Healthy snack ideas

 

Looking for healthy snack ideas? Try these easy snacks by dietitian Sally-Anne Livock.

    •    1 piece of fruit such as a banana or an apple. 

    •    15 unsalted, raw nuts 

    •    200 g tub low-fat natural yoghurt 
with frozen berries 

    •    4 apricot halves and 4 almonds 

    •    punnet of strawberries 

    •    250ml skinny latte 

    •    Homemade smoothie with low-fat 
milk, yoghurt and frozen berries 

    •    1 cup air-popped popcorn 

    •    175g tub of Yoplait Forme yoghurt 

    •    1 John West 61g Tuna to Go 
Lemon & Cracked Pepper 

    •    10 Sakata crackers with salsa 

    •    Vegie sticks (carrot, celery, 
capsicum, snow peas, asparagus, 
cauliflower) with salsa 

    •    Small muesli bar (420 kJ approx.) 

    •    2 Ryvita or corn thins with slice of 
low-fat cheese and tomato 

    •    40 g mini tub light Philli with 
carrot and celery sticks

 

 

For more healthy recipes ideas and healthy eating tips, check out our nutrition section.

 

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BPA Linked to Premature Babies: Study

credit: Getty Images

Higher concentrations of the plastics chemical BPA in a pregnant woman’s system could increase the likelihood that her baby is born premature, according to a new study.

Researchers at the University of Texas Medical Branch at Galveston looked at blood samples from pregnant women who were admitted to a hospital for delivery, as well as amniotic fluid from the fetus. They found that women who had higher levels of BPA in their bloodstream were more likely to have a preterm birth than women who recorded lower levels. BPA is found in the coatings of various food containers and be consumed when the chemical is released into the food during heating. The study is published in The Journal of Maternal-Fetal & Neonatal Medicine.

It’s suggested that BPA can cause abnormal inflammation that can contribute to problems during pregnancy. “During the past decade, there has been an increasing appreciation of how exposure to industrial chemicals in widespread use may increase the risk of adverse pregnancy outcomes,” the authors write.

More research is needed to understand the link, especially since the researchers’ study size was small, but the study authors point out that nearly all women have some level of BPA exposure. Prenatal exposure to BPA has also been associated with lung complications and behavioral issues. There are alternatives to BPA products, and whether these alternatives are indeed healthier is still under investigation.

This article originally appeared on Time.com.

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There May Be Lead in Your Chocolate. Here’s Why You Shouldn’t Freak Out

Photo: Getty Images

We’ve been hearing about a lot about lead lately. Back in December, there was the horrifying news of the lead poisoning crisis in Flint, Michigan. Then, in January, the FDA warned consumers about a cosmetic clay product with elevated levels of the heavy metal. And last week, a consumer advocacy group released an updated survey which revealed many popular chocolate brands contain levels of lead that exceed the safety threshold established by California law.

The group, called As You Sow, had an independent lab test 50 samples of cocoa products. They found that 35 contained lead and/or cadmium, another toxic metal that’s been linked to fertility problems and increased risk of breast cancer and liver disease.

As You Sow has filed notices with 18 manufacturers—including company’s like Hershey’s, Whole Foods, Godiva, Ghiradelli, and Trader Joe’s—for failing to provide a warning to consumers required by the state of California.

“Lead and cadmium accumulate in the body, so avoiding exposure is important, especially for children,” As You Sow president Danielle Fugere said in a news release. “Our goal is to work with chocolate manufacturers to find ways to avoid these metals in their products.”

RELATED: The Lead Poisoning Symptoms That Everyone Should Know

How does lead get in chocolate, anyway?

It’s not entirely clear. Many manufacturers say that lead occurs naturally in certain foods.

The National Confectioners Association told CNN that “[s]ome minerals—like cadmium and lead—are found naturally in many foods, including seafood, peanuts, potatoes, grains, leafy vegetables and—sometimes—cocoa beans. Cocoa-based foods are consumed in small amounts and are not a major source of these minerals in the diet.”

It’s also possible that chocolate absorbs the metal during manufacturing or shipping. In a 2005 study published in Environmental Health Perspectives, researchers found that manufactured cocoa and chocolate products contained higher levels of lead than raw cocoa beans.

