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In This Issue:
Managing Stress
Preventing Frostbite and Hypothermia
Heart Healthy Breakfast Tips

Lahey Physician Stella Chow on Unsedated Colonoscopy

Stella Chow, MD
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Managing Stress
Manage Your Stress
Learning to reduce your stress can help you live happier, healthier, and maybe even longer.

Here are some tips for reducing or controlling stress:

Be Realistic
Don't take on everything; learn to say no. Set realistic goals for yourself. If you are feeling overwhelmed, try eliminating an activity that is not absolutely necessary.

Meditate
It only takes about 10-20 minutes to get a benefit from meditating. These few moments of quiet reflection may bring relief from stress as well as increase your tolerance to it.

Slow Down
When you start to feel overwhelmed, try taking one task at a time. Make a list of things you need to do. Put the most urgent task at the top. Once you have accomplished it, cross it off and move on to the next one.

Be Active
Regular exercise is a great way to reduce stress, and it benefits the body as well as the mind. Just 20-30 minutes of physical activity a day can do the trick.

Get Involved in Hobbies
Take a break from the stressors of life and do something you really enjoy. Try gardening, painting, or reading. Schedule time to indulge your interests.

Practice a Healthful Lifestyle
Eating healthfully will make a difference. Avoiding things like smoking, excessive alcohol, and caffeine will help as well. Make sure you get adequate rest and exercise, and that you balance work and play.

Talk
Talking about things can help you feel better. A conversation with someone can help you relax. And listening to someone else can take the focus off of yourself-something we all need to do every now and then.

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Top                                               Winter 2010
Greetings!

Looking for ways to stay active and play it safe this winter season? Then check out our tips for preventing frostbite and hypothermia during your winter adventures. We also have some heart healthy breakfast ideas, tips for reducing stress and a Lahey gastroenterologist discussing unsedated colonoscopy.

Winter Warning: Tips for Preventing Frostbite and Hypothermia

Outdoor sports don't have to stop just because it's cold. In fact, many hikers, bikers, runners, and obviously skiers and snowshoers relish the invigorating cold of the winter months.
Winter Warning: Tips for Preventing Frostbite and Hypothermia
Before you head out for a day-long excursion in seriously cold weather, take the following steps to avoid frostbite and hypothermia.

Stay Warm and Dry With Three Layers of Clothing
  • An outer layer made of water-repellent and wind-proof material
  • A middle layer of wool or synthetic fabric to absorb sweat and retain insulation
  • A synthetic layer closest to your skin to wick away moisture from perspiration It's just as important to stay dry as it is to stay warm, including keeping sweat away from your skin.
Cover Up
Cover your head, face, and neck with a hat (or hood) and scarf. Since mittens are warmer, but gloves allow more use of your fingers, try wearing lightweight gloves under your mittens in case you need to use your hands. And keep your feet warm and dry with two pairs of socks (wool or synthetic).

Stay Hydrated
Dehydration can contribute to hypothermia. Drink plenty of water and avoid drinks with alcohol and caffeine because they can dehydrate you.

Eat for Heat
Your body needs food to fuel your exercise and to generate body heat, so don't head out on an empty stomach. And bring along plenty of snacks, like trail mix, energy bars, fruit, and bread.

Monitor Your Energy
Fatigue can contribute to hypothermia, so be aware of your energy level and plan the length of your excursion accordingly. Rest when necessary and cut the outing short if you are uncertain about your stamina.

Bring a Buddy
A friend can help you if you get tired and keep an eye on your face, cheeks, and ears for signs of frostbite. Do periodic "self checks" for cold, wet, and numb areas, especially your face, feet, and hands.

Choose Your Days Wisely
Temperatures below freezing (32°F) and slightly higher temperatures accompanied by wind chill effects are risk factors for hypothermia and frostbite. Keep an eye on weather forecasts and plan your outdoor activities for the relatively warmer days without snow or rain.

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Breakfast Is Good For Your Heart

Cardiovascular diseases - which include heart disease and stroke - are the number one killers of both men and women in the US. There are many risk factors for heart disease. Two major factors that are affected by our lifestyles are excess weight and diabetes.

In a recent study, researchers found that among 2,831 study volunteers, those who ate breakfast were significantly less likely to be obese and develop type 2 diabetes compared to those who did not eat breakfast.

Here's how the factors relate: having diabetes increases the risk of heart disease. Being overweight increases the risk of both type 2 diabetes and heart disease. Certain lifestyle habits, such as regular exercise and healthful eating, can reduce the risk of all three-overweight, type 2 diabetes, and heart disease. When these findings are put together, they point to breakfast as an essential component to a heart-healthy lifestyle.

Healthful Breakfast Options        Heart Healthy Breakfast

What should you eat? Try to include some of each nutrient (carbohydrate, protein, and fat), and at least one serving of fruit or vegetables. Some options:

  • One regular-sized bagel topped with peanut butter and banana slices or dried fruit
  • One cup low-fat yogurt with fruit and ½ cup granola
  • Two slices whole-grain bread with cottage cheese and a glass of orange juice
  • One cup cold cereal topped with fruit and soymilk or milk (1% or skim)
  • Choose cereals that are high in fiber (5 grams or more per serving), or "good" sources (2.5-4.9 grams of fiber per serving)
  • Two scrambled eggs with mushrooms (or other veggies) and 1 tablespoon of lite cheese wrapped in a warm tortilla
  • Three whole-grain pancakes or waffles topped with lite syrup and fruit (go easy on the butter or margarine)
  • Homemade breakfast shake-one cup milk or soymilk (skim or 1%), one scoop frozen yogurt, ½ cup pineapple juice, banana, and strawberry chunks (any combo of fruit will do)
  • One regular-sized bagel with lite cream cheese and smoked salmon
  • Breakfast bar with juice or milk (skim or 1%); choose a breakfast bar with 4 grams of fat or less, 3 grams of protein or more, and several vitamins and minerals
  • Oatmeal with raisins or dried cranberries; or with applesauce and cinnamon
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For information about our widereange of services please visit us us on the Web at, www.lahey.org. From everyone at Lahey Clinic we wish you a safe and happy winter season.
 

Thanks for your interest,
 




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