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"Sleep is still most perfect… when it is shared with a beloved," wrote D.H. Lawrence, and most young children would agree. But sometimes those beloved — that is, parents — would rather have some privacy and not be woken by a kicking child all night.
So what can you do?
Sleep-alone campaign step one: Understanding
Before you do anything, be sure you understand why your child wants to sleep with you. It's most likely simply because they love you and feel most secure snuggled next to you, but before you work to change the habit, be sure that your child is ready for — and can handle — the change. If your child has been more clingy or irritable than usual, or is having difficult behaviors in any way, touch base with your doctor.
Sleep-alone campaign step two: Changing habits
Changing where your child sleeps is changing a habit. When it comes to changing habits, it helps to be practical and — this is really important — consistent. Here are some tips:
If nothing is working, or your child is really upset, talk to your doctor. There may be more going on, and the two of you can work together to figure things out and help your child. Both of you deserve a restful night's sleep.
Follow me on Twitter @drClaire
Source: Harvard Health Publishing
It's incredibly rare for a child or teen to die suddenly because of a heart problem, but it's a horrible tragedy when it does, especially because often it could have been prevented — if someone had just asked the right question.
We tend to think about sudden deaths like these in athletes, since we commonly hear about them happening on a playing field — and because most of the prevention efforts have been aimed at athletes. But they absolutely can happen in children and teens who aren't athletes, according to a 2021 policy statement from the American Academy of Pediatrics. The guidance it offers helps primary care pediatricians better screen their patients for the heart problems that can lead to sudden death. Here's what parents need to understand and do.
What might cause sudden cardiac arrest or death in children or teens?
There are several heart conditions that can lead to a risk of sudden death. They include
Four important screening questions can help identify cardiac risk
Many of these conditions can and do go unrecognized for years. However, the AAP says that these four questions can help identify which children may be at risk:
The last question underlines the importance of knowing details of your family history. We don't always like to pry, but knowing the details can be crucial for the health of others in the family. So don't be afraid to ask family members about the exact diagnosis they have been given by a doctor — and then share that diagnosis with your doctor. This is true of all health problems, not just heart problems. Of course, some people may not have access to their family health information.
How often should this screening be done?
Ideally, according to the AAP, your child's doctor should ask these questions at routine checkups at least once every three years, or on entry to middle or junior high school and on entry to high school. If the answer is yes to any of the questions, the child should be referred to a cardiologist (or to a cardiologist that specializes in arrhythmias) for further evaluation. Until they are cleared, they shouldn't participate in sports.
Families don't need to wait for a pediatrician to ask the questions, though. If the answer to any of them is yes, or might be yes, talk to your child's doctor right away. You could literally save your child's life.
Source: Harvard Health Publishing
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News flash: What we eat can play a pivotal role in warding off — or treating — disease and enhancing quality of life. You may already believe this, and certainly mounting evidence supports that idea. But on the cluttered shelf of diets claiming top health benefits, which one ranks as the absolute best?
That's a trick question. In fact, there is no single best diet. A good diet for me may be different from what's best for you. And for either of us, there may be several good choices with no clear winner.
How can you choose the right diet for you?
When thinking about what diet might be best for you, ask yourself:
Which diets are high in health benefits?
Two very well studied diets demonstrate clear benefit, including lowering risk for heart disease and stroke and reducing high blood pressure: the Mediterranean diet and the DASH diet.
But the portfolio diet may be as good as or better than these plans, at least for combatting cardiovascular disease that contributes to clogged blood vessels, heart attacks, and stroke. What? You've never heard of the portfolio diet? You're not alone.
What is the portfolio diet?
Just as a financial advisor may recommend having a diverse investment portfolio — not just stocks, not just bonds — the portfolio diet follows suit. This largely plant-based diet focuses on diverse foods and food groups proven to lower harmful blood lipids, including LDL (so-called bad cholesterol) and triglycerides.
If you choose to follow this eating pattern, you simply need to learn which foods have a healthy effect on blood lipids and choose them in place of other foods. For some people, this only requires small tweaks to embrace certain foods while downplaying other choices. Or it may call for a bigger upheaval of longtime eating patterns.
Which foods are encouraged in the portfolio diet?
Below are the basics. Eating more of these foods regularly may help lower levels of harmful blood lipids:
See? Some of your favorite foods make the cut. That's a major strength of this approach: the list of recommended foods is long. So, it's likely that you're already eating and enjoying some of the recommended foods.
