Friday, April 17, 2009

Should obese passengers pay for 2 seats on airplanes?


April 16, 2009

Posted: 04:53 PM ET
FROM CNN’s Jack Cafferty:

Obese passengers might soon have to buy two tickets to fly on United Airlines. The company says “for the comfort and well-being” of all their customers, they have a new policy for passengers who:

- Can’t fit into a single seat
- Can’t properly buckle the seat belt using an extender
- Can’t put the seat’s armrests down when seated

If there are extra seats available, the passenger will be moved next to an empty seat at no charge. But if the flight is full, they either have to buy an upgrade to business or first class where the seats are bigger or change to another flight and buy a second seat.

United says they decided to adopt the policy after getting more than 700 complaints last year from passengers who didn’t have a comfortable flight because the person next to them quote “infringed on their seat.”

Some wonder how the airline can enforce such measures fairly. The spokesman for the Obesity Action Coalition says the policy “perpetuates that negative stigma that’s already associated with obesity” and that airline seats already “could use a few extra inches of room on all sides.”

But United isn’t the first to charge extra for overweight passengers… in fact, now they’re on the same page as the other five biggest U.S. carriers. This is something that presumably could affect millions of people when you consider that about one-third of Americans are obese — that’s double the rate from 30 years ago.

Here’s my question to you: Should obese passengers have to pay for two seats when they fly?

Interested to know which ones made it on air?


Rebecca from South Carolina writes:
They should pay for the space they occupy. If a person is so large that he spills over beyond a single seat, he should not expect the non-obese person beside him to give up a part of the seat he has paid for. Occupying another person’s seat is a kind of theft.

Jack from Lancaster, Ohio writes:
Jack, The real cost of flying should be based on weight anyway. For years, I thought those who trundled to the counter with a ton of bags were really pushing the limit. Eventually there were additional charges for extra baggage. We should fly by the pound.

Randy writes:
As an obese person, I agree with this policy. My doctor just told me to lose weight. This is a great incentive to lay off that extra portion. It is literally something I can live with.

James writes:
Twice as big = twice the fare. It’s very fair.

Peter writes:
Sitting next to an over-sized passenger who overflows his or her seat space into the space you’ve paid for is wrong. Buying an airline ticket is like renting an apartment: You pay for the right to use that space and the services that come with it for a period of time, just as your neighbors have. When you rent an apartment, it doesn’t matter if you have a family of eight and the neighbor is a single guy, you don’t get to move into your neighbor’s living room.

Stephanie writes:
It’s a matter of physics and economics, not fat. If I have paid for a seat on an airline or bus, that square footage has been sold and is not available for the duration of travel - and I’m not obligated to share or donate.

McCarlson writes:
If I can fit me and my wife in just one seat, can we get 50% off?

Filed under: Airlines • Obesity

Flaxseed and Flaxseed Oil


Keywords: linseed, laxative, cholesterol, alpha-linolenic acid, hot flashes, heart disease, osteoporosis

Introduction
This fact sheet provides basic information about flaxseed and flaxseed oil—common names, uses, potential side effects, and resources for more information. Flaxseed is the seed of the flax plant, which is believed to have originated in Egypt. It grows throughout Canada and the northwestern United States. Flaxseed oil comes from flaxseeds.

Common Names—flaxseed, linseed

Latin Names—Linum usitatissimum

What It Is Used For

Flaxseed is most commonly used as a laxative.
Flaxseed is also used for hot flashes and breast pain.
Flaxseed oil is used for different conditions than flaxseed, including arthritis.
Both flaxseed and flaxseed oil have been used for high cholesterol levels and in an effort to prevent cancer.

How It Is Used

Whole or crushed flaxseed can be mixed with water or juice and taken by mouth. Flaxseed is also available in powder form. Flaxseed oil is available in liquid and capsule form. Flaxseed contains lignans (phytoestrogens, or plant estrogens), while flaxseed oil preparations lack lignans.

What the Science Says

Flaxseed contains soluble fiber, like that found in oat bran, and is an effective laxative.
Studies of flaxseed preparations to lower cholesterol levels report mixed results.
Some studies suggest that alpha-linolenic acid (a substance found in flaxseed and flaxseed oil) may benefit people with heart disease. But not enough reliable data are available to determine whether flaxseed is effective for heart conditions.
Study results are mixed on whether flaxseed decreases hot flashes.
NCCAM is funding studies on flaxseed. Recent studies have looked at the effects of flaxseed on high cholesterol levels, as well as its possible role in preventing conditions such as heart disease and osteoporosis.

Side Effects and Cautions
Flaxseed and flaxseed oil supplements seem to be well tolerated. Few side effects have been reported.
Flaxseed, like any supplemental fiber source, should be taken with plenty of water; otherwise, it could worsen constipation or, in rare cases, even cause intestinal blockage.
The fiber in flaxseed may lower the body's ability to absorb medications that are taken by mouth. Flaxseed should not be taken at the same time as any conventional oral medications or other dietary supplements.
Tell your health care providers about any complementary and alternative practices you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care.

Wednesday, April 15, 2009

INSPIRATIONAL QUOTES!!


”Bad habits are like a comfortable bed. Easy to get into, but hard to get out of.”

”The difficulties we experience always illuminate the lessons we need most.”

“If you want a place in the sun, you have to expect some blisters.”

What your fingernails can tell you


Unless you're a manicure junkie, you may not give your nails much thought, beyond the occasional clip-and-file. They click across a keyboard, scratch an itchy back, get trimmed short or worn long and adorned. At their root, though, nails serve a few purposes: to protect and support the fingers and toes, to help us pick up and grip objects, and to assist in sensing fine touch. Our nails can also be like little windows to our health, revealing underlying conditions or temporary traumas and infections.

Healthy nails are appealing to the eye. Changes to the surface or shape of your nail can mean different things. Some changes are harmless, while others indicate something more serious:

Brittleness: It's rare that brittle, breakable nails can be blamed on anything internal like a vitamin deficiency. No, the biggest reason why nails split, peel, and break easily is too little or too much moisture. Soft, brittle nails may get too much moisture, perhaps from lotions, nail polish removers, or cleaning fluids. Dry, brittle nails don't get enough moisture, like during the low-humidity months of winter or if you wash and dry your hands very often.
Pits, ridges and lines: A dented, pitted surface can indicate a problem like the skin condition psoriasis or a fungal infection. Vertical ridges across the nail surface are common as we age, but deep, horizontal grooves (known as Beau's lines) may develop. Usually due to trauma or some interruption of the nail growth cycle, the lines will eventually disappear as the nail grows.
Spooned tips: Someone with an iron deficiency may have nails shaped more like spoons - concave and scooped up at the tips.
Nails in the pink of health will have an even, consistent colour and smooth surface. Nails may change colour when you take certain medications, but like changes to the surface, shifts in nail colour can point to potential problems:

White: Most people will have white spots and marks on their nails at one time or another. Not to worry: White spots are usually just signs of minor trauma or injury to the nail. If there are many spots and you have no recollection of injuring the nails, check with a dermatologist, since this may suggest infection. White can occasionally be a sign of something much more serious: Horizontal white lines can appear in severe arsenic poisoning, fully white nails are linked to cirrhosis of the liver, and nails that are half-white and half-pink may indicate kidney failure.
Yellow: Notice your nails looking a bit yellow? Have you recently painted your nails with dark nail polish? Ingredients in many nail polishes can temporarily stain the nails yellow. If this is the case, simply stop using the polish and the discoloured portion of your nail should soon grow out and disappear. Otherwise, yellow nails can be blamed on aging, some types of bacterial infection, lung disease, build-up of lymphatic fluid in tissues, psoriasis, or diabetes.
Brown or black: Slam your fingertips in a drawer hard enough, and you'll likely see a bruise form beneath the nail. Hematomas, those brown or black spots that pop up after an injury, are nothing to worry about. As your nail grows out, the hematoma will grow away with it. On the other hand, if you notice that a dark spot does not grow out with the nail, this could be a tumour beneath the nail. The nails of dark-skinned people may bear brown-black lines extending from the base of the nail to the tip. If the same things appear in someone with lighter skin, they should get it checked out by a doctor - it can be caused by moles or, possibly, skin cancer.

Tuesday, April 14, 2009

Feast your eyes on this


You've hopefully chosen to eat healthier for better cardiovascular health, improved mood and concentration, or to cut your cancer risk, but your eyes require certain nutrients to properly function, just like any other part of your body. Like the rest of your body, your eyes age and can be affected by your lifestyle choices and behaviours.

