Michigan State University Extension is committed to helping people improve their lives by extending research-based knowledge about a variety of topics. One issue of great concern is the increase of those living with Alzheimer’s and dementia.
According to the Alzheimer’s Association, dementia is not a specific disease, but is referred to as a group of symptoms which show up as a general decline in mental ability that interferes with daily life. Alzheimer’s disease is a common form of dementia and is considered a degenerative brain disease.
Data from the 2018 Alzheimer’s Disease Facts and Figures report states that in the United States, as of 2018, over 5 million people of all ages are living with Alzheimer’s dementia. Due to people living longer because of better health interventions and the aging baby boomer generation, the number of people age 65 and older is expected to increase to 22 percent in 2050. The number of people who are diagnosed with Alzheimer’s will increase. In Michigan alone, the number of those aged 65 and older with Alzheimer’s is expected to increase from 180,000 in 2018, to 220,000 in 2025, with additional projections of 13.8 million in 2050.
Dementia can also be a symptom of other underlying health issues and your doctor has the tools to help sort that out. The following is a list of the ten early warning signs. Each one of these can be explored more by visiting the Alzheimer’s Association website at www.alz.org.
Ten Early Signs of Alzheimer’s:
Memory loss that disrupts daily life.
Challenges in planning or solving problems.
Difficulty completing familiar tasks at home, work or leisure.
Confusion with time or place.
Trouble with visual images and spatial relationships.
New problems with words or writing.
Misplacing things and losing the ability to retrace steps.
Decreased or poor judgement.
Withdrawal from work or social activities.
Change in mood or personality.
Early warning signs listed above are different from the normal age-related memory changes. Typically as we age, we all misplace things, search for the right word to use and even forget what day it is. One way to explain it is if I just can’t find my keys, I may be experiencing a typical age-related memory issue, but if I don’t know what keys are for or what they are called, I may be experiencing an early warning sign of Alzheimer’s or dementia.
Early diagnosis and treatment are critical. One thing you can do is to know the ten early warning signs. If you think they apply to you or a loved one, make an appointment with your doctor to discuss further testing.
If you are a caregiver of someone who is living with dementia or Alzheimer’s consider signing up for a Powerful Tools for Caregivers series through Michigan State University Extension.
Having a TV or movie day once in a while won’t kill you, but frequent binge-watching ups your chances of developing serious health conditions. (Courtesy Spectrum Health Beat)
You’ve just settled in to your well-worn spot on the couch, big bowl of popcorn, chips or other savory snacks and soda by your side, ready for an all-day, TV-watching extravaganza.
But you might want to push pause—according to a new study, your health might be Breaking Bad, too.
In a recent study of people at higher risk of developing diabetes, researchers found every hour spent sitting can increase that risk by 3.4 percent. So sitting through the last season of Mad Men can lead to a 30 percent increased risk, according to studies published in the journal Diabetologia and elsewhere.
“I would echo the beliefs, simply because the information is known,” Dr. Selfe said. “We know that individuals at risk, whether it’s a family genetic component, a history of gestational diabetes, metabolic syndrome, are at high risk of developing Type 2 diabetes.
“In my mind, this echoes the things we already know, but it puts a focus on our American lifestyle. Sitting on the couch multiple hours a day, I would suspect, whether it’s reading a book, watching television or what have you, all of those things are going to contribute to further risk of diabetes.”
The risk is very real for a growing number of Americans.
According to 2018 statistics from the American Diabetes Association, one in 11 Americans have diabetes. About a quarter don’t know they have the condition, and the majority of them have Type 2 diabetes.
But a day-long The Big Bang Theory marathon probably isn’t a one-way trip to Type 2 by itself, Dr. Selfe said.
“If you’re talking about one day, I’d take (the study) with a grain of salt,” he said. “So this weekend, you binge-watch Breaking Bad for 12 hours, that means, theoretically, in the next five years, you’re going to get diabetes. I think that’s an overstatement of what they’re trying to get at, but it’s kind of for shock value.”
What the study does underscore, Dr. Selfe said, is that our increasingly sedentary lifestyles are taking their toll on our long-term health.
“From my perspective, (the study) confirms what we already know,” he said. “Engaging in regular exercise, being active on a daily basis—which has become more difficult in American society because we have computers, smart phones, the internet and machines to do a lot of the regular work we used to do even 50 or 100 years ago—really has increased that risk.”
But unlike, say, Dexter, this story doesn’t have to have an unhappy ending. The key is all about balance, Dr. Selfe explained.
“You definitely shouldn’t binge-watch and drink soda and eat Cheetos and all these other things that are prolific in American society,” he said. “I think this study, and studies done in the past, all beg toward moderation, and we are not a society of moderation. We super-size all of our foods, and we binge-watch TV at times. The reality is we continue to do less and less on a daily basis. Some of that is out of choice, and some of that is out of our situation. A lot of us sit behind a desk eight to 12 hours a day.
“The bottom line is, people need to engage in moderation, and they need to realize that incorporating activity on a daily basis is markedly impactful across the board, whether we’re talking about heart disease, high blood pressure, arthritis, diabetes, cholesterol … across the gamut, activity has been shown to be beneficial for everybody.”
So don’t forget to mix in some actual walking, before you settle in to watch the last season of The Walking Dead.
Know your numbers. Get your annual physical, including all of the blood and urine labs your doctor deems necessary. Need help finding a doctor? Call 877.362.8362 to get connected with a provider who will suit your needs.
It can be very difficult to be health conscious this time of year as food and festivity will always be a major part of the holiday season. It’s an especially challenging time for those who have diabetes. The American Diabetes Association recommends planning ahead and provides the following tips and guidelines to help those with diabetes enjoy the foods associated with the holidays, while still staying healthy:
Think about the timing of your meal. Holiday meals, such as Thanksgiving, are often served at times that don’t align with our regular meal schedule. Take this into consideration if you are taking medication such as insulin injections or pills that lower blood glucose. Talk to your health care professional about having snacks available if low blood glucose is a concern.
Be physically active. Consider incorporating more exercise, such as walking, riding a bike or visiting the gym when you know you’ll be eating more than usual. Encourage family members to join you in starting new traditions that involve physical activity such as playing a game of Frisbee, soccer or touch football.
Try healthier versions of your favorite holiday foods. Try using fat-free or light ingredients when preparing your favorite holiday dishes. Add less sugar to dishes that already provide natural sweetness such as winter squash casseroles and fruit pies. Check out the American Diabetes Association website as well as other diabetes friendly recipes available online.
Have low calorie foods such as raw vegetables with low-fat dip or cheese on hand while you’re cooking or waiting to eat. Avoid high-calorie and/or fried foods that are often served as appetizers during the holidays.
Be selective. High carbohydrate foods are a staple when it comes to many traditional holiday foods. Choose reasonable portions of your favorite high carb foods and allow yourself to pass on the rest.
Eat smaller portions. Don’t forget to use portion control when selecting foods that are higher in carbohydrates. Be mindful of keeping your total carbohydrate intake within a recommended range.
Eat your vegetables. Incorporate more color and nutrition to the holiday table by providing non-starchy vegetables dishes such as green salads and steamed vegetables to the menu. Vegetables not only fill you up, they can also help prevent you from overeating other foods that are loaded with calories and fat.
Michigan State University Extension recommends that people with diabetes always work with your health care team and offers diabetes programs that educate on proper eating and self-management, such as Dining with Diabetes.
By Karen L. Pace, Michigan State University Extension
A growing body of reliable, scientific research shows the benefits of social and emotional learning for both youth and adults. According to the Collaborative for Academic, Social and Emotional Learning (CASEL), efforts that promote social and emotional learning improve young people’s academic success and overall health and well-being, while reducing negative behaviors such as alcohol and drug use, violence and bullying.
Learning to navigate distressing emotions and stress are important aspects of emotional growth and development. Kids, like adults, experience daily stressors in their lives that can take an emotional and physical toll. In a national KidsHealth® KidsPoll, young people said the things that caused them stress included grades, school and homework (36 percent); family (32 percent); and friends, peers, gossip and teasing (21 percent). Too often, kids’ reactions to stress are seen as inappropriate negative behaviors that need to be stopped rather than opportunities to teach new skills that help young people learn to calm their minds and bodies.
One way for children and adults to develop self-awareness and the ability to navigate stress is through the practice of mindfulness. Mindfulness is a process of active, open, nonjudgmental awareness. It is paying attention in the present moment with openness, curiosity and flexibility. Neuroscience and psychological research suggests that the intentional practice of mindfulness improves the immune system as well as increases gray matter in the brain involved with learning and memory processes, emotion regulation, empathy and perspective taking.
Parents, educators, youth workers and others can provide opportunities to practice everyday mindfulness with the young people in their lives. Everyday mindfulness involves paying attention to our experiences in the moment rather than being caught up in our fearful, angry, anxious or worried thoughts. When we are caught up in these distressing thoughts, we often lose perspective about the best way to respond in a painful, difficult or stressful moment.
Simply notice the sights, smells and things that surround you. Focus on what’s there for you in the moment, right here, right now. If you find your mind starts to wander, that’s okay. Find something in your surroundings to focus on that will bring you back to the here and now.
Count your breaths either aloud or in your head. This is helpful if you’re feeling stressed, nervous or overwhelmed. Breathe in for five seconds, counting 1-2-3-4-5. Breathe out for five seconds, counting 1-2-3-4-5. Simply be aware of your stressed or nervous feelings. Don’t judge those feelings or try to push them away. They will pass as you count and breathe.
Release tension in your body. Sit, stand or lie down in a comfortable position. Simply notice where you feel tense or stress in your body. When you breathe in, picture yourself gathering the stress or worry into a cloud. When you breathe out, picture yourself releasing that stress or blowing the cloud away.
Research shows that practicing everyday mindfulness is good for our physical, social and emotional health and well-being. Even if our experience in a moment is painful or challenging, we can remain open, aware and curious about it instead of running from it or fighting with it. When we remain mindful and in the present moment, we are better able to tap our deepest, wisest self and respond to hard situations in ways that reflect our core values and who we want to be in the world.
