Busy moms are often operating in a sleep deprivation mode.

So, on those occasions when they have trouble getting to sleep and staying asleep they chalk it up to stress, a sick child or working long hours. But it could be something more than that; it could be a sleep problem or a sleep disorder.

Most adults need at least eight hours of sleep every night to be well rested. Not everyone gets the sleep they need.

About 40 million people in the U.S. suffer from sleep problems every year. Not getting enough sleep for a long time can cause health problems.

Many of us suffer from insomnia which includes:

• Trouble falling asleep

• Having trouble getting back to sleep

• Waking up too early

Insomnia is called chronic when it lasts most nights for a few weeks or more. When this happens it may be time to see your doctor.

The Food and Drug Administration (FDA) offers the following tips for better sleep:

• Go to bed and get up at the same times each day.

• Avoid caffeine, nicotine, beer, wine, and liquor four to six hours before bedtime.

• Don’t exercise within two hours of bedtime.

• Don’t eat large meals within two hours of bedtime.

• Don’t nap later than 3 p.m.

• Sleep in a dark, quiet room that isn’t too hot or cold for you.

• If you can’t fall asleep within 20 minutes, get up and do something quiet.

• Wind down in the 30 minutes before bedtime by doing something relaxing.

 How long should it take to fall asleep? It is normal to take between 10 and 20 minutes to fall asleep. People who fall asleep in less than five minutes may have a serious sleep disorder.

 Feeling sleepy during the day

According to the FDA, feeling tired every now and then is normal. It is not normal for sleepiness to interfere with your daily life. Watch for signs like:

• Slowed thinking • Feeling cranky

• Trouble paying attention

• Heavy eyelids

Several sleep disorders can make you sleepy during the day. One of these is narcolepsy. People with narcolepsy feel very sleepy even after a full night’s sleep.

 Snoring

Snoring is noisy breathing during sleep. It is caused by vibrating in the throat. Some people can make changes that will stop snoring. These include:

• Losing weight

• Cutting down on smoking and alcohol

• Sleeping on your side instead of on your back

 Source: Food and Drug Administration (FDA)

http://www.fda.gov

The FDA warns about feeding our pets raw foods. In a recent article, this is what they had to say about what can occur when we do.

Raw pet food consists primarily of meat, bones, and organs that haven’t been cooked, and therefore are more likely than cooked food to contain organisms that can make your dog or cat sick, says William J. Burkholder, DVM, PhD, Veterinary Medical Officer in the Food and Drug Administration’s (FDA’s) Division of Animal Feeds. Moreover, raw food can make you sick as well if you don’t handle it properly. FDA does not believe feeding raw pet foods to animals is consistent with the goal of protecting the public from significant health risks.

The agency therefore recommends cooking of raw meat and poultry to kill harmful bacteria like Salmonella and Listeria monocytogenes before you give the food to your pets. And as always, when working with food, you should follow FDA’s instructions on how to handle it safely.

Salmonella bacteria are commonly found in such foods as raw or undercooked meat, poultry, eggs and egg products. Salmonella can also contaminate raw or unpasteurized milk and other dairy products, as well as raw fruits and vegetables.

Burkholder says people who choose a raw diet for their pets often point out that feral dogs and cats catch prey and eat it raw. “That’s true,” he adds, “but we don’t know how many of these animals get sick or die as a result of doing that. Since sick feral animals are rarely taken to a veterinarian when they’re ill, there’s no way to collect that information.”

Symptoms of salmonellosis in animals include:

• Vomiting
• Diarrhea (which may be bloody)
• Fever
• Loss of appetite
• Decreased activity level

Listeria bacteria are commonly found in uncooked meats, vegetables and unpasteurized milk and soft cheeses. Unlike most bacteria, Listeria like cold temperatures and can grow and spread in the refrigerator. So if you refrigerate Listeria-contaminated food, the germs not only multiply at the cool temperature, they could contaminate your refrigerator and spread to other foods there, increasing the likelihood that you and your family members would be exposed to Listeria and get sick.

Symptoms of listeriosis in animals include:

• Nausea
• Diarrhea
• Fever
• Neurological disease can happen in a small percentage of situations

Consumers also run the risk of getting sick if they handle contaminated pet foods and accidentally transfer the bacteria to their mouths.

“If you’re going to handle raw foods, you need to pay particular attention to good hygienic practices,” Burkholder says. “Wash your hands and anything else that comes into contact with the product with hot, soapy water for at least 20 seconds.” Feeding raw food to a pet also increases the risk of contaminating food contact surfaces and other places.

“Even if the dog or cat doesn’t get sick, they can become carriers of Salmonella and transfer the bacteria to their surroundings, and then people can get the disease from contact with the infected environment,” Burkholder says.

