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Prevention, Not Cure

Seasickness prevention remedies fall into four general categories: medications, food and drink prescriptions, wrist bands, and behavior tips:

Medications

Nonprescription medications include Dramamine and Bonine, both essentially antihistamines. Their primary side effect is drowsiness, possibly even in their "non-drowsy" versions. Both must be started 1 to 2 hours before getting on the boat. These work for many people.
Prescription Sturgeron is available in the UK and Australia but has not been approved in the US (yet is available through international web pharmacies). Sturgeron is claimed by many sailors to be more effective than Dramamine or Bonine. The pill must be taken well before needed, and side effects also include drowsiness.
Prescription Scopolamine skin patches, positioned behind the ear, are generally considered the most powerful and most effective anti-seasickness medication. One patch lasts up to 72 hours. Side effects are also more significant, including vision disturbances that may make it difficult or impossible to read-a potential problem for anyone who must be able to read a chart or plotter. Talk to your doctor if you have experienced seasickness in the past and have found other remedies ineffective.
While not exactly a medication, Motion Eaze is a blend of natural oils that is dabbed behind the ear and is claimed by some to work well as an anti-seasickness remedy.

Note: if you have a health condition or are taking other medications, talk to your doctor before starting any new medication, to ensure the drugs do not produce a negative interaction.

Food and Drink

Ginger in any form has been widely praised as a preventive remedy. Sailors chew crystalized ginger, nibble on ginger snaps, drink ginger ale or ginger tea, and swallow ginger capsules. Although medical research does not strongly support the use of ginger, many swear by its effectiveness.
Soft drinks such as Coke and Pepsi are also said by some to help prevent feelings of queasiness and mild seasickness.
Food and drink to avoid include alcohol, heavy and greasy foods, and strong spices. Plain crackers may be best if you begin to feel queasy.

Wrist Bands

Wrist bands, such as Sea Bands, are a wrist band with a small plastic bubble that puts pressure on a certain point at the wrist, said to be an acupressure point to prevent seasickness. Some have found these very effective.
Electric wrist bands, such as the adjustable Relief Band, are similar but are said to work by providing a small electrical stimulation to the wrist.

Behavior Tips

Stay on deck. Keep in the fresh air and watch the horizon. Usually the worst possible thing is to go belowships. Then your brain can't reconcile what your inner ear is feeling (motion) with what you're seeing (lack of motion below).
Minimize motion by taking a position amidships where the movements of roll, pitch, and yaw are less than at the bow, stern, or rails.
Avoid reading or other near-focus observation. Similarly, avoid staring too long through binoculars.
Concentrate on something else. Take the helm or engage in some boat work, rather than dwelling on thoughts of starting to feel queasy.
If you do feel sick, take a position near the rail on the leeward (downwind) side of the boat. Vomiting may occur suddenly, and no one wants it in the boat (where its smell may make you or others feel sicker). Once sick, it may help to lie on your back with your eyes closed, still preferably out in the fresh air. From that point, it's often a matter of waiting it out.

Remember to Start Early!

In most cases you should begin the remedy well before beginning to experience any signs or symptoms of seasickness. Usually that means before getting on the boat. But if you start out on a calm day and boat motion later starts to pick up, it's better late than never. Seasickness often begins with general feelings of drowsiness-the first sign may be yawning. Don't wait!

Posted by: Tom Lochhaas AT 01:03 am | Permalink | Email

Tuesday, March 05 2013

Vitamin D and Health

Vitamin D Deficiency: A Global Concern

If you live north of the line connecting San Francisco to Philadelphia and Athens to Beijing, odds are that you don’t get enough vitamin D. The same holds true if you don’t get outside for at least a 15-minute daily walk in the sun. African-Americans and others with dark skin, as well as older individuals, tend to have much lower levels of vitamin D, as do people who are overweight or obese.

Worldwide, an estimated 1 billion people have inadequate levels of vitamin D in their blood, and deficiencies can be found in all ethnicities and age groups. (1-3) Indeed, in industrialized countries, doctors are even seeing the resurgence of rickets, the bone-weakening disease that had been largely eradicated through vitamin D fortification. (4-6)

Why are these widespread vitamin D deficiencies of such great concern? Because research conducted over the past decade suggests that vitamin D plays a much broader disease-fighting role than once thought.

Being “D-ficient” may increase the risk of a host of chronic diseases, such as osteoporosis, heart disease, some cancers, and multiple sclerosis, as well as infectious diseases, such as tuberculosis and even the seasonal flu.

Currently, there’s scientific debate about how much vitamin D people need each day. The Institute of Medicine, in a long-awaited report released on November 30, 2010 recommends tripling the daily vitamin D intake for children and adults in the U.S. and Canada, to 600 IU per day. (7) The report also recognized the safety of vitamin D by increasing the upper limit from 2,000 to 4,000 IU per day, and acknowledged that even at 4,000 IU per day, there was no good evidence of harm. The new guidelines, however, are overly conservative about the recommended intake, and they do not give enough weight to some of the latest science on vitamin D and health. For bone health and chronic disease prevention, many people are likely to need more vitamin D than even these new government guidelines recommend.

Vitamin D Sources and Function

Vitamin D is both a nutrient we eat and a hormone our bodies make. Few foods are naturally rich in vitamin D, so the biggest dietary sources of vitamin D are fortified foods and vitamin supplements. Good sources include dairy products and breakfast cereals (both of which are fortified with vitamin D), and fatty fish such as salmon and tuna.

For most people, the best way to get enough vitamin D is taking a supplement, but the level in most multivitamins (400 IU) is too low. Encouragingly, some manufacturers have begun adding 800 or 1,000 IU of vitamin D to their standard multivitamin preparations. If the multivitamin you take does not have 1,000 IU of vitamin D, you may want to consider adding a separate vitamin D supplement, especially if you don’t spend much time in the sun. Talk to your healthcare provider.

Two forms of vitamin D are used in supplements: vitamin D2 (“ergocalciferol,” or pre-vitamin D) and vitamin D3 (“cholecalciferol”). Vitamin D3 is chemically indistinguishable from the form of vitamin D produced in the body.

