

SALES AND MARKETING Julie Guyer 2083714533 Steve Wallace 2088504983 Kristi Hendry 2087037448 saleshealthy-idahocom

DESIGN EDITORSPhillip Chadwick | Kelsey Jones

designhealthy-idahocom

MANAGING EDITORSMichael Richardson | Emma Penrod

editorhealthy-idahocom

ONLINE EDITOR

Ashley Romney | ashleyhealthy-idahocom

DIRECTOR OF OPERATIONS Sandy Wise | 8668843258sandyhealthy-idahocom

CONTRIBUTING WRITERS

Gail Morrissey Jessica Hagy Heather Hooke David Joachim Brooke Kittel Wayne Larsen

Colette Bouchez Patty Trela Steven E Warren

CIRCULATIONHealthy Idaho Magazine is printed monthly and delivered to higher income homes throughout Boise and is made available for pick up at hundreds of locations Healthy Idaho Magazine is also mailed to all doctors dentists chiropractors medical practitioners health clinics banks and other businesses If you would like to have Healthy Idaho Magazine delivered for distribution in your place of business please contact us

Healthy Idaho Magazineinfohealthy-idahocom

8668843258PLEASE NOTE The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters which should be obtained directly from a health professional The opinions expressed by the authors and advertisers are not necessarily those of the publisher Call for reprint permission All photography courtesy of Shutterstockcom unless otherwise noted

To be included in our free online directory please email your contact information to

directoryhealthy-magcom

WITH

HealthyIDAHO

reg

Healthy Magazine is dedicated to using

recyclable materials

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

FACEBOOKCOMHEALTHYIDAHO

TWITTERHEALTHYIDAHOMAG

FIRST WORD

SPRING Just say it and you smile The simple thought of spring is energizing Itrsquos the perfect time to begin change the time to be activemdashspontaneously vigorous

Itrsquos caused me to rethink how I spend my time how I prioritize my lsquoworkrsquo and how I define work I mean really what are we working at as the years peel by Brings up a good question ndash if wersquore involved in a project how hard should we work at it ndash how much time should we spend I believe in the philosophy that our attitude and activity towards work affects the quality of our lives How we divide the ratio between work and play defines our work ethic which determines how grand or meager our future fortune turns out to be I believe the business gurus mdashenterprise is better than easemdash which essentially says that each time we choose to do less than we could we lose a bit of self-confidence and that a daily habit of minor mediocrity accumulates into a lifetime of disappointment If yoursquore going to do it do it well no matter what lsquoitrsquo is

The same thing applies to the non-work aspects of our lives We need to work harder at the non-work non-career facet of our lives We need to develop a new discipline of doing rather than neglecting in terms of rejuvenating activities in our lives and especially in our relationships Our ratio of work to play is skewed and hence stress levels are higher and obesity levels are abysmal

Any time we spontaneously choose action and activity over ease and rest we develop an increasing level of self-worth self-respect and self-confidence Itrsquos empowering And really isnrsquot how we feel about ourselves the kernel of life that is itrsquos own greatest reward A positive self-impression ripples across the entire ocean of our lives We become better at our careers better in our relationships and overall just plain better people

HERES THE POINT Our lives are spent too much on what we get and what we must do We schedule everything around it Rather we need to sprinkle a little more spontaneity of activity outside of what we must lsquodorsquo and develop a healthy focus on what we are becoming Whatever we get in life doesnrsquot make us valuablemdashitrsquos what we become in the process of living that brings value to others and ourselves If you are stuck in a mode of inactivity be spontaneousndashright now Get up and move Begin today Spring is almost here

SPRING FEVER WRITTEN BY

JOHN A ANDERSON

EDITOR-IN-CHIEF

I say that because I tend to struggle being unstructured But I try because spontaneity is liberating and pleasurable In fact I think the essence of pleasure is spontaneitymdashjust doing the things you really want to do but tend to push to the sidelines of your busy life

Donrsquot get me wrong I embrace planning organization and working towards goals My whole life swirls around a nucleus of deadlines and timelines but thatrsquos exactly what makes spontaneity so sweet Itrsquos the ability to jump up and do itmdashsimply because you feel like it at the moment Itrsquos trusting your instincts surprising yourself and jumping out of the confines of our well-organized routines to pursue a bit of unscheduled rejuvenation

Herersquos where Irsquom coming from Last week I was juggling a few projects under deadline Things were progressing but I was losing sharpness and creativity A friend called and asked me to go snowmobiling I had zero time for a it but convinced myself that sharpening the saw mid-job might have beneficial results It did A couple of sweat-inducing hours away from task not only felt refreshing but lsquore-bootedrsquo my brain

HEALTHY IDAHO MARCH 2013 9 FacebookcomHealthyIdaho

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

10 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

7SNACK SMARTS

When you need a little something to tie you

over reach for a three-cup serving of low-fat

popcorn Salty or sweet this crunchy comfort

food is surprisingly high in protein and fiber ndash

the dynamic duo when it comes to satiety

A 100-calorie bag serves up 4 grams of filling

fiber and 3 grams of satiating protein Plus

the awkward shape of the kernels fills a lot of

stomach room maximizing satiety

SWEET SATIATIONTo satisfy that sweet tooth after dinner add

a sweet and tangy accent to a savory meal

Remember your body seeks variety in taste and

texture at every meal A ldquochronicrdquo sweet tooth

can be quieted by adding apples berries or

orange slices to a dinner salad or a pilaf dish

Or try a fruit salsa over pork or fish These

sweet ndash and healthy ndash accompaniments

will help stave off dessert cravings

BREAKFAST BLUNDERSInstead of spooning refined carbs and milk

pack protein and fiber into your breakfast

routine Try an egg (fried or scrambled)

accompanied by a cup of low-fat yogurt with

one half cup of low-fat granola and chopped

fruit This high-mileage breakfast will energize

your morning and take you all the way to lunch

before you start feeling hungry

1 TIME OF DAY We each have our own eating routine throughout

the day Whether you wake up and immediately

eat a bowl of cereal or you wait to eat until after

going to the gym your body knows when to expect

food Hunger at certain times of the day becomes a

conditioned response not always out of hunger but

out of our bodyrsquos expectations2 SIGHT FOOD Seeing food you like whether real in pictures or in

your mind induces appetite and falsely triggers the

body to anticipate eating The false anticipation

followed by salivating the bodyrsquos natural preparation

for incoming food leads to actual eating

3 SMELL OF FOOD Who can resist the smell of the corner bakery or a

whiff of the mallrsquos Cinnabon Smelling food triggers

the insulin secretion that makes us feel hungry

4 REFINED CARBS Meals heavy with refined carbohydrates such as

sugars and white flour and pastas launch blood sugar

levels only to bring them crashing down just a few

hours after eating This blood-sugar crash mimics the

feeling of fasting provoking you to eat to recover

HUNGER GAMES

ways your body tells you yoursquore hungryhellip

even when yoursquore notEdited by Michael Alexander

5 VARIETY If you suffer from the munchies or

cravings for dessert on a full stomach your diet may suffer from lack of

variety At each meal our bodies crave diverse flavors and textures

If these cravings go unsatiated our bodies want to eat until they are

satisfied To solve a chronic sweet tooth add a fruit accompaniment to a

savory dinner

TEMPERATURE Ever wonder why restaurants keep

their temps so cool Restaurant managers and owners play on your

bodyrsquos hunger and satiety signals As you get hungry your metabolism

slows and your core temperature drops signaling a need for calories

As you eat and restore your metabolic rate your body warms

Body heat is a signal for satiety If you body cannot warm ndash say in a cold restaurant ndash the heat satiety

signal never registers and you overeat

7 ALCOHOL Drinking alcoholic beverages impairs

judgment which can easily lead to overeating especially when drinking around food However alcohol itself

does not stimulate appetite

nutrition notesNUMBERS STUDIES AND STATS

6

HEALTHY IDAHO MARCH 2013 11 FacebookcomHealthyIdaho

There are fashion trends hairstyle trends and yes there are even food trends It is not that the beneficial components of these foods havenrsquot been known before 2013 Rather they achieve prominence when a celebrity or famous nutritionist or doctor touts the purported benefits of certain ldquoexoticrdquo foods So what are the hot foodsbeverages in 20131) Green Tea This is perhaps the most praised compound

on the list for good reason Green tea contains

powerful antioxidants that inhibit growth of

cancer cells Research indicates that it also

lowers blood pressure and cholesterol If

yoursquore looking for an ally in your weight loss

battle green tea could be your new friend

Chemicals in green tea increase metabolism

reduce the amount of dietary fat the body

absorbs prevent fat cells from enlarging and

multiplying and regulate blood sugar levels

2) Greek YogurtBoth Greek and regular yogurt in their plain

non-fat or low-fat forms are healthy dietary

options Theyre low in calories and packed

with calcium and live bacterial cultures

which promote a healthy digestive track

The Greek version however has less sugar

half the carbohydrates half the sodium and

almost double the protein of regular yogurt

3) QuinoaIf you are looking for a low carbohydrate

alternative to pasta or rice quinoa might

be the answer Quinoa is a healthful grain-

like seed that is similar in appearance to

couscous It provides all nine essential amino

acids making it a complete protein It is rich

in B vitamins fiber and magnesium and is

gluten-free

4) Chia SeedsAlong with quinoa chia seeds are one of the

highest plant-based sources of a complete

protein These seeds which resemble

poppy seeds can be purchased in seed or

powder form and added to yogurt oatmeal

or smoothies They can also be used as a

substitute for eggs in baked goods since they

Brooke KittelBA Journalism Certified Personal Trainer (NASM)

ABOUT THE AUTHOR

TRENDING INWhats

Nutritiontake on a gelatinous texture when placed

in liquid (a secret of vegans) Chia seeds are

loaded with omega-3 fats fiber calcium

phosphorous magnesium manganese

copper iron niacin and zinc

5) Tart CherriesTart cherries have the highest anti-

inflammatory content of any food therefore

many people with gout arthritis and joint

pain report significant pain relief when

ingesting tart cherries Additionally studies

have shown that tart cherries fight heart

disease and help with sleep since they

contain melatonin the sleep hormone

Since you would need to eat an entire bag

of these cherries on a daily basis to reap the

benefits most people drink tart cherry juice

or take it in a pill form

6) KaleKale is a leafy green that comes from the

same cruciferous family as Brussels sprouts

cabbage and collard greens Kale packs a

punch when it comes to health benefits It

helps lower cholesterol fight cancer and

detox the liver It is high in Vitamin A C

K calcium fiber copper potassium iron

manganese and phosphorus Kale is also

rich in the eye-health promoting lutein and

zeaxanthin compounds

Advisor NUTRITIONgtgt

12 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

the wake of their new habit Running USArsquos 2012 Womenrsquos National Runner Survey found that 80 percent of female respondents spent more than $100 on running apparel in the last year

Considering the history of womenrsquos running and the plethora of science-backed health benefits running offers the modern female running trend is one to cheer for

For decades it was mistakenly thought that a womanrsquos body couldnrsquot handle the strain of distance running but that idea would seem alien to the more than 75 million women who completed a road race in 2011Rewind to 1928 when three women collapsed after running in the Olympic 800 meter race As a result officials banned any race for women longer than 200 meters until 1960 In the 80s science confirmed the safety of distance running for females and restrictions went away completely in 1984 when the womenrsquos marathon and 3000 meter race were added to the Olympic Games

Fast forward to 2011 when more women completed a road race than men marking a significant milestone in the sport But today running is much more than a matter of competition for women according to former collegiate track athlete and USA Track and Field Certified Coach Janae Richardson who founded UtahRunningcom with her husband

ldquoI think women are becoming more aware of the importance of healthrdquo she says

WO

ME

NR

UN

NIN

G

For the first time women might be running more than menldquoand realizing that running is an accessible avenue to get where they want to berdquo

Running is convenient requiring only a cute running outfit (Richardson says jokingly) and a pair of shoes But there is a mental aspect too she says

ldquoIt is a great mental breakrdquo Richardson says ldquoand often a needed break from the challenges of motherhoodrdquo

In addition running provides an opportunity to connect with friends neighbors and the community she says

ldquoIt becomes your own lsquorealrsquo social network as an alternative to the virtual social media network we all divulge inrdquo Richardson says

Those whorsquove completed a road race know the camaraderie that quickly develops between people sharing the ldquopain passion and finish line goalrdquo she says

There are a thousand reasons to run which might be why so many women are latching onto the sport it ldquotouches them on so many levelsrdquo according to runningusaorg

Almost 19 million women reported running or jogging at least six times per year in 2011 which is a 126 percent growth from 2010 according to the National Sporting Goods Association The trend is growing among men at half that speed

And women are leaving a money trail in

1990

Men

W

omen

2000

2011

0 3 6Millions - Source Running USA

Completed a Road Race

9 12 15

6377

36 5

12 36

Wild

When anyone tells me I cant do anything Im just not listening

anymore-Florence Griffith-Joyner aka Flo-Jo womenrsquos

World Record holder 100 m and 200 m

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 13 FacebookcomHealthyIdaho

14 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Wersquove got three different ways to help you burn 500

calories Thatrsquos equal to two bags of MampMs Herersquos how

to melt the pounds away

Lots of people feel a real vigor and

earnestness about losing weight and

getting healthy around New Yearrsquos But

by the time spring has sprung that New

Yearrsquos resolution has melted with the

winter snows Here are three ways to

help you get back on track and burn a

quick 500 calories

Spin away calories with a stationary-bike work-

out that will help you see results

BIKE

MINUTES000 - 500500 - 10001000 - 12001200 - 13001300 - 15001500 - 16001600 - 18001800 - 19001900 - 21002100 - 25002500 - 26002600 - 27002700 -28002800 - 29002900 - 30003000 - 33003300 - 35003500 - 4000

RPM808080859085958595901009010090100909580

LEVEL578686868686868684

If you consider yourself a stair-climbing

machine try this on for size Not only

will you burn calories yoursquoll tone too Be

sure not to cheat Stand upright with your

abdominals firm and if you can help it

avoid using the rails for support when you

get tired To pump up your workout go

hands-free and move your arms in motion

as if you were running

STAIRCLIMBER

MINUTES

000 - 500

500 - 1000

1000 - 1500

1500 - 1800

1800 - 2100

2100 - 5100

5100 - 6100

RPE

4-5 - Warm up

5-6 - Pick up the pace

6-7 - Getting warmer

8-9 - Go all out

5-6 - Recover

Repeat minutes 15- 21 five times

3- Cool down

The trick with this routine

is to keep the incline of your

treadmill at 1 percent the

entire time This can be modi-

fied to suit your fitness level

TREADMILL

MINUTES

000 - 10001000 - 10201020 - 11201120 - 1400

1400 - 17001700 - 27002700 - 31003100 - 35003500 - 39003900 - 5500

5500 - 6000

PACE

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

SPRINGINTOACTION

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 15 FacebookcomHealthyIdaho

J Brett Comstock DDS

Visit our website drbrettcomstockcom

ORAL ampMAXILLOFACIAL SURGERY

2 0 8 3 7 5 0 1 9 1 403 S 11th St 320 Boise ID 83702

PRACTICING THE FULL SCOPE OF ORAL AND MAXILLOFACIAL SURGERY FOR OVER 20 YEARS

Specializing in bullWisdom TeethbullDental ImplantsbullIV Sedation and General AnesthesiaThe HealthFest a FREE community event produced by the Nampa

Chamber of Commerce held at the Nampa Civic Center on March 16th from 900 am to 300 pm is one you donrsquot want to miss There is something for every age group from infants to seniors

With approximately 80 exhibitors the HealthFest focuses on all aspects of health Exhibitors range from healthcare professionals to community organizations The event will cover the full spectrum of health-related sectors which includes local hospitals physicians nutritional advisors care for the aging chiropractic physical fitness vision hearing dental and mental health care

Free screenings include osteoporosis breast cancer lung capacity body fat analysis blood pressure vision dental and more ldquoAsk the Docrdquo sessions and other interactive activities available throughout the day

Come join us at the 2013 HealthFest on March 16th 900 am to 300 pm at the Nampa Civic Centerhellip and remember itrsquos free

A Healthy Happy YOU

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAYldquoIf you can show it

we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

1000 N CURTIS RDSUITE 303 BOISE IDAHO (208) 377-4000 WWWTHEALLERGYGROUPCOM

ALLERGY ASTHMA IMMUNOLOGY

Feel the difference

ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

Bio-Identical Hormone Therapy for Men and WomenPreventative and Age-Management Medicine

Complete Womanrsquos Healthcare

Idahorsquos Leading Expert inBio-Identical Hormone Management

for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

HEALTHY-IdahoCOM

8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

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com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

beatuy tips

copyC

roliq

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| D

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

copyC

roliq

ue K

ulec

zka

| D

ream

stim

eco

m

34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

beatuy tips

copySa

ndor

Kac

so V

ling

| Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 7: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 7 FacebookcomHealthyIdaho

6651 West Franklin Road Boise Idaho 83709 bull ph 2086852400 bull fax 2086852369SIACHernesthealthcom

Cho o se S o uthw est

Passionate Patient Caregivers

Advanced Therapy Care Speech Occupational amp Physical Therapy Services

Specializing in therapy services for Specializing in therapy services for children and adultschildren and adults

wwwadvancedtherapycarecom

No Waiting Lists Free Screenings Individual Therapy

We accept Insurance amp Medicaid

Cash Discounts

Therapy Preschool Handwriting Clinic Pragmatics Group

Meridian Mountain Home 1550 N Crestmont Dr Ste E 245 N 3rd E Meridian ID 83642 Mountain Home ID 83647 208-898-0988 208-587-8255

Improving the quality of life one patient at a time

VOLUME V 3

FITNESS12 WOMEN RUNNING WILD For the first time in history

women may be running more than men

SPRING INTO ACTION Here are three ways to help you get back on track and burn a quick 500 calories

CROSSFIT CRAZY CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

WELLNESS11 TRENDING IN NUTRITION There are fashion trends

hairstyle trends and yes there are even food trends So whats hot and whats not in 2013

HUMAN RATING Some people equate their value with their work with their bank account or with their appearance and this twisted measurement system is harming our health

EAT TO STAY YOUNG As oxidation browns an apple or rusts metal oxidation inside the human body causes wear and tear that contributes to aging heart disease cancer cataracts and many other disorders Learn about anti-oxidants

33

MADAME22 FEMAILMENTS The unfortunate truth is that when it

comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DYING TO BE THIN You may find it difficult to work toward a healthier relationship with your own body But you can learn to accept and appreciate yourself

BEAUTY BAFFLED Weve got 9 of your most embarrassing beauty questions mdash answered

42

0313IDAHO

reg

37Madame

8 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

MARCH 2013VOLUME V 3

EDITOR-IN-CHIEFJohn A Anderson | editorhealthy-idahocom

PUBLISHERKenneth J Shepherd| kenhealthy-idahocom

SALES AND MARKETING Julie Guyer 2083714533 Steve Wallace 2088504983 Kristi Hendry 2087037448 saleshealthy-idahocom

DESIGN EDITORSPhillip Chadwick | Kelsey Jones

designhealthy-idahocom

MANAGING EDITORSMichael Richardson | Emma Penrod

editorhealthy-idahocom

ONLINE EDITOR

Ashley Romney | ashleyhealthy-idahocom

DIRECTOR OF OPERATIONS Sandy Wise | 8668843258sandyhealthy-idahocom

CONTRIBUTING WRITERS

Gail Morrissey Jessica Hagy Heather Hooke David Joachim Brooke Kittel Wayne Larsen

Colette Bouchez Patty Trela Steven E Warren

CIRCULATIONHealthy Idaho Magazine is printed monthly and delivered to higher income homes throughout Boise and is made available for pick up at hundreds of locations Healthy Idaho Magazine is also mailed to all doctors dentists chiropractors medical practitioners health clinics banks and other businesses If you would like to have Healthy Idaho Magazine delivered for distribution in your place of business please contact us

Healthy Idaho Magazineinfohealthy-idahocom

8668843258PLEASE NOTE The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters which should be obtained directly from a health professional The opinions expressed by the authors and advertisers are not necessarily those of the publisher Call for reprint permission All photography courtesy of Shutterstockcom unless otherwise noted

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WITH

HealthyIDAHO

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Healthy Magazine is dedicated to using

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stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

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TWITTERHEALTHYIDAHOMAG

FIRST WORD

SPRING Just say it and you smile The simple thought of spring is energizing Itrsquos the perfect time to begin change the time to be activemdashspontaneously vigorous

Itrsquos caused me to rethink how I spend my time how I prioritize my lsquoworkrsquo and how I define work I mean really what are we working at as the years peel by Brings up a good question ndash if wersquore involved in a project how hard should we work at it ndash how much time should we spend I believe in the philosophy that our attitude and activity towards work affects the quality of our lives How we divide the ratio between work and play defines our work ethic which determines how grand or meager our future fortune turns out to be I believe the business gurus mdashenterprise is better than easemdash which essentially says that each time we choose to do less than we could we lose a bit of self-confidence and that a daily habit of minor mediocrity accumulates into a lifetime of disappointment If yoursquore going to do it do it well no matter what lsquoitrsquo is

The same thing applies to the non-work aspects of our lives We need to work harder at the non-work non-career facet of our lives We need to develop a new discipline of doing rather than neglecting in terms of rejuvenating activities in our lives and especially in our relationships Our ratio of work to play is skewed and hence stress levels are higher and obesity levels are abysmal

Any time we spontaneously choose action and activity over ease and rest we develop an increasing level of self-worth self-respect and self-confidence Itrsquos empowering And really isnrsquot how we feel about ourselves the kernel of life that is itrsquos own greatest reward A positive self-impression ripples across the entire ocean of our lives We become better at our careers better in our relationships and overall just plain better people

