Archive for the ‘Health News’ Category

Yad Eliezer Takes Hundreds Of Children From Southern Israel To Jerusalem Zoo

Tuesday, November 20th, 2012

What’s wrong with this picture? It looks like a beautiful day at the zoo! The problem is that it’s early December and these children should be in school. They would be if their schools had not been closed due to the barrage of rockets that has bathed southern Israel over the last week. Shai Kedem, an employee of the Jerusalem Biblical Zoo, estimates that there were seven to ten thousand visitors in the zoo today, most of them from southern Israel. “This is what the zoo looks like during summer vacation or Chol Hamoed. We never see these numbers this time of year.”

The Jerusalem Biblical Zoo offered residents of bombarded cities significantly discounted tickets. Yad Eliezer, Israel’s largest poverty relief agency, took the opportunity to combine the discounted entrance with generous donations earmarked to benefit children from the south and sponsored three busses and the entrance fee for 313 parents and children. After the visitors toured the zoo the Yad Eliezer representatives brought the families pizza and care packages.

Batya Greenberg, a mother from Ofakim, told one of the Yad Eliezer representatives that she was deeply grateful for the much needed reprieve from the rockets. “With ten children and a husband who is legally blind, even if I had somewhere else to go it would be very difficult to be away from home. My son will be celebrating his Bar Mitzvah this Shabbos. We hoped that it would be an unforgettable celebration, but this was not what we had in mind!”

Aviva Levi, a teacher and mother of seven, recounts the challenges that parents face in caring for the children in the bomb shelters. “Eight large families are meant to share one basement room for shelter. The conditions there are unbearable. The rooms are dirty and dark, have no bathrooms, and the children have nothing to do. When the sirens go off we hold the children close and try to calm them, but I’m sure that they hear our hearts beating loudly in our chests.” She and other mothers thanked the Yad Eliezer representatives for arranging the trip and asked that donations of toys, books, and craft supplies be sent to make the time in the shelters more bearable.

Yad Eliezer has undertaken to deliver relief supplies this Thrusday to Kiriyat Malachi where the first casualty of operation Pillar of Cloud took place last week.

Nili Avnei Magen, a veterinarian from the Jerusalem Biblical Zoo commented, “We are glad to have been able to host so many families from the south so that the could have a pleasant day at the zoo.”

(YWN World Headquarters – NYC)

ISRAEL: Routine Medical Exam Reveals 23 LBS Growth

Sunday, November 11th, 2012

A resident of northern Israel in his 60s complained to his doctors that despite genuine efforts to lose weight including a serious diet he has been unsuccessful. The patient added that to his astonishment, he has even gained weight. After checking his patient, including a visual exam and palpating his abdominal area the doctor referred his patient for additional testing.

The tests led to surgery and the removal of an abdominal growth weighing 10.5kg (23 lbs) and measuring 35cm (13.7 inches).

Surgeons report they succeeded in removing the entire growth without compromising the patient’s internal organs. Needless to say when the growth was sent for a weigh-in and measuring the medical staff was astounded upon hearing the results.

(YWN – Israel Desk, Jerusalem)

ISRAEL: Eat Your Vegetables! Their Healthy for You!

Saturday, November 3rd, 2012

The findings of a study released by the Central Bureau of Statistics reveals some alarming information. The level of pesticides in agricultural produce in Israel in 2008-2010 is the highest among OECD nations. This means that the Israeli agricultural produce is the most dangerous food in the world from among Western nations.

The study examined components of pesticides used by companies that manufacture or import materials to Israel, and it was learned that the toxic materials in 3.5 tons/thousand dunam (250 acres) is 88 times higher than in Sweden (0.04), which maintains a low level. Earning the unwanted second place among OECD nations is Japan with 1.55 tons/250 acres.

Relative to the size of the population, Japan leads with 4.95 tons/1,000 people. Israel follows with 1 ton/1,000 people followed by Hungary (0.98/1,000). At the top of the list is Switzerland and Norway (0.19 ton/1,000), and Sweden (0.11/1,000 people).

Ministry of Agriculture officials promise a revision, stating in Israel, 7,000 tons of toxic pesticides are sold annually, used primarily to kill fungi and bacteria, plants and insects and soil evaporation. There are 670 types for different use. There are also other materials used towards preserving produce and prolonging storage and shelf life and there is growth regulation by the use of hormones and nutritional supplements added to plants.

Banned components were found in 570 pesticides used in Israel. The survey further notes that despite the Montreal Protocol, “The International banned use of pesticides that harm the ozone layer, especially methyl bromide which is considered the most commonly used pesticide in the past generation, methyl bromide (compound of carbon, hydrogen and bromine) is still in use on 570 pesticides sold in Israel.

It should be noted that the Ministry of Agriculture has ordered a revision, inter alia through the introduction of less toxic alternative materials instead of materials containing organic phosphates and herbicides prohibited from use.

The ministry is also encouraging moving over to more environmentally friendly methods primarily in use against the fruit fly. There is also an increase in the use of traps instead of pesticides as well as distribution of sterile flies.

Methyl Bromide

“Methyl bromide causes serious damage not only to the human body but also long-term damage to the environment, so there is a global trend to reduce the use of it,” explains Dr. Dario and Ratnik. “When the material comes into contact with the human body high concentrations, it can damage the liver. However, the damage is causing severe damage to the ozone layer material. Injury leads to increased ultraviolet radiation – even indirect, may damage the nervous system and expose us to skin cancer. ”

According to Dr. Ratnik, despite the recognition of the increasing damage that makes methyl bromide, although the prohibition against its use – and despite the fact that the Montreal Convention signed in 1995 prohibits its use in Israel, a factory in Ramat Chovav continues to manufacture it. If this were not enough – Israel is the largest exporter of this dangerous material to the east, which continues using it. Simply stated, the ban is ignored here in Israel.

Not surprisingly, Israel opposed the ban of methyl bromide claiming that the only material that helps farmers for pest control. ”

Dr. Ratnik adds that in line with the Montreal Convention the use of methyl bromide was banned since 2005 with the exception of some underdeveloped countries will have difficulty dealing with the economic loss resulting from insects destroying agricultural produce. ”

“Contrary to those underdeveloped countries, Western devolved nations require a special permit to use methyl bromide,” continues Dr. Ratnik. “The question now is do we have such a certificate or is the flippant attitude once again exploding in our faces?”

(YWN – Israel Desk, Jerusalem)

CPR Less Likely For Minorities On Street Or Home

Wednesday, October 24th, 2012

People who collapse from cardiac arrest in poor black neighborhoods are half as likely to get CPR from family members at home or bystanders on the street as those in better-off white neighborhoods, according to a study that found the reasons go beyond race.

The findings suggest a big need for more knowledge and training, the researchers said.

The study looked at data on more than 14,000 people in 29 U.S. cities. It’s one of the largest to show how race, income and other neighborhood characteristics combine to affect someone’s willingness to offer heart-reviving help.

More than 300,000 people suffer a cardiac arrest in their homes or other non-hospital settings every year, and most don’t survive. A cardiac arrest is when the heart stops, and it’s often caused by a heart attack, but not always. Quick, hard chest compressions can help people survive.

For their study, researchers looked at the makeup of neighborhoods and also the race of the victims. They found that blacks and Hispanics were 30 percent less likely to be aided than white people. The odds were the worst if the heart victim was black in a low-income black neighborhood.

The researchers also found that regardless of a neighborhood’s racial makeup, CPR was less likely to be offered in poor areas. That shows that socio-economic status makes more difference than the neighborhood’s racial makeup, said lead author Dr. Comilla Sasson, of the University of Colorado in Denver.

While few people in poor black neighborhoods got CPR, those who did faced double the odds of surviving. Overall, only 8 percent of patients survived until at least hospital discharge, but 12 percent of those who got bystander CPR did versus just 6 percent of those who did not.

About 80 percent of the cardiac arrest victims in the study had collapsed in their own homes. That suggests lack of knowledge about how to do CPR. But also, people tend to panic and freeze when they encounter someone in cardiac arrest, and they need to know that cardiopulmonary resuscitation is easier than many realize, Sasson said.

She said the study results should prompt public outcry — especially since most people who suffer cardiac arrest in non-hospital settings won’t survive and those statistics haven’t changed in 30 years.

“We can’t accept that anymore,” she said. “It shouldn’t matter where I drop to have someone help me.”