By Tyler Becker, Michigan State University Extension
Due to the importance of exercise, there are physical activity guidelines for both youth and adults. Overall, physically active youth have stronger muscles and bones, lower body fat and lower risk for depression and anxiety than physically inactive youth. Physically active youth are usually healthier adults with a lower risk for cardiovascular disease, type 2 diabetes and numerous other chronic diseases. The current guidelines for children 6 to 17 years of age include being physically active for at least 60 minutes or more each day with aerobic, muscle and bone strengthening activities.
Aerobic Activity
Aerobic or cardiovascular exercise is defined as activity in which an individual is rhythmically moving large muscle groups thereby increasing one’s heart rate and use of oxygen. In turn, this increases an individual’s cardiorespiratory fitness. Examples of aerobic activity include biking, running, jogging, swimming, jumping rope, etc. Majority of a child’s daily physical activity should be either moderately or vigorously intense aerobic activity, with the latter included in at least three days of the week. Examples of moderately intense aerobic activity includes hiking, biking and brisk walking and examples of vigorous-intense aerobic activity include running, active games with a running component like tag, some sports like basketball or tennis and martial arts.
Muscle Strengthening Activity
Muscle strengthening activity is movement in which the body’s muscles perform more work than is usually done in daily life. When we think of muscle-strengthening activity, we commonly think of lifting weights, however, this is not necessarily the case. Examples of other muscle-strengthening activities for children include bodyweight exercises like push-ups, squats or curl-ups, resistance exercises with bands, games such as tug-of-war and playing on playground equipment. Muscle-strengthening activities should be included as part of the 60 minutes or more of daily physical activity at least three days per week. For further information related to muscle-strengthening activity in younger male and female children, refer to the Updated Youth Resistance Training Position Statement from the National Strength and Conditioning Association.
Bone Strengthening Activity
Bone strengthening activity is primarily designed to increase bone strength and growth by providing an impact or tension force on the bones. Bone strengthening activities can also be muscle strengthening or aerobic activities as well. Examples of these include jumping rope, running, gymnastics, basketball, volleyball, etc. Bone strengthening activities should also be performed as part of the 60 minutes or more of daily physical activity at least three days per week.
What about children under 6 years of age?
The Centers for Disease Control and Prevention acknowledges that physical activity in children less than 6 years of age, including infants, is important, however, there currently are not any recommended guidelines. The recommendations emphasize that physical activity be performed to promote health-related fitness and movement skills that are age appropriate. For further information, refer to Physical Activity from Birth – 5 years.
Overall, youth aged 6 to 17 years of age should be performing at least 60 minutes or more of physical activity each day, consisting of primarily aerobic activity, but also muscle and bone strengthening activities at least three days per week. Michigan State University Extension recommends gradually increasing the number of days and time spent being active to help reduce chances of injury.
“Be yourself; everyone else is already taken.”
― Oscar Wilde
One hot, little number
We don’t know from whence these lists come, but apparently 4 9 5 0 8 is being hailed by Realtor.com as the hottest zip code in the entire US of A. And, it just so happens to be Kentwood’s zip code. Read all about it here.
Gobble, gobble
Mel Trotter Ministries is asking the community to donate frozen turkeys for its 15th annual ‘Turkey Drop’ project — their goal is to collect 1,500 gobblers to distribute to neighbors in need throughout West Michigan during the holiday season. They’re accepting donations Nov. 14th. Go here for more info.
Here’s to your health
Open enrollment for Healthcare.gov marketplace insurance plans ends Dec. 15th, so be sure to act now. There are some changes for 2019, and you know how time does fly when there’s a ridiculously short deadline. Go here for more info.
Fun Fact:
There is a technical name
for the “fear of long words”
It’s called “hippopotomonstrosesquippedaliophobia.”
By Eve Clayton, Spectrum Health Beat; photos by Chris Clark
Kathy Earle had her right hip replaced the first Monday in June. Two days later, she found herself recovering at home and ready to climb the 14 stairs to her second-floor bedroom.
With her daughter, Emily Adamczyk, behind her for support, Earle, 62, recited the rule she learned from the staff at Spectrum Health Blodgett Hospital, where she had her surgery: “Up with your good leg first, down with your bad leg first.”
The mother and daughter had picked up that tip and many others when, a few weeks before her surgery, they attended a joint replacement class for patients and their caregivers.
Adamczyk heard this tip again just before discharge, at a new class offered for caregivers of hip and knee replacement patients.
Ready to go
Photo by Chris Clark, Spectrum Health Beat
The pre-discharge class packs a lot of information into a half hour, including cautions and reminders. The class made Adamczyk more comfortable with the idea of being her mom’s at-home caregiver.
“Seeing what she was capable of in the hospital was great, but then it was like, ‘Oh boy, now I have to support her by myself,’” she said. “To have a chance to sit down and hear it all again in class was really helpful.”
In addition to providing information about helping patients move around safely, the class—co-taught by a registered nurse and a physical or occupational therapist—covers several other topics, including:
Wound care
Pain medications and pain management
Preventing blood clots, infections, constipation and falls
The orthopedics team rolled the class out in March to give caregivers more confidence as they take their loved ones home, according to Liz Schulte, MSN, RN, nurse manager.
“Our patients are seeing shorter and shorter times in the hospital, and when they go home they still have a long road of recovery ahead,” Schulte said. “So to prepare that caregiver, who will be the one helping them with their medications, helping them ambulate—all of these hands-on things—it better sets them up for success.”
Consulting her class notes at home helped, too, Adamczyk said. When her mom’s leg began to swell, she checked a class handout to confirm that swelling is a normal part of the healing process.
“I think that if I didn’t know that, I would have been nervous,” she said.
Spectrum Health’s joint replacement program is one of the largest in the country and one of the first that The Joint Commission certified for total hip and total knee replacements.
“Part of the certification process is looking at your whole program and looking at what you can improve,” Schulte said, noting the program’s recent re-certification. The joint replacement discharge class is a step toward improved patient outcomes.
Freedom from pain
From Earle’s perspective, her outcome has been “amazing.” Just nine days after surgery—about a week ahead of schedule—she abandoned her walker and began using a cane to get around the house.
“Each day there’s something that gets a little easier. Each day it gets stronger,” said Earle, a retired elementary school teacher who lives outside Rockford, Michigan. “It’s amazing what the human body can do.”
Photo by Chris Clark, Spectrum Health Beat
Her right hip replacement has gone so well that she even plans to ask her surgeon, Thomas Malvitz, MD, about moving up the date of her eventual left hip replacement, she said. After dealing with arthritis pain for more than two years, she’s excited about the prospect of being free of pain.
“She loves to travel and has gone a lot of places with this sore hip, but it has slowed her down a lot,” Adamczyk said. “It was affecting her quality of life.”
Once Earle’s post-surgery driving restriction is lifted, one of her first trips this summer may well be to Lake Michigan.
“I definitely am looking forward to walking on a beach,” she said. “I think that would be an awesome thing.”
By Dr. Nancy A. Pattison, FAAP, Child and Adolescent Psychiatrist, Heart of the City Pediatrics and Westside Health Center
Parents need to understand the behaviors they see are not on purpose. Their kids aren’t acting “bad” on purpose. All kids are born “people pleasers” and are trying to do the best they can. When they are not acting the way you think is healthy, please find out why they are acting this way and what you can do to help them. A good child therapist can help if you need to change how you parent your child in order to get the best out of them. Without being rude, I would ask you to consider how dogs are taught to not potty in the house. You train them with kindness and attention to let you know when they need to go outside. The same goes for kids in many ways. As kids don’t come with an instruction manual at birth, getting “training” advice may be helpful! Here are some ways to keep your child healthy:
Make sure they get 8-10 hours of good sleep (if your child snores talk to their primary care doctor and get that fixed!).
Eat food that is pulled off a tree, off a bush or out of the ground – not out of a box. Processed foods (food out of a box like cereal and mac and cheese) are bad for the brain.
Eat good protein (eggs, nuts, beans, chicken, turkey and some fish) and good fat.
Avoid fast food.
Help them go out and play in a green space (and away from video games and TV).
If medication is prescribed, know that it will work better if you do all of these things listed! Enjoy your talented, think outside the box, creative child!
By Brenda Long, Michigan State University Extension
For more information contact Brenda Long.
Health insurance helps provide financial protection. It is for managing the risks of very high medical expenses for potential future health problems. Plan your choices during health insurance open enrollment for 2019. If you obtain health insurance from your employer, ask about the enrollment dates and options. The information below is for people buying health insurance on their own.
Changes for 2019 include the following:
1. Premiums have flattened out for 2019 Health Insurance Marketplace plans after several years of spikes, according to the Michigan Department of Insurance and Financial Services. Consumers should find more affordable, more comprehensive coverage. In Michigan, nine companies will be competing for policy holders to purchase Qualified Health Plans in the Michigan Health Insurance Marketplace:
Blue Care Network
Blue Cross Blue Shield of MI
McLaren Health Plan Community
Meridian Health Plan of MI, Inc
Molina Healthcare of MI
Oscar Insurance Company
Physicians Health Plan
Priority Health
Total Health Care USA
2. The repeal of the individual mandate requirement to pay for health insurance is still in effect in 2018 but will not be included in 2019. This means when you file federal income taxes for 2019, you will not pay a penalty for not having health insurance.
3. Short-term, limited-duration plans are allowable to cover an initial period of less than 12 months with renewal options, and up to 36 months total. This provides for new, more affordable options. These plans can provide coverage for people transitioning between jobs, students taking time off from school, and middle-class families without access to subsidized ACA plans. These plans offer lower premiums than comprehensive health insurance, but also cover less. They do not have to take people with pre-existing medical conditions. They may not cover maternity, mental health, prescription drugs and substance abuse treatment. Read the fine print if you are considering this coverage.
Not new but important to mention are Health Savings Accounts (HSA), which can be set up through your employer or by an individual. These tax-exempt accounts can be used to pay for eligible out-of-pocket health care expenses not covered by traditional health plans. HSAs must be established with a high deductible plan so that the HSA pays for routine health expenses and the health plan for more significant costs. Individuals can go to many banks and credit unions in Michigan to set up an account.