HERES THE POINT Our lives are spent too much on what we get and what we must do We schedule everything around it Rather we need to sprinkle a little more spontaneity of activity outside of what we must lsquodorsquo and develop a healthy focus on what we are becoming Whatever we get in life doesnrsquot make us valuablemdashitrsquos what we become in the process of living that brings value to others and ourselves If you are stuck in a mode of inactivity be spontaneousndashright now Get up and move Begin today Spring is almost here

SPRING FEVER WRITTEN BY

JOHN A ANDERSON

EDITOR-IN-CHIEF

I say that because I tend to struggle being unstructured But I try because spontaneity is liberating and pleasurable In fact I think the essence of pleasure is spontaneitymdashjust doing the things you really want to do but tend to push to the sidelines of your busy life

Donrsquot get me wrong I embrace planning organization and working towards goals My whole life swirls around a nucleus of deadlines and timelines but thatrsquos exactly what makes spontaneity so sweet Itrsquos the ability to jump up and do itmdashsimply because you feel like it at the moment Itrsquos trusting your instincts surprising yourself and jumping out of the confines of our well-organized routines to pursue a bit of unscheduled rejuvenation

Herersquos where Irsquom coming from Last week I was juggling a few projects under deadline Things were progressing but I was losing sharpness and creativity A friend called and asked me to go snowmobiling I had zero time for a it but convinced myself that sharpening the saw mid-job might have beneficial results It did A couple of sweat-inducing hours away from task not only felt refreshing but lsquore-bootedrsquo my brain

HEALTHY IDAHO MARCH 2013 9 FacebookcomHealthyIdaho

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

10 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

7SNACK SMARTS

When you need a little something to tie you

over reach for a three-cup serving of low-fat

popcorn Salty or sweet this crunchy comfort

food is surprisingly high in protein and fiber ndash

the dynamic duo when it comes to satiety

A 100-calorie bag serves up 4 grams of filling

fiber and 3 grams of satiating protein Plus

the awkward shape of the kernels fills a lot of

stomach room maximizing satiety

SWEET SATIATIONTo satisfy that sweet tooth after dinner add

a sweet and tangy accent to a savory meal

Remember your body seeks variety in taste and

texture at every meal A ldquochronicrdquo sweet tooth

can be quieted by adding apples berries or

orange slices to a dinner salad or a pilaf dish

Or try a fruit salsa over pork or fish These

sweet ndash and healthy ndash accompaniments

will help stave off dessert cravings

BREAKFAST BLUNDERSInstead of spooning refined carbs and milk

pack protein and fiber into your breakfast

routine Try an egg (fried or scrambled)

accompanied by a cup of low-fat yogurt with

one half cup of low-fat granola and chopped

fruit This high-mileage breakfast will energize

your morning and take you all the way to lunch

before you start feeling hungry

1 TIME OF DAY We each have our own eating routine throughout

the day Whether you wake up and immediately

eat a bowl of cereal or you wait to eat until after

going to the gym your body knows when to expect

food Hunger at certain times of the day becomes a

conditioned response not always out of hunger but

out of our bodyrsquos expectations2 SIGHT FOOD Seeing food you like whether real in pictures or in

your mind induces appetite and falsely triggers the

body to anticipate eating The false anticipation

followed by salivating the bodyrsquos natural preparation

for incoming food leads to actual eating

3 SMELL OF FOOD Who can resist the smell of the corner bakery or a

whiff of the mallrsquos Cinnabon Smelling food triggers

the insulin secretion that makes us feel hungry

4 REFINED CARBS Meals heavy with refined carbohydrates such as

sugars and white flour and pastas launch blood sugar

levels only to bring them crashing down just a few

hours after eating This blood-sugar crash mimics the

feeling of fasting provoking you to eat to recover

HUNGER GAMES

ways your body tells you yoursquore hungryhellip

even when yoursquore notEdited by Michael Alexander

5 VARIETY If you suffer from the munchies or

cravings for dessert on a full stomach your diet may suffer from lack of

variety At each meal our bodies crave diverse flavors and textures

If these cravings go unsatiated our bodies want to eat until they are

satisfied To solve a chronic sweet tooth add a fruit accompaniment to a

savory dinner

TEMPERATURE Ever wonder why restaurants keep

their temps so cool Restaurant managers and owners play on your

bodyrsquos hunger and satiety signals As you get hungry your metabolism

slows and your core temperature drops signaling a need for calories

As you eat and restore your metabolic rate your body warms

Body heat is a signal for satiety If you body cannot warm ndash say in a cold restaurant ndash the heat satiety

signal never registers and you overeat

7 ALCOHOL Drinking alcoholic beverages impairs

judgment which can easily lead to overeating especially when drinking around food However alcohol itself

does not stimulate appetite

nutrition notesNUMBERS STUDIES AND STATS

6

HEALTHY IDAHO MARCH 2013 11 FacebookcomHealthyIdaho

There are fashion trends hairstyle trends and yes there are even food trends It is not that the beneficial components of these foods havenrsquot been known before 2013 Rather they achieve prominence when a celebrity or famous nutritionist or doctor touts the purported benefits of certain ldquoexoticrdquo foods So what are the hot foodsbeverages in 20131) Green Tea This is perhaps the most praised compound

on the list for good reason Green tea contains

powerful antioxidants that inhibit growth of

cancer cells Research indicates that it also

lowers blood pressure and cholesterol If

yoursquore looking for an ally in your weight loss

battle green tea could be your new friend

Chemicals in green tea increase metabolism

reduce the amount of dietary fat the body

absorbs prevent fat cells from enlarging and

multiplying and regulate blood sugar levels

2) Greek YogurtBoth Greek and regular yogurt in their plain

non-fat or low-fat forms are healthy dietary

options Theyre low in calories and packed

with calcium and live bacterial cultures

which promote a healthy digestive track

The Greek version however has less sugar

half the carbohydrates half the sodium and

almost double the protein of regular yogurt

3) QuinoaIf you are looking for a low carbohydrate

alternative to pasta or rice quinoa might

be the answer Quinoa is a healthful grain-

like seed that is similar in appearance to

couscous It provides all nine essential amino

acids making it a complete protein It is rich

in B vitamins fiber and magnesium and is

gluten-free

4) Chia SeedsAlong with quinoa chia seeds are one of the

highest plant-based sources of a complete

protein These seeds which resemble

poppy seeds can be purchased in seed or

powder form and added to yogurt oatmeal

or smoothies They can also be used as a

substitute for eggs in baked goods since they

Brooke KittelBA Journalism Certified Personal Trainer (NASM)

ABOUT THE AUTHOR

TRENDING INWhats

Nutritiontake on a gelatinous texture when placed

in liquid (a secret of vegans) Chia seeds are

loaded with omega-3 fats fiber calcium

phosphorous magnesium manganese

copper iron niacin and zinc

5) Tart CherriesTart cherries have the highest anti-

inflammatory content of any food therefore

many people with gout arthritis and joint

pain report significant pain relief when

ingesting tart cherries Additionally studies

have shown that tart cherries fight heart

disease and help with sleep since they

contain melatonin the sleep hormone

Since you would need to eat an entire bag

of these cherries on a daily basis to reap the

benefits most people drink tart cherry juice

or take it in a pill form

6) KaleKale is a leafy green that comes from the

same cruciferous family as Brussels sprouts

cabbage and collard greens Kale packs a

punch when it comes to health benefits It

helps lower cholesterol fight cancer and

detox the liver It is high in Vitamin A C

K calcium fiber copper potassium iron

manganese and phosphorus Kale is also

rich in the eye-health promoting lutein and

zeaxanthin compounds

Advisor NUTRITIONgtgt

12 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

the wake of their new habit Running USArsquos 2012 Womenrsquos National Runner Survey found that 80 percent of female respondents spent more than $100 on running apparel in the last year

Considering the history of womenrsquos running and the plethora of science-backed health benefits running offers the modern female running trend is one to cheer for

For decades it was mistakenly thought that a womanrsquos body couldnrsquot handle the strain of distance running but that idea would seem alien to the more than 75 million women who completed a road race in 2011Rewind to 1928 when three women collapsed after running in the Olympic 800 meter race As a result officials banned any race for women longer than 200 meters until 1960 In the 80s science confirmed the safety of distance running for females and restrictions went away completely in 1984 when the womenrsquos marathon and 3000 meter race were added to the Olympic Games

Fast forward to 2011 when more women completed a road race than men marking a significant milestone in the sport But today running is much more than a matter of competition for women according to former collegiate track athlete and USA Track and Field Certified Coach Janae Richardson who founded UtahRunningcom with her husband

ldquoI think women are becoming more aware of the importance of healthrdquo she says

WO

ME

NR

UN

NIN

G

For the first time women might be running more than menldquoand realizing that running is an accessible avenue to get where they want to berdquo

Running is convenient requiring only a cute running outfit (Richardson says jokingly) and a pair of shoes But there is a mental aspect too she says

ldquoIt is a great mental breakrdquo Richardson says ldquoand often a needed break from the challenges of motherhoodrdquo

In addition running provides an opportunity to connect with friends neighbors and the community she says

ldquoIt becomes your own lsquorealrsquo social network as an alternative to the virtual social media network we all divulge inrdquo Richardson says

Those whorsquove completed a road race know the camaraderie that quickly develops between people sharing the ldquopain passion and finish line goalrdquo she says

There are a thousand reasons to run which might be why so many women are latching onto the sport it ldquotouches them on so many levelsrdquo according to runningusaorg

Almost 19 million women reported running or jogging at least six times per year in 2011 which is a 126 percent growth from 2010 according to the National Sporting Goods Association The trend is growing among men at half that speed

And women are leaving a money trail in

1990

Men

W

omen

2000

2011

0 3 6Millions - Source Running USA

Completed a Road Race

9 12 15

6377

36 5

12 36

Wild

When anyone tells me I cant do anything Im just not listening

anymore-Florence Griffith-Joyner aka Flo-Jo womenrsquos

World Record holder 100 m and 200 m

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 13 FacebookcomHealthyIdaho

14 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Wersquove got three different ways to help you burn 500

calories Thatrsquos equal to two bags of MampMs Herersquos how

to melt the pounds away

Lots of people feel a real vigor and

earnestness about losing weight and

getting healthy around New Yearrsquos But

by the time spring has sprung that New

Yearrsquos resolution has melted with the

winter snows Here are three ways to

help you get back on track and burn a

quick 500 calories

Spin away calories with a stationary-bike work-

out that will help you see results

BIKE

MINUTES000 - 500500 - 10001000 - 12001200 - 13001300 - 15001500 - 16001600 - 18001800 - 19001900 - 21002100 - 25002500 - 26002600 - 27002700 -28002800 - 29002900 - 30003000 - 33003300 - 35003500 - 4000

RPM808080859085958595901009010090100909580

LEVEL578686868686868684

If you consider yourself a stair-climbing

machine try this on for size Not only

will you burn calories yoursquoll tone too Be

sure not to cheat Stand upright with your

abdominals firm and if you can help it

avoid using the rails for support when you

get tired To pump up your workout go

hands-free and move your arms in motion

as if you were running

STAIRCLIMBER

MINUTES

000 - 500

500 - 1000

1000 - 1500

1500 - 1800

1800 - 2100

2100 - 5100

5100 - 6100

RPE

4-5 - Warm up

5-6 - Pick up the pace

6-7 - Getting warmer

8-9 - Go all out

5-6 - Recover

Repeat minutes 15- 21 five times

3- Cool down

The trick with this routine

is to keep the incline of your

treadmill at 1 percent the

entire time This can be modi-

fied to suit your fitness level

TREADMILL

MINUTES

000 - 10001000 - 10201020 - 11201120 - 1400

1400 - 17001700 - 27002700 - 31003100 - 35003500 - 39003900 - 5500

5500 - 6000

PACE

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

SPRINGINTOACTION

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 15 FacebookcomHealthyIdaho

J Brett Comstock DDS

Visit our website drbrettcomstockcom

ORAL ampMAXILLOFACIAL SURGERY

2 0 8 3 7 5 0 1 9 1 403 S 11th St 320 Boise ID 83702

PRACTICING THE FULL SCOPE OF ORAL AND MAXILLOFACIAL SURGERY FOR OVER 20 YEARS

Specializing in bullWisdom TeethbullDental ImplantsbullIV Sedation and General AnesthesiaThe HealthFest a FREE community event produced by the Nampa

Chamber of Commerce held at the Nampa Civic Center on March 16th from 900 am to 300 pm is one you donrsquot want to miss There is something for every age group from infants to seniors

With approximately 80 exhibitors the HealthFest focuses on all aspects of health Exhibitors range from healthcare professionals to community organizations The event will cover the full spectrum of health-related sectors which includes local hospitals physicians nutritional advisors care for the aging chiropractic physical fitness vision hearing dental and mental health care

Free screenings include osteoporosis breast cancer lung capacity body fat analysis blood pressure vision dental and more ldquoAsk the Docrdquo sessions and other interactive activities available throughout the day

Come join us at the 2013 HealthFest on March 16th 900 am to 300 pm at the Nampa Civic Centerhellip and remember itrsquos free

A Healthy Happy YOU

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAYldquoIf you can show it

we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

1000 N CURTIS RDSUITE 303 BOISE IDAHO (208) 377-4000 WWWTHEALLERGYGROUPCOM

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ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

Bio-Identical Hormone Therapy for Men and WomenPreventative and Age-Management Medicine

Complete Womanrsquos Healthcare

Idahorsquos Leading Expert inBio-Identical Hormone Management

for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

HEALTHY-IdahoCOM

8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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Bak

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HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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Bak

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28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

beatuy tips

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

copyM

agda

natk

a |

Dre

amst

ime

com

38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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LearningRx testing provides accurate measurement of your childrsquos essential learning skills easy to understand answers to exactly why your child

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208-284-7748For more information visit us atwwwrockymountainsurrogacycomor email us at rockymtnsurrogacylivecom

44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
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  5. Link-STARDOCS 2
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Page 8: Healthy Idaho | March '13

8 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

MARCH 2013VOLUME V 3

EDITOR-IN-CHIEFJohn A Anderson | editorhealthy-idahocom

PUBLISHERKenneth J Shepherd| kenhealthy-idahocom

SALES AND MARKETING Julie Guyer 2083714533 Steve Wallace 2088504983 Kristi Hendry 2087037448 saleshealthy-idahocom

DESIGN EDITORSPhillip Chadwick | Kelsey Jones

designhealthy-idahocom

MANAGING EDITORSMichael Richardson | Emma Penrod

editorhealthy-idahocom

ONLINE EDITOR

Ashley Romney | ashleyhealthy-idahocom

DIRECTOR OF OPERATIONS Sandy Wise | 8668843258sandyhealthy-idahocom

CONTRIBUTING WRITERS

Gail Morrissey Jessica Hagy Heather Hooke David Joachim Brooke Kittel Wayne Larsen

Colette Bouchez Patty Trela Steven E Warren

CIRCULATIONHealthy Idaho Magazine is printed monthly and delivered to higher income homes throughout Boise and is made available for pick up at hundreds of locations Healthy Idaho Magazine is also mailed to all doctors dentists chiropractors medical practitioners health clinics banks and other businesses If you would like to have Healthy Idaho Magazine delivered for distribution in your place of business please contact us

Healthy Idaho Magazineinfohealthy-idahocom

8668843258PLEASE NOTE The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters which should be obtained directly from a health professional The opinions expressed by the authors and advertisers are not necessarily those of the publisher Call for reprint permission All photography courtesy of Shutterstockcom unless otherwise noted

To be included in our free online directory please email your contact information to

directoryhealthy-magcom

WITH

HealthyIDAHO

reg

Healthy Magazine is dedicated to using

recyclable materials

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

FACEBOOKCOMHEALTHYIDAHO

TWITTERHEALTHYIDAHOMAG

FIRST WORD

SPRING Just say it and you smile The simple thought of spring is energizing Itrsquos the perfect time to begin change the time to be activemdashspontaneously vigorous

Itrsquos caused me to rethink how I spend my time how I prioritize my lsquoworkrsquo and how I define work I mean really what are we working at as the years peel by Brings up a good question ndash if wersquore involved in a project how hard should we work at it ndash how much time should we spend I believe in the philosophy that our attitude and activity towards work affects the quality of our lives How we divide the ratio between work and play defines our work ethic which determines how grand or meager our future fortune turns out to be I believe the business gurus mdashenterprise is better than easemdash which essentially says that each time we choose to do less than we could we lose a bit of self-confidence and that a daily habit of minor mediocrity accumulates into a lifetime of disappointment If yoursquore going to do it do it well no matter what lsquoitrsquo is

The same thing applies to the non-work aspects of our lives We need to work harder at the non-work non-career facet of our lives We need to develop a new discipline of doing rather than neglecting in terms of rejuvenating activities in our lives and especially in our relationships Our ratio of work to play is skewed and hence stress levels are higher and obesity levels are abysmal

Any time we spontaneously choose action and activity over ease and rest we develop an increasing level of self-worth self-respect and self-confidence Itrsquos empowering And really isnrsquot how we feel about ourselves the kernel of life that is itrsquos own greatest reward A positive self-impression ripples across the entire ocean of our lives We become better at our careers better in our relationships and overall just plain better people

HERES THE POINT Our lives are spent too much on what we get and what we must do We schedule everything around it Rather we need to sprinkle a little more spontaneity of activity outside of what we must lsquodorsquo and develop a healthy focus on what we are becoming Whatever we get in life doesnrsquot make us valuablemdashitrsquos what we become in the process of living that brings value to others and ourselves If you are stuck in a mode of inactivity be spontaneousndashright now Get up and move Begin today Spring is almost here

SPRING FEVER WRITTEN BY

JOHN A ANDERSON

EDITOR-IN-CHIEF

I say that because I tend to struggle being unstructured But I try because spontaneity is liberating and pleasurable In fact I think the essence of pleasure is spontaneitymdashjust doing the things you really want to do but tend to push to the sidelines of your busy life

Donrsquot get me wrong I embrace planning organization and working towards goals My whole life swirls around a nucleus of deadlines and timelines but thatrsquos exactly what makes spontaneity so sweet Itrsquos the ability to jump up and do itmdashsimply because you feel like it at the moment Itrsquos trusting your instincts surprising yourself and jumping out of the confines of our well-organized routines to pursue a bit of unscheduled rejuvenation

Herersquos where Irsquom coming from Last week I was juggling a few projects under deadline Things were progressing but I was losing sharpness and creativity A friend called and asked me to go snowmobiling I had zero time for a it but convinced myself that sharpening the saw mid-job might have beneficial results It did A couple of sweat-inducing hours away from task not only felt refreshing but lsquore-bootedrsquo my brain

HEALTHY IDAHO MARCH 2013 9 FacebookcomHealthyIdaho

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

10 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

7SNACK SMARTS

When you need a little something to tie you

over reach for a three-cup serving of low-fat

popcorn Salty or sweet this crunchy comfort

food is surprisingly high in protein and fiber ndash

the dynamic duo when it comes to satiety

A 100-calorie bag serves up 4 grams of filling

fiber and 3 grams of satiating protein Plus

the awkward shape of the kernels fills a lot of

stomach room maximizing satiety

SWEET SATIATIONTo satisfy that sweet tooth after dinner add

a sweet and tangy accent to a savory meal

Remember your body seeks variety in taste and

texture at every meal A ldquochronicrdquo sweet tooth

can be quieted by adding apples berries or

orange slices to a dinner salad or a pilaf dish

Or try a fruit salsa over pork or fish These

sweet ndash and healthy ndash accompaniments

will help stave off dessert cravings

BREAKFAST BLUNDERSInstead of spooning refined carbs and milk

pack protein and fiber into your breakfast

routine Try an egg (fried or scrambled)

accompanied by a cup of low-fat yogurt with

one half cup of low-fat granola and chopped

fruit This high-mileage breakfast will energize

your morning and take you all the way to lunch

before you start feeling hungry

1 TIME OF DAY We each have our own eating routine throughout

the day Whether you wake up and immediately

eat a bowl of cereal or you wait to eat until after

going to the gym your body knows when to expect

food Hunger at certain times of the day becomes a

conditioned response not always out of hunger but

out of our bodyrsquos expectations2 SIGHT FOOD Seeing food you like whether real in pictures or in

your mind induces appetite and falsely triggers the

body to anticipate eating The false anticipation

followed by salivating the bodyrsquos natural preparation

for incoming food leads to actual eating

3 SMELL OF FOOD Who can resist the smell of the corner bakery or a

whiff of the mallrsquos Cinnabon Smelling food triggers

the insulin secretion that makes us feel hungry

4 REFINED CARBS Meals heavy with refined carbohydrates such as

sugars and white flour and pastas launch blood sugar

levels only to bring them crashing down just a few

hours after eating This blood-sugar crash mimics the

feeling of fasting provoking you to eat to recover

HUNGER GAMES

ways your body tells you yoursquore hungryhellip

even when yoursquore notEdited by Michael Alexander

5 VARIETY If you suffer from the munchies or

cravings for dessert on a full stomach your diet may suffer from lack of

variety At each meal our bodies crave diverse flavors and textures

If these cravings go unsatiated our bodies want to eat until they are

satisfied To solve a chronic sweet tooth add a fruit accompaniment to a

savory dinner

TEMPERATURE Ever wonder why restaurants keep

their temps so cool Restaurant managers and owners play on your

bodyrsquos hunger and satiety signals As you get hungry your metabolism

slows and your core temperature drops signaling a need for calories

As you eat and restore your metabolic rate your body warms

Body heat is a signal for satiety If you body cannot warm ndash say in a cold restaurant ndash the heat satiety

signal never registers and you overeat

7 ALCOHOL Drinking alcoholic beverages impairs

judgment which can easily lead to overeating especially when drinking around food However alcohol itself

does not stimulate appetite

nutrition notesNUMBERS STUDIES AND STATS

6

HEALTHY IDAHO MARCH 2013 11 FacebookcomHealthyIdaho

There are fashion trends hairstyle trends and yes there are even food trends It is not that the beneficial components of these foods havenrsquot been known before 2013 Rather they achieve prominence when a celebrity or famous nutritionist or doctor touts the purported benefits of certain ldquoexoticrdquo foods So what are the hot foodsbeverages in 20131) Green Tea This is perhaps the most praised compound

on the list for good reason Green tea contains

powerful antioxidants that inhibit growth of

cancer cells Research indicates that it also

lowers blood pressure and cholesterol If

yoursquore looking for an ally in your weight loss

battle green tea could be your new friend

Chemicals in green tea increase metabolism

reduce the amount of dietary fat the body

absorbs prevent fat cells from enlarging and

multiplying and regulate blood sugar levels

2) Greek YogurtBoth Greek and regular yogurt in their plain

non-fat or low-fat forms are healthy dietary

options Theyre low in calories and packed

with calcium and live bacterial cultures

which promote a healthy digestive track

The Greek version however has less sugar

half the carbohydrates half the sodium and

almost double the protein of regular yogurt

3) QuinoaIf you are looking for a low carbohydrate

alternative to pasta or rice quinoa might

be the answer Quinoa is a healthful grain-

like seed that is similar in appearance to

couscous It provides all nine essential amino

acids making it a complete protein It is rich

in B vitamins fiber and magnesium and is

gluten-free

4) Chia SeedsAlong with quinoa chia seeds are one of the

highest plant-based sources of a complete

protein These seeds which resemble

poppy seeds can be purchased in seed or

powder form and added to yogurt oatmeal

or smoothies They can also be used as a

substitute for eggs in baked goods since they

Brooke KittelBA Journalism Certified Personal Trainer (NASM)