The body also manufactures vitamin D from cholesterol, through a process triggered by the action of sunlight on skin, hence its nickname, “the sunshine vitamin.” Yet some people do not make enough vitamin D from the sun, among them, people who have a darker skin tone, who are overweight, who are older, and who cover up when they are in the sun. (1)

Correctly applied sunscreen reduces our ability to absorb vitamin D by more than 90 percent. (8) And not all sunlight is created equal: The sun’s ultraviolet B (UVB) rays—the so-called “tanning” rays, and the rays that trigger the skin to produce vitamin D—are stronger near the equator and weaker at higher latitudes. So in the fall and winter, people who live at higher latitudes (in the northern U.S. and Europe, for example) can’t make much if any vitamin D from the sun. (8)

Vitamin D helps ensure that the body absorbs and retains calcium and phosphorus, both critical for building bone. Laboratory studies show that vitamin D can reduce cancer cell growth and plays a critical role in controlling infections. Many of the body’s organs and tissues have receptors for vitamin D, and scientists are still teasing out its other possible functions.

New Vitamin D Research: Beyond Building Bones

Several promising areas of vitamin D research look far beyond vitamin D’s role in building bones. And, as you might expect, the news media release a flurry of reports every time another study links vitamin D to some new ailment. These reports can be confusing, however, because some studies are stronger than others, and any report needs to be interpreted in the light of all other evidence. More answers may come from randomized trials, such as the VITamin D and OmegA-3 TriaL (VITAL), which will enroll 20,000 healthy men and women to see if taking 2,000 IU of vitamin D or 1,000 mg of fish oil daily lowers the risk of cancer, heart disease, and stroke.

Here, we provide an overview of some of the more promising areas of vitamin D research, highlighting the complex role of vitamin D in disease prevention—and the many unanswered questions that remain.

Vitamin D and Bone and Muscle Strength

Several studies link low vitamin D levels with an increased risk of fractures in older adults, and they suggest that vitamin D supplementation may prevent such fractures—as long as it is taken in a high enough dose. (9-13)

A summary of the evidence comes from a combined analysis of 12 fracture prevention trials that included more than 40,000 elderly people, most of them women. Researchers found that high intakes of vitamin D supplements—of about 800 IU per day—reduced hip and non-spine fractures by 20 percent, while lower intakes (400 IU or less) failed to offer any fracture prevention benefit. (13)

Vitamin D may also help increase muscle strength, which in turn helps to prevent falls, a common problem that leads to substantial disability and death in older people. (14-16) Once again, vitamin D dose matters: A combined analysis of multiple studies found that taking 700 to 1,000 IU of vitamin D per day lowered the risk of falls by 19 percent, but taking 200 to 600 IU per day did not offer any such protection. (17)

A recent vitamin D trial drew headlines for its unexpected finding that a very high dose of vitamin D increased fracture and fall risk in older women. (18) The trial’s vitamin D dose—500,000 IU taken in a once-a-year pill—was much higher than previously tested in an annual regimen. After up to 5 years of treatment, women in the vitamin D group had a 15 percent higher fall risk and a 26 percent higher fracture risk than women who received the placebo.

It’s possible that giving the vitamin D in one large dose, rather than in several doses spread throughout the year, led to the increased risk. (18) The study authors note that only one other study—also a high-dose, once-a-year regimen—found vitamin D to increase fracture risk; no other studies have found vitamin D to increase the risk of falls. Furthermore, there’s strong evidence that more moderate doses of vitamin D taken daily or weekly protect against fractures and falls—and are safe.

So what is the significance of this study for people who want to take vitamin D supplements? A reasonable conclusion would be to continue taking moderate doses of vitamin D regularly, since these have a strong safety record, but to avoid extremely high single doses. This recent finding does present a challenge to scientists who will work to understand why the extreme single dose appears to have adverse effects.

Vitamin D and Heart Disease

The heart is basically a large muscle, and like skeletal muscle, it has receptors for vitamin D. (19) So perhaps it’s no surprise that studies are finding vitamin D deficiency may be linked to heart disease. The Health Professional Follow-Up Study checked the vitamin D blood levels in nearly 50,000 men who were healthy, and then followed them for 10 years. (20) They found that men who were deficient in vitamin D were twice as likely to have a heart attack as men who had adequate levels of vitamin D. Other studies have found that low vitamin D levels were associated with higher risk of heart failure, sudden cardiac death, stroke, overall cardiovascular disease, and cardiovascular death. (21-24) How exactly might vitamin D help prevent heart disease? There’s evidence that vitamin D plays a role in controlling blood pressure and preventing artery damage, and this may explain these findings. (25) Still, more research is needed before we can be confident of these benefits.

Vitamin D and Cancer

Nearly 30 years ago, researchers noticed an intriguing relationship between colon cancer deaths and geographic location: People who lived at higher latitudes, such as in the northern U.S., had higher rates of death from colon cancer than people who live closer to the equator. (26) Many scientific hypotheses about vitamin D and disease stem from studies that have compared solar radiation and disease rates in different countries. These can be a good starting point for other research but don’t provide the most definitive information. The sun’s UVB rays are weaker at higher latitudes, and in turn, people’s vitamin D levels in these high latitude locales tend to be lower. This led to the hypothesis that low vitamin D levels might somehow increase colon cancer risk. (2)

Since then, dozens of studies suggest an association between low vitamin D levels and increased risks of colon and other cancers. (1,27) The evidence is strongest for colorectal cancer, with most (but not all) observational studies finding that the lower the vitamin D levels, the higher the risk of these diseases. (28-38) Vitamin D levels may also predict cancer survival, but evidence for this is still limited. (27) Yet finding such associations does not necessarily mean that taking vitamin D supplements will lower cancer risk.

The VITAL trial will look specifically at whether vitamin D supplements lower cancer risk. It will be years, though, before it releases any results. It could also fail to detect a real benefit of vitamin D, for several reasons: If people in the placebo group decide on their own to take vitamin D supplements, that could minimize any differences between the placebo group and the supplement group; the study may not follow participants for a long enough time to show a cancer prevention benefit; or study participants may be starting supplements too late in life to lower their cancer risk. In the meantime, based on the evidence to date, 16 scientists have circulated a “call for action” on vitamin D and cancer prevention: (27) Given the high rates of vitamin D deficiency in North America, the strong evidence for reduction of osteoporosis and fractures, the potential cancer-fighting benefits of vitamin D, and the low risk of vitamin D supplementation, they recommend widespread vitamin D supplementation of 2000 IU per day. (27)

Vitamin D and Immune Function

Vitamin D’s role in regulating the immune system has led scientists to explore two parallel research paths: Does vitamin D deficiency contribute to the development of multiple sclerosis, type 1 diabetes, and other so-called “autoimmune” diseases, where the body’s immune system attacks its own organs and tissues? And could vitamin D supplements help boost our body’s defenses to fight infectious disease, such as tuberculosis and seasonal flu? This is a hot research area and more findings will be emerging.

