Recognizing Team Healthcare Wins

It’s marathon season – as in running a little over 26 miles in one race for fun, health, personal challenge, charity or any of these motivators combined. However you cut it, completing a race of any length, as well as competitive or non-competitive walks, bicycling, swimming, hiking, fitness activities or sporting events are enormous achievements, worthy of recognition and support. They also are huge morale boosters and team-building opportunities in addition to the obvious health benefits.

While employers cannot legislate their employees’ personal fitness and physical activities, they certainly can encourage, promote, model, sponsor and support these strengths and healthy behaviors. Creating time and space for these activities, rewarding for participation and generally promoting a culture of health and participation is a successful strategy for large and small companies regardless of their business, product or service inclination.

Many organizations establish employee health committees who focus on healthy eating and nutrition, fitness, athletics and stress-reduction activities such as yoga, meditation and walking. From hula hooping to jumping rope, whether for fun or charity, there are dozens of pursuits worthy of note that engage employees during the day and after work to come together in the name of health, fraternity and personal growth. Those values all benefit employers, as well.

Picking up the tab for a competitive sporting activity like bowling, volleyball, softball, hockey or golf, to name but a few, can be a wise investment in your team’s health. Supplementing gym and fitness memberships often is the little push people need to focus on their health. And getting people outdoors during lunch and after hours to walk together or to train for charity or competitive events enhances the work environment and employee attitudes about their jobs and work/life balance.

From a promotional perspective, it’s always good to see the company name emblazoned on tee-shirts and banners, on view for the public, at charity walks, runs and rides. But the catalyst isn’t self-promotion, it is the recognition that teams that play together work better together, as well.

Team activities have a positive impact on productivity, quality, safety, customer service, retention and absenteeism. Personal health and fitness challenges help employees maintain a healthier lifestyle, reduces susceptibility to illness, and carries over into employees’ lives and family relationships outside of work.

Even something as simple as setting, sharing and celebrating goals related to nutrition, weight loss, exercise, smoking cessation and other health-related activities is a win/win for employers and employees. Leaders who get involved make it easier for employees to participate, as well, but at the least, supporting your team through sponsorship, financial contributions and constant encouragement is a winning strategy for completing the marathon we all face each day.


If you’re not enjoying the benefits of a wellness program at your company, join CBIA Healthy Connections at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Stretching Is Critical, the Goats Are Optional

 

Picture this scene: You’re lying on your back on a yoga mat, eyes closed, comfortable, stretching different parts of your body as a voice gently takes you through a guided relaxation exercise. Quiet music invoking gurgling streams and singing songbirds plays in the background and you are extremely calm and serene. Suddenly, you feel pressure as two small hooves press into your belly, and giggling, you open your eyes as the tiny white and brown goat starts nibbling at your socks. Focus is now lost, but who cares? The dwarf goat is adorable and, after all, it’s really why you came to this yoga studio – all concentration lost, you stretch out your hand to pet its head as it bleats and runs off to visit another mat.

So-called “goat yoga” is a hot fad these days in the yoga industry. The marriage of farms and yoga studios is relatively new over the past few years, but has spread rapidly across the country, with at least a dozen locations in Connecticut seeing the value – and attraction – in combining yoga and a petting zoo. But whatever the catalyst for exercise, stretching is a critical component in any physical regimen, so if seeking out comfort from goats or puppies or other cute cuddly creatures gets you moving in a healthy way, there’s no down side – other than cleaning up when the critters do their business!

Why We Need to Stretch

Proper stretching is highly recommended for protecting our joints and muscles. It’s normal to take our joints for granted, but consider how important they are: The joint is the connection between two bones. Joints and their surrounding structures allow us to bend our elbows and knees, wiggle our hips, bend our back, turn our head, and wave wiggle our fingers.

Smooth tissue called cartilage and synovium and a lubricant called synovial fluid cushion the joints so bones do not rub together. But increasing age, injury, or carrying too much weight can wear and tear cartilage. This can lead to a reaction that can damage joints and lead to arthritis, injuries, discomfort and pain.

Stretching can help improve flexibility and our range of motion. Better flexibility improves our performance in physical activities, decreases risk of injuries, helps joints move through their full range of motion, and enable muscles to work most effectively. Stretching also increases blood flow to the muscle.

It’s a good idea to see stretching as an important ritual before you start exercising, playing ball, running, dancing or whatever form of exercise or sport you enjoy. But stretching incorrectly can actually do more harm than good. The best way to care for your joints is to keep them and your muscles, ligaments, and bones strong and stable.

You may hurt yourself if you stretch cold muscles. Before stretching, warm up with light walking, jogging or biking at low intensity for five to 10 minutes. Even better, stretch after your workout when your muscles are warm.

Consider skipping stretching before an intense activity, such as sprinting or track and field activities. Some research suggests that pre-event stretching may actually decrease performance. Research has also shown that stretching immediately before an event weakens hamstring strength.

Instead of static stretching, try performing a “dynamic warmup.” A dynamic warm-up involves performing movements similar to those in your sport or physical activity at a low level, then gradually increasing the speed and intensity as you warm up.