ABOUT THE AUTHOR

TRENDING INWhats

Nutritiontake on a gelatinous texture when placed

in liquid (a secret of vegans) Chia seeds are

loaded with omega-3 fats fiber calcium

phosphorous magnesium manganese

copper iron niacin and zinc

5) Tart CherriesTart cherries have the highest anti-

inflammatory content of any food therefore

many people with gout arthritis and joint

pain report significant pain relief when

ingesting tart cherries Additionally studies

have shown that tart cherries fight heart

disease and help with sleep since they

contain melatonin the sleep hormone

Since you would need to eat an entire bag

of these cherries on a daily basis to reap the

benefits most people drink tart cherry juice

or take it in a pill form

6) KaleKale is a leafy green that comes from the

same cruciferous family as Brussels sprouts

cabbage and collard greens Kale packs a

punch when it comes to health benefits It

helps lower cholesterol fight cancer and

detox the liver It is high in Vitamin A C

K calcium fiber copper potassium iron

manganese and phosphorus Kale is also

rich in the eye-health promoting lutein and

zeaxanthin compounds

Advisor NUTRITIONgtgt

12 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

the wake of their new habit Running USArsquos 2012 Womenrsquos National Runner Survey found that 80 percent of female respondents spent more than $100 on running apparel in the last year

Considering the history of womenrsquos running and the plethora of science-backed health benefits running offers the modern female running trend is one to cheer for

For decades it was mistakenly thought that a womanrsquos body couldnrsquot handle the strain of distance running but that idea would seem alien to the more than 75 million women who completed a road race in 2011Rewind to 1928 when three women collapsed after running in the Olympic 800 meter race As a result officials banned any race for women longer than 200 meters until 1960 In the 80s science confirmed the safety of distance running for females and restrictions went away completely in 1984 when the womenrsquos marathon and 3000 meter race were added to the Olympic Games

Fast forward to 2011 when more women completed a road race than men marking a significant milestone in the sport But today running is much more than a matter of competition for women according to former collegiate track athlete and USA Track and Field Certified Coach Janae Richardson who founded UtahRunningcom with her husband

ldquoI think women are becoming more aware of the importance of healthrdquo she says

WO

ME

NR

UN

NIN

G

For the first time women might be running more than menldquoand realizing that running is an accessible avenue to get where they want to berdquo

Running is convenient requiring only a cute running outfit (Richardson says jokingly) and a pair of shoes But there is a mental aspect too she says

ldquoIt is a great mental breakrdquo Richardson says ldquoand often a needed break from the challenges of motherhoodrdquo

In addition running provides an opportunity to connect with friends neighbors and the community she says

ldquoIt becomes your own lsquorealrsquo social network as an alternative to the virtual social media network we all divulge inrdquo Richardson says

Those whorsquove completed a road race know the camaraderie that quickly develops between people sharing the ldquopain passion and finish line goalrdquo she says

There are a thousand reasons to run which might be why so many women are latching onto the sport it ldquotouches them on so many levelsrdquo according to runningusaorg

Almost 19 million women reported running or jogging at least six times per year in 2011 which is a 126 percent growth from 2010 according to the National Sporting Goods Association The trend is growing among men at half that speed

And women are leaving a money trail in

1990

Men

W

omen

2000

2011

0 3 6Millions - Source Running USA

Completed a Road Race

9 12 15

6377

36 5

12 36

Wild

When anyone tells me I cant do anything Im just not listening

anymore-Florence Griffith-Joyner aka Flo-Jo womenrsquos

World Record holder 100 m and 200 m

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 13 FacebookcomHealthyIdaho

14 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Wersquove got three different ways to help you burn 500

calories Thatrsquos equal to two bags of MampMs Herersquos how

to melt the pounds away

Lots of people feel a real vigor and

earnestness about losing weight and

getting healthy around New Yearrsquos But

by the time spring has sprung that New

Yearrsquos resolution has melted with the

winter snows Here are three ways to

help you get back on track and burn a

quick 500 calories

Spin away calories with a stationary-bike work-

out that will help you see results

BIKE

MINUTES000 - 500500 - 10001000 - 12001200 - 13001300 - 15001500 - 16001600 - 18001800 - 19001900 - 21002100 - 25002500 - 26002600 - 27002700 -28002800 - 29002900 - 30003000 - 33003300 - 35003500 - 4000

RPM808080859085958595901009010090100909580

LEVEL578686868686868684

If you consider yourself a stair-climbing

machine try this on for size Not only

will you burn calories yoursquoll tone too Be

sure not to cheat Stand upright with your

abdominals firm and if you can help it

avoid using the rails for support when you

get tired To pump up your workout go

hands-free and move your arms in motion

as if you were running

STAIRCLIMBER

MINUTES

000 - 500

500 - 1000

1000 - 1500

1500 - 1800

1800 - 2100

2100 - 5100

5100 - 6100

RPE

4-5 - Warm up

5-6 - Pick up the pace

6-7 - Getting warmer

8-9 - Go all out

5-6 - Recover

Repeat minutes 15- 21 five times

3- Cool down

The trick with this routine

is to keep the incline of your

treadmill at 1 percent the

entire time This can be modi-

fied to suit your fitness level

TREADMILL

MINUTES

000 - 10001000 - 10201020 - 11201120 - 1400

1400 - 17001700 - 27002700 - 31003100 - 35003500 - 39003900 - 5500

5500 - 6000

PACE

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

SPRINGINTOACTION

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 15 FacebookcomHealthyIdaho

J Brett Comstock DDS

Visit our website drbrettcomstockcom

ORAL ampMAXILLOFACIAL SURGERY

2 0 8 3 7 5 0 1 9 1 403 S 11th St 320 Boise ID 83702

PRACTICING THE FULL SCOPE OF ORAL AND MAXILLOFACIAL SURGERY FOR OVER 20 YEARS

Specializing in bullWisdom TeethbullDental ImplantsbullIV Sedation and General AnesthesiaThe HealthFest a FREE community event produced by the Nampa

Chamber of Commerce held at the Nampa Civic Center on March 16th from 900 am to 300 pm is one you donrsquot want to miss There is something for every age group from infants to seniors

With approximately 80 exhibitors the HealthFest focuses on all aspects of health Exhibitors range from healthcare professionals to community organizations The event will cover the full spectrum of health-related sectors which includes local hospitals physicians nutritional advisors care for the aging chiropractic physical fitness vision hearing dental and mental health care

Free screenings include osteoporosis breast cancer lung capacity body fat analysis blood pressure vision dental and more ldquoAsk the Docrdquo sessions and other interactive activities available throughout the day

Come join us at the 2013 HealthFest on March 16th 900 am to 300 pm at the Nampa Civic Centerhellip and remember itrsquos free

A Healthy Happy YOU

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAYldquoIf you can show it

we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

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ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

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Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

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Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

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If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

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22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 9: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 9 FacebookcomHealthyIdaho

stardocs media Copyright copy 2012 Stardocs LLC All rights reserved

10 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

7SNACK SMARTS

When you need a little something to tie you

over reach for a three-cup serving of low-fat

popcorn Salty or sweet this crunchy comfort

food is surprisingly high in protein and fiber ndash

the dynamic duo when it comes to satiety

A 100-calorie bag serves up 4 grams of filling

fiber and 3 grams of satiating protein Plus

the awkward shape of the kernels fills a lot of

stomach room maximizing satiety

SWEET SATIATIONTo satisfy that sweet tooth after dinner add

a sweet and tangy accent to a savory meal

Remember your body seeks variety in taste and

texture at every meal A ldquochronicrdquo sweet tooth

can be quieted by adding apples berries or

orange slices to a dinner salad or a pilaf dish

Or try a fruit salsa over pork or fish These

sweet ndash and healthy ndash accompaniments

will help stave off dessert cravings

BREAKFAST BLUNDERSInstead of spooning refined carbs and milk

pack protein and fiber into your breakfast

routine Try an egg (fried or scrambled)

accompanied by a cup of low-fat yogurt with

one half cup of low-fat granola and chopped

fruit This high-mileage breakfast will energize

your morning and take you all the way to lunch

before you start feeling hungry

1 TIME OF DAY We each have our own eating routine throughout

the day Whether you wake up and immediately

eat a bowl of cereal or you wait to eat until after

going to the gym your body knows when to expect

food Hunger at certain times of the day becomes a

conditioned response not always out of hunger but

out of our bodyrsquos expectations2 SIGHT FOOD Seeing food you like whether real in pictures or in

your mind induces appetite and falsely triggers the

body to anticipate eating The false anticipation

followed by salivating the bodyrsquos natural preparation

for incoming food leads to actual eating

3 SMELL OF FOOD Who can resist the smell of the corner bakery or a

whiff of the mallrsquos Cinnabon Smelling food triggers

the insulin secretion that makes us feel hungry

4 REFINED CARBS Meals heavy with refined carbohydrates such as

sugars and white flour and pastas launch blood sugar

levels only to bring them crashing down just a few

hours after eating This blood-sugar crash mimics the

feeling of fasting provoking you to eat to recover

HUNGER GAMES

ways your body tells you yoursquore hungryhellip

even when yoursquore notEdited by Michael Alexander

5 VARIETY If you suffer from the munchies or

cravings for dessert on a full stomach your diet may suffer from lack of

variety At each meal our bodies crave diverse flavors and textures

If these cravings go unsatiated our bodies want to eat until they are

satisfied To solve a chronic sweet tooth add a fruit accompaniment to a

savory dinner

TEMPERATURE Ever wonder why restaurants keep

their temps so cool Restaurant managers and owners play on your

bodyrsquos hunger and satiety signals As you get hungry your metabolism

slows and your core temperature drops signaling a need for calories

As you eat and restore your metabolic rate your body warms

Body heat is a signal for satiety If you body cannot warm ndash say in a cold restaurant ndash the heat satiety

signal never registers and you overeat

7 ALCOHOL Drinking alcoholic beverages impairs

judgment which can easily lead to overeating especially when drinking around food However alcohol itself

does not stimulate appetite

nutrition notesNUMBERS STUDIES AND STATS

6

HEALTHY IDAHO MARCH 2013 11 FacebookcomHealthyIdaho

There are fashion trends hairstyle trends and yes there are even food trends It is not that the beneficial components of these foods havenrsquot been known before 2013 Rather they achieve prominence when a celebrity or famous nutritionist or doctor touts the purported benefits of certain ldquoexoticrdquo foods So what are the hot foodsbeverages in 20131) Green Tea This is perhaps the most praised compound

on the list for good reason Green tea contains

powerful antioxidants that inhibit growth of

cancer cells Research indicates that it also

lowers blood pressure and cholesterol If

yoursquore looking for an ally in your weight loss

battle green tea could be your new friend

Chemicals in green tea increase metabolism

reduce the amount of dietary fat the body

absorbs prevent fat cells from enlarging and

multiplying and regulate blood sugar levels

2) Greek YogurtBoth Greek and regular yogurt in their plain

non-fat or low-fat forms are healthy dietary

options Theyre low in calories and packed

with calcium and live bacterial cultures

which promote a healthy digestive track

The Greek version however has less sugar

half the carbohydrates half the sodium and

almost double the protein of regular yogurt

3) QuinoaIf you are looking for a low carbohydrate

alternative to pasta or rice quinoa might

be the answer Quinoa is a healthful grain-

like seed that is similar in appearance to

couscous It provides all nine essential amino

acids making it a complete protein It is rich

in B vitamins fiber and magnesium and is

gluten-free

4) Chia SeedsAlong with quinoa chia seeds are one of the

highest plant-based sources of a complete

protein These seeds which resemble

poppy seeds can be purchased in seed or

powder form and added to yogurt oatmeal

or smoothies They can also be used as a

substitute for eggs in baked goods since they

Brooke KittelBA Journalism Certified Personal Trainer (NASM)

ABOUT THE AUTHOR

TRENDING INWhats

Nutritiontake on a gelatinous texture when placed

in liquid (a secret of vegans) Chia seeds are

loaded with omega-3 fats fiber calcium

phosphorous magnesium manganese

copper iron niacin and zinc

5) Tart CherriesTart cherries have the highest anti-

inflammatory content of any food therefore

many people with gout arthritis and joint

pain report significant pain relief when

ingesting tart cherries Additionally studies

have shown that tart cherries fight heart

disease and help with sleep since they

contain melatonin the sleep hormone

Since you would need to eat an entire bag

of these cherries on a daily basis to reap the

benefits most people drink tart cherry juice

or take it in a pill form

6) KaleKale is a leafy green that comes from the

same cruciferous family as Brussels sprouts

cabbage and collard greens Kale packs a

punch when it comes to health benefits It

helps lower cholesterol fight cancer and

detox the liver It is high in Vitamin A C

K calcium fiber copper potassium iron

manganese and phosphorus Kale is also

rich in the eye-health promoting lutein and

zeaxanthin compounds

Advisor NUTRITIONgtgt

12 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

the wake of their new habit Running USArsquos 2012 Womenrsquos National Runner Survey found that 80 percent of female respondents spent more than $100 on running apparel in the last year

Considering the history of womenrsquos running and the plethora of science-backed health benefits running offers the modern female running trend is one to cheer for

For decades it was mistakenly thought that a womanrsquos body couldnrsquot handle the strain of distance running but that idea would seem alien to the more than 75 million women who completed a road race in 2011Rewind to 1928 when three women collapsed after running in the Olympic 800 meter race As a result officials banned any race for women longer than 200 meters until 1960 In the 80s science confirmed the safety of distance running for females and restrictions went away completely in 1984 when the womenrsquos marathon and 3000 meter race were added to the Olympic Games

Fast forward to 2011 when more women completed a road race than men marking a significant milestone in the sport But today running is much more than a matter of competition for women according to former collegiate track athlete and USA Track and Field Certified Coach Janae Richardson who founded UtahRunningcom with her husband

ldquoI think women are becoming more aware of the importance of healthrdquo she says

WO

ME

NR

UN

NIN

G

For the first time women might be running more than menldquoand realizing that running is an accessible avenue to get where they want to berdquo

Running is convenient requiring only a cute running outfit (Richardson says jokingly) and a pair of shoes But there is a mental aspect too she says

ldquoIt is a great mental breakrdquo Richardson says ldquoand often a needed break from the challenges of motherhoodrdquo

In addition running provides an opportunity to connect with friends neighbors and the community she says

ldquoIt becomes your own lsquorealrsquo social network as an alternative to the virtual social media network we all divulge inrdquo Richardson says

Those whorsquove completed a road race know the camaraderie that quickly develops between people sharing the ldquopain passion and finish line goalrdquo she says

There are a thousand reasons to run which might be why so many women are latching onto the sport it ldquotouches them on so many levelsrdquo according to runningusaorg

Almost 19 million women reported running or jogging at least six times per year in 2011 which is a 126 percent growth from 2010 according to the National Sporting Goods Association The trend is growing among men at half that speed

And women are leaving a money trail in

1990

Men

W

omen

2000

2011

0 3 6Millions - Source Running USA

Completed a Road Race

9 12 15

6377

36 5

12 36

Wild

When anyone tells me I cant do anything Im just not listening

anymore-Florence Griffith-Joyner aka Flo-Jo womenrsquos

World Record holder 100 m and 200 m

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 13 FacebookcomHealthyIdaho

14 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Wersquove got three different ways to help you burn 500

calories Thatrsquos equal to two bags of MampMs Herersquos how

to melt the pounds away

Lots of people feel a real vigor and

earnestness about losing weight and

getting healthy around New Yearrsquos But

by the time spring has sprung that New

Yearrsquos resolution has melted with the

winter snows Here are three ways to

help you get back on track and burn a

quick 500 calories

Spin away calories with a stationary-bike work-

out that will help you see results

BIKE

MINUTES000 - 500500 - 10001000 - 12001200 - 13001300 - 15001500 - 16001600 - 18001800 - 19001900 - 21002100 - 25002500 - 26002600 - 27002700 -28002800 - 29002900 - 30003000 - 33003300 - 35003500 - 4000

RPM808080859085958595901009010090100909580

LEVEL578686868686868684

If you consider yourself a stair-climbing

machine try this on for size Not only

will you burn calories yoursquoll tone too Be

sure not to cheat Stand upright with your

abdominals firm and if you can help it

avoid using the rails for support when you

get tired To pump up your workout go

hands-free and move your arms in motion

as if you were running

STAIRCLIMBER

MINUTES

000 - 500

500 - 1000

1000 - 1500

1500 - 1800

1800 - 2100

2100 - 5100

5100 - 6100

RPE

4-5 - Warm up

5-6 - Pick up the pace

6-7 - Getting warmer

8-9 - Go all out

5-6 - Recover

Repeat minutes 15- 21 five times

3- Cool down

The trick with this routine

is to keep the incline of your

treadmill at 1 percent the

entire time This can be modi-

fied to suit your fitness level

TREADMILL

MINUTES

000 - 10001000 - 10201020 - 11201120 - 1400

1400 - 17001700 - 27002700 - 31003100 - 35003500 - 39003900 - 5500

5500 - 6000

PACE

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

SPRINGINTOACTION

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 15 FacebookcomHealthyIdaho

J Brett Comstock DDS

Visit our website drbrettcomstockcom

ORAL ampMAXILLOFACIAL SURGERY

2 0 8 3 7 5 0 1 9 1 403 S 11th St 320 Boise ID 83702

PRACTICING THE FULL SCOPE OF ORAL AND MAXILLOFACIAL SURGERY FOR OVER 20 YEARS

Specializing in bullWisdom TeethbullDental ImplantsbullIV Sedation and General AnesthesiaThe HealthFest a FREE community event produced by the Nampa

Chamber of Commerce held at the Nampa Civic Center on March 16th from 900 am to 300 pm is one you donrsquot want to miss There is something for every age group from infants to seniors

With approximately 80 exhibitors the HealthFest focuses on all aspects of health Exhibitors range from healthcare professionals to community organizations The event will cover the full spectrum of health-related sectors which includes local hospitals physicians nutritional advisors care for the aging chiropractic physical fitness vision hearing dental and mental health care

Free screenings include osteoporosis breast cancer lung capacity body fat analysis blood pressure vision dental and more ldquoAsk the Docrdquo sessions and other interactive activities available throughout the day

Come join us at the 2013 HealthFest on March 16th 900 am to 300 pm at the Nampa Civic Centerhellip and remember itrsquos free

A Healthy Happy YOU

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAYldquoIf you can show it

we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

1000 N CURTIS RDSUITE 303 BOISE IDAHO (208) 377-4000 WWWTHEALLERGYGROUPCOM

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ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

Bio-Identical Hormone Therapy for Men and WomenPreventative and Age-Management Medicine

Complete Womanrsquos Healthcare

Idahorsquos Leading Expert inBio-Identical Hormone Management

for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

HEALTHY-IdahoCOM

8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

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ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 10: Healthy Idaho | March '13