Your eyes are no stranger to the wear-and-tear of the normal aging process. In fact, age-related macular degeneration (AMD) is the leading cause of vision loss in older people. As a part of the eye called the macula (the part of the eye that allows you to see fine details) deteriorates over time, the vision can blur and become less clear.

Other eye conditions that are more likely to occur as you get older include cataracts (a clouding over the lens of the eye) and glaucoma (increased eye pressure that damages the nerves in the eye). People with diabetes may develop diabetic retinopathy, which involves changes in the blood vessels that deprive the retina of oxygen.

You may have heard that carrots are good for your eyes, but are there other foods you can add to your diet to support healthy vision?

Foods packed with antioxidants help to protect your eyes from oxidative damage. By eating green, leafy vegetables like kale, spinach, turnip and collard greens, broccoli, or Brussels sprouts, you'll feed your eyes hearty helpings of lutein and zeaxanthin. These two eye-friendly antioxidants have been linked to a decreased risk of cataracts.

Greens supply potent antioxidants and are a healthy addition to any diet, but they're not the only tasty lutein source. In one study, the lutein in lutein-enriched eggs was found to be more available for the body to use than the lutein in spinach. If you're egg-shy because of cholesterol concerns, talk to your doctor first before increasing your egg diet.

Eating 3 or more servings of fruits per day may protect you from a more serious form of macular degeneration. Neovascular AMD, also known as "wet" macular degeneration, often progresses rapidly and leads to greater vision loss than the "dry" form of the disorder.

Get into the swim and go nuts because the specific types of fat in fish and nuts have proven to be protective against the progression of age-related eye problems. High intake of dark meat (high in omega-3 fats) fish, like salmon, sardines, or mackerel, was especially helpful against cataract formation and AMD.

When it comes to carbohydrates and eye health, it's what you don't eat that matters. Some kinds of carbs break down very quickly after you eat them and are distributed through your body as glucose. These quick-release carbs are high on what's called the glycemic index and include foods like white bread, baked potatoes, popcorn, pure sugar, and watermelon. By reducing your intake of these kinds of carbs, you may also reduce your risk of AMD.

And what about carrots? Carrots are rich in beta-carotene, a nutrient our bodies convert to vitamin A, which is crucial for healthy vision. Vitamin A deficiency can cause night blindness and is the leading cause of blindness in children worldwide. If you eat plenty of colourful fruits and veggies, you should get all the beta-carotene you need. And eating tons of carrots won't improve your vision if you're already eating a healthy diet with sufficient vitamin A - it would just eventually turn your skin a yellowish orange!

Keep an eye on your total health. Strive to eat a nutritious and varied diet to avoid cardiovascular disease, diabetes, obesity, and other risks that might threaten the health of your eyes.

Exceptional eggs


Much has been written about eggs that has cast doubt on their nutritional value. As a result, most people are not aware of what is true and what is not. Misconceptions abound: are they healthy? How many daily servings are recommended? Who should avoid eating them? And probably the most common: will eating them increase my blood cholesterol levels?

While it is proven that eggs do contain a significant amount of dietary cholesterol, there also still remains a plethora of misinformation regarding eggs' true nutritional value, which has prevented many from enjoying them as part of a healthy diet.

Is there a limit to how many eggs I can eat a week?
Health Canada does not have a specific daily limit on dietary cholesterol. It recommends that you consume as little as possible while still maintaining your daily nutritional intake. Considering that one egg yolk contains around 215 mg of cholesterol, a two-egg omelette would contribute a significant amount of cholesterol to your day's consumption. But before you do away with omelettes, soufflés, and the like, consider that only a small amount of cholesterol in food will actually work its way into the bloodstream.

Studies show that saturated and trans fats are the real culprits behind elevated levels of blood LDL (bad) cholesterol. In fact, the Heart and Stroke Foundation of Canada stresses the importance of limiting foods containing trans and saturated fats, over limiting dietary cholesterol, since foods containing trans and saturated fat raises your blood cholesterol the most. Worth noting, eggs contain little saturated fats and no trans fats, and the cholesterol that comes from eggs is from the egg yolk; egg whites have no cholesterol.

What is the link between eggs and heart disease?
While it is true that elevated LDL blood cholesterol levels do cause the hardening of arteries, a factor associated with coronary heart disease (CHD), studies have consistently shown that there is no definite linkage between egg intake and CHD in healthy people. One study from 1999 looked at the egg consumption of 117,000 nurses and health professionals over a 14-year period and found that eating up to one egg a day did not increase the risk for CHD.

A more recent study, published in this month's issue of the American Journal of Clinical Nutrition, followed 21,327 male physicians over a 20-year period and found that consuming eggs, even up to 6 a week, was not linked with a greater risk of developing cardiovascular disease.

It is important to note that the same research does draw a link between egg consumption and cardiovascular disease risk for men who have diabetes. Those who ate 7 or more eggs a week had double the risk for death (most likely from heart disease) than those who consumed less than one egg a week.

What are the nutritional values of eggs?
Eggs are a good source of 11 nutrients that include folate, riboflavin, selenium, vitamin B12, and vitamin A. Eggs are also an excellent source of choline, a nutrient that is necessary for nerve and brain development. Women who are pregnant or breast-feeding require increased intake of choline.

Eggs are one of the few whole foods that contain vitamin D, a nutrient that is important in maintaining optimal bone health. Eggs are also rich in lutein, an antioxidant that can protect against the development of age-related macular degeneration or cataracts.

Additionally, studies have shown that lutein intake may actually reduce the risk for CHD by minimizing the formation of plaque on the artery walls. Moreover, research has demonstrated that eggs enriched with omega-3 from fish oil helps lower triglyceride levels - fats found in the bloodstream that is linked to CHD.

Eggs are also an excellent source of high-quality protein. They contain all the essential amino acids needed by the body to build valuable proteins. Eggs also provide a greater amount of the branched chain amino acids (BCAA), the amino acids that regulate muscle growth and control the release of insulin. Leucine, a BCAA, was found to help to reduce loss of muscle tissue, promote loss of body fat, and stabilize blood glucose levels. Researchers explain that eating high-quality protein, especially at breakfast, seems to be the key to long-term weight loss and maintenance.

When looked at as a whole food and not merely as a source of dietary cholesterol, the positive benefits associated with eggs being a part of a healthy diet are overwhelming. As research attributing egg consumption to CHD is lacking, one whole egg a day seems safe and beneficial.

If you have diabetes, talk to your doctor or dietitian about your concerns of eating eggs. If you are still worried about the amount of dietary cholesterol in eggs or the role it may play in increasing levels of blood cholesterol, consider enjoying your eggs without the yolk.

Calcium quick facts


What is it?
Calcium is a mineral found in food that is essential for building strong bones and teeth.

Why do we need it?
Not only does calcium maintain bone and teeth integrity, it also helps to protect the brain, heart and lungs, maintain the function of muscles and nerves, and is essential during locomotion and blood clotting.

Your doctor or pharmacist may advise you to eat foods high in calcium to avoid low calcium levels. Do not take calcium supplements without talking to your doctor or pharmacist, as some medications and calcium should not be mixed. Your health care professional may recommend that you take a vitamin D supplement as well.

How much do we need?
The recommended daily allowance for both males and females 19 to 50 years old is 1000 mg.

Where is it found?
Foods high in calcium (75-200 mg per serving) include:

Fruit

½ cup fortified orange juice
Vegetables

½ cup cooked spinach
½ cup bok choy
½ cup cooked kale
Dairy

½ cup nonfat milk
¼ cup nonfat yogurt
½ oz nonfat cheese
1 cup cottage cheese
½ cup pudding
1 cup frozen yogurt
½ cup light ice cream
2 tablespoons grated Parmesan cheese
Bread & grains

1 cup fortified cereal
Meat & meat alternatives

1 cup black beans
1 cup navy beans
3 oz canned salmon with bones
3 oz oysters
4 medium sardines
Other

2 oz almonds

Get to know fennel


What is it? Fennel is a tall, hardy plant with stocky bulbs, hollow stems, and feathered, lacy fronds. It originated along the shores of the Mediterranean and belongs to the same botanical family as parsley, carrots, dill, and coriander. Fennel also has something in common with the more powerfully flavoured anise and star anise: all contain anethole, the compound that lends each plant a distinctive licorice-like flavour. You can generally find it in the market near the celery, often with the feathered fronds lopped off.

What is it good for? One cup of fennel provides good portions of your recommended daily intake of fibre, folate, and potassium.Fennel contains nearly 20% of the vitamin C you need each day, too. In laboratory studies, the compound that gives fennel its licorice taste also gave it the potential to fight inflammation and the formation of cancer cells.