Vitamin D and Multiple Sclerosis: Multiple sclerosis (MS) rates are much higher far north (or far south) of the equator than in sunnier climes, and researchers suspect that chronic vitamin D deficiencies may be one reason why. One prospective study to look at this question found that among white men and women, those with the highest vitamin D blood levels had a 62 percent lower risk of developing MS than those with the lowest vitamin D levels. (39) The study didn’t find this effect among black men and women, most likely because there were fewer black study participants and most of them had low vitamin D levels, making it harder to find any link between vitamin D and MS if one exists.

Vitamin D and Type 1 Diabetes: Type 1 diabetes is another disease that varies with geography—a child in Finland is about 400 times more likely to develop it than a child in Venezuela. (40) Evidence that vitamin D may play a role in preventing type 1 diabetes comes from a 30-year study that followed more than 10,000 Finnish children from birth: Children who regularly received vitamin D supplements during infancy had a nearly 90 percent lower risk of developing type 1 diabetes than those who did not receive supplements. (41) Other European case-control studies, when analyzed together, also suggest that vitamin D may help protect against type 1 diabetes. (42) No randomized controlled trials have tested this notion, and it is not clear that they would be possible to conduct.

Vitamin D, the Flu, and the Common Cold: The flu virus wreaks the most havoc in the winter, abating in the summer months. This seasonality led a British doctor to hypothesize that a sunlight-related “seasonal stimulus” triggered influenza outbreaks. (43) More than 20 years after this initial hypothesis, several scientists published a paper suggesting that vitamin D may be the seasonal stimulus. (44) Among the evidence they cite:

Vitamin D levels are lowest in the winter months. (44)
The active form of vitamin D tempers the damaging inflammatory response of some white blood cells, while it also boosts immune cells’ production of microbe-fighting proteins. (44)
Children who have vitamin D-deficiency rickets are more likely to get respiratory infections, while children exposed to sunlight seem to have fewer respiratory infections. (44)
Adults who have low vitamin D levels are more likely to report having had a recent cough, cold, or upper respiratory tract infection. (45)

A recent randomized controlled trial in Japanese school children tested whether taking daily vitamin D supplements would prevent seasonal flu. (46) The trial followed nearly 340 children for four months during the height of the winter flu season. Half of the study participants received pills that contained 1,200 IU of vitamin D; the other half received placebo pills. Researchers found that type A influenza rates in the vitamin D group were about 40 percent lower than in the placebo group; there was no significant difference in type B influenza rates. This was a small but promising study, and more research is needed before we can definitively say that vitamin D protects against the flu. But don’t skip your flu shot, even if vitamin D has some benefit.

Vitamin D and Tuberculosis: Before the advent of antibiotics, sunlight and sun lamps were part of the standard treatment for tuberculosis (TB). (47) More recent research suggests that the “sunshine vitamin” may be linked to TB risk. Several case-control studies, when analyzed together, suggest that people diagnosed with tuberculosis have lower vitamin D levels than healthy people of similar age and other characteristics. (48) Such studies do not follow individuals over time, so they cannot tell us whether vitamin D deficiency led to the increased TB risk or whether taking vitamin D supplements would prevent TB. There are also genetic differences in the receptor that binds vitamin D, and these differences may influence TB risk. (49) Again, more research is needed. (49)

Vitamin D and Risk of Premature Death

A promising report in the Archives of Internal Medicine suggests that taking vitamin D supplements may even reduce overall mortality rates: A combined analysis of multiple studies found that taking modest levels of vitamin D supplements was associated with a statistically significant 7 percent reduction in mortality from any cause. (50) The analysis looked at the findings from 18 randomized controlled trials that enrolled a total of nearly 60,000 study participants; most of the study participants took between 400 and 800 IU of vitamin D per day for an average of five years. Keep in mind that this analysis has several limitations, chief among them the fact that the studies it included were not designed to explore mortality in general, or explore specific causes of death. More research is needed before any broad claims can be made about vitamin D and mortality. (51)

Posted by: The Nutrition Source Harvard School of Public Health AT 08:13 am | Permalink | Email

Sunday, February 10 2013

Protein Pancakes

Preparation Time: 10 minutes

Cooking Time: 3 minutes

Serves: 4

This recipe is to make really healthy protein pancakes. The ingredients provided will make about 4 pancakes but you can make them how big or small you want.

Ingredients

1/2 cup - Rolled Oats
1/2 cup - Cottage Cheese (full of calcium caseinate)
1/2 cup - Egg Whites
1/4 tsp - Baking Powder
1/4 tsp - Cinnamon
1/4 cup - frozen or fresh raspberries (or other fruit)
1/2 cup - Whey Protein

Steps

Mix all the ingredients, except raspberries, in a food processor and blend until nice and smooth. Remove the blades and delicately fold in the raspberries. Coat a non-stick pan with a little cooking oil if you want and heat it over medium heat. When the pan is hot enough, cook your pancakes one at a time until set and golden, about 1-2 minutes per side. I like to divide my batter into 3 small pancakes, but you may choose to make one large, 2 medium or 3 small pancakes, whatever works for you.

Posted by: Ronald AT 04:00 pm | Permalink | Email

Wednesday, January 23 2013

Why Being Skinny Doesn't Mean You're Fit

Remember when a total cholesterol reading of under 200 was the standard for judging cardiovascular health? Today, of course, we know that it's the components of cholesterol (LDL, HDL, the size of those cholesterol particles, and triglycerides) that are much more predictive of heart health. Well, our understanding of total weight and its effects upon your heart has evolved in similar fashion. It's not your total weight but the characteristics of that weight—how much is fat and where it's deposited—that matter most.