RELATED: 19 Medical Tests That Everyone Needs

How much lead in chocolate is OK?

This is another gray area. As CNN points out, regulations on toxic chemicals in food are more strict in California than in the rest of the country. They’re also more strict than federal guidelines.

For example, California says that both kids and adults shouldn’t have more than 5 micrograms of lead a day from any food source. But the FDA says small children can safely consume up to 6 micrograms a day from candy alone. The limit for adults is higher.

So while As You Sow is claiming the lead and cadmium levels in popular chocolate products exceed California’s limits, they could still be in line with FDA guidelines. The FDA responded to the group’s initial statement, saying the agency “monitors lead levels in the U.S. food supply.”

And six of the 12 manufacturers named in the updated survey responded to CNN’s request for comments, insisting their products are safe. “People have been eating cocoa and chocolate safely for centuries,” Hershey’s statement read. “Consumers can rest assured that our … industry adheres to all government regulations.”

 

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On-the-Job Training Funds for Pediatricians Lagging: Experts

MONDAY, March 28, 2016 (HealthDay News) — Funding for graduate medical education (GME) for doctors-in-training needs to be changed to deal with a shortage of pediatric specialists, the American Academy of Pediatrics says in an updated policy statement.

This shortage comes at a time when a growing number of American children have chronic health problems and special medical needs, according to a news release from the academy.

While enrollment at U.S. medical schools has increased in response to a shortage of doctors, an equal number of federally funded training positions for new medical graduates haven’t been added, the AAP said.

And, only three years of residency training are fully funded. Additional years of specialized training are funded at 50 percent, the experts said.

“The need to fix our nation’s graduate medical education funding system has reached a critical point,” Dr. William Moskowitz, chair of the AAP Committee on Pediatric Workforce and one of the policy statement’s authors, said in the news release.

“It has to be structured so that it can produce a physician workforce that meets the evolving health needs of the country, and especially its children,” Moskowitz added.

The AAP explained that most teaching hospitals receive the bulk of their GME funds through Medicare. But pediatric residency programs based in children’s hospitals rely on the Health Resources and Services Administration (HRSA). Because the HRSA funding must be re-allocated each year, it’s a less secure source of funding.

The doctors’ group is calling for: full funding of GME training for all pediatricians, including subspecialists and surgical specialists; more pediatric GME positions; stable funding for children’s hospital residencies; and funding from more sources.

The AAP said that a number of groups should contribute to GME funding. These include: government, hospitals, health care systems, health maintenance organizations, the pharmaceutical industry, private and public insurers, medical device and equipment companies, health information technology companies and others. But these groups shouldn’t be able to make changes to training requirements or the curriculum, the AAP said.

The policy statement was published online March 28 in the journal Pediatrics.

More information

The U.S. Centers for Disease Control and Prevention offers child health resources.

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This 9-Year-Old Girl Ran a 24-Hour Navy SEALS Obstacle Course

It’s official: We have zero excuses left to skimp on our workouts, after learning that 9-year-old Milla Bizzotto trains three hours a day, five times a week—y’know, for fun.

“I don’t want to play video games,” she recently told the Miami Herald. “I don’t want to Hoverboard. I don’t want to do things to make life easier. I want to be comfortable being uncomfortable. I have one body and it’s all I want and all I love.”

Earlier this month, the 53-pound athlete ran BattleFrog’s Xtreme 24-hour obstacle race in Miami, alongside her father Christian Bizzotto, a Crossfit gym owner who trains clients for BattleFrog and Spartan competitions.

RELATED: 3 Celebs Who Are Serving Up Major Fitspiration

The course Milla conquered was designed by U.S. Navy SEALs. She completed a 36-mile run, an 8-kilometer swim, and 25 obstacles (such as crawling under barbed wire and scaling a 12-foot wall), according to the Washington Post. Milla was the youngest competitor.

What would inspire a little girl to sign up for such a grueling event? The Miami Herald reports that Milla began training after she was bullied in school.

“People would call me names and say I wasn’t a good player,” she said. But rather than defending herself with physical violence, Milla decided to become empowered though physical fitness: “I didn’t want anyone else to go through what I did. I want to set an example and show other kids that they can do or be anything they want.”

