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Stroke Awareness – What you need to know!

Stroke Awareness – What you need to know!

Ask Mr. Pedometer and Friends…

May 2019

Did you know that May is Stroke Awareness Month?   The National Stroke Association is raising awareness about strokes because of how debilitating they can be for survivors and because they can happen to anyone, at any age. Knowing how to tell if someone is having a stroke could be the key to saving their life.  And knowing the risk factors and what we can do to prevent them is a good way to protect ourselves. Full recovery from a stroke is dependent upon how quickly the person gets medical help. 

Remember to “Act F.A.S.T., which translates as follows:  Acronym FAST spelled out for how to respond to a stroke

  • F= Face – Does the person’s face drop on one side when they try to smile?

  • A = Arm – After raising both arms, does one of the person’s arms drift downward?

  • S = Speech – When repeating a simple phrase, is the person’s speech slurred or strange?

  • T = Time – If ANY or all of the above are observed, it’s time to call 9-1-1 for emergency medical assistance.

Help save someone’s life by remembering that simple acronym.  For more information, see the National Stroke Association Website TheNSA is urging people to look at their stroke risk factors, and commit to making at least one change to reduce their stroke risk.

Here’s how much stroke would be reduced if each was eliminated:

  • *Hypertension 47.9%

  • *Physical inactivity 35.8%

  • *Lipids (blood fats) 26.8%

  •   Poor diet 23.2%

  • *Obesity 18.6%

  •   Smoking 12.4%

  • *Heart causes 9.1%

  •   Alcohol intake 5.8%

  • *Stress 5.8%

  • *Diabetes 3.9%

70% of the above Risk Factors can be reduced or eliminated by simply walking.  Walking can save your life.  For information on starting a walking program, go to Your Own Pedometer Walking Program at World Walk To Wellness and get started walking! 

8 Tips to Avoid Falling; The Leading Cause of Accidental Death in the Elderly

8 Tips to Avoid Falling; The Leading Cause of Accidental Death in the Elderly

Ask Mr. Pedometer and Friends…

June 15, 2019

Q: Mr. Pedometer, I read that “Every 11 seconds in the U.S., an older adult ends up in the emergency room due to a fall. ‘It’s the leading cause of accidental death in the elderly,’ says Catherine Colon-Emeric, M.D., chief of geriatrics at the Duke University School of Medicine. Do you have any advice that could help us avoid falling?

A: You certainly are not alone in having concerns about falling – and with good reason. The June issue of Consumer Reports on Health has some tips to help prevent falls.  Below are the 8 tips that can help all age groups but especially the elderly to avoid the risk of a broken hip or a concussion:

  • WATCH FOR MED SIDE EFFECTS

    – “Some prescription and over-the-counter meds can affect balance. For instance, diuretics may lower blood pressure too much and lead to dizziness on standing. Some allergy drugs, such as diphenhydramine (Benadryl and generic) may cause dizziness and sleepiness….Some meds can cause dehydration, which can also increase the risk of falling when you stand up…. At least once a year, review your meds – Over-the-counter, alternative products, and supplements – with your doctor.” 

  • KEEP YOUR SENSES SHARP

    – “Eyesight naturally changes with age… [which] can make it more difficult to see shifts in terrain and other stumbling blocks. Hearing loss, too, has been linked to an increased risk of falling. A 2012 study from the Johns Hopkins University School of Medicine, for example, found that middle-aged people with mild hearing loss were three times as likely to fall. See your eye doctor every year or two…. Have your ears checked at least every three years starting at age 50, or earlier if you are having trouble hearing.”

  • DECLUTTER AND REPAIR AT HOME

    – “Rugs, clutter, steps, cracked driveways and sidewalks, poor lighting, slick surfaces – all can contribute to tumbles. If you’re concerned about falling in the house and unsure about how to proceed, the Institute on Aging (blog.ioaging.org) has a home safety checklist.”

  • STRENGTHEN KEY MUSCLES

    – “Exercises that enhance gluteal, leg, and core strength Elderly man stretching and exercisinghelp with balance, says Colon-Emeric. ‘These muscles make it easier to catch yourself before you fall and make it easier to get out of bed, lift yourself off the toilet, or get out of the car.’ Moves like knee bends (stand tall and bend your knees as if you were going to sit in a chair behind you) and sideways walking (keeping feet parallel, step out to the side with one leg, bring the other foot to meet it, then step out again) are part of a balance program called Otago that’s recommended by the Centers for Disease Control and Prevention.”

