Sunday, December 30, 2007

5 Tips for Better Work-Life Balance

If you scored poorly on the life balance quiz in part 1 of our series, let your quest for a more balanced life begin here.

1. Figure Out What Really Matters to You in Life

Personal coach Laura Berman Fortgang, author of NOW WHAT? 90 Days to a New Life Direction, says getting your priorities clear is the first and most essential step toward achieving a well-balanced life. The important point here is to figure out what you want your priorities to be, not what you think they should be.

"I use an exercise for figuring out what matters most," Fortgang tells WebMD. She has her clients take a couple days off from work to contemplate the following series of questions:

1. If my life could focus on one thing and one thing only, what would that be?
2. If I could add a second thing, what would that be?
3. A third?
4. A fourth?
5. A fifth?

If you answer thoughtfully and honestly, the result will be a list of your top five priorities. Fortgang says a typical top-five list might include some of the following:

  • Children
  • Spouse
  • Satisfying career
  • Community service
  • Religion/spirituality
  • Health
  • Sports
  • Art
  • Hobbies, such as gardening
  • Adventure/travel

Ismael Al-Ramahi, a graduate student at Baylor College of Medicine, says his current priorities are his wife, his 4-month-old son, and his research. He tells WebMD the key is not only knowing your priorities, but devoting your full attention to just one priority at a time. "Split your time and your mind so that you're thinking about work when you're at work and you're paying attention to the baby when you're with him."

2. Drop Unnecessary Activities

By making a concrete list of what really matters to you, you may discover you're devoting too much time to activities that aren't a priority, and you can adjust your schedule accordingly. Since having a baby, Al-Ramahi says he and his wife have become much more efficient in managing their time -- cutting back on television, for example.

If at all possible, Fortgang recommends dropping any commitments and pursuits that don't make your top-five list, because "unnecessary activities keep you away from the things that matter to you."

3. Protect Your Private Time

You would probably think twice before skipping out on work, a parent-teacher conference, or a doctor's appointment. Your private time deserves the same respect. "Carve out hours that contribute to yourself and your relationship," says Stevan Hobfoll, PhD, distinguished professor of psychology at Kent State University, and co-author of Work Won't Love You Back: The Dual Career Couple's Survival Guide. Guard this personal time fervently and don't let work or other distractions intrude. "Stop checking email and cell phones so often," Hobfoll advises. "Few people are so important that they need their phones on at all times."

If work consistently interferes with your personal time, Hobfoll recommends discussing some adjustments with your boss. "There's a mythology in the workplace that more hours means more," he tells WebMD. Demonstrate that you can deliver the same or better results in fewer hours. Your job performance "should never be judged in terms of hours of input," Hobfoll says. Protecting your private time often leads to "greater satisfaction in both work life and personal life, greater productivity, and more creativity."

If you're your own boss, it's up to you to create boundaries that keep work from intruding on family time. Lachlan Brown is president of Tech for People, a small business consulting firm specializing in Internet marketing. "I make it very clear at the beginning of any new business relationship that if I work nights and/or weekends then this is purely by choice," he tells WebMD. "I've told clients more than once that if they call me at night or on the weekend that they shouldn't expect me to a) answer the phone and b) reply until the next business day."

Brown, who has a 9-month-old daughter, doesn't see his reluctance to work after hours as compromising his career but quite the opposite. "I believe that if I truly honor the different aspects of my life, such as work, play, and family, I will be more successful and fulfilled in each area. If I skimp on family time or 'me' time, then my success in my career will suffer as a result. I look to my daughter to remind me of how to be open-minded and excited and curious about life … key ingredients for innovative, breakthrough thinking. If I don't spend time with her now, this opportunity will be lost forever."

4. Accept Help to Balance Your Life

Allow yourself to rely on your partner, family members, or friends -- anyone who can watch the kids or run an errand while you focus on other top priorities. "Try tag-teaming," Hobfoll suggests. "One spouse works out before dinner, one after dinner, while the other watches the kids."

To get more alone-time with your partner, accept babysitting offers from friends and family, or try arranging a regular trade-off with another couple. "'I'll watch your kids this Saturday if you watch mine next Saturday.' Tag-teaming is a great way to create extra free time," Hobfoll says.

