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Savvy Marketing Gets School Kids to Snap Up Veggies

By Amy Norton
HealthDay Reporter

TUESDAY, July 5, 2016 (HealthDay News) — While clever marketing can steer kids towards junk food, a new study shows that creative advertising can also prompt more kids to eat veggies.

The tactic the researchers used was simple and inexpensive: They placed banners around school cafeteria salad bars that featured animated characters dubbed the Super Sprowtz — with a cast including Miki Mushroom, Zach Zucchini and Suzie Sweet Pea. Some schools also played videos of the characters.

Over four weeks, the study found, the marketing effort paid off. The number of children who took vegetables from school salad bars doubled or tripled.

“It’s no secret that marketing works,” said study leader Andrew Hanks, an assistant professor at Ohio State University in Columbus. “But this shows it can also be used to encourage children to make healthy choices.”

Hanks, who was at Cornell University in Ithaca, N.Y., during the study, reported the findings online July 5 in the journal Pediatrics.

The study included 10 urban elementary schools that were randomly assigned to different groups. Some served as “control” groups and stayed with their usual cafeteria set-up; the others added the Super Sprowtz.

For certain schools, that meant using only a vinyl banner on the salad bar. Others put TV screens in the cafeteria that showed short videos of the characters. Some schools used banners and videos.

At schools that used the banner only, the number of children taking vegetables from the salad bar almost doubled over four weeks — from less than 13 percent to 24 percent of students.

The increase was even bigger at schools with the banner and videos: The percentage of children grazing from the salad bar rose from 10 percent to almost 35 percent.

There was no change, however, when schools used the videos only. According to Hanks, that suggests the simple banner was the more persuasive element — possibly because it was actually a part of the salad bar.

“This is an interesting study,” said Tamara Melton, a registered dietitian and spokesperson for the Academy of Nutrition and Dietetics. “It puts a positive spin on advertising.”

It also suggests an accessible way for schools to promote veggies, Melton pointed out. “It’s not really pricey. Most schools could probably afford something like this,” she said.

One question, though, is whether the tactic would keep working. Both Melton and Hanks said it’s possible the “novelty” could wear off.

“You might have to keep adapting it over time,” Melton said.

And what works for elementary school kids is not necessarily going to translate to older kids, Hanks pointed out. “Broccoli with super-human strength may not have much influence with teenagers,” he said.

The hope is that when young kids develop a taste for fruits and vegetables, they’ll retain it, Melton explained.

She had some advice for parents who want to do some vegetable marketing of their own: First of all, eat vegetables yourself.

“Parents have to model healthy habits,” Melton said.

Beyond that, she suggested letting your children help prepare fruits and vegetables, since kids tend to be more interested in eating something they had a hand in making.

“Also try different ways of preparing vegetables,” Melton said. If your children don’t like plain steamed broccoli, for instance, they might like it with a little ranch dressing or hummus.

“You can also try planting a home garden,” Melton said. “If you don’t have much space, you can even do a ‘container garden.’ Letting your child plant something, see it grow, then harvest it is a great learning experience.”

Oftentimes, she noted, when children are asked where vegetables come from, they say “the grocery store.”

More information

The Academy of Nutrition and Dietetics has advice on child nutrition.





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Regular Doctor Visits Can Help Spot Colon Cancer

MONDAY, July 4, 2016 (HealthDay News) — Making regular visits to a primary care doctor increases the odds you’ll be screened for colon cancer, a new study says.

Colon cancer is the third most common cancer and the second leading cause of cancer death in the United States. But colon cancer screening is underused, the study authors said.

“These findings help underscore the continued importance and effectiveness of visits with primary care physicians in a brave new world of virtual care and population health outreach,” said study co-author Dr. Ethan Halm.

He is director of the UT Southwestern Center for Patient-Centered Outcomes Research in Dallas.

The study researchers analyzed data from more than 968,000 Americans, aged 50 to 74, in four health systems across the country.

Those who saw a primary care doctor at least once a year were twice as likely to be screened for colon cancer. And they were 30 percent more likely to have a follow-up colonoscopy, compared with those who did not make regular visits to a primary care doctor, the researchers found.

This was true even among patients in health systems that heavily promote mail-in home stool blood tests that don’t require a doctor visit.

“This result is important because screening for colon cancer can result in an early diagnosis and improved survival,” Halm said in a university news release.

The study was published recently in the Journal of General Internal Medicine.

More information

The U.S. National Cancer Institute has more on colon cancer screening.





