Healthy habits hit school lunchrooms, activities – The Herald

Photos by Kaiti Sullivan/The HeraldDubois Elementary School cafeteria assistant cook Teresa Hopf, left, and head cook Patty Englert prepare lunch on Wednesday.

By LEANN BURKElburke@dcherald.com

When it comes to getting kids to eat their veggies, the food service employees at local schools have a few tricks up their sleeves.

Theyve had quite a few years of practice. The 2010 federal law, the Healthy, Hunger-Free Kids Act, set new nutritional standards that required schools to increase the number of available fruits, vegetables, whole grains and fat-free and low-fat milk in schools while reducing the levels of sodium and fat in the foods they served.

Now, almost 10 years later, its unclear if the law has made a real impact on the health of kids in the United States. A new study from the Robert Wood Johnson Foundation the nations largest philanthropy dedicated to health research reports 16.6% of Hoosier youth are obese, according to 2017-18 data, and childhood obesity rates are high across the country.

While the Healthy, Hunger-Free Kids Act may not have made a dent in childhood health issues, it has definitely changed school lunches. In the years since, that law has led to school service directors seeking ways to entice their students to eat a rainbow, as Jasper Food Service Director Katie Knies described it, which she believes has led to more balanced school lunches.

Menus are planned specifically to meet nutritional guidelines, Knies said.

Those guidelines include serving vegetables from each of the five vegetable subgroups each week. Those subgroups are: dark green; red and orange; beans and legumes; starchy; and other.

For the most part, Knies said, the students are good about eating the veggies, although beans seem to be the students least favorite, and theres a little bit of grumbling about salad.

Ive heard kids call it rabbit food, Knies said. They say, No I dont want any of that rabbit food.

Dubois Elementary School cafeteria head cook Patty Englert of Dubois prepares apples for lunch on Wednesday. Englert has been head cook at Dubois for five years.

She figures thats just part of the meat and potatoes German heritage of the community.

Although some Jasper students arent excited to find salad greens on their lunch trays, students at Huntingburg Elementary seek out the salad bar at their school, Southwest Dubois Food Service Director Ora Lee Cotton said. A few times a month, the school offers a fresh salad bar to the fourth- and fifth-graders as one of the schools healthy living initiatives supported by the Upgrade grant from the Welborn Baptist Foundation. The grants award elementary and middle schools $15,000 a year for three years for health initiatives in the schools and the communities they serve.

The grant is another example of initiatives that teach kids healthy living, and several local schools have received the grant. Through the grant, schools get consultants from the Welborn Baptist Foundation that help them look at ways to transform their communitys wellness culture. For Huntingburg Elementary, adding a salad bar was something the Upgrade team came up with.

The key, Cotton said, seems to be to offer fresh fruits and veggies. She makes sure to offer her students a choice between two fruits and two veggies each day, and at least one of each is fresh.

I have never had a problem with the kids, she said. Theyve always got it on their trays.

A favorite among her students is corn. Across all grade levels, Cotton said, corn is a favorite.

As school administrators have shifted the focus in the lunchroom to more healthy habits, the practice has started to spill over into other school activities, such as classroom birthday celebrations, gym class and recess.

For local schools, the Upgrade grant has been a big part of that shift. Pine Ridge Elementary recently completed a walking trail project on its campus that gives staff and students another option for exercise throughout the day, and receiving the grant led administrators at Fifth and Tenth Street elementaries in Jasper to re-examine gym classes and recess. In fact, when the two schools merge into Jasper Elementary School for the 2020-21 school year, students will receive about 50% more recess time.

And its not just more recess time, Taylor said. We are looking for ways to make recess more impactful.

That has meant working with the schools Upgrade grant resources to offer staff trainings about how to offer better gym classes. Many local Upgrade schools have participated in gym class trainings through the Upgrade grant, and Taylor said theyve been a great resource since many times, the classroom teachers are also the ones teaching gym.

Schools have also re-thought birthday parties, encouraging students to bring in healthier snacks on their special day rather than the cookies or cupcakes of the past.