5. Plan Fun and Relaxation

Fun and relaxation are an essential part of living a well-balanced life. That's why Brown makes time for weekly guitar lessons, a yoga class, a date night with his wife, and a guys' night out a couple times a month. In addition, he exercises on a trampoline in his backyard most days of the week. How does he squeeze in all this playtime while running his business and sharing the responsibilities of raising a daughter? "If you believe that the most important thing is to be happy in life (not when I'm a millionaire or when I retire but right now) then you can always make time."

Until you get into the habit of taking time for yourself, set aside space in your planner for relaxation and fun. Plan what you're going to do and make any necessary arrangements, such as childcare, to ensure you'll be able to keep your commitment. "Remember, you make time for what you want to make time for," Fortgang says. If something is important to you, don't brush it aside with a dismissive "I don't have time for that." You are in charge of your own schedule -- it's up to you to make time.

Friday, December 28, 2007

13 Healthy Habits to Improve Your Life

By Dulce Zamora


There are 13 ways to boost your chances of living a happy, healthy life. More can be added to this list, but, for simplicity's sake, we'll stick with this typically unlucky number.

Instead of bringing misfortune, however, the 13 habits promise a life of vigor and vivacity. There are, of course, no guarantees, but many of the practices mentioned here have been published in scientific journals. Disregard them, and you may well be taking a big gamble with your mental and emotional well-being.

Healthy Habit No. 1: Eat Breakfast Every Morning

Breakfast eaters are champions of good health. Research shows people who have a morning meal tend to take in more vitamins and minerals, and less fat and cholesterol. The result is often a leaner body, lower cholesterol count, and less chance of overeating.

"That one act [of eating breakfast] seems to make a difference in people's overall weight," says Melinda Johnson, RD, a spokeswoman for the American Dietetic Association (ADA). She says breakfast can hold off hunger pangs until lunchtime and make high-calorie vending machine options less enticing.

Not only that, researchers at the 2003 American Heart Association conference reported that breakfast eaters are significantly less likely to be obese and get diabetes compared with nonbreakfast eaters.

Another study in the International Journal of Food Science and Nutrition showed that people who consumed breakfast cereal every day reported feeling better both physically and mentally than those who rarely ate cereal in the morning.

For kids, breakfast appears to enhance alertness, attention, and performance on standardized achievement tests, reports the ADA.

To get the full benefits of breakfast, the Mayo Clinic recommends a meal with carbohydrates, protein, and a small amount of fat. They say that because no single food gives you all of the nutrients you need, eating a variety of foods is essential to good health.

Yet, even with so much scientific support that breakfast does the body good; many people still make excuses not to eat in the morning. They include not having enough time and not feeling hungry. For these people, Johnson suggests tailoring breakfast to the day.

"When I'm getting ready in the morning, I don't really want to take the time to eat breakfast because that would mean sacrificing sleep," says Johnson. "So I bring my breakfast with me, and I know I have an hour when I'm reading emails in the office when I can eat it. By that time, I'm hungry because I've been up for almost a couple of hours."

Healthy Habit No. 2: Add Fish and Omega-3 Fatty Acids to Your Diet

The AHA recommends a serving of fish two times per week.

Besides being a good source of protein and a food relatively low in the bad type of dietary fat called saturated fat, fish has omega-3 fatty acids -- which have been shown to reduce the risk of heart disease.

Fatty fish such as mackerel, lake trout, herring, sardines, albacore tuna, and salmon, are rich in two kinds of omega-3 fatty acids: eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA).

Foods such as tofu, soybeans, canola, walnuts, flaxseed, and their oils contain alpha-linolenic acid (ALA), which convert to omega-3 in the body. Even though the benefits of ALA are controversial, the AHA still recommends foods containing it as part of a healthy diet.

In addition to their heart-health benefits, there is some evidence that omega-3 fatty acids may also soothe an overactive immune system, says Johnson. Even though this benefit is still being studied, she says there appears to be a link between getting more omega-3s in your diet and reducing allergies, asthma, eczema, and autoimmune disorders.

