Kamis, 29 April 2010
MRMIP Will Not Be Used For Risk Pool
Anthem CA Rate Increase Withdrawn
Good Exercises To Do When Pregnant
Most women can and should exercise when pregnant. Unless your pregnancy is high risk or your doctor has ordered you to stay in bed, there is no reason in fact you can't exercise while pregnant.
Studies show that there are numerous benefits to exercising while pregnant. You can improve your energy levels, get your blood pumping to your legs and improve your circulation, and improve your chances for a speedy recovery.
Another reason to exercise? Moms who worked out while pregnant generally had shorter and easier labors.
So what kinds of exercises are good to do when pregnant?
Well let's start with those you should avoid. You should avoid embarking on any stringent exercise program you are unfamiliar with. Avoid running and other jarring activities unless you are a very experienced runner. Even then you should consult with your physician.
Here are some generally good and safe exercises that are recommended during pregnancy:
Walking – This is the best overall exercise for pregnant mothers anywhere. It is low impact but still gets your heart rate up and your blood pumping. Walking is usually safe throughout the entire pregnancy.
Jogging – Jogging can be done safely if you are an experienced jogger. You should reduce your jogging regimen however the further along you are in your pregnancy. If you are not able to have a conversation when jogging, then you are working out too hard.
Swimming – This is the number one exercise and the safest exercise when it comes to pregnancy. Swimming alleviates the heaviness you feel from weight gain associated with pregnancy. It also provides you with optimal cardiovascular benefits and helps you feel light and refreshed.
Yoga – Yoga can help you maintain your muscle tone and stretch out tight ligaments during pregnancy. Be sure you investigate a pre-natal yoga class if at all possible.
Weight Training – Weight training is a great way to maintain and build muscle during your pregnancy. Just keep in mind you should avoid heavy weights and weight bearing exercises that require you to lie on your back.
To be safe you should always consult with your doctor or physician before beginning any exercise program. Most pregnant women are fine to work out particularly if they've been active before.
If you are just starting a program be sure to take it easy initially. You should also commit to exercising regularly. Generally 30 minutes of exercise 4-7 days per week is recommended.
One last point… be sure to keep hydrated and avoid over-heating which can be dangerous for you and your baby. Avoid getting your heart rate much over 140 and stop any exercise if you start to feel dizzy or lightheaded.
Also don't forget the importance of warming up before any and all activity. You'll reduce the likelihood of injury. Warm up after activities will also help your heart rate return to normal. Good luck and have fun!
Rabu, 28 April 2010
Grains as Food: an Update
Last year, I published a post on the Diet and Reinfarction trial (DART), a controlled trial that increased grain fiber intake using whole wheat bread and wheat bran supplements, and reported long-term health outcomes in people who had previously suffered a heart attack (1). The initial paper found a trend toward increased heart attacks and deaths in the grain fiber-supplemented group at two years, which was not statistically significant.
What I didn't know at the time is that a follow-up study has been published. After mathematically "adjusting" for preexisting conditions and medication use, the result reached statistical significance: people who increased their grain fiber intake had more heart attacks than people who didn't during the two years of the controlled trial. Overall mortality was higher as well, but that didn't reach statistical significance. You have to get past the abstract of the paper to realize this, but fortunately it's free access (2).
Here's a description of what not to eat if you're a Westerner with established heart disease:
Those randomised to fibre advice were encouraged to eat at least six slices of wholemeal bread per day, or an equivalent amount of cereal fibre from a mixture of wholemeal bread, high-fibre breakfast cereals and wheat bran.Characteristics of Grain Fiber
The term 'fiber' can refer to many different things. Dietary fiber is simply defined as an edible substance that doesn't get digested by the human body. It doesn't even necessarily come from plants. If you eat a shrimp with the shell on, and the shell comes out the other end (which it will), it was fiber.
Grain fiber is a particular class of dietary fiber that has specific characteristics. It's mostly cellulose (like wood; although some grains are rich in soluble fiber as well), and it contains a number of defensive substances and storage molecules that make it more difficult to eat. These may include phytic acid, protease inhibitors, amylase inhibitors, lectins, tannins, saponins, and goitrogens (3). Grain fiber is also a rich source of vitamins and minerals, although the minerals are mostly inaccessible due to grains' high phytic acid content (4, 5, 6).
Every plant food (and some animal foods) has its chemical defense strategy, and grains are no different*. It's just that grains are particularly good at it, and also happen to be one of our staple foods in the modern world. If you don't think grains are naturally inedible for humans, try eating a heaping bowl full of dry, raw whole wheat berries.
Human Ingenuity to the Rescue
Humans are clever creatures, and we've found ways to use grains as a food source, despite not being naturally adapted to eating them**. The most important is our ability to cook. Cooking deactivates many of the harmful substances found in grains and other plant foods. However, some are not deactivated by cooking. These require other strategies to remove or deactivate.
Healthy grain-based cultures don't prepare their grains haphazardly. Throughout the world, using a number of different grains, many have arrived at similar strategies for making grains edible and nutritious. The most common approach involves most or all of these steps:
- Soaking
- Grinding
- Removing 50-75% of the bran
- Sour fermentation
- Cooking
In the next post, I'll explain why these processing steps greatly improve the nutritional value of grains, and I'll describe recipes from around the world to illustrate the point.
* Including tubers. For example, sweet potatoes contain goitrogens, oxalic acid, and protease inhibitors. Potatoes contain toxic glycoalkaloids. Taro contains oxalic acid and protease inhibitors. Cassava contains highly toxic cyanogens. Some of these substances are deactivated by cooking, others are not. Each food has an associated preparation method that minimizes its toxic qualities. Potatoes are peeled, removing the majority of the glycoalkaloids. Cassava is grated and dried or fermented to inactivate cyanogens. Some cultures ferment taro.
