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31/Jul/2011

No matter how diligent I try to be about applying sunscreen I always seem to end up with a burnt patch. I miss a spot, wash it off (the back of my hands and forearms are common causalities), or get caught up in the activities of the day and forget to reapply. Though new labeling guidelines starting next year will help us form a better understanding of what our sunscreen is and isn’t doing for us, sometimes the best option to protect our skin is to keep it covered up. But not all clothing is created equal.

The degree of protection clothing offers you is designated by a UPF rating, or Ultraviolet Protection Factor, a measurement of the amount of UV radiation the fabric prevents from reaching your skin. A UPF of 30-49 is considered very good protection, 50 and above is considered excellent by the Skin Cancer Foundation. Tightly-woven dark-colored fabric offers the most protection from the sun. Light colors, tight fitting items where the fibers are stretched, and wet clothes offer less protection. A white T shirt has an average UPF of 7, this goes down to only 3 when it is wet. If you can see through a fabric when you can hold it up to the light, then UV rays can get though to your skin. A good choice for a beach cover up would be a long-sleeved, dark denim shirt which has an average UPF of 1,700. You can also buy clothing specially treated with a chemical sun block to provide more protection, look for UPF labeling on these garments.

If dark denim is not the beach look you are going for this year, a wide-brimmed hat can offer protection roughly equivalent to an SPF of 5 for your face, ears, and neck and looks very chic paired with dark over-sized sunglasses. Look for a brim 3 inches or wider.

Clothing and accessories should be used to augment, not replace, the protection provided by sunscreen. You should still regularly use a sunscreen with SPF of 15 or higher and try to remember to reapply often.

For more information on new sunscreen labeling guidelines that will take affect summer 2012 visit www.fda.gov/sunscreen.


31/Jul/2011

How many times have you said to yourself, “I want to lose weight?” You start an exercise routine or intensify a current routine in order to shed pounds, rather than focusing on changing your actual body composition. Losing weight will simply reduce your BMI, but decreasing your Body Fat Percentage should be the main focus.

BMI, which stands for Body Mass Index, measures whether a person is healthy, overweight, or underweight. To calculate your BMI, use the following formula:

Weight (in pounds) x 703

Height (in inches)²

The following table displays BMI ranges:

BMI Weight Status
Below 18.5 Underweight
18.5 – 24.9 Normal
25.0 – 29.9 Overweight
30.0 and Above Obese

BMI can often be misleading. For instance, a female athlete whose body is mainly composed of lean muscle mass and whose weight may be “high” due to her body composition could find that her BMI falls in the Obese range. On the other hand, someone whose BMI falls within the Normal range can still have a high percentage of fat mass, which indicates poorer health. This is why Body Fat Percentage better indicates overall health.

Body Fat Percentage measures the amount of fat that makes up your body. There are several ways to determine this, such as handheld devices and skin caliper testing. In order to calculate pounds of fat mass, multiply your total weight by your Body Fat Percentage; the rest of your weight is lean tissue. For instance, if someone weighs 150 pounds and has a Body Fat Percentage of 20%, she carries 30 pounds of fat and 120 pounds of lean tissue mass on her frame. The following ACSM (American College of Sports Medicine) chart describes Body Fat Percentage ranges for females based on age:

Percentile Fitness Category 20-29 30-39 40-49 50-59 60+
90 Well Above Average 14.5 – 18.9 15.5 – 19.9 18.5 – 23.4 21.6 – 26.5 21.1 – 27.4
70 Above Average 19 – 22 20 – 23 23.5 – 26.3 26.6 – 30 27.5 – 30.8
50 Average 22.1 – 25.3 23.1 – 26.9 26.4 – 30 30.1 – 33.4 30.9 – 34.2
30 Below Average 25.4 – 32 27 – 32.7 30.1 – 34.9 33.5 – 37.8 34.3 – 39.2
10 Well Below Average 32.1 32.8 35 37.9 39.3

 

When trying to lose weight, keep in mind that it’s more important to pay attention to how much body fat you’re losing rather than focusing solely on what the scale says! Ask a fitness professional to measure your Body Fat Percentage every 4 weeks to track your progress!