The study appears in Thursday’s New England Journal of Medicine.

The researchers analyzed data from 2005-2009 from a cardiac arrest registry coordinated by the federal Centers for Disease Control and Prevention and Emory University. They also examined U.S. Census data in cities where study patients were stricken — including Atlanta; Boston; Columbus, Ohio; Denver; Houston; Nashville; and San Francisco. Whether similar results would be found in small cities or rural areas isn’t known.

Much of the research was done before experts changed CPR advice in a move many think may encourage bystanders to offer help. American Heart Association guidelines issued in 2008 emphasize quick, hard chest compressions rather than mouth-to-mouth resuscitation — removing some of the discomfort factor.

Mary Tappe owes her life to bystanders’ willingness to offer help.

In 2004, she collapsed at her office in Iowa. A co-worker called 911; another quickly began CPR and someone else used the office’s automated heart defibrillator. An ambulance took Tappe to the hospital, where doctors said her heart had stopped. They never determined why but implanted an internal defibrillator.

Tappe, 51, who now lives in Englewood, Colo., said raising awareness about the importance of CPR is “incredibly important because that’s the first step” to helping people survive.

CPR specialist Dr. Dana Edelson, an assistant professor at the University of Chicago Medical Center, said the new research echoes smaller studies showing bystander CPR depends on neighborhood characteristics, including a Chicago study that found intervention occurred most often in integrated neighborhoods.

“Nothing that we do has as big an impact on survival as CPR, and it’s so cheap,” Edelson said, noting that online videos demonstrate how to do CPR.

Dr. David Keseg, an emergency medicine specialist at Ohio State University, has helped teach CPR to eighth-graders in inner-city Columbus, Ohio. That includes giving them free classes and CPR kits.

“We tell them to take them home and show their families and neighborhoods how to do it,” Keseg said.

“It’s kind of a drop in the bucket,” but it’s the kind of targeted approach that is needed to improve the odds of surviving a cardiac arrest, he said.

(AP)

Encouraging Research on Alzheimer’s at Haifa University

Monday, October 22nd, 2012

Alzheimer’s research has focused primarily on efforts to identify and treat the factors that contribute to familial (genetic) dementia, which is caused by known mutations. This new research sought to understand the mechanisms in the development of Alzheimer’s that are linked to molecular response to the metabolic distress that increases with age. *

A link has been discovered between Alzheimer’s disease and the activity level of a protein called eIF2alpha. This has been reported in a new study conducted at the University of Haifa’s Sagol Department of Neurobiology, recently published in the journal Neurobiology of Aging. According to Prof. Kobi Rosenblum, head of the Department, altering the performance of this protein via drug therapy could constitute a treatment for Alzheimer’s, which is incurable.

Alzheimer’s research in recent years has primarily focused on battling the disease once symptoms have appeared, even though it’s known that the disease nests in the brain many years before any symptoms are revealed. In advanced stages of the disease, Prof. Rosenblum explains, small lumps (called plaques) are identified forming in the brain from a protein called amyloid. These plaques, he says, are typical of Alzheimer’s sufferers and undermine brain functioning. Much research has been directed at understanding these plaques and trying to eliminate them or restrict their formation and growth.

The new study, conducted by research student Yifat Segev in the Laboratory for Research of Molecular and Cellular Mechanisms Underlying Learning and Memory, which is headed by Prof. Rosenblum, in cooperation with Prof. Danny Michaelson of Tel Aviv University, sought to identify factors that could be linked to Alzheimer’s even before the irreversible amyloid plaques are formed, and that are connected to the disease’s primary risk factor – age.

A previous study co-authored by Canadian researchers and Prof. Rosenblum’s lab at the University of Haifa, revealed that cognitive abilities could be improved by altering the activity of the eIF2alpha protein, which regulates the creation of proteins in all cells, including nerve cells. That research gave Alzheimer’s researchers a glimmer of hope: Perhaps it would be possible to improve cognitive abilities or even prevent cognitive damage in Alzheimer’s patients at an early stage of the disease by intervening in the mechanisms that regulate protein generation in nerve cells.

The current study compared mice that expressed the human Apoe4 gene – a gene known as a central risk factor for Alzheimer’s – with a group of mice with the parallel Apoe3 gene, which does not constitute a risk factor for the disease. Mice in the former group showed a change in the regulating mechanism for protein generation involving the eIF2alpha protein that damaged the cognitive abilities of those mice at a young age. This sort of mechanism change is characteristic of aging, and so also hinted at the tendency of these mice toward premature aging.

According to Segev, this is the first time that a link has been found between the activity of eIF2alpha and the Apoe4 gene in relation to Alzheimer’s disease. She noted that modification treatments for the eIF2alpha mechanism are being widely researched and are developing quickly, and so the more we can understand about the connection between this mechanism and Alzheimer’s, the more we can find ways to identify and slow the progress of the disease.

(YWN – Israel Desk, Jerusalem)

Increasing Concerns Regarding Cancer in Israel

Monday, October 15th, 2012

Health Ministry officials announce that the old statistic that 1 in every 9 women in Israel will contract breast cancer is a thing of the past, and sadly, today that number is 1 out of every 7.5 women. A women living in Eretz Yisrael has a 13% chance of contracting the illness during her lifetime.

Israel ranks fifth in the world for women contracting the disease, but ninth regarding the mortality rate from the cancer.

The announcement was made by ministry officials at a press conference kicking off the Israel Cancer Society annual national fundraising event, which gets underway on Oct. 22, 2012.

Other statistics released pertaining to the Jewish population of the nation include:

MEN

Prostate cancer 21%

Colon & rectum cancer 14%

Lung cancer 10%

Bladder cancer 10%

WOMEN

Breast cancer 31%

Colon & rectum cancer 12%

Lung cancer 6%

Uterus cancer 5%

(YWN – Israel Desk, Jerusalem)

Alzheimer Drug Shows Promise in Mild Disease

Sunday, October 14th, 2012

Combined results from two studies of an experimental Alzheimer’s drug suggest it might modestly slow mental decline, especially in patients with mild disease.

Taken separately, the studies on the drug — Eli Lilly & Co.’s solanezumab — missed their main goals of significantly slowing the mind-robbing disease or improving activities of daily living. But pooled results found 34 percent less mental decline in mild Alzheimer’s patients compared to those on a fake treatment for 18 months.

Doctors called the results encouraging although probably not good enough to win approval of the drug now, without another study to confirm there is a benefit. Investors were more enthused, driving Lilly’s stock up about 5 percent on Monday and about 19 percent since August, when the company described the results in general terms.

Detailed results were revealed for the first time Monday at an American Neurological Association conference in Boston.

“It’s certainly not the home run we all wanted, but we’re very encouraged by these results,” said Maria Carillo, chief science officer for the Alzheimer’s Association, which had no role in the research.

Dr. Stephen Salloway, an Alzheimer’s expert at Brown University, agreed.

“It’s exciting to see that there may be clinical benefit,” he said, but it is modest and may not make a difference in how well patients live — what matters most to them and their families, he said.

About 35 million people worldwide have dementia, and Alzheimer’s is the most common type. In the U.S., about 5 million have Alzheimer’s. Current medicines such as Aricept and Namenda just temporarily ease symptoms. There is no known cure.

Solanezumab (sol-ah-NAYZ-uh-mab) is one of three drugs in late-stage testing that seek to alter the course of the disease. Results on one drug were disappointing, and results of the other won’t be ready until early next year.

Solanezumab aims to bind to and help clear the sticky deposits that clog patients’ brains. The two studies each had about 1,000 patients, about two-thirds with mild disease and one-third with moderately severe Alzheimer’s, in 16 countries. Their average age was 75.

The main measures were two tests — one reflecting language, memory and thinking and the other, ability to perform daily activities such as eating and grooming. The combined results on the mild disease patients showed a nearly 2-point difference in the roughly 90-point score on thinking abilities. Previous studies suggest that a change of 3 to 4 on the score is needed to show a clinical benefit, like an improvement in how well patients can take care of themselves.

“It’s a small difference,” Dr. Rachelle Doody of Baylor College of Medicine said of the drug’s effect. She heads a nationwide research network funded by the National Institute on Aging that did an independent analysis of Lilly’s results on the studies and presented them Monday at the conference.

Still, “you slow the decline” with the drug, she said.