Here are some related tips for good joint health and proper stretching:

  • Strive for symmetry. Everyone’s genetics for flexibility are different. Rather than striving for the flexibility of a dancer or gymnast, focus on having equal flexibility side to side (especially if you have a history of a previous injury). Flexibility that is not equal on both sides may be a risk factor for injury.
  • Focus on major muscle groups. Concentrate your stretches on major muscle groups such as your calves, thighs, hips, lower back, neck and shoulders. Make sure that you stretch both sides.
  • Don’t bounce. Stretch in a smooth movement, without bouncing. Bouncing as you stretch can injure your muscle and actually contribute to muscle tightness.
  • Hold your stretch. Breathe normally and hold each stretch for about 30 seconds; in problem areas, you may need to hold for around 60 seconds.
  • Don’t aim for pain. Expect to feel tension while you’re stretching, not pain. If it hurts, you’ve pushed too far. Back off to the point where you don’t feel any pain, then hold the stretch.
  • Make stretches sport specific. Evidence suggests that it’s helpful to do stretches involving the muscles used most in your sport or activity. If you play soccer, for instance, stretch your hamstrings as you’re more vulnerable to hamstring strains.
  • Keep up with your stretching. Stretching can be time-consuming. But you can achieve the most benefits by stretching regularly, at least two to three times a week. Skipping regular stretching means you risk losing the potential benefits. For instance, if stretching helped you increase your range of motion, your range of motion may decrease again if you stop stretching.
  • Bring movement into your stretching. Gentle movements, such as those in tai chi or yoga, can help you be more flexible in specific movements. These types of exercises can also help reduce falls in seniors.

Seek out professional counsel from a trainer or physical therapist for guidance on how best to stretch as part of your exercise routine. And remember to start off slowly and at a low intensity to get muscles used to the motion before gradually speeding up. No matter the sport or activity, preparing your joints and muscles for the activity to come is a wise move. And if yoga is your thing – and interacting with dwarf goats make you happy – go for it!


Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

When It Isn’t Just A Game Anymore

 

Parachuting into a large farm compound, the avatar dropped down onto a wood pile and started bashing his way through a wall with a large pickaxe. The axe changed into an automatic rifle as the avatar charged through the barn and out into a corral. Spotting another figure at the entrance to a barn, the two exchanged fire, and dodging behind a wall, the player controlling the avatar called for assistance as another group of avatars came around the corner and headed to cut off the other player.  Running blindly toward the barn, he watched as a second group of avatars suddenly appeared to confront them, and “deceased” appeared on the screen. The player – a 15-year-old boy — shrugged, spoke to his friends on his headset, and with his character again activated, returned to the action.

Around the world, 2.6 billion people play video games, including two-thirds of American households, according to the Entertainment Software Association. But “gaming” isn’t necessarily as benign as many people – and the gaming industry – would claim. Yes, it may heighten eye/hand coordination and teach intuitive online skills, but it also is distracting, can lead to or exacerbate moodiness, anxiety and depression, and is now being classified as addictive behavior, similar to gambling, compulsive spending or eating and other behavioral problems.

Now, the World Health Organization (WHO) is saying players can actually become addicted. The reason for the “addictive” label is because some players allow gaming to consume their days, often at cost to schoolwork, jobs, recreation and relationships. They may become withdrawn and antisocial, turn to their gaming world for social contact, and elect to avoid doing many other activities that might once have been their normal routine. As such, WHO has added “gaming disorder” to their International Classification of Diseases, the highly respected listing of medical conditions.

Video game addiction is described as an impulse control disorder which does not involve use of an intoxicating drug and is very similar to pathological gambling.  Video game addiction has also been referred to as video game overuse, and pathological or compulsive/excessive use of computer games or video games.  Statistics show that men and boys are more likely to become addicted to video games versus women and girls.  Recent research has found that nearly one in 10 youth gamers (ages 8 to 18) can be classified as pathological gamers or addicted to video-gaming.

Those suffering from video game addiction may use the Internet to access massive multi-player online role-playing games (MMORPGs) and multi-user domain games (MUDs).  MMORPGs are networks of people, all interacting with one another to play a game to achieve goals, accomplish missions, and reach high scores in a fantasy world.  MUDs combine elements of role-playing games, fighting, and killing in a social chat channel with limited graphics.  Some of the most popular on-line games include EverQuest, Ultima Online, World of Warcraft, Final Fantasy, Vanguard, Fortnight, Overwatch, Call of Duty, and City of Heroes.  Most MMORPGs charge monthly subscription fees, but some are free.

Mental health professionals are concerned about the harmful aspects of technology, overall, and are urging parents and consumers to look for ways to scale back usage of social media and online entertainment. Gaming addiction side effects, they stress, are not dissimilar to what they see in cocaine addiction. And therapists say they increasingly see players who have lost control to a wide variety of online and purchased games, from Minecraft to Candy Crush Saga.

Recognizing and Responding to Gaming Addiction

Unfortunately, the video game industry is expanding so quickly that medical research has struggled to keep up. An older study published in 2009 found that nearly nine percent of young players were addicted to their games. Many experts believe that the number has increased as games have become more advanced, more social and more mobile.

Some mental health professionals believe that gaming disorder is not a stand-alone medical condition. Rather, they see it as a symptom or a side effect of more familiar conditions, such as depression or anxiety. Common symptoms they point to from game use include jeopardized or risked loss of significant relationships, job, educational or career opportunities; lying to family members, friends or professionals to conceal the extent of their involvement with games; and use of games to escape from problems or to relieve feelings of anxiety, depression, guilt or hopelessness.

