Monday, April 23, 2007

Obesity down in sugar-free schools: Swedish study

STOCKHOLM (AFP) - Stockholm schools that banned sweets, buns and soft drinks saw the number of overweight children drop by six percentage points in four years, a Karolinska Institute study published on Monday showed.

The number of overweight or obese six-to-10-year-olds dropped from 22 to 16 percent in the 10 Stockholm schools that participated in the study by banning sweets and introducing healthier lunches, the Swedish research institute said in a statement.

A control group of schools that did not introduce specific food regulations saw the number of overweight or obese children rise from 18 to 21 percent.

The results of the project were to be presented on Monday in Budapest at an international conference on obesity.

"Our results show that programmes to reduce the increasing rate of obesity can be carried out within the schools' existing budgets," the head of the project, Professor Claude Marcus, said in the statement.

"We also interpret the results to mean that clear regulations in schools can help parents to set standards for their children and improve dietary habits at home," it said.

Friday, April 6, 2007

10 Foods Tough to Digest

By Sally Wadyka for MSN Health & Fitness


Fried chicken nuggets

Anytime you take a food, dip it in batter and then deep fry it, you turn it into something that can be a bit hard on the gut. Fried foods inevitably are greasy and high in fat, both of which spell trouble for the stomach. If you already suffer from inflammatory bowel disease, greasy foods are especially problematic and can cause symptoms like nausea and diarrhea, says Tara Gidus, a dietitian in Orlando, Fla. To make a healthier version, take frozen chicken nuggets (or use your own breadcrumb batter on chicken breasts) and bake them rather than frying.
The advice to forgo fried for flavorful alternatives is also helpful for other traditionally greasy snacks, like potato chips. To get the crunchy, salty sensation of chips without the unfortunate side effects, look for baked versions of potato chips or switch to low- or no-fat snacks like pretzels, air-popped popcorn or soy crisps.


Spicy food

Hot peppers—such as cayenne or jalapeno—give food a wonderful spicy kick, but they can also irritate the lining of the esophagus on the way down. The result: an unpleasant heartburn-like feeling after you eat. “Even if you try to cool down the heat by adding sour cream, you’re still getting all the spice and the same amount of irritation,” warns Gidus. So rather than trying to mask spice with high-fat cream, opt for milder versions if you routinely suffer side effects.


Chocolate

Most of the unfortunate consequences surrounding this rich delicacy come not from simply eating chocolate, but from overeating it. One small brownie as an occasional treat probably is fine; a triple brownie a la mode probably is not. But anyone who suffers from gastro-esophageal reflux disease (GERD) can experience problems from even a small portion of chocolate. That’s because chocolate causes the lower esophageal sphincter to relax, allowing stomach acid to come back up.


Citrus juices

These acidic drinks can irritate the esophagus, stimulating the sensory nerves to feel more inflamed. This might feel like acid reflux, but in reality is just irritation. In the stomach, however, the extra acid of the drink can cause other problems. If you haven’t eaten (say, you down a big glass of OJ first thing in the morning), your gut is already full of acid, so adding the extra can give you a stomach ache. And if you’re drinking lemonade that’s sweetened with high fructose corn syrup, watch out: That huge influx of sugar is often a cause of diarrhea.


Mashed potatoes

Nothing seems more benign than a bowl of creamy mashed potatoes. After all, that’s why they rank near the top of the list when it comes to so-called “comfort foods.” But if you happen to be one of approximately 30 to 50 million Americans who are lactose intolerant, you’ll find no comfort in those spuds, since most are loaded with milk or even heavy cream. Make them at home using lactose-free whole milk for the same creaminess minus the after-effects.


Raw onion

Onions and their cousins like garlic, leeks and shallots are filled with a variety of phytonutrient compounds—some of which seem to offer healthy, heart-protective benefits, and some of which cause stomach distress (or it could be the same compounds that do both). Cooking them seems to deactivate some of the problem-causing compounds. But on the chance that you’re also deactivating some of the good stuff, dietician Mary Ryan, suggests using mix of cooked and raw so that you can reap the benefits without suffering the consequences.


Ice cream

There’s no quicker way to determine if you’re lactose intolerant than to sit down with a big bowl of ice cream. The bloating, cramping and gas are clear messages: Your system is trying to tell you to stay away from such rich dairy products. If that’s the case, the only solution is switching to lactose-free frozen treats (such as those made from soy or rice milk). But even if you’re not lactose intolerant, scarfing down a pint of Ben & Jerry’s in one sitting still will give you some stomach trouble. That’s because it’s essentially all fat, and fat lingers in the stomach longer than other foods before getting digested.