  • PRACTICE FOR FALLS

    – “’Exercise is important, but simply practicing getting off the floor can make you stronger and less likely to fall,’ says Kathleen Bell, M.D., a psychiatrist and chairwoman of the department of physical medicine and rehabilitation at the University of Texas Southwestern Medical Center. She suggests getting up and down 10 times three to four times a week. (When starting out, do this next to a bed or another stable object you can hold onto.)”

  • SKIP THE FANCY FOOTWEAR —

    “If you struggle with balance, choose shoes with sturdy, nonskid soles that fit snugly enough so they’re not sliding around underneath you. ‘You don’t have to opt for ugly shoes, but you don’t want to be walking around in bedroom slippers either,’ Bell says. If you’re unsteady, heels aren’t a good idea, nor are those hot-weather favorites, flip-flops. They offer zero support, catch on rugs, often have little grip on slick surfaces, and slip off easily.”

  • TRAIN FIDO RIGHT –

    “Having a pet can be good for your health, but your beloved pooch may also trigger falls by tripping you or pulling you down…. ‘Besides making sure you’re matched with a dog that suits your lifestyle, working with a trainer to learn how to control your dog and using a good leash and collar can help minimize falls,’ says Grace Anne Mengel, V.M.D., an assistant professor of clinical primary care at the University of Pennsylvania School of Veterinary Medicine.”

  • FACE YOUR FEARS –

    “Research suggests that simply being afraid of falling increases your likelihood of taking a tumble. In part, anxiety about falling can make it harder to focus on your surroundings. This fear can also cause you to limit physical activity, which in turn can lead to muscle weakness. If you find yourself frequently worried about falls, speak to your doctor.”

I hope these suggestions can help you avoid falling and allow you to continue to enjoy taking walks.

EAT RIGHT, MOVE MORE, AND SLEEP WELL TO BE WELL.

Celebrating “National Today” Days

Celebrating “National Today” Days

Ask Mr. Pedometer and Friends….

March 6, 2019

Q:  Mr. Pedometer, do you make up all those “National Today Days and Month of …” things that you cite?     

A:  I don’t, but somebody does.  There is a website for NationalToday.com that actually invites people to submit days/weeks/months to celebrate.  I have no idea what makes such a designation “official,” but lots of them show imagination and humor.

We already missed National Unplugging Day (March 1, which coincides with National Peanut Butter Lovers’ day, suggesting, perhaps, that those who are lost without being in front of a computer or cellphone screen could fill in their time by eating peanut butter?)

A few are serious, focusing awareness on diseases or other issues, such as World Wildlife Day (March 3) and International Women’s Day (March 8, which many nations honor, but not the USA).  World Water Day (22nd) is worthy of attention…but it shares the date with National Goof Off Day.  This month also has National Let’s Laugh Day (19th), followed by the International Day of Happiness (20th – What?!  Only one day of happiness per year?)

The International Day of Forests (21st) shares the date with National Common Courtesy Day, which you could interpret to say that in America, you have to go deep into the woods to finds signs of “common” courtesy.

I could support National Napping Day (11th), but I cannot even imagine what to do on If Pets Had Thumbs Day (3rd).

If you could limit yourself to one portion per year, this crazy calendar could be your diet guide, suggesting that you eat frozen food (March 6 – also Oreo Cookie Day), meatballs (9th), pancakes (12th), potato chips (14th), artichokes (with corn dogs? Both on the 16th), poultry (19th), French bread (21st), cheese steaks (24th),waffles (25th), followed by spinach (26th).

For those who want a steadier diet, this whole MONTH is supposed to be for celery, noodles, and “caffeine awareness.”

woman in walking shoes that are orange and tealHere is a good one to celebrate.  Coming up next month is National Walking Day on April 6

My conclusion?  No matter what day or month it may be to some, for all of us, every day, we need to …

EAT RIGHT,  MOVE MORE,  SLEEP WELL

Walking to help lower high blood pressure.

Walking to help lower high blood pressure.

Ask Mr. Pedometer and Friends…

Jan 16, 2019

Q:  Mr. Pedometer, I know you encourage us all to walk frequently, but I am wondering, will that help those of us with high blood pressure?

A:  An AARP Bulletin reported last January that high blood pressure is just one of half a dozen ailments that can be improved by taking regular walks – but at different speeds and durations.