Know the dates of the Open Enrollment period. The Health Insurance Marketplace has a 45-day enrollment period from Nov. 1 to Dec. 15, 2018. The Medicare open enrollment period is different from the Marketplace time frame, from Oct. 15 to Dec. 7, 2018. If you qualify for the Healthy Michigan Plan, Medicaid or MiChild, you can enroll at any time of the year.
Ask your employer if it offers health insurance as a benefit. Some employers make use of the Small Business Health Options Program (SHOP) for employees. If not, you may need to get coverage through the Marketplace, or directly from a health insurance agent or company.
Make a list of questions before it is time to choose your health plan. Do you want to stay with your current doctor? Will the plan provide coverage when you are travelling? This will help you compare multiple plans. Have you received a notice from your current health plan about changes to its provider network, co-pays, co-insurance, or prescription drug coverage and what does this mean for you? Read the notice carefully.
Gather your household income information. With the Marketplace, many people qualify for tax credits to save money based on family size and income. Find your most recent W-2, pay stubs or tax return.
Set your budget. You need to figure out how much you can afford to spend on premiums each month. Think about your health care needs, how often you visit the doctor, the number and cost of prescriptions. If you expect frequent visits, prescriptions or medical services, you might want a plan that has higher monthly premiums but pays more medical costs when you use them, so you have fewer out-of-pocket costs. For more information about managing plans with high deductibles, see my February 21, 2017, news article.
Setting family rules is the first step to establishing boundaries for your child’s behavior. Rules tell your children what you value, what is important to you and your family. When rules are enforced, it is an opportunity for children to practice making decisions and dealing with the consequences of their choices. Boundaries that you set will help guide your child’s behavior.
Keep the rules simple. The more complicated a rule, the harder it is to remember. Keep your rules short and simple so it is easier for young children to learn and remember. Rules for young children should be very easy to understand and there should be as few rules as possible.
Make sure rules are enforceable. Rules or boundaries should be connected to consequences, or what will happen if the rule is broken. Set consequences that are fair and reasonable and give your child the opportunity to learn to make better choices in the future.
Enforce rules consistently. If a rule is only enforced some of the time, your child will notice and they will learn that the rule doesn’t need to be followed. Make sure you enforce rules consistently and as soon as possible. This helps build a cause-and-effect relationship for your child (if I do this, then this will happen). This will help them learn to make better choices in the future.
Remind the rule. Kids need lots of reminders about rules and boundaries. Post a picture chart for your family rules in the house where your child will be able to see them regularly. Remind your child of the rules often, and give the warnings so they have the opportunity to change their behavior before facing consequences.
Remember that rules are for everyone. If you set a rule for your family and you break it, you are sending a message to your child that you do not value that rule. It’s important to practice what you preach and impact upon your child that the rule is so important, even you will follow it.
Family rules can help calm the chaos and set limits that will help your child understand boundaries and learn to make good choices.
For more articles on child development, academic success, parenting and life skill development, please visit the Michigan State University Extension website.
To learn about the positive impact children and families experience due to MSU Extension programs, read our 2017 impact report. Additional impact reports, highlighting even more ways Michigan 4-H and MSU Extension positively impacted individuals and communities in 2017, can be downloaded from the Michigan 4-H website.
Earning a degree in your later years isn’t just a matter of career advancement or personal achievement—it’s another way to stay sharp. (Courtesy Spectrum Health Beat)
By Shawn Foucher, Spectrum Health Beat
Researchers have long held that a heart-healthy diet and an active mind are among your best defenses against dementia.
But evidence continues to mount that you should also strive for a life of learning.
Recent studies suggest that mental stimulation at any age—from teens to post-retirement—is apt to improve the odds of enjoying a sound, healthy mind well into your twilight.
JAMA Neurology recently published results from a Minnesota study that found people ages 70 and older could decrease their risk of developing mild cognitive impairment by engaging in activities such as books, crafts, computers, games and socializing.
Interestingly, crafts and computers were especially associated with a decreased risk, according to the study.
Perhaps more compelling, however, is a separate JAMA Internal Medicine study that found an increase in educational attainment when you’re young may lead to a healthier brain in later ages.
Helmed by professor Kenneth Langa, the study reinforces what other researchers have been noticing—an unexpected but encouraging decline in dementia rates among the aging population in the U.S.
Langa and his team uncovered the association between dementia and educational attainment.
They measured dementia rates in two groups, one with an average age of 75 in 2000, the other with an average age of 75 in 2012. They found the dementia rate at 11.6 percent in the first group, 8.8 percent in the second group.
While those in the first group had attained about 11.8 years of education, on average, those in the second group attained about 12.7 years—almost a full additional year.
Coincidentally, the increasing value Americans have placed on education is borne out in the historical data. Prior to World War II, about 38 percent of those ages 25 to 29 had completed high school. By 1960, more than 60 percent in this age group had completed high school.
In comparing earlier generations to subsequent ones, it may suggest a greater return than expected on education: brain health benefits.
The notion that education could promote longer-term brain health is certainly not lost on the legion of gerontologists and neurologists responsible for treating some of the 5 million Americans living with Alzheimer’s, and millions more suffering from various forms of dementia.
“We know from other studies that education does appear to be a protective factor, so folks with more education are less likely to develop dementia,” said Maegan Hatfield-Eldred, PhD, a neuropsychologist with Spectrum Health.
“The idea is that education, learning new things, stimulates the parts of the brain that produce new cells and grow connections between cells,” Dr. Hatfield-Eldred said. “So people with more education have more brain matter that they can lose, and still maintain normal functioning.”
The implication here, of course, is that this brain stimulation and development occurs in youth and continues to benefit people into old age.
The takeaway: Brain health isn’t something to ruminate post-retirement.
It’s something parents should keep in mind for themselves and their children from the get-go, with consistent emphasis on education and intellectual development.
“It really emphasizes the importance of thinking about brain health over your lifespan,” Dr. Hatfield-Eldred said. “This isn’t something you should think about when you turn 70. It’s really a lifetime thing. The things you do over your lifespan impact whether you may develop dementia down the road.”
Ponder it
A question remains: What can you do now, as an adult, to increase the chances you’ll have a healthy brain into your 70s, 80s and beyond?
While age is the biggest determinant in the development of Alzheimer’s and forms of dementia, genetic factors also play a substantial role. There is currently no cure for Alzheimer’s, although some medications can alleviate the symptoms.
“The No. 1 risk factor for Alzheimer’s disease is your age,” said Iris Boettcher, MD, chief of geriatrics for Spectrum Health. “The older you get, the higher the risk.”
You can’t change your genes, but you can change your lifestyle.
Activities that require mental concentration are all apt to help with cognitive function, Dr. Boettcher said.
“The advice I give, even once the diagnosis of dementia is made, is we know that regular mental stimulation is helpful in reducing the progression of the disease,” she said.
Dr. Boettcher is especially keen on discussions and activities that encourage higher-level thinking.
“People say reading, and reading is OK, but it’s really discussing what you have read,” she said. “You can read things over and over again, but it’s not necessarily constructive brain stimulation.”
While that’s no call to run out and enroll in the physics track at your local university, it is a call to challenge yourself mentally.
“It’s not a cure-all,” Dr. Hatfield-Eldred said. “But in general, we know that people who stay (mentally) active have lower (dementia) rates. It may prolong the onset of dementia if you are someone who was going to develop dementia. Maybe you’ll get it later than you would, or maybe it will progress more slowly than it would have without those activities.”
Drs. Hatfield-Eldred and Boettcher also emphasize the importance of regular exercise—at least three times a week, about 20 to 30 minutes each time—and a heart-healthy diet such as the Mediterranean diet.
“It’s been shown in multiple studies: It reduces the progression of dementia and it’s healthy for the brain,” Dr. Boettcher said. “You don’t have to be a marathon runner or work out in a gym. It’s very simple.”
The take-home message from these studies: “There’s no one magic activity,” Dr. Hatfield-Eldred said.
He echoes the sentiment that cold weather is particularly tough on lungs and provided some of his top advice for how to stay active.
4 easy ways to help combat the wheeze:
1. Cover your mouth and breathe through your nose
Before heading outside make sure to cover your mouth with a scarf, turtleneck, neck gaiter or whatever you prefer. Covering you mouth helps warm up the outside air before it enters your lungs.
Dry and cold air is a prime trigger for airway narrowing, notes the Asthma and Allergy Foundation of America, and focusing on warming and humidifying the air you breathe is key.
Breathing through your nose helps.
That may sound like a request from Ms. Manners, but breathing through your nose will help warm the air before it enters your lungs.
“We prefer that children stay active and involved in sports, even in the winter,” Dr. Schuen said.
He works with kids and teens who have cold-induced asthma to avoid issues when braving the outdoor temps. Sometimes that means suggesting the use of inhalers and medications “before going out into the cold Michigan winter.”
“This is in addition to covering your mouth with a scarf or face mask,” he added.
2. Take your exercise inside
Up to 90 percent of people with asthma encounter breathing difficulties while exercising. When you exercise, you generally breathe through your mouth, and the symptoms will only get worse if you’re breathing in cold or dry air.
For some people, this might include limiting activities like shoveling snow or playing outside in the winter months.
Consider taking your exercise indoors. Join a gym, invest in indoor exercise equipment, or learn some indoor routines that will keep you feeling great.
Definitely talk with your doctor about what you can do to prevent flareups while working out, such as warming up, pacing yourself, taking your medication prior to exercising, or the specific types of exercise you might want to consider. Sometimes short bursts of exercise or more leisurely exercise like walking or swimming work best.
3. Skip the cozy wood fires
We all know that cigarette smoke irritates asthma but did you know that fire smoke can have the same effect?
Wood smoke contains benzene, formaldehyde, acrolein and methane. Small particles from the smoke can lodge inside the lungs, sometimes deep, aggravating asthma and causing other breathing issues.
Gas fireplaces are a bit better, but they still release nitrogen dioxide, which can irritate the lungs.
Another note in this area: Make sure to replace your furnace filter and vacuum your indoor space frequently during the winter to keep allergens such as smoke particles, mold and pet dander low.
4. Keep germs at bay
According to the Asthma and Allergy Foundation of America, as many as eight out of 10 asthma attacks in children and four out of 10 in adults are triggered by viral infections.
