® Walking is the ideal exercise for just about everyone. Put 1 foot in front of the other — it’s that simple. Here’s how: STEP 1: Warm up and stretch: • As you begin walking, do a 5-minute warm-up walk using your largest muscles repeatedly (such as arm swings and back rotations) prior to brisk walking. • Stretch right after your walk while your muscles are still warm. Never stretch a cold muscle. • Keep shoulders back, head up and chest lifted. Never slouch forward. • Allow your arms to swing naturally. Don’t clench your fists. STEP 2: Dress right: ear well-fitting walking shoes with a flexible, cushioned sole and •W • • plenty of toe room. Socks made of breathable fabric keep feet dry and free of blisters. W ear nonbinding, weather-appropriate clothing, indoors or out. Carry a water bottle. Apps and wearable devices can help you monitor your physical activity. STEP 3: Start slowly: • If you’re not used to exercising, don’t expect too much right away. • Start by walking at a moderate pace for just 10 minutes. Goal: Walk most days of the week, even if it’s just for a few minutes. As you get used to walking, increase speed, distance and time, or carry hand weights. Try walking uphill or take a challenging nature hike. STEP 4: Stay safe: • Carry your smartphone for emergencies only (phone use while walking can distract you from potential hazards, such as traffic). • Know where you’re going and stay aware of your surroundings. Walk with others. If walking at night, stay in well-lit, wellpopulated areas. Let family members know your route. QuikQuizTM: Be Kind to Your Kidneys NC WALK Your Way to Fitness EALTH E H 3.2016 March is B S E R V A Kidney Month. O How much do you know about chronic kidney disease? Test your knowledge: 1. The primary function of your kidneys is controlling urination. ❑ True ❑ False 2. Type 1 and type 2 diabetes are major risk factors for developing kidney disease. ❑ True ❑ False 3. Kidney disease often goes undetected until it's very advanced. ❑ True ❑ False 4. Following a Mediterranean-style diet can fight chronic kidney disease. ❑ True ❑ False >> Answers on the other side. My Nose, My Allergies Nasal allergy, or allergic rhinitis, causes inflammation of the nasal membranes. The allergic reaction produces antibodies that in turn release histamines that trigger stubborn symptoms — sneezing, itching, nasal congestion, watery eyes and runny nose. Seasonal allergic rhinitis (hay fever) is most often caused by pollen from trees, grasses and weeds carried in the air during different times of the year in different parts of the globe. Perennial allergic rhinitis occurs year-round, typically triggered by indoor allergens. Most common offenders: animal dander, mold spores, dust mites and cockroach particles. If you have symptoms of nasal allergy — seasonal or year-round — talk to your health care provider, who can recommend a variety of prescription medications and over-the-counter symptom relievers, including: Antihistamines — they help relieve sneezing, itching and runny nose. They work best taken routinely during allergy season and before symptoms take control. Decongestants — they narrow the blood vessels and reduce blood flow in the affected area to relieve congestion and improve breathing. They come in oral tablets, eye or nose drops and sprays. is a major component of mental wellness.” — Abraham Maslow E EALTH OB March is Nutrition Month. NC in the present moment H “The ability to be S ER VA Master Your Plate By Cara Rosenbloom, RD When you want advice about healthy eating, food guides and charts can be confusing and difficult to use. Instead, focus on your plate at each meal. Here’s what it should look like: Proteinrich foods = ¼ PLATE Grains = ¼ PLATE Vegetables and fruit = ½ PLATE >>> Fill half the plate with vegetables and fruit. This may be raw vegetables, salad, or steamed, broiled, roasted or stir-fried options. Anything goes! >>> Colonoscopy: A Lifesaver Fill one-quarter of the plate with protein-rich foods: Lean meat, poultry and fish are all good options, but you can also mix things up with tofu, lentils, beans, Greek