29/Jun/2011

The heat and humidity of summer can wreak havoc on your skin. Increased exposure to the sun leads to sunburns and soreness in the present and can be a cause for wrinkles, toughness, and potentially deadly skin cancers in the future. Humid air creates the right conditions for acne and oily skin. Despite all of this, your skin need not suffer as a result of the weather.

Sunscreen: you’ve heard it before, and it bears repeating. No matter your age or skin type, everybody needs to wear sunscreen every day – and this becomes especially important during the summer. Remember to put enough on: the recommended application for adequate protection is 35 to 40ml per person per session (a handful). Sunscreen should be applied liberally enough to all sun-exposed areas that it forms a film when initially applied, and it should be the last product applied to the face before going out. A minimum SPF of 15 is recommended for all skin types; for young children and those with very fair or sun-sensitive skin, a higher SPF is recommended. Insect repellent can reduce sunscreen’s effectiveness by up to thirty percent, so take care to use a higher SPF and reapply sunscreen more often if combining it with insect repellent. Remembering to reapply sunscreen every two to four hours and immediately after swimming is crucial.

Wearing sun-protective lip balm is an important step in taking care of your lips that most people overlook when getting ready to go out. This not only protects against soreness and chapping, but also reduces the potential for the lips to be a possible site for dangerous melanomas.

Going easy on makeup is a good way to help prevent acne flare-ups in the summer. The combination of heavy makeup and sweat can clog pores and lead to break outs. Instead of using foundation all over your face, apply makeup lightly only to specific areas, and remember that the bright light of summer often accentuates makeup’s visibility, leading to an unnatural look.

Keep exfoliation light. While peels and scrubs are key during the winter and spring to keep skin radiant, be cautious of exfoliation as summer approaches. New, fresh skin that is revealed through exfoliation is actually more sensitive to the sun. Keep exfoliation to once a week or every other week and do it at night rather than in the morning. That way, your skin can recuperate a bit from exfoliation while you sleep.


29/Jun/2011

Summer is here, which means that many of us will be taking time away from work to relax, recharge, and explore somewhere new and exciting. Whether you’re headed across the globe or just a car ride away, taking a vacation means that your typical routine is shaken up a bit. While this may do wonders for your frame of mind, it often means that your workout schedule suffers as a result.

1. Try to find a hotel or other lodging situation with a gym or fitness room. While this may not be up to par with what you use at home, even a small space with treadmills, exercise balls and free weights can be enough to help keep you fit while you’re away. Many hotels and motels, even lower-budget ones, includes some sort of workout facility available to use for their guests. Spending a little bit of time there every day will ensure that you don’t fall off the fitness wagon while you’re enjoying your trip.

2. Swimming is a wonderful and relaxing way to burn calories and build strength. Doing laps in the hotel pool or going for a dip in the ocean will complement any other form of exercise in which you partake during your vacation.

3. Walking on the beach also burns more calories than walking on flat ground. (Some experts suggest that you can burn twice as many calories walking in soft sand!). Grab some water and go for a stroll – you’ll be surprised at the resistance sand offers.

4. Bringing along a few workout DVDs to play on your computer or television is a safe way to be certain that you’ll be active- even in the potential absence of a gym or pool, or in the event of bad weather. This way, you can spend free hours in your room ensuring that you stay toned and energized. DVDs are much easier to pack than other workout materials, and don’t require extra time or travel to access.

5. Exploring your vacation area on foot, walking to and from meals, and going for hikes is not only a great way to take in your new surroundings, but it helps to offset any extra calories you might be eating. Find walking paths or ask the front desk of your hotel where the best places are for walks, hikes, and strolls.


29/Jun/2011

Summer is here and it’s time for outdoor parties and BBQs. While lots of fun and a summer tradition, these parties can often be a challenge for those who are trying to make healthier eating choices. Here are a few tips to keep your healthful eating on track and still enjoy your summer parties:

  1. It is always recommend that people have something to eat before attending social gatherings where there may be enticing foods. Many of these foods may be the kinds of choices that you would not normally include in your own healthy meal plan, which may makes them seem even more tempting. You don’t want to arrive at the party hungry, as your first instinct may be to head straight for the buffet table. Have a substantial snack 1-2 hours before the party, focusing on high fiber foods such as a small bowl of oatmeal and skim milk, an apple with peanut butter, or low fat yogurt with nuts and fruit. That way you have already taken the focus off the food before arriving and will be able to make better choices once you are there.
  2. Always make it a point to sit down when eating, if possible. Eating while standing up, especially around the buffet table, can lead to greater intake and larger portions than if you were to eat sitting down. Try to find an area to comfortably enjoy your meal, rather than walking around and continually grazing.
  3. If possible, bring a healthful side dish that that fits into your meal plan. It’s okay to let your host know that you are making healthy changes to your eating habits (it may even encourage them to offer more healthy dishes themselves!). Most times, those hosting a party would be delighted to have others contribute by bringing their own dish. Make a whole grain pasta salad or hummus dip with veggies (see recipe below for a great summer side dish).
  4. Plan ahead of time how many alcoholic beverages you are going to have, if any, and stick to that goal. Alcohol contributes empty calories that can add up quickly. Also, choose low calorie mixers, such as seltzer water and diet beverages. Stick with water instead of sodas and fruit drinks, which can also add more unnecessary calories.
  5. Make one plate and don’t feel like you have to try everything. Remember the plate model and portion sizes – aim for 50% of your plate to be fresh or cooked vegetables or fruits – this does not mean potato salad or coleslaw drenched in mayo. Opt for raw vegetables with a little bit of low fat dip, salads, or vegetables from the grill such as: corn, zucchini, or Portobello mushrooms. The other 25% of your plate should be a lean protein and the rest preferably should be a whole grain.
  6. Focus on friends rather than food. Talking and catching up with friends (away from the buffet table) is a great way to enjoy the party, leaving the focus away from the food.
  7. Make this one of your exercise days to offset the extra calories you may be eating. If there are any type of games at the party, join in – even something as simple as playing horseshoes can burn some extra calories.
  8. Opt for fruit for dessert – or pick one dessert to sample and have a small piece of it. It will be much more satisfying than trying to sample a small bite of every single dessert there.
  9. Go in with a game plan and try to stick to it as best as possible. You may hit all your goals or you may miss a few, but if you don’t manage to do everything you wanted to do, don’t be disappointed in yourself and then give up on your healthy eating plan. Make notes of what your had trouble with and look them over before the next party. You will be more likely to overcome them in the future than if you punish yourself for not doing everything you expected.

Super Simple Hummus Dip

Ingredients

  • 2 cans chick peas, drained and rinsed
  • Juice and zest of 1 lemon
  • ¼ cup extra virgin olive oil
  • ¼ cup water
  • ½ teaspoon salt
  • ¼ to ½ teaspoon red pepper flakes
  • ¼ cup finely chopped parsley
  • Paprika

Directions

  1. Combine chick peas through red pepper flakes in a food processor. Blend until smooth.
  2. Stir in parsley and spoon into serving dish. Sprinkle with a little paprika to garnish. Serve with raw veggies for dipping, such as carrots, celery, and bell peppers.

02/Jun/2011

In recent years “organic” foods have made their way into our lives, and even chain supermarkets. And most Americans purchase organic foods at least occasionally. However, the nutritional content of these foods may not vary greatly from conventionally produced foods.  In addition, consumers typically consume larger portions of these foods merely because they are labeled “organic.” Research on the nutritional differences between conventional and organic products is ongoing at this time. However, so far, few differences have been identified and were not across all products.
Organic foods are produced under the USDA’s National Organic Program regulations. These regulations include specifications about how the foods are produced and the process practices required for a food to be certified organic, however these regulations do not claim nutritional or food safety benefits for organic products.  This continues to be an ongoing debate among nutrition experts. However, the term “organic” comes with what experts are calling a “halo effect.” The “halo effect” is how we as consumers perceive the nutritional content of a certain food, and extrapolate the same nutrition content to other foods with the same label.

This “halo effect” results in consumers perceiving an organic food to be more nutritious, and letting their guard down when it comes to being careful about counting calories – ultimately leading them to overeat or feel entitled to indulge.  Research shows that consumers are more likely to claim that “organic” labeled products taste better, are lower in calories, lower in fat and higher in fiber. In most studies, no organic products were present, but merely labeled as “organic” to test consumer’s perception.

There are still benefits to our population for eating and purchasing organic foods such as reduced nutrition pollution, improved soil organic matter, lower energy use, reduced pesticide residues in food and water and enhanced biodiversity. Some organic foods may contain more phytochemicals such as antioxidants compared to conventionally grown products. Organic food purchases can often integrate small to medium sized farms into high-value food markets. Overall facilitation of organic foods can be considered creating a healthful, sustainable food system.