Between RSV, the common cold, and the flu, winter is rife with viral hurdles. Get vaccinations, when possible. Wash your hands frequently, use hand sanitizer frequently, and try to steer clear of those who are sneezing or coughing around you.
Sometimes an infection can’t be avoided, so if you start to fall ill, stay home and keep yourself well-hydrated. Talk with your doctor about when you should seek medical care, or consider a MedNow video appointment so you can get treatment while at home. Try to keep your cold from turning into something more serious.
As the days draw shorter and temperatures decrease, we know that the holiday season is upon us. Not only do we usually indulge ourselves during this time, but we also become less physically active.
It is not surprising that the average American gains about a pound this time of year.
There are numerous reasons for this weight gain, especially the overall busyness we tend to have, with parties and preparing for them. Outside of the usual overindulging we go through with at the table, these busy schedules often cause us to reach for more convenient options that are not necessarily the most nutrient-dense.
What are some approaches we can use year round, but especially at this time of year to minimize or prevent weight gain?
Methods to Utilize When Eating This Holiday Season
There are numerous techniques that can be employed to help us enjoy eating during the holiday season, while not going overboard by eating too much. One of these options is to utilize mindful eating practices, as described in previous articles. Mindful eating allows you to checking in with yourselves to see if you are actually hungry, gives you time to appraise and admire your meal, encourages slowing down your eating, lets you savor and taste every bite and helps you stop when you are full.
Another method is to substitute foods with lower calorie options. This could include using sugar substitutes during baking to maintain the sweet taste we enjoy in our desserts, but reducing the number of calories we consume. Other options could be using low fat or fat-free substitutes. One could also load up on more nutrient-dense foods such as fruits and vegetables, but also include some dessert. Other helpful hints for eating during the holiday season can be found here.
Physical Activity During the Holidays
Although the holiday season is upon us, this is not a reason to give up on your current physical activity habits. The best recommendation is to maintain your current physical activity schedule, whether that is going to the gym or outside for a run. However, the busyness of this time of year, plus changes in the weather, are not necessarily conducive to performing physical activity. There are approaches to this dilemma. For example, if you currently run outdoors, you may have to make some modifications such as running on an indoor track, or taking up cross-country skiing or snowshoeing.
To prevent extra weight gain, the simplest method is to burn, or expend, more calories. This could be as simple as adding an extra workout day, or encourage some family bonding time and going for walks. Remember, although you may miss a workout or two, it is not the end of the world nor the most important part of the holiday season.
This time of year, we usually consume more foods, especially the sweet ones, and perform less physical activity, however, there are numerous methods we can employ to help us still enjoy the holidays, without gaining that extra pound of body weight. This could be changing the way we eat, or performing extra physical activity. Regardless, we should also utilize these methods throughout the year.
Researchers recommend exercising about 150 minutes each week, including some strength-training exercises. (Courtesy Spectrum Health Beat)
By Kim Delafuente, Spectrum Health Beat
New studies continue to add credence to the critical link between good brain health and regular exercise.
A recent study by researchers in Texas, for instance, published in the Journal of Alzheimer’s Disease, found an association between higher levels of cardiorespiratory fitness and better “fiber integrity” in the brain’s white matter.
This correlated to better “executive function performance” in patients with mild cognitive impairment, according to the study.
These types of contemporary findings abound, with researchers perpetually seeking to understand the connections between brain health and physical activity.
What we do know is that physical activity is proven to reduce stress, improve mood, increase self-confidence, improve memory, reduce symptoms of depression and reduce the incidence of Alzheimer’s disease by up to 50 percent.
But what’s really going on under the hood? Let’s take a look at some known areas.
Hippo power
The area of the brain responsible for memory formation, the hippocampus, shrinks as a normal process of aging. In people who are physically active, however, the hippocampus can actually increase. This tells us exercise aids in the growth of brain cells in certain areas of the brain.
Neural nitrogen
Physical activity increases brain-derived neurotrophic factor, which acts as something of a brain fertilizer. It is essential to learning and memory. The increase here not only helps with brain cell interconnectivity, it also aids in the growth of new brain cells.
Anti-depressant
In some cases, exercise can generate the same effect as an anti-depressant in those with mild depression. Research shows that active people tend to be less depressed, which means that exercise may benefit those who suffer from depression.
Brain-building
Physically active children may reap the benefits in a number of areas, including better performance on tests, fewer behavioral problems and improved retention of information.
Stress, anxiety reliever
Exercise can help the body respond better to anxiety disorders. A study by researchers in Chicago also found modest evidence to support the notion that “regular exercise protects against the negative emotional consequences of stress.”
Exactly how much physical activity is needed to reap brain benefits?
As it applies to healthy adults, the Centers for Disease Control and Prevention recommends 150 minutes of moderate physical activity each week, as well as some muscle-strengthening activities two days a week.
The activity should be hard enough to increase your breathing and heart rate.
One recent study found that people who exercised more than an hour each day had healthier brain characteristics compared to people who exercised less.
But you don’t have to dive in headlong. If you are currently inactive, start with just a 5- or 10-minute walk each day. Something is always better than nothing. A small amount of exercise can be enough to put you in a better mood and increase your energy.
But keep in mind that the level of fitness and endurance may matter in the long run. A higher endurance level is related to better cognitive abilities.
The more exercise you do, the greater the benefits!
"It occurred to me at one point it was like I had two diseases — one was Alzheimer's, and the other was knowing I had Alzheimer's."
- Terry Pratchett
What’s next in battling Alzheimer’s?
“Alzheimer’s Disease: A Look into the Future” is set for Monday, November 12, 6:30-7:30 p.m. in the L. William Seidman Center, 50 Front Ave. SW, on Grand Valley’s Pew Grand Rapids Campus. The event is free and open to the public. For the complete story, click here.
What’s new (soon) at Ford Airport?
Construction on the second phase of the Gateway Transformation Project begins today at the Gerald R. Ford International Airport (GFIA), and will continue through Summer 2020. For the complete story, click here.
What’s the deal with ‘Strive for Five’?
The straightforward message behind “Strive for Less than 5”, the countywide campaign to reduce absences: The more school a child misses, the further they fall behind and the more at risk they are of eventually dropping out. For the complete story, click here.
Fun Fact:
5.0 million vs. 5.5 million
In fall 2018, about 1.4 million children are expected to attend public prekindergarten and 3.6 million are expected to attend public kindergarten. (Source) In contrast, An estimated 5.7 million Americans of all ages are living with Alzheimer's dementia in 2018. This number includes an estimated 5.5 million people age 65 and older and approximately 200,000 individuals under age 65 who have younger-onset Alzheimer's. (Source)
Anxiety disorders are highly treatable, yet only 36.9 percent of those suffering receive treatment. (Courtesy Spectrum Health Beat)
By Maura Hohman, HealthDay
A little bit of stress can motivate you, but too much might cause an anxiety disorder that can prevent you from living your life to the fullest.
If you feel anxious on a daily basis, try making changes to your lifestyle to manage anxiety on your own.
Exercise regularly to release the body’s endorphins, natural feel-good chemicals. Set a goal of 30 minutes at least five days of the week.
Be sure to get enough sleep, typically between 7 and 8 hours every night.
During waking hours, take short breaks from whatever stresses you out. Meditation and listening to music are great ways to clear your head.
Eat healthy and don’t skip meals.
Limit alcohol and caffeine, which can worsen anxiety and trigger panic attacks.
If adjustments to your routine don’t lessen your anxiety, talk to your doctor, especially if anxiety or depression run in your family. You could have an anxiety disorder.
Keep a symptom diary and be alert for the warning signs of an anxiety disorder.
Possible anxiety disorder symptoms include:
Constant worry.
Avoiding social situations.
Panic attacks.
Nightmares.
If you’re diagnosed with an anxiety disorder, stay positive. There are many treatments available, such as cognitive behavioral therapy to help you change your thought patterns. Also, there are other types of therapy, medication, and simple adjustments to your daily routine.
Most important is finding a therapist you’re comfortable working with and who’s experienced in treating anxiety disorders.
By April Johnson, Women’s Health Outreach Specialist AmeriCorps Member at Heart of the City–West
Nearly 40,000 women die each year from breast cancer, and it can’t be stressed enough that mammograms can help save lives. Health care experts say the best way to survive cancer is to find it early, when it is most easily treated. Knowing the basic facts about mammograms could save your life or the life of someone you love.
What is a mammogram?
A mammogram is a low-dose X-ray picture of the breast.
Why should I have a mammogram?
Regular mammograms are the best way to find breast cancer early. They can find breast lumps that are too small for a woman or her doctor to feel.
When should I start having mammograms?
Annual mammograms are recommended starting at age 40, along with a breast exam by your health care provider. Women in their 20s and 30s should have a breast exam by their doctor about every three years.
Who gets breast cancer?
All women can get breast cancer, even those who have no family history of the disease. The two most important risk factors are being a woman and growing older. The risk increases as women get older.
Are mammograms painful?
Although everyone’s pain tolerance is different, the compression involved in a mammogram is usually described as temporary discomfort. Your breast might be more sensitive just before or during your period, so you might want to avoid scheduling your mammogram during those times.
How can I be vigilant?
Women should know how their breast normally look and feel. Any changes, such as a lump, thickening, liquid leaking from the nipple, or changes to the nipple should be reported to their health care provider.
No amount of running or other exercise massages our insides and settles or resets our mood the way laughter does.
By Tracie Abram, Michigan State University Extension
Not only is laughter universal, it is ageless. Picture a baby’s first belly laugh or seeing an older adult’s eyes light up with laughter. No matter what your age, laughter is good medicine and is an exercise everyone can enjoy doing. Laughter therapy has been practiced for centuries to help heal and today laughter is fast becoming the preventative exercise of choice due to its physical, mental, emotional and spiritual powers.
In the book, Laughter Therapy, by Annette Goodheart, Ph.D.; a whole chapter is dedicated to the physical benefits of laughter. You learn that laughter engages every major system in the body. Have you ever fallen out of your chair laughing or seen kids fall onto the floor and spitting food out of their mouths from laughing? Yes, it is known to cause us to wet our pants occasionally too! When we laugh, we literally lose muscle control.