yogurt, cheese, eggs, nuts or seeds. Colorectal cancer usually starts with a slowgrowing polyp on the lining of the colon or rectum. Screening with a colonoscopy can detect these polyps and remove them before they turn cancerous. whole-grain pasta, quinoa, buckwheat or oats. The colonoscopy involves viewing the entire colon with a long, flexible, lighted tube. It’s recommended every 10 years after age 50, or earlier or more frequently, depending on your personal health history. Many people dread and avoid this lifesaving procedure, particularly because of the pre-exam preparation. You’ll switch to an eating plan a few days before the exam that helps cleanse the bowel. Follow your health care provider’s instructions to the letter. >>> Fill the remaining one-quarter with grains: Try brown rice, 100% Sticking with this plate method can ensure you get plenty of vegetables and fruit, and limit starchy, refined white carbohydrates or fatty meats. But what if you’re eating a mixed meal that doesn’t have clearly divided plate portions? Think about the ingredients in your dish and decide what’s missing. For example, if your salad is mostly vegetables, add some chicken breast and a scoop of cooked quinoa. The plate model works for breakfast, too. Great combos include cereal, milk and fruit or eggs with toast and tomato. QuikQuizTM: ANSWERS >> Continued from the other side. Then, the day before the exam, you begin drinking a powerful bowel-clearing substance. Coping with the resulting diarrhea is the most difficult part. The process takes about 16 hours. However, clearing the bowel as much as possible helps ensure the polyps aren’t missed in the exam. 1. False — Your bladder controls urination. Kidneys remove waste and toxic Set aside enough time to complete the prep without interruptions. Arrange for the privacy you need for cleansing with as little stress as possible. 3. True — Only as kidney disease worsens are you likely to feel sick and weak EALTH OB NC E H All things considered, a colonoscopy is well worth the effort. S ER VA March is Colorectal Cancer Awareness Month. byproducts; control body fluids and red blood cell production; and help regulate blood pressure. 2. True — Other risk factors include being 60-plus, having high blood pressure and a family history of kidney failure, and overusing pain relievers. from symptoms such as anemia, weak bones and nerve damage. Chronic kidney disease (CKD) can lead to kidney failure; early detection and treatment can often keep it from getting worse. 4. True — Study results: Dietary patterns following the Mediterranean plan were linked with a 50% lower risk of CKD and a 42% lower risk of rapid kidney function decline. This diet includes a high intake of fruits, vegetables, fish, legumes and heart-healthy fats. Smart Moves toolkit is at www.personalbest.com/extras/16V3tools. 3.2016 TopHealth® is published to provide readers with the information and the motivation needed to achieve and maintain a healthier lifestyle. The content herein is in no way intended to serve as a substitute for professional advice. Executive Editor: Susan Cottman. Medical Editor: Zorba Paster, M.D. Sources available on request. © 2016 Ebix Inc. All rights reserved. Unauthorized reproduction in any form of any part of this publication is a violation of federal copyright law and is strictly prohibited. Personal Best® ... A Learning Solution powered by Oakstone®. 2700 Corporate Drive, Suite 100, Birmingham, AL 35242 • 800-871-9525 • fax 205-437-3084 • e-mail: editor@personalbest.com • website: www.personalbest.com. GET WELL, STAY WELL NEWSLETTER YOUR GUIDE TO HEALTHY LIVING When it comes to snacking and quick meals, packaged foods are easy and convenient. However, they typically contain high amounts of fat, salt and/or sugar and they often lack essential vitamins and minerals. To ensure you are getting in all essential vitamins and minerals, strive to get 80% of your diet through WHOLE foods. Vegetables, fruits, whole grains, lean sources of protein, such as beans, legumes, fish, skinless poultry, and low fat dairy