10 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

7SNACK SMARTS

When you need a little something to tie you

over reach for a three-cup serving of low-fat

popcorn Salty or sweet this crunchy comfort

food is surprisingly high in protein and fiber ndash

the dynamic duo when it comes to satiety

A 100-calorie bag serves up 4 grams of filling

fiber and 3 grams of satiating protein Plus

the awkward shape of the kernels fills a lot of

stomach room maximizing satiety

SWEET SATIATIONTo satisfy that sweet tooth after dinner add

a sweet and tangy accent to a savory meal

Remember your body seeks variety in taste and

texture at every meal A ldquochronicrdquo sweet tooth

can be quieted by adding apples berries or

orange slices to a dinner salad or a pilaf dish

Or try a fruit salsa over pork or fish These

sweet ndash and healthy ndash accompaniments

will help stave off dessert cravings

BREAKFAST BLUNDERSInstead of spooning refined carbs and milk

pack protein and fiber into your breakfast

routine Try an egg (fried or scrambled)

accompanied by a cup of low-fat yogurt with

one half cup of low-fat granola and chopped

fruit This high-mileage breakfast will energize

your morning and take you all the way to lunch

before you start feeling hungry

1 TIME OF DAY We each have our own eating routine throughout

the day Whether you wake up and immediately

eat a bowl of cereal or you wait to eat until after

going to the gym your body knows when to expect

food Hunger at certain times of the day becomes a

conditioned response not always out of hunger but

out of our bodyrsquos expectations2 SIGHT FOOD Seeing food you like whether real in pictures or in

your mind induces appetite and falsely triggers the

body to anticipate eating The false anticipation

followed by salivating the bodyrsquos natural preparation

for incoming food leads to actual eating

3 SMELL OF FOOD Who can resist the smell of the corner bakery or a

whiff of the mallrsquos Cinnabon Smelling food triggers

the insulin secretion that makes us feel hungry

4 REFINED CARBS Meals heavy with refined carbohydrates such as

sugars and white flour and pastas launch blood sugar

levels only to bring them crashing down just a few

hours after eating This blood-sugar crash mimics the

feeling of fasting provoking you to eat to recover

HUNGER GAMES

ways your body tells you yoursquore hungryhellip

even when yoursquore notEdited by Michael Alexander

5 VARIETY If you suffer from the munchies or

cravings for dessert on a full stomach your diet may suffer from lack of

variety At each meal our bodies crave diverse flavors and textures

If these cravings go unsatiated our bodies want to eat until they are

satisfied To solve a chronic sweet tooth add a fruit accompaniment to a

savory dinner

TEMPERATURE Ever wonder why restaurants keep

their temps so cool Restaurant managers and owners play on your

bodyrsquos hunger and satiety signals As you get hungry your metabolism

slows and your core temperature drops signaling a need for calories

As you eat and restore your metabolic rate your body warms

Body heat is a signal for satiety If you body cannot warm ndash say in a cold restaurant ndash the heat satiety

signal never registers and you overeat

7 ALCOHOL Drinking alcoholic beverages impairs

judgment which can easily lead to overeating especially when drinking around food However alcohol itself

does not stimulate appetite

nutrition notesNUMBERS STUDIES AND STATS

6

HEALTHY IDAHO MARCH 2013 11 FacebookcomHealthyIdaho

There are fashion trends hairstyle trends and yes there are even food trends It is not that the beneficial components of these foods havenrsquot been known before 2013 Rather they achieve prominence when a celebrity or famous nutritionist or doctor touts the purported benefits of certain ldquoexoticrdquo foods So what are the hot foodsbeverages in 20131) Green Tea This is perhaps the most praised compound

on the list for good reason Green tea contains

powerful antioxidants that inhibit growth of

cancer cells Research indicates that it also

lowers blood pressure and cholesterol If

yoursquore looking for an ally in your weight loss

battle green tea could be your new friend

Chemicals in green tea increase metabolism

reduce the amount of dietary fat the body

absorbs prevent fat cells from enlarging and

multiplying and regulate blood sugar levels

2) Greek YogurtBoth Greek and regular yogurt in their plain

non-fat or low-fat forms are healthy dietary

options Theyre low in calories and packed

with calcium and live bacterial cultures

which promote a healthy digestive track

The Greek version however has less sugar

half the carbohydrates half the sodium and

almost double the protein of regular yogurt

3) QuinoaIf you are looking for a low carbohydrate

alternative to pasta or rice quinoa might

be the answer Quinoa is a healthful grain-

like seed that is similar in appearance to

couscous It provides all nine essential amino

acids making it a complete protein It is rich

in B vitamins fiber and magnesium and is

gluten-free

4) Chia SeedsAlong with quinoa chia seeds are one of the

highest plant-based sources of a complete

protein These seeds which resemble

poppy seeds can be purchased in seed or

powder form and added to yogurt oatmeal

or smoothies They can also be used as a

substitute for eggs in baked goods since they

Brooke KittelBA Journalism Certified Personal Trainer (NASM)

ABOUT THE AUTHOR

TRENDING INWhats

Nutritiontake on a gelatinous texture when placed

in liquid (a secret of vegans) Chia seeds are

loaded with omega-3 fats fiber calcium

phosphorous magnesium manganese

copper iron niacin and zinc

5) Tart CherriesTart cherries have the highest anti-

inflammatory content of any food therefore

many people with gout arthritis and joint

pain report significant pain relief when

ingesting tart cherries Additionally studies

have shown that tart cherries fight heart

disease and help with sleep since they

contain melatonin the sleep hormone

Since you would need to eat an entire bag

of these cherries on a daily basis to reap the

benefits most people drink tart cherry juice

or take it in a pill form

6) KaleKale is a leafy green that comes from the

same cruciferous family as Brussels sprouts

cabbage and collard greens Kale packs a

punch when it comes to health benefits It

helps lower cholesterol fight cancer and

detox the liver It is high in Vitamin A C

K calcium fiber copper potassium iron

manganese and phosphorus Kale is also

rich in the eye-health promoting lutein and

zeaxanthin compounds

Advisor NUTRITIONgtgt

12 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

the wake of their new habit Running USArsquos 2012 Womenrsquos National Runner Survey found that 80 percent of female respondents spent more than $100 on running apparel in the last year

Considering the history of womenrsquos running and the plethora of science-backed health benefits running offers the modern female running trend is one to cheer for

For decades it was mistakenly thought that a womanrsquos body couldnrsquot handle the strain of distance running but that idea would seem alien to the more than 75 million women who completed a road race in 2011Rewind to 1928 when three women collapsed after running in the Olympic 800 meter race As a result officials banned any race for women longer than 200 meters until 1960 In the 80s science confirmed the safety of distance running for females and restrictions went away completely in 1984 when the womenrsquos marathon and 3000 meter race were added to the Olympic Games

Fast forward to 2011 when more women completed a road race than men marking a significant milestone in the sport But today running is much more than a matter of competition for women according to former collegiate track athlete and USA Track and Field Certified Coach Janae Richardson who founded UtahRunningcom with her husband

ldquoI think women are becoming more aware of the importance of healthrdquo she says

WO

ME

NR

UN

NIN

G

For the first time women might be running more than menldquoand realizing that running is an accessible avenue to get where they want to berdquo

Running is convenient requiring only a cute running outfit (Richardson says jokingly) and a pair of shoes But there is a mental aspect too she says

ldquoIt is a great mental breakrdquo Richardson says ldquoand often a needed break from the challenges of motherhoodrdquo

In addition running provides an opportunity to connect with friends neighbors and the community she says

ldquoIt becomes your own lsquorealrsquo social network as an alternative to the virtual social media network we all divulge inrdquo Richardson says

Those whorsquove completed a road race know the camaraderie that quickly develops between people sharing the ldquopain passion and finish line goalrdquo she says

There are a thousand reasons to run which might be why so many women are latching onto the sport it ldquotouches them on so many levelsrdquo according to runningusaorg

Almost 19 million women reported running or jogging at least six times per year in 2011 which is a 126 percent growth from 2010 according to the National Sporting Goods Association The trend is growing among men at half that speed

And women are leaving a money trail in

1990

Men

W

omen

2000

2011

0 3 6Millions - Source Running USA

Completed a Road Race

9 12 15

6377

36 5

12 36

Wild

When anyone tells me I cant do anything Im just not listening

anymore-Florence Griffith-Joyner aka Flo-Jo womenrsquos

World Record holder 100 m and 200 m

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 13 FacebookcomHealthyIdaho

14 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Wersquove got three different ways to help you burn 500

calories Thatrsquos equal to two bags of MampMs Herersquos how

to melt the pounds away

Lots of people feel a real vigor and

earnestness about losing weight and

getting healthy around New Yearrsquos But

by the time spring has sprung that New

Yearrsquos resolution has melted with the

winter snows Here are three ways to

help you get back on track and burn a

quick 500 calories

Spin away calories with a stationary-bike work-

out that will help you see results

BIKE

MINUTES000 - 500500 - 10001000 - 12001200 - 13001300 - 15001500 - 16001600 - 18001800 - 19001900 - 21002100 - 25002500 - 26002600 - 27002700 -28002800 - 29002900 - 30003000 - 33003300 - 35003500 - 4000

RPM808080859085958595901009010090100909580

LEVEL578686868686868684

If you consider yourself a stair-climbing

machine try this on for size Not only

will you burn calories yoursquoll tone too Be

sure not to cheat Stand upright with your

abdominals firm and if you can help it

avoid using the rails for support when you

get tired To pump up your workout go

hands-free and move your arms in motion

as if you were running

STAIRCLIMBER

MINUTES

000 - 500

500 - 1000

1000 - 1500

1500 - 1800

1800 - 2100

2100 - 5100

5100 - 6100

RPE

4-5 - Warm up

5-6 - Pick up the pace

6-7 - Getting warmer

8-9 - Go all out

5-6 - Recover

Repeat minutes 15- 21 five times

3- Cool down

The trick with this routine

is to keep the incline of your

treadmill at 1 percent the

entire time This can be modi-

fied to suit your fitness level

TREADMILL

MINUTES

000 - 10001000 - 10201020 - 11201120 - 1400

1400 - 17001700 - 27002700 - 31003100 - 35003500 - 39003900 - 5500

5500 - 6000

PACE

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

SPRINGINTOACTION

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 15 FacebookcomHealthyIdaho

J Brett Comstock DDS

Visit our website drbrettcomstockcom

ORAL ampMAXILLOFACIAL SURGERY

2 0 8 3 7 5 0 1 9 1 403 S 11th St 320 Boise ID 83702

PRACTICING THE FULL SCOPE OF ORAL AND MAXILLOFACIAL SURGERY FOR OVER 20 YEARS

Specializing in bullWisdom TeethbullDental ImplantsbullIV Sedation and General AnesthesiaThe HealthFest a FREE community event produced by the Nampa

Chamber of Commerce held at the Nampa Civic Center on March 16th from 900 am to 300 pm is one you donrsquot want to miss There is something for every age group from infants to seniors

With approximately 80 exhibitors the HealthFest focuses on all aspects of health Exhibitors range from healthcare professionals to community organizations The event will cover the full spectrum of health-related sectors which includes local hospitals physicians nutritional advisors care for the aging chiropractic physical fitness vision hearing dental and mental health care

Free screenings include osteoporosis breast cancer lung capacity body fat analysis blood pressure vision dental and more ldquoAsk the Docrdquo sessions and other interactive activities available throughout the day

Come join us at the 2013 HealthFest on March 16th 900 am to 300 pm at the Nampa Civic Centerhellip and remember itrsquos free

A Healthy Happy YOU

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAYldquoIf you can show it

we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

1000 N CURTIS RDSUITE 303 BOISE IDAHO (208) 377-4000 WWWTHEALLERGYGROUPCOM

ALLERGY ASTHMA IMMUNOLOGY

Feel the difference

ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

Bio-Identical Hormone Therapy for Men and WomenPreventative and Age-Management Medicine

Complete Womanrsquos Healthcare

Idahorsquos Leading Expert inBio-Identical Hormone Management

for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

HEALTHY-IdahoCOM

8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

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com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

beatuy tips

copyC

roliq

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| D

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

copyC

roliq

ue K

ulec

zka

| D

ream

stim

eco

m

34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

beatuy tips

copySa

ndor

Kac

so V

ling

| Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

copySa

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
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  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 11: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 11 FacebookcomHealthyIdaho

There are fashion trends hairstyle trends and yes there are even food trends It is not that the beneficial components of these foods havenrsquot been known before 2013 Rather they achieve prominence when a celebrity or famous nutritionist or doctor touts the purported benefits of certain ldquoexoticrdquo foods So what are the hot foodsbeverages in 20131) Green Tea This is perhaps the most praised compound

on the list for good reason Green tea contains

powerful antioxidants that inhibit growth of

cancer cells Research indicates that it also

lowers blood pressure and cholesterol If

yoursquore looking for an ally in your weight loss

battle green tea could be your new friend

Chemicals in green tea increase metabolism

reduce the amount of dietary fat the body

absorbs prevent fat cells from enlarging and

multiplying and regulate blood sugar levels

2) Greek YogurtBoth Greek and regular yogurt in their plain

non-fat or low-fat forms are healthy dietary

options Theyre low in calories and packed

with calcium and live bacterial cultures

which promote a healthy digestive track

The Greek version however has less sugar

half the carbohydrates half the sodium and

almost double the protein of regular yogurt

3) QuinoaIf you are looking for a low carbohydrate

alternative to pasta or rice quinoa might

be the answer Quinoa is a healthful grain-

like seed that is similar in appearance to

couscous It provides all nine essential amino

acids making it a complete protein It is rich

in B vitamins fiber and magnesium and is

gluten-free

4) Chia SeedsAlong with quinoa chia seeds are one of the

highest plant-based sources of a complete

protein These seeds which resemble

poppy seeds can be purchased in seed or

powder form and added to yogurt oatmeal

or smoothies They can also be used as a

substitute for eggs in baked goods since they

Brooke KittelBA Journalism Certified Personal Trainer (NASM)

ABOUT THE AUTHOR

TRENDING INWhats

Nutritiontake on a gelatinous texture when placed

in liquid (a secret of vegans) Chia seeds are

loaded with omega-3 fats fiber calcium

phosphorous magnesium manganese

copper iron niacin and zinc

5) Tart CherriesTart cherries have the highest anti-

inflammatory content of any food therefore

many people with gout arthritis and joint

pain report significant pain relief when

ingesting tart cherries Additionally studies

have shown that tart cherries fight heart

disease and help with sleep since they

contain melatonin the sleep hormone

Since you would need to eat an entire bag

of these cherries on a daily basis to reap the

benefits most people drink tart cherry juice

or take it in a pill form

6) KaleKale is a leafy green that comes from the

same cruciferous family as Brussels sprouts

cabbage and collard greens Kale packs a

punch when it comes to health benefits It

helps lower cholesterol fight cancer and

detox the liver It is high in Vitamin A C

K calcium fiber copper potassium iron

manganese and phosphorus Kale is also

rich in the eye-health promoting lutein and

zeaxanthin compounds

Advisor NUTRITIONgtgt

12 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

the wake of their new habit Running USArsquos 2012 Womenrsquos National Runner Survey found that 80 percent of female respondents spent more than $100 on running apparel in the last year

Considering the history of womenrsquos running and the plethora of science-backed health benefits running offers the modern female running trend is one to cheer for

For decades it was mistakenly thought that a womanrsquos body couldnrsquot handle the strain of distance running but that idea would seem alien to the more than 75 million women who completed a road race in 2011Rewind to 1928 when three women collapsed after running in the Olympic 800 meter race As a result officials banned any race for women longer than 200 meters until 1960 In the 80s science confirmed the safety of distance running for females and restrictions went away completely in 1984 when the womenrsquos marathon and 3000 meter race were added to the Olympic Games

Fast forward to 2011 when more women completed a road race than men marking a significant milestone in the sport But today running is much more than a matter of competition for women according to former collegiate track athlete and USA Track and Field Certified Coach Janae Richardson who founded UtahRunningcom with her husband

ldquoI think women are becoming more aware of the importance of healthrdquo she says

WO

ME

NR

UN

NIN

G

For the first time women might be running more than menldquoand realizing that running is an accessible avenue to get where they want to berdquo

Running is convenient requiring only a cute running outfit (Richardson says jokingly) and a pair of shoes But there is a mental aspect too she says

ldquoIt is a great mental breakrdquo Richardson says ldquoand often a needed break from the challenges of motherhoodrdquo

In addition running provides an opportunity to connect with friends neighbors and the community she says

ldquoIt becomes your own lsquorealrsquo social network as an alternative to the virtual social media network we all divulge inrdquo Richardson says

Those whorsquove completed a road race know the camaraderie that quickly develops between people sharing the ldquopain passion and finish line goalrdquo she says

There are a thousand reasons to run which might be why so many women are latching onto the sport it ldquotouches them on so many levelsrdquo according to runningusaorg

Almost 19 million women reported running or jogging at least six times per year in 2011 which is a 126 percent growth from 2010 according to the National Sporting Goods Association The trend is growing among men at half that speed

And women are leaving a money trail in

1990

Men

W

omen

2000

2011

0 3 6Millions - Source Running USA

Completed a Road Race

9 12 15

6377

36 5

12 36

Wild

When anyone tells me I cant do anything Im just not listening

anymore-Florence Griffith-Joyner aka Flo-Jo womenrsquos

World Record holder 100 m and 200 m

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 13 FacebookcomHealthyIdaho

14 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Wersquove got three different ways to help you burn 500

calories Thatrsquos equal to two bags of MampMs Herersquos how

to melt the pounds away

Lots of people feel a real vigor and

earnestness about losing weight and

getting healthy around New Yearrsquos But

by the time spring has sprung that New

Yearrsquos resolution has melted with the

winter snows Here are three ways to

help you get back on track and burn a

quick 500 calories

Spin away calories with a stationary-bike work-

out that will help you see results

BIKE

MINUTES000 - 500500 - 10001000 - 12001200 - 13001300 - 15001500 - 16001600 - 18001800 - 19001900 - 21002100 - 25002500 - 26002600 - 27002700 -28002800 - 29002900 - 30003000 - 33003300 - 35003500 - 4000

RPM808080859085958595901009010090100909580

LEVEL578686868686868684

If you consider yourself a stair-climbing

machine try this on for size Not only

will you burn calories yoursquoll tone too Be

sure not to cheat Stand upright with your

abdominals firm and if you can help it

avoid using the rails for support when you

get tired To pump up your workout go

hands-free and move your arms in motion

as if you were running

STAIRCLIMBER

MINUTES

000 - 500

500 - 1000

1000 - 1500

1500 - 1800

1800 - 2100

2100 - 5100

5100 - 6100

RPE

4-5 - Warm up

5-6 - Pick up the pace

6-7 - Getting warmer

8-9 - Go all out

5-6 - Recover

Repeat minutes 15- 21 five times

3- Cool down

The trick with this routine

is to keep the incline of your

treadmill at 1 percent the

entire time This can be modi-

fied to suit your fitness level

TREADMILL

MINUTES

000 - 10001000 - 10201020 - 11201120 - 1400

1400 - 17001700 - 27002700 - 31003100 - 35003500 - 39003900 - 5500

5500 - 6000

PACE

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

SPRINGINTOACTION

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 15 FacebookcomHealthyIdaho

J Brett Comstock DDS

Visit our website drbrettcomstockcom

ORAL ampMAXILLOFACIAL SURGERY

2 0 8 3 7 5 0 1 9 1 403 S 11th St 320 Boise ID 83702

PRACTICING THE FULL SCOPE OF ORAL AND MAXILLOFACIAL SURGERY FOR OVER 20 YEARS

Specializing in bullWisdom TeethbullDental ImplantsbullIV Sedation and General AnesthesiaThe HealthFest a FREE community event produced by the Nampa

Chamber of Commerce held at the Nampa Civic Center on March 16th from 900 am to 300 pm is one you donrsquot want to miss There is something for every age group from infants to seniors

With approximately 80 exhibitors the HealthFest focuses on all aspects of health Exhibitors range from healthcare professionals to community organizations The event will cover the full spectrum of health-related sectors which includes local hospitals physicians nutritional advisors care for the aging chiropractic physical fitness vision hearing dental and mental health care

Free screenings include osteoporosis breast cancer lung capacity body fat analysis blood pressure vision dental and more ldquoAsk the Docrdquo sessions and other interactive activities available throughout the day

Come join us at the 2013 HealthFest on March 16th 900 am to 300 pm at the Nampa Civic Centerhellip and remember itrsquos free

A Healthy Happy YOU

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAYldquoIf you can show it

we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

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ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

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Bio-Identical Hormone Therapy for Men and WomenPreventative and Age-Management Medicine

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Idahorsquos Leading Expert inBio-Identical Hormone Management

for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

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If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

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22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

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LearningRx testing provides accurate measurement of your childrsquos essential learning skills easy to understand answers to exactly why your child

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 12: Healthy Idaho | March '13

12 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

the wake of their new habit Running USArsquos 2012 Womenrsquos National Runner Survey found that 80 percent of female respondents spent more than $100 on running apparel in the last year

Considering the history of womenrsquos running and the plethora of science-backed health benefits running offers the modern female running trend is one to cheer for

For decades it was mistakenly thought that a womanrsquos body couldnrsquot handle the strain of distance running but that idea would seem alien to the more than 75 million women who completed a road race in 2011Rewind to 1928 when three women collapsed after running in the Olympic 800 meter race As a result officials banned any race for women longer than 200 meters until 1960 In the 80s science confirmed the safety of distance running for females and restrictions went away completely in 1984 when the womenrsquos marathon and 3000 meter race were added to the Olympic Games

Fast forward to 2011 when more women completed a road race than men marking a significant milestone in the sport But today running is much more than a matter of competition for women according to former collegiate track athlete and USA Track and Field Certified Coach Janae Richardson who founded UtahRunningcom with her husband

ldquoI think women are becoming more aware of the importance of healthrdquo she says

WO

ME

NR

UN

NIN

G

For the first time women might be running more than menldquoand realizing that running is an accessible avenue to get where they want to berdquo

Running is convenient requiring only a cute running outfit (Richardson says jokingly) and a pair of shoes But there is a mental aspect too she says

ldquoIt is a great mental breakrdquo Richardson says ldquoand often a needed break from the challenges of motherhoodrdquo

In addition running provides an opportunity to connect with friends neighbors and the community she says

ldquoIt becomes your own lsquorealrsquo social network as an alternative to the virtual social media network we all divulge inrdquo Richardson says

Those whorsquove completed a road race know the camaraderie that quickly develops between people sharing the ldquopain passion and finish line goalrdquo she says

There are a thousand reasons to run which might be why so many women are latching onto the sport it ldquotouches them on so many levelsrdquo according to runningusaorg

Almost 19 million women reported running or jogging at least six times per year in 2011 which is a 126 percent growth from 2010 according to the National Sporting Goods Association The trend is growing among men at half that speed