Once Salmonella gets established in the pet’s gastrointestinal tract, the animal can shed the bacteria when it has a bowel movement, and the contamination will continue to spread.

Salmonella infection (salmonellosis) symptoms in humans include:

• Fever
• Nausea
• Vomiting
• Diarrhea (which may be bloody)
• Stomach pain
• More rarely: entry of Salmonella into bloodstream from intestines, followed by spread to joints, arteries, heart, soft tissues, and other areas of body

Symptoms associated with salmonellosis most often begin 12 hours to 3 days after ingestion of the bacteria and can last 4 to 7 days without treatment. All consumers are at risk for contracting salmonellosis from contaminated foods, but pregnant women, children under five, the elderly and those with weak immune systems are at risk of developing severe symptoms.

Compared to salmonellosis and other foodborne illnesses, infection with Listeria monocytogenes (listeriosis) is rare, but has serious and potentially fatal risks.

Listeria can infect multiple locations in the body:

• The brain
• Membranes surrounding the brain and spinal cord
• Gastrointestinal tract
• Bloodstream

Symptoms associated with listeriosis begin 11 to 70 days after coming in contact with the bacteria, with a mean (or average) of 31 days, and they can last up to a few weeks. Listeriosis occurs almost exclusively in pregnant women and their fetuses, newborns, the elderly and those with weak immune systems. Listeriosis can cause life-threatening infection in a fetus and newborns, as well as in persons with weakened immune systems, although the infection can often be treated with antibiotics.

“Feeding raw foods to pets increases the risk that both the pet and the people around the pet will encounter bacteria that cause foodborne illness, particularly if the products are not carefully handled and fed,” Burkholder says. “This is certainly one factor that should be considered when selecting diets for your pet.”

This article appears on FDA’s Consumer Updates page, which features the latest on all FDA-regulated products.

June 30, 2014

Many of us use sugar substitutes on a regular basis. Which ones are the safest?  The following is a Food and Drug Administration (FDA) release on the status of sugar substitutes.

Release…May 19, 2014

Whether it’s to cut down on the number of calories they consume or any of a variety of other reasons, some people use sugar substitutes – also called high-intensity sweeteners – to sweeten and add flavor to their foods. They can be used alone to sweeten foods and beverages such as iced tea or coffee, or as an ingredient in other products. There are a number of sugar substitutes on the market from which to choose.

“Sugar substitutes are called ‘high-intensity’ because small amounts pack a large punch when it comes to sweetness,” says Captain Andrew Zajac, U.S. Public Health Service (USPHS), director of the Division of Petition Review at the Food and Drug Administration (FDA). According to Zajac, unlike sweeteners such as sugar, honey, or molasses, high-intensity sweeteners add few or no calories to the foods they flavor. Also, high-intensity sweeteners generally do not raise blood sugar levels.

The FDA has approved a new high-intensity sweetener called advantame.

Advantame—which does not yet have a brand name (such as Sweet’N Low, a brand name for saccharin, or Equal, a brand name for aspartame)—has been approved as a new food additive for use as a sweetener and flavor enhancer in foods, except meat and poultry.

Examples of uses for which advantame has been approved include baked goods, non-alcoholic beverages (including soft drinks), chewing gum, confections and frostings, frozen desserts, gelatins and puddings, jams and jellies, processed fruits and fruit juices, toppings, and syrups.

How Do You Know it’s  Safe?

FDA is required by law to review all new food additives for safety before they can go on the market. The process begins when a company submits a food additive petition to FDA seeking approval. One exception is for substances “generally recognized as safe,” or GRAS, because those substances are generally recognized by qualified experts as safe under the conditions of intended use and are exempt from the food additive approval process.

Zajac explains that the agency’s scientists thoroughly review all the scientific evidence submitted by a company to ensure the product is safe for the intended use.

“In determining the safety of advantame, FDA reviewed data from 37 animal and human studies designed to identify possible toxic (harmful) effects, including effects on the immune, reproductive and developmental, and nervous systems,” Zajac says.

Advantame is chemically related to aspartame, and certain individuals should avoid or restrict the use of aspartame. To that end, FDA evaluated whether the same individuals should avoid or restrict advantame, as well.

People who have phenylketonuria (PKU), a rare genetic disorder, have a difficult time metabolizing phenylalanine, a component of both aspartame and advantame. Newborns are tested for PKU using a common “heel-prick” test before they leave the hospital.

Foods containing aspartame must bear an information statement for people with PKU alerting them about the presence of phenylalanine. But advantame is much sweeter than aspartame, so only a very small amount needs to be used to reach the same level of sweetness. As a result, foods containing advantame do not need to bear that statement.