Here is an excerpt from the article by Sara Altshul, describing what walking can help:

  • HIGH BLOOD PRESSURE – “Shoot for at least 1.75 miles at a moderate rate (3-4.5 miles per hour) most days of the week to lower blood pressure and cholesterol, says Paul T. Williams, a life sciences researcher at the Lawrence Berkeley National Laboratory in Berkeley, California.”  woman in walking shoes that are orange and teal

  • ARTHRITIS – It may seem counter-intuitive that people with joint pain can feel better if they walk more, but that is what the research shows. Start with 5 minutes and build up to 30 minutes per day of walking at a leisurely pace for 5 days per week, suggests Leigh F. Callahan, assistant director of the Thurston Arthritis Research Center, U. of North Carolina.  “If the pain is worse two hours after the walk than it was before the walk started, take a less intense walk the next time.”

  • DEPRESSION – Walking fast “increases the production of serotonin, dopamine, and other brain chemicals that lift your mood, says John B. Arden, author of The Brain Bible. “Start with 10 minutes of strolling, then walk briskly to 75 percent of your maximum effort – a pace that makes talking difficult.  Keep that up for 2-3 minutes, then resume a strolling pace.  Repeat these intervals for 20-30 minutes.”

  • INSOMNIA – Exposure to daylight can help. “Bright light inhibits the body’s secretion of melatonin, our natural sleep agent,” says Donald W. Greenblatt, M.D., director of the Medicine Sleep Center at the U. of Rochester, New York. “When you block melatonin in the morning by walking outside, it then bounces back later in the day, helping to promote sleep.”  Late afternoon walks also can be effective.  Try for daily walks at a comfortable pace for 15-30 minute, finishing your walk at least 3 hours before bedtime.  “Be patient:  some evidence suggests that it can take a couple of weeks to get the full benefit of exercise, so don’t be disappointed if you are not experiencing an immediate effect, Greenblatt says.”

  • OSTEOPOROSIS – Did you know that walking helps preserve bone? Walking 30 minutes a day, 5 days a week, can make a difference.  “Three 10-minute walks a day are as bone-strengthening as one 30-minute walk,” says Andrea Singer, M.D., of the national Osteoporosis Foundation.

  • TYPE 2 DIABETES – “Walking after eating sweets can prevent a blood sugar spike. Walk for 15 minutes at an easy pace about a half-hour after breakfast, lunch and dinner.…Because people with diabetes can develop foot infections due to reduced blood flow to the feet, it’s important to get properly fitted for walking shoes.”

So, you see, that’s even more reason why you should…

EAT RIGHT,

MOVE MORE,

AND SLEEP WELL,

FOR A HEALTHY, LONGER LIFE!

10 Steps to a Healthier New Year

10 Steps to a Healthier New Year

Ask Mr. Pedometer and Friends…

Q: Mr. Pedometer, it’s January 2019 and I know I need to make some changes in my life to get healthy this year. I just don’t know where to start. Do you have any suggestions?

A: Since most of our health changes have to do with nutrition and exercise, start with this great article by Shereen Lehman, MS, found on the Very Well Fit website. Go through the questionnaire and be honest with yourself. Then instead of trying to change everything at once, pick one thing to change, i.e. decide to get up a half hour earlier each morning and go for a walk before diving into your day. Once you have established one change, go on to another one. Change 1 Thing at a time so that you don’t get overwhelmed and give up.

See the “Change 1 Thing” article below for the steps that will help you to make changes more possible.

10 Steps to a Healthier New Year

1. Take a look at what your diet and health have been like for the last 12 months. Think about these questions and write down your answers in a notebook so that you can look back at them again a year from now:

  • How does your weight compare with a year ago?Notebook for New Year's resolutions
  • Do you feel healthy and have a lot of energy or are you tired all the time?
  • Do you take vitamins or other nutritional supplements?
  • Do you eat at home most of the time? If so, what types of foods? Whole fresh foods, boxed foods, or TV dinners?
  • Do you dine out frequently? What types of restaurants do you like and what kinds of foods do you choose?
  • How physically active are you? Do you exercise regularly?
  • Do you eat healthy portions, or do you stuff yourself with every meal?
  • Do you smoke?
  • How much alcohol do you drink each week?

It’s important to take an honest look at your health and dietary habits so you can set goals for the next year.

Set Your Goals

Do you want to lose weight? Do you want to be able to run up and down the stairs without getting winded? Do you want to reduce cholesterol or lower your blood pressure? Decide what you want to achieve over the next month, and over the next year.

One possible goal for your first month could be a resolution to take your lunch to work four days per week for each week this month instead of eating lunch in restaurants every day. Another example of a monthly goal would be to walk for 30 minutes four days per week each week this month.

Start with your statistics. Take body composition measurements and make your goals. Then write down your goals in a notebook or in the food diary you are going to create in step seven.

Determine Your Dietary Needs

  • Check your weight.