And women are leaving a money trail in

1990

Men

W

omen

2000

2011

0 3 6Millions - Source Running USA

Completed a Road Race

9 12 15

6377

36 5

12 36

Wild

When anyone tells me I cant do anything Im just not listening

anymore-Florence Griffith-Joyner aka Flo-Jo womenrsquos

World Record holder 100 m and 200 m

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 13 FacebookcomHealthyIdaho

14 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Wersquove got three different ways to help you burn 500

calories Thatrsquos equal to two bags of MampMs Herersquos how

to melt the pounds away

Lots of people feel a real vigor and

earnestness about losing weight and

getting healthy around New Yearrsquos But

by the time spring has sprung that New

Yearrsquos resolution has melted with the

winter snows Here are three ways to

help you get back on track and burn a

quick 500 calories

Spin away calories with a stationary-bike work-

out that will help you see results

BIKE

MINUTES000 - 500500 - 10001000 - 12001200 - 13001300 - 15001500 - 16001600 - 18001800 - 19001900 - 21002100 - 25002500 - 26002600 - 27002700 -28002800 - 29002900 - 30003000 - 33003300 - 35003500 - 4000

RPM808080859085958595901009010090100909580

LEVEL578686868686868684

If you consider yourself a stair-climbing

machine try this on for size Not only

will you burn calories yoursquoll tone too Be

sure not to cheat Stand upright with your

abdominals firm and if you can help it

avoid using the rails for support when you

get tired To pump up your workout go

hands-free and move your arms in motion

as if you were running

STAIRCLIMBER

MINUTES

000 - 500

500 - 1000

1000 - 1500

1500 - 1800

1800 - 2100

2100 - 5100

5100 - 6100

RPE

4-5 - Warm up

5-6 - Pick up the pace

6-7 - Getting warmer

8-9 - Go all out

5-6 - Recover

Repeat minutes 15- 21 five times

3- Cool down

The trick with this routine

is to keep the incline of your

treadmill at 1 percent the

entire time This can be modi-

fied to suit your fitness level

TREADMILL

MINUTES

000 - 10001000 - 10201020 - 11201120 - 1400

1400 - 17001700 - 27002700 - 31003100 - 35003500 - 39003900 - 5500

5500 - 6000

PACE

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

SPRINGINTOACTION

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 15 FacebookcomHealthyIdaho

J Brett Comstock DDS

Visit our website drbrettcomstockcom

ORAL ampMAXILLOFACIAL SURGERY

2 0 8 3 7 5 0 1 9 1 403 S 11th St 320 Boise ID 83702

PRACTICING THE FULL SCOPE OF ORAL AND MAXILLOFACIAL SURGERY FOR OVER 20 YEARS

Specializing in bullWisdom TeethbullDental ImplantsbullIV Sedation and General AnesthesiaThe HealthFest a FREE community event produced by the Nampa

Chamber of Commerce held at the Nampa Civic Center on March 16th from 900 am to 300 pm is one you donrsquot want to miss There is something for every age group from infants to seniors

With approximately 80 exhibitors the HealthFest focuses on all aspects of health Exhibitors range from healthcare professionals to community organizations The event will cover the full spectrum of health-related sectors which includes local hospitals physicians nutritional advisors care for the aging chiropractic physical fitness vision hearing dental and mental health care

Free screenings include osteoporosis breast cancer lung capacity body fat analysis blood pressure vision dental and more ldquoAsk the Docrdquo sessions and other interactive activities available throughout the day

Come join us at the 2013 HealthFest on March 16th 900 am to 300 pm at the Nampa Civic Centerhellip and remember itrsquos free

A Healthy Happy YOU

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

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we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

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ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

Bio-Identical Hormone Therapy for Men and WomenPreventative and Age-Management Medicine

Complete Womanrsquos Healthcare

Idahorsquos Leading Expert inBio-Identical Hormone Management

for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

HEALTHY-IdahoCOM

8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

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com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

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ika

Bak

os |

Dre

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com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

beatuy tips

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

copyC

roliq

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| D

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eco

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

beatuy tips

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Kac

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| Dre

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

copyM

agda

natk

a |

Dre

amst

ime

com

38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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208-284-7748For more information visit us atwwwrockymountainsurrogacycomor email us at rockymtnsurrogacylivecom

44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
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  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 13: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 13 FacebookcomHealthyIdaho

14 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Wersquove got three different ways to help you burn 500

calories Thatrsquos equal to two bags of MampMs Herersquos how

to melt the pounds away

Lots of people feel a real vigor and

earnestness about losing weight and

getting healthy around New Yearrsquos But

by the time spring has sprung that New

Yearrsquos resolution has melted with the

winter snows Here are three ways to

help you get back on track and burn a

quick 500 calories

Spin away calories with a stationary-bike work-

out that will help you see results

BIKE

MINUTES000 - 500500 - 10001000 - 12001200 - 13001300 - 15001500 - 16001600 - 18001800 - 19001900 - 21002100 - 25002500 - 26002600 - 27002700 -28002800 - 29002900 - 30003000 - 33003300 - 35003500 - 4000

RPM808080859085958595901009010090100909580

LEVEL578686868686868684

If you consider yourself a stair-climbing

machine try this on for size Not only

will you burn calories yoursquoll tone too Be

sure not to cheat Stand upright with your

abdominals firm and if you can help it

avoid using the rails for support when you

get tired To pump up your workout go

hands-free and move your arms in motion

as if you were running

STAIRCLIMBER

MINUTES

000 - 500

500 - 1000

1000 - 1500

1500 - 1800

1800 - 2100

2100 - 5100

5100 - 6100

RPE

4-5 - Warm up

5-6 - Pick up the pace

6-7 - Getting warmer

8-9 - Go all out

5-6 - Recover

Repeat minutes 15- 21 five times

3- Cool down

The trick with this routine

is to keep the incline of your

treadmill at 1 percent the

entire time This can be modi-

fied to suit your fitness level

TREADMILL

MINUTES

000 - 10001000 - 10201020 - 11201120 - 1400

1400 - 17001700 - 27002700 - 31003100 - 35003500 - 39003900 - 5500

5500 - 6000

PACE

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

SPRINGINTOACTION

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 15 FacebookcomHealthyIdaho

J Brett Comstock DDS

Visit our website drbrettcomstockcom

ORAL ampMAXILLOFACIAL SURGERY

2 0 8 3 7 5 0 1 9 1 403 S 11th St 320 Boise ID 83702

PRACTICING THE FULL SCOPE OF ORAL AND MAXILLOFACIAL SURGERY FOR OVER 20 YEARS

Specializing in bullWisdom TeethbullDental ImplantsbullIV Sedation and General AnesthesiaThe HealthFest a FREE community event produced by the Nampa

Chamber of Commerce held at the Nampa Civic Center on March 16th from 900 am to 300 pm is one you donrsquot want to miss There is something for every age group from infants to seniors

With approximately 80 exhibitors the HealthFest focuses on all aspects of health Exhibitors range from healthcare professionals to community organizations The event will cover the full spectrum of health-related sectors which includes local hospitals physicians nutritional advisors care for the aging chiropractic physical fitness vision hearing dental and mental health care

Free screenings include osteoporosis breast cancer lung capacity body fat analysis blood pressure vision dental and more ldquoAsk the Docrdquo sessions and other interactive activities available throughout the day

Come join us at the 2013 HealthFest on March 16th 900 am to 300 pm at the Nampa Civic Centerhellip and remember itrsquos free

A Healthy Happy YOU

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAYldquoIf you can show it

we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

1000 N CURTIS RDSUITE 303 BOISE IDAHO (208) 377-4000 WWWTHEALLERGYGROUPCOM

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Feel the difference

ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

Bio-Identical Hormone Therapy for Men and WomenPreventative and Age-Management Medicine

Complete Womanrsquos Healthcare

Idahorsquos Leading Expert inBio-Identical Hormone Management

for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

HEALTHY-IdahoCOM

8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

Know why your child struggles

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LearningRx testing provides accurate measurement of your childrsquos essential learning skills easy to understand answers to exactly why your child

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 14: Healthy Idaho | March '13

14 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Wersquove got three different ways to help you burn 500

calories Thatrsquos equal to two bags of MampMs Herersquos how

to melt the pounds away

Lots of people feel a real vigor and

earnestness about losing weight and

getting healthy around New Yearrsquos But

by the time spring has sprung that New

Yearrsquos resolution has melted with the

winter snows Here are three ways to

help you get back on track and burn a

quick 500 calories

Spin away calories with a stationary-bike work-

out that will help you see results

BIKE

MINUTES000 - 500500 - 10001000 - 12001200 - 13001300 - 15001500 - 16001600 - 18001800 - 19001900 - 21002100 - 25002500 - 26002600 - 27002700 -28002800 - 29002900 - 30003000 - 33003300 - 35003500 - 4000

RPM808080859085958595901009010090100909580

LEVEL578686868686868684

If you consider yourself a stair-climbing

machine try this on for size Not only

will you burn calories yoursquoll tone too Be

sure not to cheat Stand upright with your

abdominals firm and if you can help it

avoid using the rails for support when you

get tired To pump up your workout go

hands-free and move your arms in motion

as if you were running

STAIRCLIMBER

MINUTES

000 - 500

500 - 1000

1000 - 1500

1500 - 1800

1800 - 2100

2100 - 5100

5100 - 6100

RPE

4-5 - Warm up

5-6 - Pick up the pace

6-7 - Getting warmer

8-9 - Go all out

5-6 - Recover

Repeat minutes 15- 21 five times

3- Cool down

The trick with this routine

is to keep the incline of your

treadmill at 1 percent the

entire time This can be modi-

fied to suit your fitness level

TREADMILL

MINUTES

000 - 10001000 - 10201020 - 11201120 - 1400

1400 - 17001700 - 27002700 - 31003100 - 35003500 - 39003900 - 5500

5500 - 6000

PACE

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

SPRINGINTOACTION

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 15 FacebookcomHealthyIdaho

J Brett Comstock DDS

Visit our website drbrettcomstockcom

ORAL ampMAXILLOFACIAL SURGERY

2 0 8 3 7 5 0 1 9 1 403 S 11th St 320 Boise ID 83702

PRACTICING THE FULL SCOPE OF ORAL AND MAXILLOFACIAL SURGERY FOR OVER 20 YEARS

Specializing in bullWisdom TeethbullDental ImplantsbullIV Sedation and General AnesthesiaThe HealthFest a FREE community event produced by the Nampa

Chamber of Commerce held at the Nampa Civic Center on March 16th from 900 am to 300 pm is one you donrsquot want to miss There is something for every age group from infants to seniors

With approximately 80 exhibitors the HealthFest focuses on all aspects of health Exhibitors range from healthcare professionals to community organizations The event will cover the full spectrum of health-related sectors which includes local hospitals physicians nutritional advisors care for the aging chiropractic physical fitness vision hearing dental and mental health care

Free screenings include osteoporosis breast cancer lung capacity body fat analysis blood pressure vision dental and more ldquoAsk the Docrdquo sessions and other interactive activities available throughout the day

Come join us at the 2013 HealthFest on March 16th 900 am to 300 pm at the Nampa Civic Centerhellip and remember itrsquos free

A Healthy Happy YOU

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAYldquoIf you can show it

we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

1000 N CURTIS RDSUITE 303 BOISE IDAHO (208) 377-4000 WWWTHEALLERGYGROUPCOM

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ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

Bio-Identical Hormone Therapy for Men and WomenPreventative and Age-Management Medicine

Complete Womanrsquos Healthcare

Idahorsquos Leading Expert inBio-Identical Hormone Management

for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

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Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

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Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

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changed

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22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 15: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 15 FacebookcomHealthyIdaho

J Brett Comstock DDS

Visit our website drbrettcomstockcom

ORAL ampMAXILLOFACIAL SURGERY

2 0 8 3 7 5 0 1 9 1 403 S 11th St 320 Boise ID 83702

PRACTICING THE FULL SCOPE OF ORAL AND MAXILLOFACIAL SURGERY FOR OVER 20 YEARS

Specializing in bullWisdom TeethbullDental ImplantsbullIV Sedation and General AnesthesiaThe HealthFest a FREE community event produced by the Nampa

Chamber of Commerce held at the Nampa Civic Center on March 16th from 900 am to 300 pm is one you donrsquot want to miss There is something for every age group from infants to seniors

With approximately 80 exhibitors the HealthFest focuses on all aspects of health Exhibitors range from healthcare professionals to community organizations The event will cover the full spectrum of health-related sectors which includes local hospitals physicians nutritional advisors care for the aging chiropractic physical fitness vision hearing dental and mental health care

Free screenings include osteoporosis breast cancer lung capacity body fat analysis blood pressure vision dental and more ldquoAsk the Docrdquo sessions and other interactive activities available throughout the day

Come join us at the 2013 HealthFest on March 16th 900 am to 300 pm at the Nampa Civic Centerhellip and remember itrsquos free

A Healthy Happy YOU

50 mph75 mph50 mphRepeat minutes1000-1120 twice50 mph65 mph50 mph65 mph50 mphRepeat minutes3100 -3900 twiceGradually slowpace to cool down

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

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Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

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You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

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18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

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20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

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Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

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22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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Bak

os |

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HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

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Bak

os |

Dre

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28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

copyC

roliq

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| D

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

beatuy tips

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

copyM

agda

natk

a |

Dre

amst

ime

com

38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
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  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 16: Healthy Idaho | March '13

16 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

You can bench press 180 pounds but you missed the bus because you can only run 200 yards before having to stop Or maybe you can run five miles easily but you lifted up a box and pulled a muscle Is your exercise helping you

The Body Progressed

Certainly lifting weights and running both have their numerous benefits but complete fitness is true liberation Thatrsquos the idea behind CrossFit the fitness regimen that mashes together weightlifting sprinting and gymnastics to help improve the body at multiple levels

ldquoFitness is the ability to do real workrdquo their website declares ldquoAfter looking at all sport and physical tasks collectively we asked what physical skills and adaptations would most universally lend themselves to performance and advantagerdquo

WHO SHOULD DO IT

Early adopters of the program in-cluded firefighters SWAT teams and special-ops personnel The intensity of CrossFit makes it not right for everyone

ldquoIt must be understood that the CrossFit workouts are extremely demanding and will tax the ca-pacities of even the worldrsquos best athletesrdquo says the CrossFit web-site ldquoYou would be well advised to take on the WOD (workout of the day) carefully cautiously and work first towards completing the workouts comfortably and consistently before throwing yourself at them 100 percentrdquo

A driven ambitious person who is already physically capable is probably the best candidate for CrossFit

CROSSFITCRAZY

One of their ads critically shows a man in a headband sitting on a stationary bike reading a comic book and drinking a soda Certainly we all have an inclination to take the easier road to nudge ourselves rather than really push ourselves

CrossFit calls out the people who walk away from a workout barely sweating If fitness is a goal it is going to take some serious effort

There are two paths for people interested in trying CrossFit working out on your own or at a CrossFit gym But what is the workout It is up to you and whomever yoursquore with CrossFit is often done in groups which provides a powerful peer boost The workouts often involve interval training meaning going all-out for a certain amount of time doing certain exercises

For example one CrossFit workout involves a 15-minute circuit of push-ups deadlifts

and box jumps Jump roping rows squats and a hundred other exercises are on your list of options

Go to Crossfitcom or search online for a workout that fits you Remember that the idea is to not get settled into one type of exercise

ldquoIn sum our specialty is not specializingrdquo the CrossFit website says

WHAT DOES YOUR EXERCISE DO FOR YOU

FI

TN

ES

S

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAYldquoIf you can show it

we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

1000 N CURTIS RDSUITE 303 BOISE IDAHO (208) 377-4000 WWWTHEALLERGYGROUPCOM

ALLERGY ASTHMA IMMUNOLOGY

Feel the difference

ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

Bio-Identical Hormone Therapy for Men and WomenPreventative and Age-Management Medicine

Complete Womanrsquos Healthcare

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for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

HEALTHY-IdahoCOM

8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

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Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

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com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

beatuy tips

copyC

roliq

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| D

ream

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eco

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

copyC

roliq

ue K

ulec

zka

| D

ream

stim

eco

m

34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

beatuy tips

copySa

ndor

Kac

so V

ling

| Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

copySa

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

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agda

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 17: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 17 FacebookcomHealthyIdaho

This year donrsquot letvaricose veinsget in your way

Contact us if yoursquore experiencingbull Leg painbull Fatigued achy legsbull Swellingbull Itchingbull Spider veinsbull Varicose veins

Treatments includebull Sclerotherapybull Endovenous Laser Treatment

At Advanced Vein Therapy you can expectbull Quick recoverybull Minimal painbull Optimal resultsbull Highly skilled and trusted staffbull Fellowship trained interventional radiologists

Call 9470100 or visit wwwAboutAVTcom to learn more161 E Mallard Dr Suite 130

Boise ID 83706

WANT FASTER AND MORE COMPLETE RELIEF FROM PAIN AND STIFFNESS

You can get it with Fascial Distortion Model Therapeutic Associates Physical Therapy Parkcenter is one of only 3 PT clinics in the US to offer this groundbreaking set of techniques It works by allowing us to translate your subtle hand and body language descriptions of your symptoms into a more precise assessment and treatment plan We achieve faster results by offering the right treatment at the right time with improvement expected at each visit

CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAYldquoIf you can show it

we can treat itrdquo 390 E Parkcenter Blvd Ste 130 Boise | (208)433-9211

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

1000 N CURTIS RDSUITE 303 BOISE IDAHO (208) 377-4000 WWWTHEALLERGYGROUPCOM

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ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

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Complete Womanrsquos Healthcare

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for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

HEALTHY-IdahoCOM

8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

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PA

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BS

Prot

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Fibe

rVi

tam

in A

Vita

min

CVi

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in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

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Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

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nese

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40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

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ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

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I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 18: Healthy Idaho | March '13

18 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

How many good people do you know Do you want to be a better personThese are some of the first questions Stevan Nielsen a clinical psychologist and professor at Brigham Young University loves to ask new acquaintances and students If he asks most everyone in the class will naturally raise their hand These ideas are fundamental to the way most Americansmdashperhaps even most humansmdashthink about themselves and others However Nielsen believes they also contribute to some of the most common mental illnesses including depression and anxiety

The problem with believing in good people according to Nielsen is the inferred inverse of the idea if there are good people then there must also be bad people If one can be better then logically one can also be worse These statements imply that people exist on some kind of scale with the best at the top the worst at the bottom and all sorts of people in between

Human RatingT W I S T E D M E A S U R E M E N T S O F V A L U E

WRIT TEN BY EMMA PENROD

ldquoIf you think you can be better you have some kind of humanometer in your headrdquo Nielsen explains

Thatrsquos not to say that learning a new skill or further developing an old one is fundamentally wrong Nielsen continues The problem of ldquohuman ratingrdquo as he calls it is one of semantics generalization and comparison For example one student might approach a high-pressure test with the idea that a good score will help her get into a desirable program Another student might approach that same test with the idea that it will judge her worthy or unworthy of admission into that program One is human rating the other is not

ldquoIf I do well this will show what Irsquom made ofmdashthatrsquos human ratingrdquo Nielsen saysThis difference of thought process could lead to different outcomes for these two students Going in to the test both will likely experience some trepidation But

the human-rating student is much more likely to experience intense anxiety if she continues to view the outcome of the test as a measure of her fundamental worth Say neither gets the score they hoped formdashboth will be disappointed by not getting in to the program but the human-rating student is much more likely to experience depression after the fact

ldquoHuman rating gives you a whole extra set of ideas that interfere with things you want to dordquo Nielsen says ldquoIn my opinion itrsquos the worst idea in the world I donrsquot consider it logical or helpful to rate the whole personrdquo

The problem goes beyond situations that are directly comparable such as test scores More often people rating is an internal issue related to concepts of self-worth and identity

ldquoSome people equate their value with their work with their bank account or with their appearancerdquo Nielsen says

These mistaken beliefs according to Nielsen can lead a person to lifelong challenges with depression or anxiety If a task or situation is viewed as potentially defining onersquos fundamental worth approaching the self-defining object cangtgtgt

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

1000 N CURTIS RDSUITE 303 BOISE IDAHO (208) 377-4000 WWWTHEALLERGYGROUPCOM

ALLERGY ASTHMA IMMUNOLOGY

Feel the difference

ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

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Bio-Identical Hormone Therapy for Men and WomenPreventative and Age-Management Medicine

Complete Womanrsquos Healthcare

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for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

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SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

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Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

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8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

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PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

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nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

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ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 19: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 19 FacebookcomHealthyIdaho

The Allergy Group delivers friendly competent and experienced medical care for allergy sinus asthma and related medical problems Dr Callanan is a board-certified physician in Internal Medicine and AllergyImmunology practicing Allergy in Boise since 1971

ST LUKES MERIDIAN 520 S EAGLE RD 1245

1000 N CURTIS RDSUITE 303 BOISE IDAHO (208) 377-4000 WWWTHEALLERGYGROUPCOM

ALLERGY ASTHMA IMMUNOLOGY

Feel the difference

ALLERGIST PROVIDED ASTHMA CARE LEADS TO76 Fewer ER Visits 77 Less Missed Workschool77 Fewer Hospitalizations 45 Fewer Sick Visits

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

Bio-Identical Hormone Therapy for Men and WomenPreventative and Age-Management Medicine

Complete Womanrsquos Healthcare

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for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

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8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

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PA

RIN

G H

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BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

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Sele

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40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

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WA

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ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

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ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 20: Healthy Idaho | March '13

20 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

induce severe anxiety And Nielsen has found that most people suffering from depression tend to place themselves beneath others on an imaginary humanometer

ldquoI just have never met a depressed person who doesnrsquot think they are less than they should be or less than other peoplerdquo he says

On the other hand people who imagine themselves as above others can fall victim to narcissism Though these people are unlikely to seek therapy unless forced into it Nielsen says it also has led to problematic ideals such as those that have guided some of historyrsquos most notorious dictators

The fundamental error of human rating according to Nielsen is the belief that human value is mutable when in fact ldquothat value never changesrdquo

Human rating is not Nielsenrsquos own original ideamdashthe theory was developed by another notable psychologist Albert Ellis Nielsenrsquos initial attraction to the concept came when he noticed similarities between his own religious beliefs and Ellisrsquos theory After testing that theory on himself Neilson became a strong advocate for it