Five Sugar Substitutes Already on the Market:

The last high-intensity sweetener approved by FDA was Neotame (brand name Newtame) in 2002. The other four on the market, and are:

• Saccharin, was first discovered and used in 1879, before the current food additive approval process came into effect in 1958. Brand names include Sweet‘N Low

• Aspartame, first approved for use in 1981. Brand names include Equal

• Acesulfame potassium (Ace-K), first approved for use in 1988. Brand names include Sweet One

• Sucralose, first approved for use in 1998. Brand name is Splenda

In addition to the six sugar substitutes ( high-intensity sweeteners) that are FDA-approved as food additives, the agency has received and has not questioned GRAS notices for two types of plant/fruit based high-intensity sweeteners: certain steviol glycosides obtained from the leaves of the stevia plant (Stevia rebaudiana (Bertoni) Bertoni) and extracts obtained from Siraitia grosvenorii Swingle fruit, also known as Luo Han Guo or monk fruit.

While these sugar substitutes (high-intensity sweeteners) are considered safe for their intended uses, certain individuals may have a particular sensitivity or adverse reaction to any food substance. Consumers should share with their health care provider any concerns they have about a negative food reaction.

In addition, FDA encourages consumers to report any adverse events through MedWatch: FDA’s safety information and adverse event reporting program.

This article appears on FDA’s Consumer Updates page, which features the latest on all FDA-regulated products.

With summer not far off, most of us think about serving more quick and easy suppers. Many of us choose to serve more ready to eat foods.

The following article, which recently appeared in on the FDA’s Consumer Updates page,  is about protecting your family from a bacteria called Listeria. This bacteria has been linked to a number of ready to eat foods.

If you eat food contaminated with Listeria, you could get so sick that you have to be hospitalized. And for certain vulnerable people, the illness could be far worse.

Contaminated food can bring Listeria into the home. Unlike most bacteria, Listeria germs can grow and spread in the refrigerator. So if you unknowingly refrigerate Listeria-contaminated food, the germs not only multiply at the cool temperature, they could contaminate your refrigerator and spread to other foods there, increasing the likelihood that you and your family will become sick.

Those most at risk for listeriosis—the illness caused by Listeria monocytogenes—include pregnant women, older adults and people with compromised immune systems and certain chronic medical conditions (such as HIV/AIDS, cancer, diabetes, kidney disease, and transplant patients). In pregnant women, listeriosis can cause miscarriage, stillbirth, and serious illness or death in newborn babies.

What foods could be contaminated?

Listeria has been linked to a variety of ready-to-eat foods, including deli meats, hot dogs, smoked seafood and store-prepared deli-salads. A draft study released May 10, 2013 by the Food and Drug Administration (FDA) and the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) evaluates the risk of listeriosis associated with foods prepared in retail delis. There are many steps that deli operators and processing establishments that supply food to delis can follow to reduce the risk of listeriosis.

FDA and FSIS recommend that consumers at risk for developing listeriosis—including older adults, pregnant women and people with compromised immune systems—reheat hot dogs and lunch meats until steaming hot.

At-risk consumers are also advised to avoid unpasteurized milk and soft cheeses (such as feta, brie, camembert, blue-veined cheeses, “queso blanco,” “queso fresco” or Panela), unless they are made with pasteurized milk.

And Listeria can sometimes be found in other foods. In 2011, a multi-state outbreak of listeriosis tied to contaminated cantaloupes caused illnesses and deaths.

Donald Zink, Ph.D, senior science advisor at FDA’s Center for Food Safety and Applied Nutrition, says FDA is aware of cases of foodborne illness caused by bacteria that can live in the kitchen and spread to foods that had not been contaminated.

Consumers are advised to wash all fruits and vegetables under running water just before eating, cutting or cooking, even if you plan to peel the produce first. Scrub firm produce such as melons and cucumbers with a clean produce brush.

To further protect yourself and your family from Listeria, follow these steps:

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Keep Refrigerated Foods Cold

Chilling food properly is an important way of reducing risk of Listeria infection. Although Listeria can grow at refrigeration temperatures, it grows more slowly at refrigerator temperatures of 40 degrees F or less.

• Keep your refrigerator at 40 degrees F or lower and the freezer at 0 degrees F or lower.
• Wrap or cover foods with a sheet of plastic wrap or foil or put foods in plastic bags or clean covered containers before you place them in the refrigerator. Make certain foods do not leak juices onto other foods.
• Place an appliance thermometer, such as a refrigerator thermometer, in the refrigerator, and check the temperature periodically.  Adjust the refrigerator temperature control, if necessary, to keep foods as cold as possible without causing them to freeze. Place a second thermometer in the freezer to check the temperature there.
• Use precooked and ready-to-eat foods as soon as you can. The longer they are stored in the refrigerator, the more chance Listeria has to grow.