RELATED: 25 Genius Ways Fitness Trainers Stay Motivated to Exercise

The bullying died down after Milla started training, her dad told The Cut. “Her outlook is so much different now that she knows how to defend herself.”

And it seems safe to say our latest fitspiration isn’t going to quit any time soon: “I’m fearless,” Milla told the Herald. “And knowing I’m inspiring people makes me more fearless.”

“It is hard,” she admits. “But that doesn’t stop me.”

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World’s Senior Population Forecast to Boom by 2050

MONDAY, March 28, 2016 (HealthDay News) — The percentage of the world’s population aged 65 and older is expected to double by 2050, a new report says.

People who are 65 and older now make up 8.5 percent of people (617 million) worldwide. By 2050, they are expected to represent nearly 17 percent (1.6 billion), according to the U.S. Census Bureau report commissioned by the U.S. National Institute on Aging (NIA).

Over that time, the number of Americans 65 and older is projected to grow from 48 million to 88 million.

Worldwide, life expectancy is expected to rise from 68.6 years in 2015 to 76.2 years in 2050. The number of people 80 and older is forecast to more than triple, from 126.5 million to 446.6 million worldwide, while their ranks in some Asian and Latin American countries could quadruple.

“Older people are a rapidly growing proportion of the world’s population,” NIA Director Dr. Richard Hodes said in an agency news release.

“People are living longer, but that does not necessarily mean that they are living healthier. The increase in our aging population presents many opportunities and also several public health challenges that we need to prepare for. NIA has partnered with Census to provide the best possible data so that we can better understand the course and implications of population aging,” Hodes said.

Non-infectious diseases are the main health concern for seniors worldwide, but infectious diseases are also a major threat to seniors in low-income countries, including many in Africa, according to the new report.

“We are seeing population aging in every country in every part of the world,” John Haaga, acting director of NIA’s division of behavioral and social research, said in the news release.

“Many countries in Europe and Asia are further along in the process, or moving more rapidly, than we are in the United States. Since population aging affects so many aspects of public life — acute and long-term health care needs; pensions, work and retirement; transportation; housing — there is a lot of potential for learning from each other’s experience,” Haaga said.

Tobacco and alcohol use, lack of fruits and vegetables in the diet, and inactivity are among the health risk factors worldwide, according to the report. Experts note changes in some risk factors, such as declining smoking rates in some high-income countries. The majority of smokers worldwide are now in low- and middle-income nations, the study authors said.

More information

The U.S. Office of Disease Prevention and Health Promotion outlines how to stay healthy as you age.

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Want a 2nd Date? ‘Welcoming’ Body Language May Be Key

By Randy Dotinga
HealthDay Reporter

MONDAY, March 28, 2016 (HealthDay News) — Sit up straight to get a date? That’s the message of a new study that suggests good posture and welcoming body language boost the odds of a romantic spark in online or speed dating.

The key is to not appear withdrawn, said study lead author Tanya Vacharkulksemsuk. “People pick up on the openness of their potential romantic partners.”

First impressions are especially crucial in the modern dating world when people often meet online, said Vacharkulksemsuk, a postdoctoral researcher at the University of California, Berkeley.

“Decisions about selecting a partner are often made after brief interactions that sometimes last only a couple minutes, such as speed-dating, or even seconds, such as viewing online dating profile photos,” she said.

For the study, researchers videotaped 144 “speed dates” of men and women who spent four minutes talking to each other. The researchers rated participants’ posture, and checked the speed-dating results to find which candidates had been chosen to be seen again.

An open posture is “expansive,” featuring widespread limbs and a stretched torso that “enlarge” a person’s space, Vacharkulksemsuk said. A person with a closed posture, by contrast, keeps limbs close to the body and minimizes himself or herself.

“For every single unit increase of expansiveness on the scale, that person was 76 percent more likely to get a ‘yes’ response from their speed-dating partner,” Vacharkulksemsuk said.

In another part of the study, the researchers analyzed thousands of reactions to photos of the opposite sex on a mobile dating app. Some profile photos showed love seekers appearing open and welcoming, and others showed them “contractive,” or seeming closed.