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Study Hints at HPV Vaccine’s Cancer Prevention Promise

MONDAY, July 4, 2016 (HealthDay News) — The human papillomavirus (HPV) vaccine appears to prevent abnormalities that can lead to cervical cancer, a new study shows.

Canadian researchers found that young women who received the vaccine through a school-based program were less likely to have such abnormalities when screened for cervical cancer than those who did not receive the vaccine. The young women were screened less than 10 years after they received their first HPV vaccine.

The findings are from the province of Alberta. In 2008, Alberta introduced HPV vaccination for grade 5 girls (aged 10-11) and a three-year catch-up program for grade 9 girls (aged 14-15). The program provided three doses of the vaccine that protects against two strains of HPV. Those two strains of HPV account for 70 percent of all cases of cervical cancer, the researchers said.

The study evaluated Pap test results for more than 10,000 women, taken between 2012 and 2015. During a Pap test, cells are collected from the cervix to check for cervical cancer. The women were between 18 and 21 years old.

Among those women, 56 percent had not received HPV vaccination. The remaining 44 percent had received one or more doses of the HPV vaccine through the school program. About 84 percent of those given the vaccine were considered fully vaccinated. That means they had three or more doses of the vaccine, the researchers noted.

More than 16 percent of unvaccinated women had cervical abnormalities on a Pap test. Among women who had been fully vaccinated, the rate of cervical abnormalities was 12 percent, the study showed.

“Eight years after a school-based HPV vaccination program was initiated in Alberta, three-dose HPV vaccination has demonstrated early benefits, particularly against high-grade cervical abnormalities, which are more likely to progress to cervical cancer,” study author Dr. Huiming Yang and co-authors wrote. Yang is the medical officer of health, and medical director of screening programs, for Alberta Health Services.

The researchers said they hope these findings and future research leads to improved prevention efforts. They also suggested that HPV vaccination programs could be integrated with cervical cancer screening programs.

The study was published online July 4 in the journal CMAJ.

More information

The U.S. Centers for Disease Control and Prevention has more on HPV vaccination.





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Beware Broken Glow Sticks

MONDAY, July 4, 2016 (HealthDay News) — Letting kids chew or cut glow sticks is a bad idea, health experts say.

While safer than sparklers and fireworks, pliable glow-in-the-dark products are easily broken open when put in the mouth. The contents can irritate the skin, eyes and mouth, the experts warn.

Some glow products contain a chemical called dibutyl phthalate (DBP). The liquid typically causes immediate stinging and a burning sensation in the mouth and eyes, according to the Nebraska Regional Poison Center in Omaha.

Last year, the poison center received 321 calls about glow products.

Here are some tips from the poison-control experts:

If ingested, the bitter-tasting chemical will likely cause brief discomfort in the mouth. Thorough rinsing should help.

If the liquid gets on the skin, wash it off immediately to prevent the child from rubbing the chemical in the eyes.

If it gets in the eyes, it will cause redness and burning. Prompt irrigation is necessary.

Exposure to DBP may cause serious symptoms in pets. They can include drooling, gagging and vomiting, according to the poison center.

More information

The Carolinas Poison Center has more about glow sticks.





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Food Safety Should Come 1st on the 4th

MONDAY, July 4, 2016 (HealthDay News) — While having fun this Fourth of July, don’t forget about food safety.

“Because foodborne bacteria thrive and multiply more quickly in warmer temperatures, foodborne illness can spike during summer,” said Al Almanza, deputy undersecretary for food safety at the U.S. Department of Agriculture (USDA).

“This is likely because people are spending more time outside — away from the sink and equipment in the kitchen that help consumers keep food safe,” he added in a USDA news release.

Each year, about one in six Americans (48 million people) suffers from foodborne illnesses, resulting in about 128,000 hospitalizations and 3,000 deaths, according to the U.S. Centers for Disease Control and Prevention.

Always keep cold foods cold (below 40 degrees Fahrenheit) and hot foods hot (above 140 degrees F), says the USDA’s Food Safety and Inspection Service.

Without refrigeration or a heat source, perishable foods should not be left out more than two hours if the outdoor temperature is below 90 degrees F, and only one hour if the temperature is at or above 90 degrees, the USDA says.

Because it’s likely be hot outside on July 4th, food should be put in a cooler within an hour. If you aren’t sure how long food has been left out, throw it out, the USDA advises.