** As opposed to mice, for example, which can survive on raw whole grains.
Selasa, 27 April 2010
Tips For A Healthy Pregnancy
Giving birth will no doubt be one of the most magical moments of your life and to ensure that your child is strong and happy, it is important you do all you can to have a healthy pregnancy. To help you and your baby on your way, this article has compiled a number of tips that are guaranteed to make those nine pregnancy months the best they can be!
The first thing you must do when you find you are pregnant is to visit an obstetrician/gynecologist (OBGYN). They will give you an ultrasound to see how far along you are and whether your pregnancy appears to be normal. This stage is crucial and it is important not to leave this too late.
After this, you must begin to change your lifestyle. Remember, you are no longer eating and exercising for yourself but for two! Firstly, if you are a smoker or a drinker, you must quit. Cigarette smoke can lead to low birth weight in babies as well as miscarriages and tubal pregnancies so try to avoid second hand smoke as it is not conducive to a healthy pregnancy. The same can be said for alcohol and other toxic chemicals and substances such as paint fumes. These items are both damaging to the mother and to the pregnancy.
Another part of changing your lifestyle is your diet during pregnancy. Make sure to drink plenty of water – about 6 to 8 glasses a day. It is not healthy to be overweight or underweight during a pregnancy but do remember that you shouldn't diet during pregnancy. Pregnancy is not a time to be worrying about your weight! Don't skip meals as you and your baby need as much nutrition and calories as possible, although not the fattening kind so make sure you get a balance. Junk food is great to satisfy those crazy pregnancy cravings but try not to go overboard!
If you are worried about weight gain during pregnancy, a great alternative to dieting is light exercise. You may not have loved it before your pregnancy, but learn to love it now as it will definitely pay off in the long run by keeping your baby healthy and your body fit. Light exercises will not harm your pregnancy so try swimming, yoga and walking.
An additional healthy pregnancy tip that those with busy schedules tend to forget is the importance of sleep. Make sure to get plenty of rest so that you and your baby can recuperate and to ensure that your immune system is as strong as possible. It is advised that you rest on your side to reduce swelling and generate the best circulation to your baby.
To recap: avoid damaging substances such as nicotine and alcohol, don't diet during pregnancy, drink plenty of water, practice as much exercise as safely possible, and get plenty of sleep! Following these pregnancy tips will make certain that you have a healthy pregnancy and have a happy and fit child.
Simple Tips to prevent common cold
Minggu, 25 April 2010
Tips on how to stop smoking
Jumat, 23 April 2010
Anthem Fights Back (Finally!)
Ovulation
Childbirth is a momentous occasion, whether a first born or the seventh. The health and upbringing of a newborn is dependent on mother's preparedness on how she handles this delicate issue. We can read or watch videos of childbirth but it is experience that carries weight.
The first step is to understand female anatomy and how it works during different phases of childbirth. Ovulation is one such phase of the menstrual cycle, when an egg or ovum is released from ovaries. If this ovum meets with male sperm in its journey down the fallopian tube conception takes place. It does sound simple, but Ovulation depends on the interplay of glands and hormones. This may be one reason why some women cannot conceive. The gland that affects Ovulation is the Hypothalamus, using its hormones for communication with the pituitary gland, referred to as the master gland of the endocrine system. In turn, the pituitary gland produces luteinizing hormone (LH) and FSH. High levels of LH cause Ovulation within two days. The cycle continues with mature follicles releasing ovum into the peritoneal cavity and then into the fallopian tube, and from there to the uterus. If the ovum does not encounter a sperm within 24 hours it dies.
Ovulation occurs two weeks before the onset of the menstrual period once every month till menopause, or break in between for child birth and pregnancy. Certain changes occur in the cervical mucus, which gets slippery and slick, accompanied by general or localized pain. Sometimes there is delay or deviation from 24 to 35 days in the menstrual cycle, or slight fever in women who follow natural family planning methods. This persuades them to mistake Ovulation for premenstrual symptoms, if accompanied by pain and changes in body. Instead of playing guessing games, Ovulation should be confirmed with kits available in market or through blood tests or pregnancy ultrasound. Once sure, it is advisable to take precautions to avoid miscarriage or bleeding. Motherhood is something nature intended us to enjoy, and we should welcome it in all its cycles.
Pregnancy Week By Week: Week #1 & #2
Week #1
The most wonderful experience that can happen to a woman is to be pregnant. It is a truly amazing process of life and being able to go through 9 months of carrying another living, breathing person inside of you will change you forever.
When you think about pregnancy, you think about 9 months. But you actually have to start from the first day of your last menstrual cycle. Women have no idea when they ovulate or conceive, but they do know when the first day of their last menstrual cycle occurred. Ovulation won't take place for another 2 weeks, so you may actually conceive during week 3.
If you are planning on becoming pregnant, now is the time to start getting your body ready. You need to start taking prenatal vitamins, which contain folic acid and iron (two very important nutrients for fetus development early in pregnancy).
Also, start tracking ovulation by taking your basal body temperature and watch for the signs. Check out the article called "So You're Ready to Have a Baby….." to see more information.
Make sure to check back next week to see what happen in week 2. Until then, happy baby making.
Week #2
This is around the week of ovulation. You are now at the midpoint of your menstrual cycle (if you have a regular 28-day cycle), about to ovulate and are most likely to get pregnant. Your uterus has shed its lining and is preparing itself to house your fertilized egg. Your egg is ripening in one of your ovaries and is getting ready to be released.
A woman is truly fertile for about 4 days a month and this is determined by when she is ovulating. You need to keep track of your menstrual cycle, your basal temperature and the consistency of your cervical mucus. These will give you the best signs of when you are about to ovulate.
Prepare to have fun trying to make your baby.