Tag: Cleveland Clinic

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Recipe: Spring Veggie + Grain Bowl.@ClevelandClinic

An easy way to lighten up your diet






Cleveland Clinic

@ClevelandClinic


This clean, light, flavorful meal is perfect any time of day! Look for local veggies, and you’ll know spring has truly sprung.
Ready for a spring-cleaning that doesn’t involve baseboards or windows? After a chilly winter filled with hearty soups and stews, there’s nothing like spring vegetables to lighten your, err, load.
Our Spring Veggie + Grain Bowl features ribbons of tender, sweet asparagus and carrots on a bed of fluffy quinoa. Radishes and jalapeño, plus a simple, light dressing of tahini, lemon juice and garlic, add zing and tang — plus loads of nutrients. This vegan dish makes a clean, light, flavorful lunch or dinner — or even breakfast. Look for local veggies, and you’ll know spring has truly sprung.
Ingredients
1 cup quinoa
3 tablespoons tahini, well stirred
3 tablespoons water
2 tablespoons fresh lemon juice
1 small clove garlic, minced
¼ teaspoon kosher salt
12 asparagus spears
3 carrots
6 radishes
1 jalapeño, seeds removed if desired
½ cup fresh parsley leaves
Directions
In a medium saucepan, combine the quinoa with 2 cups of water over medium-high heat and let come to a boil. Stir once, cover with a tight-fitting lid, and reduce the heat to low. Cook for 15 minutes, until the water is absorbed. Remove from the heat and fluff with a fork. Let stand, covered, for 5 minutes more.
In a small bowl, whisk together the tahini, water, lemon juice, garlic and salt.
Using a vegetable peeler, peel the asparagus and carrots into long ribbons. Thinly slice the radishes and jalapeño.
Divide the quinoa among bowls and add the vegetables. Drizzle on the dressing and scatter the parsley leaves over the top.
Nutritional information (per serving)
Makes 4 servings.
376 calories, 20 g total fat, 3 g saturated fat, 13 g protein, 39 g carbohydrate, 6 g dietary fiber, 3 g sugar, 0 g added sugar, 0 mg cholesterol, 112 mg sodium
Source: Developed by Sara Quessenberry for Cleveland Clinic Wellness
https://health.clevelandclinic.org/recipe-spring-veggie-grain-bowl/
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No Level of Alcohol is Safe.@ClevelandClinic

Stopping for happy hour with colleagues after work. Cracking open a cold beer (or two) while watching the game. Meeting up with girlfriends for a glass of pinot noir. Having an alcoholic beverage of choice is a common way to unwind. But according to a recent study, even casual drinking can put your long-term health at risk.

Liver specialist Jamile Wakim-Fleming, MD, did not take part in the study, but says the research found that alcohol was a leading risk factor for both disease and premature death.

“They found that alcohol was the seventh leading cause of death worldwide,” she says. “But even more alarming, is that it was the first leading cause of death of people between the ages of 15-49.” 

What the study examined

The study looked at global data from hundreds of previous studies and found that for all ages, alcohol was associated with 2.8 million deaths each year.

Researchers found that alcohol-related cancer and heart disease, infectious diseases, intentional injury, traffic accidents and accidental injury were some of the leading causes of alcohol-related deaths.

But isn’t alcohol good for your heart?

Dr. Wakim-Fleming says people often believe that a little bit of alcohol, wine in particular, may be good for their heart. But the study results didn’t show any health benefit to drinking any amount of alcohol.

She says this information, along with previous research that has shown more young people are dying from alcohol-related liver disease, indicates that excessive drinking among young adults is a growing problem.

The damage grows over time

And like any substance-abuse problem, Dr. Wakim-Fleming says the damage to the body from alcohol increases over your lifespan.

“It’s a cumulative effect,” she explains. “If you do it all at once, then you’re going to have the effect now. If you drink on a regular basis, over years it’s going to be cumulative and you will end up with a problem later on.” 

Dr. Wakim-Fleming notes that anything we do in life involves risk, but it’s important to know what the risks are so that we can make the best decisions for our health.

Complete results of the study can be found in The Lancet.

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Cleveland Clinic: The connection between pain and your brain:

cleveland chronic back pain

Chronic Back Pain? You May Find Relief With Behavioral Medicine

Understanding the brain’s relationship to pain

No pain, no gain? Not true for people suffering from chronic back pain. Instead, it’s the opposite: Back pain is one of the main causes of missed work (and missed paychecks).