Which foods are not part of the portfolio diet?
It's worth highlighting foods that are not on this list, such as
What can the portfolio diet do for you?
Researchers have shown that the portfolio diet can improve blood lipids. But can it also lower the risk of heart attack, stroke, and other cardiovascular problems?
Yes, according to a 2023 study published in Circulation. More than nearly 17,000 people kept careful food diaries for 30 years. Those who most closely followed the portfolio diet, compared with those who followed it the least, were more likely to have favorable lipids and inflammation. They were also 14% less likely to have a heart attack, and 14% less likely to have a stroke.
This was true even after accounting for factors that could affect cardiovascular disease risk, such as taking cholesterol-lowering medications, exercise, smoking, or having diabetes or a family history of cardiovascular disease.
Because this was an observational study, it can't conclusively prove that the portfolio diet, rather than another factor, was responsible for the observed cardiovascular benefits. And we don't know how much benefit came from reducing or eliminating certain types of foods, rather than from the specific foods eaten.
Does the portfolio diet help people lose weight or deliver other health advantages?
What about the portfolio diet for weight loss? Although some people lose weight on the portfolio diet, it's not billed as a weight-loss diet. Understanding its potential benefit for other conditions such as obesity, cognitive decline, diabetes, and cancer awaits further research.
Go beyond diet to boost health
Of course, diet is not the only way to improve cardiovascular health and your overall health. You'll stay healthier by
The bottom line
It's probably best to move past the idea of there being a single best diet. The overall pattern of your diet and your portion sizes are probably more important. For most people, it's also a good idea to move away from restrictive diets that are nearly impossible to stick with and toward healthier overall eating patterns. The portfolio diet checks both those boxes.
There's a lot of overlap between the portfolio diet and other healthy diets. So, no one should be suggesting it's the best diet ever. But if you're trying to eat healthier, it's a great place to start.
Source: Harvard Health Publishing
Source: Harvard Health Publishing
When experts talk about the dangers of excessive drinking, we often assume those warnings apply mostly to people with alcohol use disorder, a health issue sometimes referred to as alcoholism.
But people who don't meet formal criteria for this disorder can still experience toxic effects and suffer other serious harms from alcohol, says Dr. John F. Kelly, professor of psychiatry in addiction medicine at Harvard Medical School. And as research turns up new evidence about alcohol, many people are considering the benefits of drinking less, even if they're not ready to stop imbibing entirely.
How does alcohol affect the body?
That depends on how much you drink. Drinking more than moderate amounts of alcohol (defined as one drink per day for women and two for men) increases your risk for developing
What if you're not drinking daily? "Even people who only drink on weekends can have serious accidents if they become intoxicated — for example, by falling or driving under the influence," says Dr. Kelly.
What's more, growing evidence suggests that even small amounts of alcohol may harm your health.
How could cutting down on alcohol help you?
If you're not ready to give up drinking entirely, cutting back can lower the likelihood of all of these harms. For example, cutting down on alcohol, or stopping entirely, is linked with lower cancer risks, according to a report from the American Association for Cancer Research.
You might also notice some immediate benefits, like sleeping more soundly, memory improvements, and generally feeling more mentally sharp. And because you'll be taking in fewer calories, you may also shed some weight.
Ready to try cutting back on alcohol? Start here
These five suggestions are a great way to start cutting back.
Keep a drinking diary
Tracking how much alcohol you drink and when can help you target your efforts to drink less. It's also a good idea to put your reasons for cutting back in writing: for example, "I'd like to sleep better," "I feel sharper," "Better heart health is important to me." That practice can reinforce your resolve to follow through with your plan.
Try alcohol-free days — or even a month of not drinking
Taking a break from alcohol can be a good way to start, allowing your brain and body to recalibrate. Decide not to drink a day or two each week. You may want to abstain for a week or a month, to see how you feel physically and emotionally without alcohol in your life. Consider doing Sober October — a variation of Dry January.
Drink slowly and with food
Sip your drink. Alternate alcoholic drinks with nonalcoholic alternatives like sparkling water, soda, or juice. Don't drink on an empty stomach, because you'll feel intoxicated more quickly. That can lower your inhibitions and break your resolve to stick to lower amounts of alcohol, Dr. Kelly says. Drinking with a meal slows alcohol absorption and appears to minimize the drug's health risks.