Surprised? Thank the scientists at the Mayo Clinic, who are behind this recent discovery. After comparing various health markers with the weights and body mass index numbers of thousands of adults, they found that more than half of those with normal weights and BMIs actually had "high body-fat percentages as well as heart and metabolic disturbances." In other words, they had the same risks of coronary disease, diabetes, and other chronic illness as people who weighed much more.

This research, and its sobering implications for millions of Americans, led to the establishment of a new condition called normal weight obesity (NWO). This is more than just the latest fat phobia. It's worth paying attention to because the accumulation of fat in the body, especially in the belly and around internal organs, causes low-level inflammation that gradually damages tissue and blood vessels. (Think of it as metabolic rust.) So even though your weight or BMI may be within acceptable limits for your height and age, don't be lulled into a false sense of security. Do your own analysis, starting with these steps:

1. Stop being preoccupied with pounds. As with total cholesterol, total weight is just one general assessment of your health. Yes, people who are trying to lose weight are more likely to succeed if they weigh themselves often. But seeing numbers that are within a healthy BMI range may actually disguise your heart disease risk. Keep them in perspective.

2. Measure your body fat. For a quick estimate of this key factor, wrap a cloth measuring tape around your naked waist just above your belly button. If your weight is fairly normal but the number you see above your navel is 35 inches or more (40+ inches for men), you may have NWO. For a more exact reading, ask your doctor (or health club) to measure your body fat. This can be done using a variety of noninvasive methods. If it's higher than 30 percent (20 percent for men), you likely have NWO.

3. Get a blood test. Ask your doctor to order a thorough blood analysis at your next physical. Warning signs of NWO include low HDL (total cholesterol and LDL may be normal), along with elevated triglycerides, blood sugar, and blood pressure.

4. Target belly fat. If you're diagnosed with NWO, take aim at visceral fat. Despite how entrenched it may seem, you can lose it. The keys are: Avoid the white stuff (white bread, rice, pasta, and other refined carbohydrates). Add monounsaturated fats, which target belly fat, to your diet. And do interval exercises to burn more fat and strength-training to build lean body mass.

5. Keep tracking fat. Just as you hop on the scale to keep tabs on your weight, do the same with your body fat. Have it measured periodically at your doctor's office or health club. Or just observe the notches where your belt buckles.

Conversely, if you're considered overweight by current standards, there may be some good news here. If your body-fat percentage is lower than 30 percent (20 percent for men) and your blood chemistry is normal, then you are among the "fat and fit." (Many athletes are in this category.) Continue to eat smart and exercise, but accept your body for what it is and know you're not unhealthy because of it. Feeling fat and feeling healthy are no longer mutually exclusive.

More Heart-Healthy Advice

Staying hydrated is one simple way to keep blood pressure in the safe zone.

Posted by: Dr Arthur Ageston AT 04:20 pm | Permalink | Email

Wednesday, December 12 2012

Salmon Rendang with Mint Sauce

This Indonesian dish packs a massive flavour punch and is quick and easy to make.

Ingredients

For the spice paste

5 shallots, roughly chopped
3cm/1¼in galangal, roughly chopped
3 stalks lemongrass, roughly chopped
5 cloves garlic, roughly chopped
3cm/1¼in ginger, roughly chopped
5 dried chillies, soaked in warm water, seeds removed and roughly chopped
For the salmon
5 tbsp vegetable oil
1kg/2lb 4oz salmon fillet, cut into cubes
2 cinnamon stick
3 cloves
3 star anise
3 cardamom pods
1 stalk lemongrass, roughly chopped
400ml/14fl oz coconut milk
2 tsp tamarind paste
6 kaffir lime leaves
6 tbsp desiccated coconut, toasted
2 tbsp soy sauce
2 tbsp fish sauce
2 limes, juice only
sea salt and freshly ground black pepper
For the mint salad
2 tbsp rice wine vinegar
3 tbsp toasted sesame oil
3 tbsp mint leaves
3 tbsp coriander leaves
½ cucumber, finely shredded
250g/9oz white cabbage, finely shredded
1 red chilli, finely shredded

Steps

1 For the spice paste, place all the ingredients into a food processor and pulse to form a paste. Transfer the paste to a small bowl and set aside.
2 For the salmon, heat a heavy-based pan over a medium heat, add half the oil then brown the salmon on all sides, remove from the pan and set aside.
3 Add the remaining oil to the pan and fry the spice paste for 2-3 minutes. Add the cinnamon, cloves, star anise, cardamom and lemongrass and cook for another couple of minutes.
4 Return the salmon to the pan, mix well then add the coconut milk, 200ml/7fl oz water, tamarind paste and lime leaves and bring to a simmer.
5 Add the toasted coconut, soy and fish sauces and return to the boil, stirring all the time to make sure it doesn’t stick.
6 Turn down to a gentle simmer and cook for 2-3 minutes. Add the lime juice and season with sea salt and freshly ground black pepper.
7 For the salad, whisk the rice wine vinegar and sesame oil together in a bowl then add the remaining ingredients and toss to combine.
8 To serve, spoon the curry onto the plate and pile the salad alongside.

Other Dietary Information

good with salad

4 servings

Posted by: Ronald AT 04:06 pm | Permalink | Email

Monday, November 12 2012

There are No Unathletic Children!

The story of a four-year-old boy in India who has been running distances of up to 60 kilometers has led to a lot of discussions, including among the Take The Magic Step® team. We spoke to Dr. Henning Ohlert about appropriate exercise for young children, as well as about some strategies for parents to deal with this issue.

Dr. Ohlert, 46, is a lecturer of training science at the University of Potsdam. He was a professional athlete for ten years, and as a 23-year-old ran the 800 meters in 1:45.9. He is working on a long-term study of motor skills and development of ten-year-old children.

How much exercise can a child cope with?

Over the years, our attitude towards children’s capabilities has changed tremendously. Basically, you could say that children are “little champions of endurance.” The big advantage of children is that they stop what they are doing automatically when they feel that they are getting tired and reach their physical limits. If children are tired out during playing, they simply take a break, and once they have recovered, they get active again. I think that you cannot do anything wrong with children-you just cannot challenge them physically in the wrong way. They know how to adjust themselves, and will utter their disapproval when it gets too much for them. And this disapproval should be respected.

