GET WELL, STAY WELL NEWSLETTER YOUR GUIDE TO HEALTHY LIVING In honor of American Heart Month, Be Well Solutions wants to answer some frequently asked questions about heart health and heart disease. What is heart disease? Heart disease is a general term for a group of conditions related to our heart’s ability to deliver blood to our bodies. This includes heart defects, irregular heart rhythms and blood vessel diseases. Much of our focus at Be Well Solutions involves helping people prevent heart attacks and strokes — part of a condition known as atherosclerotic heart disease. How does stress impact my risk of heart disease? Stress does not necessarily increase your risk of heart disease, but poorly managed stress does. For example, coping with stress by eating unhealthy foods, drinking too much alcohol or using tobacco/drugs can increase your risk of heart disease. Unmanaged stress can lead to a higher heart rate and blood pressure, which are significant risk factors for heart attacks and strokes. For these and many other reasons, it is important to use healthy coping strategies to manage daily stress. Is it really important to choose whole grains to maintain a healthy heart? Whole grain pasta, bread and rice contain more fiber than their white, refined counterparts. Fiber is key for heart disease prevention. Since the fiber in whole grains takes longer to digest, it helps you feel full longer and keeps blood sugar levels more stable. White, refined grains are digested so quickly that your blood sugar rises quickly after you eat them. This spike in your blood sugar increases diabetes risk and promotes an inflammatory response. This inflammation contributes to narrowing of your arteries through plaque formation. Do I need to eliminate saturated fat from my diet to reduce my risk of heart disease? Higher saturated fat intake has been associated with higher risk of developing heart disease. However, it is not necessary to completely eliminate saturated fat from your diet. It is necessary to pay attention to serving sizes of foods such as red meat, full fat dairy products and tropical oils (coconut & palm kernel oils). There are many healthy options that contain small amounts of saturated fat, such as nuts, olive oil and salmon. The American Heart Association recommends the average adult get no more than 7% of their calories from saturated fat, which comes to no more than about 15 grams per day if you are eating a 2,000 calorie diet. What type of exercise should I do to reduce my risk of heart disease? The American Heart Association recommends engaging in a combination of aerobic and strength training exercises throughout the week for overall cardiovascular health. See the picture to the right for more specific guidelines. How does smoking and tobacco use increase my risk for heart disease? Smoking damages your veins and arteries making it more difficult for blood to circulate through your body and back to your heart. Smoking also increases your risk of blood clots, which can travel to your heart and cause a heart attack. In addition, nicotine found in all tobacco products elevates your heart rate and blood pressure placing added stress on your heart. Slow Cooker Chicken Fajitas Recipe from http://www.cookingclassy.com/2015/01/slow-cooker-chicken-fajitas/ Ingredients Directions 1. 2 pounds boneless, skinless chicken breasts 1 (14.5 oz.) can diced tomatoes with green chilies (no salt added) 1 red, orange and green bell pepper, julienned 1 large yellow onion, halved and sliced 4 cloves garlic, minced 2.5 teaspoons chili powder 2 teaspoons ground cumin 1 teaspoon paprika 3/4 teaspoon ground coriander 3/4 teaspoon pepper 1/2 teaspoon salt 2 tablespoons fresh lime juice 1 tablespoon honey 9 corn tortillas 2. 3. 4. 5. 6. Pour half of the canned tomatoes into the bottom of a slow cooker and spread into an even layer. Top with half of the peppers and onions. Add chicken. Add garlic, chili powder, cumin, paprika, coriander, salt and pepper. Use tongs to coat both sides of chicken with seasonings. Top with remaining half of the tomatoes, peppers and onions. Cover and cook on high heat for 3 hours or low heat for 6-8 hours, until chicken is cooked through and veggies are tender. Remove chicken and cut into strips or shred. Ladle out 1 cup of the broth in the slow cooker and discard. In a small bowl, whisk together lime juice and honey. Add to slow cooker along with chicken. Gently toss. Serve with warmed corn tortillas. Nutrition Facts Total Servings - 9 Per 1 fajita Calories: 207 / Total Fat: 2.5g / Saturated Fat: <1g / Sodium: 250mg / Carbs: 19g / Fiber: 4.7g / Protein: 26g For more information, contact Be Well Solutions at (888) 935-7378 or info@bewellsolutions.com. ©Copyright Be Well Solutions, 2016 ® 2.2016 O BS ER VA N CE N ational Eating Disorders Awareness Week is February 21-27. Eating Disorders By Cara Rosenbloom, RD Sometimes worrying about weight can lead to an eating disorder – a mental illness indicated by extreme obsession with food, eating and body size. There are 3 main categories of eating disorders: February is American Heart Month. O BS ER VA N CE Life’s Simple 7 for Your Heart • Anorexia nervosa involves restricting food The American Heart Association’s Life’s Simple 7 steps to heart protection can boost energy and stamina and have you feeling better in no time: 2. Manage blood pressure. Healthy blood pressure is vital to preventing or managing cardiovascular disease (CVD). Routine checking and improving your blood cholesterol levels give your arteries their best chance to remain free of blockages. 