JUNE 2 2009 3 ent the main ev In This Issue 4 TREK Kick the bottle: why tap water is better | Caffeinate your day in moderation Stay cool as the temperature rises | Stay hydrated, even at 30,000 feet | Get There in 10 In the News | Your Partner for TotalHealth | Health hit water vs. s k n i r d s t r spo The next time you prepare for a workout, you’ll need to make a decision — water or a sports drink. It’s important to drink the right beverage at the right time to get the maximum benefits. The formula for short activities: H2O If your workout will last less than 90 minutes, or won’t be in extreme heat or cold, then water is the way to go. • Drink 8 to 16 ounces of water — one to two hours before activity. Drink the last 8 ounces twenty minutes before you exercise. • Sip 4 to 6 ounces of water every 15 minutes during exercise. • Drink 6 to 8 ounces of water when you’re finished. Too much of a good thing? Water is good for short workouts. But if you’re a distance runner, you need to replace electrolytes, which help control fluid balance in the body. It’s possible to “over-hydrate” by drinking too much water without replacing lost sodium, and causing your sodium level to drop dangerously. So be sure to use sports drinks if your workouts are longer. Going to the extreme: Benefits of sports drinks Workouts that are 90 minutes or longer, or that are done in extreme heat or cold, require a sports drink. Sports drinks are ideal before, during and after these types of workouts in order to replace lost carbohydrates and electrolytes and maintain your activity. • Drink water for the first 90 minutes of activity, then switch to a sports drink. If exercising in extreme heat or cold, switch to a sports drink after 30 minutes. • Weigh yourself before and after exercise. Then drink 6 ounces of fluid every 15 minutes until your weight is back to normal. • Drink 8 to 10 ounces of a sports drink every two hours. Frequent sipping will help prevent an upset stomach and maximize electrolyte absorption. • Dentists recommend rinsing your mouth with water after drinking sports drinks to help prevent tooth decay. • Snack on salty foods to help replace lost sodium. Whichever drink you choose, drink it cold and frequently, in small amounts. This helps ensure that the fluids will be absorbed more quickly, leaving you well hydrated…for the long (or short) run. 2 Kick the bottle: why tap water is better Sales of bottled water have soared in recent years as more and more people choose water instead of sugary beverages. That’s a good thing. But is bottled water really a better alternative than tap water? Consider these points: Bottled Water Tap Water Safety Environment Taste Fluoride Cost Caffeinaatye your d ion at in moder For many people, caffeine isn’t just the preferred way to wake up, it’s also the pick-me-up of choice to keep them going throughout the day. PP A study conducted by the Natural Resources Defense Council concluded that bottled water is no safer or healthier than most tap water. In fact, both are regulated by the government. The Environmental Protection Agency (EPA) monitors tap water, while the Food and Drug Administration (FDA) oversees bottled water. P The negative effects of bottled water on the environment are well documented. Bottles take oil to produce and transport, while leaving a mountain of waste behind. PP Some people choose to drink bottled water because they dislike the taste of tap water. To enhance the taste, add a twist of lemon or other flavorings to tap water. Most bottled water does not contain fluoride like tap water. This be a consideration for families with kids — knowing that P should it’s important for them to get the fluoride they need. P The biggest factor to consider when comparing bottled water to tap water may be cost. A New York Times reporter calculated that eight glasses (a day) of New York City tap water would cost about 49 cents per year. The same amount of bottled water would cost a whopping $1,400 per year! How much caffeine is too much? Two to four cups of coffee a day won’t cause problems for most people. But, if you feel like you’re just getting going after drinking your fifth cup of coffee — you might want to consider cutting back. Break the caffeine cycle Side effects from consuming too much caffeine include: • Nervousness • Headaches • Insomnia • Anxiety • Irritability • Fast or irregular heartbeat • Muscle tremors Pay attention Monitor how much caffeine you’re getting from foods and beverages. The darker side of caffeine Some people are more sensitive to caffeine than others. People who don’t regularly consume caffeine tend to be more sensitive to its negative effects. Other items that may contribute to caffeine sensitivity include: • Weight • Smoking habit • Age • Drug or hormone use • Stress • Health conditions (such as anxiety disorders) Give caffeine a rest Most adults need seven to eight hours of sleep each day. Caffeine can interfere with this much-needed sleep. Even small nightly decreases in sleep can accumulate — making you less alert and productive during the day. A good rule of thumb is to avoid drinks containing caffeine for eight hours before you go to bed. Your body doesn’t store caffeine, but it does take time to eliminate it. It can be tough to quit caffeine all at once. Here are a few things that you can try to help reduce your dependence on caffeine: Cut back — gradually Drink one less soda, or drink smaller cups of coffee each day. This will help your body get used to the lower levels of caffeine and lessen your withdrawal symptoms. Go decaf Most decaffeinated drinks taste the same as the caffeinated versions. Make it quick When making tea, brew it for less time. This cuts down the caffeine content. Dig the herbs Choose herbal teas, which don’t contain caffeine. Check the label Over-the-counter pain relievers can contain caffeine — as much as 130 mg in one dose. Try caffeine-free pain relievers instead. Stay cool as the temperature rises Heat stroke can strike without warning, especially for the very young, the elderly, and people working outdoors. A heat stroke occurs when a person cannot produce enough sweat to cool the body. Some tips to prevent heat stroke: Drink It Up! 3 ten • Stay hydrated with water or sports drinks • Don’t spend a lot of time outside during extremely hot weather • Avoid alcohol, tea, soda and coffee • Don’t exercise outside during the hottest time of the day • Stay in the shade if you’re going to spend time outside Milk is packed with essential nutrients that are important for your health. The USDA recommends that average adults drink three cups of low-fat dairy products per day to take advantage of these health benefits. In honor of National Dairy Month, here’s the calorie count and the Percent Daily Values* for an 8-ounce glass of fat-free milk. • Wear a hat and lightweight, loose clothing • Wear light-colored clothing — dark clothing attracts heat Zero Grams of Fat, 80 Calories Call 911 if heat stroke is suspected. Signs of heat stroke include: • Seizures • Confusion • Dizziness • Flushed, dry skin • Headaches • Fast heartbeat Eight Grams of Protein Until help arrives, move the person to a cool place and remove excess clothing. Fan and spray them with cool water and offer sips of water if they’re awake. A low-fat, low-calorie thirst-quencher. Milk contains essential building blocks of protein that help build lean muscle. 