Men's Health, Orthopedics, Weight Loss, Women's Health, Wellness, Heart Care
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6 ways to give the gift of health this holiday season
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‘Tis the season to be jolly… and healthy! When you think of the holidays and health, what’s the first thing that comes to mind? Perhaps it’s all the food you intend on eating with your family. Or finally getting that gym membership you’ve been putting off. Or, maybe you don’t think these two terms go hand-in-hand at all. Well, they can. And they should!
The holiday season is a great time to enjoy time with family and friends, celebrate life, be grateful and take a moment to reflect on what’s important to you. It’s also a time to appreciate the gift of health. As this year ends and the next one begins, we encourage you to think about health and how you can help others make this essential part of life a priority.
Health is described as a “state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” If you could take that sentence, put it in a box and wrap it as a gift to give to someone you love or care about, would you?
Brighten this holiday season by giving the gift of health to loved ones. How? We asked our experts for their ideas on how you can accomplish this and here’s what they had to say:
Together time. Especially for our older population, giving the gift of time and ensuring you schedule dates to see them can bring them a great deal of joy (more than you know). Go pay a visit to your grandparents, uncles or check out nearby nursing homes. Bring along young children or pets (if appropriate) when you visit.
Health-tech gadgets. In an age where everything revolves around technology, this might just be one of the best gifts to give this holiday season. There’s an endless supply of devices on the market that you can give to a person you know who has been concerned about their health. Whether they’ve been experiencing heart palpitations, poor sleep or fatigue, capturing these episodes can help their doctor make a diagnosis. For example, think of a Fitbit, Apple Watch or an AliveCor Kardia heart monitor.
Gym membership or sessions with a trainer. No more excuses! It’s time to make that one stop you’ve been postponing for months. The gym has all the necessary equipment for getting in shape. As we get older, weight training becomes important. But, if you’d rather do cardio, there are plenty of other options. The elliptical, stationary bike and rowing machine mitigate the amount of repetitive forces on the knees that come with long distance running, even on a treadmill. Training sessions, on the other hand, are helpful in that they are an appointment – you have someone expecting you to be there and have allotted a certain amount of time to a given task.
Sign up for a heart-healthy cooking class. This is certainly a more creative option. You can prevent, or even essentially cure, many of the chronic diseases present in society today, including heart disease and Type 2 diabetes, through appropriate diet. A heart-healthy cooking class can show people how to make delicious and healthy foods on a budget.
Get your own equipment. Don’t like the gym? Think about purchasing TRX straps, an ab mat or even a bike. These relatively low cost options still can give you a great workout while using just your body weight.
Adopt (not buy) a dog! The benefits of having a pet, especially a dog, are myriad. There are benefits to blood pressure and stress levels. From an activity standpoint, a responsible dog owner will make sure his or her pooch gets enough exercise and in turn will get some exercise himself or herself. In this case, you are improving and saving two lives – yours and your new pal’s!
When thinking of what to get family, friends and loved ones this year, prioritize their wellbeing. You’re providing them with the gift that keeps on giving – good health.
Authors
Baran Kilical, MD, cardiologist and electrophysiologist with Luminis Health Cardiology.
Lil Banchero, senior director of the Institute for Healthy Aging at Luminis Health Anne Arundel Medical Center.
Weight Loss
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7 tips for successful weight loss
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Did you know that eating more often could help you in your weight loss journey? Now, please notice, we said eating more often, not more in quantity.
Losing weight and keeping it off is by no means an easy task. By some estimates, 20 percent of overweight individuals are successful in keeping off at least 10 percent of their initial body weight for a year or longer. What is their secret? We looked at initiatives like the National Weight Control Registry (NWCR) and have some tips to share with you to help you along your weight loss efforts.
The NWCR identifies and investigates the characteristics of individuals who have succeeded at long-term weight loss. Here are a few key behaviors reported that led to their ongoing success:
Follow a low calorie diet. Participants consume a low calorie (1,300 to 1,700 per day), low fat diet. They also successfully lose weight and maintain the loss by being consistent. This means they don’t start and stop a diet, like many dieters do.