products are all examples of whole foods. When you do choose packaged snacks and foods, try to pick options that are minimally processed and make sure they fit into your daily balanced diet. Below are some general guidelines to help you choose better packaged food options when you are at the grocery store. DON’T BELIEVE THE FRONT OF THE BOX! Advertisements can be misleading. Companies label products with terms like “natural,” “fresh,” “farm fresh,” “wholesome,” or “nutritious” to draw in consumers. These terms are not strictly defined by the FDA and can be placed on almost any product. Serving size: 3/4 cup Flip the package over and ALWAYS check the 2 servings = 1 1/2 ingredient list and nutrition facts. Try to purchase cups = 18g sugar! products with the fewest amount of ingredients and The American Heart recognizable ingredients. Compare nutrition facts Association recommends no and choose products that are lower in fat, sodium, *Sources of added sugar more than 24g of and sugar. are underlined in red. added sugars for Check the serving size. Often times, products will women and 36g for men each day. have a very small serving size. The serving size for most cereals is 1/2 cup to 1 cup when realistically, individuals will consume at least double that amount. Avoid trans fats. Trans fats are no longer recognized as safe, however, they will still appear in processed foods until June of 2018. Keep trans fats out of your diet by checking for partially hydrogenated oils in the ingredient list. Common foods that still contain partially hydrogenated oils include the items below. Stick Margarine Non-Dairy Coffee Creamer Frozen Meals Baking Mixes Microwave Popcorn Pudding Cups Canned Frosting Bread Crumbs Tortilla Shells Pie Crusts Ice Cream Crackers Common Nutrition Claims and What They Mean Low Calorie - 40 calories or less per serving Low Sodium - 140mg or less sodium per serving Calorie Free - less than 5 calories per serving Fat Free or Sugar Free - less than 0.5g of fat or sugar per serving Trans Fat Free: less than 0.5g trans fat per serving No Sugar Added - no sugar or sugar-containing ingredient is added during processing High in _____ - provides 20% or more of the % daily value of a specified nutrient per serving Reduced _____ - at least 25% less of the specified nutrients or calories than the original product Good Source of _____ - provides at least 10-19% of the % daily value of a particular nutrient per serving Good Source of Fiber - contains 2.5 to 4.9g of fiber per serving Ranch-Style Popcorn Recipe by Abby Silvester, RD, LD Ingredients Directions 1. Mix all of the seasonings together in a medium sized bowl. 2. Add the olive oil to the seasonings. 3. Add the popcorn and toss to coat it with the oil and seasonings. 3 cups air popped popcorn 1 tablespoon extra virgin olive oil 1/4 teaspoon onion powder 1/4 teaspoon dried dill weed 1/8 teaspoon garlic powder 1/8 teaspoon ground black pepper Nutrition Facts Total Servings - 1 Per 3 cups popcorn as prepared Calories: 212 / Total Fat: 15g / Saturated Fat: 1.8g / Sodium: 2mg / Carbs: 19g / Fiber: 3.5g / Protein: 3g Cinnamon Sugar Popcorn Recipe by Abby Silvester, RD, LD Ingredients Directions 1. Mix the cinnamon and sugar together in a medium sized bowl. 2. Add the canola oil to the seasonings. 3. Add the popcorn and toss to coat it with the oil mixture. 3 cups air popped popcorn 1 tablespoon canola oil 2 teaspoons sugar 1/4 teaspoon cinnamon Nutrition Facts Total Servings - 2 Per 1.5 cups popcorn as prepared Calories: 125 / Total Fat: 2g / Saturated Fat: 0.5g / Sodium: 1mg / Carbs: 14g / Fiber: 2g / Protein: 3g For more information, contact Be Well Solutions at (888) 935-7378 or info@bewellsolutions.com. ©Copyright Be Well Solutions, 2016 Signs that You Need an Eye Exam Changes in vision or visual problems such as floaters, flashes or blind spots. Eye pain, persistent itching or discharge. Frequent headaches. Your last eye exam was more than 2 years ago. For more information, contact Be Well Solutions at (888) WEL-SERV or info@bewellsolutions.com. ©Copyright Be Well Solutions, 2016