Low vitamin D more common in overweight kids

Published: Monday, December 24, 2012 @ 11:04 PM

Overweight and obese children and teens are more likely to have low vitamin D levels than kids with healthy weights, a new study suggests.

The study is published in Pediatrics.

Vitamin D is essential for bone health. Bone growth is high during childhood and adolescence. So it may be especially important to identify and treat vitamin D deficiency during that time, the researchers write.

Vitamin D deficiency is also linked to a variety of chronic conditions, such as:

  • High blood pressure
  • Type 1 diabetes
  • Multiple sclerosis

 Previous research suggests that obesity may put you at risk for vitamin D deficiency.

Overweight Kids and Vitamin D

Researchers in the study analyzed data from more than 12,000 U.S. children and teens aged 6 to 18. The children were enrolled in the 2003-2006 National Health and Nutrition Examination Survey.

About 21% of the healthy-weight youngsters were deficient in vitamin D. That was also true for 29% of those who were overweight, 34% of those who were obese, and 49% of those who were severely obese.

Even after accounting for such factors as vitamin D supplementation and intake of milk, which is typically fortified with vitamin D, the rates of vitamin D deficiency were higher in Latinos and African-Americans. Among the severely obese youngsters, 27% of whites, 52% of Latinos, and 87% of African-Americans were deficient in vitamin D.

"The particularly high prevalence in severely obese and minority children suggests that targeted screening and treatment guidance is needed," the researchers conclude.

Researcher Christy Turer, MD, a pediatrician at the University of Texas Southwestern Medical Center and Children's Medical Center in Dallas, says she and her colleagues already were routinely checking vitamin D levels in children at specialty clinics, such as weight management clinics. Those found to be deficient are prescribed high-dose vitamin D supplements, a pill taken weekly. After eight weeks of treatment, their levels are rechecked, and if they're near normal, she'll cut them back to monthly doses of vitamin D supplements.

Turer also recommends that vitamin-D-deficient patients drink low-fat milk. If they don't like to drink plain milk, she says they can add artificially sweetened flavors that add only 15 calories a serving.

"The reason that milk is important is it has not just vitamin D, but it has calcium," she says. Unsweetened soy milk and almond milk are also good sources of vitamin D and calcium, Turer says.

Go Outside and Play

Turer says overweight, vitamin-D-deficient children should walk away from the television or computer screen and go outside and move around. That's because the sun is one of the main sources of vitamin D.

It's not known whether children get as much vitamin D from the sun as adults, she says. Turer suggests that children should get 10 or 15 minutes of sun before putting on sunblock.

Parents who think their child might be deficient in vitamin D should talk to their doctor before giving them supplements that are available without a prescription, Turer says. "There are risks from taking too much vitamin D."

Checking the blood level of vitamin D costs about $100.Turer says more research is needed to determine whether routine screening is cost-effective and whether treating deficiencies reduces the risk of fractures and other related health problems.

Earlier Research on Vitamin D

Recent, smaller studies of children in Somerville, Mass., and Charleston, W.Va., reached similar conclusions.

Tufts researchers evaluated 145 fourth- through eighth-graders. More than 83% of the children were found to be vitamin D deficient. Researcher Lauren Au, RD, says that high levels of vitamin D deficiency may be partly explained by the fact that more than half of them were overweight or obese. Also, Au says, their Vitamin D levels were checked during the winter, when sun exposure is lower.

In another small study, Stephen Sondike, MD, an adolescent medicine specialist at West Virginia University, compared vitamin D levels in 76 patients aged 2 to 18. The patients had a diagnosis of obesity, chronic kidney disease, diabetes, high blood pressure, or cystic fibrosis. Only obesity was associated with vitamin D deficiency.

Sondike, medical director of the Disordered Eating Center of Charleston, says he routinely checks the vitamin D levels of overweight and obese patients. The notion that such children are malnourished might seem counterintuitive, he says, but "their diet is heavy in calories and not heavy in nutrients."

SOURCES: Christy Turer, MD, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas.Lauren Au, RD, doctoral fellow in obesity, Tufts University.Stephen Sondike, MD, medical director, Disordered Eating Center of Charleston; adolescent medicine specialist, West Virginia University.Robinson, C. Southern Medical Journal, October 2012.Au, L. Public Health Nutrition, Aug. 3, 2012.Turer, C. Pediatrics, January 2013.

© 2012 WebMD, LLC. All rights reserved.

5 reasons to breastfeed your child 

Published: Wednesday, October 11, 2017 @ 12:57 PM
Updated: Wednesday, October 11, 2017 @ 12:57 PM

Breastfeeding has health benefits for mothers and children. A new study suggests breastfeeding can reduce a mother's risk of heart attack and stroke. The study analyzed 289,573 women in China. 6 months of breastfeeding = 4% less likely to have hea

Many new moms have heard that "breast is best" when it comes to feeding their babies, but they may not have all the facts on just what makes it best.