What you have to watch out for with children, however, is problems with their thermoregulation; that is, the loss of body warmth during physical activity. Children get red faces when they are playing, bouncing around or playing sports. The body warmth which develops causes fast panting while breathing. The reason for this is that their perspiration system with does not function as that of an adult yet. That’s why you have to be careful to prevent children from overheating. In general, however, children have quite a sensitive feeling for the right proportion of activity and rest. It is highly dangerous, though, what is demanded of the little boy in India.

How can parents tell what and how much they can expect and ask from their children?

I believe you can ask more from children than most parents would think. You can judge by certain subjective criteria if a physical activity is enough: the color of the skin (for example, if the paleness of the skin is extreme), the frequency of the breath, the heart rate as well as the quality of movements. You will realize pretty quickly that movements seem to become uncontrolled and the way children fall changes. These are clear indications for the necessity of a break.

At what age should children start to train on a regular basis?

In order to answer this question, you would have to define the term “systemically organized training” first. I think that until a child has reached the age of eight, we shouldn’t call it training. There is nothing wrong with daily exercise or physical activities. Children should be active in various non-specific ways and thereby gain a broad range of experiences. This is the best prerequisite for successful involvement in sports later on.

Is there such a thing as unathletic children?

In my opinion, there is no such thing as unsporty kids. At times someone gets called “unathletic” just because he is judged by certain skills and abilities. It is just normal, however, that you are not able to do things which you have never done or practiced before. Often you get also judged by your family background. But just because your parents consider themselves unathletic, it does not necessarily have to mean that the son or daughter is as well. Every child is athletic. The question is only if she is athletic enough to become a champion.

Don’t children have a natural urge to move?

Absolutely. Unfortunately, this urge is lost throughout the ontogenetic development. At puberty, this urge to move decreases. This is when young athletes often lose interest in their sport and don’t show up for training anymore.

Should parents try to intervene?

It would not be good if the enthusiasm for the sport got completely lost. It is normal and should be tolerated that there are phases of less motivation. You should still try to talk to your child, his or her coach and friends about the situation, options and possible wasted opportunities.

Children tend to change their enthusiasm for different things quite quickly. Today they are playing tennis, tomorrow they want to become a professional swimmer, the day after tomorrow a famous basketball player. Sometimes they are not sure at all. Should children do several kinds of sport or should they better concentrate on one?

I strongly recommend that children experience a rather broad range of physical activities. I assume that not every child should be trained to become a Davis Cup player. Instead, most children will just want to play tennis for fun, or they just want to go inline skating, running or play soccer. I am a great supporter of children practicing a variety of sports.

Is it naive to believe that children will be grateful one day if parents put some pressure on them and force them to keep up a certain sport, hoping that they will be successful and the sport turns out to be the right one for the child?

This wish or hope might be honorable, but children think differently. Children think very emotionally, and are not as rational as adults are. The reasons why children give up on something are not easily understood. A little bit of pressure might not be wrong. It is a great achievement, however, if children discover themselves what they like.

Should parents tell their children which expectations they have regarding their sporting performance?

Parents’ expectations should not put too much negative pressure on the children. There is a lot of evidence in pedagogy that children fail just because their parents were asking too much of them. Children often act paralyzed if they are put under too much pressure. Then they are often criticized for failing mentally, but no one realizes how much pressure has been put on them: “You have to do this, you have to do that!”

Parents have to learn to judge their children’s mental condition and figure out how they can teach them ambition and determination. As a matter of fact, a runner participates in a race to get to the finish line among the best and not far behind the first ones. Consequently, you can, of course, tell your children that sport is often about being better and faster than others. This should be done sensibly, however, and without any pressure. It is nearly impossible to get children’s enthusiasm back if you have put them off doing sports once and if sports have become a trauma for them. This is proven by scientific research. The next chance you get to convince them of doing sports again is when they have grown up and when stress at work and an unhealthy diet have caused health problems and the cardiologist tells them, “You have to get moving, you have to exercise!”

On the other hand, children are often highly motivated when their parents watch them at training or competitions.

It is obvious that children are extremely motivated when they realize that their parents fully support what they are doing. At some stage, however, their own motivation will become so high that they don’t need their mother’s or father’s support anymore. But even professional athletes are more motivated when their parents are in the stadium or along the race course, no matter if in tennis, soccer or running. The question is just how parents react to their children’s failure. It is important that you find out together-maybe even with the coach-where mistakes might have been made and how you could adapt the training. Children have to feel that you support them and don’t give up on them.

What should parents do if their child suddenly, after two years, does not like judo anymore and would rather want to do athletics or tennis? Should parents demand that their children continue doing what they have started to do and not to give up on something just because it is no fun at the time?

I don’t find it too bad to change from one kind of sport to the other. You should have a conversation and clarify why they don’t like the sport they used to do anymore. There are certainly understandable reasons for it. And if they are not understandable, you still should not act against your child’s wish.

What should parents do if they recognize sporting talent in their child, but are not sure if they want to support it?

If someone thinks his child has got talent in some area which is illustrated by being better at something than other children of the same age, I would recommend approaching a sporting club close by and asking if there are facilities to support this talent specifically. I don’t find it very good to place children in “talent factories” far away from home where they waste a lot of time traveling to and from the place. Children should be able to pursue their training without many hassles. If they further develop and prove their talent, there are more opportunities of support in young adulthood, such as elite sporting schools or scholarships.

And vice versa: How are mothers and fathers to act if children desperately want to become professional athletes, but just seem to lack the talent?

I would still give the child the same chances, as eventually the “moment of truth” will show if the child is as good as she thinks she is. In cases of constant failure, however, you should be honest with your child, and tell him that another kind of sport might be more suitable for him. There are a lot of children who change to another kind of sport after the advice of a friend or parents and who have become really successful at it. Children who are motivated and ambitious should initially do what they prefer and should try things out.

If parents for some reason think that they should apply sanctions against their child-maybe because of bad marks at school-are prohibiting going to training and doing sports reasonable disciplinary measures?

I find prohibiting sports as punishment pedagogically not wise. Children have a natural urge to move and to play in order to cope with stress and emotions, and you cannot just switch this behavioral pattern off. If they are aggressive at school, they will be aggressive at sports, too. But particularly here, those negative emotions can be turned around into positive ones-through the pure movement, through the contact with the coach, through the group dynamics in team sports where bonding and camaraderie are crucial.