So what can you, as a consumer, do to buy/use the best products on the market?

  1. Read the Nutrition Label – The Nutrition Facts panel was designed for the consumer to make better nutrition-related decisions. This is the best way to differentiate between organic, local and conventional food items.  Become familiar with nutrition and ingredient labeling as a means of choosing healthy products that will help in meeting your daily Food Guide Pyramid needs.
  2. Reduce Your Calorie Intake – In order to make sure you are not experiencing the “halo effect” with organic food – first guess the caloric value of a food, and then double it. You’ll end up being more accurate on calorie intake and you might even eat less.

02/Jun/2011

Whether you have been relatively healthy your whole life or have been juggling a few chronic medical conditions, everyone can benefit from keeping a home record of their medical history. Though our office Electronic Medical Record system is able to keep an up to date account of your medical history, you want to be prepared for when medical emergencies happen on vacation or if you find yourself moving out of town or out of state. After all, you are your first and best healthcare advocate. Whether you want to store your information in a computer file or Google document or prefer to write things down in a dedicated notebook, every home medical record should contain the following:

  • Current and previous medical conditions and any past surgeries, including when and why they were done.
  • A current account of your family medical history including your siblings, parents, and grandparents.
  • Allergies you have to any medications or foods.
  • A list of current medications, don’t forget to include any vitamins or supplements.  You should also keep a separate list of medications you have taken and did not like or did not find helpful so that these can be avoided in the future.
  • Dates of any adult vaccinations – you need a tetanus booster every ten years so this is one that people often lose track of.
  • Dates and results of screening tests like PAP smears, mammograms, and colonoscopies. This will help ensure you do not fall behind on important cancer screening tests. Also, some insurance plans will not cover these tests if they are done too soon so knowing the dates can keep you from having to foot the bill.
  • Any blood work and imaging tests (X-rays, CT scans, MRIs, etc) and when, where, and why they were done (i.e. what symptoms you were having that prompted the testing).
  • Names of previous doctors you have seen and the practice address and phone number in case records need to be obtained at a later time

It can be useful to obtain and keep a copy of blood work or imaging studies for your own records but keep in mind lab and radiology reports are written by health care professionals for health care professionals. Many times the significance of results needs to be interpreted in the context why the tests were ordered. Variation from the range of normal does not necessarily indicate a serious problem and there are many things that may be incidentally discovered on CT scans and MRIs that don’t mean anything negative to your health. Please be judicious with what and how you Google and if you ever have questions about previous blood work or imaging results please let us know! We would be happy to answer any questions you have.



Though the actual work of weight loss is largely an individual effort, having a solid team behind you can mean the difference between success and setbacks. Our Weight Management program has assembled all of the professionals needed to comprehensively address the complexities of obesity and weight loss. The Weight Management team at RWWC includes a physician, a psychologist, personal trainers, and registered dieticians and was designed with your health and long term success in mind. Because we are all under one roof, we are able to work closely together to design the most effective weight loss plan for you based on your lifestyle, goals, and underlying medical conditions.

Having a physician as part of the weight loss team is something that is lacking in most commercial weight loss programs and gives our patients an advantage. From the very beginning of your weight loss journey, I will evaluate you for underlying medical conditions that may make weight loss more difficult, such as obstructive sleep apnea and underactive thyroid. I can also identify medications, including over-the-counter preparations, which may be increasing your appetite or otherwise impeding your success.

Through a comprehensive social history, family history, and blood tests I will be able to assess your risk for developing weight-related diseases and fully evaluate your cardiovascular risk, ordering stress tests or other further heart evaluations if needed. This information is communicated to the rest of the team to allow our personal trainers to better design a safe fitness program for you and to alert our dieticians to any areas that may need particular focus, such as cholesterol or salt intake.

In our Weight Management program you will work closely with all of our professionals. Frequent visits to the center will help us quickly identify problems, fluidly make corrections to your plan, and proactively address the inevitable plateaus.

Weekly Weight Management meetings are held with the team members to discuss your progress and revise your goals. A summary e-mail will be sent to you with reminders of what to work on for the next week along with words of encouragement.