Healthy Habit No. 3: Get Enough Sleep

"Your body has to have enough time to rest," says Michael Fleming, MD, president of the American Academy of Family Physicians (AAFP). Otherwise, he says you may find yourself feeling cranky and tired.

This may sound like common sense, but according to the National Sleep Foundation (NSF), more than two-thirds of older adults suffer from sleep problems and many American adults don't get the minimum amount of shuteye needed to stay alert.

Sleep is vital to good health and to mental and emotional well-being. The NSF reports that people who don't get enough slumber are more likely than others to develop psychiatric problems and to use health care services. Plus, sleep deprivation can negatively affect memory, learning, and logical reasoning.

Not enough ZZZs can also be hazardous. More than one-half of adult drivers -- some 100 million people -- say they have driven drowsy in the past year, according to NSF polls. About one out of five of these drivers -- 32 million people -- say they've fallen asleep while driving.

Each year drowsy driving causes more than 100,000 car crashes, 1,500 deaths, and tens of thousands of injuries, reports the National Highway Traffic Safety Administration. The NSF recommends taking a 15 to 20 minute nap. Because it takes about 30 minutes for the caffeine to work, taking a nap while you wait for the caffeine to kick in can help restore alertness.

To avoid the pitfalls of insufficient sleep, make sure to get at least seven to 10 hours of slumber each night. Kids need more sleep, depending on their age.

Healthy Habit No. 4: Make Social Connections

Volunteer. Go to church. Join a club. Whatever you do, do it with people. Communal activities are good for your physical and mental health, according to a study published in the March/April 2004 issue of the American Journal of Health Behavior.

It makes sense, says C. David Jenkins, PhD, author of Building Better Health: A Handbook of Behavioral Change. He says social ties have many benefits, including:

  • Providing information. You may think for instance your frequent nosebleeds, coughing, and sneezing episodes are trivial, but when a close friend or relative hears of it, he or she may encourage you to go to a doctor. If the symptoms turn out to be a serious condition, the social tie could have saved your life.
  • Instrumental help. Friends and family can provide physical support in time of need. They may help with cooking, cleaning, running errands, doing grocery shopping, and driving to the doctor's office.
  • Emotional support. Sharing a problem with a trusted person can help alleviate an internal burden. "It's a load off your chest," says Jenkins.
  • Offering a sense of belonging. This feeling not only helps reinforce a person's identity, it also assists in preventing and overcoming depression and anxiety.

Community ties also help improve mental functioning, says Fleming. Group activities can help keep the mind active and maintain desirable levels of serotonin -- the brain chemical associated with mood. "Lack of social interaction will [decrease] serotonin levels," says Fleming.

Healthy Habit No. 5: Exercise for Better Health

We already know that physical activity has a bounty of benefits, which makes it so puzzling why so many people just don't do it. According to the CDC, more than 60% of Americans do not get regular exercise.

In case you needed an incentive, here is a review of the advantages of exercise, per the National Cancer Institute:

  • Helps control weight
  • Maintains healthy bones, muscles, and joints
  • Reduces risk of developing high blood pressure and diabetes
  • Promotes psychological well-being
  • Reduces risk of death from heart disease
  • Reduces risk of premature death

Studies have also shown a link between exercise and a reduced risk of certain cancers.

Besides its long-term effects, moving your body has immediate benefits, says Cedric Bryant, chief exercise physiologist for the American Council on Exercise. The short-term results of exercise include helping people to think and move better, manage stress, improve mood, and get an energy boost.

The excuses that people often give to not exercise are the precise reasons to exercise, says Bryant. People who say they are too tired or don't have time to workout don't realize that exercise gives people more energy and allows them to be more productive with the rest of their time.

Healthy Habit No. 6: Practice Good Dental Hygiene

Flossing your teeth every day could add 6.4 years to your life, according to Michael Roizen, MD, author of RealAge. In his book, Roizen lists flossing as one of the most important daily activities -- along with exercise and quitting smoking -- that could extend life span.

Roizen's calculation may raise some eyebrows, but the idea that oral health is connected to overall health isn't far-fetched.