He says he thinks of himself not as Dr Nielsen the psychologist but as just another guy who earned a certificate and that he feels a greater degree of freedom because of this outlook on life

He wasnrsquot always that way however Nielsen remembers a time as an undergraduate when finding himself at the lower end of class curve caused him to question his value as a human being If he were not as smart as the other students in the class did that mean his worth was not what he assumed

Itrsquos a pitfall that afflicts all humanity Nielsen says and women are no exception

ldquoTo human-rate is fundamentally humanrdquo he says ldquobut there are things in our society that may be more likely to create depression in womenrdquoNielsen suspects depression likely affects a more equal part of men and women then the stats suggest but women are more likely to come to a psychologist voluntarily for help with

the condition For most university psychologists about 30 percent of the clients are male and the other 70 percent female Nielsen says However he also believes there are stresses more likely to induce disordered thinking in women than in men The pressure to look good for example can lead women to identify their self-worth with their appearance Weight can be problematicmdasha scale can be used as a substitute humanometer Women also tend to put greater emphasis on others and on long-term relationships

Nielsen has found that a change of thought processes and of vocabulary can often help overcome or prevent these problems He teaches his students to look for labels as signs of people rating and to consciously correct the label replacing it with something that does not evaluate the person as a whole Instead of good people he suggests thinking of people as better off in some way or more adept in a certain skill Instead of praising a person praise abilities Instead of personal criticism criticize poor choices of habit or philosophy

ldquoThere is no one that is not a fallible flawed human beingrdquo Nielsen says ldquoI am no better or worse than the day I was bornrdquo

While it might be quicker to fall back on the ldquoto berdquo verb while thinking generalizing someone who does something well as a good person is a problematic shortcut Nielsen says and setting vague goals like ldquorsquobecoming betterrsquo might motivate someone but it is intensely riskyrdquo

THE ABCrsquoS OF HUMAN RATINGAlbert Ellis the psychologist who influenced Stevan Nielsonrsquos thoughts on human rating introduced Rational Emotive Behavior Therapy and continued to refine it until his death in 2007 According to Psych Central Ellis developed REBT in response to shortcomings he saw in other therapies in use at the time such as psychoanalysis Maladaptive behaviors he postulated were not caused by events alone but by onersquos beliefs about those events Human rating was one of many beliefs he found especially harmful to wellbeing

To facilitate his therapy Ellis created an ABCDE model for counteracting irrational beliefs A stands for the activating event a simple fact or cause of frustration B stands for the problematic belief about the activating event and C stands for the consequences of that belief While the first three letters stand for mere observations of mental distress the final two letters stand for the proposed antidote D stands for disputemdashthat is arguments that might be used against the irrational belief and E for the more effective responses that result from more rational thinking

REBT has since been revised and refined by a number of contributors and is now used widely by psychologists and counselors to help with everything from anxiety to assertiveness training REBT still has its detractors as does the idea of human rating An article from the Journal of Cognitive and Behavioral Therapies pointed out fallacies in the logic behind human rating

ldquoIf a house has a bad roof a bad foundation leaky windows smells bad inside and a few other things it is legitimate to call it a crumby house a louse of a house an overall loser or turkey of a house It would of course be silly to say that a house was bad overall because it had a couple of minor defects just as it would be overgeneralizing to say that somebody is an overall jerk because she makes a few social blunders at cocktail parties But if the analogy with houses holds it would not be overgeneralizing to call a person bad who consistently displayed a wide range of importantly bad traitsrdquo

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

Bio-Identical Hormone Therapy for Men and WomenPreventative and Age-Management Medicine

Complete Womanrsquos Healthcare

Idahorsquos Leading Expert inBio-Identical Hormone Management

for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

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8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

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PA

RIN

G H

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BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

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nese

Sele

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40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

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WA

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O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

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ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

Know why your child struggles

On Professional Testing

LearningRx testing provides accurate measurement of your childrsquos essential learning skills easy to understand answers to exactly why your child

struggles with particular subjects or classes and practical steps to lasting change

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 21: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 21 FacebookcomHealthyIdaho

You cannot turn back the clock but we can wind it up again

Bio-Identical Hormone Therapy for Men and WomenPreventative and Age-Management Medicine

Complete Womanrsquos Healthcare

Idahorsquos Leading Expert inBio-Identical Hormone Management

for Men and Women

Also Specializing InAge Management Medicine

Sexual DysfunctionThyroid Disorders

Metabolic Syndrome

Tammy Hadfield MSN WHNP-BCBoard Certified Womanrsquos Health amp

Diplomat of The American Academy of Anti-Aging Medicine

1943 N Locust Grove Road bull Meridian - 2082878400wwwEmbraceWellnessTodaycom

HealthyIDAHO

reg

SEO Alerthellip

If you havenrsquot changed your SEO strategy from last years outdated methodsmdashlink building mdashyou could find yourself losing out to your competitors

Google has completely re-worked their ranking algorithm Links are outhellip quality content and lots of it is in

Call today to see how Healthy Idaho can position you and your practice at the top of your specialty

The rules of the game have

changed

HEALTHY-IdahoCOM

8668843258

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

Know why your child struggles

On Professional Testing

LearningRx testing provides accurate measurement of your childrsquos essential learning skills easy to understand answers to exactly why your child

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208-284-7748For more information visit us atwwwrockymountainsurrogacycomor email us at rockymtnsurrogacylivecom

44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 22: Healthy Idaho | March '13

22 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Why Should I see a medical weight loss specialist

A medical weight loss specialist has undergone additional edu-

cation training and testing to become board certified in weight loss

medicine Also to become board certified the national board of Bariat-

ric Medicine sends a previously board certified physician to observe Dr

Raderrsquos and Dr Freshwaterrsquos practice This physician then reports back to

a board of other physicians before certifying Dr Rader or Dr Freshwater

Dr Rader and Dr Freshwater are the only MDrsquos in Idaho to pass all three

of the processes to become board certified in weight loss medicine

Not only is Dr Rader a treatment specialist he is an instructor- teaching

other physicians in his weight loss medicine methods He has presented

and lectured at national conferences from 2003 through 2008 Physicians

have even trained with Dr Rader by visiting his office Local physicians

refer patients to Dr Rader but a referral is not necessary to visit the clinic Dr Rader has lectured in the following cities over the past several years

Tampa Phoenix Las Vegas San Diego Louisville Chicago and St Louis

Because they are specialists weight loss with a Bariatrician is a complete

program focusing not only on weight loss but also on weight mainte-

nance Bariatricians are skilled in helping overweight patients deal with

their personal highs and lows during a weight loss program They are

experienced in the roadblocks of becoming successful in controlling the

disease called overweight and obesity

WINNING

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

beatuy tips

copyC

roliq

ue K

ulec

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| D

ream

stim

eco

m

HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

copyC

roliq

ue K

ulec

zka

| D

ream

stim

eco

m

34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

beatuy tips

copySa

ndor

Kac

so V

ling

| Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

copySa

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 23: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 23 FacebookcomHealthyIdaho

SAQ SHOULD ASK QUESTIONS

Before you sign up to participate in ANY weight loss program you should ask the following questions of the medical providerbull Is the program monitored by a physician experienced in or trained in medical weight lossbull Is the program safe and how many persons have been treated with this programbull What kind of results does the program achievebull What does the program consist ofbull Do I see a physician and how often do I see the doctorbull Is the doctor trained in medical weight lossbull What are the credentials or training of the doctorbull Do you use medicines and if so do you have experience in using the medicine and

of any possible side effects of the medicinesbull Do I have to buy certain foodsbull Are there instructions or am I taught how to eat what to eat and about exercisebull How do you handle weight maintenancebull What happens if I gain weightbull If I have a medical condition or I am on medicines how will I be managedbull What are the costs ndash short term and long term

Important facts about our program

W Allen Rader MDIdahoWeightLosscomIdahos first MD Board certified by the American Board of Bariatric Medicine He has served on the National Board of Trustees for American Society of Bariatric Physicians and in 2008 was appointed to the executive committee and elected to be an Officer for the society He was awarded as the National Medical Weight Loss Physician of the year

ABOUT THE AUTHOR

Should I see a Bariatrician for weight lossThe National Institutes of Health (NIH) has clear guidelines as to who should try and lose weight and how they should do it Accord-ing to their guidelines a person should see a physician to lose weight if any of the following apply

1 You are trying to lose more than 15 ndash 20 pounds -andor-2 You have any health conditions -andor-3 You are taking any medications -andor- 4 You are planning to take medication to lose weight

IdahoWeightLosscom

VOTE FOR USBest Weight Loss Group

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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Bak

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HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

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ika

Bak

os |

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28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

beatuy tips

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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roliq

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eco

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

beatuy tips

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

copyM

agda

natk

a |

Dre

amst

ime

com

38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

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208-284-7748For more information visit us atwwwrockymountainsurrogacycomor email us at rockymtnsurrogacylivecom

44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 24: Healthy Idaho | March '13

24 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Madame

More Than AnnoyingIrritable Bowel Syndrome

What Like it or not itrsquos time for some potty talk Irritable bowel syndrome (IBS) is a group of symptoms that occur together to wreak digestive havoc like cramps alterna-tion between diarrhea and constipation gas a swollen stomach and more

Why It probably has to do with both genet-ics and environmental triggers Fluctuations in hormones may also trigger IBS which may partly explain its predominance in women

Prevention Since the underlying cause of the syndrome is unknown there is to date no treatment that serves as a complete solu-tion to all the negative effects according to Dr Oliver Grundmann of the Department

Girls are made of sugar spice and everything nice but unfortunately that isnrsquot a concoction that can ward off disease The unfortunate truth is that when it comes to certain illnesses the scales are tipped against the gentler sex Make sure you know the fem-ailments

DISEASES THAT HATE WOMENhellipAND WHAT WOMEN CAN DO ABOUT ITWR IT TEN BY M ICHAEL R ICHARDSON

Quit Hitting Yourself Autoimmune Diseases

What An autoimmune disease is when the body mistakenly attacks its own healthy cells treating them as harmful invaders The problem generally shows itself as a hyper-sensitive response like an allergic reaction

There are a host of autoimmune disorders (more than 80) that can affect almost any part of the body including the heart brain nerves muscles skin eyes joints lungs kidneys glands the digestive tract and blood vessels Common autoimmune diseases are type 1 diabetes rheumatoid arthritis lupus multiple sclerosis and thyroiditis and it is fully possible to have multiple autoimmune disorders

23 million Americans have some kind of autoimmune disease

frac34are women

Autoimmune disease is a top 10 leading cause of death for women under age 64

Autoimmune disease is the 3rd most common category of disease after cancer and heart disease

Why Estrogen boosts the bodyrsquos response to infection while testosterone suppresses it The aggressive response in females might lead to disorders Other research says the autoimmune discrepancy between genders comes from mothers and babies exchang-ing cells during pregnancy If a babyrsquos cells remain in the mother her immune system might see them as invasive which can lead to autoimmune disorder Theories aside itrsquos probably a combination of environmental and genetic factors

Treatment Modern medicine makes it easier to live with most autoimmune diseases Treatment usually comes in the form of medication or therapy for the specific auto-immune response

ailmentsfemale

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

Know why your child struggles

On Professional Testing

LearningRx testing provides accurate measurement of your childrsquos essential learning skills easy to understand answers to exactly why your child

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208-284-7748For more information visit us atwwwrockymountainsurrogacycomor email us at rockymtnsurrogacylivecom

44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 25: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 25 FacebookcomHealthyIdaho

Practically every organ is different in men and

women

Porcelain Doll Fragility Osteoporosis

What Osteoporosis which literally means ldquoporous bonesrdquo is when the body makes too little bone or loses too much bone or both Those with this condition are more prone to bone breaks or fractures from simple falls and even just bumping into things accord-ing to the National Osteoporosis Foundation (NOF)

Who When it comes to bones the lady-folk are at a disadvantage One out of every two women over the age of fifty will experience an osteoporosis-related fracture according to everydayhealthcom Breaks are most likely to occur in the hip spine and wrist

Now Not Later Bone Health ExerciseWhen it comes to exercise it isnrsquot all about muscles and heart health Exercise helps bone density as well It helps to remem-ber that bones are living growing tissue and that using them can add strength Just because they feel like a rocks doesnrsquot mean they act like rocks

Bone Strengtheners

bull High impact Dancing hiking jogging tennis jump rope

bull Low impact (for those already at risk) Elliptical machine stair-step machines and walking

bull Muscle-strengthening Lift weights or do any resistance exercise 2-3 times per week

15of American adults have IBS

IBS is 3-4 times more common in women than men

of Medicinal Chemistry at the University of Florida But Grundmann says nutrition and lifestyle affect the occurrence of IBS so people can modify their lives to improve wellbeing

ldquoIt has been shown that certain food items may trigger or worsen IBS episodesrdquo he saysCaffeinated beverages alcohol smoking gluten fiber-rich foods and fat-rich foods are all things that some people with IBS need to avoid to lessen their symptoms Try starting a food diary to see what is hurting you You may have to eliminate a food for month or two before seeing changes

Exercise In addition to diet modern re-search shows that frequent exercise and sufficient sleep positively influence IBS Try to get around 30 minutes of aerobic exercise per day and at least seven hours of sleep each night going to bed at a consistent time Grundmann says

bull 45 million women over the age of 50 have osteo-porosis of the hip

bull 34 million people are at risk for osteoporosis ac-cording to the NOF

Why Women start with lower bone den-sity than males and lose bone mass more quickly as they age leading to higher rates of osteoporosis Why older women Due to menopause women experience dramatic drops in estrogen levels which is important for keeping bones healthy

Outlook Though these odds for fractures arenrsquot especially cheery the outlook for osteoporosis is much better than just 20 years ago The World Health Organization (WHO) says that the medical community has seen vast improvements in recent decades when it comes to detecting and treating the disease ldquoUntil recently osteoporosis was an under-recognized disease and considered to be an inevitable consequence of ageingrdquo a WHO report states

Prevention

bull Get enough calcium and vitamin Dbull Eat enough fruits and vegetablesbull Donrsquot eat too much protein sodium

and caffeinebull Have an active lifestylebull Donrsquot smoke or drink too much

alcoholbull Keep a healthy weight

Itrsquos important to start caring about bone health at a young age since symptoms can sneak up on you But even if you are older still care ldquoThe good news is that it is never too late to take steps to improve bone healthrdquo says Mary Bridgeman a Clinical Assistant Professor of Pharmacy at Rutgers

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

ime

com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

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ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
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  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 26: Healthy Idaho | March '13

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

tipYou cannot change the wind but you can adjust the sails

body image BOOST YOUR

WHEN YOU THINK OF

YOUR BODY WHAT

THOUGHTS COME TO

MIND DO YOU FOCUS

ON WHATrsquoS ldquoWRONGrdquo DO

YOU FEEL EMBARRASSED

ABOUT YOUR BODY LIKE

SO MANY PEOPLE WHO

STRUGGLE WITH WEIGHT

YOU MAY FIND IT DIFFICULT

mdashOR PERHAPS NOT EVEN

KNOW HOWmdashTO WORK

TOWARD A HEALTHIER

RELATIONSHIP WITH YOUR

OWN BODY BUT YOU CAN

LEARN TO ACCEPT AND

APPRECIATE YOURSELF

bA HEALTHY LIFESTYLE is about more than eating well and exercising mdash it is about accepting and embracing your body and treating it well Itrsquos not about waiting until yoursquove reached some ideal weight or some particular goal before learning to notice whatrsquos good about yourself and your body After all staying motivated requires that we celebrate every success Maybe your clothes feel a little looser or yoursquore feeling better about the way you look mdash itrsquos important to notice all the steps along the way

aeligREMEMBER FEW PEOPLE fit into or can ever obtain the supermodel standard of beauty Yet media images bombarding us with cellulite-free thighs rock-hard abs and a flat tummy distort our own body image and can leave us feeling inferior if we feel we donrsquot measure up This week pay particular attention to the messages you send yourself about your body Are they mainly negative If so practice replacing them with more self-accepting thoughts Take a look in the mirror and find the things about your body that you like and say that you like them out loud Start thinking of your body as something special that deserves your great care and attention

Source Duke Diet amp Fitness wwwDukedietCom

body image

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

eron

ika

Bak

os |

Dre

amst

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com

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

copyV

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Bak

os |

Dre

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com

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

beatuy tips

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

copyC

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

beatuy tips

copySa

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Kac

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| Dre

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com

HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

copyM

agda

natk

a |

Dre

amst

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com

38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 27: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 27 FacebookcomHealthyIdaho

body image BOOST YOUR

26 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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eron

ika

Bak

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28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

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PA

RIN

G H

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BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

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nese

Sele

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40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

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WA

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O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

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ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
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  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 28: Healthy Idaho | March '13

28 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

body image

Despite increased awareness of eating disorders some American girls continue to starve themselvesmdashlosing control of extreme weight loss regimens that may involve restricted calorie intake obsessive exercise food group elimination and daily vomiting In the process they risk permanent organ damage even death

WHY AREAMERICAN WOMENDYINGTO BETHIN WRIT TEN BY EMMA PENROD

Exactly why they take such great risks continues to elude experts but psychologists are beginning to believe the disturbed motivations that lead to disordered eating go deeper than a desire to be thin

Certainly unrealistic societal ideas for beauty muscularity and thinness contribute But psychologists say those with eating disorders arenrsquot as the saying goes dying to look thin Disorders such as anorexia and bulimia are often the products of multifaceted mental and emotional disturbances

ldquoPeople with eating disorders are not trying to look like modelsrdquo says Justine Reel the University of Utah faculty advisor to Students Promoting Eating Disorder Awareness and Knowledge or SPEAK ldquoAlthough a diet could start with a motivation to change onersquos size shape or appearance eating disorders are much more complex psychologicallyrdquo

A DANGEROUS SPIRALThough associated with body dissatisfaction disordered eating is rooted in deeper issues involving self-esteem anxiety and depression according to Lynn Grefe the president and CEO of the National Eating Disorders Association

ldquoIt looks like itrsquos all about food but itrsquos really about how they feel about themselvesrdquo she says ldquoTheyrsquore trying to control something and the one thing they can control is their own bodyrdquo

CRITICAL MASS

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

beatuy tips

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ream

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eco

m

HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

copyC

roliq

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| D

ream

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

beatuy tips

copySa

ndor

Kac

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| Dre

amst

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com

HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

copyM

agda

natk

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Dre

amst

ime

com

38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 29: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 29 FacebookcomHealthyIdaho

For at-risk populations predisposed to disordered eating stressful trigger events can begin a dangerous cycle that is difficult to escape Dieting somehow becomes a sort of addiction and before long the situation spirals out of control These disorders take time to develop and there is ultimately no single easily addressed cause

ldquoA person does not wake up one morning and decide lsquoI want to have an eating disorderrsquordquo Grefe says

DECODING CORRELATIONSEach individual situation is unique but Mary Pritchard an experimental psychologist at Boise State who specializes in disordered eating says she and her colleagues are beginning to notice common themes

Eating disorders may well begin at the genetic level according to Pritchard Many eating disorders exist simultaneously with other common mental disordersmdashspecifically people with bulimia often suffer from depression or other mood disorders and people with anorexia often also exhibit various anxiety disorders Research suggests a genetic and physiological basis for both depression and anxiety

ldquoThere is enough of a connection to give us pauserdquo Pritchard says ldquoBut if there is [a gene for eating disorders] itrsquos a relatively small factorrdquo

IT ALL STARTS AT HOMEMore important in Pritchardrsquos opinion is the patientrsquos home environment For most children family members are a childrsquos most influential role models up to pre-adolescence or about age 10 If as recent studies have suggested 80 percent of children have attempted their first diet prior to age 10 then ldquoit all starts at homerdquo Pritchard says

People who exhibit similar eating disorders often come from similar family situations Pritchard explains Children who later develop anorexia are often raised by controlling or over-protective parents They later come to view their bodies as the only aspect of their lives they can control and turn to extreme diets as a form of escape Bulimics on the other hand usually come from unstable family situations They may turn to food as a form of self-medication hoping to make themselves feel better and then later punish themselves by purging any potential weight gained by the emotion-driven binging

In either case she says these children were likely exposed to an adult parent figure or role model who was overly concerned about weight gain Even if their parents abstained from forcing diets or other eating restrictions on the children seeing a parent endeavor to lose weight or vocally criticize their own weight has long-term consequences

Pritchard also noted that it is rare for an individual who actually needs to lose weight to develop an eating disorder as a consequence of dieting Anorexics are generally thin before they begin dieting and bulimics are usually of normal weight or just slightly overweight

ldquoFor a truly obese person itrsquos very rare for them to end up with anorexia or bulimiardquo Pritchard says

PROMOTING A SHAKY FOUNDATIONAfter age 10 the family environment becomes somewhat less important and the influence of social pressures increases Media is important but peers more so according to Pritchard who says that those with predispositions for disordered eating tend to flock together to sharemdashand spreadmdashtheir ideas Peers influence which media outlets adolescents are likely to be looking at and as groups of girls meet to discuss the latest issue of a magazine disturbed ideas about food dieting and weight begin to surface and spread

More recently websites forums and social media initiatives calling themselves pro-ana pro-mia or using tags lines such as ldquothinspirationrdquo have surfaced and become popular among young demographics Such websites often facilitate the spread of potentially harmful claims suggesting that anorexia is a lifestyle rather than a disease and that food is infested with calories and in many cases act as support groups reinforcing anorexic or bulimic behaviors

While anorexia and bulimia are generally most common among women in their late teens or early twenties it is also common for disordered eating to surface during middle age as children are beginning to move out Eating disorders are also becoming more common among young men

The final piece of the puzzle according to Pritchard is a societal or perhaps even innately human focus on the negative While negative self-talk may seem an obvious source of the self-image problems that can lead to eating disorders Pritchard says even criticizing others is detrimental

ldquoSome research suggests your mind doesnrsquot know the difference between a negative thought about yourself or othersrdquo she says ldquoWersquore wired to focus on the negativerdquo