Posted by: Take The Magic Step AT 05:14 am | Permalink | Email

Sunday, October 14 2012

Benefits of Exercise for Children Get-up and Go!

Trampoline Boy © Betty Shepherd

Our children are our future—and understanding and supporting their natural yearning for physical activity will help lead them to a lifetime of happy and healthy living. If we joyfully teach them how to include healthy exercise from the early stages of their development, we will be giving our children a gift that will endure throughout their lives.

Among the many benefits are physical fitness, confidence and stronger self-esteem, more energy, better memory, and simply a good feeling about themselves—and they are easy to achieve. Our Take The Magic Step® team is as concerned as many of you about the growing problem of childhood obesity and the lack of exercise in their lives. Whether this obesity and inactivity is caused by the popularity of video games or the declining hours of physical education in schools, it is a wake-up call for everyone. Happily, there are ways of reversing this growing trend and helping our children to enjoy daily exercise and outdoor activities, which they love given the opportunity.

Our “Children’s Fitness and Health Program” is geared towards parents and educators, and focuses on creative ways to incorporate exercise into our children’s everyday routine. Outdoor games and playful workout routines can be the tools that instill lasting joy of exercise. I was so lucky that I was introduced to, enjoyed and benefitted from these activities during my childhood. It created in me an appreciation and understanding of the complex benefits that fitness and exercise can add to a person’s wellbeing. Over the years I’ve been fortunate to share this lasting experience with many children and young adults. (I hope you find additional information in the “Families” section of this Web site).

To emphasize once again the importance of exercise, I have put together some of the health benefits an active child can expect.

Exercise Improves Physical Health

Long-term health benefits of exercise are:

A stronger immune system! The body’s ability to fight disease is improved. Children are less prone to colds, allergies, and diseases, including cancer.
A reduction of type 2 diabetes by increasing insulin sensitivity and improving carbohydrate metabolism.
A lower blood pressure and an improvement of the child’s cholesterol profile.
A strengthening of the entire cardiovascular system, including the heart and lungs. The heart develops a higher “pump-activity” while the child’s heart and lungs are strengthened, supporting the prevention of heart disease.
Children are less likely to become overweight and will have better control of their body fat. Overweight children are able to reduce their body weight and body fat due to the physiological effect of burning fat while exercising.
Children develop stronger bone structure and muscle structure.

Active children enjoy additional health benefits, because:

Exercise increases the blood flow to all body tissues, including the brain. Greater blood flow transports more oxygen and nutrients to the body’s cells.
Active children improve their body’s ability to absorb oxygen through aerobic exercise. Due to the increased oxygen in their body’s cells they feel more energized. More oxygen translates into more energy!
Increased blood flow promotes the body’s transportation of the byproducts of metabolism and toxins back from the cells for elimination, recycling, or further use elsewhere. Children who exercise feel fitter and more energized because of their body’s ability to detoxify.
Active children breathe better and sweat more. Breathing and sweating are great ways to detoxify the body and help it keep itself “clean.”
Children increase their over-all fitness through exercise⁽¹⁾.

Exercise Improves Mental Health

Exercise enhances the brain’s metabolism. Studies show that active children have improved memory as a result of better brain function!
Moderate, fun-oriented exercise literally burns off excess harmful hormones and, at the same time, increases the release of beneficial ones. One of the beneficial hormones acts as neurotransmitter for establishing new memories.
Active children have the ability to concentrate much better, even at the end of a long school day.
Studies report that exercise decreases anxiety, reduces depression, and improves mood and outlook in children. In addition, their quality of sleep is improved.

Perhaps most importantly, physical activity develops children’s self-esteem and confidence. Their ability to overcome difficult situations improves and they simply enjoy a better, sunnier outlook on life.

To parents and educators: Your efforts to encourage our children to exercise more and instill in them the wisdom of good nutrition and a healthy lifestyle will yield years of dividends in these young people’s lives. (… and the benefits mentioned are for adults too.)

To YOU CHILDREN: I wish you enjoyment of all your outdoor activities, your exercise, and your school! We are always with you!

Reference:

(1) Gavin ML (Medical Editor, KidsHealth.org), Dowshen SA (Chief Medical Editor, KidsHealth.org), and Izenberg N (Editor-in-Chief and Founder, KidsHealth.org): Fit KIDS. 1st edition, DK Publishing, Inc., New York, NY 2004.

Updated April 1, 2011
Copyright © 2006-2012 Uta Pippig

Posted by: By Uta Pippig AT 04:00 am | Permalink | Email

Saturday, July 28 2012

Enjoy Your Summertime Fitness: Part IIProper Hydration and Summer Nutrition

When you decide on your favorite summer workouts—we discussed a few fun options in Part I—you can move on to organize everything so you stay healthy and well-hydrated during your fitness routine.

First of all, add extra care to how you prepare for your workouts. Make sure you are properly hydrated beforehand. Drink small amounts of water frequently, beginning two hours before you go out. I would not necessarily drink too much for 20 to 30 minutes prior to your start, though, because it can make you need to “go” while working out.

If you plan to work out for more than one hour, you might want to run with a water bottle belt, as many athletes do. You also could leave one or more water bottles on the course. If you decide on that strategy, it is best to stay on a loop course. This gives you a chance to replenish every few miles. And, if you want to be absolutely safe, ask a friend to join you on a bike. For bikers, use both your water bottles, and stay ahead of the game by stopping at any convenience store or gasoline station to fill-up your bottles before you need them again.

Listen to Your Body, Stay Healthy

Nothing is more important than listening to your body. If you do not feel well, please be very cautious. Before, during, and after your workouts, the first signs of a possible problem might be heavier breathing, an elevated heart rate, or losing concentration. Consider wearing a heart rate monitor—it can caution you before you run into trouble.

When you feel unwell, admit it to yourself early on and get out of the heat right away. Cool off with a cold towel, use ice cubes, and hydrate! Please, do not wait to see a physician if you do not feel better immediately. Be familiar with some of the early warning signs of overheating: dizziness, fainting, fatigue, hot skin and followed by chills, lack of perspiration, feeling thirsty, and elevated heart rate. If you stop sweating, you most likely are very dehydrated⁽¹⁾.