What does it taste like? As mentioned above, fennel tastes like a cross between celery and black licorice. But don't wince! It's actually much mellower than it sounds. And considering the whole fennel plant is edible, it's a versatile vegetable to keep around throughout its peak seasons (autumn to early spring). You can chop the heavy, white bulb and add it raw to a salad for a slightly sweet crunch. Or you can braise it, sauté it, grill it, or roast it. No matter which way you cook the bulb, its crispy texture will soften and its flavour will mellow. To slice the bulbs, stand the vegetable on end and cut vertically. Treat the crisp, hollow stalks the same way you would celery, adding them to soups and stews or enjoying them raw with veggie dip. And the wispy fennel fronds can be chopped up like a herb and added as a garnish. It's a little harder to find fennel seeds, since they're usually not included with the type of bulb fennel you find in markets. If you do find some, toss the aromatic, anise-flavoured seeds into tomato sauces or use them as a seasoning for meat or fish.

How do I decide what food choices are healthy?


Grocery stores are great because they contain everything you need in one convenient location, are set up as long aisles for easy maneuvering, and even have speedy checkout.

But with so many food choices at the grocery store, how do we know which ones are good ones? The key to making great choices involves planning and knowing what to look for when you are planning for meal times. There are some easy ways to make sure you are picking out foods that provide the best nutritional value for you and your loved ones.

You can never go wrong heading to the produce area - fresh fruits and vegetables are always good for you.
Always buy breads and pasta that contain whole grain or whole wheat blends instead of enriched or bleached flour mixtures.
Avoid soft drinks and replace them with water, milk, low-sugar juices, and herbal teas.
Choose low-fat dressings and condiments. These contain a lot of sugar and additives that are unhealthy.
Some cooking oils are better than others. Walnut, canola, and olive oil are very good alternatives to vegetable and fat oils.
Avoid processed foods and meats that contain high fat and preservatives. Canned meats, spaghetti, and ravioli products have high sodium, fat, and other additives that are unhealthy.
Avoid frozen pizzas, frozen dinners, and other frozen entrees.

High protein diets - are they safe?


There are many diets that are now in the popular mainstream again as diet alternatives. These include low-carbohydrate and high-protein diets such as the Zone, Dr Atkins, Dr Stillman, and more.

These diets are controversial in nature, as many health studies question their effectiveness and the health risks that are involved. The American Heart Association (AHA) has completed extensive research on the effects of adhering to these types of diets.

While a low-carbohydrate, high-protein diet may be okay for body building and endurance training, the AHA reported that most Americans already consume more than enough protein that the body requires.

Some of the health risks that have been found in the studies are as follows:

High protein foods increase uric acid levels and cause gout, a form of arthritis.
Increased risk of diabetes and sometimes cancer often spread in progression as the kidneys must work too hard to work off the high protein amounts, which could lead to kidney failure.
Saturated fat consumed in the diet and limiting the amount of carbohydrates may also be linked to raised blood pressure levels.
Vitamin, minerals, and fibre deficiencies can lead to adverse health effects if they are not consumed in the body.
Some of the side effects caused by partaking in this type of diet are nausea, bad breath, and lightheadedness.
Healthy complex carbohydrates that protect against diseases such as heart disease and cancers are not consumed as part of the diet, which makes people more susceptible and at risk.

Gluten allergy - no bread, no beer!


Confession time, folks: I am now, and I've always been, a celiac, and for those who just muttered, "I knew he was a weirdo," I must tell you that although my family agrees with you, a celiac is not always a weirdo. Rather, it's someone allergic to gluten, a protein found in certain grains including, unfortunately, wheat, rye, and barley. (There's controversy about oats and buckwheat, so I've always avoided those grains, too.)

Many of you will instantly realize that to avoid gluten-containing grains, you must not eat bread, pastry, pasta, and cookies (unless they're made of flour from "safe" grains, such as rice, corn, or (uk!) soy). But what you may not realize until a sad but wise celiac tells you is that other foods that often contain gluten include beer (in Canada, beer is a food!), soy sauce, ice cream, sauces, soups, luncheon meats, and many others, because wheat flour is often used as a "filler" - the industry spin word is "extender" - in such products.

Happily, most celiacs get away with eating "glutenous" foods occasionally (although some are so sensitive that even a bit of cheating leads to problems). But what should keep all celiacs toeing the line as much as possible is this: symptoms (usually related to the gut - diarrhea, cramps, and so on) can recur at any time and be severe; the gut can be so stripped of its lining in response to a continued gluten assault that the celiac doesn't absorb nutrients and thus becomes anemic or even more sick; and, (the one that really keeps me in line) untreated celiac disease is related to a higher risk of small bowel cancers (lymphomas) that have a poor prognosis.

And here's the real kicker today: a study found that one in 150 North Americans is a celiac. Further, because symptoms can be quite vague - fatigue, failure to grow, and so on - and because many doctors don't often think of celiac disease, celiacs often have the condition for (gulp!) 12 to 14 years before it's diagnosed. So if you have symptoms that have defied analysis, it's worth mentioning this possibility to your MD.

By the way, I wasn't diagnosed until my mid-twenties, and I've long been sure that if my parents had had me diagnosed earlier, I'd now be 6' 10' instead of 5' 6", although I must say that my 5' 2" dad and 5' 1" mom never agreed with me.

Give me five...heartburn triggers to avoid


Leery of being visited by that old flame, heartburn? Meet the fiery five - lifestyle and diet factors to avoid if you don't want to get burned.

Super-sized meals
We're not just talking about the mega-meals from fast food restaurants (though those don't help heartburn either). When you gobble down too much food at one sitting, you overwork your lower esophageal sphincter (LES), the gate between your gullet and your gut. An overworked LES is like a gate with broken hinges, and it has a tough time keeping out what shouldn't come back up into your esophagus - namely, stomach acid.

Post-meal naps
Sprawling out in a post-meal food coma does your digestive system no favours. But gravity does. Gravity is your friend. It keeps food moving down in the direction of your stomach and your intestines. Sit up for a while after chowing down. To keep the burn from getting into bed with you, elevate the head of your bed about 10 cm.

Trigger foods and drinks
Among the foods most likely to set the heartburn fires a-burning are the terrible ten: high-fat foods, spicy foods, garlic, French fries, onions, mint, coffee, tea, tomato sauce, and chocolate. Some of the most fun food around, right? If you can't completely cut out the triggers, at least aim for moderation.

Cigarette smoking
As if you needed another reason to quit smoking! Just like when you eat too quickly or too much at once, cigarette smoking damages the LES. Also, smoking can cause dry mouth, depriving you of a powerful acid fighter - saliva.

Alcohol
Alcohol wreaks all sorts of havoc on the LES and on the rest of the digestive system. Relaxing the LES, churning up stomach acids, disrupting the normal rhythm of swallowing, alcohol is a literal cocktail of heartburn triggers.

Cancer risk and your taste buds


How do we taste things?
Is it possible that the sensitivity of your taste buds may determine how likely you are to get cancer? Although it sounds too strange to be true, this is exactly what some researchers are finding.

It used to be thought that taste perception could be mapped on your tongue: sweet was perceived at the tip, sour at either side, bitter at the back, and salty in the middle. Recent research, however, has indicated that this is incorrect. By cutting the taste nerves that go to the front of the tongue, one would expect a loss in the ability to taste sweet foods. But this doesn't happen. The reason is because taste nerves "talk" to each other. When one is stimulated, it shuts the others down. In other words, cutting a nerve no longer inhibits the other taste nerves, so taste experiences continue.

Supertasters avoid bitter foods that may reduce cancer risk
Our ability to taste, particularly bitter foods, seems to be genetically determined. About 25% of the population (more women than men) are supertasters. Supertasters have 4 times as many tastebuds as nontasters. In these people, the taste nerves (papillae) are densely packed on the tongue, and they are very sensitive to bitter tastes. This means that supertasters don't like to eat bitter-tasting foods like dark breads, some fats, tart citrus fruit, coffee, and certain vegetables.

However, it turns out that bitter-tasting foods like cruciferous vegetables and citrus fruits tend to contain ingredients that may reduce the risk of cancer.

Cruciferous vegetables belong to the cabbage family and include:

broccoli
cauliflower
Brussels sprouts
Swiss chard
watercress
radishes
kohlrabi
rutabagas
turnips
bok choy
arugula
collards
mustard greens
kale
They contain cancer-fighting antioxidants like vitamin C, as well as phytochemicals, which often act like antioxidants. Antioxidants are beneficial because they "mop up" harmful free radicals that can cause cell or genetic damage that can eventually lead to cancer.

Cruciferous foods also contain plenty of fibre, which can keep foods moving efficiently through the intestines, giving cancer-causing substances less time to cause damage.