Eat more often. Participants eat four to five small meals daily. Their food intake is also consistent day to day. By making consistent food choices, this encourages self-control, minimizes unplanned food temptations, fosters self-discipline and increases your ability to keep with your diet routine.
Do not skip breakfast. Participants consistently eat breakfast. Including this meal in the daily routine suppresses midmorning hunger, promotes better glucose control and reduces excessive eating later in the day. Even if it’s a piece of fruit or a small bowl of oatmeal, don’t skip your first meal of the day!
Being active is a must. Participants who are successful with long-term weight loss make physical activity mandatory. The average person in the NWCR database exercises anywhere between 60 and 90 minutes per day at a moderate intensity. Daily physical activity is important for both weight management and health improvement. Finding a sustainable activity that fits your lifestyle, and making it a priority, is essential for long-term success.
Track your progress. Participants weigh themselves frequently. This provides a form of accountability and self-monitoring.
Limit sedentary activities. Research has connected successful weight loss over an extended period with minimal amounts of time spent watching TV. The national average time for watching TV is 28 hours per week or four hours per day. This is too much sedentary time. Ideally, try to limit TV viewing to less than 10 hours per week.
Take corrective action when weight is regained. Participants did not allow even a small amount of weight gain to occur without corrective action. Obesity research shows that preventing people from regaining weight is one of the most difficult dilemmas that dieters face.
Health improvement that results from weight loss and maintenance is a commendable goal that is worth the effort required to accomplish it.
Don’t know where to begin? If you’re ready to start your diet plan but don’t know where to begin, we have a few suggestions that might help you kick off your weight loss journey with a few quick, easy and healthy meals.
Breakfast
Oatmeal toppings without the added sugar.
Fruited buckwheat pancakes.
Baked apples with oat toppings.
Lunch
Veggie stir-fry.
Avocado feta salad.
Lentil soup.
Dinner
Alaska salmon cakes with yogurt dill sauce.
Stuffed acorn squash.
Ginger carrots with golden raisins and lemon.
Authors
Ann Caldwell and Maureen Shackelford are nutritionists and registered dietitians at Anne Arundel Medical Center. To reach them, call 443-481-5555.
Originally published Dec. 7, 2018. Last updated Nov. 4, 2019.
Orthopedics, Weight Loss, Women's Health, Wellness
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Strength training: What proper form looks like
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Strength training exercises are key to burning calories, increasing metabolism and preventing injury. But you don’t need a gym membership or equipment for a proper strength routine. You can try these five exercises at home.
Push-up
Make sure your hands are shoulder-width apart. Angle your hands against the ground in whichever way feels most comfortable.
Keep yourself straight. Think of your entire body as a straight line from your shoulders to your feet, and don’t stick your behind in the air.
If you have trouble pushing yourself up, clench your glutes, abs or both. Your strength doesn’t have to come entirely from your arms.
For a modified version, position your knees on the ground.
Squat
Spread your feet slightly wider than your hips. Point your toes slightly outward. Keep the weight on your heels and the balls of your feet.
As you squat downward, push your behind and hips backwards. Think of it less about bending your knees and more about pushing your body backwards, similar to how you sit down in a chair.
Make sure your hips go even with or lower than your knees. Otherwise, you won’t feel the full benefit of the exercise.
Plank
Forearm planks are more common and slightly easier than extended arm planks. For the forearm version, place your elbows on the ground at shoulder-width, and use the muscles in your abdomen to keep your body elevated parallel to the ground for as long as you can.
For a slightly more difficult variation of the plank, extend your arms and keep your body in a straight line for as long as possible.
For a modified version, position your knees on the ground.
Tricep dip
Find a chair or coffee table that is about the same height off the ground as your knees. Place your hands on the edge of the surface and slide yourself forward, keeping your arms straight and your body close to the chair.
Lower your body until almost sitting on the floor and make sure your arms — not your legs — support your weight. Repeat as many times as you can.
Originally published Dec. 5, 2016. Last updated Oct. 11, 2019.
Behavioral Health, Pediatrics
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More than meds: The prescription parents should know about
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When you know something is off with your child’s mental health, you just know. But often taking the steps to get them help can be a challenge. Once you have talked with your child, spoken with your insurance, made all the appropriate calls and appointments, and have gotten in front of a medical professional, it can feel like you will finally find the solution.