30% Calcium Helps build and maintain strong bones and teeth, while reducing the risk of broken bones and bone loss. Calcium also helps stabilize blood pressure. 25% Vitamin D Assists the absorption of calcium for healthy bones. Stay hydrated, even at 30,000 feet 20% Phosphorus The air inside the cabin of an airplane can be very dry, causing dehydration and making the symptoms of jet lag more severe. That’s why it’s important to stay properly hydrated before, during and after your flight. Consider these five tips to help lessen the effects of jet lag: 20% Riboflavin 1. Make sure that you’re well rested and you’ll have an easier time getting back to your normal sleep pattern. 2. Drink a glass of water or juice before your flight and then each hour during the flight. 3. Stick to a healthy diet by avoiding fatty or salty foods that promote dehydration. 4. Skip alcoholic and caffeinated beverages in-flight, because they promote dehydration. 5. Continue drinking fluids once you reach your destination — and drink extra fluids for several days. There’s no secret formula to prevent jet lag, but staying well hydrated is a great way to start. Works with calcium and vitamin D to help keep bones strong. Helps convert food into energy and plays a vital role in the development of the nervous system. 13% Vitamin B-12 Works closely with other B vitamins to make red blood cells and helps maintain your central nervous system. 11% Potassium Helps regulate fluid balance in your body. It also helps stabilize your blood pressure. 10% Niacin Helps your body digest food. 10% Vitamin A Supports good vision, healthy skin and maintains your immune system. * Percent Daily Values were developed by the FDA and reflect the current nutrition recommendations for a 2,000 calorie diet. 4 Health hit what’s happening in health news ure s s e r p lood e? b h g i h Have heart diseas or he Skip dt rinks. energy In a March 2009 study published in Annals of Pharmacotherapy, researchers from the Henry Ford Hospital found that adults who drank two cans of a popular energy drink each day experienced an increase in their blood pressure and heart rate. These increases in blood pressure and heart rate were minimal for healthy adults, but could be harmful to people with a heart-related condition. The study Researchers studied 15 healthy adult participants who didn’t have any caffeine for two days prior to, and during, the study. On the first day — after a measurement of blood pressure, heart rate, and EKG — the adults drank two cans of an energy drink, or the equivalent of two to four cups of coffee. Researchers then measured the participants’ blood pressure, heart rate and EKG again at 30 minutes and one, two, three and four hours after consumption. The participants then drank two cans of the energy drink a day, for the next five days. On the seventh day, blood pressure, heart rate, and EKG measurements were taken and compared to the numbers collected on day one. Researchers found that the participants’ heart rate increased 7.8 percent the first day and 11 percent by the seventh day. They also discovered blood pressure increased at least 7 percent between the first and seventh days. Just say no Based on the findings, it’s recommended that people who are taking medication for high blood pressure or heart disease avoid energy drinks because of a potential increased health risk. Your partner for Express Scripts® It’s important to learn as much as you can about the medications you take. It’s a challenge to keep up to date with information like dosages, side effects, generic versions and cost. That’s why ABB offers you prescription medication benefits through Express Scripts. Log on to www.express-scripts.com to view your plan and other valuable information, including: • A preferred drug list • Your prescription drug history • Checking interactions and side effects of drugs • Comparing drug co-pays and coverage under your plan Plus, as an Express Scripts member, you’ll have the opportunity to save money on your prescriptions by ordering online. Call 1.877.650.9413 for more information on your plan and the benefits available to you. ­­ In the news Got HEALTH? June Is National Dairy Month Your mother always told you to drink your milk, and here’s why — research studies have shown that dairy products may also help to reduce the risk of several diseases: Osteoporosis Osteoporosis is the abnormal loss of bony tissue resulting in brittle bones due to a lack of calcium. Dairy products contribute a large portion of calcium in the food supply. High blood pressure A diet that contains low-fat dairy and is rich in fruits and vegetables can help lower blood pressure — especially when combined with low sodium intake. Obesity Low-fat dairy foods such as milk, yogurt and cheese may help control body fat, according to several studies. Colon cancer A study published in The New England Journal of Medicine showed that calcium might help reduce the risk of colon tumors. Go to www.mypyramid.gov for more information about what you can eat and drink to help maintain a healthy lifestyle. © 2009 Nationwide Better Health. All Rights Reserved. The content of this newsletter may not be reproduced in any form without the written permission of Nationwide Better Health. This monthly newsletter is written by a team of credentialed and licensed health professionals, medical writers and journalists. The medical information contained in it is not intended to be a substitute for professional medical advice. Always seek the advice of your physician or another qualified health care provider. To contact us: 1.877.777.3150, Nationwide Better Health, 6565 Davis Industrial Parkway, Suite A, Solon, Ohio 44139.