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New nutrition labels, same healthy eating advice

We all know that as a nation, we are getting bigger and heavier. Worse still, our future - our children- are becoming obese and unhealthy at increasingly younger ages. For decades, the scourge of obesity was blamed on a high calorie, high fat diet. Turns out, we have probably been doing it wrong all these years and our bulging waistline attests to this colossal failure. Research and the medical community now have increasing evidence that the real villain of the story is a very sweet little molecule called fructose. Fructose is what gives us the sweetness in table sugar (sucrose)…also in brown sugar, honey, agave, and of course, high fructose corn syrup. Call it by any name, but sugars are dangerous to our health. Fructose is addictive, much in the same way as alcohol and illicit drugs are. In fact, sugar (fructose) metabolism closely replicates alcohol metabolism except for the acute effects on brain. Sugar has been likened to alcohol without the buzz!

You may already have heard about First Lady Michelle Obama’s work with the FDA which has led to newly proposed changes to nutrition labels on packaged foods. The amount of sugars, specifically, “added sugars” will be part of that new label. I am not implying that a zero added sugar diet will be the panacea for the pandemic of obesity and ill health. We still need to eat healthy and exercise right. There is no magic pill, no startling new advice. Remember what our grandmothers used to say:
 

Tips for keeping young athletes safe and healthy

We all know exercise is an important factor in maintaining an active and healthy life. However, over-exercising can lead to a rare, but serious complication known as rhabdomyolysis – a medical team that literally means ‘dissolution or destruction of skeletal muscle’. There has been a recent increase in rhabdomyolysis amongst teen athletes so it is important to recognize the warning signs and learn how to prevent them.

The classic triad of rhabdomyolysis is dark urine, muscle weakness or fatigue, and muscle pain. Although exercise can be the primary factor, other key contributing elements such as dehydration, genetic conditions (e.g. sickle cell), metabolic disorders, nutritional supplements, drug use, and heat stress can exacerbate muscle damage. Without appropriate medical evaluation and care, rhabdomyolysis can cause permanent damage to the kidneys and may even be life-threatening in severe cases. Here are some tips to help your young athlete remain active and healthy:

  1. Maintain adequate hydration – preferably with plain water.  Sports and energy drinks may often contain caffeine and excessive amounts of sugar which can cause dehydration.  On average, children that are 6-10 years old should have about 1L of fluid a day, children 10-14 years old should have 1.5L/day and teens over 14 years should have at least 2L of fluid a day. It is important to increase fluids with increased activity due to the additional fluid losses that occur.
  2. Eliminate protein supplements. A recent study by the American Academy of Pediatrics found ...

9 tips for avoiding holiday weight gain

Amongst the cheer and merriment, parties and soirées, often come unwanted extra pounds that sneak their way around our waistlines. The span between Thanksgiving and New Years are filled with traditions and an extra average weight gain of 1-2 pounds. It may not sound like much, but consider over the course of a decade that can lead to an extra 10-20 pounds.  That extra luggage then leads to another tradition - the New Year’s resolution to lose weight!

Stop the insanity and start eating smart. Simple lifestyle changes will put an end to the cycle of overindulging, weight gain, and feeling miserable once the season is over. It is said the best offense is a good defense. By practicing these time-honored tips, you’ll likely feel fulfillment without getting overfilled.

1. Plan ahead.

If you know the party you are headed to will lack healthy options (hello, cookie exchange!) have a low-calorie, high protein snack prior to attending a party. This will keep your appetite in check and you will be less likely to arrive ravenous and overeat.  Hummus with vegetables, whole grain crackers and low-fat cheese, a piece of fruit with natural peanut butter, or Greek Yogurt with high fiber cereal are a few great choices to tide you over. Pair foods that are high in protein and rich in fiber to keep you satiated longer. At the party, keep to light appetizers.

2. Host a healthy holiday.

Control the nutritional content of the meal by throwing the party yourself. Plan the dinner menu with lean meats and seafood, fresh vegetables, fruits, whole-grains, beans, and low-fat dairy. Use the opportunity to try healthy recipes from sites such as www.cooklinglight.com and www.eatingright.com (Ed. Note – check out our healthy recipe collection here or on Pinterest.) In lieu of a potluck, have party guests bring non-perishable foods to donate to the food bank.

3. Lighten up your menu.

Revamp your recipes by ...

Swedish Sports Concussion Clinic

The Sports Concussion Clinic at Swedish Spine, Sports & Musculoskeletal Medicine was developed to provide comprehensive concussion management and help guide return-to-play decisions for children and adults. We are a team of sports medicine physicians, physiatrists, physical therapists, and a neuropsychologist that deliver individual care for athletes. We provide physical evaluation, assessment of concussion severity, neuropsychological evaluation, ongoing monitoring and education for athletes, parents, coaches and school staff. We use clinical guidelines to implement the most appropriate treatment for return-to-play and return-to-school. Click here to learn more or to make an appointment.

No-Cook Meals for Multiple Sclerosis - Week 4: Southwest Chop Salad

It may be the last official week of summer, but this no-cook meal for multiple sclerosis can be enjoyed during any season. This salad’s simple ingredients are available year-round. Make it now and enjoy it again when you need a break from winter weather.

Recipe: Southwest Chop Salad

 

Super Food: Avocado

The oleic acid in avocados will help keep you satisfied and full. Oleic acid tells the body to ...

MS Research Update: How reliable are biomarkers measured by multiple providers?

Mobility issues secondary to strength, balance, and walking problems affect up to 80 percent of people with multiple sclerosis (MS). Providers and therapists use a variety of scales and tools to measure the extent of these issues such as:

 

  • The Berg Balance Scale (BBS) is a measure of balance that uses a 14-item scale and is scored based upon the results 0-56.
  • The 6-minute walk (6MW) is a measure of walking endurance.
  • Handheld Dynamometry (HHD) is a way to quantify manual muscle strength testing.

 

There is a lot of emerging research about “MS biomarkers,” which are values that look for ways to predict how patients will do in the future. The above tests are “physical biomarkers” of patient performance that may be able to be used as measures of disease state and change over time.

 

Often patients and clinicians are left wondering how accurate the results of these tests are. For instance, if provider A performs a functional test on a patient, will provider B get the same results if administering the same test to the same patient?

Mother Nature’s Role in Healing Our Children

I am a pediatric hospitalist. That is, I am a pediatrician who takes care of children sick enough to be hospitalized. So my writing about the importance of children spending time outdoors and enjoying nature might be surprising. Even though I may only take care of a child for the worst few days of their life, I am still quite passionate about the fundamental role of outdoor play in a child’s health and well-being.

Even during acute illness, I find that children often heal faster when they are given more opportunities to be playful and (illness-allowing) go outdoors to allow Mother Nature to heal them from within. So needless to say, I am often amazed at how little exposure many of these children have had, even prior to becoming ill, to spend time playing outdoors and getting to know their environment.

Now especially, as the days begin to get longer, and the refreshing spring air returns to our beautiful Pacific Northwest, I start thinking about all the wonderful outdoor fun I used to have as a child, and the importance such activities had on my own health and overall sense of well-being.

I worry that children of today encounter ....

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