Here are some ideas you might want to consider:

  • Do you have high blood pressure? If so you may wish to reduce sodium in your diet by avoiding canned and packaged foods.
  • Are you overweight? You need to decrease your calorie intake or increase your amount of physical exercise. You can choose a low-carb diet or a low-fat diet, just be sure to watch your calories and portion sizes.
  • Do you have diabetes? If so, then you need to reduce your sugar intake.
  • Do you have high cholesterol? Increase your intake of soluble fiber like the fiber found in oatmeal. It will help lower your cholesterol levels.

Reduce your intake of saturated fats and increase your intake of omega-3 fatty acids from fish, flax, walnuts, and canola oil.

Consider Dietary Supplements

  • Supplements in bottles

A healthy diet should give you all of the vitamins and minerals you need, but many people take vitamins just to make sure. There are several formulations available, but all you need is a simple multivitamin and multi-mineral supplement. Speak with your health care provider before you take any additional supplements or if you have any health conditions.

Design Your Healthy New Diet

  • Eat more healthy salads.

Here’s what you need to know to design your new diet:

  • How many calories do you need to eat each day to reach your weight gain or weight loss goal?
  • How do your eating patterns fit your lifestyle?
  • Do you feel better with three large meals per day or five smaller meals per day?
  • Will you continue to eat in restaurants often?
  • What types of fruits and vegetables do you like?

A healthy diet should give you five to nine servings of fruits and vegetables per day, 25 to 38 grams of fiber per day, five or six ounces of protein per day, and a small amount of omega-3 essential fatty acids. To stick with your new diet, you’ll want to include foods you enjoy. If you love hamburgers, that’s OK. Make them at home with whole grain rolls and cut down the size of the burger patty, or use ground turkey. Add lots of lettuce, onion, and tomato. Serve your burger with a salad instead of fries.

More Tips:

  • Choose crunchy raw green beans instead of chips and serve them with a little of your favorite dip.
  • Replace high fat hot dogs with soy dogs.
  • Choose whole grain bread and pasta instead of white bread and white pasta.
  • Skip the sugary desserts and have a small dish of fresh berries with a dab of whipped cream or non-fat whipped topping, then add a sprinkling of chopped walnuts.
  • Use lemon juice instead of oil for a salad dressing.
  • Choose low-fat ground turkey instead of high-fat ground beef to cut back on saturated fat. (But remember to read the label—not all ground turkey is low in fat.)
  • Use these tips for finding healthful foods on a restaurant menu.

 Shop and Cook

  1. Couple cooking in kitchen
  2. Make a grocery list before you go shopping. Stay away from the snack food aisles and the prepackaged foods aisles when you shop. Choose fresh fruits and vegetables, whole grain breads, lean meats, fish, and legumes. Avoid foods high in saturated fats, sodium, trans-fats and sugar.
  3. The best cooking methods are essential for healthy nutrition, too:
  4. Sautéing is better than deep-frying. Frying foods adds fats and calories and doesn’t add any nutrition.
  5. Steam your vegetables instead of boiling them to mush. Steaming will preserve the vitamins found in the vegetables.
  6. When you cook your healthy meals at home, be sure to make extra to take to work or school the next day

Keep a Food Diary

If you’re serious about changing your diet, losing (or gaining) weight, and improving your health, you’ll find that keeping track of things is key to your success in a simple food and exercise diary. This will help keep you motivated and help you get back on your diet if you have a temporary setback.

Be sure to note the portion sizes and write down the calories you eat every day. Add up the number of calories per day and your total for the week. If you need to lose weight, decrease the number of calories you need to eat each week by 500. For most people, that adds up to one pound per week.

You can make your own food diary or keep track of your healthy new diet online.

Get Fit

  • Join an exercise class.
  • Mr. Pedometer includes getting outside in the fresh air and taking a walk.

Good nutrition is just one part of a healthy lifestyle. Another component of health and fitness is exercise. If you lead a sedentary lifestyle, you need to get out and get moving. If you want to lose weight, it is important to increase aerobic activity like walking or running. If you need to increase your strength, then you need to start resistance training such as lifting weights.

  • There are health clubs, gyms, and personal trainers, as well as at-home equipment to get you fit and healthy.
  • Do you smoke? If so, you’ll do yourself a favor by quitting. Smoking has been connected to many chronic diseases, plus you will save a lot of money over the next year if you quit smoking.
  • How much alcohol do you drink? One drink per day has been shown to be beneficial. More than one drink per day can be detrimental to your health, however. If you find yourself drinking more than four ounces of wine, two ounces of liquor, or 12 ounces of beer each day, then you may need to decrease your consumption of alcohol

Reduce Your Stress

  • Stress relief is important for your health.