SOCIETAL SOLUTIONSIt can take time to break habits of negative self-talk but the first step is to pay special attention to thoughts that criticize self or others and replace them with positive thoughts Pritchard says It can take up to five positive thoughts to undo one negative one she adds

A generally critical culture and ads that attempt to guilt consumers into making purchases certainly donrsquot help the situation but Grefe says that with all the other underlying factors removing all media influence entirely would not eliminate eating disorders

ldquoThere are some people who would probably have anorexia no matter whatrdquo Grefe says ldquobut we would not have the numbers we have todayrdquo

Because eating disorders are so difficult to prevent universally Grefe says campaigns for early diagnosis and proper treatment are just as important as current campaigns for more responsible media

ldquoPeople are dying at 19 years old at 20 years oldrdquo she says ldquoThatrsquos why we feel itrsquos so important to diagnose these earlyrdquo

CRITICAL MASS The NEDA estimates that approximately 31 million people suffer from some form of eating disorder but it is difficult to determine the exact number of people affected In Utah a survey of hospitals found that more than 1000 individuals were hospitalized with conditions

B Y T H E N U M B E R Srelated to eating disorders between the years 2007 to 2011 for an average of about 218 patients per year During that five-year period the number of patients discharged from hospitals after being treated for complications related to an eating disorder increased by 9 percent

ldquoOf course that doesnrsquot include all the people with those conditions who never sought care in a hospitalrdquo says Cyndi Bemis a public information specialist with the Utah Department of Health who conducted the survey ldquoSo thatrsquos just the tip of the icebergrdquo

WHERE TO GET HELP

Early diagnosis and proper treatment is essential to the successful recovery of those with eating disorders There are numerous resources available to help those currently struggling with a disorder whether that person is you or someone you know

National Eating DisorderAssociation (NEDA)wwwmynedaorg800-931-2237

Center for Change (Orem UT)wwwcenterforchangecom888-224-8250

Avalon Hills Residential Treatment Center (Petersboro UT)wwwavalonhillsorg800-330-0490

Many psychologists and counseling centers will also assist those with eating disorders

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

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ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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Page 30: Healthy Idaho | March '13

30 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Idahorsquos suicide rate consistently ranks within the top ten in the nation

Follow- up calls by Phone Responders are

integral to the ISPH model of service Phone

Responders attempt to schedule them with

all suicidal callers and whenever requested

deemed appropriate Recipients of follow-

up calls report high levels of satisfaction

relief and better linkage with referrals upon

contact

Thus far ISPH has trained 40 volunteers and

Executive Director John Reusser states the

quality of the volunteer experience is central

to the Hotlinersquos success and sustainability

ldquoI learned from my time at the Crisis Clinic

in Seattle that volunteers are the lifeblood

of this kind of organization and that

hotline work can at times be stressful and

demanding Our dedicated phone room

model of service ensures that Volunteer

Phone Responders have direct on-site

supervision and great support during and

after they handle crisis calls We donrsquot want

volunteers taking a ldquohard callrdquo home with

them We try to emphasize good volunteer

self-care practices and promote a fun

supportive and collegial environment in the

Hotline phone roomrdquo

The Hotlinersquos current hours of operation are

Monday-Friday 9 am to 5 pm with plans

to expand to 247 Outside those hours

all calls to 1-800-273-TALK are taken by

hotlines outside of Idaho Says Director John

Reusser You donrsquot have to be suicidal to

call the Hotline anyone in crisis or needing

emotional support or resources is welcome

to callrdquo

To make a donation to ISPH or inquire about volunteering visit their website

(idahosuicidepreventionorg) or Facebook page (facebookcomidahosuicideprevention)

or call 208-258-6990

According to the Suicide

Prevention Action Network of

Idaho our state ranked

fourth in the nation in 2010

with a rate of suicide 49 percent higher

than the national average In 2011 284

people committed suicide in Idaho

and it has become the second leading

cause of death among 15-34 year olds

It is estimated that suicide attempts

in Idaho result in $36 million in costs

annually (SPAN Idaho 2011) The Idaho

Suicide Prevention Hotline (ISPH) a

program of Mountain States Group

is a cost effective way to address this

problem The Hotline number is 1-800-

273-TALK (8255) ISPH provides crisis

intervention emotional support and

resource referrals

ISPH launched on November 16 2012

and has handled approximately 160

calls from throughout the state Prior

to its launch Idaho had been without a

dedicated statewide suicide prevention

hotline since 2006 ISPH has only 2 paid

staff a full-time Director and half-time

Volunteer Coordinator All calls are

handled by trained Volunteer Phone

Responders who receive approximately

32 hours of training and apprenticeship

prior to staffing the phones The core

of volunteer training is an intensive

2-day International best practices

model called ASIST (Applied Suicide

Interventions Skills Training) It

specifically addresses ambivalence in

persons at risk for suicide emphasizing

making a strong connection with

the individual thoroughly exploring

reasons for living and dying with them

and solid safety planning

suicideprevention

HOTL

INE

- 1-8

00-2

73-T

ALK

(825

5)

mental health

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 31: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 31 FacebookcomHealthyIdaho

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

beatuy tips

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

beatuy tips

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

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PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

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anga

nese

Sele

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40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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Page 32: Healthy Idaho | March '13

32 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

DR MOSCOTrsquoS TIPS FOR SAFELY USING EYE MAKEUP True Colors

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HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

copyM

agda

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Dre

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com

38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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Page 33: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 33 FacebookcomHealthyIdaho

DID YOU KNOWCosmetics such as

mascara eyeliner and concealer are among the

leading foreign objects to enter both girlsrsquo and

womenrsquos eyes

According to Dr Harvey Moscot of Moscot Eyewear and Eyecare gt gt gt

Since 1915 the most serious prob-

lem related to the application of eye

makeup is injury to the cornea (the

clear surface in the front of the eye)

from either scratching the eye with a

fingernail or eyeliner device Addition-

ally allergic reactions from preserva-

tives that stop bacterial growth on

makeup can also cause tearing itch-

ing swelling and redness to the eyesmdash

more commonly then yoursquod imagine

So whether itrsquos your first time applying

makeup or yoursquore a seasoned veteran

below are some helpful tips from

Dr Moscot to help prevent any poten-

tial injuries infections or allergic

reactions to make up applied around

your eyes

CAREFUL CAREFUL CAREFUL Eye makeup removers are designed

to be used near and around the eye

Makeup removers can cause dry-

ness itching and swelling if they get

into your eyes so apply with ease and

slowly to avoid any from entering

the eye

KEEP YOUR EYELINER PENCILS SHARPENED AND ON POINT This prevents the wood casing from

scratching the eye An old pencil tends

to get stiff requiring more pressure If

this happens replace the pencil with a

new one

GIVE YOUR MAKEUP A BREAK If you have an eye infection such as

pink eye or conjunctivitis avoid wear-

ing makeup until the condition abates

And importantly make sure to throw

away existing makeup and start anew

since older products may still contain

bacteria

OUT WITH OLD IN WITH THE NEW

It is important to replace old cosmet-

ics every six months to avoid excess

contamination and bacteria growth

Old cosmetics are a major cause of

eye infections

SALIVA DOES NOT MAKE FOR CLEANER MAKE UP If your makeup

needs a little spiffing up do not use

your saliva to do so Make sure to clean

your make up with water or makeup

remover only since saliva contains

bacteria and might cause infection

NEVER SHARE EYE MAKEUPBecause everyonersquos skin bacteria is

different sharing cosmetics is a sure

fire way to cause cross contamination

which leads to eye infections

NEVER MIX OLD WITH NEWOld applicators cannot be used with

new cosmetics You run the risk of

transferring bacteria into the newly

bought product by using older

applicators

MAKEUP COUNTER NO NONever use sample products at cosmetic

counters without making sure they are

using a fresh sample on you

DONrsquoT MAKEUP AND DRIVE

Never under any circumstance should

you ever apply makeup in a moving

vehicle Any quick maneuver stop

or sudden bump could mean an acci-

dental poke

If you think you have an infection

speak with your eye doctor for

diagnosis and treatment

True ColorsFor more make up application tipsvisit healthy-idahocom

copyC

roliq

ue K

ulec

zka

| D

ream

stim

eco

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34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

beatuy tips

copySa

ndor

Kac

so V

ling

| Dre

amst

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com

HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

copySa

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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Page 34: Healthy Idaho | March '13

34 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Embarrassing beauty questions mdash answeredYour 9 most

B Y A M Y M K E L L E R

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HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

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ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 35: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 35 FacebookcomHealthyIdaho

WHAT CAUSES FOOT ODORWhen the normal bacteria on your feet inter-

act with moisture trapped in your socks and

shoes they emit stinky sulfurous byproducts

says Doris J Day MD an assistant professor

of dermatology at New York University

THE FIX Since dry feet equal odor-free feet

wear absorbent cotton socks with shoes

made from breathable materials like canvas

and leather and sprinkle Zeasorbmdashan over-

the-counter drying powdermdashinto your shoes

every morning Three nights a week pour

a pot of tea made with several regular (not

herbal) tea bags into a basin then soak your

feet for five to ten minutes The tannic acid in

tea temporarily inhibits sweat production See

your doctor if your feet are also red swollen

or scaly to make sure a bacterial or fungal

infection isnrsquot causing the smell

1

ARE THE BUMPS ON MY BUTT AND ON THE BACKS OF MY ARMS PIMPLES No Theyrsquore actually

called keratosis pilarismdashthe cause is unknown

but some claim that itrsquos a hereditary condition

THE FIX You can soften and help slough off

bumps by rubbing them with a mixture of

equal parts petroleum jelly and either water

or cold cream If that doesnrsquot work prescrip-

tion Retin-A probably will but it can irritate

the surrounding skin A better alternative

prescription LactiCare-HC Lotion 2 12

which contains lactic acid to dissolve dead

skin cells and hydrocortisone to soothe any

acid-induced irritation Rub lotion onto bumps

twice a day until they clear up

24

3

EVERY TIME I SHAVE I GET A BUMPY RASH ALONG MY BIKINI LINE mdash WHATrsquoS CAUSING ITA too-close shave or waxing

can make hairs split and

loop around just under the

surface of the skin As these

off-kilter hairs grow they

push up against your skin

causing inflammation and

redness says Lawrence Moy

MD chief of dermatology at

Harbor-UCLA Medical Center

THE FIX Put down your

loofah dermatologists now

agree that rubbing the bumps

to free trapped hairs will only

make the problem worse

Instead apply an OTC acetyl-

salicylic acid (aka aspirin)

solution twice a day for two to

seven days to gently exfoliate

the top layer of your skin (try

Soft Cell) Once you shed this

layer the looped hairs will

be able to poke through A

cortisone injection adminis-

tered by your dermatologist

will decrease inflammation

in bigger bumps If ingrown

hairs are a persistent prob-

lem you may want to consider

laser treatment which dam-

ages the hair follicles and pre-

vents hair growth Yoursquoll need

about three treatments (each

around $350) followed by a

touch-up every six months to

a year

5WHY DOES MY BREATH SMELL DESPITE CONSTANT BRUSHING Although brushing will

help prevent cavities (so dont stop scrub-

bing) it can only mask bad breath since the

problem really lies within your throat and

tongue not your teeth When the bacteria

in your mouth lose access to oxygen (which

can happen when you use alcohol-based

mouthwashes take certain prescription

medications for depression or high blood

pressure or simply sit with your mouth shut

for a long time) they emit smelly sulfur com-

pounds says Harold Katz DDS founder of

The California Breath Clinic in Los Angeles

this is the same principle at work with foot

odor Eating garlic and onion also makes

your breath stink because they containmdash

surprisemdashthose same sulfur compounds

THE FIX Contrary to popular belief a

tongue scraper wont banish bad breathmdash

sulfur compounds cannot be removed

manually Instead keep your mouth oxygen-

ated by drinking water throughout the day

and using an over-the-counter oral rinse

with chlorine dioxide in both the AM and

the PM to neutralize sulfur compounds (try

TheraBreath Oral Rinse) Chewing on oxy-

gen-rich vegetables like parsley and celery

can also diminish odors If these tricks dont

work see your dentist

I SWEAT THROUGH MY BLOUSES SHOULD I BE WORRIEDMost likely theres noth-

ing to fear says Joseph L Jorizzo MD

chairperson of dermatology at Wake Forest

University School of Medicine in Winston-

Salem NC You probably just have a benign

hereditary tendency toward excessive

sweating that can crop up at any age But

see your doctor to rule out an overac-

tive thyroid a low blood-sugar level and a

number of other problems that can cause

continual heavy sweating

THE FIX Before bed towel-dry your armpits

and apply the prescription antiperspirant

solution Drysol (it contains a higher percent-

age of aluminum chloride a drying agent

than regular deodorants do) Wash the

solution off in the AM and dont reapply

any deodorant Repeat nightly Still not satis-

fied Ask your doctor about Botox injections

mdashone treatment ($800 to $1500) can para-

lyze sweat glands for six months to a year

copySa

ndor

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so V

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36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

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agda

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38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 36: Healthy Idaho | March '13

36 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

WHY DO MY TEETH LOOK SO DINGY Smoking and exces-

sive consumption of dark beverages (like

coffee tea soda and red wine) are the

main causes of stained teeth says Lana

Rozenberg DDS founder of the Rozenberg

Dental Day Spa in New York City

THE FIX As with clothing stains the longer

discolorations remain on your teeth the

harder they are to removemdashso keep up

those twice-a-year dental visits You can

lighten your teeth several shades with

a whitening toothpaste that contains

carbamide peroxide but use it only once

a day to avoid drying out gum tissue (try

Rembrandt Plus with Peroxide toothpaste)

Floss treated with the whitening agent

silica has also been proven to polish away

stains which often form between teeth

(try Johnson amp Johnson Reach Whitening

Floss) For more dramatic results your

dentist can bleach your teeth up to eight

shades brighter with a highly concentrated

peroxide gel administered via laser ($800

to $1500) or in a custom-fitted mouthpiece

($600 to $1000) that you wear an hour a

day for about 10 days says Rozenberg

Though drugstore bleaching kits are much

less expensive they arent quite as effec-

tivemdashthe gel isnt as strong and since the

mouthpieces arent created specifically

for you the gel can drip out of them and

inflame your gums

beatuy tips

6

WHY DO I HAVE STRETCH MARKS You may suspect that the marks

on your tummy thighs or hips were caused

by pregnancy or significant weight fluctua-

tions What you may not know though is that

hormonal changes that occur during normal

growth spurts can also cause your skin to

stretch and scar says Lawrence Moy MD

Red marks appear when your skin stretches

and thins so much that you can see your

blood flowing through the skins thinned outer

layers says Joseph L Jorizzo MD When your

skin stretches minimally or the stretched skin

is thick white marks result

THE FIX No treatment is guaranteed to

remove stretch marks but you can make

them less noticeable Try twice-daily

applications of OTC Striae Stretch Mark

Crememdashseveral studies have confirmed that

it can reduce red or white marks in about

four weeks Or ask your doctor about laser

therapy ($450 to $700 per treatment) which

can tone down the brightness of recently

acquired red marks or microdermabrasion

($50 to $150 per session) which can dimin-

ish the appearance of white marks

IS THERE A SERIOUS UNDERLYING CAUSE FOR EXCESS FACIAL HAIR If you fight

your follicles on a daily basis or sprout lots of

hairs on your chin see your doctor Polycystic

ovarian syndrome (a disorder characterized

by high levels of male hormones) or an adre-

nal gland problem could be to blame If youre

moderately hairy (you tidy up your brows or

upper-lip area once a month) youve probably

just got your genes to thank

THE FIX Vaniqa a new odorless prescription

cream has recently been approved by the

FDA to decrease light to heavy hair growth

anywhere on the face ($50 for a two-month

supply) Though it doesnt yield immediate

results (youll need to keep using your regular

hair-removal methods at first) the cream

blocks one of the enzymes responsible for

hair growth gradually slowing it down as long

as you continue to use it says Ken Washenik

MD director of dermatopharmacology at

New York University School of Medicine For

those who dont respond to Vaniqa six laser

hair treatments ($150 each) can significantly

decrease hair growth for months A monthly

electrolysis session for up to a year ($60 to

$100 each) can remove hair permanently

7

8

WHY IS MY FACE SO SHINY If you are also

losing hair and have stopped

getting your period a hor-

monal imbalance could be the

culprit and you should see

your doctor If not your skin

is just oversensitive to your

male hormones (we all have

them)mdashand this is triggering

the production of excess oil

Another possibility a too-harsh

cleansing routine (some of

you have written to us saying

you use rubbing alcohol to nix

shine) Many derms believe

that alcohol-based toners and

gritty scrubs can overdry and

irritate your skin and make it

produce extra oil to compen-

sate says Doris J Day MD

THE FIX Your best bet is to

regulate oil without overdrying

your skin So in the morning

wash your face with an oil-free

lotion cleanser then rub on

an alcohol-free toner Try

Cetaphil Daily Facial Cleanser

for Normal to Oily Skin and

Bath amp Body Works Bio Face

Oil-Control Facial Toner Top

with the OTC oil-absorbing gel

Clinac OC Sop up shiny spots

throughout the day with blot-

ting papers (try Hard Candy

Shiny Sheets) Repeat your

AM routinemdashminus the gelmdash

before bed If you continue to

shine ask your dermatologist

about Retin-A Micro Less

irritating than regular Retin-A

this prescription cream was

created to treat acne but has

also been proven effective

against oiliness

9

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

copyM

agda

natk

a |

Dre

amst

ime

com

38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

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One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

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44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 37: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 37 FacebookcomHealthyIdaho

Sun protectionSunscreens continue to improve with higher SPF values Ingredients previously only available elsewhere in the world have now been approved by the FDA and offer greater protection against both UVA and UVB rays There are new options available for both daily wear and waterproof beach or pool wear If dermatolo-gists had their way everyone would live in caves and never again see the light of day We do realize however that people must live their lives so we always recommend sun block broad-brimmed hats long sleeves and gloves etc We also ask that people especially avoid mid-day sun

HAPPYskinYour spring skin care update 2013Here is some of the latest and greatest news from the Annual Meeting of the American Academy of Dermatology held this spring

EczemaFor eczema there are relatively new cortisone- and non-cortisone-containing treatments that offer relief to both children and adults Patients may choose from ointment cream lotion solution gel and spray forms of medication Soap-free cleansers such as Cetaphilreg and CeraVereg remain the best option for those with sensitive or dry skin Although eczema is not curable it is much more manageable than ever before PsoriasisPsoriasis patients now have an entirely new menu of options for treatment including oral medication topical treatments and the injectible biologic agents including Amevivereg Enbrelreg Humirareg and Remicadereg Anyone with psoriasis who hasnrsquot seen a derma-tologist for several years should book an appointment today Skin cancers including melanomaThere have been many developments in skin cancer diagnosis and treatment Melanoma remains the greatest threat to life and health The key to managing melanoma is early detection People should have a professional skin exam yearly to make sure that no lesions appear suspicious The larger a skin cancer becomes the more involved the removal or management of the lesion A cream called Aldaraacirc can be used to treat many skin cancers WartsWarts continue to afflict people There are many treatments avail-able including destructive treatments like freezing or blistering immunologic treatments and even locally injected chemotherapy Persistence pays off as patients tend to get the best results when seen every two weeks until the warts are completely gone Topical antibioticswound healingA topical antibacterial ointment Altabaxreg appears to be very effective against skin infections Biafinereg a prescription topical emulsion helps with wound healing and is very effective for thermal burns of the skin Anti-agingskin rejuvenationIn the area of anti-aging treatments nightly application of Retin-Areg cream or related products forms the foundation Some dermatologists believe that patients should use Retin-Areg from childhood through to old age The newest skin care products available through clinics include active ingredients such as coffee berry antioxidants and growth factors Botox Cosmeticreg smoothes wrinkles especially in the upper third of the face Fillers like col-lagen Restylanereg and Juveacutedermreg can restore volume to the skin For patients who want to be more aggressive in managing lax skin brown spots and redness laser treatments are available and offer dramatic results It is possible to achieve a very natural look with products and services available through dermatologists today The overly tight look of faces popular among aging wealthy celebrities in the 1980s and 1990s is no longer considered fashionable People want to look good relatively age appropriate and natural Patients donrsquot need to always resort to the desperation of plastic surgery Other less drastic options are available When people ask ldquoWhat is the one thing I can do to keep my skin looking as young as possible for as long as possiblerdquo the answer is to protect the skin from ultraviolet light

WRITTEN BY Douglass Forsha MD

beatuy tips

copyM

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Dre

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ime

com

38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

Know why your child struggles

On Professional Testing

LearningRx testing provides accurate measurement of your childrsquos essential learning skills easy to understand answers to exactly why your child

struggles with particular subjects or classes and practical steps to lasting change

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chai it with vanillaGive the gift of life and earn up to 20KHelp someones dream of becoming a parent come true bull MUST BE 21-39 YEARS OF AGE bull CURRENTLY HAVE INSURANCE bull AND MUST LOVE BEING PREGNANT

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208-284-7748For more information visit us atwwwrockymountainsurrogacycomor email us at rockymtnsurrogacylivecom

44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
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  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 38: Healthy Idaho | March '13

38 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Herersquos the great news about herbs they taste great theyrsquore easy to cook with and they donrsquot add nearly as much salt fat or sugar to our diets as other ingredients we regularly add for flavorUnlike the salts and oils we reach for almost automatically herbs are also rich in nutrients Table salt for example is effectively raw sodiummdashan essential nutrient true but one we overdose on regularly Likewise butter is near straight saturated fat Granted margarine is a little better with at least some vitamin A and K and olive oil contains vitamins E and K but that pales in comparison to most herbs which often contain a variety of vitamins and minerals for significantly less negative trade-offs