Broccoli and raw cabbage

These fiber- and nutrient-rich vegetables are incredibly healthy, but they are also well-known for causing gas buildup in the gut. Fortunately, the solution is simple. “Cooking them—or even just blanching them slightly—will deactivate the sulfur compounds that cause gas,” explains Ryan.


Beans

Beans have such a notorious reputation for causing gastric distress that they even spawned their own rhyme (come on, you all know it! “Beans, beans …”). And there is some truth to it. The enzyme needed to break down beans is found only in our stomach bacteria. And if you don’t routinely eat beans, you might not have enough of this enzyme to comfortably digest them. The result, of course, is gas and bloating. Cooking beans in soup can help—the extra fluid will help digest the large amounts of fiber beans contain, and the extra cooking time will start breaking the beans down even before you eat them. By adding beans to your diet gradually, you will help build up the enzyme necessary to digest them without issue.


Sugar-free gum

Sorbitol, the ingredient found in many sugar-free gums, candies and diet bars and shakes, can cause an uncomfortable buildup of gas in your gut. Check the labels before you buy to see if you can find sugar-free products that use less troublesome sugar substitutes. Amount also is an issue, warns Gidus. Most people can handle two or three grams without any problems, but a product that packs 10 or more grams will undoubtedly be tough on the digestion.



Sally Wadyka is a Boulder, Colo.-based freelance writer who writes regularly for Shape, Runner’s World, Real Simple and The New York Times.

Tuesday, April 3, 2007

Exercise may fend off arthritis in women

By MARGIE MASON, AP Medical Writer Tue Apr 3, 11:38 PM ET

Get moving, Grandma! Exercise isn't just about improving your heart and fighting flab that comes with aging. It may also be the answer to preventing stiff, achy joints that can lead to debilitating arthritis. An Australian study suggests the more time older women spend exercising, the better their chances are of staying pain-free from one of the biggest chronic conditions plaguing developed countries.

Even exercising as little as one hour and 15 minutes a week now can make a difference over the next three years, according to findings recently published in the journal Arthritis Research & Therapy.

"I don't think the results are suggesting that you should just become this maniac exerciser," said lead author Kristiann Heesch from the University of Queensland, Australia. "What it does suggest is that just adding some walking and moderate activity to your life can make a big benefit."

Doctors have long encouraged exercise among aging patients to keep joints flexible, muscles strong and to keep off weight, which is a leading risk factor for arthritis. This is the first study that focuses specifically on middle-aged and older women who did not have a history of stiff and painful joints. It looked solely at pain and symptoms reported by more than 8,700 Australian women over a three-year period, and could offer a vital clue about prevention.

Women in their 70s who exercised 75 minutes a week reported fewer symptoms of arthritis than those who did less, while more spry women who were active at least 2 1/2 hours weekly had even less pain in the three years that followed. Although there appeared to be a direct correlation between exercise and lower joint pain, the reasons why were less clear.

"Maybe the exercise directly benefits the joints. Maybe exercise makes you lose weight and the latter benefits the joints. Maybe exercise causes pain sensing receptors to become less sensitive so one feels less pain," said Dr. John Hardin, chief scientific officer at the Atlanta-based Arthritis Foundation, who did not participate in the study.

Conversely, exercise had no effect on arthritis symptoms reported by middle-aged women. Heesch said it's unclear why the results differed among the two age groups.

The findings also contradict some earlier research, which found no direct link between fitness and arthritis. The Australian study, published last week, focused on specific age groups of fairly healthy women predominantly from rural areas who had not been diagnosed with arthritis, which may partially explain the difference, Heesch said.

"If we could put out a pill that would solve a lot of problems, it would be physical activity, but we can't wrap it up into a little pill and give it to people," she said. "Particularly with the baby boomers getting older, there's going to be a lot more griping and need to address this."

She said walking, swimming, yoga, tai chi and even some weight training were all great ways for older women to exercise after getting their doctors' approval. More women than men suffer from arthritis, and the risk increases greatly with age.

"The fact that the study showed change in a short time speaks to the fact that exercise shows benefit quickly and is another reason to encourage people that exercise has a payback sooner than many people think," said Dr. Patience White, chief public health officer at the Arthritis Foundation.

One in five American adults has been diagnosed with arthritis — half of those over age 75 have reported it — costing billions of dollars each year. In both the United States and Australia, it is the No. 1 cause of disability.

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Margie Mason covers medical issues for The Associated Press across the Asia-Pacific region.