Tenth Street took their birthday party changes to the next level and created a monthly school gathering where every birthday for that month is celebrated at once. Those celebrations often include a healthy snack. We always try to emphasize that birthdays are about more than sweet treats, Taylor said.

Although each school approaches healthy living initiatives differently, one thing seems certain: Over the last decade, healthy living has become a key part of the informal education public schools offer students, and those lessons dont seem to be going away anytime soon.

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Healthy habits hit school lunchrooms, activities - The Herald

Health briefs 10-28-19 | Healthy Living – Uniontown Herald Standard

Events

n Medicares annual open enrollment period runs now through Dec. 7. The APPRISE Program can help answer questions. Those interested in having a free, confidential plan comparison done can contact a local Area Agency On Agings APPRISE Program to meet with a certified Medicare counselor to discuss needs. For a list of enrollment centers and their dates and times open for enrollment or contact information about local Area Agency on Aging offices, call Southwestern Pennsylvania Human Services, Inc. at 724-489-8080.

n Natalie Furgiuele, breast surgeon and director of Monongahela Valley Hospitals Breast Care Center, will speak from 5:30-7:30 p.m., Nov. 4, at Marilyns On Main, 30 E. Main St., Uniontown from 5:30 to 7:30 p.m. for a Ladies Night Out. Enjoy appetizers and a beverage at this free event while Furgiuele discusses what you need to know about breast cancer. Required registration: 724-258-1333.

n A fundraiser AMRAP workout is scheduled to be held at Crossfit U-Town, 542 Morgantown St., Uniontown from 11 a.m. to 3 p.m. Nov. 2 to benefit Amy Tungate who was recently diagnosed with Stage 4 Pancreatic Cancer. Pre-registration and shirt orders can be made at http://tiny.cc/y2o0dz. All Fitness Levels are welcome. There will be a Chinese auction, food and refreshments for sale and a 50/50 raffle. This is a cash only event. Information: AMRAPforAmy@gmail.com.

Courses

n Exercise classes, Tuesdays and Thursdays, Center in the Woods, 130 Woodland Court, Brownsville. Classes include chair dancing at 9:30 a.m. followed by healthy steps at 11 a.m. Information: 724-938-3554.

n Monongahela Valley Hospital will host an American Heart Association Heartsaver CPR/AED course from 8 a.m. to noon Oct. 29 and 4-8 p.m. Nov. 26 in the education conference center. Adult cardiopulmonary resuscitation (CPR/AED) classes are offered by Monongahela Valley Hospital. The fee for the class is $50 to cover the class and required materials. Registration: 724-258-1333 or https://www.monvalleyhospital.com/registration.asp.

n Monongahela Valley Hospital will host American Heart Association Family and Friends CPR/AED 4-6 p.m. Oct. 29 and 9-11 a.m. Nov. 26 in the Simulation Center. This course is designed for the layperson that has little or no medical training, and is taught by a certified instructor. This course is for people who do not need a certification card for a job. Content includes an orientation to CPR for adult, child, infants, choking and use of an Automated External Defibrillator (AED). Cost of this course is $35 to cover the cost of the book, which includes a class participation card. Registration: 724-258-1333 or https://www.monvalleyhospital.com/registration.asp.

n Monongahela Valle Hospital will host the program Managing your Diabetes from 9-11 a.m. Nov. 5, 12 and 19 and 6-8 p.m. Nov. 6, 13 and 20 in the education conference center. This education program is designed to help you with diabetes self-management. You will learn, What is diabetes? Other topics include the importance of controlling your blood sugars, diabetes medications, lifestyle changes, meal planning and methods to reduce your risk of complications. The program is three consecutive Tuesdays. Registration is required at least one week prior to the start date of class by calling 724-258-1483.

n Monongahela Valley Hospital will host the program Is Weight Loss Surgery Right For You? at 6 p.m. Nov. 6 in the education conference center. Bariatric surgery is an option for people who want to lose 100 pounds or more. This free information session is designed to give those individuals struggling with weight loss the facts to choose their best option. To learn if you are a candidate for this surgery, join Dr. Hiram Gonzalez as he discusses this topic in detail. Registration: 724-258-1333 or https://www.monvalleyhospital.com/registration.asp.