Enumerating the potential benefits of all herbsmdashby definition any plant with edible leavesmdashis the topic for a small book Here wersquove narrowed this list to a few favorite culinary herbs you might like to become acquainted with if yoursquore not already

An Herb Blub BASIL OREGANO AND MARJORAMYoursquove probably encountered these so-called spaghetti herbs before perhaps the last time you had a pizza What you may not have realized is that these unassuming little plants are nutritional powerhouses Basil is an excellent choice if yoursquore cutting caloriesmdashtossing a few whole leaves on your next pizza or salad will add flavor and character plus a sizable portion of vitamin K in exchange for a mere calorie or two

Oregano is higher in caloriesmdashmore than three times highermdashbut a teaspoon wonrsquot do much damage and this herb offers a greater diversity of nutrients if in smaller portions Like basil oregano is high in vitamin K but even a teaspoon will add notable traces of calcium and iron as well

Marjoram is probably the least common of these three It is similar in flavor to basilmdashthough stronger when cookedmdashbut more like oregano from a nutritional point of view It might be slightly higher in calories but thatrsquos because it contains more fiber Itrsquos highest in vitamin K iron and calcium

CILANTROCilantro is another good seasoning choice if yoursquore aspiring for weight loss Like basil cilantro is extremely low in calories but big on flavor and personality Itrsquos also high in vitamins A and K and contains smaller amounts of vitamins C and E plus folate potassium copper and iron It makes

routine appearances in Mexican fare in salads and next to chicken but 101 Cookbooks puts it in recipes for soups curries humus and noodle bowls

There are however those who canrsquot stand so much as the smell of cilantro Last year a genetic survey of 30000 individuals linked a specific gene controlling perceptions of taste to hating cilantro According to Nature to an estimated 21 percent of those descended from east Asians 17 percent of those with European ancestry and 14 percent of those with African ancestry cilantromdashand coriander a spice made from the herbrsquos seedsmdashdo in fact taste different Possibly like soap

SAGE AND THYMEThese two common spices are notable for the diversity of nutrients they offer Sage is slightly high in saturated fat when compared to other herbs but it is also a good source of vitamin K calcium and iron

Thyme which is lower in fat and calories is an even better option It lacks a few of the nutrients sage contains in trace amounts but it contains more vitamin A C and B6 plus riboflavin folate and a host of useful minerals like calcium iron copper and potassium

These are classic additions to soups casseroles roasted meats and vegetables

SMALL PLANTS BIG HEALTH IMPACT

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

Know why your child struggles

On Professional Testing

LearningRx testing provides accurate measurement of your childrsquos essential learning skills easy to understand answers to exactly why your child

struggles with particular subjects or classes and practical steps to lasting change

05$ EVAS

naidireM ni ohadI E 501

7702-852 )802( tsew-esioBmocxrgninraelwww

won egakcap gnitset etelpmoC ylno 210311 pxE - IHDI edoC - 99$ 22813

chai it with vanillaGive the gift of life and earn up to 20KHelp someones dream of becoming a parent come true bull MUST BE 21-39 YEARS OF AGE bull CURRENTLY HAVE INSURANCE bull AND MUST LOVE BEING PREGNANT

Currently working with Intended Parents across the US

Rocky Mountain Surrogacy LLC currently has Couples waiting for Gestational Carriers

208-284-7748For more information visit us atwwwrockymountainsurrogacycomor email us at rockymtnsurrogacylivecom

44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 39: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 39 FacebookcomHealthyIdaho

CHERVIL AND SAVORYChervil is rare in the US but was once considered the finest of fine French herbs According to Nationrsquos Restaurant News it made a tiny comeback two or three years ago but it is still often overlooked so much so you might only find it at specialty markets Itrsquos not especially high in one particular nutrient but is notable for its nutritional completenessmdashparticularly where the essential minerals are concerned It lacks only sodium and copper

Likewise savory is an old herb once highly popular but now mostly forgotten Seeking it out will add a vintage element to your cooking as well as vitamins A and C calcium and iron

Have your own favorites The chart above should give you a good idea of what nutrients come from where The values here represent a 100-gram portion of each herbmdashmore than most would ever use for cooking but useful for a direct comparison An X indicates that herb contains enough of a particular nutrient to fill 10 percent of the recommended daily requirement

Wersquore all familiar enough with herbs like basil and sage but there are many edible herbs that go unnoticed in our daily cooking

If yoursquore looking to serve up a more exotic flavor for some special occasionmdashor even just for funmdashconsider lavender Though best known for its aroma these tiny purple flowers are perfectly edible and high in vitamin A and calcium Chefs often use it to dress up lamb ice cream and cregraveme brulee

Another unusual herb you can probably find in your yard is dandelion The greens

There is significant debate over what form of store-bought herb is bestmdashshould you buy fresh or dried

Fresh may seem like the healthier choice but that may not be the case Like all fruits and vegetables the nutritional value of herbs is at its peak only if the plant is perfectly ripe and not picked too late or prematurely Additionally the nutritional content gradually fades as

are high in vitamins A and K and contain minerals such as calcium and iron as well They have an assertive bitter taste with a slight spice to it and they make a great addition to any sophisticated salad or soup They can also be sauteacuteed or steamed like spinach according to Epicurious

If yoursquore going to harvest your own dandelions be sure they havenrsquot been sprayed or treated with any kind of poison and wash the greens thoroughly For the best quality pick young plants and remove the tougher thick portion of the stem

Go Gourmet

the plant decays after it has been picked Ideally fresh herbs should be used within three days

On the other hand most nutrients are destroyed by heatmdashthey evaporate with the liquids contained inside the plantmdashand so dried herbs may also lose a good portion of their nutritional value if not handled carefully

To avoid this some companies offer freeze-dried herbs This is about as close as you can get to suspended animation but expect to fork over extra cash for it And if yoursquore not careful yoursquoll still lose nutrients the moment you cook it

The secret according to Vicki Vosburg a master herbalist and the owner of The Herb Pantry in Boise is in the preparation of herbs

If yoursquore cooking a dry dishmdashfor example if yoursquore grilling chickenmdashyoursquoll want to add your herbs at the last possible minute to preserve the nutrients If yoursquore cooking any kind of liquid-based dish like a soup go ahead and add the herbs whenever yoursquore ready The nutrients will come out of the plant but will remain in the brothS

EL

EC

TIN

G A

ND

P

RE

PA

RIN

G H

ER

BS

Prot

ein

Fibe

rVi

tam

in A

Vita

min

CVi

tam

in E

Vita

min

K

Thia

min

Ribo

avi

n

Nia

cin

Vita

min

B6K

Fola

te

Calc

ium

Iron

Mag

nesi

umPh

osph

orus

Pota

ssiu

m

Zinc

Copp

erM

anga

nese

Sele

nium

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

Know why your child struggles

On Professional Testing

LearningRx testing provides accurate measurement of your childrsquos essential learning skills easy to understand answers to exactly why your child

struggles with particular subjects or classes and practical steps to lasting change

05$ EVAS

naidireM ni ohadI E 501

7702-852 )802( tsew-esioBmocxrgninraelwww

won egakcap gnitset etelpmoC ylno 210311 pxE - IHDI edoC - 99$ 22813

chai it with vanillaGive the gift of life and earn up to 20KHelp someones dream of becoming a parent come true bull MUST BE 21-39 YEARS OF AGE bull CURRENTLY HAVE INSURANCE bull AND MUST LOVE BEING PREGNANT

Currently working with Intended Parents across the US

Rocky Mountain Surrogacy LLC currently has Couples waiting for Gestational Carriers

208-284-7748For more information visit us atwwwrockymountainsurrogacycomor email us at rockymtnsurrogacylivecom

44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 40: Healthy Idaho | March '13

40 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

one-pot wondersFor wholesome mouth-watering meals try these simple do-it-yourself recipes With basic simple ingredients yoursquoll save yourself time and money

EAT

YO

UR

WA

Y T

O h

ealth

For less fat calories and cholesterol substitute ground turkey or ground chicken for the beef Indian restaurants usually offer different degrees of spice depending on your preference and tolerance If you like a good kick (for both your taste buds and your metabolism) add a pinch or two of crushed red pepper flakes If yoursquore not a spicy eater the fresh-squeezed lemon juice should calm the spice in this recipe As an authentic side serve this dish with steamed basmati rice or couscous

Stir-Fried Curried Beef with Vegetables

1 tbsp vegetable oilfrac12 medium yellow onion thinly sliced2 cloves garlic thinly sliced1 lb ground beeffrac12 tsp ground ginger2 tsp curry powder1 tsp ground coriander1 tsp ground cumin1 cup baby carrots1 cup fresh-frozen peasfrac12 cup green or yellow string beans cut into bite-size piecesfrac12 cup water1 lemon cut into fourths

1 In a large skillet or wok heat vegetable oil over medium-high heat until smoking

2 Stir-fry sliced garlic and onions for 1 minute stirring frequently Add ground beef and spices stir-fry with garlic and onion until no longer red

3 Add carrots peas and beans Stir to coat vegetables in spices and stir-fry until vegetables are brightly colored

4 Reduce heat to medium add water cover and steam for three minutes until vegetables are tender and crisp

5 Serve immediately and garnish with a lemon wedge

INGREDIENTS DIRECTIONS

This hearty dish serves 4

Nutrition facts Serving size 1 cup Calories 2843 Total Fat 97 g Saturated Fat 48 g Cholesterol 685 mg Sodium 1164 mg Total Carbohydrates 171 g Dietary Fiber 54 g Protein 287 g Vitamin A 270 Vitamin C 213 Calcium 58 Iron 218

TIP

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

Know why your child struggles

On Professional Testing

LearningRx testing provides accurate measurement of your childrsquos essential learning skills easy to understand answers to exactly why your child

struggles with particular subjects or classes and practical steps to lasting change

05$ EVAS

naidireM ni ohadI E 501

7702-852 )802( tsew-esioBmocxrgninraelwww

won egakcap gnitset etelpmoC ylno 210311 pxE - IHDI edoC - 99$ 22813

chai it with vanillaGive the gift of life and earn up to 20KHelp someones dream of becoming a parent come true bull MUST BE 21-39 YEARS OF AGE bull CURRENTLY HAVE INSURANCE bull AND MUST LOVE BEING PREGNANT

Currently working with Intended Parents across the US

Rocky Mountain Surrogacy LLC currently has Couples waiting for Gestational Carriers

208-284-7748For more information visit us atwwwrockymountainsurrogacycomor email us at rockymtnsurrogacylivecom

44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 41: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 41 FacebookcomHealthyIdaho

EAT

YO

UR

WA

Y T

O h

ealthTIP

To change the flavor from Asian to Italian swap the ramen noodles for fettuccini omit the ginger and replace the sugar soy sauce oyster sauce and dark sesame oil with frac12 cup quality white or red wine Add the wine after the chicken becomes white on all sides and then simmer with carrots and leeks for 5 minutes to cook off the alcohol Instead of topping the dish with green onions choose fresh rosemary sprigs and fresh diced Roma tomatoes

Stir-Fried Chicken with Noodles

All you need is a heavy-duty wok a few key ingredients and a spice rack for a dinner in a dash Use these recipes as-is or if you like to experiment in the kitchen use them as a healthy foundation and add your favorite vegetables for a meal all your own Vegetables when steamed or raw can be eaten in nearly unlimited amounts Add veggies for extra fiber satiety and antioxidants

Nutrition Facts Serving Size 1 frac12 cup Calories 279 Protein 28 g total carbohydrates 214 g total fat 94 g saturated fat 21 g cholesterol 70 mg fiber 14 g

1 tbsp vegetable oil4 garlic cloves minced1 tbsp minced fresh gingerfrac14 cup green onions thinly sliced1lb boneless skinless chicken cut into bite-size piecesfrac12 cup carrot thinly slicedfrac12 cup leeks choppedfrac12 cup fat free chicken broth8 oz Ramen noodles cooked1tbsp granulated sugar2 tbsp soy sauce1 tbsp oyster sauce1 tsp dark sesame oil

This hearty dish serves 4

1 Cook ramen noodles according to package direc-tions without seasoning packet In a wok heat veg-etable oil over medium-high heat until smoking

2 Stir-fry garlic and ginger for 10 seconds Add chicken stir-fry until no longer pink inside

3 Stir in carrot and leek Add broth reduce heat and simmer for 3 minutes Add noodles sugar soy sauce and oyster sauce stir to coat noodles with sauce and heat through

4 Drizzle with sesame oil and top with green onions

INGREDIENTS DIRECTIONS

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

Know why your child struggles

On Professional Testing

LearningRx testing provides accurate measurement of your childrsquos essential learning skills easy to understand answers to exactly why your child

struggles with particular subjects or classes and practical steps to lasting change

05$ EVAS

naidireM ni ohadI E 501

7702-852 )802( tsew-esioBmocxrgninraelwww

won egakcap gnitset etelpmoC ylno 210311 pxE - IHDI edoC - 99$ 22813

chai it with vanillaGive the gift of life and earn up to 20KHelp someones dream of becoming a parent come true bull MUST BE 21-39 YEARS OF AGE bull CURRENTLY HAVE INSURANCE bull AND MUST LOVE BEING PREGNANT

Currently working with Intended Parents across the US

Rocky Mountain Surrogacy LLC currently has Couples waiting for Gestational Carriers

208-284-7748For more information visit us atwwwrockymountainsurrogacycomor email us at rockymtnsurrogacylivecom

44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 42: Healthy Idaho | March '13

42 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

Eat To Stay YoungLEARN HOW ANTIOXIDANTS CAN HELP SLOW THE AGING PROCESS

Written by FDA amp USDA

Ever noticed how vitamin C-rich lemon

or orange juice poured onto a fruit salad can

prevent the fruit from turning brown Believe

it or not that is a simple illustration of

how antioxidants help protect the body from

harmful oxidation Just as oxidation causes

an apple to brown or metal to rust oxidation inside the human body

causes wear and tear that contributes to

aging heart disease cancer cataracts and

many other disorders

Humans need oxygen to survive However as the body uses oxygen it produces by-products known as ldquofree radicalsrdquo that cause damage to the bodyrsquos cells Free radicals and toxins found

in air pollution pesticides cigarette smoke and other lifestyle factors lead to aging and a host of ailments

The bodyrsquos best defense Antioxidants These protective nutrients help cells combat the health-robbing action of free radicals and other environmental toxins Antioxidants include vitamins A C and E Though the amount of these nutrients found in a particular food is important scientists at the United States Department of Agriculture (USDA) are now using a special measurement to determine the total antioxidant power of foods

ORAC or oxygen radical absorbance capacity measures the ability of foods and other substances to stop free radicals from causing damage and determine how quickly each food works

The USDA believes ORAC is a more accurate assessment of a foodrsquos protective power than simple nutritional content because compounds of nutrients in certain foods appear to have a greater protective effect than any nutrient alone ORAC measurements reflect more than concentrations of vitamins signifying that other phytochemicals in fruits and vegetables also play a role

The latest ORAC research has provided new evidence that certain foods may help slow the aging process Experts say that a great deal more investigation is needed However initial laboratory studies of rats found that when fed ORAC-rich diets they did not experience such age-related problems as loss of long-term memory and learning ability The diets also proved to protect blood vessels from free radical damage

Many fruits and vegetables serve as good sources of antioxidant vitamins but USDA scientists have identified a high-powered group of fruits and vegetables that they believe will reduce the risks of aging -- including senility

In a recent study researchers found that diets rich in these superfoods raised the antioxidant power of the blood by 10 to 25 percent To reap the benefit of their anti-aging properties the USDA recommends a person consume between 3000 to 5000 ORAC units every day

As research continues nutritional intervention may prove to play a significant role in better long-term health Though it is too early to say with certainty that ORAC-rich foods slow aging and extend life experts agree there is no question that antioxidants improve overall good health

NUTRITION NOTES

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

Know why your child struggles

On Professional Testing

LearningRx testing provides accurate measurement of your childrsquos essential learning skills easy to understand answers to exactly why your child

struggles with particular subjects or classes and practical steps to lasting change

05$ EVAS

naidireM ni ohadI E 501

7702-852 )802( tsew-esioBmocxrgninraelwww

won egakcap gnitset etelpmoC ylno 210311 pxE - IHDI edoC - 99$ 22813

chai it with vanillaGive the gift of life and earn up to 20KHelp someones dream of becoming a parent come true bull MUST BE 21-39 YEARS OF AGE bull CURRENTLY HAVE INSURANCE bull AND MUST LOVE BEING PREGNANT

Currently working with Intended Parents across the US

Rocky Mountain Surrogacy LLC currently has Couples waiting for Gestational Carriers

208-284-7748For more information visit us atwwwrockymountainsurrogacycomor email us at rockymtnsurrogacylivecom

44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

  1. Text Field 1
  2. Text Field 2
  3. Text Field 3
  4. Text Field 4
  5. Link-STARDOCS 2
  6. Link-HealthyUT 2
Page 43: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 43 FacebookcomHealthyIdaho

LearningRx identified the cause of her learning struggles

One-on-one training built the strong skills she needs to succeed in school

Now shersquos independent loves school and has goals and dreams for the future

I was losing hope for my daughterrsquos future Each school year was one frustration and failure after another We tried everything from tutoring to nutrition-based programs before we discovered LearningRx Immediately LearningRx pinpointed the actual causes of her learning struggles Once we discovered what was holding her back she started one-on-one training and everything began to change mdashLisa B Similar testing by other professionals ranges from [$600 to $1500]

LETrsquoS TALKCall Nowand Save

Know why your child struggles

On Professional Testing

LearningRx testing provides accurate measurement of your childrsquos essential learning skills easy to understand answers to exactly why your child

struggles with particular subjects or classes and practical steps to lasting change

05$ EVAS

naidireM ni ohadI E 501

7702-852 )802( tsew-esioBmocxrgninraelwww

won egakcap gnitset etelpmoC ylno 210311 pxE - IHDI edoC - 99$ 22813

chai it with vanillaGive the gift of life and earn up to 20KHelp someones dream of becoming a parent come true bull MUST BE 21-39 YEARS OF AGE bull CURRENTLY HAVE INSURANCE bull AND MUST LOVE BEING PREGNANT

Currently working with Intended Parents across the US

Rocky Mountain Surrogacy LLC currently has Couples waiting for Gestational Carriers

208-284-7748For more information visit us atwwwrockymountainsurrogacycomor email us at rockymtnsurrogacylivecom

44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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Page 44: Healthy Idaho | March '13

44 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

W ith sensors attached to their

bodies children with mobility

impairments due to head

injuries or musculoskeletal

problems like cerebral palsy or spina bifida

can now have their movements analyzed to

determine the best treatment options

Cameras attached to computers in the new

Pediatric Motion Analysis lab in BSUrsquos Yanke

Family Research Park track the sensors as the

patient walks on a platform The result is a

computerized 3-D analysis that doctors and

researchers use to determine the abilities and

limitations of the patient

Doctors use the data to determine if treatment

could improve the patientrsquos balance and

gait or if the patient might benefit from a

surgical procedure The lab is part of a new

collaboration between BSUrsquos Center for

Orthopedic amp Biomechanics Research and St

Lukersquos Childrenrsquos Hospital University faculty

will partner with St Lukersquos physicians to

enhance treatment to patients and possibly

make advancements in pediatric orthopedics

BSU President Bob Kustra says the unique

partnership is part of the universityrsquos desire to

aid in research that benefits the community

ldquoA few years ago we designated ourselves as a

strategic objective to become a metropolitan

research universityrdquo said Kustra ldquoNot only

teaching students but engaging our students

and our faculty in research that would be of

benefit to our citizensrdquo

Located in what was once the old Ore-Ida

Headquarters on Parkcenter Boulevard in

Boise the Yanke Family Research Park sits just

a few blocks from the BSU campus and St

Lukersquos hospital making it an ideal location

to house the partnership

The building complex donated to BSU by

SUPERVALU and Ron and Linda Yanke has

the large space needed to accommodate

the gait research

ldquoWe couldnrsquot do this on our campus We

couldnrsquot find a building that had this length

to accommodate the research that will be

done hererdquo said Kustra

St Lukersquos President and CEO Dr David

Pate says the service provided by the lab

wouldnrsquot typically be able to support itself

in a hospital setting

ldquoWe can share the resources both human

and physical as well as do research

collaboratively so itrsquos a great advantagerdquo

said Dr Pate ldquoBoise State is very

innovative They have a lot of interest in

research particularly along the health care

linesrdquo

Patients between the ages of 8 and 21 who

are referred to the program by St Lukersquos

Orthopedists will first be examined at the

Gait Clinic at St Lukersquos Elkrsquos Childrenrsquos

Rehabilitation before being sent to the new

analysis lab for assessment

ldquoItrsquos a great opportunity for everyonerdquo said

Kustra ldquoI think itrsquos fair to say that the dayrsquos

going to come when wersquore going to look

back on this as the beginning of many

many research collaborations between St

Lukersquos and its physicians and Boise State

and its facultyrdquo

RESEARCH

GAITA partnership between Boise State University and St Lukersquos is aiming to improve the lives of young people who have limited mobility

WRITTEN BY GARY SALZMAN KTVB MANAGING EDITOR

PHOTO CREDIT - BOISE STATE UNIVERSITY

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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Page 45: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 45 FacebookcomHealthyIdaho

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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Page 46: Healthy Idaho | March '13

46 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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Page 47: Healthy Idaho | March '13

HEALTHY IDAHO MARCH 2013 47 FacebookcomHealthyIdaho

For tour dates and times call 455-6565 or visit westvalleybabycom

Creating Memories

Prepare for your special day please join us for a free Family Maternity Center Tour

bull Tour our new family suites designed for bonding and comfort

bull Meet Our Highly-trained Staff

bull Learn About Pre-admission

bull Enter to Win a Premium Infant Safety Car Seat

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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Page 48: Healthy Idaho | March '13

48 HEALTHY IDAHO MARCH 2013 Healthy-Idahocom

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