So, how do supertasters deal with bitter-tasting foods? Often, they try to mask the bitter taste, perhaps by putting a rich cheese sauce on broccoli, or cream and sugar in coffee. This means they could be eating a lot more fat which, in turn, may increase their cancer risk.

Nontasters like bitter foods and alcohol
At the other end of the taste spectrum are the nontasters, who comprise about 25% of the population. These people have very weak tastebuds, so they like foods with strong flavours - either really sweet or really bitter. However, even though nontasters may enjoy the taste of bitter foods like the cruciferous vegetables, they tend to have problems with alcoholism. Alcohol can be bitter, even irritating to the tongue, a sensation that nontasters don't mind.

Research on supertasters and nontasters may eventually result in some different nutrition recommendations for reducing the risk of disease. Currently, nutrition recommendations for reducing the risk of cancer include eating plenty of fibre, eating less fat, choosing a wide variety of foods, and including plenty of fruits and vegetables. One day, recommendations may include determining if you are a supertaster or a nontaster, and developing specific eating tips for each group.

Apple cider vinegar


Apple cider vinegar (ACV) has generated a great deal of discussion and ensuing research in recent years due to its presumed ability to act as a natural home remedy to a long list of ailments.

How it all started
ACV is produced when apple juice is fermented first to alcohol (making wine) and then to acetic acid (making vinegar). And ever since the Babylonians first converted wine into vinegar in 5,000 BCE, many have revered vinegar for its presumed healing qualities. Even today's avid supporters claim that ACV can cure arthritis, lower blood pressure and cholesterol, prevent cancer, and assist in digestion and weight management.

Although first documented for its medicinal purposes by Hippocrates, vinegar did not receive considerable focus from the medical community until the publication of a book entitled Folk Medicine in 1958 by a notable Vermont doctor, DC Jarvis. While his claims that Vermonters used ACV to treat migraine headaches, diabetes, chronic fatigue, arthritis, and a variety of other ailments drew some applause, most within the scientific community were skeptical and cautious about Dr. Jarvis' claims.

Dr. Jarvis' supporters claim that ACV contains minerals and trace amounts of potassium, calcium, magnesium, phosphorous, chlorine, sodium, sulfur, copper, iron, silicon, fluorine. They also suggest that ACV can attribute its healing qualities to its vitamin content of vitamin C, vitamin E, vitamin A, vitamin B1, vitamin B2, vitamin B6, and the provitamin beta-carotene.

These claims cannot be further from the truth. In fact, a nutritional analysis of one tablespoon reveals that ACV contains minuscule amounts of calcium, iron, magnesium, sodium, copper, manganese, and phosphorus, a mere 15 mg of potassium, and absolutely no fibre or vitamins.

ACV supporters rebut this analysis with claims that ACV loses its nutritional value when it is pasteurized. They suggest consuming only the organic and unpasteurized version, in which no chemicals or preservatives have been added and, as such, maintains what is called the "mother" - the cobweb-like floating substance that contains all the nutritional health value.

Apart from these initial nutritional analyses, a limited number of crucial studies have been more recently published that focused specifically on the efficacy of ACV as a healing agent. And what has acquired the most attention with the most promising results are studies on ACV and the role it may play in regulating blood glucose levels and limiting weight gain.

Does it lower cholesterol?
Results from a 2006 study conducted using rat models showed that vinegar may potentially lower cholesterol levels. This reduction in "bad" cholesterol is thought to be attributed to the way in which the soluble fibre, pectin, found in ACV, binds cholesterol and removes it from the body as it passes through the digestion system. It is yet to be proven that these reductions are also seen in humans.

Does it regulate blood glucose levels?
Several studies have shown that taking vinegar before a meal may help lower post-meal glucose levels by delaying gastric emptying. Specifically, two 2007 studies concluded that two tablespoons of AVC supplementation can lower blood glucose levels in people with Type 2 and Type 1 diabetes.

These results, although showing potential, have raised some concerns that ACV supplementation may prove to be disadvantageous to people with diabetes because they may have less control over their blood sugar levels. Where the advantage of ACV supplementation may be realized is in healthy individuals who are looking to control their weight.

Does it limit weight gain?
Results of a 2005 study may provide the first scientific evidence to substantiate the thousand-years-old belief that ACV may be an effective weight loss supplement. The 12-person study found that the participants who consumed vinegar diluted in water with a piece of white bread containing 50 g of available carbohydrate had a "significantly lowered" blood glucose response, and these participants felt fuller and more satisfied than those who ate the bread alone.

Beyond touting the potential benefits of ACV, it is necessary to mention possible side effects associated with using ACV as a supplement. Due to its acidity, ACV can be caustic and may even burn the esophagus if not properly diluted, and long-term risks may include decreased potassium levels or diminished bone mineral density.

With its recent comeback in popularity, ACV is once again the focus of both natural health practitioners and clinical researchers. At this point, however, there is little scientific evidence to support its medicinal qualities, and further studies are needed to support claims of its therapeutic benefits.

Until there is conclusive evidence about the health benefits of ACV, it is better to stick with proven treatment methods for your medical conditions.

Study: Obesity and ADHD linked


Obese adults who find themselves on the losing side of the battle of the bulge could also be suffering from attention deficit hyperactivity disorder (ADHD) according to a new Canadian study.

Researchers at the Centre for Addiction and Mental Health and the University of Toronto set out to determine whether the condition plays a role in why some obese people have such a hard time sticking to weight loss programs.

"A substantial number of obese clients exhibited consistent difficulty keeping an accurate diet record, planning and preparing meals, eating regularly, and maintaining an exercise schedule. While there are numerous explanations for such behaviour, we began to consider the possibility that perhaps, for some, it might be related to an underlying neurological condition; attention deficit hyperactivity disorder," speculated researchers J.P. Fleming and colleagues in a study published in the journal Eating and Weight Disorders.

In order to test the theory, the researchers administered a series of standardized ADHD tests to 75 women who had been referred to an obesity clinic. The women had an average age of about 40 and an average Body Mass Index (BMI) of about 43, which is considered severely obese. The tests included a rating of current ADHD symptoms as well as a retrospective self-report of symptoms experienced during childhood.

When comparing the results to those of the general population, the researchers found that 26.6% of the obese subjects could be classified as having ADHD. Among the general population, 3% to 5% of adults are considered to have the condition, which is characterized by an inability to focus or concentrate on tasks, impulsive behaviour, difficulty with social relationships, disorganization, fluctuating mood, and poor work performance. In children, the condition is often coupled with hyperactivity, though this is less common when ADHD occurs in adults.

"While the current study does not allow us to ascertain the cause of the deficit, it is striking that a very high percentage of this sample of severely obese women report very substantial problems with the set of symptoms that we classify as reflecting ADHD," wrote the researchers.

Noting that their research was limited by the lack of a control group and by the fact that the diagnosis of ADHD was established using self reports, the researchers said further research needs to be done to explore the link between obesity and ADHD.

"It is well established that both adults and children with ADHD have very high rates of comorbid disorders including depression, anxiety, sleep disorders and substance abuse. … It is possible that in the same way that ADHD undermines the regulation of emotions, sleep, and moderate alcohol use, it may disrupt dietary regulation."

The authors also speculated that the high rates of symptoms related to ADHD could also be caused by other factors, such as depression or a sleep disorder.

Attention deficit hyperactivity disorder vs. addiction

I have a bit of a problem with the diagnosis of attention deficit disorder or ADHD. No doubt, this is a serious condition afflicting some children, adolescents, and adults, making their life hell. For this carefully diagnosed group of people, treatment of their ADHD using behavioural therapy with or without medications allows them to participate in school, social, and work activities they might otherwise be denied.

But there seems to be a growing group of newly-labeled ADHDs, treated by well-meaning, but either overzealous or undertrained therapists, for a condition they don't have, some with potentially dangerous medication they don't need. These misdiagnosed people might instead have addictions, mood disorders such as depression or bipolar disorder, stress-related conditions, or they could just be at the edge of normal.

Working many years in the field of addiction medicine has, no doubt, caused me to become biased. Almost every patient I assess for addictions has traits of ADHD. Not only has alcohol or other drug use caused these symptoms through toxic effects on the nervous system, but also the people most prone to addictive disorders often demonstrate many symptoms of ADHD prior to their use of addictive drugs. In Alcoholics Anonymous, they describe themselves as "restless, irritable, and discontented," and that's while sober. They are unable to comfort themselves. The reason drugs (or sex, gambling, compulsive eating) are so rewarding is because they work - at least for a while. These drugs and activities stimulate the reward centre of the brain to release dopamine, bringing temporary relief. But then, eventually, the chemical solution becomes an even bigger problem. Most people with substance use disorders and other addictions do not have ADHD. They have addiction. Treatment is not Ritalin®* or speed (although many of my patients certainly used and abused these drugs). Treatment consists of learning how to live better without chemistry.