Independent experts cautioned that the improvement was small, and needs to be verified in another study.

“I hate to get too enthusiastic … there’s a flicker of a signal” of benefit, but less than what some other once-promising treatments showed, said Dr. Sam Gandy, head of Alzheimer’s disease research at Mount Sinai School of Medicine in New York.

Dr. Ronald Petersen, director of Alzheimer’s research at the Mayo Clinic, called the drug’s effect “subtle” and said it may mean just that “somebody remembers one extra word out of a 15-word list” without any real improvement in how well they live.

The drug, if ever approved, is likely to be expensive, and that means “we need more evidence” of its benefit to justify its use, Petersen said.

Encouragingly, solanezumab had few side effects. About 1 percent of people on the drug had some chest pain from reduced blood flow to the heart. There were few cases of worrisome brain swelling and small bleeding in the brain, an effect that caused concern with another experimental Alzheimer’s drug, bapineuzumab by Pfizer Inc. and Johnson & Johnson’s Janssen Alzheimer Immunotherapy unit.

That drug failed to help patients in two late-stage studies announced last month, but did show signs of hitting its target and clearing deposits from the brain.

The Lilly drug seems to be safer, and that is an advantage, said Dr. Norman Relkin, head of a memory disorders program at New York-Presbyterian Hospital/Weill Cornell Medical Center.

“There is some cause for encouragement here. It’s not the magnitude we’d like to see” but certainly warrants further studies on the drug, he said.

Relkin heads testing of the third drug in late-stage development — Gammagard, by Baxter International Inc. Results are expected early next year.

Meanwhile, Dr. Eric Siemers, senior medical director for Lilly, said the company will discuss its results and next steps with the Food and Drug Administration.

Lilly shares closed up $2.55, or 5.3 percent, to $50.78. During the day they peaked at $50.94, their highest price since April 2008. (This is also their highest closing price since that month.) The shares are up 19.8 percent since August 24.

(AP – Studio B)

Health: Getting Through The Yomim Tovim

Sunday, September 16th, 2012

It’s that time of the year again – the holiday season. Perhaps nothing is more challenging than getting through from Rosh Hashanah to Simchas Torah with your health and weight intact. As daunting and challenging as this may seem, a few little tricks and bit of self-discipline can get you through virtually unscathed.

There are essentially three areas where we all tend to get into trouble. One – the amounts of food we consume sitting at our tables for our festive meals, two – the types of food we eat, and three – the general lack of activity and exercise during the Chagim.

Let’s first look at the portion control issue. There is a mitzvah to eat certain foods during the Chagim. There is no mitzvah however, to consume mass quantities of anything. In order to keep a handle on the over-eating problem, try this. Take a reasonable portion on your plate, and if you are truly still hungry after you eat what’s on your plate, take seconds from a cooked or raw vegetable or whole grain dish. Remember that drinking water may also make you feel full. So, drink up before you start your meal.

As far as the second item – the kinds of food we eat… Everyone can make some subtle adjustments in this area as well. Even though meat and chicken dishes are more popular at this time of year, you can trim the fat from your meat and order lean cuts to begin with. Skin the chicken and turkey, preferably before cooking, and keep in mind that the white meat is much less fatty than the dark. Also, keep the emphasis on vegetable and grain dishes. For dessert, go for fresh fruit salads, melons, and sorbets instead of cake and cookies that are laden with sugar and fat. Keep in mind that most pareve ice creams use chemicals and high-fat based whips.

Item number three is lack of activity. No, don’t go out and do an exercise session during on yom tov! But, don’t sit around either. Nice long, brisk walks, particularly after your meals, are a great idea. There is nothing worse than throwing yourself into metabolic rigor mortis by falling asleep immediately after a meal. When you are done with the walk, stretch a little and then you can take your nap.

The Chagim are a time to be especially joyful and happy, and to celebrate together with our families. We need not create more stress in our lives than we already have. So, instead of saying “After the holidays”, resolve to get started with good and healthful habits right now. Watching your serving sizes, eating healthful choices and staying as active as possible over the Chagim are all ways to “add hours to your day, days to your year and years to your life.”

Although this space is normally used for my weekly columns on health, fitness, and weight loss, I will allow myself the liberty once a year to use this space for a personal message.

Hashem granted us the gift of a healthy body and expects us to do our best to take care of it. This requires healthful eating, exercise, the proper amount of sleep and an active lifestyle. We all are capable of helping ourselves. When we don’t take care of ourselves and watch over our health, the end result is illness and incapacitation resulting in our inability to perform the will of the Ribono Shel Olam. When we are sick, we can’t do chesed, learn, daven or take care of our own families. Our nefesh, our soul, functions best when our guf, our body, is at its best!

Many years ago, I was not a fitness trainer; I was anything but fit and healthy. I led a sedentary life style, ate whatever I wanted to in whatever amounts I wanted to and was overweight with slightly high blood pressure that became high blood pressure. As a former musician playing the wedding in circuit in the Greater New York area, eating at the smorgasbord at weddings was an activity I greatly looked forward to every evening. A few years after I relocated to Eretz Yisrael, I was fortunate to meet someone who changed my life around. I went from being sedentary with a poor diet to being active and healthy. I began eating right, walking, doing weights and stretching and after a short while, became a runner/jogger. My blood pressure went down, my old clothes fit again and I felt like a new person. THIS IS SOMETHING VERY DOABLE!

As a personal trainer here in Yerushalayim for the past 17 years, I have been privileged to witness many people who have turned their health around. Even people in desperate straits, and with all types of health issues, have been very successful and no longer require medication for diabetes, high blood pressure, high cholesterol and depression. Their weight is normal, and not only has their physical health improved, but they feel better about themselves.

Rosh HaShana is a time for thanking HaKadosh Baruch Hu for giving us life and health over the past year. It is also the time for praying that He will give us good health and long life for the upcoming year. At the same time, we must do our hishtadlus, our effort, in the area of health. Our non-Jewish brothers approach their secular new year with all kinds of resolutions that are never kept. We do T’shuva. We work hard to actualize real change. And if there is ever a time we CAN change, it is now.

A little over four years ago, I began writing this health and lifestyle column for theyeshivaworld.com along with other publications both online and print. I never dreamed I would get the responses I have gotten from all over the world and the amount of inquiries and questions about health topics have been abundant. Baruch Hashem, these columns have been able to help and motivate many people to achieve good health and IY”H will continue to do so for a long time.

It is also three years since I teamed up with my associate, Linda Holtz M. Sc and opened the Lose It! Weight Loss and Stress Reduction Program. Its unique approach of integrating the three disciplines of nutrition, exercise/activity and just as importantly, behavior is a one of a kind. We have seen excellent results across the board in the area of weight loss, stress management and treatment of anxiety and depression. With Hashem’s help, Lose It! will continue to be of key to success for many, many more people both here in Eretz Yisrael and in Chutz La’aretz, helping them to attain good overall health, lose weight permanently and attain a superior quality of life.

A K’siva V’Chasima Tova—a happy and healthy New Year to all of you.

Alan Freishtat is an A.C.E. CERTIFIED PERSONAL TRAINER and a LIFESTYLE FITNESS COACH with over 17 years of professional experience. He is the co-director of the Jerusalem-based weight loss and stress reduction center Lose It! along with Linda Holtz M.Sc. and is available for private consultations, assessments and personalized workout programs. Alan also lectures and gives seminars and workshops. He can be reached at 02-651-8502 or 050-555-7175, or by email at alan@loseit.co.il Check out the Lose It! web site – www.loseit.co.il
USA Line 516-568-5027

Oneg Shabbos?

Wednesday, August 29th, 2012

We all love Shabbos.  The day that the world keeps going, but we Jews step off and indulge in acts that bring a special kedushah to the day.  There are many aspects of that kedusha including special davening, not engaging in melacha (39 catagories of work prohibited on Shabbos), a day when we can spend quality time with our families and that we may not have during a busy week.  One of the aspects of keeping Shabbos to keep it holy is to eat 3 festive meals.  Aside from these obligatory meals, we know that food itself is a part of Oneg Shabbos (delight).  The Rambam states in Hilchos Shabbos 30:10 that eating meat and drinking wine on Shabbos is considered Oneg Shabbos.  In the very first chapter of Shulchan Aruch in Hilchos Shabbos the Mishna Brura states “that to honor Shabbos, it is good to be meticulous about having at least two cooked dishes.  Similarly, it is good to eat fish at each of the three meals unless they do not agree with one due to his nature or one has a distaste for them–for Shabbat was given for enjoyment, not for misery…It is also stated such a law will not result in an omission of the mitzvah of Oneg, since the Shabbos may be made enjoyable with other foods.”