Among females, more than half the “hits” went to women with more open postures. Although men got fewer hits overall — because women are more selective than men, the researchers say — nearly nine out of 10 hits were in response to an expansive photo.

Although the study findings aren’t definitive, Vacharkulksemsuk said the appearance of being socially adept — also known as being socially “dominant” — is important. It’s a sign that someone has resources like money or social connections, she said. If you’d like to boost the odds of a romantic connection via an online profile, she suggested, show more openness.

But a researcher who studies human interaction cast doubt on the study findings, arguing that the effect of expansive posture is unimportant compared to other factors that affect first impressions in a romantic context.

Paul Zak, chairman of the Center for Neuroeconomics Studies at Claremont Graduate University in California, dismissed the findings this way: “Women like dominant guys. To a lesser extent, they find that guys like dominant women, too. And dominant people have more open body postures.”

As for why a certain posture might help, he agreed that it has to do with the concept of social dominance. “Dominant people adopt bigger and more open postures,” he said. “Humans, especially women, are attracted to dominant partners because this likely signals they have access to resources that they might share with us.”

His advice if you want more dating success? “Get a haircut, work out, go on a diet, be happy with yourself. They’re all likely better,” he said.

The study appears in the March 28 issue of Proceedings of the National Academy of Sciences.

More information

For more about the biology of love, visit the University of Minnesota.

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Do-It-Yourself Blood Pressure Checks May Help Spot Heart, Stroke Risk

By Steven Reinberg
HealthDay Reporter

MONDAY, March 28, 2016 (HealthDay News) — Keeping track of your blood pressure at home may provide a better indicator of your risk for heart disease and stroke than waiting to have it taken by your doctor, Japanese researchers report.

The study found the risk for heart disease and stroke was greater for patients whose morning systolic blood pressure — the top number — measured at home was 145 mm Hg compared with reading of less than 125 mm Hg.

“In clinical practice, morning home blood pressure may predict heart disease and stroke better than office blood pressure, and be more effective in managing high blood pressure,” said lead researcher, Dr. Kazuomi Kario. He’s a professor and chairman of the division of cardiovascular medicine at Jichi Medical University School of Medicine in Tochigi, Japan.

“Few reports have investigated the predictive ability of home blood pressure for heart disease and stroke,” Kario said. “This largest home blood pressure study is the first to demonstrate that morning home blood pressure may be superior to clinic pressure,” he said.

For the study, Kario and his colleagues followed more than 21,000 patients with high blood pressure for a little over two years. The mean age of the study volunteers was 65. During the study follow-up, 127 patients had strokes and 121 developed heart problems, the findings showed.

Strokes were significantly higher among those patients with a morning home systolic blood pressure of 145 mm Hg or higher, compared to those patients whose systolic blood pressure was less than 125 mm Hg. The comparable numbers for stroke risk measured in a doctor’s office were 150 and higher, and less than 130, respectively, the researchers found.

The risk for heart disease was also higher among patients whose at-home systolic blood pressure was over 145 mm Hg compared to those who had blood pressure of 125 mm Hg or less at home. For the in-office reading, risk for heart disease was greater when blood pressure was 160 or higher compared to less than 130, the investigators found.

The report was published online March 28 in the Journal of the American College of Cardiology.

Elevated blood pressure remains a leading cause of stroke, heart attacks, heart failure, kidney failure and premature deaths, said Dr. Gregg Fonarow. He’s a professor of cardiology at the University of California, Los Angeles, and a spokesman for the American Heart Association.

Taking your blood pressure at home is relatively simple using a blood pressure measuring device. Devices are available in drugstores and other stores, and range in price from around $30 to more than $100.

The American Heart Association (AHA) recommends an automatic, cuff-style, upper-arm monitor for use at home. Wrist and finger monitors are not recommended because they yield less reliable readings. Monitors for the elderly or pregnant women should be validated specifically for those purposes. And, be sure the cuff fits properly, the association says.