The mouth, after all, is an integral part of the body. "Teeth have a blood supply, and that blood supply comes from the heart," says Richard Price, DMD, consumer advisor for the American Dental Association (ADA).

Researchers suspect that the bacteria that produce dental plaque enter the bloodstream. They say these bacteria are somehow associated with the inflammation that occurs with plaque that blocks blood vessels and causes heart disease.

Other researchers have found links between oral bacteria and stroke, diabetes, and the birth of preterm babies and those that have low birth weight.

In addition to preventing disease, flossing and brushing can help keep your pearly whites intact for more than just cosmetic reasons. Teeth help you chew food, speak properly, and smile -- which, according to Price, can help you keep your dignity.

Healthy Habit No. 7: Take Up a Hobby

Look up the word "hobby" in the Merriam-Webster's Collegiate Dictionary, and you will find the definition as "a pursuit outside one's regular occupation engaged in especially for relaxation."

Since they are relaxing activities, hobbies are usually enjoyable. Some people find joy in craftwork, bird watching, sports, going to flea markets, walking in the park, or playing cards.

The joy may help people live healthier and recover better from illness. For one thing, taking part in hobbies can burn calories, more so than just sitting in front of the TV.

In a study of people who had undergone surgery, Jenkins found that people who were involved in hobbies before their operation had better recovery six months later, compared with people who did not have hobbies.

The participants with hobbies tended to have more drive and interest in things and other people, says Jenkins. "It was a more active orientation to life."

Healthy Habit No. 8: Protect Your Skin

Our skin starts to age as soon as we are born and, according to the American Academy of Dermatology (AAD), the best way to protect it and look younger is to stay out of the sun.

The sun has harmful ultraviolet (UV) rays that can cause wrinkles, dryness, and age spots. Overexposure can cause sunburn, skin texture changes, dilated blood vessels, and skin cancers.

Avoiding the sun, however, is not always ideal or practical. To reduce the risk of skin damage, the AAD offers the following tips:

  • Always wear sunscreen with SPF 15 or higher.
  • Don a hat with a brim and wear other protective clothing.
  • Don't deliberately sunbathe.
  • Try to avoid sun exposure between 10 a.m. and 3 p.m.

    Healthy Habit No. 9: Snack the Healthy Way

    The ADA recommends five or more servings of fruits and vegetables a day as part of a healthy diet. These plant foods can do many things to boost good health, including:

  • Reduce the risk of some cancers
  • Beat the signs of aging
  • Improve memory
  • Promote heart health
  • Enhance the immune system

One way to incorporate fruits and veggies into your diet is to have them as snacks. "If you can do one thing [to improve your health], concentrate on getting fruits and veggies," says Johnson. "They are low in calories and high in nutrients."

She says baby carrots and cut-up produce make tasty, convenient munchies. Other healthful snacks include low-fat yogurt and nuts (in moderation).

The best time to snack is when you are hungry between meals, says Johnson. But beware: Cravings could easily be mistaken for hunger cues, especially for people who are dieting.

Healthy Habit No. 10: Drink Water and Eat Dairy

Water and milk are essential fluids for good health, but they can also help with shedding pounds.

The body needs water to keep properly hydrated and individuals vary widely in how much water they need. Joints need it to stay in motion, and vital organs such as the heart, brain, kidney, and liver need it to work properly.

If you don't get enough water, the body goes into emergency mode, and clings to every single water molecule it can find, reports the University of Minnesota Water Resources Center. The stored molecules appear as extra weight. The weight is only released once the body gets enough water.

The calcium in dairy, on the other hand, is known to be important for strong bones and teeth. Studies have also shown it can help prevent high blood pressure, kidney stones, heart disease, and colon cancer.

In the weight loss arena, three 8-ounce glasses of low-fat or fat-free milk appear to encourage body fat loss while maintaining muscle mass, according to the ADA. The dairy consumption must be part of a balanced reduced-calorie meal plan.

Healthy Habit No. 11: Drink Tea

"Decaffeinated tea is better," says Fleming, noting that the caffeinated variety can be dehydrating, and sugary drinks can lead to weight gain.