Additional warning signs for children and teens include:

  • Fatigue, and tendency to fall asleep during school
  • Not completing homework or assignments on time
  • Declining grades, or failing classes
  • Dropping out of school activities, clubs, sports, etc.
  • Isolating from family and friends to play video games

Many people attempting to quit or reduce gaming use experience withdrawal symptoms including anger, depression, relief, fantasies about the game, mood swings, anxiety, fear, irritability, sadness, loneliness, boredom, restlessness, procrastination, and upset stomach.  Being addicted to video-gaming can also cause physical discomfort or medical problems such as Carpal Tunnel Syndrome, dry eyes, backaches, severe headaches, eating irregularities such as skipping meals, failure to attend to personal hygiene, and sleep disturbance.

Verbal communication is an important tool in addressing gaming addiction, with the goal of getting the affected individual to recognize his or her compulsive behavior and take steps to reduce it. If you’re a parent, monitoring your child’s development is important. You can help your growing child learn how to overcome problems in real life rather than giving up and relying on fantasies in games. To accomplish this, you can implement a reasonable schedule for times when playing games is allowed. Alternatively, you can replace gaming with another pastime. You can also teach your teens to consider playing games as a reward whenever they successfully resolve personal problems in real life.

Patience is always an important virtue when you’re helping someone recover from video game addiction. Find ways to counteract any negative reactions that the addict may exhibit. For instance, if the urge to go back to gaming is very strong, create distractions through sports and other strenuous activities. With the right responses to withdrawal symptoms, the addicted player may reduce or let go of gaming and get back to healthy living. Additionally, many professionals have been trained to help teens and adults recover from addiction.

If you or someone you know is behaving like a gaming addict, learn to limit game time to a specific duration per day so that the remaining hours of the day can still be used for other activities. You can choose between therapies, and certain medications can also help to inhibit compulsive behaviors. If the addiction is the result of another underlying problem, therapy can also address this other issue and teach the addict how to cope with conditions such as depression, stress and anxiety.

Since research efforts devoted to video game addiction are relatively small compared to those for other addictions, very few support groups are available to provide communal assistance. One of the more notable groups is the Online Gamers Anonymous, a nonprofit organization that offers a 12-step program for recovery from video game addiction.


Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Preventing Dehydration and Heat Stroke

No matter how many times people hear messages about remaining properly hydrated in the hot weather, it’s easy to forget that heat, sun and even minor outdoor activity can make dangerous companions.

Proper fluid levels are important for ensuring a good flow of oxygen and red blood cells to our muscles and organs. During exercise and activity, we lose valuable nutrients and minerals. These include sodium, magnesium and potassium, which help keep our muscles working properly, reduce fatigue and prevent dehydration.

Under normal conditions, we all lose body water daily through sweat, tears, breathing and going to the bathroom. This water is normally replaced by drinking fluids and eating foods that contain water. When a person becomes sick and experiences fever, diarrhea or vomiting, dehydration occurs. It also happens if someone is overexposed to the sun and heat and not drinking enough water. Additionally, it can be caused by certain medicines, such as diuretics, which deplete body fluids and electrolytes.

Even without hot weather, our bodies create a large amount of internal heat. We normally cool ourselves by sweating and radiating heat through the skin. However, in certain circumstances, such as extreme heat, high humidity, or vigorous activity in the hot sun, this cooling system may begin to fail. This allows heat to build up to dangerous levels; it is exacerbated when we don’t replace those fluids, and compounded by the loss of essential body salts. If a person becomes dehydrated and cannot sweat enough to cool his or her body, his or her internal temperature may rise to dangerously high levels. This causes heat stroke, which can be life threatening.

The following are the most common symptoms of dehydration and heat stroke:

  • Thirst
  • Less-frequent urination
  • Dry skin
  • Fatigue
  • Light-headedness or dizziness
  • Confusion
  • Dry mouth and mucous membranes
  • Increased heart rate and breathing

In children, additional symptoms may include dry mouth and tongue, no tears when crying, listlessness, irritability and hallucinations.

In cases of mild dehydration, simple rehydration is recommended by drinking fluids. Many sports drinks effectively restore body fluids, electrolytes, and salt balance. For moderate dehydration, intravenous (IV) fluids may be needed. If caught early enough, simple rehydration may be effective. Cases of serious dehydration should be treated as a medical emergency, and hospitalization, along with intravenous fluids, is necessary.

How Much Should You Drink?

The rule of thumb should be to drink plenty of liquids before, during and after each activity.

A good guideline to use when preparing for an outdoor workout is to drink about two cups of fluid two hours before the activity. That helps make sure we are well-hydrated before we even go outdoors. Then, during the activity, we should drink four to six ounces every 15 to 20 minutes to keep our muscles well-hydrated. If planning an hour-long walk or gym workout, take a water bottle with about 16 ounces (two cups). Then, after exercise, drink again.

Fluids are vital to help our muscles function throughout our activity, but so is our blood sugar. Eat a light meal or snack of at least 100 calories about an hour or so before an activity. The nutrients from the snack will help keep hunger from interfering. The best snacks combine healthy carbohydrates, protein, and a small amount of fat. Fruit, yogurt, nuts, and granola bars are all good examples.