In addition, you should place an appliance thermometer in the cooler so you know if the temperature is at or below 40 degrees, and divide large amounts of food into shallow containers for faster cooling. It’s also a good idea to pack drinks in a separate cooler so the food cooler isn’t opened frequently, the agency advises.

Keep coolers in the shade, cover them with blankets or tarps, and replenish ice if it melts, the USDA says.

When cooking outdoors, use a food thermometer to check the internal temperature of meat, poultry and seafood to make sure it’s safe to eat. In general, cook ground beef to at least 160 degrees, and poultry to a minimal safe internal temperature of 165 degrees, the USDA says.

More information

The U.S. Centers for Disease Control and Prevention has more on food safety.





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1 in 3 Hospitals in Developing World Lack Running Water

SUNDAY, July 3, 2016 (HealthDay News) — Clean running water is essential for hospital sanitation, but a new report finds a third of hospitals in the developing world don’t have it.

“Running water is something we so take for granted and it doesn’t exist in a third of hospitals in these countries,” said study co-leader Dr. Adam Kushner, adjunct professor at Johns Hopkins Bloomberg School of Public Health, in Baltimore.

He said some hospitals try to find a way around the problem, but hazards remain.

“Some hospitals truck in water or collect it in rain barrels, with no guarantee of its cleanliness,” Kushner said. “Without clean water, there is no way to clean surgeons’ hands or instruments, wash gowns and sheets or clean wounds to prevent or reduce infections.”

His team examined 19 studies published between 2009 and 2015. The studies included data on water availability in 430 hospitals in 19 low- and middle-income nations.

In all, 147 (34 percent) of the hospitals did not have continuous running water, with rates varying country to country. For example, less than 20 percent of hospitals in Liberia had proper water facilities, while more than 90 percent had them in Bangladesh and Ghana.

“In order to provide basic health care, you need a functioning system and running water is part of that,” Kushner said in a school news release. This widespread issue “shows the deficiencies in the health systems in general in those countries,” he said.

In many developing nations, large numbers of people can’t get needed surgery, and lack of water makes that problem even worse, the researchers said.

“Hopefully, people aren’t operating [without water], but what do you do if a woman shows up in obstructed labor and needs an emergency C-section and it’s the dry season and the rain barrel is empty?” Kushner said. “You can’t operate with dirty instruments, but if you don’t she’s going to die. This is the sort of dilemma that surgeons in these hospitals face.”

The findings were published online recently in the Journal of Surgical Research.

More information

The American College of Surgeons offers surgery resources for patients.





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Heat Waves Are Health Threats

SATURDAY, July 2, 2016 (HealthDay News) — Heat waves are more than uncomfortable, they can be deadly.

That’s especially true in large cities. And, seniors, children and people with chronic health problems are at higher risk for heat-related illness and death, according to Dr. Robert Glatter. He’s an emergency physician at Lenox Hill Hospital in New York City.

“Those who have high blood pressure, heart disease, diabetes, kidney disease, as well as those who suffer with mental illness, may be at risk for heat-related emergencies, including heat cramps, heat syncope (fainting), heat exhaustion, as well as heat stroke,” he said in a hospital news release.

“Various classes of medications including beta blockers, as well as diuretics, can impair sweating — ultimately disrupting the body’s ability to cool itself. Other medications including antihistamines, as well as antidepressants and sedatives, may also impair your ability to sweat, leading to heat-related illnesses,” Glatter said.

But young, healthy people also need to heed hot and humid weather, he added.

To beat the heat, drink water when you feel thirsty, but don’t drink more than necessary. If you’re physically active outdoors in the heat for more than an hour, it’s a good idea to consume sports drinks, Glatter said.

And watch for signs of heat-related illness, he added.

“A high pulse rate, headache, dizziness, nausea, as well as shallow breathing, may be the initial signs of dehydration that may precede heat-related illness,” Glatter said.

An air-conditioned location is the best place to be on hot and humid days. If you don’t have air conditioning at home, use a fan and a spray bottle with cool water to prevent your body from overheating, he suggested.

More information

The U.S. Centers for Disease Control and Prevention has more about extreme heat and health.





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Family Key to Helping Teens Avoid Obesity

FRIDAY, July 1, 2016 (HealthDay News) — Having a stable family and a good relationship with mom and dad makes young people more likely to develop healthy habits that may protect them against obesity, a new study suggests.

The researchers also found that fathers are especially important for helping their sons to develop behaviors that will allow them to maintain a healthy weight.