But could the key to coping with chronic back pain be in your mind? “We actually know that pain is not just a sensory, or physical, experience,” says psychologist Sara Davin, PsyD, MPH. “It is also an emotional experience.”

Dr. Davin explains how you can harness your pain management super-powers by understanding the very real connection between pain and your thoughts.

The 411 on the mind-back pain connection

To understand how it all works, think of pain’s purpose. Pain is your brain’s way of alerting you that something is wrong, whether it’s a stubbed toe or a slipped disk.

How your brain processes an injury, then shares that information, has a direct connection to the level of pain you feel. You’re aware of pain because your brain tells you it’s there. (Psst — your brain also controls your thoughts and emotions.)

“Pain is processed in the brain and the central nervous system. Both have areas connected to the sensory experience, but both also have areas connected to the emotional experience,” Dr. Davin explains. “The sensory and emotional go together to create the output of one’s experience of pain. So to comprehensively treat chronic back pain, we have to look at both sides.”

And while traditional treatments like medications and physical therapy can take the edge off, they often ignore the elephant in the room: your thoughts.

“Managing back pain with behavioral medicine strategies might even prevent the pain from becoming chronic,” Dr. Davin states.

What is cognitive behavioral therapy for pain?

CBT for pain is talk therapy’s more specialized cousin. It’s a behavioral medicine strategy that teaches people how to:

  • Make the connection between how they think about their pain and the way they interpret it.
  • Understand how pain impacts their emotions.
  • Choose coping skills to help with how they function and behave.

Still not sold? Dr. Davin gives this example: Someone who feels that their pain is unbearable may cope by lying in bed and isolating themselves from activities they value. “This cycle can go on and on,” she explains. “The person becomes more helpless and then, from a physical standpoint, becomes weaker. Naturally, they now have even more pain.”

With CBT, that helpless feeling (and associated pain) is kicked to the curb because pain psychologists teach people how to:

  • Pace activities so they don’t overdo it.
  • Practice relaxation and meditation to decrease pain and stress.
  • Soothe their central nervous system, which increases the feeling of pain when under stress.

The proof is in the pudding. Dr. Davin runs an interdisciplinary program that uses physical therapy and CBT to treat chronic back pain. Patients participate in this program for 4 to 10 weeks, depending upon their progress.

“Folks in the program were better when compared to physical therapy alone,” she reports. “We have consistently seen significant improvements across all quality of life measures, including how much pain interferes with someone’s life, levels of fatigue, anxiety and depression, plus improvements in pain-related disability.”

Interestingly, one of the metrics that improves the most in the program is how satisfied participants are in their social roles. “In our program we teach people how to start having fun again and connected with others,” Dr. Davin notes. “I suspect this is why we see people wanting to be more socially active after the program.”

3 ways to put this new knowledge into action

Here’s how you can incorporate behavioral medicine strategies into your back pain management:

  1. Find a good pain management doctor. “You want a doctor who helps you rehabilitate and regain quality of life, but who also thinks about pain beyond its physical components,” Dr. Davin says. “Patients often struggle with the behavioral piece and think it means that their pain isn’t real. But your pain is real — you just need someone to help you manage it better using behavioral medicine skills and strategies. Pain psychologists are trained to do this.”
  2. Get your research on. Dr. Davin suggests powering up your e-reader and searching for books that outline the basic strategies for cognitive behavioral therapy for pain. Your doctor may also recommend an online course or resources that offer science-based education about how to overcome chronic pain.
  3. Don’t neglect physical therapy. Dr. Davin emphasizes that physical therapy is essential to maximizing back pain relief. “A physical therapist who’s trained in pain and neuroscience education can explain why behavioral medicine treatments work, plus help you use them,” she says.

https://health.clevelandclinic.org/chronic-back-pain-you-may-find-relief-with-behavioral-medicine/

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Muscles in your body are a use-or-lose proposition. You need to use them to keep them strong!@ClevelandClinic

cleveland muscles

Cleveland Clinic
@ClevelandClinic

Muscles in your body are a use-or-lose proposition. You need to use them to keep them strong!

You may not realize it, but we all start losing 1 percent of muscle mass each year after age 30. That’s why your diet in later years should not look the same as it did when you were younger, says endocrinologist Susan Williams, MD.