For most outdoor activities, regular tap or bottled water does the trick. If activity lasts an hour or more, either fruit juice diluted with water or a sports drink will provide carbohydrates for energy, plus minerals to replace electrolytes lost from sweating.

Sports drinks like Gatorade, Powerade, and All Sport can provide a needed energy boost during activity. They are designed to rapidly replace fluids and to increase the sugar (glucose) circulating in our blood. However, read the label to determine which sports drinks are most effective. Ideally, it will provide around 14 grams of carbohydrates, 28 mg of potassium, and 100 mg of sodium per eight-ounce serving. The drink’s carbohydrates should come from glucose, sucrose, and/or fructose, rather than from processed sugar or corn syrup. These are more easily and quickly absorbed. It shouldn’t be carbonated, as the bubbles can lead to an upset stomach.

“Fitness waters” are lightly flavored and have added vitamins and minerals. The additional nutrients are meant to supplement a healthy diet — not replace losses from exercise.

Fitness waters fall somewhere between the sports drinks and plain water in terms of being effective hydrators. They contain fewer calories and electrolytes but offer more taste than plain water. Whatever helps keep you hydrated is worth considering — as long as you keep drinking!


Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Teams Who Play Together, Grow Together

With the return of warm weather and lengthening days, spring is the perfect time to plan outdoor activities designed around sports, walking, bike riding, water activities, and much more that — besides being fun and healthy — can stimulate teamwork, boost morale, and improve productivity.

Softball, volleyball, tennis, basketball, and many other team-related recreational opportunities are or will soon be available locally. If you haven’t already, now might be a good opportunity to see what events and activities appeal to your workforce, and support or sponsor one or more team endeavors. Fair weather also heralds charitable walks, runs, bicycling and all manner of fundraisers that offer great team-building options and promote healthy activities.

Employers also can encourage individual recreational pursuits — for example, offering support to employees who are interested in community gardening, and for planting flower boxes around their communities. Other outdoor activities that are fun with groups can include hiking, bird-watching, nature walks, park and river clean-up days, rock climbing, and much more. Organizations like the Audubon and Sierra Clubs, local YMCA or YWCA facilities, Boys and Girls Clubs, and private gyms host special days, seasonal activities, and competitive events worth exploring.

Whatever employers do to support employee activities can be good for morale and teamwork. And improved teamwork and attitudes boost productivity, retention and quality, reduce absenteeism and accidents, and increase voluntary participation. Not to mention the health and wellness benefits!

Of course, activities aren’t limited to the outdoors. There are bowling and indoor fitness workouts, spinning, swimming, cooking, art and pottery classes … there’s no limit if you apply your imagination.

Team weight-loss efforts and competitive programs also are trending. One CBIA Health Connections employer created a health and wellness committee to brainstorm and plan activities. They linked several of their activities to national health- and wellness-related observances. Another tied their activities to local events, charities, and parks. Many employers sponsor classes, health screenings, nutritional education, and internal competitions. It’s all good fun, can be used to support charitable programs, and helps build stronger workplace teams.

This month is National Great Outdoors Month and there are a variety of activities planned at Connecticut State parks, perfect locations for picnics and outings. And even though it’s not even summer yet, it’s never too early to begin planning for the autumn and winter – by building a schedule well in advance, you can encourage more employee involvement in planning and implementing activities that ultimately improve teamwork, enhance morale and productivity and support health and wellness.

If you’re looking to link activities to disease prevention and education, every month in the United States, there are a dozen or more “formal” health-related awareness commemorations. These provide great topics around which you, your wellness champion, management team, or staff employees can develop an action plan for one or more outdoor activities.

There’s something for everyone, ranging from high-profile cancer awareness months for ovarian, prostrate, breast, lung and skin cancers, to fruit and vegetables “matter” month, obesity, eye and hearing care, diabetes, yoga, UV protection, blood pressure, workplace and helmet safety, immunizations, and much more.

Healthier employees are happier employees. They get sick less often, suffer from fewer incidences of chronic diseases, and have reduced absenteeism and sick days. There’s no down side to encouraging work teams to play together outdoors; start your planning now, come up with some cool team names and tee-shirts, and have fun getting – and staying – healthy!


If you’re not enjoying the benefits of a wellness program at your company, join CBIA Healthy Connections at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Assessing Health and Wellness Activity

Three months into the new year, it’s easy for well-intentioned health commitments made in December to go south. It’s harder getting to the gym in the winter, comfort food may be beckoning during these cold, shorter days, and outdoor activities like running, bicycling, and hiking are far more difficult to complete.

Now is a good time to assess how effectively you and your team are using health and wellness tools. That includes those available to you through your health insurance provider and CBIA, and a variety of options you and your employees can embrace at your discretion.

Completing CBIA’s online healthcare assessment tool is an easy first step. Employers also can conduct their own health and wellness survey through a variety of media, including a written survey, using an online survey tool, or through small group or individual meetings. Discussions can focus on preferred health and wellness activities underway personally or through the workplace, or measure attitudes about the use of fitness facilities, tobacco-cessation plans, healthy vending machine options, nutrition, healthcare coaching and a variety of other subjects.