The diaphragm is a muscle that separates our abdominal cavity from our chest cavity and is the only muscle in our body that is attached to other muscles. When we laugh, our diaphragm convulsively pulls on our side muscles and shakes up our stomach and other vital organs. We get an internal massage, which leaves our organs invigorated, juicy, pumped-up and alert.
Laughter has been clocked exiting our lungs at speeds up to seventy miles per hour. Needless to say, it gives our respiratory system a massive work out. Laughter sessions can provide a cardiovascular, pulmonary workout as well as massage your insides.
No amount of running or other exercise massages our insides and settles or resets our mood the way laughter does. People of all ages can do it together and it’s fun.
Laughing to relieve stress
Negative stress is both mentally and physically draining and can manifest as physical illness if not identified and managed. Laughter can help you manage stress similar to how physical exercise does. Laughter is both a pulmonary and cardiovascular workout in that it makes the heart and lungs work faster, which in turn pumps oxygenized blood to your cells faster, this stimulates your brain to make you more resilient to stressors.
Laughter is free, natural and you can access it easily. In fact, as Goodheart explains you don’t even need to find something funny or be feeling happy to practice laughter and benefit from it.
Don’t let emotional tension build to the point of tears. Set a goal to be aware or mindful of how many times per day you laugh. Think of it as an attitudinal exercise for your mind. Schedule time to practice laughter or join a laughter club.
Laughter education
Laughter education comes in a wide variety of forms and can be called clubs, classes, circles, programs or sessions. The most beneficial of these involve systematic programmable activities, typically provided in a group setting that provides laughter exercise and attitudinal mindfulness to achieve general or targeted goals. Laughter session objectives can include:
Increase awareness about attitudes and feelings towards laughter.
Provide opportunities for individuals to laugh.
Promote laughter in everyday life.
Provide respite from daily stress and worries.
Teach how laughter can be an effective mood regulator.
Encourage healthy choices and laughter, humor and mirth as self-care strategies.
Depending on the setting, individual participation in a therapeutic laughter program can be encouraged as a way to meet individual goals such as socialization, emotional expression, communication, focus, concentration and use of muscles and joints.
Raising young children can be stressful and from time to time it can take its toll on parents and other caregivers. Self-care is a crucial way to ensure adults caring for young children are prepared to invest the time and energy they need to be the best caregivers they can be. If you aren’t taking care of yourself, you may not have much left to give your children.
Make sure your basic needs are met. In the hustle of trying to take care of young children, the needs of parents and caregivers often get overlooked. Think about the energy you invest in making sure your child’s needs are met. You make sure they get enough to drink and eat, provide enough time for them to get the restful sleep they need as well as the exercise and time to play—do you do the same for yourself?
Make it a routine. Just like you develop routines for your child, make self-care part of your daily routine. Come up with simple routines you can do to help you relax and unwind and take care of yourself. Maybe it’s taking a quick walk by yourself a few days a week or making time to bake if that’s a hobby you enjoy.
Start small. Big changes can seem intimidating, so don’t think of increasing your self-care as something big you have to do overnight. Break up the task into small pieces and find something small to start with, like challenging yourself to drinking less caffeine to help you sleep better at night. Try writing down your goals and keeping track of your efforts—this can help motivate you to keep going and is a great way to see your progress. Once you have incorporated that change, try making another small change.
Model self-care for your child. Let your child know what you’re doing and why self-care is so important. You can tell them, “This is Daddy’s time to himself. When I go for a walk alone it gives me time to think and helps me feel calm and relaxed.” Children learn from watching us and when we show them we value self-care, they learn to value it too.
Investing in your own well-being is a way to invest in your child’s well-being. Take the time to nurture yourself so you have the energy and motivation to nurture your child.
For more articles on child development, academic success, parenting and life skill development, please visit the Michigan State University Extension website.
To learn about the positive impact children and families experience due to MSU Extension programs, read our 2017 impact report. Additional impact reports, highlighting even more ways Michigan 4-H and MSU Extension positively impacted individuals and communities in 2017, can be downloaded from the Michigan 4-H website.
By Terry Clark-Jones, Michigan State University Extension
Is there a way to fight fairly? Yes, there is! Resolving conflicts with positive communication can bring people closer together and make relationships stronger. Below is one way you can begin to learn how to deal with conflict fairly, as well as teach those close to you how to fight fair. This works best in close relationships, such as those involving parents, partners, spouses, children, other family members or roommates. Begin by setting some time to explain conflict resolution to everyone in the household. Each person needs to be willing to follow the steps and a chance to practice.
Start with an agreement –Agree that conflicts exist in order to reach common ground at the end of the disagreement. Therefore, trust, love, respect, caring and kindness are key elements in every disagreement.
Stop and think — The next time you find yourself arguing with someone close to you, stop and think about your anger threshold, that point at which you know you are losing it. This is the point at which you can most effectively make changes. At lower levels of frustration, we are all capable of some self-control.
Code word — Choose a code word for anger thresholds. All household members must agree to respect the code word. You can call the code word yourself, if your own anger has reached your threshold or somebody else can call the code word, if they see anger rising in you or in someone else. Give everyone a chance to practice using the code word. For example, “I am calling a time out”.
Calm down — When someone calls the code, everyone must stop talking and moving for one minute. During that one minute, everyone should try to relax physically and think calming thoughts. Be a model of calm.
Come back and try again — Once everyone is calm, discuss the problem using “I statements”. At the end of one minute, someone can ask, “Are we calm enough to talk?” If everyone answers “yes,” you can start to work on a solution together. You may decide that more time is needed to calm down. If that is the case, each person needs to go to a separate place for some quiet time.
Be specific — Individuals need to be specific about what is bothering you. Accept statements and try to understand them for what they mean.
Keep the issue in the present — Do not bring up previous incidences, previous fights, actions, inactions or behavior which have nothing to do with the topic of the current fight. No one can fix an always or never situation such as, “you have always been stubborn” or “you never listen to me.”
Use respectful language — No name calling, swearing, insults, threats or intimidation. This creates an atmosphere of distrust, more anger and vulnerability.
Use calm voice — No raising your voice and dominating the conversation. Do not attempt to control by out-shouting or making more noise to drive home a point.
Name it to tame it — Always acknowledge the other’s basic feelings. For example, “I understand you are feeling frustrated right now, and I am glad you shared that.”
In the end of a fight or conflict, the ultimate goals is for individuals involved to come away feeling respected, understood and committed to change some behavior that may be irritating or difficult for another to accept. Compromise is always a win-win resolution to conflict.
With some or all of these guidelines in place, conflicts will become less destructive and with more constructive expression of anger.
Since 2015, Chronic wasting disease (CWD) has been found in deer in several of Michigan’s Lower Peninsula counties including Clinton, Ingham, Ionia, Kent, and Montcalm, as well as most recently in October 2018 in Michigan’s Upper Peninsula Dickenson county. Deer hunters should be aware of how easily CWD can be transferred to in cervids such as deer, elk or moose.
CWD is a neurological disease that affects cervid animals. It can be transmitted through direct animal to animal contact or contact with saliva, urine, feces, blood, and/or certain carcass parts such as brain tissue and spinal cord of an infected animal.
Hunters need to be aware that the disease can also be spread via infected plants and soil. Prions, which are single proteins that cause the infections, are not easily killed by traditional strategies such as heat. Research from The University of Texas Health Science Center at Houston has shown prions have been able to bind to the roots and leaves of wheat grass plants when incubated with contaminated material, even in highly diluted amounts. They also found that plants grown in infected soil can transport the deadly prions. Hamsters fed the contaminated plants contracted CWD in the research project.
Although current research has found no direct link from CWD to variant Creutzfeldt-Jakob disease (vCJD), the Centers for Disease Control and Prevention recommend not consuming venison from infected deer. Michigan State University Extension highly recommends that venison from a positively infected CWD deer not be consumed. When in doubt, do not consume the venison and properly dispose of the entire carcass. This brief background is meant to emphasize that CWD is a serious emerging disease in Michigan and hunters can take steps to prevent the spread of it.
Several pairs of tight-fitting, disposable gloves — these not only can protect hunters from disease but also assist in keeping the deer carcass clean during the dressing process.
Clean, sharp knife to make cuts and split carcass. Use separate knives from your household knives.
Pre-moistened wipes and/or container of clean water to maintain sanitation of knife and saw.
Strings about six to eight inches long to tie off the anus and assist in other dressing procedures.
Large resealable food grade plastic bag to place the heart and/or liver.
Clean, dry towels or paper towels to dry the carcass with after washing.
Rope to tie legs apart or drag deer.
Kill tag attached to a string.
Multiple non-porous disposable trash bags if hunting in the CWD core management zones to dispose of all carcass parts, including guts, and remove them from the environment.
All deer harvested in the Michigan CWD Core Area (Ionia, Kent, Mecosta, Montcalm, and Newaygo counties) and Management Zone (Calhoun, Clinton, Eaton, Gratiot, Hillsdale, Ingham, Ionia, Isabella, Jackson, Kent, Mecosta, Montcalm, and Newaygo counties), cannot be moved out of those areas unless:
It is deboned meat, quarters or other parts of a cervid that do not have any part of the spinal column or head attached, antlers, antlers attached to a skull cap cleaned of all brain and muscle tissue, hides, upper canine teeth, or a finished taxidermist mount; or
The head is submitted at a designated DNR drop off locations within 24 hours after killing the deer. Drop-off locations include DNR check points, drop boxes and some venison processors.
Carcasses can be moved into the CWD Core Area from a CWD Management Zone county with no restrictions. Hunters may not take a deer from the CWD Core Area into the CWD Management Zone for processing unless the conditions above are met.
Is your memory failing you? Don’t assume the worst. You may have a reversible condition. (Courtesy Spectrum Health Beat)
By Diane Benson, Spectrum Health Beat
Brain fog … Can’t clear the cobwebs … I know I know this … Wait, wait, don’t tell me … Really, it’s on the tip of my tongue.
What did I do yesterday? (Hmmm. Good question).
If this sounds like your state of mind (or lack thereof), you may have dementia.
