5 Steps to Creating a Healthier Community

(Family Features) Obesity, with corresponding ailments such as heart disease, high cholesterol and diabetes, is a well-chronicled public health issue and has many communities looking for ways to positively impact their residents.

What can prove to have an enduring impact on improving community health is a broad coalition of stakeholders coming together to create a culture of wellness. For example, the City of West Chicago, with its Healthy West Chicago initiative, is a case study in how to galvanize a community toward collective better health. With these modifiable tips from Mayor Ruben Pineda, other communities can work to improve the health and quality of life for residents.

Have a champion
Every major civic initiative needs someone to drive it, someone to assemble and activate the right roster of influencers, experts and activists. Progressive leaders concerned about community sustainability and resident health, such as city council members or those in influential positions within the community, make good candidates to spearhead the plan.

Enlist partners
To improve nutrition and increase physical activity in the City of West Chicago, Mayor Pineda reached out to community leaders in local government, education, health care, social services, faith-based entities, businesses and non-profits to initiate partnerships and secure funding to create the Healthy West Chicago Action Plan, a multi-year guide for promoting better health in the community.

Engage other community members
It is important to build awareness of your initiative and get buy-in from residents through consistent communication. One of the most important demographic segments to engage is children. Kids are open to change and are developing lifelong habits. They are also extremely influential with their parents, siblings and friends.

“The key to a sustainable, healthy future is to change the way the next generation thinks about nutrition and exercise,” Mayor Pineda said. “This makes the public school system critical to driving the behavioral changes that contribute to positive outcomes.”

Measure and adjust
Once your community’s health initiative is in action, assess it annually against the overarching plan and add, eliminate or improve components to continue the momentum toward a healthy community for generations to come.

Keep it fresh
A successful community-wide health initiative needs to continuously build on its momentum by adding new programs and participants. For example, Healthy West Chicago conducts sponsored activities such as free healthy cooking classes for students, a “Rethink Your Drink” campaign to educate community members about the harmful effects of consuming sugar-sweetened beverages, weekly community walks with the mayor and a community garden initiative, which promotes organic suburban agriculture and benefits both the environment and local families. In addition, providing ongoing updates about programs and offering online tools, such as activity trackers and interactive walking route maps, are ways to build interest and retain participants.

For more information about how to implement a health and wellness program in your city, contact Mayor Pineda’s office at (630) 293-2200 extension 135, or visit healthywestchicago.com.

Photo of Mayor Pineda walking with students courtesy of Healthy West Chicago
Photo of woman gardening courtesy of The GardenWorks Project

How Well Do You Know Your Birth Control?

(Family Features) As the future of contraception remains uncertain, one point bears reminding: access to birth control has come a long way.

It was not until 1960 that the first oral contraceptives – coined “birth control pills” or “the Pill” –were approved by the Food and Drug Administration (FDA) and hit the market.¹ 

Now, more than 50 years later, over 35 varieties of the Pill exist on the market.² Additional options have also been introduced: intrauterine devices (IUDs), vaginal rings, implants and more. Even with the availability of various birth control methods, the Pill remains the most popular form of contraception, used by over 10 million women of reproductive age in the U.S. annually.³

“When my patients express interest in prescription birth control for pregnancy prevention, while individual needs vary, I generally recommend they first try the Pill. If used appropriately, it can be an effective option for women,” OB/GYN Jessica Shepherd, M.D., said. “That said, because the Pill may not be right for everyone, it’s important to talk to your healthcare provider about your options and make the decision together.”

Whether you’re a woman considering prescription oral contraception or a parent whose daughter is exploring her options, Dr. Shepherd shares the following facts to help you get to know the birth control pill:  

• What are oral contraceptives? Oral contraceptives, also known as birth control pills or the Pill, are taken daily to prevent pregnancy. Oral contraceptives are the most popular form of birth control in the U.S.
• How does the Pill work? There are several FDA-approved birth control pills on the market that contain various types and amounts of hormones, such as estrogen and progestin. They work to lower the risk of pregnancy primarily by suppressing ovulation, or the release of an egg from the ovary. Other possible ways that birth control pills work may include thickening the cervical mucus to prevent sperm from reaching the uterus, and by thinning the lining of the uterus (or endometrium) to make it less likely for an egg to attach there.
• Is the Pill effective? Yes, the Pill is FDA-approved to prevent pregnancy and should be taken at the same time every day. Chances of becoming pregnant depend on how well directions for taking birth control pills are followed.
• Does the Pill start working right away? When starting the Pill, use of back-up contraception is necessary, like condoms and spermicide, for the first seven days if a woman starts taking the Pill on any day other than the first day of her period.
• What is an example of a prescription birth control pill? One option is Lo Loestrin® Fe (norethindrone acetate and ethinyl estradiol tablets, ethinyl estradiol tablets and ferrous fumarate tablets), the No.1-prescribed birth control pill by OB/GYNs.⁴ With just 10 micrograms of daily estrogen, it is a birth control pill for pregnancy prevention with the lowest dose of daily estrogen available on the market.⁵ Please see Important Risk Information, including Boxed Warning, below.