For example, when assessing topic areas, some possibilities might include the following areas of inquiry:

Health status:

  • Self-perceived general health status (i.e., poor to excellent)
  • Number of days per month impaired by poor physical/mental health
  • Specific questions about diseases or health conditions (e.g., high blood pressure, high cholesterol, asthma, arthritis, stress)

Use of preventive health services:

  • Doctor visits (including an annual checkup)
  • Dental visits
  • Use of flu, pneumonia and shingles vaccines
  • Blood pressure and cholesterol checks
  • Colonoscopies, mammograms, and PAP smears

Health behaviors:

  • Tobacco use: Current smokers or other tobacco use, tobacco cessation goals
  • Diet and physical activity: Weight and height (to calculate Body Mass Index); self-perceptions of weight; fruit/vegetable consumption; activity level at work; recent moderate/vigorous activity outside of the job
  • Alcohol consumption: Drinks per week; drinks per sitting
  • Safety: Seatbelt and bicycle helmet use, ear and eye protection, etc.

Assessing current health status and health behaviors may point to opportunities for specific health-education programs. And completing a benchmark survey allows you to compare progress when you conduct follow-up surveys at set intervals. These can be conducted through the workplace, or online through a variety of employee healthcare information tools.

And when it comes to implementing health and wellness activities, some companies have gone the extra mile, inviting nutrition and fitness coaches to the office or workplace, holding onsite yoga, fitness and meditation classes, and encouraging employee participation through incentives and competitions.

Many employers form employee committees to oversee health and wellness programs, encourage participation and set and measure goals. When this outreach is peer driven, it tends to gather more steam and taps employee goodwill, enthusiasm and interest.

In the winter, team activities can include ice skating, sledding, downhill and cross-country skiing, and outdoor walks or hikes. Also, with spring right around the corner, so is the return of charity runs, walks and rides, and competitive team athletic activities like volleyball, softball and basketball. Encouraging and supporting team activities such as walks and sports builds morale, strengthens employee bonds and improves productivity. Employers can help their employees build personal health and wellness plans, check in to measure progress, or simply ensure that opportunities for staff wellness learning and exploration exist on a regular basis.


 

If you’re not enjoying the benefits of a wellness program at your company, join CBIA Healthy Connections at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

How Much Protein Do We Really Need?

The role of protein in our bodies is both well understood and completely misunderstood. We’ve been told we should eat protein for building up our bodies, and high-protein, low-carb diets are the rage. Body builders and athletes drink protein drinks to supplement their muscle development, and protein powders get sprinkled liberally in everything from yogurt and granola to smoothies. But do we really know how much protein is good for us, and how best to obtain it?

Simply put, proteins are the building blocks of life. Every cell in the human body contains protein, and the basic structure of protein is a chain of amino acids. We need protein in our diet to help our body repair cells and make new ones. Protein is important for growth and development in children, teens, and pregnant women. Hair and nails are mostly made of protein, and our bodies use protein to make enzymes, hormones, and other body chemicals. Protein also is an important building block of bones, muscles, cartilage, skin and blood.

Along with fat and carbohydrates, protein is a “macronutrient,” meaning we need relatively large amounts of it. Vitamins and minerals, which are needed in only small quantities, are called “micronutrients.” But unlike fat and carbohydrates, the body does not store protein, and therefore has no reservoir to draw on when it needs a new supply.

How Protein Works in our Bodies

Protein foods are broken down into amino acids during digestion. We need amino acids in large enough amounts to maintain good health. They are found in animal sources such as meats, milk, fish, and eggs. They are also found in plant sources such as soy, beans, legumes, nut butters, and some grains (such as wheat germ and quinoa). You do not need to eat animal products to get all the protein you need in your diet. And contrary to the myth that extra protein builds more muscle, the only way to build muscle is through exercise — extra protein doesn’t give you extra strength.

There are three types of amino acids: Essential amino acids cannot be made by the body and must be supplied by food. They do not need to be eaten at one meal–the balance over the whole day is more important. Nonessential amino acids are made by the body from essential amino acids or in the normal breakdown of proteins. Conditional amino acids are needed in times of illness and stress.

When people eat lots of protein but few carbohydrates, their metabolisms change into a state called ketosis, which means the body converts from burning carbs for fuel to burning its own fat. When fat is broken down, small bits of carbon called ketones are released into the bloodstream as energy sources. Ketosis, which also occurs in diabetes, tends to suppress appetite, causing people to eat less, and it also increases the body’s elimination of fluids through urine, resulting in a loss of water weight.

The amount of protein we need depends on our overall calorie needs. The daily recommended intake of protein for healthy adults is 10 percent to 35 percent of our total calorie needs. For example, a person on a 2,000-calorie diet could eat 100 grams of protein, which would supply 20 percent of their total daily calories.

One ounce (30 grams) of most protein-rich foods contains 7 grams of protein. An ounce (30 grams) equals an ounce of meat, fish or poultry; one large egg; half a cup of cooked beans or lentils; a tablespoon of peanut butter; or a quarter cup of tofu. Low-fat dairy is also a good source of protein, and whole grains contain more protein than refined or “white” products. Other good sources of protein include:

• Turkey or chicken with the skin removed, or bison (also called buffalo meat)
• Lean cuts of beef or pork, such as round, top sirloin, or tenderloin (trim away any visible fat)
• Fish or shellfish
• Pinto beans, black beans, kidney beans, lentils, split peas, or garbanzo beans
• Nuts and seeds, including almonds, hazelnuts, mixed nuts, peanuts, peanut butter, sunflower seeds, or walnuts (Nuts are high in fat so be mindful of portion sizes. Eating calories in excess of your needs may lead to weight gain.)
• Tofu, tempeh, and other soy protein products
• Low-fat dairy products

Additionally, the type of protein we eat plays a role in successful weight loss and in our overall health. Consumption of large quantities of processed meats such as hot dogs, sausages, and deli meats have been linked to increased risk of type 2 diabetes, cardiovascular disease and colorectal cancer.