Food and Oneg are definitely intertwined, but there is a fine line between enjoying special foods for Shabbos, and even eating a little bit more; and ending up feeling overfull and not well after Shabbos and putting on weight, which is detrimental to our health.  Lose It! nutritionist Elisheva Rosenberg has spent a lot of time with the rest of the Lose It! staff coming up with reasonable ways to be able to eat well on Shabbos, enjoy your food and still keep your food intake under control.  Here are some of her recommendations:

  • PLAN, PLAN, PLAN……with YOU in mind.
  • Don’t buy ‘Shabbos Treats’ too early in the week.
  • Use low calorie versions of ‘must have’ dishes.
  • Make sure you have plenty of nutritious side dishes, a healthy and lean main course, and a dessert if you would like.
  • Watch your challah intake and try to use whole grains. Consider making/buying smaller challas and/or individual rolls.
  • Move the Challah basket to the middle of the table—out of your reach.
  • If you eat out, consider eating lightly before hand or having healthy food available to eat when you come home.
  • Go to a kiddush mentally prepared. Make Kiddush and eat something light before you go or when you get home. Say Mazel Tov and leave if it is too challenging to stay.
  • Exercise before and/or after Shabbos to help yourself both physically and mentally.  Going for a walk after each meal on Shabbos is very helpful for digestion.
  • Emphasize other aspects of Shabbos rather than just the food.
  • Don’t let a beautiful gift like Shabbos ruin your health goals

In addition to these tips, it is very important not to come into any Shabbos meal too hungry.  In the summer on a long Friday, be sure to eat lunch and even have a small snack later in the day, a fruit and hand full of nuts might do the trick.  When you wake up Shabbos morning, drink sufficient water before Shul so you can hold out until lunch without getting overly hungry. Many times it is thirst that we mistake for hunger. In the winter months, there is no need to snack between lunch and Shale Shudes (the third meal), and you will still be able to eat after Shabbos without using more than your allotted daily calories.

Even though most of us live close to where we daven and we don’t have to be overly active over Shabbos, one thing which is very helpful is making sure we all go for a walk, even a short walk, after each meal.  Falling asleep on a full stomach in not a good idea!

Another valuable tip during meals is to fill your plate without taking seconds.  If you must take something else, take a cooked or raw vegetable or salad.  Sitting at the Shabbos table for a long time will eventually have you give in and take more food.  Don’t rush your meals, but they don’t have to be drawn out either.  There is nothing wrong with retiring to the living room afterwards and continuing conversation there without the food in front of you.

Oneg is an important aspect of Shabbos, but overeating is not only unhealthy, it is possibly a prohibited act.  Oneg is to enhance our Shabbos, not to make us sick.  Yes, Shabbos is a time for special foods, but overindulgence isn’t a mitzvah. Enjoy Shabbos, feel well during and after Shabbos, and don’t make Shabbos the day that undoes your health.  Keeping your food under control, even on Shabbos is another way “add hours to your day, days to your year and years to your life.”

Alan Freishtat is an A.C.E. CERTIFIED PERSONAL TRAINER and a LIFESTYLE FITNESS COACH with over 16 years of professional experience. He is the co-director of the Jerusalem-based weight loss and stress reduction center Lose It! along with Linda Holtz M.Sc. and is available for private consultations, assessments and personalized workout programs. Alan also lectures and gives seminars and workshops. He can be reached at 02-651-8502 or 050-555-7175, or by email at alan@loseit.co.il  Check out the Lose It! web site - www.loseit.co.il    US Line: 516-568-5027

CDC: West Nile Outbreak Could Be Biggest Ever

Wednesday, August 22nd, 2012

This year’s West Nile virus outbreak is on track to be the biggest ever since the virus first appeared in the United States in 1999, U.S. health officials reported Wednesday.

As of the third week of August, there have been a total of 1,118 cases of West Nile virus in people in 38 states, including 41 deaths.

“The number of West Nile virus disease cases has risen dramatically in recent weeks, and indicate that we’re in the midst of one of the largest outbreaks ever seen in the U.S.,” Dr. Lyle Petersen, director of the division of vector-borne infectious diseases at the U.S. Centers for Disease Control and Prevention, said during a noon news conference.

Fifty-six percent of this year’s cases have been classified as neuroinvasive diseases, such as encephalitis or meningitis.

In Texas, which has been hardest hit by the epidemic, 586 cases have been reported with 21 deaths, said Dr. David Lakey, commissioner of the Texas Department of State Health Services.

The state reported only 10 deaths in the entire span of time from 2003 through 2011, he noted.

Officials in Dallas County, Texas, began aerial spraying of insecticides overnight last Thursday.

Louisiana, Mississippi and Oklahoma have also been hit hard by West Nile virus this summer.

Experts do not know why this year’s outbreak is so much worse than previous years, but suspect it could be a confluence of factors, most notably hot weather.

“Hot weather seems to promote West Nile virus outbreaks,” Petersen said. “Hot weather, we know from experiments done in the laboratory, can increase the transmissibility of the virus through mosquitoes and that could be one contributing factor.”

The number of birds that are infected and then pass the virus on to mosquitoes probably also plays a role, he added.

The number of neuroinvasive cases this year is larger than seen previously, though it’s not clear if this is simply because of the way cases are reported or if there is an actual increase in these more severe infections.

Generally speaking, 80 percent of people who are infected with West Nile virus develop no or few symptoms, while 20 percent develop mild symptoms such as headache, joint pain, fever, skin rash and swollen lymph glands.

Less than 1 percent will develop neurological illnesses, such as encephalitis or meningitis, and develop paralysis or cognitive difficulties that can last for years, if not for life.

There are no specific treatments for West Nile virus; the greatest risk for infection with West Nile virus typically occurs from June through September, with cases peaking in mid-August.

And because reporting lags behind actual infections, “we expect many more cases to occur and the risk of West Nile infection will probably continue through the end of September,” said Petersen.

Although most people with mild cases of West Nile virus will recover on their own, the CDC recommends that anyone who develops symptoms should see their doctor right away. The best way to protect yourself from West Nile virus is to avoid getting bitten by mosquitoes, which can pick up the disease from infected birds. The CDC recommends the following steps to protect yourself:

    • Use insect repellents when outside.
    • Wear long sleeves and pants from dawn to dusk.
    • Don’t leave standing water outside in open containers, such as flowerpots, buckets and kiddie pools.
    • Install or repair windows and door screens.
    • Use air conditioning when possible.

(Source: HealthFinder.gov)

Study: Egg Yolks Almost As Bad For Arteries As Smoking

Wednesday, August 15th, 2012

Whether boiled, scrambled or sunny-side up, cholesterol-rich egg yolks can stiffen your arteries almost as much as smoking, a new study suggests.

“People at risk of vascular disease should not eat egg yolks,” contends study lead author Dr. David Spence, professor of neurology at Western University in London, Ontario, Canada.

The cholesterol found in an egg’s yellow center can even clog the carotid artery leading to the brain, upping risks for stroke, he pointed out.

“Carotid plaque goes up steeply with age, so the only people who can eat egg yolks with impunity are those who know they will die young from some cause other than vascular disease,” Spence said.

The report was published online this month in Atherosclerosis.

For the study, Spence’s team collected data on more than 1,200 men and women who were taking part in an initiative aimed at curbing heart disease.

The researchers used ultrasound to first determine the amount of plaque in each patient’s arteries. They then asked patients about smoking, their frequency of eating eggs, other lifestyle factors and any medicines they were taking.

Although artery plaque levels rose with age, both smoking and eating egg yolks sped up this plaque formation within vessels, the researchers found. Regular consumption of egg yolks sped up plaque deposits in arteries at a rate that was about two-thirds the rate seen with smoking, Spence said.

People who ate three or more yolks a week had significantly increased plaque compared with people who ate two or fewer yolks a week, the team found. That makes sense, Spence said, since just “one egg yolk contains more than the recommended daily intake of cholesterol.”