When you're making the personal decision about how to feed your child, it helps to know exactly why experts so strongly recommend breastfeeding.

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Here are five major benefits of breastfeeding:

Providing an immune system boost

Breast milk contains antibodies, immune factors, enzymes and white blood cells – all of which can help protect your baby against diseases and infections, according to the American Academy of Pediatrics. Your baby will be less likely to have ear infections, vomiting, diarrhea, pneumonia and other common yet potentially serious ailments as a result.

Even better, this immune system boost can, in some cases, last after you've weaned your baby.

Breastfeeding provides your baby with many important health benefits.(Sergei Bobylev/For the AJC)

Building a strong emotional bond

Psychology Today touts the bond that develops between nursing moms and their babies. This is not only because of the close, extended contact but also due to the release of hormones in moms as well as their babies.

This close bonding is believed by many to help reduce social and behavioral problems later in life, the Cleveland Clinic says.

Improving brain development

Previous studies have linked breastfeeding to better cognitive outcomes in older adolescents and adults. A Brown University study now suggests that changes in brain development occur even earlier than that  "almost right off the bat." 

Researchers used baby-friendly MRIs to look at the brain's white matter, which helps parts of the brain communicate with one another. Babies in the study who were exclusively being breastfed had 20 to 30 percent more white matter growth than babies who weren't.

Fulfilling your child's unique – and changing – nutritional needs

Breast milk changes composition to adapt to your child's nutritional needs, according to Psychology Today. It contains all the nutrition your baby needs for his or her first six months and continues to provide benefits beyond that.

And even if your baby is premature, the breast milk you produce in the first few weeks is also designed to meet your baby's unique needs. For example, it's higher in protein and minerals; it also contains different types of fat that can be more easily absorbed and digested by your premature baby.

Lowering your child's risk of SIDS

Breastfeeding is thought to lower your child's risk of SIDS – sudden infant death syndrome. 

Medical experts usually recommend that to keep your baby safe, you should keep him or her in the same room if you'd like to, but not in the same bed. They suggest that breastfeeding moms keep their babies in a crib beside their own bed to make breastfeeding easier and keep babies safe from bedding or from being accidently rolled over on.

Need help or advice about breastfeeding?

If you'd like to breastfeed your baby but have concerns or want more information, hospitals usually employ lactation consultants who can help you and your baby with breastfeeding. To find one on your own, search at ilca.org/why-ibclc/falc.

5 ways to stop killing your back with bad posture at work

Published: Tuesday, October 10, 2017 @ 12:10 PM
Updated: Tuesday, October 10, 2017 @ 12:10 PM

Here are five of the best ways to have better posture at work Consider a chair with a backrest that supports the curve of your lower back Sit with your back in a normal, slightly arched position to avoid back pain Combat back pain by spending part of your work day sitting on an exercise ball Lumo Lift, a device that attaches to your shirt with a magnet, vibrates when you should adjust your posture At least once an hour, stand and stretch

"Sit up straight!" may sound like nagging straight out of the 1950s, but it's spot on advice for the 21st century workplace. 

Constant shifting around to get comfortable at your work computer, and hunched over a smart phone at home, wreaks havoc on your back, neck and shoulders.
Regular computer users perform 50,000 to 200,000 keystrokes each day, according to the nonprofit website, OrthoInfo.com, compiled by orthopedic surgeons. "Under certain circumstances and for vulnerable individuals, frequent computer use that involves awkward postures, repetition, and forceful exertions may be related to nerve, muscle, tendon, and ligament damage," OrthoInfo.com noted

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Postures induced by using modern technology can also cause other health problems. When you lean forward at your desk, for example, you're more likely to clench your jaw and tighten facial muscles, which leads to headaches and jaw pain, according to LiveStrong.com.
Hunching over can also reduce your lung capacity by as much as 30 percent, Dr. Rene Cailliet told Livestrong.com. The former director of University of Southern California's Department of Physical Medicine and Rehabilitation noted that lungs underperforming leads to a deficit of oxygenated blood which in turn can contribute to shortness of breath, cloudy thinking and even heart and vascular disease.
But you don't have to sit back and accept these plagues of poor posture as a cost of using technology.

Experts from business coaches to orthopedic surgeons suggest ways to improve your posture and spare your back.