There are other potential risks: The body produces ammonia when it breaks down protein. No one knows the long-term risks of higher levels of ammonia in the body. Also, there is evidence that people who eat high-protein diets typically excrete excess calcium in their urine. Researchers believe that is to counteract an increase in acids caused by protein consumption (calcium buffers, or neutralizes, acids). Too much calcium loss could lead to osteoporosis down the road.

Carbohydrate foods are important, including fruits and vegetables, which are the best sources for vitamins, fiber, and antioxidants — nutrients that help prevent disease. By contrast, animal foods that are high in protein are usually also high in saturated fats, which increase the risk for heart disease, stroke, diabetes, and several types of cancer.

So as is usually the case with diets and our health, understanding how the things we put into our bodies affect our overall health makes good sense. Eating the proper amount of protein is a good thing, but too much of a good thing can become a problem.


Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

So What If It’s Winter – Get Out and Play!

As winter descends with its shorter days, frigid temperatures, ice and snow, the harsher weather conditions shouldn’t be seen as a deterrent to going outdoors. If anything, the winter landscape is beautiful and inviting . . .  as long as you dress properly and take cold-weather precautions to keep you healthy and safe.

Preventing hypothermia is a major concern for those who work or recreate outdoors in the winter months. Hypothermia is caused by prolonged exposures to very cold temperatures. When exposed, your body begins to lose heat faster than it’s produced. Lengthy exposures will eventually use up your body’s stored energy, which leads to lower body temperature.

Body temperature that is too low affects the brain, making us unable to think clearly or move well. This makes hypothermia especially dangerous, because a person may not know that it’s happening and won’t be able to do anything about it.

While hypothermia is most likely at very cold temperatures, it can occur even at cool temperatures (above 40°F) if a person becomes chilled from rain, sweat, or submersion in cold water. Victims of hypothermia are often older adults with inadequate food, clothing, or heating; babies sleeping in cold bedrooms; people who remain outdoors for prolonged periods, such as the homeless, hikers, hunters, skiers and snowmobilers; and people who drink alcohol or use illicit drugs.

Warning signs of hypothermia include shivering and exhaustion; confusion and fumbling hands; memory loss; slurred speech; and drowsiness. If you notice any of these signs, take the person’s temperature. If it is below 95° F, the situation is an emergency—get medical attention immediately.

If medical care is not available, begin warming the person, as follows:

  • Get the victim into a warm room or shelter.
  • If the victim has on any wet clothing, remove it.
  • Warm the center of the body first, including his or her chest, neck, head and groin, using an electric blanket, if available. You can also use skin-to-skin contact under loose, dry layers of blankets, clothing, towels, or sheets.
  • Warm beverages can help increase body temperature, but do not give alcoholic beverages.
  • After body temperature has increased, keep the person dry and wrapped in a warm blanket, including the head and neck.
  • Get medical attention as soon as possible.

A person with severe hypothermia may be unconscious and may not seem to have a pulse or to be breathing. In this case, handle the victim gently, and get emergency assistance immediately. Even if the victim appears dead, CPR should be provided. CPR should continue while the victim is being warmed, until the victim responds, or medical aid becomes available. In some cases, hypothermia victims who appear to be dead can be successfully resuscitated.

Dress for the weather

No matter your choice of outdoor activity, take appropriate measures to protect yourself. That includes dressing for the weather, making sure you’re properly hydrated, wearing sunscreen, knowing your limitations, and always respecting Mother Nature.

Dressing in layers and wearing the right types of materials are critical for keeping yourself warm in the cold weather. But when planning your outdoor wardrobe, moisture management is also an important consideration. To keep the body warm during high-energy activities, clothing should transport moisture away from the skin to the outer surface of the fabric where it can evaporate.

Cotton is a poor choice for insulation, because it absorbs moisture and loses any insulating value when it gets wet. Instead, moisture-wicking synthetics, which move moisture away from the skin and stay light, are the best choice for active winter sports like skiing, snowboarding, hiking or climbing. Not only do synthetic fabrics wick moisture away from the skin, they dry quickly and help keep you warm in the process.

Your next layer should be a lightweight stretchy insulator, such as a breathable fleece sweater or vest. The final part of your cold-weather wear should be a lightweight and versatile shell jacket. Fabrics like three-layer Gore-Tex and Windstopper allow companies to create shells that are ultra lightweight while remaining waterproof, windproof, and breathable. For aerobic activities, a shell’s ventilating features are particularly important. Look for underarm zippers, venting pockets, and back flaps.

Always bring a hat and gloves, regardless of the weather or your activity level. Proper foot protection is critical, as well — you should be wearing insulated and water-proof shoes or boots, and synthetic socks that won’t absorb sweat. As with the rest of your clothing, synthetic materials work best for protecting you against the extremes. Look for fleece hats made with Windstopper fabric, gloves and mittens layered with Gore-Tex and fleece, and socks made of synthetic, moisture-wicking materials.