An expert not connected to the study agreed. According to Samantha Heller, clinical nutrition coordinator at the Center for Cancer Care at Griffin Hospital in Derby, Conn., “it is known that the amount of cholesterol in many egg yolks is more than the recommended 200 milligrams per day for people with risk factors for cardiovascular disease.”

The study authors noted that the effect of egg yolks on plaque was independent of the person’s sex, cholesterol levels, blood pressure, smoking, weight and diabetes.

In a statement, the American Egg Board said that the findings come from “an observational study that can only suggest potential relationships, not determine actual cause-and-effect conclusions.”

The Egg Board also noted in the statement that “study subjects with higher egg intakes tended to also be heavy smokers, and only a small percentage of the population consumed more than five eggs per week, meaning that the conclusions were based on a small number of subjects.”

Dr. Gregg Fonarow, a spokesman for the American Heart Association and professor of cardiology at the University of California, Los Angeles, said the evidence for and against egg yolk consumption has see-sawed for decades.

“Whether dietary egg consumption is associated with an increased risk of cardiovascular disease has been controversial and previous studies have been inconsistent,” Fonarow said. He said the jury remains out on the issue, pending further study.

Right now, Fonarow said, “the American Heart Association recommends for maintaining heart and brain health to eat a variety of nutritious food from all the food groups, with emphasis on vegetables, fruits, whole-grain products and fat-free or low-fat dairy products as well as eating fish at least twice a week.”

Heller stressed, though, that cholesterol lurks in many foods, including meat and cheese, and foods that are made with eggs, such as baked goods.

She wondered if the study might be targeting egg yolks and missing some of these other sources of cholesterol.

“Most animal foods also contain saturated fat, which increases internal inflammation and serum [blood] cholesterol,” Heller noted. “The study does not take into account other foods that contain cholesterol, saturated fat or egg yolks. Could it be that people who eat a lot of eggs also combine them with other less healthy foods such as cheese or sausage?”

The Egg Board agreed. “The study did not control for exercise habits, waist circumference, intake of saturated fat, alcohol or foods commonly eaten with eggs like high-fat meats and other high-fat side dishes,” it said in the statement.

On the other hand, egg whites remain an excellent source of protein and a great alternative to the whole egg, Heller said.

“Though some people complain that egg whites do not taste as good as the whole egg, adding vegetables like spinach, onions or mushrooms, herbs and a pinch of turmeric to make the egg whites yellow — the visual seems to make a difference here — can create a delicious and healthy meal,” Heller said.

Research suggests a more plant-based diet — which means eating fewer eggs, less cheese, red and processed meats, and more vegetables, beans, nuts and fruits — may improve risk factors for cardiovascular disease such as high cholesterol, blood pressure and triglycerides, she added.

(Source: HealhFinder.Gov)

Health: It’s No Sweat!

Monday, August 13th, 2012

Deodorants, antiperspirants, body sprays — people go through considerable effort to hide the fact that they sweat. Sweating may not be everyone’s favorite thing to do, if anything, most people don’t like to sweat, don’t like to smell from sweating and I would presume this is not a particularly favorite subject of conversation. But, if we didn’t sweat, our health would be harmed in a serious way.

Perspiration or sweating is the production of a fluid, primarily water as well as various dissolved solids, mostly salts that are excreted by the sweat glands under the skin. Sweat itself is not the cause of body odor, but rather the bacteria on the skin which feed on the sweat. In humans, sweating is primarily a means of regulating core body temperature. In essence it is a cooling system so our temperature of 37 degrees Celsius or 98.6 Fahrenheit doesn’t fluctuate too much to the up side. Men tend to begin sweating earlier in an exercise session and they also tend to sweat more under most circumstances.

People ask me all the time if the amount you sweat when exercising is in anyway a measure of workout intensity. This is possible but it might be tied in more to how many sweat glands you are born with as opposed to anything else. We are born with between two million to four million sweat glands. Interestingly, women are usually born with more sweat glands than men, but men’s sweat glands are far more active, hence a man’s predisposition to sweating more.

Another factor to consider when exercising is your environment, particularly if you are outdoors. Working out in humid conditions doesn’t cause you to sweat more, but it does prevent the released liquid from evaporating on your skin. This is why you feel hotter or may think you sweat more in a humid environment. The evaporation process releases body heat into the air, helping you stay cooler. When evaporation doesn’t occur in humid conditions, your body is unable to effectively cool down.

If you notice you are sweating excessively without a normal trigger, such as exercise or stress, you may have a condition known as hyperhidrosis. Overactive sweat glands cause sweating at random times. Certain medications and health conditions — including hyperthyroidism, anxiety and heart problems — can cause excessive sweating as well. The hormonal fluctuations associated with menopause can produce hot flashes and sweating at inopportune times, often during the night. Interestingly, regular exercise may help reduce the frequency of both night sweats and hot flashes.

Not sweating enough is also a concern because your body is unable to effectively cool itself. This condition, called anhidrosis, may affect the entire body or only specific areas. Neurological conditions, burns and skin diseases are some potential causes. Dehydration also is a possible cause, which is an important consideration if you exercise or engage in sport activities. Contact your doctor if you believe your sweating is not normal.
One of the unfortunate outcomes of sweating is, of course, a bad odor. As we previously mentions, the sweat itself is odorless. The bad smell is a result of bacteria already on the skin that feed off the perspiration. What you smell is the products related to bacteria breakdown of keratin protein on the surface of your skin. While body odor is usually associated with the armpits, bacteria can also produce odor in the groin, anus area, upper thighs, and feet, among other places. Thoroughly washing your skin with a wet washcloth and soap — especially those areas prone to sweating — can help prevent body odor.

Remember that smelly feet can also cause smelly shoes. Treating your shoes with an over-the-counter deodorizer can help. Also, wear thick, absorbent socks if you can.

If you want to be “odor-free” consider the following tips from WebMd:

Apply an antiperspirant at bedtime. This gives the product a chance to wrork while you sleep and are not sweating. If you apply antiperspirants after showering in the moning, the sweat you accumulate will wash away the product and render you defenseless againt daytime sweating. Remember, deodorants do not prevent sweating. They mainly mask the smell of the sweat on your skin. Antiperspirants are chemical agents that reduce sweating. Many antiperspirant preparations also contain a deodorant, which helps to mask the smell. Check the product you use to make sure it contains an antiperspirant.
Keep your underarms dry. Bacteria have a hard time breeding in dry areas of the body.
Try a solution of hydrogen peroxide and water to fight body odor. Use 1 teaspoon of peroxide (3%) to 1 cup (8 ounces) of water. Wipe this on affected areas (underarm, feet, groin) with a washcloth. This may help destroy some of the bacteria that creates odor.
If sweat from working out is your No. 1 cause of body odor, wash your workout clothes often. Sweaty gym clothes are a bacteria-breeding ground.
Change your diet. Sometimes, fatty foods, oils, or strong-smelling foods such as garlic, curry, and onions, can seep through your pores and cause body odor (always see a doctor or dietician before making drastic dietary changes).
If you have excessive sweating (called hyperhidrosis), talk to your doctor. There are a few treatment options for those with more severe sweating who desire more aggressive treatments. Also, certain medical problems can lead to excessive sweating. Your doctor can make a diagnosis and prescribe treatment.
For Ladies shaving your underarm regularly will help prevent the accumulation of bacteria and can reduce sweat and odor.
Sweating is the natural way your body keeps cool and it keeps you healthy. It can be an unofficial sign of making sure your exercise is intense enough. It “adds hours to your day, days to your year, and years to your life.”

ALAN FREISHTAT is an A.C.E. CERTIFIED PERSONAL TRAINER and a LIFESTYLE FITNESS COACH with over 16 years of professional experience. He is the co-Director of the Jerusalem-based Lose It! The Center for Health and Wellness along with Linda Holtz M.Sc. They have begun working with Dr. Michael Bunzel, M.D., a psychiatrist in Bnei Brak, Israel on incorporating exercise as a therapy for Stress, Anxiety and Depression. Lose it! can be reached at 02-654-0728 or 050-555-7175, or by email at alan@loseit.co.il. You can also visit the Lose It! website at www.loseit.co.il

U.S. Line 516-568-5027

Health: What Happened in Naperville?