People with addictions pass on to their offspring, through poorly understood but well documented genetic transmission, the vulnerability or susceptibility to substance-use disorders. Their kids behave in ways one would expect of a person with a central nervous system at increased risk of addiction: reduced hedonic tone, increased irritability, and restlessness. It is more difficult for them to comfort themselves. Do these people need assessment? Yes. Do they need treatment for ADHD? No. For them, effective treatment consists of learning effective ways to comfort themselves and to handle stressful situations without turning to the drugs that caused serious problems.

To further confuse things, current research findings are being held up to support completely opposite conclusions. Dr. Joseph Biederman, a Harvard professor claims that treatment of childhood ADHD with stimulants provides protection from later drug addictions. Yet Dr. Nadine Lambert, a Berkeley professor uses her 20-year longitudinal study following 500 children into adulthood to show that those treated with stimulants were more likely to smoke cigarettes and become addicted to stimulants such as cocaine.

Diagnosis of ADHD
Read the following list of the criteria from the diagnostic manual of the American Psychiatric Association and see if you share my concerns. If you are a parent of small children, you will probably recognize in the following a description of at least one of your kids:

Attention: (6 symptoms needed)

often fails to pay close attention, makes careless mistakes in schoolwork or other work
often has difficulty sustaining attention
often does not seem to listen when spoken to directly
often does not follow through on instructions and fails to finish schoolwork, chores, or duties
often has difficulty organizing tasks or activities
often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as homework)
often loses things
is often easily distracted by extraneous stimuli
is often forgetful in daily activities
Hyperactivity (6 symptoms needed)

often fidgets or squirms
often leaves seat in classroom or other place where remaining seated is expected
often runs about or climbs excessively in situations in which it is inappropriate
often has difficulty playing or engaging in leisure activities quietly
is often "on the go" or often acts as if "driven by a motor"
often talks excessively
Impulsivity

often blurts out answers before questions have been completed
often has difficulty awaiting turn
often interrupts or intrudes on others
In order to accurately diagnose ADHD, training and experience in a wide variety of behavioural, emotional, and psychiatric disorders is required. Virtually all of the criteria are demonstrated to some extent in virtually all kids. Clinical expertise is needed to determine when the patient has a significant disorder in need of therapeutic intervention or whether they lie within the continuum of normalcy requiring more effective methods of parenting and teaching.

Again, for those truly disabled with this disorder, there is help. I refer you to the ADHD articles by psychiatrist Margaret Weiss. But there are a growing number of unhappy and mislabeled folks whose inclusion under this diagnosis at best trivializes a serious condition and at worst exposes them to ineffective therapies and potentially dangerous medications while keeping them from the treatment they need.

So, what's the take home message here?
If you or your child are unhappy, restless, distracted, have trouble finishing tasks, or have a short attention span, by all means get a good assessment. If you go to a clinician or counsellor who has limited training but "specializes" in this particular disorder, you will probably get labeled with this currently popular diagnosis. So choose a recognized mental health professional who will perform a thorough assessment for ADHD but will also rule out mental illness such as mood disorders, substance-use disorders, and stress-related problems. They can then suggest the most effective treatment for the diagnosed condition. Or they might reassure you about symptoms that are simply on one end of the range of normal.

ADHD: an update

You've just gotten that hyperactive, high-maintenance kid out from underfoot and back to school and with a sigh of relief you sit down, when the first phone call comes from the school. He's causing even greater problems in the classroom than he did at home. The teacher says it might be ADHD and perhaps you could get him assessed. Secretly you fear it's all because of your bad parenting.

Because it is so common and its treatment is controversial, this article is an update on what the evidence tells us about Attention Deficit Hyperactivity Disorder. In this article we will briefly review the current thinking on:

What is ADHD and how is it diagnosed?
How common is it?
What treatments work best?
What are the risks of drug treatments?
A final caveat
What is ADHD?
Like many complex syndromes, ADHD is probably due to more than one problem. It is thought to be a neurobiological and behavioural disorder involving areas of attention, activity level, impulse control, distractibility, and concentration.

Since several parts of the brain are responsible for these functions, delayed maturation or dysfunction in any or all of these areas could result in ADHD symptoms. Brain imaging using scans, like the PET scan, show areas of the brain that function differently in ADHD kids when compared to controls.

It is felt that the greatest area of brain involvement in this disorder is the cerebral cortex in the prefrontal area (responsible for things like inhibitions and fine judgement) with several other brain areas also involved. The brain dysfunction at least partly involves insufficient dopamine activity in these areas.

Dopamine is a neurotransmitter responsible for communication between nerve cells. Dopamine problems can result in anything from Parkinson's disease and schizophrenia to drug addiction, depending upon the part of the brain with too much or too little dopamine activity.

The diagnosis of ADHD requires a great deal of clinical skill, since the diagnostic criteria are taken from a range of common behaviours that fall along a continuum from normal to problematic.

Deciding where to draw the line between a slow-to-mature, healthy, extremely active boy and an ADHD boy can be difficult. It is essential to gather collateral information from people who see the child at school, at play, and at home.

There is no definitive diagnostic lab test to establish the diagnosis. Other conditions causing similar symptoms must be ruled out. Even performing a trial of psychostimulant medication, like Ritalin®, and watching for improvement in performance or behaviour isn't foolproof, since these medications also improve performance in non-ADHD kids (hence the Olympic ban on performance-enhancing stimulant drugs). The bottom line is to focus on function: do the child's symptoms (attention, activity, concentration, impulsivity, distractibility) significantly interfere with social, school, or recreational functioning? Does the emotional harm resulting from the child's continued failures outweigh the potential risks of labeling them with a pathological diagnosis and treating with medications with potential adverse effects? If so, then treatment is indicated.

How common is it?
The prevalence of ADHD has been found to be 3% to 5% of school-aged children. Boys are more likely to have this disorder - out of every 5 ADHD kids, 3 will be boys and 2 will be girls. Some, but not all, will outgrow their symptoms as they get older.

A little over half of ADHD children will continue to experience clinically significant symptoms into adulthood. Adult ADHD does not occur unless the adult demonstrated ADHD (manifested by significant interference with school, social, and recreational activities) in childhood.

Drug treatments
The alarm was raised in the US and Canada when rates of prescribing psychostimulants, such as methylphenidate (Ritalin®) and dextroamphetamine (Dexedrine®), and diagnoses of ADHD increased by nearly 1,000% over 5 years in the mid-nineties. Were these just burned-out teachers looking for chemical straightjackets, therapists generating customers, a massive diversion of drugs, or was it justified? Numerous well-designed studies in various parts of North America have confirmed that ADHD is not, with a few exceptions, being overdiagnosed, and that psychostimulants are not being overprescribed.

Psychostimulants are relatively safe, and some of the newer formulations allow once-daily dosing of the child in the morning. There is a risk if psychostimulants are given concurrently with one of the older types of antidepressants.

Pemoline (Cylert®), an effective, longer duration psychostimulant is to be used only after a trial of other medications, as there is a small but real risk of liver problems or even liver failure with this medication. Other medications, such as SSRIs of the Prozac® family or other antidepressants, such as bupropion (Wellbutrin®, Zyban®) or venlafaxine (Effexor®) have reported effectiveness without the addictive potential of psychostimulants.

There remains a controversy as to whether or not prescribing stimulants to children results in increased risk for adolescent or adult drug dependencies. Two large studies have reported opposite results.

Recommended treatment
There is a vast amount of research showing that, in carefully diagnosed children with ADHD severe enough to interfere with function, combining medications, including psychostimulants with behavioural therapies results in improvement in their social, recreational and school performance.

In carefully selected and monitored children, the benefits of combined pharmacologic and behavioural therapies by far outweigh the risks or potential adverse effects of therapy. Behavioural modification requires time and a lot of patience. Hang in there!

A final caveat
Pharmaceutical companies have a growing influence on what research studies are performed and which of these are reported in the literature. They generously fund medical education events at which their drug is featured.

Therapists who specialize in treating a particular disorder have an interest in seeing this condition diagnosed. The same kids who are at increased risk of ADHD are also at increased risk of substance use disorders.

So make sure you get help from a well-trained, unbiased health care professional with experience in diagnosis and treatment of children with a wide variety of mental health and behavioural problems. Don't expect a magic bullet! Parents play a vital role in practicing behavioural therapies with the ADHD child who is also receiving medication.