Stress is detrimental to your health. Stress includes daily events like constant deadlines at work; long drive times with excess traffic; more activities than time to do them; and emotional trauma like death or divorce.

Stay Motivated

  • Counting calories diary

Sometimes getting started with a new healthy diet and fitness plan is the easy part. Many of us hit occasional roadblocks due to busy schedules, loss of motivation, or weight loss plateaus.

Those are the times when we feel like we do everything right, but the scale doesn’t seem to budge. When this happens, don’t give up. Think back to why you made the goal in the first place and find the inspiration you need to get back on track. Be sure to celebrate your small successes too!

Get depressed in the winter by gray skies and fewer hours of daylight?

Get depressed in the winter by gray skies and fewer hours of daylight?

Ask Mr. Pedometer and Friends…

December 4 2018

Q: Mr. Pedometer, I get depressed in the winter by gray skies and fewer hours of daylight.  Any suggestions of how to be “merry” despite those features?     

A: You are far from alone in getting the winter blues. A recent article in the Parade magazine insert of our Sunday newspaper offered the following suggestions on how to brighten these darker days…

VEG OUT “Plant-based foods, like fruits and vegetables, feed the good Basket of fresh vegetablesbacteria in our gut that help produce mood-regulating neurotransmitters like serotonin, explains Karen Bush, a board-certified functional medicine health coach at Cleveland Clinic.  It doesn’t have to be fresh:  Frozen produce often retains its flavor and nutrition.”

EMPLOY FLOWER POWER People who woke up to flowers reported a better mood, in a recent study.  So place a vase of tulips or daisies on your bedside table.  When in doubt, opt for blooms that are yellow, a hue that’s often associated with sunshine, energy, and happiness.”

MAKE A PHOTO ALBUM – “Positive memories greatly enhance our present happiness and can even reduce depression, says Dmitry Golubnichy, founder of the 100 Happy Days Foundation and author of Can You Be Happy 100 Days in a Row?  Sort through your photos and assemble the happy ones into a book you can flip through again and again.”

LOL – “’Laughter reduces stress and overrides other emotions in the moment,’ says Donna Agajanian, a New York City-based certified life and intuitive coach. Laughter ‘therapy’ has even been shown to function similarly to antidepressants by raising serotonin levels….”

COLOR YOUR WORLD – “When you find ways to brighten your days physically, you’ll literally feel brighter, says Amy Spencer, author of Bright Side Up:  100 Ways to Be Happier Right Now.  Wear a colorful shirt or scarf.  Buy a pen with green ink or some turquoise sticky notes.  Get pillows for your couch in Kelly green or sheets in tangerine…  ‘Just a few shades of difference in your everyday items can make life feel more vivid all around,’ Spencer says.”

CHANGE YOUR ROUTINE – “’Small changes can bring big rewards for our spirits,’ says Agajanian.  ‘Routines are often connected with the past, so changing one that links to a past negative association can break that link and open up space for other feelings.’  One tweak that takes minimal effort:  Make your bed (if you don’t already).  “It’s a form of self-care and a way of telling yourself that you matter.  That alone can lift your mood,’ she says.”

MAKE FRIENDS WITH WINTER WORKOUTS – “Just 5 minutes of moderate-intensity Mr Pedometer and walking group walking and picking up trashexercise releases feel-good brain chemicals called endorphins. Exercising outside will give you an even better workout.  For one thing, it tends to be more strenuous that indoor sweat sessions, so you’ll burn extra calories. Plus, researchers find that people who get physical outdoors enjoy it more.  ‘I tell people to go outside for 10 minutes,’ says Bush.  ‘But once they’re out there, they realize how beautiful it is and they stay for an hour.’”

WALK THE HAPPY WALK – People in one study who walked as if they were sad (slowly, without a lot of energy or body engagement) ended up feeling sadder. How to make your gait a mood boost?  Happy people walk with an upright, steady torso and swinging arms, reports Golubnichy.”

FLASH A SMILE – “It actually spurs a chemical reaction in the brain, releasing hormones like dopamine and serotonin that increase feelings of happiness and reduce stress.  Even forcing a fake smile helps.  For best results, smile with your eyes and your mouth….”

The very good news is that you can accomplish all of the last three on the list if you come “Walk ‘n’ Talk” with us on Saturday mornings!  If you aren’t in our area, consider starting your own “Walk ‘n’ Talk” group.  Here’s to a cheerier wintertime!