Monday, August 6th, 2012

Did you ever hear of Naperville Illinois? Naperville is a town near Chicago and the subject of a fascinating experiment written about by psychiatrist Dr. John Ratey in his groundbreaking book “Spark”.

Most high schools in the United States have the standard physical education classes consisting of competitive sports such as football, basketball, track and field and some basic calisthenics. Some students excel at sports, others just get by and many can’t wait until the end of the period. The gym teachers at Naperville conducted an educational experiment called Zero Hour P.E. where they scheduled time to work out before class using treadmills and other exercise equipment where you are only competing again yourself to improve. This program not only turned their 19,000 students into the fittest in the nation but also in some categories, the smartest in the world.

Academically, Naperville High School is currently in the top 10 in the state despite the fact that they spend less money per pupil than other high schools in their district. The students at Naperville decided to take the Trends in International Mathematics and Science Study (TIMSS) given around the world. The United States has notoriously done poorly on this test. Whereas in Asian countries nearly half of the students score in the top tier, only 7 percent of U.S. students hit that mark. In Naperville, 97 percent of the 8th graders took the test. On the science section, they finished just ahead of Singapore, number one in the world. And on the math section, they were number 6 in the world. And all of this change can be attributed to their innovative exercise program.

A fascinating study, but let’s take this one step further. In my almost 18 years of being a personal trainer, I have trained many Bochurim, Avreichim and some Roshei Yeshiva as well. The vast majority of them were helped with their physiological problems, like high blood pressure, high cholesterol, diabetes and low back pain. But before any of those benefits became evident, about two weeks into their programs I started getting feedback like, “I can’t believe how much better I can concentrate in the Beis Medrash!”, or “I am able to stay awake and alert when learning with my late-night Chavrusa!”, and “I can even concentrate when I come home after a long day of learning and I still need to learn with my children!”. Let’s analyze why it is that exercise has such a profound effect on the brain and on cognitive abilities.

There is basically no brain function that exercise doesn’t affect in a positive way. Whether we are talking about mood or learning, exercise seems to be a big part of the equation. Even in people with ADD and ADHD, exercise helps them concentrate better and learn better; particularly exercise that involves structured movement like martial arts. Dr. Ratey states, “Exercise increases the concentration of both dopamine and norepinephrine, as well as other brain chemicals. I have always said that a dose of exercise is like taking a bit of Ritalin or Adderall. It’s similar to taking a stimulant. Second, over time, exercise helps build up the machinery to increase the amount of neurotransmitters in the brain as well as their postsynaptic receptors. Chronic exercise eventually causes growth of the system. The more fit that you are, the better the system works.” The bottom line is that there is an incease in the ability to absorb knowledge and to learn things; somethning near and dear to the Torah world.

If you are having difficulties learning or concentrating, there may be many factors including lack of sleep, proper diet, and hydration. But have you tried a comprehensive exercise program? Aerobic exercise, like brisk walking, running, biking or swimming might just do the trick—and add a couple of days a week of muscle building exercises starting with pushups and situps. Doing this in the middle of the day might provide the needed break that will enable you to learn better throughout the day. Work your way up slowly and carefully with increasing intensity for maximum benefit.

Pirkei Avos, Chapter 4, Mishna 1: Ben Zoma says, “Who is wise? One who learns from everyone.” So let’s learn something from Naperville and apply it to our own situation. Embarking on a serious exercise program not only improves your health and well-being, but your comprehension and ability to learn as well. It certainly is a worthwhile investment for both your body and your neshoma. Enahncing your learning is another great benefit of the exercise that will “add hours to your day, days to your year, and years to your life.”

ALAN FREISHTAT is an A.C.E. CERTIFIED PERSONAL TRAINER and a LIFESTYLE FITNESS COACH with over 16 years of professional experience. He is the co-Director of the Jerusalem-based Lose It! The Center for Health and Wellness along with Linda Holtz M.Sc. They have begun working with Dr. Michael Bunzel, M.D., a psychiatrist in Bnei Brak, Israel on incorporating exercise as a therapy for Stress, Anxiety and Depression. Lose it! can be reached at 02-654-0728 or 050-555-7175, or by email at alan@loseit.co.il. You can also visit the Lose It! website at www.loseit.co.il

U.S. Line 516-568-5027

Health: All Those Numbers

Tuesday, July 24th, 2012

You weigh 176 pounds.  Your BMI is 26.6.  Your waist to hip measurement is 0.8.  Your body fat is at 24%. What is one to make of all this?  First, let us deal with the scale which will give you your weight in pounds or kilo. And that is all it tells us.  It doesn’t tell you how much of that weight is because you are big or small framed (boned) and it certainly can’t differentiate between how much is muscle (healthy) and how much is fat weight (unhealthy).  The number on the scale gives us a good idea about our health and weight, but it isn’t the whole story—at all.  Numerous times I have witnessed my clients walking in and getting ready for a weekly weigh in.  They feel so much better in how their clothes fit (the belt went in a notch this week) but the scale is still in the same place.  That is the displacement of lost fat by new found muscle from the person’s working out properly. So even though the person lost no weight on the scale that week, they lost centimeters around their waist and that is far more important to your health.

BMI–I am a BMI Basher.  The BMI, short for Body Mass Index, is an index used to measure our health risk by calculating height and weight.   It was devised between 1830 and is defined as the individual’s body mass divided by the square of his or her height. The formula universally used in medicine produces a unit of measure of one’s weight in kilograms divided by their height in meters, squared.  In 1927, the BMI became a main measure of evaluation of one’s body mass.  For the last 25 years, it has been used by most health providers and doctors to assess their patient’s health risks vis-à-vis their weight.  When you read the all too frightening statistics about how much of the population is overweight and obese, these are based on BMI readings.  Here is how we interpret BMI results:

BMI Weight Status
Below 18.5 Underweight
18.5 – 24.9 Normal
25.0 – 29.9 Overweight
30.0 and Above Obese

The BMI is very easy to use, and that is one of the reasons that doctors like to use it.  It is simply using height and weight measurements which are relatively easy to obtain.  But the accuracy of the BMI  in terms of measuring overall health risk is questionable.

A 2010 study that followed 11,000 subjects for up to eight years concluded that BMI is not a good measure for the risk of heart attack, stroke or death. A better measure was found to be the waist-to-height ratio.

BMI is particularly inaccurate for people who are fit or athletic, as the higher muscle mass tends to put them in the “overweight” category by BMI, even though their body fat percentages frequently fall in the 10-15% category, which is below that of a more sedentary person of average build who has a “healthy” BMI number. Body composition for athletes is often better calculated using measures of body fat, as determined by such techniques as skin fold measurements or underwater weighing and the limitations of manual measurement have also led to new, alternative methods to measure obesity, such as the body volume index.

BMI also does not account for body frame size; a person may have a small frame and be carrying too much excess fat, but their BMI reflects that they are “healthy”. Conversely, a large framed individual may be quite healthy with a fairly low body fat percentage, but be classified as “overweight” by BMI.  A further limitation of BMI relates to loss of height through aging. In this situation, BMI will increase without any corresponding increase in weight.

But to put it in simple terms, the BMI doesn’t measure important aspects of healthy living.  There is no calculation that includes how much exercise a person does or whether or not you include healthful foods in your diet.  A person with a 22-23 BMI may look good in the eye of the examining doctor, however, if this person happens to have a fast metabolism, eats unhealthy food and doesn’t exercise, he may be a lot less healthy and much more at risk for sickness and mortality than a person with a 27-28 BMI who exercises daily and tries to consume healthy foods.

There is no question that the BMI can be an important calculation to help us have an idea of how our health is affected by our weight, but unlike the impression given by our public health officials, it is certainly not the beginning and end all of measurements related to our weight and health.  As I advise my clients all the time, if you need to lose weight, every pound and kilo that you lose is a pound or kilo improvement in your health and if your weight loss is coupled with doing even minimal exercise, then in spite of a BMI that may be higher than 25, you are doing wonders for your health.  The best measure of how you are doing is probably more how your clothes are fitting than anything else, because that is the best indication of fat-weight loss.  The BMI is probably heading the way of the original food pyramid which did more harm than good to the public health.  New and more accurate measures, that are not difficult to use, are on the way.

Your weight and BMI are important, but they are not the bottom line in assessing your health risk. If you keep doing what you need to in terms of proper eating and exercise, you will be doing wonders for your health.  Keeping your weight in check and exercising daily will “add hours to your day, days to your year, and years to your life.”