Also be careful after your workout. Take a dry shirt to put on after your run, and always take some fluid to drink. If you feel cold—even in summer, for example when you come from outside into an air-conditioned room while still wearing your wet workout clothes—change immediately into dry clothes. It may be summer, but you need to stay “warm” after your workouts to avoid weakening your immune system and maybe getting a cold.

For adequate protection, sunscreen, glasses, a summer hat, and a rain jacket are always good to have close by.

Hydrate Well Throughout the Day

It can be very warm and dry during the summer, so make sure you stay cool and hydrated at all times. There are some guidelines I would suggest, and one of my favorite is to keep a bottle of water or a sports drink close by. This will remind you to drink and get replenished with small amounts continuously and evenly spread out throughout the day.

Hydration is critical for many body functions, such as digestion, regulation of body temperature, and the circulatory processes that bring nutrients to the cells and transport waste from them. This is even more understandable when considering that our bodies are up to 75% water in total, depending on age and build, with blood being 83% water and the brain being 75 to 78% water. These are the levels when each of those organs work best⁽²⁾.

When you get dehydrated, every cell in your body suffers, causing you to feel less fit and fatigued⁽³⁾. This puts more stress on your body and makes you more prone to illness and disease. And you can be at risk of overheating, which can have terribly serious consequences—including being life-threatening.

For proper hydration, start with juice from a fresh squeezed lemon with lots of water first thing in the morning. It is good for re-hydration after your night’s sleep and also will help your body to detoxify.

And as mentioned earlier, drink enough before, if possible during, and right after your training. It is best to replenish within 30 minutes of finishing your workout—the so-called “recovery window.” I like to eat a big slice of water melon right after my training, it is a great source of water, antioxidants, and easily digested carbohydrates. In the following article “General Guidelines,” you can find more information on this topic.

A Few Thoughts on Summer Nutrition

Many people like to adjust their nutrition and take advantage of everything that is fresh and more available in the summer, like tasty fruits and vegetables. It is berry season—maybe you are lucky enough to be able to pick your own on a berry farm. Eat food that has high water content like melon, citrus fruits, berries, and vegetables.

Diluted fruit juices with 1 part juice and up to 2 parts water can help you to stay hydrated. The juice from sour cherries, for example, has many health benefits and can even support faster strength recovery for runners.

You also can try the many different kinds of unsweetened iced teas. My favorite flavor is mango.

Enjoy what you eat and make it tasty. Add some cool summer nutrition like different kinds of smoothies. Depending on the amount you make, they even can be served as an entire meal. Just add water, berries (like raspberries and blueberries), banana, whey protein, and some ice cubes into a blender. Mix it and enjoy. Or try a variation with mango or pineapple. And for more health benefits, add a teaspoon of ground flaxseeds.

There also are many delicious salad creations with great dressings. You could try a variety of citrus dressings. Other choices of salads include my favorites—fresh cucumber salad with dill and onions or a tomato salad with olives, feta, and basil.

Sashimi and sushi can be delightful lighter dinner fare when well-portioned. And when you prepare your meals, add more vegetables than pasta or potatoes. And how about cold summer soups like water cress and gazpacho?

And for all you BBQ lovers, here are some thoughts on “Healthier Grilling.” I hope you can enjoy many relaxing summer evenings with your family and friends.

Good luck for your summertime fitness!

Posted by: Uta Pippig AT 05:29 am | Permalink | Email

Sunday, June 10 2012

Enjoy Your Summertime Fitness: Part I - Favorite Workouts and Summer Goals

Summer is such a beautiful time of the year. Happy days with stunning sunrises, long, warm evenings and relaxing afternoons freshened up with lemonade and watermelon. Even on hot days, it is not difficult to find great exercises to keep your fitness level up.

Summer is also special because you can finally do the workouts you might have been missing during the colder months of the year. You even can take advantage of the training sessions you would not necessarily do during the ideal training period for other sports in winter.

You can add cross-training, as well. That means you can work out in other sports or add exercises that support what you normally focus on. It gives you an opportunity to prepare yourself for your upcoming autumn events or improve your fitness and skills for your favorite winter sports. Cross-training can give you a wide variety of workout choices which can enable you to reach your goals.

In the summer, you have a wonderful opportunity to take advantage of the outdoors and experience beautiful connections to nature—the oceans, lakes, rivers, beaches, mountains, and shady woods and forests.

Before we go on, however, I would advise getting a physical before you start your summertime fitness, making sure you are fit enough to work out in those warm conditions and are able to stay ahead of the game. It is a time that is good for more than just goal setting. You also can talk about your fitness ideas and workout possibilities for the upcoming months and decide if they are realistic for you.

Your Favorite Summer Workouts

Of course, in summer—as well as year-round—do activities you enjoy. They might include your favorite ball game, long hikes, water sports, or anything that is giving you excitement and happiness while exercising.

Maybe you have some “wishes” you can turn into goals—like improving your fitness, learning to surf, running your first 5K, hiking a mountain, or biking some new trails by the end of the warmest time of the year. When you follow a path of realistic and achievable short-term goals, it can be much easier to stay motivated and make it fun to reach your goal.

It always is a good idea to include your favorite workouts first, then, integrate new opportunities as the summer progresses. By the end of the warmest months, you will have explored and tried different exercises—alternatives you may have been curious about, perhaps, and had thought could be fun for you. Ball games, swimming, water sports, mountain biking, running, hiking, camping, for example, all are great exercises to try during the summer, especially if you had never done so before or if it had been a long time since you did them. And if you are ready to take on multiple challenges, nothing might be better than combining a number of activities.

My favorite summer workouts are those easy and relaxing evening runs, when the sun starts to set and the air is getting fresher, when I can play with those long shadows in the forest. I often combine them with a swim, diving into a lake after my run. Sometimes I jog a few miles to a beach by a lake and cool-off by swimming for some distance, depending on how I feel after my run. I used to do this often as a kid and later during my track season. I have enjoyed it ever since.

As the previous comment illustrates, summer workouts are a great way of rekindling happy childhood memories: those long days of carefree summer vacations from school, playing baseball, basketball, or soccer, or maybe completing a track session in the stadium. Perhaps you have a loving memory of the smell of freshly cut grass. That wonderfully distinctive aroma always reminds me of the newly-mown infield at the local track when I was a kid.