Some of the most creative, exciting people in the world would meet the criteria for ADHD. But they had to learn how to live in a 33 rpm world when they were designed for 78 rpm.

ADHD: treatment

A full assessment and education about attention deficit hyperactivity disorder (ADHD) is the beginning of treatment. ADHD causes suffering: psychological hurt, failure, and conflict with others. The understanding that difficulties with attention were at the heart of some of these difficulties may lead to relief. The title of a popular book You Mean I'm Not Lazy, Crazy or Stupid?! expresses this feeling.

It is not easy to train, discipline, or educate children to control their symptoms of ADHD. Children and adults with ADHD are not always aware of the behaviours that annoy others. Even when insight is present, these symptoms are often involuntary and never processed consciously. Individuals with ADHD know what they should do, and they could do most of these activities. The problem arises with how they actually perform in daily life. Medication improves the symptoms and therefore has an immediate and powerful impact on the impairment that these symptoms produce.

The 2 stimulants most commonly used are methylphenidate (Ritalin® or Ritalin SR®) and dextroamphetamine (Dexedrine®). These stimulants vary in how often they need to be taken during the day, as well as in their side effects. Some individuals who do poorly on one medication may do better on another. More than 75% of patients will improve on one or another stimulant. These drugs are not addictive. The side effects include decreased appetite, stomachaches, insomnia, irritability (especially when the medication is wearing off), and tics. If overmedicated, some children are described as too quiet. There are more than 350 studies that demonstrate unequivocally that these medications are effective for ADHD-combined type in children. There are good studies that also demonstrate that the medication is just as effective for adults. We have less research to demonstrate that the medication is effective for preschoolers and ADHD-inattentive types. We also do not have follow-up data on how the medication affects long-term outcome beyond 2 years.

It is possible to change the environment to be more ADHD-friendly so that the symptoms of ADHD cause less trouble. For children this might include placement in a specialized classroom, more supervision, increased consequences and rewards, making work more interesting, avoiding difficult situations (such as restaurants or birthday parties), and finding other activities that lead to success, such as skiing or computers. In adults this might mean finding an ADHD-friendly occupation, delegating organizationally challenging tasks and paperwork, and using reminders, sticky notes, cell phones, computers, or other aids. Educating oneself and one's family and friends to understand ADHD helps affirm that the difficult behaviours that go along with ADHD are neither willful, nor personal, nor spiteful.

ADHD: diagnosis

Attention-deficit hyperactivity disorder (ADHD) is a clinical diagnosis, meaning that the doctor can only determine if the patient has ADHD by taking a good history, asking about symptoms, learning about the patient's development, family background, and family psychiatric history. The doctor will then integrate all these pieces of information and, using accepted clinical guidelines, provide feedback as to whether or not this person has ADHD.

There is no test for ADHD. We know that there are anatomical differences in the brains of individuals who have ADHD, and these have been studied with sophisticated brain imaging techniques. However, brain imaging techniques are still only research tools and cannot be used to make a clinical diagnosis.

An assessment for ADHD may include psychological testing. These tests will provide information about intelligence (IQ), academic achievement, and whether there are problems with a learning disability. While these tests may be useful, and may indicate other possible causes of difficulty with attention, they are not diagnostic in themselves. The testing situation itself may mask the ADHD, since the testing is a very structured task with continuous supervision and requiring high motivation and high interest. An individual with ADHD might do well in such a test situation, but still be unable to force himself to pay attention to boring material in a busy classroom.

Some, but not all, clinicians also use computerized tests of attention such as the Continuous Performance Test or the Gordon Diagnostic System as part of their assessment. These tests may help the doctor to obtain a better sense of a person's attention skills and weaknesses, but they are never diagnostic in themselves. The tests cannot determine if the symptoms are caused by something else. Some individuals who clearly have ADHD still do well on these tests. Therefore, while these tests may be useful, they are not essential, and do not establish that the assessment is more "scientific" than a good clinical interview.

Rating scales are a very important part of the assessment process. Rating scales are checklist that allows the doctor to compare the patient's symptoms with those experienced by people in general. They also serve to give the doctor a sense of the patient's difficulty in different environments, and in different areas of functioning. The Diagnostic and Statistical Manual - 4th edition (DSM-IV) is the best-known set of symptom criteria that doctors use to make a diagnosis of ADHD. These symptoms have been chosen because they are often more frequent and problematic in individuals who suffer from ADHD. These diagnostic criteria are also often used as a rating scale. Symptoms of oppositional defiant disorder (ODD) are also included for reference, since about half of all individuals with ADHD will also have ODD. Some children with ADHD have serious problems with getting into trouble such as fighting, lying, stealing, and hurting animals (conduct disorder), and these difficulties cause problems in their own right, over and above the difficulties associated with ADHD.

If you are concerned your child may have ADHD, complete the symptoms of ADHD checklist to discuss with your doctor.

ADHD: basic information

Attention-deficit hyperactivity disorder (ADHD) may present different problems at each stage of life, depending on the demands a person faces. Infants who later go on to have difficulties with ADHD may be described as colicky, insistent, or active. The "terrible twos" are often more difficult and persist for longer. Toddlers require constant supervision, and may be accident prone. Preschool children with ADHD often wander, have trouble sharing, and cannot sit for quiet activities such as "circle time." Young children with ADHD may have other developmental problems such as bedwetting or problems with writing.

The transition to Grade 1 is marked by the demand to sit still and work for extended periods of time, which can be frustrating and exhausting for a child who needs to be "on the go." Parents of children with ADHD-combined usually come to understand that something is wrong, and that their child needs medical attention, when the child is about 9 years old. By Grade 3, children with ADHD also come to realize that they are "different." They feel rejected by other children, experience conflict with their parents, and have trouble doing their work at school. They have trouble with chores, homework, getting ready for school, staying on task, and settling to bed at night. Problems with discipline may lead to conflict in the parents' marriage. Children with ADHD may have serious problems getting along with sisters and brothers. Many children with ADHD socialize better with younger children, with an older child, with animals, or one-to-one with an adult or grandparent. Finding situations that are positive experiences for the child helps them to feel better about themselves.

In the past, parents were told that their children would grow out of ADHD. However, when studies were done that followed children with ADHD into adolescence, it was found that the early teens often presented as much, if not more, difficulty. In high school, teenagers are not supervised as closely as they are in elementary school, while at the same time teachers expect students to be more organized, disciplined, and self-motivated. Teenagers with ADHD may be rejected by the "good kids" and accepted by troubled teens who have drug, alcohol, or conduct problems. A teenager with ADHD is bigger than he was when he was younger, but may be just as impulsive and aggressive. The change is that a large 14-year-old's severe tantrum or hittin gepisode is likely to be perceived as a serious threat that will be followed by legal charges or possible expulsion from school. The teen years include risks of substance abuse, driving accidents, problems with the law, inappropriate social and sexual behaviours, and pregnancy. Even when hyperactive behaviours diminish, the impulsive behaviours may become more risky, and the attention deficit more disabling.

There are many occupations (e.g., the stock market, self-employed business ventures, salesman, contractor) that are ADHD friendly. Hyperactivity seems to diminish for many individuals in adulthood, although difficulties with an inner restlessness, being too talkative, or being a workaholic may persist. Many adults complain of difficulties with attention, organization, and money management. Mothers often have difficulty with housework and parenting. These difficulties may still impact significantly on simple activities of daily living such as cooking, cleaning, self-care, close relationships, and occupational success. Long-term follow-up studies have indicated that one third of children will have some symptoms and some impairment as adults, and another third will meet the full diagnostic criteria for ADHD. For reasons that are not clearly understood, in childhood more boys than girls go to a doctor for help, while the ratio is equal in adults.

ADHD: what is it?


Patients with attention-deficit hyperactivity disorder (ADHD) have difficulty with hyperactivity, impulsivity, and inattention. ADHD was first described as a medical disorder in 1910, but there are descriptions of ADHD even in ancient texts. In 1935 it was described that children who suffered from ADHD showed a robust response to stimulant medication, and since that time stimulant medication has been a cornerstone of treatment. ADHD is not a modern fad. It is not caused by bad parents, bad teachers, or poor discipline. Individuals with ADHD do not misbehave on purpose or to spite others. They often do not know why they do the things that get them into trouble.

There are 3 subtypes of ADHD: the inattentive type (problems with attention), the hyperactive-impulsive type (problems with hyperactive and impulsive behaviours), and the combined type (problems in both areas). The subtypes seem to have some relationship to age and gender. Preschoolers are more likely to have difficulty with being hyperactive and impulsive. The inattentive type of ADHD is more prevalent in girls than other types of ADHD. Since overt hyperactive behaviours diminish with age, more adults have attention problems than symptoms of hyperactivity. There seem to be some children who meet the criteria for the inattentive type, who have a distinct set of difficulties, quite different to the combined type. These children have problems learning in school, and are often sluggish and dreamy. They are less likely to have behaviour problems.