“If you have leftovers in your refrigerator, it’s best to throw them out after three days, just to be sure,” says Zink. “It’s better to be safe than sorry.”

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Clean Refrigerator Regularly

Listeria can contaminate other food through spills in the refrigerator.

• Clean up all spills in your refrigerator right away—especially juices from hot dog and lunch meat packages, raw meat, and raw poultry. Consider using paper towels to avoid transferring germs from a cloth towel.
• Clean the inside walls and shelves of your refrigerator with warm water and liquid soap, then rinse. As an added measure of caution, you can sanitize your refrigerator monthly using the same procedures described below for kitchen surfaces.

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Clean Hands and Kitchen Surfaces Often

Listeria can spread from one surface to another.

• Thoroughly wash food preparation surfaces with warm, soapy water. As an added precaution you should sanitize clean surfaces by using any of the kitchen surface sanitizer products available from grocery stores, being careful to follow label directions.

You can make your own sanitizer by combining 1 teaspoon of unscented bleach to one 1 quart of water, flooding the surface and letting it stand for 10 minutes.  Then rinse with clean water.  Let surfaces air dry or pat them dry with fresh paper towels.  Bleach solutions get less effective with time, so discard unused portions daily.

• A cutting board should be washed with warm, soapy water after each use. Nonporous acrylic, plastic, or glass boards can be washed in a dishwasher.
• Dish cloths, towels and cloth grocery bags should be washed often in the hot cycle of your washing machine.
• It’s also important, to wash hands with warm water and soap for at least 20 seconds before and after handling food.

Here is a study that gives us all something to think about, especially as we are trying to help our young children develop healthy eating habits.

MONDAY, April 8 (HealthDay News) — Small children who are given large plates and then allowed to serve themselves take more food and consume more calories, new research finds.

The study used 41 first-graders in a Philadelphia elementary school to test whether adult research on dishware size and food intake also holds true for children.

“We found that children served themselves about 90 more calories when they used the large plate at lunch [compared to a small plate],” said Katherine DiSantis, assistant professor of community and global public health at Arcadia University in Glenside, Penn.

It turns out, however, that the children had a case of eyes-bigger-than-stomach. “They ate approximately half of every additional calorie they served themselves,” DiSantis said.

The study, funded by the U.S. Department of Agriculture, was published online April 8 in the journal Pediatrics and will be in the May print issue of the journal.

Obesity in children is a growing problem in the United States. About 17 percent of children aged 2 to 19 are obese, according to the U.S. Centers for Disease Control and Prevention.

“In adults, the size of the dinner plate is known to affect how much they put on it and how much they eat,” DiSantis said. Other research has found that kids eat more food when they are served larger portions. But it was not known, DiSantis said, “Whether the use of larger, adult-sized plates would make kids take and eat more food if they served themselves.”

The researchers invited the 41 first graders from two different classrooms at a private elementary school to eat lunch, using a small child’s plate first and then an adult-sized one. The children had their choice of an entree and side dishes (pasta with meat sauce, chicken nuggets, mixed vegetables and applesauce). They all got fixed portions of milk and bread with each meal.

The researchers weighed the portions before and after the children ate and calculated their caloric intake.

“The two factors — plate size and being allowed to take their own food — seemed to work together, DiSantis said. “Overall, the adult-sized dishware by itself did not promote eating more.”

The child’s body-mass index (a measure of body fat based on height and weight) didn’t seem to predict who would take more food, the researchers found.

It was the child’s liking for the food that predicted what they would serve themselves. Those who liked the entree helped themselves to about 104 calories more at the meal.

DiSantis said, “Children look to their environment for some direction when put in the position of making decisions about how much food to serve themselves.”

“In the study, the differences in calories were not large,” she acknowledged. “But if this went on on a daily basis, it could contribute to the child’s overall energy intake and their weight status,” she said. “Using smaller plates might give children guidance on portion sizes, she added.

A nutrition expert who reviewed the study downplayed the role of plate size, while not dismissing it entirely.

“In the end, it’s the portion that’s served rather than the plate size — and whether or not the child likes the food — that influences how much they eat and how much they serve themselves,” said Marjorie Freeman, associate professor of nutrition, food science and packaging at San Jose State University in California. In her own research, she has found that as portion size increases, so does the amount you eat.

Freeman suggested that parents follow the U.S. Department of Agriculture’s recommendations, which suggest filling half the plate with fruits and vegetables.

Parents also can choose plate sizes for serving their children based on what will be on the plate. “For foods you want them to eat a lot of, such as fruits and vegetables, I’d put it on larger plates,” she said.

The fried chicken nuggets, she added, could be served on a small plate.

The study authors noted that the kids in the experiment served themselves more fruit on their large plates, but not more vegetables.

More information

To learn more about how to eat healthy foods, visit ChooseMyPlate.gov.