The truth is there is no single solution or “magic pill.” Mental health treatment is a complex process that is different for every child and every family; however, the investment into finding what will work best for you and your child is worth the time, energy and emotion.
Medication can help many children and adolescents struggling with depression, anxiety and attention disorders. But medication is just part of the answer. A well-rounded approach to mental health treatment has six components — medication being just one of them. There are many other places to look for solutions in addition to taking or considering a prescription.
The total picture of health
The best place to start is at the beginning. Try to collect as much information on your family medical history as possible and share it with your provider.
A full panel of bloodwork is a great way to check things like metabolism, thyroid levels, Vitamin D and blood sugar. All of these can affect mood and sleep, which in turn affect overall mental health. If there is a deficiency in one of these areas, supplements or other therapies can make a difference. Talk to your provider about what will work best.
Physical activity
The benefits of exercise extend beyond the physical benefits. It helps kids get off their electronics and keeps their minds active, occupied and not dwelling on negative thoughts. Even just a short walk around the block can make a big difference. It’s not about being athletic or even losing weight necessarily – it’s good for you and a great distraction.
Nutrition
Eating healthier and avoiding processed foods sounds obvious when treating many health concerns; however, there are specific reasons why a healthy diet can help treat a mental health disorder. For example, we need proteins and fat for neurological functioning.
Processed foods can have a negative effect on the gut, so your child may not be getting all of the vitamins and minerals needed from healthy foods. If your child is taking medication, his or her body may not be absorbing all of the benefits. Seeing a nutritionist can help with building a well-balanced plan for eating. Work toward healthier eating as a family and everyone will reap the rewards.
Sleep
Sleep hygiene — getting better sleep on a regular basis — is one of the most overlooked yet effective tools in a treatment plan. Many of us think because we slept for eight plus hours, we are good to go, but we still may not be getting enough rapid eye movement (REM) sleep. REM sleep affects memory, relieves anxiety, and helps to regulate male hormone secretion. Asking your child, “Do you feel rested?” or observing to see how much time they spend on electronics before bedtime can help to identify if there may be a lack of REM sleep. For a clearer picture, a sleep study can determine if your child’s sleep patterns, and give you insights on their sleep’s ability to regulate their mood, emotions and attention.
Encouraging your child to shut down their electronic devices a few hours before bedtime is one small step toward better sleep hygiene.
Home life
This is a tough one for some parents, but many mental health concerns can be better treated with changes in the home. Often times, medication is used so that your child can perform better in stressful situations, but you should also focus on removing what stress you can. This means more consistency, stability and structure at home.
Looking at your relationship with your partner and/or with yourself is important. Are you and your partner on the same page? Are you experiencing your own feelings of anxiousness or depression? Are there things that need to change? Don’t be discouraged by the answers to some or all of these questions.
You are not the first parent who has faced these challenges feeling like they can’t get it right. The important thing is that you’re working on it. No one is perfect. Don’t forget to tell yourself and your child that the job you’re doing or the progress they’re making is good enough.
Simply saying “good job” can have a huge impact. Show your kids it’s OK to make a mistake. Tell them you’re proud and be specific. Small things add up to big changes.
Being receptive to a full treatment plan for your child can be the difference between success and failure. There is no one magical solution, but when you are open to all of the potential solutions, and finding which ones works best for your child and your family, amazing things will happen right before your eyes.
Ask questions, find resources and learn more at askAAMC.org/HealthyMinds.
Author
Mitchell Odom, MSN, CRNP, PMHS, is a practitioner with AAMG Mental Health Specialists. To schedule an appointment with him, call 410-573-9000.
Originally published Oct. 29, 2018. Last updated Oct. 8, 2019.
Behavioral Health, Pediatrics
General Page Tier 3
Safeguard your child against cyberbullying
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As access to electronics continues to grow among teens and preteens, there’s a disturbing trend that some have dubbed the “hate virus”: cyberbullying.