Compulsive hoarding

Collectors gather many of the same types of objects together - a box filled with seaside shells, a jar of mismatched buttons, or an album of rare coins. Many of us squirrel away treasured mementoes, while the "packrats" among us hold on to trash or useless, outdated things for longer than we need them. But for compulsive hoarders the line between treasure and trash becomes hazy. A flurry of new research is revealing new insight into this poorly understood compulsive behaviour. Ultimately, it could be the very decision of "What is treasure and what is trash?" that lies at the heart of the behaviour.

Lifting the lid on a hidden compulsion
When Oprah Winfrey aired an episode of her show focusing on the hidden life of hoarders, viewers were aghast at what they saw: people being literally buried alive by their possessions. Men and women with hoarding behaviours live in homes that are beyond cluttered. One room overflows into the next, and every nook, cranny, and crevice becomes stuffed with stuff: avalanches of newspapers, documents, and junk mail, free giveaways and objects bought at garage sales, piles of clothes never worn. More and more things are bought or brought into the home, and very little if anything is ever thrown away.

All of this stuff can create real danger. Aside from the obvious fire hazards, parts of the home crucial to daily living - the bed, the bath, the kitchen - become blocked by the flood of stuff. As a result, people living in the home can't do the things they need to do to stay healthy, like get a good night's sleep, bathe properly, or cook nutritious meals.

People living amidst the mess may isolate themselves from friends and family. Surveys of self-identified hoarders reveal that they're more likely to be overweight or obese and to have chronic or serious medical problems. Many have been threatened with eviction or had children or elder relatives removed from their homes because of the unsafe conditions of their homes. How does someone get to this point where the things they own, own them?

Is it OCD?
Hoarding is currently not considered a medical disease. Hoarding is currently classified as a symptom or sub-type of obsessive compulsive disorder (OCD). OCD is an anxiety disorder in which a person obsesses about a particular worry, such as recurring doubts or fear of contamination or loss. The person also has compulsions (or urges) to do something that will relieve the uneasiness caused by the obsession. Hoarding is thought to be rooted in a fear of loss, and can be found in people who have experienced some profound loss, like death of a loved one, divorce, or loss of home in fire or disaster.

In this theory of hoarding, then, a person obsesses over a fear of loss by acquiring more and more and more. Other risk factors that researchers believe may cause hoarding include being a perfectionist, being socially isolated, family history, and having an intense attachment to possessions. Hoarders believe the items they collect will have value or be needed in the future and they worry about not having these items on hand.

New hoarding research raises doubts about the OCD connection. This research suggests that compulsive hoarding is a separate clinical syndrome with its own distinct characteristics. People who compulsively hoard will likely:

struggle with the decision to throw away items
feel strong urges to save items
buy or acquire many more items than they'd ever need
procrastinate or avoid tasks
be indecisive, perfectionist, disorganized
Hoarding also has a strong genetic component. You're more likely to compulsively hoard if a close family member does.

Whether or not a person has OCD may impact the way that compulsive hoarding is treated. Some people may be hoarders without having other obsessive tendencies. Not everyone who is diagnosed with OCD is a hoarder. And though some people with OCD do display hoarding behaviours, their behaviour tends to be different from that of a typical hoarder. For example, they're more likely to collect bizarre items or feel the need to perform compulsions related to the items they hoard, like checking to make sure items are still there or going through certain rituals before discarding any item.

If it's not OCD, what is it?
Compulsive hoarding has only recently been recognized as a problem. Though it is not yet considered a distinct disorder from OCD, much research is being conducted to try to better understand what goes on in the brain of someone with these behaviours.

In one study, 30 hoarders and 30 non-hoarders were tested to measure the ways they processed information. Compared to the other group, hoarders were found to be less attentive and more impulsive - but slower to react.

In another study, 12 people with compulsive hoarding behaviours and 12 without were asked to make decisions about whether to keep or discard certain items. As the test subjects sifted through personal junk mail and other random items that the researchers had provided to them, MRI scans were run on their brain activity.

When the hoarders wrestled with the decisions about their personal items, their MRI showed much more activity in the areas of the brain that regulate decision-making, attention, and controlling emotions. Their choices appeared to be much more complicated than the ones made by the non-hoarders.

The lead researcher in that study, Dr. David Tolin of the Anxiety Disorder Center at Hartford Hospital's Institute of Living, has done extensive investigations into the mysteries of hoarding. He notes that hoarding often happens because of one or more of these problems dealing with personal possessions: disorganization, very strong emotional attachments to items, anxiety over discarding items, trouble deciding what to do with possessions, or worrying about forgetting things.

So for someone who hoards, the choices about what items to buy, where to put them, how much they'll be used, and other everyday decisions about "stuff" become challenging to the point of being impossible to make. Instead of making choices, they keep it all and run out of places to put it all.

Lightening the load of compulsive hoarding
If you recognize the symptoms and characteristics in yourself or someone you love, there are steps you can take. Treatment options exist that can help to alleviate symptoms and guide a person toward a more normal, healthy life. The effectiveness of treatment will depend on whether hoarding is a unique syndrome or a symptom of OCD. Search for therapists in your community, especially those who practice cognitive-behavioural therapy.

Remember that personal hygiene and nutrition are crucial. Try to keep your kitchen, bathroom, and bedroom as clutter-free as possible so that you have daily, easy access to the tools you need to stay as healthy as possible. If your kitchen is unreachable, seek out community meal support programs until you can get help clearing it out for use. Above all else, try to focus on your goal of living a healthier and more enjoyable life.

Gossip: good or bad?


We use a lot of different words to describe gossip. We chat. We yak. We get the scuttlebutt. We gab, we dish, and we chew the fat. We hear it through the grapevine, listen to the word of mouth - sometimes straight from the horse's mouth. Tongues, they wag. There must be something important about all this idle chit-chat to demand such an extensive and colourful vocabulary!

And we all do it. Very few people proudly admit to it, but we all gossip. Some of us even relish it. While some religions and cultures frown upon the practice more than others, gossip in one form or another happens all over the world among people of all ages. Biologists analyzed sample human conversations and found that about 60% of time was spent gossiping about relationships and personal experiences.

When there's something that we all do so often, one has to wonder if there is some basic human benefit to it. Does gossiping fulfill some need? Is it a survival skill? Is it good for us or bad for us to spread stories and speculations about others? Should we feel guilty if we indulge in celebrity gossip?

The overgrowth of the grapevine
Gossip hasn't always been considered a bad word. The word gossip first meant godparents or a familiar acquaintance and was used to describe someone who told of a family's news and developments. In Shakespeare's time, a gossip was also someone who sat with a woman through childbirth, perhaps to talk, offer comfort, or to help her pass the time.

Now it's defined as "rumour or talk of a personal, sensational, or intimate nature" or as "idle talk or rumour, esp. about the personal or private affairs of others." Someone who fits the stereotypical image of a gossip bears names like rumourmonger and blabbermouth. They're viewed as busybodies, as nosy and meddlesome. Somewhere down through history, the word's original meaning became tangled up in rumour-spreading and idle talk.

As our communication technologies have sped up, so has the spreading of our gossip. Whip-quick messages zip around us all day long about this person or that one, this celebrity or that politician. Where word once travelled via word of mouth that may have taken hours or even days to reach its listeners, it now travels in seconds via Facebook, Twitter, blogs, email, cell phone, text messages...

Why do we gossip?
Humans love hearing and talking about other humans. Frank T. McAndrew must especially love hearing about humans. As a professor of psychology, McAndrew has gained popularity based on his work exploring the intricate clockwork of human interactions and finding some patterns and possible reasons for gossip. He recently published an article in Scientific American summarizing the theories on why we gossip and explaining some of his research findings.

Researchers theorize that life in small tribal groups may have forced our ancestors to adapt and gain some pretty sophisticated social intelligence. Imagine living among a small group of people, competing for resources and for friends and allies. Sounds a little like high school, doesn't it? You'd have to figure out who you could trust and who would make a good partner. Among our ancestors, those who survived and thrived were those who could predict and influence the behaviour of the people around them. This took a bit of talking and a lot of listening and watching.