Here are five of the best ways to have better posture at work:

The Edge Desk System is a portable, foldable desk and kneeling chair that expands and collapses in 10 seconds. (Photo courtesy Edge Desk/TNS)

Choose your chair. To encourage great posture in an office environment, your best bet is a chair that is stable and adjusts easily for height and tilt, according to reporting on the OrthoInfo website. "Consider a chair with a backrest that supports the curve of your lower (lumbar) back," the organization said. "Experts recommend you consider positioning your thighs horizontal with your knees at about the same level as your hips. Rest your feet comfortably on the floor or on a footrest if you need one." 

Other chair attributes that encourage great posture included a padded seat with a pan at least one-inch wider than your hips as well as adjustable armrests that position your elbows near your waist.

Sit like you mean it. An OrthoInfo.com article written and reviewed by orthopedic surgeons recommends sitting with your back in a normal, slightly arched position to avoid back pain. Other work posture basics from the orthopedic surgeon community include keeping your head and shoulders erect, and making sure your work surface is set at a height that won't require you to lean forward.

Sit on a ball. Cybersecurity expert and entrepreneur Joseph Steinberg, told Inc magazine that he combats back pain and other drawbacks of bad posture at work by spending part of his work day sitting on an exercise ball, alternating it with his leather office chair. 

"Sitting on the ball makes it more difficult to slouch, engages various muscle groups that remain at rest when slouching on a chair, and builds muscle," he noted. "While the ball is clearly not as comfortable a seat as an executive chair, I got used to it pretty quickly."

Get a vibrating reminder. Steinberg also recommended the Lumo Lift, a tiny device that attaches to your shirt with a magnet. If you slouch, it gently vibrates to remind you to adjust your posture.

Stand and stretch. Even if you're not slouching, you need ample breaks to combat back pain and other effects of working in front of computers for a long time. At least once an hour you should stand and stretch, according to OrthoInfo.com. Place your hands on your lower back and gently arch backward before returning to your work.

5 signs you should ask your doctor about depression

Published: Tuesday, October 10, 2017 @ 9:54 AM
Updated: Tuesday, October 10, 2017 @ 9:54 AM

These 5 signs are solid indicators that you should talk to your doctor about depression 1. Your mind seems foggy and you have trouble concentrating 2. You feel irritated or angry over things you would normally shrug off 3. You have unexplained pain such as back pain or headaches 4. Your eating habits have changed, either an increase or decrease in appetite 5. You sleep too much or too little

A common perception of someone suffering from depression is a person who's sad and/or crying. Although you certainly may feel this way if you're depressed, the illness may also present itself in more subtle ways that you might not expect.

Depression is a very common illness, with about 16 million adults in the U.S. having at least one major episode of depression in the past year. Despite there being many different types of treatment available, about two-thirds of people with major depression never seek treatment

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Sometimes they think they'll "snap out of it" on their own or they may be too embarrassed to address the condition. But delaying treatment could have devastating effects in every area of your life, and at its worst, could result in suicide.

The following five signs are solid indicators that it could be time to talk to your doctor about depression. 

Your mind seems foggy.

If you have trouble concentrating or making decisions on an almost-daily basis, Health's website says, this could be a sign of depression. It can cause fuzzy, unfocused thinking that can affect your memory and ability to make good decisions. This could make you forget work deadlines as well as tasks you need to complete at home. At its most extreme, it could even lead you to engage in unhealthy, risky behavior.

You tend to get angry.

Although most people probably associate depression with sadness, it can also cause you to feel irritated or angry over things that you would normally shrug off. If you find yourself raging at little things at work and home, you may actually be depressed. This can be especially true of men, Reader's Digest says, who may find it more socially acceptable to express anger rather than sadness when they go through something such as divorce.

You have unexplained pain.

The Mayo Clinic says that unexplained pain such as back pain or headaches can sometimes be the first or only sign of depression. In fact, pain and depression can create a vicious cycle. If your depression is causing pain, this can make you further depressed, which increases your pain. In addition, depression-related pain that continues over time can create additional problems such as stress, low self-esteem and difficulty sleeping. Some forms of treatment can help with both pain and depression, while others treat only one condition, so you and your doctor can talk about what's best in your particular case.

Your eating habits have changed.

Depression can affect many aspects of your life, including your eating habits. Health says you may experience a loss of appetite as well as a decreased interest in food and cooking. It can also have the opposite effect, making you more likely to try to soothe yourself by binge eating on unhealthy food. In addition, if you normally eat a healthy diet but find yourself suddenly turning to junk food, you may want to talk to your doctor about depression.

Learn how to get better sleep and find out just how much sleep people in your age group really need from Reid Hospital.

You sleep too much – or too little.

Crawling into bed and escaping into sleep is behavior that may be associated with depression, according to Health. You may find yourself wanting to stay in bed and also escaping into naps when you can during the day. Depression can also cause you to stay awake late at night as you toss, turn and worry. And like many symptoms of depression, sleeping too much or too little can create a vicious cycle. You can feel tired and sluggish from too much sleep, so you may feel even worse, which can make you likely to sleep more or have more trouble getting to sleep at night.