n Monongahela Valley Hospital will host the program Advanced Carbohydrate Counting from 9 to 11 a.m. Nov. 7 in the education conference center. This program is a diabetes self-management class designed to educate you on how to count carbohydrate content in food to improve blood sugar control. Topics include how to track effects of carbohydrates and blood sugar, glycemic index and how to read food nutrition labels. Registration is required at least one week prior to the start of class by calling 724-258-1483.

n Monongahela Valley Hospital will host Anthony Cuneo, a physician with The Orthopedic Group, at 6 p.m. Nov. 7 in the Anthony M. Lombardi Education Conferece Center to give a free talk about non-surgical treatments for low back pain. He will discuss how low back pain can occur, as well as various non-surgical treatment options. The session will include light refreshments and free parking. Registration: monvalleyhospital.com or call 724-258-1333.

n As part of their Innovations in Medicine series, Monongahela Valley Hospital will offer a free talk on Irritable Bowel Syndrome at 6 p.m. Nov. 21 in the Anthony M. Lombardi Education Conference Center. Dr. Jungmin L. Lee, a physician with the Pittsburgh Gastroenterology Associates, will host the free talk titled The ABCs of IBS. Lee will discuss irritable bowel syndrome and various treatment options for the conditions. The session will include light refreshments and free parking. Registration: monvalleyhospital.com or call 724-258-1333.

Support groups

n Breaking Addiction, HEAL Group for Men. This small group meeting for men is designed to help those who have a desire to overcome addictions and find a new direction in life. All sessions give instruction for practical life skills through Biblical Principles found in Gods Word. Discussion and interaction are encouraged at each group meeting. They are scheduled at 7 p.m. the first, second and fourth Thursdays of the month at Eagle Ranch Ministries Inc., 1579 Pleasant Valley Road, Mount Pleasant. Registration: 724-542-7243.

n Breaking Addiction, HEAL Group for Women. This small group meeting for women is designed to help those who have a desire to overcome addictions and find a new direction in life. All sessions give instruction for practical life skills through Biblical Principles found in Gods Word. Discussion and interaction are encouraged at each group meeting. The meetings are scheduled for 7 p.m. every Tuesday at Eagle Ranch Ministries Inc., 1579 Pleasant Valley Road, Mount Pleasant. Registration: 724-244-5261 or 412-969-8520.

n Caregiver support group, 6:30-8:30 p.m., the fourth Wednesday of the month at Lafayette Manor. Classes meet in the new physical therapy department. Light refreshments are provided. Open for family and friends who have lost a loved one to cancer. Registration: http://www.excelahealth.org or 877-771-1234.

n Mon Valley Hospital will host a Suicide Bereavement Support Group 12:30 p.m. Nov. 11 and 25 in the education conference center. This support group is a four-month program that meets the second and fourth Mondays of each month and is led by a licensed psychologist and is free and open to all those touched by suicide. Required registration: 724-678-3601.

n Monongahela Valley Hospital will host an Alzheimers Support Group from 6 to 8 p.m. Nov. 12 in the education conference center. This free support group meets once a month. It is designed to help the families, friends and caregivers of those suffering from Alzheimers disease or other forms of dementia. Discussion topics include the challenges of coping with this disorder as well as techniques for managing stress and methods of encouraging social engagement. Reservations are requested by calling 724-258-1333.

n Monongahela Valley Hospital will host a Prostate Cancer Support Group from 6-7 p.m. Nov. 13 in the education conference center. All prostate cancer patients, families and caregivers are invited to attend this free support group. Information: 724-292-9404.

n Monongahela Valley Hospital will host a Weight Control and Wellness Support Group at 6 p.m. Nov. 18 in the education conference center. The bariatric support group activities are designed to reinforce key principles of success and help participants learn concepts that are sometimes difficult to grasp after bariatric surgery. Professionals such as dietitians, psychologists and fitness instructors may be invited to speak. Other presenters may discuss topics such as grooming, dating and cooking. The sessions are designed to educate, inform and provide a well-rounded foundation of knowledge for long-term success. Registration: 724-258-1333.