As with our ancestors, gossip can be quite helpful and instructive:

It helps us bond with our friends. The act of gossiping - talking, listening, sharing secrets and stories - bonds us together and helps us to form friendships and distinctive group identities. Though women more often earn the "gossip" label, both genders take part in the habit with equal gusto. The study conducted by McAndrew showed that we're all keen to hear and pass along any bad news about our rivals or any good news about our friends. Men are more likely to share gossip only with their romantic partners, while women will whisper with their lovers and their friends alike. Both men and women seem to prefer talking about and hearing about people of their own gender.
It teaches us lessons. Most of us relate better to stories than to raw data, and gossip is a form of storytelling, an interpersonal folklore. But instead of "Once upon a time" we say, "Did you hear about so-and-so?" By hearing and sharing these stories, we learn about the social norms and conventions of those around us. We learn how to act - and how not to act - in certain situations.
It keeps us in line. Gossip can actually be a kind of deterrent or a punishment against those who deviate from the norms and values of a group. It's tough to be the one being negatively gossiped about or the one excluded because of a nasty rumour, so the social pressure keeps us from veering too far away from the group. Positive gossip can also encourage cooperation among people in a group.
Too much pressure can, of course, be a bad thing, and gossip has great destructive powers. People use gossip for their own selfish interests at the expense of others. Subtle social cues can turn to hostility or manipulation and quickly trigger anger, shame, and resentment.

Why do we gossip about celebrities?
So, we shouldn't think about gossip as just a time-wasting, tacky habit. It can actually be a valuable social tool to help us understand and get along better with those around us. But why in the world do we gossip about people who aren't around us, people we've never even met? Why are we so fascinated with Brad and Angelina, with Britney, Paris, or Lindsay, with the Olsen Twins, George Clooney, and the stars of the aptly-named Gossip Girl television show?

Part of our fascination may be hardwired in our minds. Our brains have a special compartment for remembering human faces. And while our ancestors may have had to recognize friends from foes, the number of faces they encountered was limited. We, on the other hand, are inundated with faces, not just through our own personal interactions - but in magazines, on television, and online.

We see the faces of celebrities, starlets, and politicians so frequently. Some of them we see more often than we see our own friends and family members. We can begin to feel an intimacy with them, and this familiarity makes it trickier for us to distinguish the faces we know personally from the ones we know peripherally. Our mind thinks that since we see these faces so often and know so much information about them, they must be socially important to use. Celebrities can feel like our friends. But these "pseudo-relationships" can be a good thing.

Celebrity gossip gives us a common vocabulary. In the same that way we bond over stories about our real friends, we bond with others when we gossip about a starlet's failed relationship or about whether or not some aging actor has had plastic surgery. Sometimes celebrities may be the only "friends" that you and a co-worker share. Celebrity gossip may be the only "language" you and your hairdresser or you and your dentist all speak, so keeping up with the latest celeb news helps ensure you are socially adept during interactions with strangers. It can also be a conversation starter. If you see someone on the bus reading an article about your favourite actress or musician, you feel a connection that could segue into a friendship.
Celebrity gossip teaches us by example. Celebrities' lives provide us with lots of success stories and cautionary tales. Some people look up to celebrities as role models for how to dress, manage relationships, or how to act. Some people would do just the opposite.
Celebrity gossip can boost self-esteem. People with low self-esteem can get a boost by identifying with and aspiring to a celebrity ideal. Then again, endless admiration and yearning for a celebrity connection can make a person feel inadequate and isolated. Some people even cross the line into addiction, a kind of "celebrity worship" that may evolve into obsession and stalking.
Celebrity gossip gives us an outlet. We can project our dreams, fears, and hopes onto celebrities. When we celeb-gossip, we get a chance to daydream, fantasize, criticize, or express our envy or distaste for their lifestyles and choices. Lots of people gossip online these days, posting blog entries or commenting on celebrity sites. Explore any popular gossip site and you're bound to find lots of harsh, scathing comments written by "anonymous."

Coping with the stress of divorce


Going through a divorce can be extremely stressful for you and your family.

Strong emotions such as sadness, anger, and confusion are quite common following the end of a marriage, especially if you're grappling with financial strains or additional responsibilities around the house.

But the end of your marriage shouldn't mean the end of your happiness.

While everyone's divorce and the circumstances surrounding it are unique, there are certain coping strategies that apply to many people. Here are some steps you can take to deal with divorce:

Start fresh: Try to approach the situation and your life as an opportunity to start anew. Re-evaluate what you're good at, what your goals are, and how you can move forward to realize your dreams.
Talk it out: Talk about what you're going through with someone you trust. Whether it is a family member or close friend, the person you confide in can give you advice and also be an outlet for your emotions. If the confidant has been through a divorce as well, they may be particularly good to speak to.
Keep your routines intact: Although divorce has the potential to throw your daily routine out of sorts, it's important for you to guard against that, especially where the children are concerned. A familiar routine and stability provides comfort, and the more similar your day-to-day patterns are, the easier it will be to cope.
Communicate openly with your kids: Children are sometimes viewed as one of the casualties of divorce, but that certainly doesn't need to be the case. To ease the stress of the break-up on your kids, talk openly with them. Reassure them that they are not responsible for the divorce and that in no way does the split-up mean there will be less support provided to them. Don't hesitate to get help and guidance in how best to speak to your children during this time to avoid common pitfalls.
Look after yourself: While your kids' feelings are a priority, the divorce is personal in many ways and you have every right to dedicate time for you to cry, reflect, or simply be alone.
Patience is a virtue: Patience can also be a major virtue during this process. Take the time you need before making any major life-altering decisions, such as a career switch, starting up a new relationship, or moving to a new home.
Stay healthy: Just as your mental wellness is key to combating stress, so is your physical health. Be sure to eat a balanced diet, exercise regularly to stay fit, and work off the stress in a productive way.
Stay busy: Bring sedentary at any stage in life isn't good for you, and that may be even more the case when you're dealing with divorce. For your mental health, keep yourself busy socially and intellectually.
Be positive: In some ways, the end of your marriage may seem like a failure, but you shouldn't view it that way. If you focus on your positive traits and think of whatever mistakes were made during the marriage as a learning experience, you will be better able to move forward and tackle the future instead of letting it tackle you.
Plan ahead: When the timing feels right to you, it may be helpful to plan for your future. Because you're trying to make a new life for the new, independent you, create a plan that outlines your dreams and what action you can take to realize those aspirations.
Resources
Because divorce is quite common in our society, there are many professionals who specialize in helping people whose marriages have ended, and there are many sources of information on getting through divorce. Some resources you may want to seek out for advice, support, and general help include:

books
courses and workshops
family lawyers
magazines
mediators
psychologists, social workers, therapists, or counsellors
support groups
websites
With a bit of research, you'll find a compendium of useful information on stress management, relaxation techniques, and much more.

No matter what, always remember to deal with your stress head on. Bottling up your emotions won't help you or your loved ones.

Kinds of meditation


For many people, the word "meditation" brings to mind images of monks sitting pretzel-legged, chanting "om." At the very least, it's typically assumed to be some sort of specialized religious activity. But it's not necessarily so.

Most basically, meditation involves calming and focusing the mind. Many forms also involve some kind of breath control. Most, but not all, involve sitting. And there are several ways to meditate that involve no religious or spiritual purpose or affiliation at all. Techniques that have been studied in clinical trials and are recommended by some doctors for improving mental and physical health include the following:

Relaxation response. This involves sitting in a relaxed posture with the eyes closed and focusing on your breath for 10 or 20 minutes. It is recommended to do it twice daily. This is a technique that was developed by Dr. Herbert Benson of Harvard Medical School; he has published books on it, and there is information on it available on the Web.
Mindfulness meditation. This involves being aware of your bodily sensations, the things you feel, and the sounds you hear, and paying attention to what you're doing. It may sound simple, but have you ever eaten a meal without thinking about anything but the food and the act of eating? There are several approaches to this technique; the one most tested for its health benefits is often referred to as Mindfulness-Based Stress Reduction, or MBSR, and can be learned over a course of a few weeks through tapes or programs. Its leading proponent is Dr. Jon Kabat-Zinn of the University of Massachusetts Medical School, which has a Center for Mindfulness. Other advocates of similar kinds of mindfulness meditation include Thich Nhat Hanh, a Vietnamese Zen Buddhist who has published several books and allows a non-religious approach to meditation.
Transcendental Meditation®. This is a program offered by an organization founded by Maharishi Mahesh Yogi; it is required that you learn the technique from an instructor. It involves 15 to 20 minutes twice a day, seated, but it also involves mental repetition of a mantra, a "word" such as "ainga" or "shiring" that has been selected for you by your instructor.
There are also meditation techniques that are related to specific religions. Different branches of Buddhism (notably Theravada, Tibetan and Zen) have a variety of well-established techniques, as do sects of Hinduism, but there are also meditative practices used in some groups in western religions such as Islam and Christianity. There is considerable variety in the different approaches.