Let’s get those flu shots! Not just adults, kids too !

MedlinePlus, a service of the U.S. National Library of Medicine, National Institutes of Health reports that even healthy children can die from the flu in as little as three days after they get symptoms. The original research report, which points to the importance of getting kids flu shots, was published online on October 28^th in Pediatrics.

The U.S. Centers for Disease Control and Prevention reported that between 2004 and 2012, flu complications killed 830 children in the United States, many of whom were otherwise healthy.

“We found these influenza-related deaths can occur in children with and without medical conditions and in children of all ages, and that very few of these children have been vaccinated,” said lead author Dr. Karen Wong, a CDC medical epidemiologist.

“Parents don’t realize that flu can be fatal,” said Dr. Marcelo Laufer, a pediatric infectious diseases specialist at Miami Children’s Hospital.

Because flu can progress so quickly, prevention is really the best strategy, Wong said. “And that’s why we recommend every child 6 months or older get vaccinated every year,” she said.

Because an infant under 6 months of age can’t be given flu vaccine, Wong said it is vital that pregnant women get a flu shot to help protect their newborn, and that everyone likely to be near the baby also be vaccinated so they can’t pass flu to the infant.

Wong said children who get the flu need to be watched carefully. She recommends getting in touch with the child’s doctor when symptoms start.

Parents should take their child to the doctor or emergency department if they’re sicker than what one would expect with a common cold, he said.

“Parents should realize that influenza is much more than sniffles,” Laufer added. “A kid with influenza is a kid who is very sick, is a kid who is lethargic, has decreased appetite, is not drinking as much and not urinating as much in addition to other flu symptoms,” he said.

Flu causes an estimated 54,000 to 430,000 hospitalizations and 3,000 to 49,000 deaths each year in the United States, with infection rates highest among children, according to the CDC.

SOURCES: Karen Wong, M.D., M.P.H., medical epidemiologist, U.S. Centers for Disease Control and Prevention; Marcelo Laufer, M.D., pediatric infectious diseases specialist, Miami Children’s Hospital; November 2013, Pediatrics

You have been faithful to your daily outdoor running schedule from last spring until now. But, the days are getting colder, and darkness is coming earlier each day. There will be icy roads and bad weather conditions interrupting your daily running.

You are concerned that you will lose the benefits of daily running during the winter months. You may not be able to run every day due to weather and road conditions, but you can still run in clear winter weather.

Here are some safety guidelines tips from the Road Runners Club of America for winter weather running:

• Avoid headphones or earplugs so you can hear potential threats, such as cars or falling branches.
• Don’t run when the weather is icy. If you do go out, make sure your shoes have plenty of traction.
• As the days get shorter, wear bright or reflective gear, so motorists can see you.
• Dress in layers.
• If you start shivering, it’s a sign that your body is losing heat. Don’t ignore this potential sign of hypothermia.
• Know where to find shelter on your route.
• If you drive before you start running, keep a blanket and change of clothes in your car.

As a coach, sometimes I have to educate new members of the team who are hesitant to lift weights as part of their strength training. They are afraid that lifting weights will stunt their growth or make them so horribly muscle-bound that they will lose flexibility.

Both concerns are unfounded and simply not true. Research strongly suggests that resistance training for youth is beneficial, and that most children who stick with a well-supervised weight lifting program can safely increase their strength.[1]

Now, one major obstacle to a consistent strength training program is access to weights. None of my athletes have a weight set at home, and few can afford the monthly fees public gyms charge.

The solution to this problem is to teach them how to create their own resistance weight training sets at home using readily available and safe household items. For example:

• Make an inexpensive kettle bell (similar to a dumbbell) using a plastic milk or juice jug.

Use water to fill a clean plastic 1/2 gallon jug (be sure to use a jug with a handle). One cup of water weighs approximately 1/2 pound: so, for example, a two-pound weight would need 4 cups (1 quart) of water in the jug.

• Use canned goods that fit in your hands as simple hand weights. Most canned vegetables come in 8 – 16 ounce sizes.

That’s it.  You have all that you need to start training.

Some good beginner exercises

Before you begin lifting any weights, be sure to stretch and warm up properly first.

Also, when lifting weights for the first time, most beginners tend to hold their breath. You should always remember to breathe while lifting, so that you have enough oxygen to perform the activity. When supervising exercising children, MAKE SURE the child inhales while lifting the weight, and exhales while returning to “rest” position.

Bicep curls: With the weight in the hand, PALMS UP, stand with feet shoulder width apart, back straight, and head up.  Slowly bring the weight up to your chest, making sure to keep the elbow still.  Slowly lower the weight until your arm is straight again.

Forearm curls: Same as the bicep curl above, except that the PALMS are DOWN.  Curling the weight with the palms facing downward moves the focus away from the bicep and to the forearm.

Both curls can be performed one arm at a time, or by alternating each arm, but you will need one weight in each hand if you choose to alternate.

Shoulder raises (shrugs): Hold one weight in each hand, hang your arms comfortably at your sides, and assume the same stance as for curling.  Keeping your head up, pull your shoulders up and try to touch your ears with them….you won’t be able to, of course, but imagining that you can allows you to maintain proper technique and posture. Hold your shoulders up for two seconds, and then lower the weights back to the starting position.