n Grief support group, 6-8 p.m. first Tuesday of every month, at the St. John the Evangelist Church on West Crawford Avenue in Connellsville. The group is a collaborative effort for those facing grief due to the loss of a loved one from addiction. Information: 724-628-6840.

n Al-Anon Family Groups, 8 p.m. Wednesdays, Trinity Church parlor, Fayette and Morgantown streets, Uniontown. Please enter at the handicapped ramp entrance. A second is scheduled for 7:30 p.m. Fridays, Christian Church, Pittsburgh Street, Connellsville. These meetings are for anyone who has been affected by or is having problems from someone elses drinking. Information: al-anon.alateen.org or pa-al-anon.org.

n Survivors of Incest Anonymous group, 6:30-8 p.m. the first and third Mondays of the month, excluding holidays. This 12-step recovery program is meant for men and women aged 18 or older who were sexually abused by a trusted person as a child. The group meets at the Mount Macrina Retreat Center. A similar group, Healing Friends, is from 6:30-7:30 p.m., East Liberty Presbyterian Church in Pittsburgh, on the second and fourth Tuesdays of the month. Information: peopleofcourage@gmail.com siawso.org, or healingfriends8@gmail.com.

n Missing Piece of My Heart support group, 6-8 p.m. the last Thursday of each month at the Crime Victims Center conference room in the Oliver Square Plaza. The group is for families who have lost a child to a violent crime. Information: 724-438-1470.

n Silver Generation Support Program, 10 a.m. to noon Wednesdays, East End United Community Center, Uniontown. The program is for ages 55 and older. Information: 724-437-1660.

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Health briefs 10-28-19 | Healthy Living - Uniontown Herald Standard

Flu season is here | Healthy Living – Uniontown Herald Standard

The Pennsylvania Health Department is once again encouraging Pennsylvanians to get their flu vaccine and practice healthy habits as the flu season begins.

According to Nate Wardle, press secretary for the states Department of Health, flu season officially starts this month and runs until May.

Influenza is a contagious disease, caused by the influenza virus. It attacks the nose, throat and lungs.

Dr. Nancie Fitch, Area Medical Director for MedExpress said symptoms of flu can be similar to those symptoms of a cold.

I always stress that my patients look for some specific symptoms that are usually unique to flu, she said. Like a cold, flu may cause cough, sore throat, headache and runny or stuffy nose but if its the flu, you may also have some more severe symptoms, like a fever, extreme exhaustion, severe body aches and weakness.

Fitch added that while a cold typically starts slowly over the course of several days, flu symptoms tend to come on quickly, often within a few hours.

Secretary of Health Dr. Rachel Levine encouraged residents to get their flu vaccine before the end of October or as soon as possible thereafter.

The flu is serious and can be deadly, which is why it is so important for everyone to take the proper precautions to protect themselves, their loved ones and anyone they meet, said Levine. Last year, we had more than 122,000 cases statewide and 258 deaths. It is imperative that you get your flu vaccine now so you can be protected throughout the flu season. There is no better measure to protect yourself than to get a flu vaccine.

Fitch said she recommends that her patients get the flu shot early, even before the start of flu season.

It takes about two weeks for your bodys immune system to develop the antibodies thatll help protect against the flu virus, she said. We know that flu germs tend to spread more quickly when were in larger groups schools, at work, during the holidays so its best to get the shot now.

Getting an annual flu shot can decrease the risk of catching the flu by about 40% to 60%, according to the Centers for Disease Control and Prevention.

Emergency room directors for both Highlands Hospital and Monongahela Valley Hospital reported that they have not yet seen any cases of influenza this season. While officials at Uniontown Hospital did not respond with information about whether or not any flu cases had yet been reported there this year, Fitch did say their MedExpress centers in Pennsylvania have certainly started to see patients coming in with influenza-like illnesses.

Brian Hair, director of the emergency room at Monongahela Valley Hospital, said that as of Oct 15, in the last 45 days, the emergency room has tested 97 flu samples that have all been negative.

While the flu shot doesnt completely prevent a person from getting influenza, it does weaken it if a person who has been vaccinated contracts it, he said. They have the ability to bounce back quicker - it makes the attack easier on their system.