There is some evidence that tea may help in improving memory, and preventing cavities, cancer, and heart disease. Fleming says, though, that the overall research is still inconclusive.

"There may well be some beneficial effects of tea, particularly the potential antioxidant effect, but we don't have great data on that right now that is that specific."

However, there's no doubt that a cool iced tea can be a refreshing treat during hot days. Try flavoring your tea with juices, fruits, cinnamon sticks, ginger, and other condiments.

Healthy Habit No. 12: Take a Daily Walk

We already mentioned the merits of exercise in habit No. 5. Now, here's a tip on how to incorporate physical activity into your daily life: WALK.

We're not talking about taking the time out of your busy schedule to work out -- that's important, too -- but infusing life- and limb-saving movement into your waking hours.

"Just move. Pace during phone calls, while you're brushing your teeth, while watching your son's soccer game," says Bryant, noting that every 20 steps a person takes is 1 calorie burned.

An eight-year study of 13,000 people also showed that people who walked 30 minutes daily had a significantly reduced chance of premature death compared with those who rarely exercised, reports the American Council on Exercise.

And there are plenty of opportunities to move those legs:

  • Take the stairs instead of the elevator.
  • Walk to the store.
  • Window shop at the mall.
  • Leave your desk and visit your co-worker instead of sending him an email.
  • Walk and talk with friends instead of meeting for a meal.

Healthy Habit No. 13: Plan

There is, perhaps, no better word in the English language to better illustrate how you can incorporate healthy habits into your everyday life.

"A little planning goes a long way," says Johnson. "Eating healthy never happens by accident."

For the most part, neither do good fitness, skin protection, healthy teeth, weight loss, and social ties. Many of these habits take effort that need to be scheduled into busy lives.

To eat healthy, for example, it would help to set aside time to draft a menu, make a grocery list, go to the store, prepare meals, and pack breakfast and lunch.

Thursday, December 27, 2007

Top 10 Holiday Food Safety Tips

By Kathleen M. Zelman, MPH, RD, LD

Cooks across the country are making plans for holiday feasts that include everyone’s favorite dishes, from cornbread stuffing to pumpkin pie. Friends and families are invited, and excitement is in the air. Food safety is probably not the first thing you think about when planning a holiday dinner. But to keep your gathering from being memorable in the wrong way, it's important to take steps to protect your guests from food-borne illnesses.

While the U.S. food supply is one of the safest in the world, some 76 million people get sick from food-borne illness every year, according to the CDC. And food safety can be a special challenge during the holidays. Not only is it cold and flu season, but the menu may includes more dishes than there is room for in the refrigerator or oven.

"It takes skill, timing and organization to pull off a healthy holiday meal with all the dishes that need to be kept at proper temperature so bacteria won’t have a chance to grow," says food safety expert Missy Cody, PhD, RD, head of the nutrition division at Georgia State University.

Further, most guest lists include people who are especially vulnerable to food borne illness -- older people, young children, pregnant women, or anyone with a compromised immune system. And your menu may include food offerings from friends and relatives that have traveled for hours or have been kept at room temperature for extended time. ("Advise your guests to put piping hot food into a container before they leave home and when they arrive, be sure to refrigerate promptly or reheat to 165 degrees Fahrenheit," says Cody.)

To make sure your holiday dinner is not only delicious but as safe as possible, WebMD asked the experts for their best holiday food safety tips. Here are their top 10 suggestions:

  1. Have a master plan. Chefs do it, and so should you. Consider your refrigerator, freezer and oven space, and how you'll manage to keep hot foods at 140 degrees or higher and cold foods at 40 degrees or below. If you need to use coolers, make sure you have plenty of clean ice and check it frequently to be sure the ice hasn't melted. "Whatever you do, don’t rely on the natural outdoor temperature on the porch to keep foods at proper temperature" says Cody.
  2. Cook to proper temperature -- and use a thermometer. There is simply no other way to determine that food has been cooked enough to kill bacteria. "Turkeys, stuffing, side dishes, and all leftovers should be cooked to at least 165 degrees and kept above 140 degrees during serving to be sure that any potential bacteria is destroyed," says Karen Blakeslee, MS, of the Kansas State University Food Science Institute. "Remember the golden rule: Keep hot food hot and cold food cold."
  3. Refrigerate leftovers within two hours of preparation. Leaving food out too long is one of the biggest holiday food safety problems. "It is so easy to linger around the table, but when food sits outs for more than two hours in the danger zone -- above 40 degrees and below 140 degrees -- it is prime for bacterial growth," says Blakeslee. Adds Cody: "Store leftovers in 2-inch deep, shallow containers and make sure the refrigerator is not over-packed and there is plenty of air circulating around the food so it can be properly cooled." Blakeslee suggests cutting the meat off the turkey to allow it to quickly cool to proper temperature, as well as make it easy to store.
  4. Properly defrost your turkey, or buy a fresh one. "If you choose a frozen turkey, allocate 24 hours per 5 pounds to defrost in the refrigerator, and whatever you do, don’t defrost the bird on the kitchen counter," says Blakeslee. In light of drought conditions in certain areas of the country, defrosting the bird using frequently changed cold water seems wasteful. But it is safe (albeit time-consuming), as long as you change the cold water bath every 30 minutes.
  5. Wash your hands thoroughly and often -- before, during, and after food preparation. "Simply washing hands is one of the easiest ways to minimize bacterial contamination and keep your food safe," says Blakeslee. Wash with hot water and soap, up to your wrists and between your fingers, for approximately 20 seconds.
  6. Wash all fresh produce. Wash even prepackaged greens, to minimize potential bacterial contamination. Make sure kitchen counters, sponges, cutting boards, and knives are all well scrubbed.
  7. Reheat leftovers to 165 degrees. Filling a plate of food and popping it into the microwave for a few minutes may seem safe enough. But, says Cody, you really need to use a thermometer to make sure all the food is reheated enough to kill bacteria. "Microwaves heat in an uneven manner, so let the covered food sit for a minute or two to let the heat destroy any bugs, then check the temperature all around the plate." she recommends.
  8. Keep guests (and sticky fingers) out of the kitchen. "Holidays occur during cold and flu season, which further compounds the fact that about half of all people have staph aureus bacteria on their fingertips," says Cody. "So it is important to prevent anyone from picking at the food while it is being prepared," She suggests serving simple appetizers to give guest something to nibble on until the meal is ready.
  9. Serve only pasteurized apple cider. Most juices, including apple cider, are pasteurized to destroy any harmful bacteria. While you can buy unpasteurized juice, it will contain a warning that it can cause serious illness in vulnerable people. "To be on the safe side, serve pasteurized cider at your holiday gatherings," says Blakeslee.

Be egg-stra careful with eggs. Many eggnog recipes call for uncooked eggs, but Marcia Greenblum, RD, MS, of the Egg Nutrition Center says "to be perfectly safe, you need to use pasteurized eggs or cook the eggs yolks lightly with the sugar (recipe below) to be sure you kill any potential salmonella bacteria." She also advises that eggs be kept refrigerated until ready for use and always cook egg products to 160 degrees. See below for a recipe for cooked eggnog.

Cooked Eggnog

WebMD Weight Loss Clinic members: Journal one serving as 1 cup 1% milk.

6 large eggs

1/4 cup sugar

1/4 teaspoon salt

1 quart 1% milk, divided

1 teaspoon vanilla

Garnishes (optional)

  • In large saucepan, beat together eggs, sugar and salt, if desired.
  • Stir in 2 cups of the milk. Cook over low heat, stirring constantly, until mixture is thick enough to coat a metal spoon with a thin film and reaches at least 160 degrees.
  • Remove from heat. Stir in remaining 2 cups milk, and vanilla.
  • Cover and refrigerate until thoroughly chilled, several hours or overnight. Just before serving, pour into bowl or pitcher.
  • Garnish with nutmeg, if desired. Serve immediately.

Per serving: 88 calories, 3 g total fat, 1 g saturated fat, 29 calories from fat, 110 mg cholesterol, 119 mg sodium, 154 mg potassium, 9 g carbohydrate, 6 g protein.

Yield: 12 servings

Recipe reprinted with permission from the American Egg Board.