During the warmest time of the year, it is best to wait for temperatures to have fallen in the early morning or the late evening. Any kind of ball game—basketball, baseball, soccer, or tennis—is fun to play in the cooler evenings. With dusk still far away, you can arrange to get together with your friends after work and add informal versions of these games to your other activities. This can be fun and often makes it easier to stay fit.

When I was growing up and started running, we played lots of ball games as warm-ups for our training sessions. A game of team handball or volleyball was just right for us kids. Coming from Germany, soccer always was the favorite. Maybe you can join a group of friends to play a game? You will soon find the countless sprints to get the ball or trying to keep it will definitely give you good cardiovascular exercise. Huffing and puffing, I sometimes had to stop running to catch my breath.

For many of us, nothing is nicer than taking part in summer water sports. You can enjoy the whole day at a lake or the ocean with activities such as paddle boarding, kayaking, surfing, snorkeling, or playing different water ball games with your friends. These all are sports that can provide fun activities for you and your entire family.

If you don’t have the luxury of a few free days, try a nice swim before or after work, or, if time permits, during your lunch break. Swimming is not only a great cardiovascular workout, and refreshing during the summer months, it also can help you recover from more strenuous training like biking or running. And, at the same time, it will improve deeper breathing.

A former client of mine started with a few sprint triathlons in the summer and quickly moved up to the Olympic distance in winter. He later discovered that kayaking would be fun for him, too. I got an email message from him with breathtaking photos of the ocean and his kayak resting on a beach. He wrote that he just kayaked across the state of Florida in a charity event.

I can imagine that he had a fun pool party afterwards! It is a great idea to start a party with your family and friends in late afternoon, playing ball and enjoying swim games, and later taking in the sunset while having a super-tasty barbecue.

Could an interesting hike become one of your favorite workouts? Even a leisurely “glow worm and fire flies” hike on a cool summer night might be something you would enjoy. It can be such a fun activity for the whole family. And if you choose a long day hike, you might want to top it off by camping out overnight under the stars.

Change the Venue, Adjust Your Goals, and Explore Cross-Training

Sure, you want to avoid the hottest part of the day—so go inside! Join a gym for the warmest months, and instead of running or biking outside, try the treadmill or the stationary bike or one of the many other aerobic exercise machines available at most gyms. You always can exercise outside during the cooler temperatures around sunrise and sunset.

The nice thing about summer events is that most of them take place in the morning or evening hours. Nothing is better than completing your workout or event and meeting friends for a late breakfast afterwards. “It’s just a piece of pancake!”

Adjust your fitness goals for the warmest time of the year. As always, it is best to set realistic, achievable, short-term goals. I recommend focusing on a few shorter workouts with higher intensity and playful variations in speed. Perhaps your goal might be to become faster in your sport during the summer. Then in autumn, you can add some endurance and focus on longer events again.

Once you accomplish your summer goals, you can use your improved fitness to achieve great results in your events later in the year.

Here are some ideas. If you are a triathlete, you might want to improve one of your disciplines to be better prepared for competition in the fall. To work on your swimming might be a good idea. Or you might change from running to more biking, and in the colder months add longer running workouts again. There are great duathlon competitions in the summer. To work on improving your speed, you may decide to prepare for a sprint triathlon or a sprint duathlon, instead of the longer versions.

Many runners may just have finished a spring marathon. The warm summer months are ideal to prepare for a 5K, and in late August one could prepare for a 10K. Then, in September, you can get ready for a half marathon. All the training and goal setting can be done with the ultimate aim of a faster marathon. Or simply enjoy the shorter distances as your main event all summer. That is good, too!

You also can switch from one sport to another. Think “off season training.” For runners, bike and swim instead of doing high mileage running. Some bikers go from the road into the forest and mountain bike, it is a great way to improve your skills. Enjoy water sports like kayaking or paddle boarding. Compete in team swimming events, relays are always great fun.

A good goal could be to work on other elements of fitness, like strength or technique training, especially if these are areas in which you already want to improve. To do this, you may want to include these new elements in your routine during the summer so you are better prepared for your upcoming events later in the year.

I love these elements of cross-training. They can give you a chance to try out a variety of workouts—not doing the same activity every day. And they can be done indoors during the warmest hours of the day. Think about it as something you can look forward to complement your training. Deep-water running, core strengthening, light weights, stretching and yoga… they all can be added to your summertime fitness routine. In this manner, you can condition your body for your fall events—to be a better runner, biker, or golfer—and for your winter sports to be a stronger skier, snowboarder, or skater.

Be prepared to adjust your workouts according to the weather conditions on any given day. It can be hot, humid or rainy, and setting a new and easier goal will help you achieve them. Maybe you, too, would love to combine some of your runs with a cooling swim afterwards.

And finally, a general suggestion for your summer workouts: start them slowly, increasing your workload in gentle increments. The weather conditions can be challenging and even deceptive. By starting your workouts carefully, keeping your strength in reserve, you will be able to keep your body temperature and your pulse lower. And you will not get so fatigued.

In many climates, temperatures can change dramatically over the course of the day, so always be aware of the conditions in which you do your activities and training. Of course, during summer months, adequate hydration should always be on your mind.

Fitness Programs and Sport Events You Can Join

Check out recreational leagues and programs for adults and kids in your area. Your town, local fitness club, and local businesses might offer programs for many sports and events, and maybe you would like to join one of them. This way you also might meet new friends and enjoy staying fit together. It might even not feel like working out hard at all.

There are many events over the summer that may be of interest to you. Some of them are charity rides or runs where you also can get the satisfaction of helping your community or a charity that touches your heart like SOS Outreach with which Take The Magic Step is a partner.

In “Summertime Fitness: Part II,” I will explore proper hydration and offer a few thoughts on summer nutrition.

Until then, I hope you can enjoy your fun and cool summertime fitness!

Posted by: Uta Pippig AT 05:21 am | Permalink | Email

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Exercise Improves Physical Health

Exercise Improves Mental Health

Listen to Your Body, Stay Healthy

Hydrate Well Throughout the Day

A Few Thoughts on Summer Nutrition

Your Favorite Summer Workouts

Change the Venue, Adjust Your Goals, and Explore Cross-Training

Fitness Programs and Sport Events You Can Join