Hair added that its especially important for young children, the elderly, anyone who is immune compromised and anyone who is regularly around these groups of people to get the shot.

You want to make sure that youre adding this layer of protection, he said.

In addition to the flu shot, the department of health said the flu nasal spray is also available this year, and both are recommended to protect against the flu.

Flu vaccines are available at your doctors office, pharmacy, local walk-in clinic or grocery store. It takes about two weeks for the antibodies from the vaccine to develop protection against infection.

Wardle added that in addition to getting vaccinated, Pennsylvanians are encouraged to practice healthy habits like covering your mouth and nose when you cough or sneeze, frequently washing your hands during flu season and remembering to disinfect commonly-touched objects, such as door knobs, light switches, counter tops, cell phones and computers.

If you do become sick with the flu, it is important to stay home and rest, he said. If you are at risk for developing serious complications from the flu, or feel extremely ill, you should see a medical professional immediately.

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Flu season is here | Healthy Living - Uniontown Herald Standard

She long advocated for heart health. Then her baby’s life was saved by heart surgery – The Gazette

By Jessica Carney, for The Gazette

Julie Fitzpatrick has always been focused on healthy living.

She owns Optimal Wellness and is a physical therapist and wellness specialist at Progressive Rehabilitation Associates in Iowa City. Shes been a volunteer for 13 years with the American Heart Association, focused on spreading awareness of womens health issues.

Im passionate about womens health and wellness, and I believe in what the American Heart Association stands for, she said.

Four years after she became a volunteer, she was pregnant with her daughter, when at the 20-week ultrasound, doctors discovered a heart defect a transposition of the great arteries, meaning the babys aorta and pulmonary artery were reversed.

In the first month of daughter Janies life, the baby had two open-heart surgeries, correcting the defect.

Fifty years ago, Fitzpatrick said, the outcome might not have been as positive.

It made me even more passionate about the American Heart Association and the research they help fund, she said. Our daughter is living proof that the research helps save lives.

Today, Janie is a healthy 9-year-old who is active in gymnastics and volleyball. She has a small heart murmur thats monitored by her doctors, but her activity isnt restricted, and her future looks bright.

We made the decision to trust that shed be well, Fitzpatrick said, explaining she didnt want her daughter thinking her parents were constantly worried about her health.

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Fitzpatrick continues to volunteer with the American Heart Association, and she incorporates heart-healthy thinking into both her professional and family life.

Its important to not only know your numbers, like your cholesterol, fasting glucose and BMI, but to do something about it, she said.

She encourages her physical therapy patients to eat healthy, hydrate properly and exercise, even if they have physical limitations. If you have a bad knee, for example, getting in the pool can be a good option, Fitzpatrick said.

Simple changes can have compounded effects if theyre done consistently, she said.

Its not about doing a 30-day program, she said. Its about making it part of your life.

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She long advocated for heart health. Then her baby's life was saved by heart surgery - The Gazette

Mild cognitive impairments show improvement with healthy lifestyle – Tyler Morning Telegraph

Can there be anything more highly recommended and universally agreed upon than regular exercise and healthy nutrition for a sound mind and sound body? If there is, its the best-kept secret around. In short, diet and exercise are no-brainers, especially when it comes to the brain.

Today, we have a better understanding of the positive effects of exercise and the foods we eat on mental health. But what about cognitive health our ability to remember things, our capacity to easily access, retrieve, interpret and articulate stored information from our brain? When that declines, can regular exercise and healthy eating help that, too? New research suggests that it can.

Mild cognitive impairment is the term given to a condition where a slight but noticeable decline in cognitive abilities takes place. There are two types of MCI: (1) amnestic MCI affects a persons recall and ability to remember things such as appointments and recent events and (2) nonamnestic MCI includes thinking skills, such as the ability to make decisions and solve complex tasks. A person with MCI has an increased risk of developing Alzheimers disease.