Skipping breakfast, eating fast food and being inactive in your 20s and early 30s might not hurt your health in the short term. However, poor nutrition and lifestyle habits take their toll over time.

People who embrace good habits early on really get ahead of the game, Dr. Williams says. But it’s never too late to start eating better and taking better care of your body.

Whether you’re 30 or 50, Dr. Williams offers three important tips to get started in eating right when you are thinking about your long-term health.

RELATED: Do You Know How Much Exercise You Really Need? 

1. Keep your weight in check

A roller coaster of weight gain and loss can change your body composition and leave you with more fat mass and less lean muscle mass.

2. Eat three balanced meals a day

You also want to limit your snacks in between. The word “balanced” is especially important because eating a wide variety of foods will help you prevent nutritional deficiencies.

Dr. Williams suggests this simple shopping list:

  • Lean proteins. Choose chicken, white fish, oily fish like salmon, eggs, tuna fish and red meat (less frequently than other protein).
  • Whole grains. This includes multigrain breads, and long-cooking rice or oats.
  • Veggies. Go for fresh or fresh frozen. Choose what’s in season and enjoy a variety to get the vitamins and minerals your body needs.
  • Fruit. Fresh fruit is best, followed by frozen. Canned fruit can be OK, but choose options in light syrup or water. Check the label and avoid added sugar.
  • Dairy. Choose milk, yogurts, cheeses and cottage cheese that are low-fat or fat-free.

Steer clear of cookies, cakes, pies, ice creams, juices and rich desserts. If that sounds like no fun, Dr. Williams advises treating these foods as treats. Save them for dining out or special occasions, but don’t make them part of your daily diet.

RELATED: Which Bread Is Best For You — Whole-Grain, Multigrain or Whole Wheat?

3. Use your muscles

Eating protein and being physically active are equal partners in the quest for maximum health, Dr. Williams says. Muscles are made of protein, but simply eating protein is not enough to save them.

“Muscles in your body are a use-or-lose proposition,” she says. “You need to use them to keep them strong.”

Can’t carve out time for the gym? Try this daily routine:

  1. In the morning, stretch for 10 minutes.
  2. At lunch, eat and then walk for 10 minutes.
  3. After dinner, spend 10 minutes with stretch bands or light weights.

Even a half hour of physical activity can make a world of difference, especially if you make it a habit in your 30s. “Don’t let your weight creep up while your muscle mass creeps down over your 30s and 40s,” Dr. Williams says. The longer you wait, the harder it will be to get started — and the more muscle you will have already lost.

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Tips to help comfort and protect your child:@ClevelandClinic

cleveland virus child
How to Talk to Your Child About Coronavirus
Tips to help comfort and protect your child
health.clevelandclinic.org

As the rates of coronavirus (COVID-19) continue to rise, schools across the country are closing in an effort to help protect children and their families.

And with all of the disruption and talk about COVID-19, it’s bound to cause alarm, worry or confusion in some children. That’s why it’s important to have an open and honest conversation with your child about everything they might be hearing and seeing – especially if they’re seeing it on TV or hearing it from other people.

“Everyone is talking about coronavirus, it’s everywhere you look,” says Kate Eshleman, PsyD. “And if we’re seeing it so prominently, that means our kids are too and they might not understand it all – and that can be scary for them.”

Although it might not seem like a big deal, Dr. Eshleman urges parents to sit down with their children to explain COVID-19 in a way that they’ll understand. It doesn’t need to be a super in-depth conversation either, but listening to them and giving them a chance to ask questions can help children cope and better understand.

Dr. Eshleman gives these tips for having a conversation about COVID-19 with your kids:

  • Ask open-ended questions. Start by asking your child what he or she knows about coronavirus. They may have heard comments from friends or overheard an adult conversation about it, but they might not fully understand it. This can cause kids to share something that might not be true or repeat misinformation, which can lead to more confusion. Also be sure to ask your child how he or she feels when they hear all the news about coronavirus. This way you can reassure them if they express feelings of fear or worry. If your child is too young and can’t comprehend it all, it’s a good time to discuss and encourage good hygiene practices.
  • Explain the truth in way that your child will understand. You’ll need to explain things slowly and carefully and use words that won’t cause panic or more confusion. If a child doesn’t understand the term “virus” or can’t comprehend “coronavirus” you might try explaining that certain germs are making people sick and that everyone wants to avoid those germs. Remember to keep it in perspective and control the level of uncertainty.
  • Discuss the importance of good hygiene. If you haven’t already talked to your kids about good hand hygiene – now is the time to do it. Explain that it’s important to wash your hands, use a tissue to cover your mouth and nose when you cough and not to touch your face, especially with unclean hands. Explaining that they can help prevent catching the virus (or passing it onto their friends) by practicing good hygiene can give them a sense of control, which can ease anxiety.
  • Tread carefully with media. Try to watch, listen or read coverage of COVID-19 with your child so you know what message is being portrayed and can help explain – or turn it off if the message is causing fear. Also be aware that social media is filled with news about the virus, so setting a time limit for scrolling is a good idea.
  • Remind them they can always come to you with questions. Keep an open and honest relationship with your child about COVID-19. No one can predict exactly how this virus will evolve, but keeping tabs about how your child is feeling in the coming days or weeks is important. Explain that you’re always there to talk or answer any questions they have.
  • Offer reassurance. Explain to your child that lots of doctors, nurses and healthcare workers are working hard to keep everyone safe and healthy. It’s important for children (and adults too!) to know and understand that people are helping each other at a time where things feel a little uncertain. Reassure your child that everything that is happening (whether it’s school closing, social distancing or being in the hospital) is to stop or help prevent people from getting sick.

“Children are intuitive and pick up on more than you think they do,” says Dr. Eshleman. “They can sense when adults are talking in whispers or being hush-hush about something. They’re also good at sensing fear or anxiety in adults, which in turn can make them feel that way too.”

Children have limited life experience, so talking to them and showing that they matter can help them understand and feel secure.

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How does breaking a sweat boost immunity?@ClevelandClinic

cleveland break sweat

Cleveland Clinic
@ClevelandClinic

 

You know exercise builds muscles, strengthens bones, keeps your heart healthy and your mind sharp. But it also does something that you might not think much about: It helps keep your immune system — your internal defenses against infection — in tip-top shape.

If you take time for some physical exertion each day, it helps get your body ready to attack bacteria, viruses and toxins that can sneak in and make you sick.

But how much exercise is effective? Do too little or too much, and it won’t have the best effect on your immune system.

Clinical immunologist  Leonard Calabrese, DO, answers common questions about how exercise can impact your immunity and how to use your workouts to shut out a world of would-be invaders.

Q: How does breaking a sweat boost immunity?

A: If you exercise moderately on a regular basis, it tunes up the immune system in many ways. It enhances your broad-based defenses against viral infections, such as those causing upper respiratory infections.

Working out regularly also reduces the risk of many chronic diseases such as cardiovascular, respiratory illnesses and metabolic diseases, such as type 2 diabetes.

Q: How much exercise do you need?

A: Fortunately, you don’t have to push yourself to the limit to rev up your immune system. In fact, your immune system needs less of a workout than you get with your average cardio routine.

Focus on getting 20-30 minutes of moderate exercise, five days a week, and your immune system will thank you.

Q: What types of exercise are most helpful?

A: Moderate exercises, including biking or walking briskly in your neighborhood, are good ways to get your blood flowing. Swimming is also a good option for non-weight-bearing exercise for your joints.

Also try mind-body exercises such as Tai-Chi, Qi Gong and yoga, which are all options that help keep your joints flexible. These exercises also reduce chronic stress, which in itself is a powerful immune booster. These exercises can also help alleviate osteoarthritis and fibromyalgia symptoms.

Q: Can too much exercise set your immune system back?

A: Yes, though, the level to which it can slow your system down is still up for debate.

Research shows that exercising for more than 1.5 hours without refueling your body or giving it enough time to recover suppresses your immune responses for up to a few days. During that time, your cortisol levels rise, your white blood cell count drops and you’re more likely to develop a respiratory infection.

This problem usually affects elite athletes, such as marathon runners, most.

On the flip side, staying sedentary also increases your risk of infection, inflammation and chronic disease.

Q: Can exercise make an illness worse?

A: Yes, it can. This is a complex issue, but I like to tell my patients to do a “neck check.” If your symptoms are mostly of a mild cold without fever or lower respiratory symptoms, such as a productive cough, wheezing or shortness of breath, mild exercise can actually reduce congestion and may make you feel better.

If your symptoms are primarily in your lungs or you have a significant fever its better to rest until things settle down. Regardless, good hydration is important.