Alan Freishtat is an A.C.E. CERTIFIED PERSONAL TRAINER and a LIFESTYLE FITNESS COACH with over 16 years of professional experience. He is the co-director of the Jerusalem-based weight loss and stress reduction center Lose It! along with Linda Holtz M.Sc. and is available for private consultations, assessments and personalized workout programs. Alan also lectures and gives seminars and workshops. He can be reached at 02-651-8502 or 050-555-7175, or by email at alan@loseit.co.il  Check out the Lose It! web site - www.loseit.co.il    US Line: 516-568-5027

FDA Approves Highly Anticipated Weight-Loss Pill

Wednesday, July 18th, 2012

The Food and Drug Administration is approving a weight loss drug from Vivus Inc. that many doctors consider the most effective therapy among a new generation of anti-obesity pills.

The agency cleared the pill Qsymia for adults who are obese or overweight and have at least one weight-related condition such as high blood pressure, diabetes or high cholesterol.

Patients taking Qsymia for one year lost 11 percent of their body weight, on average. That was more than two other weight loss pills recently reviewed by the FDA.

Qsymia is the second weight loss drug approved by the FDA in less than a month. In late June the agency approved Arena Pharmaceutical’s pill Belviq. Previously the agency had not approved a new drug for long-term weight loss since 1999.

(Source: HealthFinder)

Health: Be Happy! It Pays

Wednesday, July 11th, 2012

Happiness is a strong factor in determining health and longevity.  Be happy and optimistic say recent studies and you will be healthier and possibly live longer. It sounds straight forward enough, but how can a person be happy and optimistic if he is ill or has serious problems?  Can I choose to change my mood despite my life circumstances?  Can I simply control my moods and turn them around?

A few years ago at his weekly shiur, HaGaon Rav Asher Weiss Shlita mentioned a very intriguing idea derived from two different places in Shulchan Aruch.  He pointed out that twice in Orach Chaim, an entire chapter begins by mentioning simcha.  First, when the month of Adar begins, our happiness increases and second, when the month of Av begins, our happiness diminishes.  The Rav pointed out that even though our level of happiness fluctuates throughout the year, happiness is a given and a constant in our lives. And now the latest research is telling us that being happy is an integral part of good health and better quality of life.

What is happiness?  The dictionary would tell us it is a feeling of well-being or contentment, or a pleasurable or satisfying experience.  But positive psychologists are often reluctant to use the word happiness.  They claim it is overused and vague.  Whereas people generally instinctively know what the term means, most scientists prefer the term subjective well-being. This is a term that can be measured more easily. Dr. Martin Seligman, the father of modern-day positive psychology uses the PERMA model: Positive emotions, Engagement, positive Relationships, Meaning and Accomplishment.  By measuring these five areas, happiness becomes more that just a feeling.  Dr. Ed Diener defines happiness not as a goal but as a process that requires positive attitudes about life. He says, “A life full of meaning and values, supportive social relationships and rewarding work is the framework for a happy life.” If you think about Chazal telling us that Olam Chesed Yibane—that the world is built on acts of kindness—and you have indeed participated in acts of chesed, you understand the internal good feelings you have from helping others.

The old joke is that some people cause happiness wherever they go; others whenever they go.  Where do you see yourself?  Researchers Ed Diener and Micala Chan conducted a review of 160 studies called “Happy People Live Longer: Subjective Well-Being Contributes to Health and Longevity.” Their conclusion was that in light of the evidence they found, it is time to add interventions to improve subjective well-being to the list of public health measures, and alert policy makers to the relevance of subjective well-being for health and longevity.”  Dr. Diener, a psychology professor at the University of Illinois says that he hopes there will be a time when doctors will question patients about how happy, optimistic and satisfied they are. He points out that although we are trying to use exercise, diet, stress reduction and prayer to eliminate negatives, we need to add to this list positive well-being as this plays a big role in good health and longevity.  One of the great things to come out of the positive psychology movement is that it is as important for us to love and support others as it is to receive.

Sustained stress, fear, anger or depression can contribute to heart disease, stroke and diabetes, and atherosclerosis (hardening of the arteries). In 2012 in the Harvard Public Health Review, researcher Laura Kubansky notes that happiness appears to have a positive health benefit that goes beyond the absence of negative mental health factors.  This study followed 6,000 men and women for 20 years.  It concluded that emotional vitality, including a sense of enthusiasm, hopefulness, engagement in life and the ability to face life’s stresses with emotional balance appears to reduce the risk of coronary heart disease.

Perhaps more pronounced, was a 2009 meta-analysis of 83 studies done by Rasmussn, Sher and Greenhouse that showed that optimism is a significant predictor of positive physical health outcomes related to mortality, survival, cardiovascular disease, immune function, cancer outcomes and health in general.  According to a study following 5,000 university students for 40 years, the most pessimistic died younger than their more optimistic peers.

We now know with certainty about the great inter-connections between mood and emotion on the one hand, and biological measures (like blood pressure and amounts of cortisol and inflammation, as well as disease indicators like artery wall thickening) on the other.  Moreover, well-being is significantly related to stronger immune function. (Positive thinking people get less colds and viruses). And really, the bottom line is that according to an analysis of 70 studies done showed that amongst well people, those with high well-being are 18% less likely to die of any cause than those with low well-being.  Among sick people the difference drops but is still a significant 2% more.

So, how difficult is it to attain well-being?  According to happiness researcher Dr. Sonja Lyubomirsky of the University of California, Riverside, 40% of our happiness is within our power to change through our actions and thoughts.  Another 50% can be attributed to genes.  Surprisingly, only 10% of our happiness is associated with life circumstances, such as money, health, marriage, appearance, etc.  Dr. Lyubomirsky also states that exercise may well be the most effective booster of instant happiness. If you make fitness a life-long endeavor, it can help you make happiness life-long as well.  Aside from this, Dr. Seligman notes that doing an act of kindness (a Chesed) produces the single most reliable momentary increase in well-being of interventions he has tested.  Here are some strategies for enhancing your happiness:

  • Gratitude—have HaKoras HaTov!
  • Envision your future with an optimistic viewpoint. What is your best possible future?
  • Avoid social comparisons and overthinking.
  • DO CHESED-not just for people you know.  Find people you don’t know and help them. It can be planned or spontaneous.
  • Develop and nurture relationships with others.  Knei L’cha Chaver!
  • Spend quality time with your family. Play with children and grandchildren.
  • Develop strategies for coping with stresses and trauma
  • Learn to forgive and forget.  Holding grudges and resentments only hurts yourself.
  • Work on developing Simchas Hashem
  • Take care of your body by exercising, being active, getting some sunshine and SMILE!

Dr. Robert Holden of The Happiness Project in England says just having the intention to be happy is what changes everything.  He says that when you make the decision to be happy, you are calling into your natural self and your internal resources to be yourself—your happy self.  Of course we know this from Mitzvah Gedola L’hiyot B’Simcah Tamid. Simcha should be our way of life. We have the ability to be happy at all times.

The combination of fitness and happiness contribute greatly to our health, well-being and quality of life.  Being fit, being happy and being healthy will “add hours to your day, days to your year, and years to your life.”

Alan Freishtat is an A.C.E. CERTIFIED PERSONAL TRAINER and a LIFESTYLE FITNESS COACH with over 16 years of professional experience. He is the co-director of the Jerusalem-based weight loss and stress reduction center Lose It! along with Linda Holtz M.Sc. and is available for private consultations, assessments and personalized workout programs. Alan also lectures and gives seminars and workshops. He can be reached at 02-651-8502 or 050-555-7175, or by email at alan@loseit.co.il  Check out the Lose It! web site - www.loseit.co.il    US Line: 516-568-5027

Can Spanking Cause Mental Illness?

Monday, July 2nd, 2012

Parents often ask me whether spanking is really so bad. After all, they were spanked as kids and they turned out fine. Plus, it’s the only thing that will get their child to listen, they say.

Much research has focused on the effects that severe child abuse can have on a person’s mental well-being. But a new study published in the July issue of the journal Pediatrics takes a look at the possible link between mental health disorders and harsh physical punishment in the absence of abuse. The findings may persuade parents not to spank at all.

Researchers from Canada found that physical punishment (such as slapping, hitting, pushing and shoving) — even without child neglect or physical, sexual or emotional abuse — was linked to mood disorders, anxiety disorders, substance abuse and personality disorders.