Try low-alcohol or zero-alcohol substitutes
Alcohol-free beer, nonalcoholic distilled spirits, and similar products have become more widely available in recent years. It's a result of the alcohol industry's response to stay profitable, as health harms of small amounts of alcohol have been confirmed and the sober curious movement gains momentum.
If you drink beer, wine spritzers, hard seltzer, or similar products, check the alcohol content
While light beers have fewer calories, they don't necessarily have much less alcohol than regular beer. The average light beer is about 4.3% alcohol, versus 5.0% in regular beer.
Also, be aware that some craft or specialty beers contain far higher amounts of alcohol — up to 12% or 14% or even higher. Beverages that combine wine or hard liquor with seltzer or other mixers also vary widely in their alcohol content.
Cut down on temptation
Two more tips can help you meet success when changing drinking habits.
Don't keep alcohol in your house. Making your home an alcohol-free zone takes away the risk of immediate temptation.
Avoid temptation. Steer clear of people and places that make you want to drink. If you associate drinking with certain events, such as holidays or vacations, make a plan for managing these situations in advance. Check in with your feelings. When you're worried, lonely, or angry, you might be tempted to reach for a drink. "Think about other ways you might alleviate those feelings, such as going for a walk or calling a friend," Dr. Kelly suggests.
Finally, try this interactive tool from the CDC, which can help you make a personalized plan to drink less.
Source: Harvard Health Publishing
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Can you imagine if you went to your primary care doctor's office for cooking classes? What if your visit included time spent planning meals, discussing grocery lists and the benefits of home cooking, and learning culinary techniques?
If that sounds odd to you, it shouldn't.
We already know that the more people cook at home, the healthier their diet, the fewer calories they consume, and the less likely they are to be obese or develop type 2 diabetes. A growing body of scientific evidence supports teaching patients how to cook meals at home as an effective medical intervention for improving diet quality, weight loss, and diabetes prevention.
In fact, research is turning to studying the value of nutrition programs that include cooking instruction. These programs have been shown to help people adhere to a healthier diet, eat smaller portions, and lose weight — improvements that lasted as long as a year after the study ended. These programs can even help patients with type 2 diabetes to eat healthier, lower blood pressures and blood sugars, and lose weight. Hard to believe it, but time in the kitchen can be as valuable as medication for some people with diabetes.
I recently met with a lovely patient of mine,* She has type 2 diabetes, and has trouble eating a healthy diet. Most of her meals are frozen dinners or takeout, which is all highly processed food with little nutritional value. I asked her if she would like to consult with a nutritionist.
"I have, many times," she laughed. "They're all very nice and everything, and it's all good information, but I can't cook. I get to the produce section of the grocery store, and I don't know where to start." Aha. No surprise, then, that multiple studies have shown that home cooking instruction significantly increase a person's confidence in his or her food preparation skills, which translates into eating a healthier diet.
Diet and lifestyle interventions have already been shown to be quite effective for weight loss and prevention of type 2 diabetes, and adding a home cooking instruction component could be even more powerful.
Let's get cooking!
*True story, details changed to protect the patient's identity.
Grilled Zucchini with Red, Green, and Yellow Pepper Sauce
Zucchini
Sauce
Prepare zucchini
Place zucchini rounds in a medium bowl, mix with salt and pepper, and toss with oil to coat.
Heat a grill pan over medium-high heat. Working in batches, roast zucchini rounds for about 1 to 2 minutes on each side, until dark lines appear. Transfer to a large bowl.
Prepare sauce
In a small bowl, mix together olive oil, lemon juice, and vinegar until combined.
Add salt, pepper, and date honey, and mix until combined.
Add garlic, onion, and parsley, and mix well.
Add peppers and mix again.
Finish dish
Pour pepper mixture over zucchinis, and let sit for about 30 minutes, to allow flavors to blend.
Serve at room temperature.
Additional information and selected sources
Additional free and simple recipes from Dr. Rani Polak
Free cooking at home cooking videos from the American Collage of Preventative Medicine (ACPM)
Is cooking at home associated with better diet quality or weight-loss intention?Public Health Nutrition, June 2015.
Consumption of Meals Prepared at Home and Risk of Type 2 Diabetes: An Analysis of Two Prospective Cohort Studies. PLOS Medicine, July 2016.
Impact of cooking and home food preparation interventions among adults: outcomes and implications for future programs. Journal of Nutrition Education and Behavior, July-August 2014.
Impact of cooking and home food preparation interventions among adults: A systematic review (2011-2016). Journal of Nutrition Education and Behavior, February 2018
Source: Harvard Health Publishing