“Cyber bullying is very dangerous because it often occurs in silence. Many times kids are cyber bullied starting at a young age and it can go on for years without parents being aware of the torment that their child is going through,” says Jennifer Williams (Walton), MA, LPC, LCPC, a mental health professional at Anne Arundel Medical Group (AAMG) Mental Health Specialists. “It is extremely important for parents to be aware of their child’s online activities, including who they are speaking to, where they met these people, and do they know them in real life.
“Parents should consistently check in with children regarding online activities to make sure they are safe, and to allow children an opportunity to share with them information about what is happening in their cyber world and if anything or anyone is causing them to feel depressed or anxious,” she says.
“This is an epidemic,” concurs Doyle Batten, supervisor of school security for Anne Arundel County Schools. Doyle says that around-the-clock online access means victims can’t escape their tormentors after school, and that nearly all of the physical confrontations he sees at school can be traced to online interactions. “From a mental health standpoint and from a violence-prevention standpoint this is the most urgent thing I’ve seen.”
Parents and guardians are the most important safeguards against cyberbullying fallout. That means being equipped to step in well before teasing, taunts or intimidation create a life-threatening problem. Here are some ways to keep on top of potential problems:
How to help your child avoid cyberbullying
• Awareness and access: As adolescents have near-universal online access, it may be more realistic to monitor their online use rather than to deny access. Be aware of the social media sites your child uses, and make sure you have passwords to accounts and devices.
• Communicate: Have regular, open-ended conversations about online activities with your child, and discuss responsible online behavior, such as never sharing personal information and that what you post may stick around forever.
• Encourage reporting: Young people should feel safe talking about cyberbullying, whether they are being victimized or someone they know is. Explain to younger children that reporting cyberbullying isn’t tattling.
• Know the signs: A sudden drop in grades, frequent illness, withdrawing from friends or school activities, sleep and appetite changes, and extreme irritability are all warning signs that something is wrong. It could be cyberbullying.
What to do if your child is a victim of cyberbullying
• Listen: Some mean or hurtful attacks may not seem serious to an adult, but they can be very serious to a young person. Victims need to feel heard.
• Question: Without judging, ask open-ended questions to understand the underlying cause.
• Report: Contact a teacher, school counselor and/or administrator. If the bullying involves physical threats or is sexual in nature, it should be reported to the police.
• Understand the law: Cyberbullying doesn’t always rise to the level of a crime. If you think it may, talk to the police or a school safety officer for guidance. In cases of sexually suggestive or explicit materials, kids and parents need to understand that both the bully and the victim may be implicated in a crime if the victim is a minor and willingly took or distributed explicit photos of himself or herself.
• Seek help: Bullying can pose a serious threat to physical and mental health. Your child may need professional help developing coping mechanisms, social skills, assertiveness, or friendship skills to prevent and guard against cyberbullying.
What to do if your child is the cyberbully
• Teach empathy: Some bullies think it’s funny to tease or hurt someone online. In some cases they simply don’t realize the impact of their activity and need to be taught to empathy.
• Seek help: Sometimes children bully because of low self-esteem or because they are being bullied. If your child is bullying as a way to cope with his or her own emotions, seek the help of a mental health professional.
• Teach consequences: Parents need to stress that bullies may lose their phones or online accounts. They may face legal charges. If their bullying behavior is sexual in nature it can lead to the bully being registered as a sex offender.
RESOURCES
AAMG Mental Health Specialists
AAMC’s outpatient mental health clinic on Riva Road offers mental health services, including a counseling group for kids from 12 to 17 to discuss issues such as bullying self-esteem, body image, family dynamics, school stress and more.
410-573-9000
Anne Arundel County Mental Health Agency Warmline
24/7 information, assistance and referrals
410-768-5522
Anne Arundel County Public Schools Student Safety Hotline
877-676-9854
AACo PD Speak Out App
Allows anyone to discretely contact Anne Arundel County school police officers
http://aacopdspeakout.myapp.name
Maryland Youth Crisis Hotline
800-422-0009
Author
Jennifer Williams (Walton), MA, LPC, LCPC, is a mental health professional at Anne Arundel Medical Group (AAMG) Mental Health Specialists, located in Annapolis. To reach her, call 410-573-9000.
Originally published Nov. 13, 2015. Last updated Sept. 30, 2019.