Finally, bring an abundance of water or sports drinks when you recreate outdoors, and try to avoid caffeine or alcohol — both actually dry you out, instead of hydrating, and alcohol lowers your body temperature. Also, make sure you have a cell phone, that somebody knows where you are, and when you’ll be returning. And remember to wear sunscreen — the sun’s ultraviolet rays remain potent, even in the winter, and hydrating your skin with a UV-protective moisturizer will help protect you from wind and other elements.

Getting outdoors in the winter months should be part of your healthy-living planning. Exercising or working outdoors, or simply enjoying the winter beauty will help keep you well, emotionally and physically.


Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Wrap Up the Year With the Gift of Wellness

As the year winds down, it’s the perfect time to reflect on your 2017 health and wellness efforts, and to contemplate how you can do more in 2018. One of the best gifts employers can give themselves and their employees are gifts that “keep on giving,” such as improved long-term employee health, tools for reducing stress, and activities that will enhance teamwork, productivity and morale.

Helping employees meet individual or team goals through successful planning and execution, a sense of accomplishment, providing service, and feeling valued are indisputable contributors to success, retention, and service excellence. Additionally, generosity, giving, and awareness create a sense of increased goodwill and can increase the bond between employer and employee, and among staff.

By supporting employees’ interests in local or national organizations through donations, fund- raising activities and in-kind services, you help your staff achieve that valuable sense of accomplishment and caring that comes from generosity and giving to others.

Additionally, every month brings a variety of wellness, disease awareness and health-related special events, activities and recognition. These represent some of the proverbial “low-hanging fruit” for promoting, encouraging and rewarding employee workforce participation. And if you time your internal outreach to the wide variety of wellness material available online, through your healthcare insurance provider and from CBIA, you’ll find the resources and educational information robust and easily available.

Here are some simple ideas you can consider for a healthier new year:

  • Health and wellness planning:Host a planning session — led by employees or by an outside expert – where participants can talk about their personal health and wellness goals, and discuss possible group support, in-house challenges and activities.
  • Nutritional guidance: Ask a professional nutritionist or dietitian to meet with staff at a group lunch, or in one-on-one or small group meetings to talk about healthy eating, smart dieting and nutritional awareness.
  • Gym memberships:If you don’t already, consider offering an allowance to employees to use for purchasing a gym, yoga or fitness center membership, or consider bringing a fitness trainer or yoga instructor onsite.
  • Offer incentives:Some organizations incentivize employees by rewarding them for healthy activities such as setting and achieving personal wellness goals, or by completing wellness workshops and classes. Many companies also allow employees to take work time to visit their primary care physician for their annual physicals.
  • Community outreach: Building up morale in the company is a commonly overlooked wellness initiative, but the results are always positive. Lead this initiative by getting a team together for a charity event or race, volunteer, “adopt” a family or charity for the holidays, raise money as a team for gifts, match team and individual efforts, and encourage employees to donate food, time and services.
  • Stress relief: Studies show that a power nap or meditation increases alertness, memory and stamina. Some companies have designated an office or area where employees can reserve times during the day for relaxing, and forward-thinking organizations find ways to reward employees and help them “recharge” by allowing them much-needed “down time” that is customized to individual needs. Also consider inviting a yoga instructor or massage therapist to the workplace, and if possible, create a space for team instruction.
  • Teambuilding activities: Some companies sponsor art nights, onsite or at local art centers, where employees can paint, complete ceramics or pursue other artistic endeavors as a team. Charitable walks and runs, fitness competitions or bicycle rides, bowling or volleyball are other good team activities, as are skating, skiing and other outdoor recreational challenges that can be turned into team fun. Many companies also sponsor facilitated off-site retreats focused on team building, communication, planning and interpersonal development.
  • Smoking-cessation:A variety of free or inexpensive smoking cessation programs are available locally through the American Lung Association, hospitals and other sources.

Whatever you choose, remember that sometimes the best gifts can’t be wrapped!  Have a happy and healthy holiday season and year to come.


If you’re not enjoying the benefits of a wellness program at your company, join CBIA Healthy Connections at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

What’s That on Your Feet?!

It’s summer and many of us are fairly active outside or indoors; walking, jumping, biking, boating, playing sports, jogging, and exercising. Chances are we’re wearing sneakers or athletic shoes while we play or work, those leather, cloth, or mesh multi-colored foot coverings universally popular with children and adults alike. In the United States alone, the market for sneakers and athletic shoes comprises a multibillion-dollar industry that capitalizes on smart marketing, style, star power, peer pressure, practicality, and comfort.  We all wear them, yet how much do we actually know about what’s on our feet, like if they’re suitable for the activities we’re using them for and if they’re good for us?

At one time in the not-too-distant past, everyone wore sneakers when active. Now there are hundreds of athletic shoes to choose from, designed for practically every type of activity, though typically for running, training, and walking.

Court sports include shoes for tennis, basketball, and volleyball. Court sports require the body to move forwards, backwards, and side-to-side. As a result, most athletic shoes used for court sports are subjected to heavy abuse. The key to finding a good court shoe is its sole. Field sports include shoes for soccer, football, and baseball. These shoes often are cleated, studded, or spiked. The spike and stud formations vary from sport to sport, but generally there are replaceable or detachable cleats, spikes, or studs affixed onto nylon soles.