Blood pressure responds to many factors and will vary throughout the day, so a single high blood pressure reading is not an immediate cause for alarm, the AHA points out. But if you get a high reading, you should take your blood pressure several more times and consult your doctor to make sure you don’t have a problem and that your monitor is working properly, the heart group recommends.

Controlling your blood pressure should be a partnership between you and your doctor, the AHA suggests. Taking your blood pressure at home is one step, and should be done with the advice and help of your doctor.

“There is increasing interest and guideline recommendations toward using blood pressure readings taken at home to assess risk and guide treatment of hypertension [high blood pressure],” Fonarow said.

“The lower the morning home blood pressure reading, the better the outcomes,” he explained. Men and women with a morning systolic blood pressure reading of less than 125 mm Hg had the lowest rates of cardiac events and strokes, Fonarow said.

“This study lends further support for integrating morning home blood pressure readings as a component of the routine clinical assessment and treatment of high blood pressure,” he added.

More information

For more about blood pressure and why it’s important, visit the American Heart Association.

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Wearable ‘Defibrillator-in-a-Vest’ May Help Some Heart Patients

By Randy Dotinga
HealthDay Reporter

MONDAY, March 28, 2016 (HealthDay News) — A vest containing a defibrillator may be an option for some heart patients who can’t use an implantable defibrillator — the device that can shock the heart back to a proper rhythm if needed.

That’s the conclusion of the first science advisory on the devices just issued by the American Heart Association. The advisory, however, cautioned that there are still big gaps in knowledge about the devices and they should only be used as a short-term option for specific patients.

“They serve an important niche, but there is relatively limited evidence about their effectiveness and safety,” said the advisory’s lead author, Dr. Jonathan Piccini, an associate professor of medicine at Duke University Medical Center in Durham, N.C.

“We need research and clinical trials to figure out which patient populations they should be applied to and what the relative benefit is,” he added.

The wearable defibrillator is worn under clothes looks like a “a glorified fishing vest” that connects to the body via electrodes, Piccini said, and it comes with a laptop-sized battery. If it detects a dangerous abnormal heart rhythm, the vest will alert the patient by sounding alarms that become louder and louder. If the patient doesn’t press a button to tell the device that it’s a false alarm, “it senses something life-threatening,” he said.

Then, he said, the device ejects a gel onto the chest to help conduct electricity and gives the patient a shock. After that, he said, the device needs to be replaced.

It’s not clear how many patients have used wearable defibrillators compared to getting them implanted, but Piccini said the number is small.

It’s also not yet clear who would benefit from this device. A randomized clinical trial is now underway.

Research has shown that the device properly shocks people between 90 percent and 100 percent of the time, according to the advisory. About 1 percent to 2 percent of patients get shocked when they don’t need to be.

The advisory noted that some patients appear to benefit from the wearable devices because they aren’t good candidates to get an implanted defibrillator. In these cases, Piccini said, these devices serve as a “bridge” to an implanted version.

Those who may benefit include heart patients with infections of the heart or blood stream, those who’ve had their defibrillators removed because of infection, and women who develop weak hearts after giving birth or during pregnancy, he said. The devices may also be appropriate in the short term if a physician is trying to figure out if an implanted defibrillator is the right option for a patient, he added.

Insurance companies typically cover the device, which is generally used for 30 to 90 days, Piccini said. “If it’s any longer that, there’s an assumption that the patient would benefit from an implanted device. But I have a patient who’s been using it for over nine months,” he added.

Not surprisingly, patients often don’t like the wearable device, and more than 20 percent stop using it due to discomfort or adverse reactions, the advisory said. “Just imagine wearing a fishing vest under your shirt all the time,” Piccini said. “It generally is inconvenient, bulky and uncomfortable.”

Dr. Byron Lee, a research director at the University of California, San Francisco’s Division of Cardiology, is helping lead the first large randomized study of the wearable defibrillator.

He said patients should only take the device off to bathe. “Sometimes, patients have trouble learning to sleep with it,” he said. In addition, “you should not have sex with the wearable defibrillator since this may trigger an unnecessary shock. In general, we recommend patients take it easy when using the wearable defibrillator. Walking and light exercise are fine.”

Lee said the heart association’s advisory will likely help people get insurance coverage for the device. “Insurance companies have questioned whether the wearable defibrillator should be covered,” Lee said. “This statement validates its use in specific patient populations.”