“A high level of family dysfunction may interfere with the development of healthful behaviors due to the families’ limited ability to develop routines related to eating, sleep or activity behaviors, which can lead to excess weight gain,” said the study’s lead author, Jess Haines, of the University of Guelph in Ontario.

For the study, the researchers reviewed information on about 3,700 daughters and 2,600 sons, aged 14 to 24, in the United States.

About 80 percent reported having close and stable families. The findings showed that 60 percent of daughters and 50 percent of sons said they had a good relationship with their parents.

The investigators found that children with stable families and strong relationships with their parents were more likely to follow a healthy diet. They were also more likely to be physically active and get enough sleep.

The daughters in these families ate less fast food, and were less likely to be overweight or obese, the researchers found.

Among the sons, those who had a close relationship with their father were less likely to be overweight or obese, according to the report.

“Much of the research examining the influence of parents has typically examined only the mother’s influence or has combined information across parents,” Haines said in a university news release.

“Our results underscore the importance of examining the influence fathers have on their children, and to develop strategies to help fathers support the development of healthy behaviors among their children,” she said.

“It appears the father-son parent relationship has a stronger influence on sons than the mother-daughter relationship has on young women,” said Haines. She added that more research needs to be done to figure out why this difference exists.

The study findings highlight the importance of family behaviors and relationships on young people’s health.

The study was published recently in the International Journal of Behavioral Nutrition and Physical Activity.

More information

The U.S. Centers for Disease Control and Prevention has more about raising healthy teens.





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2009 Swine Flu Originated in Mexico

FRIDAY, July 1, 2016 (HealthDay News) — The 2009 swine flu pandemic originated in pigs in a small region of central Mexico, a new study reports.

Researchers used genetic analysis to pinpoint the source of the H1N1 pandemic. This version of the swine flu killed more than 17,000 people worldwide. The scientists used the same type of genetic analysis to learn how the virus jumped from pigs to people.

It’s the first time the origin of a pandemic flu virus has been determined in such detail, the study authors said.

The virus was a combination of a North American swine virus that had jumped between birds, humans and pigs, and a Eurasian swine virus that circulated for more than 10 years in pigs in Mexico before jumping into humans, the investigators said.

“Knowing where and how an animal influenza virus infects humans and spreads all over the world helps us understand how we can reduce risk of these pandemics,” said study senior author Adolfo Garcia-Sastre. He is director of the Global Health and Emerging Pathogens Institute at the Icahn School of Medicine at Mount Sinai in New York City.

“This virus came from, and was confined to, a very small geographic area, and had been there 10 years before one emergent strain gained the capacity to infect humans. The virus was completely under the radar,” he explained in a hospital news release.

The study was published online June 28 in the journal eLife.

More information

Flu.gov has more on the H1N1 flu virus.





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How Pregnancy Can Trip You Up

FRIDAY, July 1, 2016 (HealthDay News) — A pregnancy “waddle” really does increase a woman’s risk for falls, a new study reveals.

The baby bump changes the way women walk and perform everyday activities, such as rising from a chair or turning around while walking, said researchers from Hiroshima University in Japan.

This may help explain why pregnant women are as likely to fall as women who are 70 years old, the researchers said.

For their study, the researchers used a three-dimensional video recording system, called 3D motion capture, to assess the way pregnant women walk.

“Biomechanics studies like ours of how humans move are valuable for many things, like making our built environments safer or designing mobility skills,” said Koichi Shinkoda in a university news release. He is a professor in the Graduate School of Biomedical and Health Sciences.

Shinkoda’s team used the 3D recording system — which is typically found on movie sets — to create biomechanical models of eight women at three stages of pregnancy. The researchers also created biomechanical models of seven women who weren’t pregnant.

A computer analysis of the video led to the creation of virtual models that represent the average pregnant woman.

“This model is just the start of our goal of contributing to a safe and comfortable life before and after childbirth for pregnant women,” said the study’s first author, Yasuyo Sunaga, a doctoral student at the university.

The study’s findings confirm why pregnant women walk differently. Even in their first trimester of pregnancy, women’s center of mass is farther forward, the researchers said.

As a result, they lean backwards while standing and bend their hips less while walking. This increases their risk for tripping over their toes or losing their balance, the researchers said.

“Now that we have the appropriate data, we hope to apply our model and make it possible to problem-solve these concerns of daily life,” said Sunaga.

The study appears in the July issue of Applied Ergonomics.

More information

The U.S. Department of Health and Human Services provides more on a safe and healthy pregnancy.





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