For additional facts about the birth control pill, visit KnowYourBirthControl.com, and speak to your healthcare provider to determine the method that is right for you.

What is Lo Loestrin Fe?
Lo Loestrin Fe is a prescription birth control pill used for the prevention of pregnancy. If you are moderately obese, discuss with your healthcare provider whether Lo Loestrin Fe is appropriate for you.

Who should not take Lo Loestrin Fe?
Do not use Lo Loestrin Fe if you have or have had blood clots, history of heart attack or stroke, high blood pressure that medicine cannot control, breast cancer or any cancer that is sensitive to female hormones, liver disease or liver tumors, unexplained bleeding from the vagina, if you are or may be pregnant, or if you take Hepatitis C drugs containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, as this may increase levels of liver enzymes in the blood.

What else should I know about taking Lo Loestrin Fe?
Treatment with Lo Loestrin Fe should be stopped if you have a blood clot, and at least 4 weeks before and through 2 weeks after major surgery. You should not take Lo Loestrin Fe any earlier than 4 weeks after having a baby, or if you are breastfeeding. If you experience yellowing of the skin or eyes due to problems with your liver, you should stop taking Lo Loestrin Fe. If you are pre-diabetic or diabetic, your doctor should monitor you while using Lo Loestrin Fe. Your doctor should evaluate you if you have any significant change in headaches or irregular menstrual bleeding.

What are the most serious risks of taking Lo Loestrin Fe?
Lo Loestrin Fe increases the risk of serious conditions including blood clots, stroke, and heart attack. These can be life-threatening or lead to permanent disability.

What are the possible side effects of Lo Loestrin Fe?
The most common side effects reported by women taking Lo Loestrin Fe in a study were nausea/vomiting, headache, spotting or bleeding between menstrual periods, painful menstruation, weight change, breast tenderness, acne, abdominal pain, anxiety, and depression.

Birth control pills do not protect you against any sexually transmitted disease, including HIV, the virus that causes AIDS.

Please see the full Prescribing Information, including Boxed Warning, and Patient Information which are also available at loloestrin.com.

© 2017 Allergan. All rights reserved.
Allergan® and its design are trademarks of Allergan, Inc.
Lo Loestrin® and its design are registered trademarks of Allergan Pharmaceuticals International Limited. 
LOL111689 11/17

Photo courtesy of Getty Images

¹Selections From FDLI Update Series on FDA History - FDA's Approval of the First Oral Contraceptive, Enovid. (n.d.). Retrieved Nov. 9, 2017, from https://www.fda.gov/aboutfda/whatwedo/history/productregulation/selectionsfromfdliupdateseriesonfdahistory/ucm092009.htm
² Oral Contraceptives. (2017, Oct. 5). Retrieved Nov. 9, 2017, from http://www.empr.com/oral-contraceptives/printarticle/123837/
³Jones, J., Ph.D, Mosher, W., Ph.D, & Daniels, K., Ph.D. (2012). Current Contraceptive Use in the United States, 2006–2010, and Changes in Patterns of Use Since 1995. National Health Statistics Reports, (60), 1-26. Retrieved Nov. 7, 2017, from https://www.cdc.gov/nchs/data/nhsr/nhsr060.pdf.
⁴ IMS Health, Inc. Monthly New Rx by Specialty; December 2010-December 2016 (Claim derived from the use of information under license from IMS Health, Inc., which expressly reserves all rights, including rights of copying, distribution, and republication).
⁵ Lo Loestrin Fe prescribing information. Irvine, CA: Allergan USA, Inc.; 2017.

Kickstart a Healthier Lifestyle

Consider a high-protein, low-carb and low-sugar option

(Family Features) This time of year, millions of Americans are making resolutions to lose weight. When it comes to adopting a healthy eating plan, it can seem like the options are endless. With new diet plans popping up seemingly every day, the process of choosing a plan that works for you and fits your lifestyle can be an intimidating one. 