1. Reduce blood sugar. High blood sugar can lead to type 2 diabetes and damage your heart, kidneys and nerves. Control cholesterol. 3. 5. • Bulimia nervosa includes binging by eating lots of food and then purging by vomiting or taking laxatives. It can be hard to tell if someone is bulimic because they may not lose weight and may hide their purging. • Binge eating disorder involves eating lots of 4. Lose weight. Shedding extra pounds reduces the burden on your heart, blood vessels and your joints. Losing even 1% of your body weight improves your health. 6. Eat well. A diet rich in fresh Exercise. Getting at least 150 minutes of moderate-intensity activity weekly (in segments as short as 10 minutes), such as brisk walking, helps protect your heart. intake and starving oneself. Individuals may deny feelings of hunger and exercise excessively. They mistakenly believe their bodies are much bigger than they are in reality, and they fear gaining weight. Stop smoking. p roduce, whole grains and healthy protein (e.g., fish, lean meats, beans) helps fight arterial disease and unwanted weight gain. If you smoke, you have a much-higher risk for CVD. 7. food (binging) without purging to get rid of the food. People with binge eating disorder may overeat to comfort themselves emotionally. They often can’t control what or how much they eat, and feel distressed, disgusted, guilty or depressed after eating. The good news: People can recover from eating disorders with professional help. “Don’t count the days. Make the days count.” – Muhammad Ali Smartphones Take Your Lunch to Work By Eric Endlich, PhD By Cara Rosenbloom, RD Do you use your smartphone too much? Assess your relationship with your phone by checking the statements that apply to you: If the food court and cafeteria rule your lunchtime decisions, consider this: You could be saving money and making healthier choices if you bring lunch from home. QuikRiskTM Assessment: q Do you keep your phone in or near your bed while sleeping? q Do you check your phone at times that others might consider inappropriate (e.g., theater, church, funerals)? q Do you ignore people you are with in favor of your phone? q Has your work, relationship(s), sleep or parenting been negatively impacted by your phone use? q Do you prefer using your phone to spending time with your partner or spouse? q Do you feel depressed or anxious when you can’t use your phone and feel better when you can? q Do your friends or family complain about how much time you spend on your phone? Packing lunches doesn’t need to be timeconsuming or difficult if you use these tips: Live Stronger >> Any of these simple lunch options are healthier and less expensive than fast food or a sit-down restaurant meal. And if time is short, start with once a week and work your way up. Here are a few simple strength-training exercises you can do for the rest of your life. Always check with your health care provider before beginning any exercise program. 1. Plank someone interrupts you when you’re on your phone? q Have you tried and failed to reduce The more boxes you check, the more you should pay attention to how your smartphone could be controlling you instead of the other way around. Loss of control is a hallmark of addiction – facing it is a start. Leftovers: At dinner, cook a bit more than you usually do. After dinner, put leftovers in a reusable container and store it in the fridge. If you’re packing salad, leave the dressing on the side. a nutritious midday meal. Items such as Greek yogurt, fruit and sliced low-fat cheese are popular. Try to mix and match tuna, whole-grain bread, oatmeal packets, single-serve hummus, almonds, trail mix, fruit, seed and nut bars as well as an array of prepared vegetables. Buy prewashed carrot sticks, grape tomatoes and mini cucumbers for easy assembly. q Do you get angry or annoyed when your phone usage? >> >> Grab ‘n’ go: Pair healthy items to build Targets: Abdominals, scapular stabilizers, back extensors. Equipment: None. 2. Body Weight Squat Targets: Buttocks, hamstrings, quadriceps, legs. Equipment: None. Starting position: Begin on the ground on hands and knees with hands a little more than shoulder-width apart and slightly in front of your shoulders. Starting position: Stand with feet a little wider than shoulder-width apart, and arms hanging at sides. Keep torso erect and body weight over heels. Movement: Extend 1 leg at a time, balancing on balls of feet as in the up part of a push-up. Contract abdominals so that back is parallel to the floor. Important: Keep head and neck in line with spine. Movement: Set feet shoulder-width apart, toes slightly turned out. Pull in lower abdominals, keeping eyes forward and hands at sides with palms facing inward. Push buttocks back. Lower hips and body toward floor, while slowly bending at knees and dropping hips with heels flat on floor. Important: Don’t arch back. Keep head aligned with spine and look forward. Pause for a moment. Then push back up with legs to starting position. How many: To start, hold for 15 seconds, building up to 60 seconds. Repeat once. How many: Two sets of 10 repetitions. Smart Moves toolkit is at www.personalbest.com/extras/16V2tools. 2.2016 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.