When it comes to track and field, athletic shoe companies produce many models for various foot types. One brand does not meet the needs of everyone, and the latest innovation or most expensive shoe may not be your best choice. However, even the best-designed shoes in the world will not do the job if they do not fit properly. You can avoid foot problems by finding a shoe store that employs a pedorthist or professional shoe fitter who knows about the different shapes and styles of shoes.

Here’s some guidance for choosing the athletic shoe that’s best for you:

Running Shoes:  A good running shoe should have ample cushioning to absorb shock, though there are advocates for minimalist running shoes with almost no cushioning. If you choose a cushioned shoe, look for overall shock absorption for the foot and good heel control. This may help prevent shin splints, tendinitis, heel pain, stress fractures, and other overuse syndromes.

Joggers should wear a shoe with more cushioning for impact. Running shoes are designed to provide maximum overall shock absorption for the foot. Such a shoe should also have good heel control. Together, these attributes help prevent shin splints, tendinitis, heel pain, stress fractures, and other overuse syndromes.

Walking Shoes:  If walking is a major athletic activity for you, wear a lightweight shoe. Look for extra shock absorption in the heel of the shoe,especially under the ball of the foot (the metatarsal area). This will help reduce heel pain (plantar fasciitis and pump bumps) as well as burning and tenderness in the ball of the foot (metatarsalgia). A shoe with a slightly rounded sole or rocker bottom also helps to smoothly shift weight from the heel to the toes while decreasing the forces across the foot. Walking shoes have more rigidity in the front so you can roll off your toes rather than bend through them as you do with running shoes.

Aerobic Shoes:  Shoes for aerobic conditioning should be lightweight to prevent foot fatigue and have extra shock absorption in the sole beneath the ball of the foot (metatarsal area), where the most stress occurs.

Tennis Shoes: Tennis players need a shoe that supports the foot during quick side-to-side movements or shifts in weight. A shoe that provides stability on the inside and outside of the foot is an important choice. Flexibility in the sole beneath the ball of the foot allows repeated, quick forward movements for a fast reaction at the net. You need slightly less shock absorption in the shoe if you’re playing tennis or other racquet sports. On soft courts, wear a softer-soled shoe that allows better traction. On hard courts, you want a sole with greater tread.

Basketball Shoes:  For basketball, choose a shoe with a thick, stiff sole. This gives extra stability when running on the court. A high-top shoe may provide added support but won’t necessarily decrease the risk of ankle sprain or injury.

Cross Trainers:  Cross-training shoes, or cross trainers, combine several of the above features so that you can participate in more than one sport. A good cross trainer should have the flexibility in the forefoot you need for running, combined with the lateral control necessary for aerobics or tennis.

We don’t necessarily need a different pair of shoes for every sport in which we participate. Generally, wear sport-specific shoes for sports you play more than three times a week. If you have worked out for some time injury-free, then stick with the particular shoe you have been wearing. There is really no reason to change.

For special problems, you may need a special shoe. If your ankles turn easily, you may need to wear a shoe with a wide heel. If you have trouble with shin splints, you may need a shoe with better shock absorption.

If the shoe fits, buy it!

Here are some useful guidelines for buying new athletic shoes:

  • If possible, purchase athletic shoes from a specialty store. The staff will provide valuable input on the type of shoe needed for your sport as well as help with proper fitting. This may cost a little more, but is worthwhile, particularly for shoes that are used often.
  • Don’t go just by size. Have your feet measured, and choose shoes that fit the larger foot first.
  • Try on athletic shoes after a workout or run and at the end of the day. Your feet will be at their largest.
  • Wear the same type of sock that you will wear for that sport.
  • When the shoe is on your foot, you should be able to freely wiggle all of your toes.
  • The shoes should be comfortable as soon as you try them on. There is no break-in period.
  • Walk or run a few steps in your shoes. They should be comfortable.
  • Always re-lace the shoes you are trying on. You should begin at the farthest eyelets and apply even pressure as you create a crisscross lacing pattern to the top of the shoe.
  • There should be a firm grip of the shoe to your heel. Your heel should not slip as you walk or run.
  • If you participate in a sport three or more times a week, you need a sport-specific shoe. Remember that after 300 to 500 miles of running or 300 hours of aerobic activity, the cushioning material in a shoe is usually worn down and it’s time to toss the shoes.
  • If you have bunions or hammertoes, find a shoe with a wide toe box. You should be able to fully extend your toes when you’re standing, and shoes should be comfortable from the moment you put them on. They will not stretch out.
  • Women who have big or wide feet should consider buying men’s or boys’ shoes, which are cut wider for the same length.

Finally, if your feet or back hurt, you should get them checked out by a physician. For the best advice, see an orthopedic surgeon, a doctor specializing in diseases of the bones and joints. The orthopedic surgeon is trained to treat problems of the foot and ankle. Pedorthists and orthotists are trained to make and modify arch supports (orthoses) and fulfill the surgeon’s prescription. Working with these professionals will ensure you get the right shoe for the best possible treatment.

Proper-fitting sports shoes can enhance performance and prevent injuries. But whatever you choose to wear on your feet, get out there, have fun, and be healthy!


 

Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!