Many experts agree, however, that a diet high in protein and low in sugar and carbohydrates offers significant benefits. This was the foundation for the South Beach Diet, introduced 15 years ago by cardiologist Dr. Arthur Agatston. Since its introduction, it has helped millions of people successfully lose weight, while its books became best-sellers with more than 23 million copies sold in print.

Now in its second year as a structured weight-loss meal delivery program, South Beach introduced an enhanced three-phase approach designed to burn fat, transform metabolism and boost energy, including a 7-Day Body Reboot to help break the sugar habit and South Beach Complete Shakes. According to the company, users can expect to lose up to 9 pounds and 3 inches overall in their first two weeks on the program.

Over-consumption of sugar, which can lead to diabetes and heart disease, is one of the biggest problems in many Americans’ diets, according to Agatston. 

“Sugar, be it simple sugar or from refined carbs, should be avoided,” Agatston said. “In fact, I would say fats aren’t making us gain weight, sugar is. It’s not about eliminating fats and carbs, it’s about the quality of the fats and carbs you’re eating.”

To help break the harmful sugar habit, foods on the South Beach Diet provide 1 percent of calories from added sugars – significantly lower than the Dietary Guidelines for Americans recommendation, which suggests that no more than 10 percent of calories come from added sugars.

So what’s the easiest way to live a high-protein, low-sugar, low-carb lifestyle? The answer could be a weight loss meal delivery program, like South Beach. For many, meal prep is equally as intimidating as sticking to a New Year’s resolution. The time required for food shopping and meal preparation often prevents a person from sticking to his or her healthy lifestyle. A weight-loss meal delivery plan allows one to make smarter meal choices and eliminates nearly all prep time. According to South Beach, its program delivers fully prepared, delicious meals that make sticking to a healthy lifestyle simpler and more convenient.

For added convenience, the South Beach Diet Tracker App provides access to meal plans and recipes as well as support and counseling from trained weight-loss coaches and registered dietitians.

Find more tips and tools to begin the weight loss journey at SouthBeachDiet.com.

Managing High Blood Pressure During the Holidays

(Family Features) Managing blood pressure can be difficult, especially during the holidays and winter months. A change in routine, family visits, traveling, illness, holiday menus and financial concerns can all conspire to derail your best efforts at keeping chronic conditions, like high blood pressure, under control.

If you are one of the millions of American adults with high blood pressure, it is vital to keep your blood pressure stable. Drastic changes can put you at risk for heart attack or stroke.

Here are three ways to control your blood pressure throughout the holiday season from the American Heart Association:

Be Wary of Decongestants
Decongestants are in many over-the-counter cold and flu medications but they have some harmful side effects. They can raise blood pressure and decrease the effectiveness of some prescribed blood pressure medications. It’s best to use them for the shortest duration possible and avoid in severe or uncontrolled hypertension. Consider alternative therapies, such as nasal saline, intranasal corticosteroids or antihistamines, as appropriate.

Keep Track of Medication
The winter months tend to bring an increase in both heart attacks and strokes. According to research from the Journal of the American Heart Association, a 4.2 percent increase in heart-related deaths occurs away from a hospital from Dec. 25-Jan. 7.

“Factors like cold weather, sudden increase in activity like shoveling snow, stress and dietary indiscretion can contribute to a chain of events leading to more stress on the heart during the winter months, potentially triggering a heart attack or other cardiac event,” said Jorge Plutzky, M.D., director of Preventive Cardiology at the Brigham and Women’s Hospital and a volunteer with the American Heart Association.

It is vital to keep track of your medication and take it as prescribed by your doctor to decrease chances of heart attack and stroke. The American Heart Association’s Check Change Control Tracker is one way to monitor your health, as it allows you to set up text message reminders, text in blood pressure readings, connect with volunteers or providers, and receive messages from volunteers or providers.

Maintain Healthy Eating Habits
The holidays can be a bad influence on healthy eating habits. However, it is important to stay active during these times and continue eating healthy. While you are enjoying holiday feasts with family, be aware of sodium, often found in seasonal foods like bread, cheeses and prepared meats, which can increase blood pressure. Don’t feel like you can’t indulge a little, but make sure to incorporate healthy meals.

Staying active while traveling can be a challenge, as well. Try bringing simple exercise equipment like a jump rope or resistance band with you. Consider walking to sights or restaurants nearby, or finding a local park or indoor walking path.

For more information and tools about blood pressure management, visit heart.org/hbp.

Bayer’s Consumer Health Division, maker of Coricidin HBP, is a sponsor of the American Heart Association’s High Blood Pressure website.

Photo courtesy of Getty Images