Dr. Evan Levine, a cardiologist with Montefiore Medical Center in New York City, is a critic of the extensive use of the device. He believes it’s a reasonable treatment for patients who’ve had to have their implantable defibrillators removed due to infection. But he questions its use on patients who aren’t eligible to get an implanted device because inexpensive medications are just as effective.

They get “a device that no one can say saves lives,” Levine said, “and are not prescribed the very effective and inexpensive medications that clearly do save lives.”

The study appears in the March 28 issue of the journal Circulation.

More information

For more about defibrillation, try the American Heart Association.

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Acupuncture May Ease Hot Flashes for Breast Cancer Patients

By Alan Mozes
HealthDay Reporter

MONDAY, March 28, 2016 (HealthDay News) — Acupuncture can help alleviate the often-debilitating hot flashes that afflict many breast cancer patients, new Italian research says.

Noting that hot flashes are a fact of life for many women with breast cancer, the investigators found that pairing lifestyle advice with weekly acupuncture sessions dramatically improved the women’s quality of life.

“Acupuncture together with enhanced self-care for three months is effective in reducing hot flashes in women with breast cancer,” said study author Giorgia Razzini, a clinical trial project manager in the oncology unit of Ospedale di Carpi (Carpi Hospital), in Bologna, Italy.

And because hormone treatment for breast cancer typically makes the hot flash experience even worse, Razzini added, acupuncture could be a useful tool for helping such patients “stay on their therapy and improve their quality of life.”

Razzini and colleagues published their findings online March 28 in the Journal of Clinical Oncology.

In the study, the Italian team focused on 190 breast cancer patients who had reported moderate (or worse) hot flashes while undergoing treatment at five cancer hospitals and one primary health care center in northern Italy between 2010 and 2013.

The patients, whose average age was 49, were randomly split into two groups. One group of 105 patients was offered a three-month regimen of self-care advice on diet, exercise and psychological support.

The second group, of 85, was offered the same advice in the same time frame along with 10 half-hour weekly sessions of “traditional” acupuncture.

All of the participants kept hot flash diaries. At the end of the three-month period (and for up to six months thereafter) daily hot flash experiences were assessed for changing severity and frequency.

The result: by the end of the treatment period, those in the acupuncture group were found to have hot flash scores that were 50 percent lower than those in the non-acupuncture group. The finding continued to hold up for a half-year after the acupuncture sessions ended.

Those in the acupuncture group also seemed to have a generally higher overall quality of life in terms of both physical and mental health, with no serious side effects, the study authors said.

So why does acupuncture seem to work?

Razzini cited several reasons, including acupuncture’s ability to prompt blood vessel dilation in the patient’s nervous system, while stimulating the release of endorphins — a neurotransmitter that interacts with brain cells involved in the regulation of pain and emotion. It also triggers the release of the stress hormone norepinephrine, as well as the mood regulator serotonin.

Razzini didn’t know how much American patients might have to pay for such treatment, but added, “Compared to other effective treatments such as antidepressants, (acupuncture) should be less expensive, and, for sure, more safe and feasible.”

Dr. Courtney Vito, a breast oncologic surgeon at the City of Hope Comprehensive Cancer Center in Duarte, Calif., was pleased that a serious issue in breast cancer treatment is getting a closer look.

“Anyone who treats breast cancer struggles with this problem in their practice, because the hot flashes that some women experience with anti-hormonal treatment can be profound,” she said.

“Almost all women experience them. For some it’s a moderate situation, but for others it’s a really significant problem. Some women — I would say probably about 15 percent — have such severe hot flashes that they even refuse to take medications that can cut their risk for cancer or cancer recurrence by 50 percent, simply because they can’t handle the hot flashes,” Vito explained.

“And I’ve actually had patients who have had acupuncture with good success, so I’m not surprised by the finding,” she added. “But it is heartening that we now have scientific proof that this can work. Which, in the end, may help to encourage insurance companies to their expand coverage so this can become an affordable option for all patients in need.”

More information

There’s more on cancer and hot flashes at the U.S. National Cancer Institute.

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