Hold on. Don’t panic.
Dementia, defined as problems with memory or thinking and changes in personality or behavior, can be reversible.
In fact, more than 50 conditions can cause or mimic the symptoms of dementia.
“Short-term memory loss, like difficulty remembering recent events, is often the most pronounced symptom of both reversible and non-reversible dementias,” said Maegan Hatfield-Eldred, Ph.D., a clinical neuropsychologist with Spectrum Health Medical Group.
Common causes of reversible dementia include depression, vitamin B12 deficiency, drug or alcohol abuse and under-active thyroid.
“We associate the word ‘dementia’ with permanence, something that’s going to get worse or is incurable,” Dr. Hatfield said. “But with these conditions, symptoms subside, or are reversed, when the underlying problem is treated.”
Many medications can also cause dementia-like symptoms.
As we age, the liver and kidneys don’t work as efficiently so drugs tend to accumulate in the body, become toxic and cause problems. Elderly people in poor health and those taking several different medications are especially vulnerable.
Stressed-out caregivers beware
Another increasingly common cause for scary dementia symptoms is stress. And those overwhelmed by caring for others are particularly at risk.
“So-called ‘caregiver dementia’—cognitive and memory issues brought on by the stress of caring for a loved one—is a very real phenomenon,” Dr. Hatfield said.
Fortunately, caregiver dementia is reversible. Symptoms go away when the stress and depression are resolved, which can be particularly reassuring for those immersed in primary caregiving for a loved one with Alzheimer’s.
“These folks start to notice similar symptoms in themselves and think, ‘I have this, too,’” Dr. Hatfield said. “But it’s because they see and experience (the dementia) day in and day out. And that’s extremely stressful. It’s tough managing their own lives and caring for someone else, too.”
What’s typically at work here is the stress hormone, cortisol, she said. Chronic stress can affect the ways in which our brains function in the present, and may seriously alter our brain health in the years to come.
Chronic anxiety and depression also affect brain function and behavior.
“It’s so important to get help, to be proactive in overcoming these feelings and address any issues,” Dr. Hatfield said. “Don’t let things go or build up. Stress reduction is something to take very seriously.”
Younger people are not immune either, she said. Pronounced and dramatic memory issues due to extreme stress can happen to people in their 20s and 30s.
Is it dementia or something else?
Some reversible dementias are easier to diagnose than irreversible dementias because they can be identified by medical tests. Others are more difficult to pin down.
To tell for certain, Dr. Hatfield advises seeing a neuropsychologist for testing. She suggests using age to help determine when, or if, testing is necessary.
“If you’re under age 50, we tend to be less concerned about a non-reversible dementia like Alzheimer’s disease because they’re incredibly uncommon in younger adults,” she said. “Instead, we look at stress, depression or other medical conditions first.”
But if you’re over age 65 and notice memory problems it’s a good idea to get it checked out with a full neuropsychological evaluation.
“Everyone has challenges with memory and thinking at one time or another,” Dr. Hatfield said. “Neuropsychological assessment measures how your brain is functioning compared to others your same age. It’s also very good at differentiating cognitive problems caused by stress or depression from problems caused by a non-reversible dementia.”
If your test scores fall outside the normal range, she said, doctors have key information to help identify a cause.
To make an appointment with a neuropsychologist at the Spectrum Health Memory Disorders Clinic, call 616.267.7104.
By Dr. Meghan Condit, Dentist at Heart of the City Health Center
1. Eat healthy snacks: Fruits, vegetables, yogurt and cheese are good choices. Stay away from sweet foods that can stick to teeth, like fruit snacks, raisins and candy.
2. Avoid sweet drinks: Pop, sports drinks (like Gatorade), Kool-Aid, juice and even milk have sugar that can cause cavities! Make sure your child has only 4-6 ounces of juice per day and only during meal times. It is especially important to avoid milk and juice before bed, and your child should never sleep with a bottle or cup!
3. Drink lots of tap water: It has fluoride added to it, which protects teeth from cavities, and washes away all the food your child eats during the day.
4. Brush your child’s teeth: At least 2 times per day as soon as you see a tooth! Children should always be supervised, and an adult should brush until children turn about 8 years old. Use fluoride toothpaste or one that says “cavity protection.” Children 0-2 should use a “grain of rice-size” amount of toothpaste, and children 3-6 should use a “pea-sized” amount of toothpaste.
5. Take your child to a dentist: The first dental visit should be before their first birthday. A dental home will provide information about what to expect as your child grows. A fun and caring dental experience early in your child’s life will help them to feel comfortable and enjoy going to the dentist.
Think any hormone supplement will do? Think again. Get an expert’s opinion. (For Spectrum Health Beat)
By Diana Bitner, MD, Spectrum Health Beat
A patient I’ll call Bev recently came to see me for her annual physical, and she had just a few complaints: rare hot flashes, occasional night sweats and irregular spotting.
So far, so good.
At age 54, her last regular period was approximately 16 months ago. Since that time, she had started using hormone creams prescribed by her chiropractor.
Bev brought the creams in to show me, boasting that they were all natural. She told me she had been feeling great since starting the hormone cream.
Her hot flashes were rare, and her once-thinning hair was now getting thicker. I continued to listen with an open mind as we discussed the rest of Bev’s health.
She happily reported that her hypertension was being controlled with low-dose medications from her primary care physician, and she had no other risk factors for heart disease, stroke, blood clots or diabetes. Furthermore, Bev was a healthy weight.
For the most part, I liked what I was hearing.
Finally, we confirmed that her health screening was up to date, including lab work, mammogram and colonoscopy. As a final step, I performed a breast exam, Pap smear and pelvic exam. Her pelvic and breast exams were normal, and I had no reason to expect any issues with her Pap results.
Now that we had all the background information and physical exam taken care of, I could address her concerns of lingering hot flashes. We were able to relate them to days when she was not drinking enough water, had increased stressed or drank an extra glass of wine.
I then felt obligated to voice my concerns about the natural hormone creams she was taking and the possible relationship to her irregular spotting.
As a result of my concerns, I asked Bev to have a pelvic ultrasound to measure the lining thickness of her uterus. Post-menopause bleeding can be a sign of uterine lining pre-cancer or cancer.
When women take FDA-approved estrogen replacement therapy and progesterone, their risk of uterine cancer is lower than women who take nothing. Estrogen stimulates the lining to grow, and progesterone keeps it in check.
However, the non-FDA-approved hormones Bev used are not shown to protect the uterine lining and can actually increase the risk of uterine cancer.
Bev’s ultrasound of her uterus did show a thick lining, and her endometrial biopsy showed benign thickening. We reversed the thickening first with synthetic progesterone and then switched her to two FDA-approved products: a bio-identical estrogen patch and an oral bio-identical progesterone.
Today, Bev feels great—hair and skin included—and I feel good that we are keeping her safe and healthy.
Stress disorders are tied to a 36 percent greater risk of developing 41 autoimmune diseases, including rheumatoid arthritis, psoriasis, Crohn’s disease and celiac disease. (Courtesy Spectrum Health Beat)
By Steven Reinberg, HealthDay
Trauma or intense stress may up your odds of developing an autoimmune disease, a new study suggests.
Comparing more than 106,000 people who had stress disorders with more than 1 million people without them, researchers found that stress was tied to a 36 percent greater risk of developing 41 autoimmune diseases, including rheumatoid arthritis, psoriasis, Crohn’s disease and celiac disease.
“Patients suffering from severe emotional reactions after trauma or other life stressors should seek medical treatment due to the risk of chronicity of these symptoms and thereby further health decline, such as the increased risk of autoimmune disease,” said lead researcher Dr. Huan Song, from the University of Iceland in Reykjavik.
The body’s immune system protects you from disease and infection. But autoimmune diseases turn the body’s natural protection against itself by attacking healthy cells.
In comparing people who had stress disorders with more than 1 million people without them, researchers found that stress was tied to a 36 percent greater risk of developing 41 autoimmune diseases, including rheumatoid arthritis, psoriasis, Crohn’s disease and celiac disease. It’s not clear what causes autoimmune diseases, but they tend to run in families. Women, particularly black, Hispanic and Native-American women, have a higher risk for some autoimmune diseases, the researchers said.
Song added that treating stress-related disorders may help reduce the risk of developing autoimmune diseases.
“There are now several treatments, both medications and cognitive behavioral approaches, with documented effectiveness,” she said.
For example, treating patients suffering from post-traumatic stress disorder (PTSD) with antidepressants such as selective serotonin reuptake inhibitors (SSRIs) may help lower the risk for autoimmune disease, especially when taken in the first year after diagnosis, Song said.
But she cautioned that because this is an observational study, it’s not possible to prove stress causes autoimmune diseases, only that the two are linked.
In the study, Song’s team looked at patients in Sweden diagnosed with stress disorders such as PTSD, acute stress reaction, adjustment disorder and other stress reactions from 1981 to 2013. The researchers compared these individuals with siblings and people in the general population not suffering from a stress disorder.
The effects of severe stress have been associated with a variety of health problems, one PTSD expert said.
“Many studies have linked stress conditions as well as adverse childhood events, such as trauma and neglect, to future medical problems, including immune problems,” said Mayer Bellehsen. He directs the Unified Behavioral Health Center for Military Veterans and Their Families at Northwell Health in Bay Shore, N.Y.
“It is also notable that when people received effective treatment, their risk was lessened,” he added.
Although it isn’t known why stress can increase the chances of developing an autoimmune disease, Bellehsen suggested several possible explanations.
These include the impact of stress on lifestyle—for example, getting less sleep or increased drug or alcohol use. Stress might also directly affect the immune system, he said.
“Regardless of cause, this study adds to the evidence of the link between stress conditions and physical well-being, warranting further attention to the reduction of trauma and other causes of stress conditions, as well as improving treatment of these conditions,” Bellehsen said.
The report was published in the Journal of the American Medical Association.
Are you one of many people missing out on fall activities because of cold or flu symptoms such as a stuffy or runny nose, cough and tiredness? When do you ‘push through the pain,’ and when do give up and get help?