Getting help

The National Alliance of Mental Illness (NAMI) recommends the following tips for getting help:
  • Call 911, go to your local emergency room, or call the National Suicide Prevention Lifeline at 1-800-273-8255 if you're feeling suicidal.
  • If you think your condition is mild to moderate, make an appointment with your primary care physician.
  • If you think your condition is moderate to severe, make an appointment with a specialized doctor such as a psychiatrist.
  • Seek out community support groups, which can serve as valuable tools for help and to know you're not alone in suffering from depression. NAMI can help you find support in your area.

It’s never to late to go get a mammogram

Published: Monday, October 09, 2017 @ 10:37 AM


            Chaya Vidal of Englewood had her first mammogram two years ago, at 72. CONTRIBUTED
Chaya Vidal of Englewood had her first mammogram two years ago, at 72. CONTRIBUTED

Chaya Vidal of Englewood had her first mammogram two years ago, at 72. So she may seem an unlikely public champion of the test.

But she’d learned a valuable lesson and felt compelled to share it in her synagogue’s bulletin.

“There’s never been a history of cancer in my family, and I thought I was probably too old,” she said.

Yet, there she was with an unexplained bruise. She asked her primary care doctor, Jason Schatzel, M.D., to order a mammogram.

The evening after her mammogram on Nov. 24, 2015, Dr. Schatzel called.

“It didn’t take a rocket scientist to see from the technician’s face that it was a bad, bad mammogram on both breasts,” she explained. It was Stage IIIC cancer.

Vidal, now retired from synagogue administration, was teaching a Hebrew lesson when the call came. With her student in the room, she said, “There was no way I could appear worried or nervous. I just acted like I was listening to a casual report from a doctor.”

But Dr. Schatzel was ordering biopsies of both of Vidal’s breasts, immediately.

The next day, the youngest of her three children, Chava, drove in from Cincinnati for Thanksgiving.

“When I said I needed to talk, I must have said it in a very serious tone, because she replied, ‘Why? Are you dying?’ I said I hoped not. I explained that I probably had cancer. We both laughed, because it was such a bizarre thing for her to say, and it broke the tension.”

Vidal added, “I also told her, ‘The last time I had an ultrasound was to find out I was pregnant with you.’ She said, ‘Mom, I was with you then, and I’m with you now.’”

Chava has been with her mother at every doctor’s visit and chemotherapy treatment since the surgical removal of both her breasts.

Two surgeons, Thomas Heck, M.D., and Michelle DeGroat, M.D., conducted the mastectomies simultaneously “to minimize the time I was under anesthesia, because of my age,” Vidal explained. “They were absolutely outstanding.”

In her room after surgery, cheerleading pom-poms covered nearly every surface. Eighty of them. With nurses’ permission, Chava had placed them there, each carrying encouragement from family and friends.

Chava’s special touches graced her mother’s entire journey: a gratitude journal, scrapbooks of cards and letters, a homemade fleece blanket and pillows for chemotherapy, and plenty of crossword puzzles and hard candy.

Vidal had a great concern lifted when she tested negative for an inherited BRCA gene mutation that would have increased her children’s risk for cancer. As a descendant of eastern European Jews, Vidal is at heightened risk of carrying the mutated gene.

“That was the best piece of news during that time,” she said. “It was bad enough being ill, but then finding out that I could possibly pass cancer on to my children was the worst time of my life.”

Vidal’s initial chemotherapy, starting in February 2016, brought debilitating side effects. But her oncologist worked with her to find a milder alternative.

Chemotherapy ended July 25, 2016, and Vidal’s cancer is in remission. For at least five years she’ll take a daily anti-hormone pill. “But the fact that I’m alive and able to do most of the things I love again is great,” Vidal said.

Those include:

• Walking her dog, Kip, adopted a few months before her diagnosis. During treatment, “Even walking a block became an effort.”

• Walking the track and water aerobics at the YMCA.

• Writing and directing spoofs of musicals for her synagogue’s Purim celebrations.

• Teaching adult Hebrew classes.

Vidal’s cancer journey transformed Chava’s life, too.

Like her mom, Chava serves as a synagogue program director. But a year ago, after hours in hospitals and doctors’ offices, she told her mom, “I think I’d like to be a nurse.”

She plans to begin classes soon at Sinclair Community College.

“That’s the best part of the story,” Vidal said. “The nurses would kid her, ‘Chava, you could do this now.’”

For Breast Cancer Awareness Month, we share the inspiring stories of breast cancer survivors here in the Tuesday Life section, contributed by Premier Health.