There are many, many more exercises you and your child can do together with these easy homemade weights, but for now let’s keep it simple, safe, and,  most importantly, FUN!  So keep the repetitions to a low number:  do no more than 3 sets of 10 repetitions for each exercise.   Doing this 3 times a week will make a difference.

Some important strength training guidelines for children

7 and under: Introduce the child to basic exercises using little or no resistance.  The intent is to develop in the child the idea of a training session and to teach proper exercise.

8 to 10 years old: You can gradually increase the number of exercises while maintaining a focus on proper technique for all exercises.  It is important to not let the child develop any bad lifting  habits such as rocking or jerking the weights, which may result in a muscle strain.[2]

Remember, lifting weights can be a lifelong activity beneficial to strength, flexibility, good posture and strong self esteem.  Developing good habits and techniques at a young age is a great way to start a lifetime of healthy habits.

Questions?  E-mail me at coachcampbell@candostreet.com

[1] “Resistance Training for Youth,” by Dr. Carla B. Sottovia, 7 October 2008

http://www.dotfit.com/shop/article.aspx?atid=160

[2] Rick Philbin, MED, ATC, CSCS, National Board Member, Diabetes, Exercise & Sports Association
National Presenter, Children with Diabetes, Northeast Regional Manager, Animas Corporation, November 2004

http://www.childrenwithdiabetes.com/sports/weighttraining.htm

 Dr. Cindy Haines of HealthDay TV, recently shared the outcome of a study on preschoolers napping in school.

A nap does a preschooler’s body, and mind good. That’s the headline from a brand new study that looked at the value of a classroom nap. Researchers in Massachusetts recruited a group of 40 preschoolers to measure their visual-spatial memory.

All of the preschoolers were asked to play a common game where you look at a grid of pictures and then you have to remember where different pictures are located.

During one testing session, the preschoolers napped for an average of 77 minutes in-between viewing the grid and taking the memory quiz. In another, they were kept awake for the same amount of time.

The preschoolers did a much better job retaining the location of the pictures after they had taken a nap.

The researchers say their findings suggest naps are critical for early learning and they are encouraging educators to develop napping guidelines for young children.

Before you head out to buy Halloween candy to give to the children trick or treating in your neighborhood, you may want to  consider what Dr. Timothy Chase, a 20-year veteran of cosmetic dentistry has to say about the good and the not so good Halloween candies.

With Halloween right around the corner, it is that time of the year again: scares and thrills around every corner.  Children are scared of scary movies, ghost stories, and scary costumes, and parents are scared of all the candy their kids will bring home.  Tiny candies in the doctor’s office or the workplace start to pop up and we can not help but indulge ourselves in these sugary treats.  There is nothing wrong with a few indulgences, however, not all Halloween candy is created equally.

When it comes to healthy teeth, certain candies can be completely detrimental to your smile, while others are less of a threat.

“Some people do not realize how important it can be to take care of your teeth,”says Dr Chase.  “Not only does a healthy smile make you look and feel better, but, dental health issues have been linked to systemic problems like heart and kidney issues and low birth weight in babies.”

Brushing and flossing are not always enough to keep your teeth healthy.  What you eat and what you do not eat can be a huge factor in how healthy your teeth are.

Keep your teeth in mind this Halloween season:

* Taffy and candies filled with caramel, coconut, or nuts are the worst kinds of candy for teeth because they stick to everything inside of your mouth, including the grooves of your teeth.  The longer a food sticks to your teeth, the longer bacteria can feed on it – which could produce cavity-causing acid.

*   Hard candy such as lollipops or jawbreakers, are the second worst candies to be munching on.  Although they do not stick to your mouth, they take a long time to dissolve.  The longer a food stays in your mouth, the more acidic the environment becomes.

*   Sour candy is also bad for your teeth because it has a higher acidic content, which can break down tooth enamel.

*   While Powdery Candy such as Pixie Stix dissolve quickly in the mouth and don’t require chewing, they contain nothing but sugar and can lead to cavities by changing the mouth’s PH and giving bacteria straight sugar to eat.

*   Chocolate, with no sticky fillings, will generally not stick to your teeth and therefore it is a much better option if you have the urge for a sweet snack.

*   Sugar-free gum may be the best treat this Halloween season because it leaves no sticky residue, which causes plaque, and it is sweetened with xylitol – a natural sugar that the bacteria is unable to form plaque on.

*   Of course….If possible, it would be much better to put down the candy and grab a piece of fruit.

About Dr. Timothy Chase: Dr. Chase, D.M.D., is a practicing partner in SmilesNY, a leading cosmetic dentistry practice in New York City.  He has made it his life’s work to educate patients about the significance of possessing a healthy smile as a critical indicator of overall health and wellness.

Dr. Chase  earned a DMD degree in 1993.  He went on to complete a general practice residency at Columbia Presbyterian Hospital,  Westchester County Veterans Administration Hospital in 1994. Dr. Chase served as a clinical instructor at the New York University Dental School.   He is a member of the American Dental Association and the American Academy of Cosmetic Dentistry.