While it may be true that many of today’s parents were spanked as children and are now well-adjusted, previous studies have also shown that those who were spanked are at a higher risk to be depressed; use alcohol; hit their spouse or own children; and engage in violent or criminal behaviors.

The American Academy of Pediatrics and the Canadian Paediatric Society discourage spanking and other forms of physical punishment. It is unlawful in 32 countries — not including the United States or Canada — for parents and other caregivers to use physical punishment against children.

The new study’s lead author, Tracie Afifi, said she believes that physical punishment should not be used on children of any age and that positive parenting strategies should instead be encouraged.

Preferred methods of discipline do not include physical punishment. For example, withholding privileges, using time-outs and offering consequences (for example, “If you throw your toy and it breaks, you won’t be able to play with it anymore”).

Dr. Howard Bennett, a pediatrician in Washington and clinical professor of pediatrics at George Washington University School of Medicine, recommends praising children when they are behaving well and using time-outs or a process called “time off,” in which the child must go to another part of the house for as long as it takes to stop the offending behavior and behave normally again.

(Source: Dr. Jennifer Shu, CNNHealth’s Living Well expert doctor, is a practicing pediatrician)

Health: Your Brain Too!

Sunday, July 1st, 2012

The benefits of exercise and good nutrition are certainly well known. Not only can a balanced and consistent exercise program and healthful eating lead to a better quality of life and even lengthen your life, some recent research indicates that it is also great for your brain, especially in avoiding and curing depression.

Depressive disorders affect approximately 18.8 million American adults or about 9.5% of the U.S. population age 18 and older in a given year. Everyone will at some time in his or her life be affected by depression — their own or someone else’s, according to Australian Government statistics. (Depression statistics in Australia are comparable to those of the US and UK.). Anti depression medication, such as Prozac and Zoloft, are the most prescribed class of drugs in the United States today. In 2005, 115 million prescriptions were handed out. We don’t know yet how and why these medications work and they can be quite expensive, especially when coupled together with psychotherapy. But there seems to be a simple and inexpensive alternative. Have you ever noticed how much better you feel about life after a brisk half-hour walk? Recent studies have shown that exercise is just as effective at fighting depression, as anti-depression drugs are.

Our brains are composed of nerve cells known as neurons. The gaps between these neurons are bridged by chemical neurotransmitters such as serotonin and dopamine, also known as the “mood” chemicals. These are the chemicals in the brain that effect alertness, vitality, tranquility and euphoria and more importantly, they stave off depression.

A recent study lead by Dr. Monika Fleshner at the University of Colorado at Boulder has shown that exercise works to improve depression and that it increased serotonin and dopamine levels in the brain. And for those who must take medications, exercise in conjunction with anti-depressant drugs seems to cause the drugs to work more effectively.

Exercise also helps the brain in other ways such as cognitive functions. Children who engage in aerobic exercise score higher on tests, says Dr. Charles H. Hillman at the University of Illinois at Urbana. In addition, he also discovered that aerobic exercise not only increases the levels of serotonin and dopamine, but also actually increases the size of your brain, particularly the hippocampus, which is the part of your brain that controls emotion. Also, it seems that exercise allows the brain to retrieve latent memories.

Anyone who has exercised knows how much better you feel after a session. The “runner’s high” is a well know phenomenon that distance runners can often experience. It is difficult to know exactly how much exercise we need to do in order to achieve these positive feelings and effects, but Dr. Fleshner feels that 70% of the program should be cardio (aerobic), 20% strength training, and 10% flexibility training (stretching).

Looking at the nutrition side of this equation, we know that just like poor eating can harm normal blood circulation to your heart, the same is true of the brain. The better blood flow is up to your brain, the more oxygen and nutrients are available in order to sustain itself. Therefore, an eating program that is vegetable and fruit dense and low in trans fats and saturated fats, and yet includes monounsaturated healthy fats will help keep your arteries from clogging. But there is even more. Lately, vast amounts of research has been done on the effects of omega 3 oils on brain function.

A 2005 study showed that adequate nutrition is needed for many aspects of brain functioning. Poor diet quality, ever-present in the Western World, may be a modifiable risk factor for depression. Insufficient omega-3 fatty acid status particularly increases the risk of depression. Historically, the ratio between omega 3 and omega 6 was 1:1. In today’s western diet, the ratio is 1:10 or even as high as 1:20. There is a much lower instance of depression amongst Asians where fish consumption is higher, giving the body more Omega 3 than amongst those of us in the West. Today’s consumption of Omega 3s is about half of what it was before WWII and it is precisely from that period that the rates of depression have gone up considerably. A lack of Omega 3 might also explain why one in ten postpartum mothers experiences depression. Since Omega 3 fatty acids play a major role in building the brain and maintaining its balance, these fats are the principle nourishment the fetus takes in through the placenta. That is also why the mother’s reserves, which are already low in our western style diets, drop dramatically in the last weeks of pregnancy, often leading to post partum depression. Omega 3 rich foods are Fatty fishes like salmon, sardines and tune, flaxseed, canola oil and walnuts.

We all know that the sedentary lifestyle of the last two generations has brought on a whole host of medical problems. It seems that this lifestyle is partly responsible for the increase of depression in the world as well. So, get off the couch and away from the computer, put on those running shoes, get outdoors and go for a walk, do some strength training and start to feel great about life! Keeping your brain in shape as well as the rest of your body is another way to “add hours to your day, days to your year, and years to your life.”

ALAN FREISHTAT is an A.C.E. CERTIFIED PERSONAL TRAINER and a LIFESTYLE FITNESS COACH with over 16 years of professional experience. He is the co-Director of the Jerusalem-based Lose It! The Center for Health and Wellness along with Linda Holtz M.Sc. They have begun working with Dr. Michael Bunzel, M.D., a psychiatrist in Bnei Brak, Israel on incorporating exercise as a therapy for Stress, Anxiety and Depression. Lose it! can be reached at 02-654-0728 or 050-555-7175, or by email at alan@loseit.co.il. You can also visit the Lose It! website at www.loseit.co.il

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FDA Approves First New Weight Loss Drug In Years

Thursday, June 28th, 2012

The U.S. Food and Drug Administration has approved the first new weight loss drug in more than a decade. Arena Pharmaceutical’s anti-obesity pill Belviq was cleared for use by adults who are overweight and have at least one medical complication like diabetes or high cholesterol.

The FDA initially rejected the drug in 2010 after animals developed tumors during testing.

The agency reconsidered after the company submitted additional data this year.

Doctors have been urging the FDA to approve new weight loss treatments to combat the nation’s growing obesity problem.

(Source: NY1)

Ritalin For 6 Year-Olds? Giving Kids With ADHD Medication At A Younger Age May Help Their Math Scores

Monday, June 25th, 2012

Experts are suggesting putting kids with attention deficit hyperactivity disorder on drugs early in order to improve their academic performance, especially in math.

How early? Some say as it could benefit kids as young as six.

According to research published in a recent issue of Pediatrics, giving younger kids with ADHD stimulant medications can improve their grades and test scores.

A study of 12,000 students out of Iceland concluded that getting kids with ADHD started on drugs like Ritalin and Adderoll earlier were less likely to see their grades fall between the fourth and seventh grades.

Interestingly, Iceland has a national database that records all outpatient prescriptions, helping researchers to see which kids were prescribed medications to treat ADHD and at what age they began drug treatment, according to WebMD.

Girls with ADHD who were treated at a young age, showed a more marked improvement than their male counterparts.

“Performance of kids with ADHD tends to decline over time, especially if medication is delayed,” said Helga Zoega, an epidemiologist at the Institute for Translational Epidemiology at Mount Sinai School of Medicine in New York, and lead author of the study told ABC News. “Starting medication earlier may halt this decline.”

A majority of kids are diagnosed with ADHD by age 7, she said.

The American Academy of Pediatrics recently broadened its age guidelines for ADHD to children as young as four years-old.

The Acedemy recommends treating children ages four to five with behavior therapy before resorting to drug treatment.

“Most families come to medication as a last resort,” Ruth Hughes, chief executive officer of the nonprofit Children and Adults with Attention- Deficit/Hyperactivity Disorder, or CHADD told Bloomberg News in October.

(Source: NY Daily News)