In a study published in 2018, researchers at Duke University Medical Center reported that an experimental group of older adults living with MCI (but not dementia) who participated in six months of thrice-weekly aerobic exercise, and followed the DASH diet (Dietary Approaches to Stop Hypertension), experienced substantial improvement in their executive functioning. Executive functioning refers to mental activities processed in the frontal lobe of the brain including remembering things, organizing tasks, managing time, paying attention and thinking creatively. Other groups in this randomized investigation that only followed the diet, only exercised or were only given health education material to study did not demonstrate this level of improvement to their MCI condition. In fact, the study demonstrated that improved planning skills as a result of the intervention rivaled skills of those who are eight years younger.

So, how can you apply this information to your own life? It is essential that you recognize that making changes to your lifestyle can have a dramatic and positive effect on your brain health (and overall health, of course).

For more information, contact Claudann Jones, Smith County Extension agent for family and community health, at 903-590-2980 or email at cmjones@ag.tamu.edu. Like our Facebook page: Texas A&M AgriLife Extension Service Smith County.

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Mild cognitive impairments show improvement with healthy lifestyle - Tyler Morning Telegraph

Cardiac rehab after heart valve surgery tied to better outcomes – KFGO News

Thursday, October 31, 2019 4:34 p.m. CDT

By Lisa Rapaport

(Reuters Health) - Cardiac rehab, known to be helpful after heart attacks, may also aid recovery from heart valve surgery, a study suggests.

Older adults who got cardiac rehabilitation after heart valve surgery were less likely to be hospitalized or die over the next year than those who didn't get this support, the study found.

Researchers examined data on 41,369 people insured by Medicare, the U.S. health program for individuals 65 and older, who had valve surgery in 2014. Overall, only 43% of them enrolled in medically-supervised cardiac rehab programs focused on things like stress reduction, exercise and heart-healthy living.

Compared to people who didn't go to cardiac rehab, those who did were 34% less likely to be hospitalized within one year of discharge after valve surgery, the study found. And rehab patients were also 61% less likely to die within one year of discharge.

"To our knowledge, this is the first study to evaluate cardiac rehabilitation (CR) utilization among patients undergoing cardiac valve surgery at the national level in the United States," said Dr. Justin Bachmann, senior author of the study and medical director of the cardiopulmonary rehabilitation program at Vanderbilt University Medical Center in Nashville, Tennessee.

Cardiac rehab has previously been found effective for patients recovering from other types of procedures after heart attacks or procedures to place stents to prop open arteries, researchers note in JAMA Cardiology.

"Cardiac rehab includes supervised exercise as well as dietary and smoking cessation counseling," Bachmann said by email. "Management of cardiovascular risk factors (i.e. diet and stopping smoking) as well as improvements in cardiorespiratory fitness translate into improved health."

But not all patients in the study had equal access to cardiac rehab.

Compared to white patients, Asian and Hispanic patients were 64% less likely to get cardiac rehab, while black patients had 40% lower odds.

At the same time, people who had coronary artery bypass grafting in addition to valve surgery were 26% more likely to get cardiac rehab than those who only had valve procedures.

And people living in the Midwest were more than twice as likely to go to cardiac rehab as patients living in southern states.

Half of the patients in the study were at least 73 years old.

One-year mortality rates, excluding people who died while hospitalized for the valve surgery or within 30 days of discharge, were 6.6% overall. Among patients who got cardiac rehab, one-year mortality was 2.2%

The study wasn't designed to prove whether or how cardiac rehab might directly affect patient outcomes, nor did it examine why some patients might not have been offered cardiac rehab or chose not to enroll.

Even so, the results underscore the importance of discussing options for cardiac rehab, when possible before surgery so services will be lined up when they're needed, said Dr. Randal Thomas, co-author of an editorial accompanying the study and medical director of cardiac rehabilitation at the Mayo Clinic in Rochester, Minnesota.

"They will recover quicker, feel better, function better, and live longer as a result," Randal said by email. "If a center-based program is not available near them, they should ask about the options for a home-based cardiac rehabilitation program that would be available to them instead."

SOURCE: https://bit.ly/2N5YYlT and https://bit.ly/2r1xYeN JAMA Cardiology, online October 23, 2019.

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Cardiac rehab after heart valve surgery tied to better outcomes - KFGO News