The reasons for weight gain are multiple, complex, and individual. Our multifaceted team allows us to get to the root of your weight gain and devise a truly personalized plan to help you realize your goals for a healthier you!


28/Apr/2011

You’ve been procrastinating on your workout plan for Memorial Day — this just might be your last minute strategy for success! (Repeat this circuit 3x a week, with cardio, for best results.)

Inchworm — Works abs, chest, arms. Bend forward, place hands on floor in front of toes, and walk hands forward, until you reach plank position. Do a push-up, then inch back to start. (Keep belly button pulled in.) Do 8 to 12 reps.

Side Plank — Works abs, Oblique’s, butt, hips, thighs. Lie on right side with legs extended, hips and feet stacked; prop yourself up on your right forearm, elbow under shoulder, and place left hand on your waist. Slowly lift hips off the floor as high as you can, hold for 15 to 30 seconds each side.

Lunge Twist — Works calves, hamstrings, butt. Stand with arms at shoulder height, palms down. Step forward with right foot, crossing it in front of left. Lower into a curtsy-like lunge (right knee shouldn’t go past toes) while twisting torso right. Untwist, push off right foot, return to start. Do 8 to 12 reps; switch legs and repeat.

Squat Shoulder Press — Works butt, thighs, shoulders, back. Stand with feet hip-width apart holding five-pound weights in each hand, arms bent, palms facing in. Bend knees and squat, pause, then stand and press arms straight up over shoulders. Do 8 to 12 reps.

Wood Choppers — Works obliques, back, shoulders. Stand with left foot in front of right, holding one weight with both hands, arms extended so weight is by right hip. Rotate arms up and across, (don’t twist torso) pause, then return to start. Do 8 to 12 reps; switch sides and repeat.

Erica Umosella received her Bachelor of Arts in Health and Exercise Science with emphasis in Physical Education from Rowan University. She also earned a degree as a certified personal trainer and nutritional consultant from the National Personal Training Institute of Philadelphia. For more information on Erica, click here.


31/Mar/2011

Spring is here and summer is just around the corner. You know what that means… Bathing suit season is approaching! I am going to tell you how you can achieve the body you want by summer.

Interval Training is the best way to burn fat in the shortest amount of time, which is only one of many advantages achieved through interval training.

Running at a higher intensity for shorter periods of time results in a metabolism boost for several hours after. This means more calories are burned even at rest, which aids in weight loss. Now who does not want to burn calories after your done working out?

Some other Benefits of Interval Training:

  • Strengthens both the heart and lungs
  • Reduces blood pressure
  • Creates a general feeling of well-being and decreases the chance of depression and anxiety
  • Breaks up the boredom of long, steady runs
  • Your body becomes more efficient at dealing with lactic acid build up
  • Cuts your workout time in half

The calorie bursting plan takes just 20-30 minutes but outperforms workouts that last twice as long. The secret is alternating high intensity intervals with easier recovery periods. Women who have switched up their cardio routines to intervals have lost three times more body fat during a 15-week period than those who worked out for 40 minutes at a steady pace. Studies have shown that bursts of high intensity activity increases levels of fat burning compounds in the body.

What to Do

Pick a cardio machine and warm-up at a steady pace that is at moderate intensity. After a 5 minute warm-up, increase the pace or resistance to a level that is a bit more challenging. This is the recovery period that will be done in 90-second increments. After the 90 seconds, increase the intensity or incline to a challenging 30-second burst. Once you have figured out the two speeds or resistance levels that are best for you then continue the workout changing the speeds or resistance levels in 90- and 30-second increments. Be sure to give yourself about 5 minutes at the end of your workout for a cool-down.

Whether you are a beginner or a seasoned runner, or anywhere in-between, if you are looking to get fit faster, lose weight, look/feel good, then interval training is the quickest most efficient way to go.

Example

  • 5-minute warm-up
  • 90 seconds (slower speed)
  • 30 seconds (very fast speed)
  • (Repeat the 90/30 intervals up to 10 times, but start with less. Once you reach 10 and it becomes easier, increase the speed to make it more challenging)
  • 5-minute cool-down

A Note from RWWC

“Since our founding in 2008, our goal has been to provide primary care for women. Our team of physicians and nurse practitioners are dedicated to providing preventive care, diagnosis and treatment of acute and chronic disease(s) and coordination of care with specialists.”

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