Both the common cold and flu are caused by a virus, not bacteria, so running to the doctor at the first sniffle isn’t going to make the flu go away. In general, the flu has worse symptoms than the common cold, meaning fever above 100°, more joint pain, intense cough and extreme exhaustion. The flu is achier and colds are leakier. The common cold usually lasts for two weeks, whereas the flu can leave you flat in bed for up to three weeks, so it is best to do everything you can to prevent getting the flu.
Get the flu vaccine: This not only protects you, but prevents you from carrying it to others. You can get your flu shot at any Cherry Health medical site or by going to Heart of the City Pharmacy (walk-ins welcome!).
Get rest and nutrition: If you are battling flu or cold symptoms your body needs all the rest it can get to fight off the virus that’s ruining your weekend fun. Don’t be afraid to ask friends or family to ‘make you chicken soup.’ Studies show those who have people helping them get well actually recover faster, so if you know someone who is sick, a card or meal really does help them recover faster.
Zinc supplements: These can help your immune system even more than high doses of vitamin C. Eat fruits or using a juicer can also get you the fresh effect of enzymes in foods. If you’re interested in how the foods you eat can build a healthier you, come to Heart of the City Pharmacy any Thursday or Friday for the latest science on diet and supplement information. Enjoy the season!
Alzheimer’s disease is the most common type of dementia—a condition that causes sufferers to forget short-term events and names. It also causes changes in behavior.
When talking about Alzheimer’s, it’s important to look at the risk factors:
Age—This is the strongest risk factor, with most people being diagnosed after age 65.
Genetics—There are genetic links associated with the disease, meaning it can run in families.
Environment—The most studied environmental factors include aluminum, zinc, food-borne poisons, and viruses, but there has been no clear evidence of cause and effect.
Related medical conditions—These include high blood pressure, obesity, diabetes and cardiovascular disease.
It’s also important to note that having many family members with Alzheimer’s does increase an individual’s risk, but it’s not necessarily tied to genes per se. Instead, it can be tied to a genetic mutation or other medical conditions (such as diabetes and obesity) that may run in the family.
As doctors, we are learning more and more about how diabetes, heart disease, obesity and dementia are all tied together.
These medical conditions all involve blood vessels—specifically how healthy or unhealthy the vessels are.
A healthy blood vessel has a smooth inside lining, flexible walls and no plaque build-up. In contrast, an unhealthy blood vessel has a sticky lining, stiff walls and plaque build-up, possibly even buried in the vessel wall. This can result in decreased blood flow to important cells in brain tissue, impacting function and clearance of certain proteins.
This build-up is associated with dementia and Alzheimer’s.
We also know that Alzheimer’s disease is associated with certain acquired risk factors—especially when they start in midlife. The greatest risk factors include smoking, obesity, high cholesterol, type 2 diabetes and high blood pressure.
Taking control of your future self
What’s the bottom line? Midlife is the time to consider life goals and make important choices.
When I talk about Alzheimer’s and risk factors, I think about a patient of mine I’ll call Tania who came into the menopause clinic with some serious concerns.
Tania, 53, complained of forgetting things, feeling anxious, having night sweats and simply not feeling like herself. She was worried she had dementia—and for good reason.
Tania’s grandmother moved from Mexico to live with Tania’s family when Tania was 12. By the time Tania entered high school, her grandmother suffered from Alzheimer’s disease. Concerned she had the same thing, Tania needed answers.
We began by talking about her current stage in life—early perimenopause. This was clear because of her irregular periods, and symptoms of hot flashes and mood changes around the time of her period. Next, we went over her medical history, which included diabetes during pregnancy and lifelong issues with mild obesity.
Tania’s family history revealed some real concerns: Her mom, aunts and grandmother suffered from diabetes, high blood pressure and obesity; and her father had high blood pressure. When I took Tania’s vitals that day, her blood pressure was 150/75 and her BMI was 31. Both of those numbers were too high.
After gathering this information, I asked Tania what she wanted, and she said she wanted to be healthy—without diabetes or high blood pressure. She also wanted to maintain a healthy weight, be active, and not have to take all the meds her family did. And, most importantly, Tania did not want to get Alzheimer’s disease.
When I explained to her that diabetes, high blood pressure, high cholesterol and obesity in midlife were all significant risk factors for Alzheimer’s, she wanted to know what she needed to do. We ran her labs, and the results showed she had pre-diabetes and mildly elevated cholesterol.
We then put together a plan. And our plan paid off.
After three months, Tania walked for 45 minutes every day and had changed her diet. She had lost 8 pounds and, even better, her blood pressure was down to 140/70 and her blood sugar was lower—almost in the normal range. Her periods were regular again and she slept better.
Tania felt great and addressed her health issues in time to meet her goals and make a difference.
Worried about your health or brain function? Make an appointment to specifically discuss your health concerns with your doctor. Need help choosing your physician? No worries. Call Spectrum Health at 877.362.8362 day or night to receive assistance and advice about selecting a physician who is right for you.
The City of Kentwood is the new home of the annual South Kent Community Expo, an annual effort of the Cutlerville-Gaines Chamber of Commerce, the Wyoming-Kentwood Chamber of Commerce and the Kentwood Parks and Recreation Department.
With a timely, football/sports theme, there will be more than 60 booths offering products and services for consumers’ needs, many of them sports themed, as well as food trucks, police and fire vehicles, and other kids activities.
The expo will be held at the Kentwood Activity Center, 355 48th St. SE, on Saturday, Oct. 27 from 9 a.m. to 1 p.m.
“The 3rd annual South Kent Community Expo is excited to host this community event in its new location, the Kentwood Activities Center — we will have something for everyone,” Lorraine Beloncis, assistant director of City of Kentwood Parks and Recreation Department, said to WKTV. “This year the expo has a football theme, so wear your favorite team’s gear and check out the fun football themed vendor booths.”
Beloncis said the event is an ability to learn about the businesses in our community and what services they have to offer including home improvement, home financing, home services, senior services, library services, colleges, fitness, health and wellness, pet care, banks, retail, hospitality, transportation, volunteer opportunities and employment services.
“We will have several food trucks on site to satisfy your hunger with a variety of delicious options,” Beloncis said. “Families can check out fire trucks, police and sheriff department patrol cars, go through the smoke house to learn about fire safety and participate in a variety of kids activities. As always, there will be lots of freebies, give-a-ways and a chance to win door prizes.”
Flu shots will be provided by Walgreens from 10: a.m. to noon. The cost for a flu shot will be $41 for individuals without insurance.
“With 60-plus businesses attending, there’s sure to be a product or service for everyone,” Bob O’Callaghan, president/CEO of the Wyoming-Kentwood Area Chamber of Commerce, said in supplied material. “The expo is a family-friendly event designed to showcase the broad range of businesses and organizations who make their home in Southern Kent County.”
The family-friendly nature of the event was stressed by Drew DeVries, executive director of the Cutlerville-Gaines Area Chamber of Commerce.
“We’ll have fire and sheriff’s departments onsite with football-themed games, along with a smoke house simulation for the kids,” DeVries said in supplied material.
As of Friday, Oct. 19, vendor space was still available. Interested businesses/groups should contact Beloncis at 616-656-5278 for last-minute registration.
Prolonged periods of sitting could lead to serious health problems. Could an anti-sitting campaign gain traction? (Courtesy Spectrum Health Beat)
By Kim Delafuente, Spectrum Health Beat
Here’s a question for the youngsters: Did you know that, up until recent years, most corners of society considered smoking to be socially acceptable?
Just 10 years ago, in fact, restaurants in many states still offered smoking sections. It’s truly a silly concept, given that cigarette smoke travels throughout the restaurant anyway.
Opposition to smoking began to emerge in the late 1960s and ’70s, but there had been little in the way of enforcements or taboos up until the 1980s, ’90s and ’00s.
These days, the smoking rate in the U.S. is at its lowest point in decades, with about 15.5 percent of adults identifying as smokers. (That’s down from a high of about 42 percent in the 1960s.)
America’s anti-smoking campaign may come to exemplify how society approaches another topic: sitting.
That’s right, sitting.
At work, at home, in our cars, watching events and so on, we spend a lot of time sitting. We sit an average of nine to 10 hours each day, not to mention the time we spend sleeping.
But just as it was with smoking, sitting has a negative impact on our health.
Within an hour of sitting, we see declines in our fat metabolism and our HDL cholesterol (the good cholesterol).
So how did we get here?
Technology has eliminated the need to manually open our garage doors, get up and sharpen our pencils, play board games, scrapbook or even get up and talk to coworkers. Instant messaging apps and emails make it all too easy to send a quick question to someone just down the hall.
We don’t have to make our own meals or go to the store as often—or at all.
Throughout this evolution, movement has been minimized from our daily lives. In many cases, movement has become optional and unnecessary.
Sitting has, by all measures, become the norm.
But sitting too much is not the same as not getting enough exercise.
When we hear the recommendations to get up and move every hour, to spend less time watching TV, to take the stairs, etc., remember that even the smallest movements have health benefits.
As your muscles contract, fat begins to shift from your blood stream to the moving muscles. This reactivates your fat metabolism.
Can you prevent the negative health effects of sitting too much when you’re someone who exercises regularly?
Maybe not.
Even people who exercise regularly—those who meet the physical activity guidelines of 150 minutes or more a week—may undo some of the positive health benefits of exercise if they simply spend the rest of the day sitting.
Add small movements into your day.
Find activities that you can do standing instead of sitting: talking on the phone, folding the laundry, reading email.
Do you fidget? That’s great! Tap your foot, twirl your hair and stand up to stretch.
At its peak, 42 percent of the adult population in the U.S. smoked.
Is sitting the new smoking?
From a numbers standpoint, it could be worse. A significant portion of the population spends the day sitting, which means this particular problem is systemic.
The good news is that poor health is preventable through public health campaigns, personal action and societal awareness.
Big corporations are starting to lead the way. In the construction of its state-of-the-art tech campus, Apple installed adjustable desks that allow all employees to choose if they want to sit or stand while working at their computers.
If you don’t have an adjustable desk, try to find creative solutions that let you stand during some of the workday. At a minimum, get up and take a break to stand and stretch every once in a while.
By Nicole Kooiker, DDS, Heart of the City Health Center
Q: Does diabetes really affect my teeth?
A: If you are one of the nearly 30 million people living in the U.S. with diabetes, you have special oral health needs. As a dentist practicing in Grand Rapids, I see first-hand how diabetes affects the mouth. It can lead to gingivitis, an early stage of gum disease, and it can cause periodontitis, the most severe and common dental disease affecting those with diabetes. If left untreated, periodontitis may cause you to lose your teeth or have them pulled. It also reduces your body’s ability to regulate the level of sugar in the blood. High blood sugar can make diabetes harder to control and contribute to worsening gum disease.
Below are tips for keeping your mouth healthy while living with diabetes.
Control your blood sugar level.
Brush and floss daily.
If you wear dentures, remove and clean them daily.
Visit your dentist regularly; in fact, deep cleanings can help lower your HbA1c.
Watch for signs of gum disease, including red, swollen, tender, and /or bleeding gums when you brush or floss; bad breath; permanent teeth that are loose or moving away from each other; and gums that have pulled away from teeth.
Avoid smoking.
Tell your dentist and hygienist any time there is a change in your medication or the severity of your diabetes.
Postpone any non-emergency dental procedures if your blood sugar is not in control.
The Merrell team will be out and about on local urban and traditional trails this Saturday, Oct. 20 with the goal of surprising Grand Rapids residents along the way. As part of their “Merrell Magic” campaign that’s been happening across the nation this year, hikers that come across the Merrell crew at parks and trails including, but not limited to, Ada Seidman and Fallsburg, will be delighted to receive items such as swag, gift cards and more.
Merrell believes in the profound power of the trail and is looking forward to celebrating the fall trails in their own backyard here in greater Grand Rapids.
Coinciding with the Merrell team dispersing around the city and surrounding areas to spread “Merrell Magic” on the trails, the brand has also teamed up with Liz Thomas, the queen of urban thru-hiking, to hike West Michigan’s “Ale Trail” starting Wednesday, Oct. 17 in Cedar Springs (North Country Trail) and ending Saturday, Oct. 20 in downtown Grand Rapids.
Liz’s four-day urban hike will make stops at 25 breweries in and around Grand Rapids and showcase that hiking can be done in an urban setting with the added experience of exploring the local beer scene.
Liz Thomas’ Urban Thru Hike Schedule:
Wednesday, October 17 (14 miles, 3 Breweries)
Start: Cedar Springs Brewing; End: Comstock Park
Breweries: Cedar Springs Brewing Company (11 a.m.), Rockford Brewing Company (2 p.m.), Bier Distillery (4:30 p.m.)
Thursday, October 18 (24 miles, 9 Breweries)
Start: Comstock Park; End: East Grand Rapids
Breweries: Perrin (11 a.m.), Hideout (1:30 p.m.), Creston (3:40 p.m.), The Bob (5 p.m.), Fountain Hill (5:45 p.m.), ELK Brewing (6:45 p.m.), Brewery Vivant (7:30 p.m.), East West (9 p.m.), Harmony (9:40 p.m.)
Friday, October 19 (21 miles, 4 breweries)
Start: East Grand Rapids; End: Grand Rapids near Brass Ring
Breweries: Thornapple (11 a.m.), Schmolz (12:30 p.m.), Jaden James (2:30 p.m.), Brass Ring (5:45 p.m.)
Saturday, October 20th Team Merrell Magic Day (13 miles (2.5 miles to Outside Coffee Co.), 9 breweries)
Breweries: Grand Rapids Brewing Co. (10am), HopCat (10:30am), Founders (11:25 p.m.), Atwater (1:20 p.m.), City Built (2:30 p.m.), Greyline (3:20 p.m.), The Mitten (4:10 p.m.), Jolly Pumpkin (5:10 p.m.), New Holland Knickerbocker (5:40 p.m.). Times may vary based on the Michigan-Michigan State game.
By Kelsey VanderLaan, RN, Heart of the City Health Center Pediatrics
Did you know about 1 in 5 children in the United States has obesity? Children who are overweight are more likely to have serious health problems. Our goal as health care providers and team members is to encourage children to be more physical active and maintain a healthy weight. One way to help prevent obesity is being physically active. As it gets colder outside, it can be harder to keep children active. Here are three ways to keep children active in the cooler weather:
Create an indoor obstacle course: You don’t need anything special to do this — a chair, box, couch cushions or no objects at all. Here are some ideas: hop on one foot, run around a chair, do somersaults, squats, touch toes, jump between or over couch cushions, carry a box, etc. Kids seem to like to race to get things done. Time them and have them try to beat their own time.
Take a walk: Just because it’s cold outside doesn’t mean you can’t go outside. Just bundle up! Check out this website for a list of local trails. You could also take a walk through your neighborhood. Parents, this is also a great opportunity for some one-on-one time with your child.
Go to the park: There are a lot of parks in our community. Not all of them have play equipment, but you could bring a ball or Frisbee to play with. In the winter, some of these parks may have sledding areas. Kids can make snowmen, forts and snow angels too.
Here are even a few more options: Dancing, swimming lessons, indoor sports teams, consider activities through schools in your area, and your local YMCA has great fitness options and activities for kids and adults in the cooler months. There are options for scholarships and reduced prices as well.
Don’t allow sexual issues sideline you from the pleasures of life. (For Spectrum Health Beat)
By Diana Bitner, MD, Spectrum Health Beat
Sexual health is a part of our overall health, and it impacts a woman’s (and a man’s) sense of self and feeling of being healthy.
Women who suffer from depression or anxiety are more likely to have sexual health concerns, and women with sexual health concerns are more likely to have depression and anxiety. It’s a vicious cycle—one that can be frustrating and difficult to break.
Chronic health issues or chronic health diseases such as heart disease, diabetes, obesity or arthritis can interfere with a woman’s ability, or a couple’s ability, to have a healthy sexual relationship. And common conditions like pain with sex, low desire and relationship issues all play a part.
I recently saw a patient who came in for her second visit to our Spectrum Health Cancer, Menopause, and Sexual Health Clinic at the Lemmen-Holton Cancer Pavilion.
She shared her excitement about once again being able to have sex after we treated her pain. She told me that cancer had taken so much away from her, but she felt whole again now that she could be intimate with her husband.
I love sharing stories like this because it shows how committed we are to helping everyone live better lives—including being as sexually aware and healthy as they wish to be.
I recently found the following quote from the World Health Organization:
“The purpose of sexual health should be the enhancement of life and personal relationships and not merely counseling and care related to STDs and preventing unwanted pregnancies. Sexual health should involve (1) the capacity to enjoy and control sexual and reproductive behavior in accordance with a social and personal ethic; (2) a freedom from fear, shame, guilt, false benefits and other psychological factors inhibiting sexual response and impairing sexual relationships; and (3) freedom from organic disorders, diseases and deficiencies that interfere with sexual and reproductive functions.”
I share this quote with you because, as a physician, I believe in what it says, and I try to keep it in mind when discussing sexual health with my patients.
There are many causes of sexual health concerns, and they can be grouped in the following categories: interpersonal issues, physical issues and psychological issues.
When discussing interpersonal issues, we think about lack of intimacy, lack of respect and emotional abuse.
Physical issues include pain with sex from menopause and dryness, pain from history of pain and/or tight pelvic muscles, and medical conditions such as diabetes or arthritis.
Psychological problems include depression or anxiety, history of sexual abuse and poor self image.
No matter what your sexual issues include, there are solutions. Reach out to your medical provider for help.
If you have concerns about how to get your groove back, make an appointment to specifically discuss this topic and options with your doctor or a Spectrum Health Midlife and Menopause Clinic expert. Call 616.267.8225 to make an appointment.
Did you know that 1 in 4 children have problems with their eyes? These problems can impact many parts of their lives from school performance to sports. Unfortunately, vision problems in children can often go undetected. A full eye exam performed by an eye doctor is the best way to find out if your child has any vision problems. They can even provide recommended treatment if needed. This full eye exam checks how well a child can see at a distance and near, how well both eyes work together and the general health of the eyes.
The American Optometric Association recommends eye exams starting between the age of 6 and 12 months and every 2 years after. Eye doctors trained in working with children will be able to find vision problems even before a child has learned to talk! It is never too early to have a complete eye exam. Making sure your child has healthy eyes is just one step in giving them a successful future.
Kentwood will hold its drug take back day later this month. (WKTV)
By Kentwood Police Department
On Saturday, Oct. 27, from 10 a.m. to 2 p.m., the Kentwood Police Department and the Drug Enforcement Administration will give the public its 16th opportunity in 8 years to prevent pill abuse and theft by ridding their homes of potentially dangerous expired, unused, and unwanted prescription drugs.
Bring your pills for disposal to the Kentwood Police Department at 4742 Walma Ave SE Kentwood, MI 49512. (The DEA cannot accept liquids or needles or sharps, only pills or patches.) The service is free and anonymous, no questions asked.
This initiative addresses a vital public safety and public health issue. Medicines that languish in home cabinets are highly susceptible to diversion, misuse, and abuse.
Rates of prescription drug abuse in the U.S. are alarmingly high, as are the number of accidental poisonings and overdoses due to these drugs. The Substance Abuse and Mental Health Services Administration’s National Survey on Drug Use and Health shows year after year that the majority of misused and abused prescription drugs are obtained from family and friends, including someone else’s medication being stolen from the home medicine cabinet.
In addition, Americans are now advised that their usual methods for disposing of unused medicines — flushing them down the toilet or throwing them in the trash — both pose potential safety and health hazards.
According to the 2016 National Survey on Drug Use and Health, 6.2 million Americans misused controlled prescription drugs. The study shows that a majority of abused prescription drugs were obtained from family and friends, often from the home medicine cabinet.
The last Drug Take Back Day brought in nearly 1 million pounds of unused or expired prescription medication. According to the DEA, this is the largest amount collected since the national program began in 2010.
The total amount of prescription drugs collected by DEA since the program’s inception is 4,982 tons.
For more information about the disposal of prescription drugs or about the Oct. 27 Take Back Day event, please contact Vicki Highland at highlandv@kentwood.us or 616-656-6571.
More information about National Prescription Drug Take Back Day is available at takebackday.dea.gov.
