Thursday, January 22, 2015

Exercises for a Fitter New Year

Boredom is one of the sneakiest sabotages to people’s goals of getting fitter or healthier in the New Year. It creeps in slowly, undermining their hard work and keeping them from progressing to their optimal health, leading to negative self-talk and decreased motivation. Don’t let this happen to you!

Instead of throwing in the towel when you decide you just can’t spend another day doing the same exact routine as usual, or giving up when you aren’t seeing the results you want, try mixing up your schedule with these fun and fitness-boosting activities and classes.

Walking — This low-impact, heart-rate increasing activity is good for just about any fitness level because of its ability to provide something for everyone. For the novice exerciser, walking is a good way to get muscles moving, burn extra calories, strengthen and tone the lower body and build stamina for other exercises.  As a bonus, walkers can tone their upper bodies and increase their exercise gains by carrying hand weights or donning lightly weighted backpacks.

Running — The ultimate full-body workout, running moves muscles that many people don’t even know they have.  With plenty of plans available online to take beginners off the couch or advanced runners into ultra-marathons, running can be customized to every ability level and every goal.  Not sure you could run for more than a few minutes?  That’s okay, too!  Many running plans start with Walk-Running or Run-Walking, allowing beginners to alternate running and walking in order to build up to distance running.

Kickboxing — Incorporating many forms of martial arts, this empowering type of exercise trains your muscles to move in new ways, building new muscle, toning old muscle, increasing flexibility and giving you a great cardio workout.

Dance/Zumba — A craze that has swept the world, cardio dance classes like Zumba are creating fun ways for people of all ages and ability levels to come together in the name of cardio workouts and fitness.  Dance to fun and upbeat songs, memorize dance routines filled with fitness-blasting moves and get to know some new friends in the process.

Pilates — A centuries-old tradition, Pilates incorporates low-impact muscle building and flexibility improving moves that tone the body and still the mind. Think of it as a slightly more intense yoga workout, in which slow movements are repeated in order to help build muscle and raise the heart rate.

Yoga — While not nearly as cardiovascular-focused as other workouts, yoga has been proven to be the ideal “workout sidekick.” Most fitness classes build muscle through repetitive movements, causing those working muscles to shorten and tighten. Yoga works to lengthen those muscles, working out the kinks and helping to release unnecessary tension wherever possible.  While it may seem like that would counteract the work from other fitness classes and activities, yoga actually aids in overall fitness as it helps the muscles to build in long, toned ways instead of short, stocky, bulky ways.

Swimming — The perfect activity for those with mobility issues such as joint pain, lower body injuries or recent surgeries, swimming provides a stress-free alternative to exercises like running, weight lifting and walking.  With many variations from which to choose, including lap swimming, treading exercises, kicking with a kickboard, water aerobics, water polo and many more, swimming provides a workout for all ability and skill levels.

Tai Chi/Chi Gong — Like yoga, tai chi and chi gong provide a very low impact complement to exercise.  Through deep breathing and long, slow muscle movements, exercisers the world over see their muscles elongate, their stress levels go down and their overall health and well being rise.

Weight Lifting — You can’t lose fat without building muscle and weight lifting is a great way to do just that.  Through repetitions of movements with a variety of shapes and sizes of weights, you can build up your muscles, toning them, creating greater strength and making yourself healthier in the process.  Weight lifting can be geared toward any ability level, beginning with 1 or 2 pound hand weights and going up to extremely advanced movements with barbells.

Boot Camp — A cardio extravaganza, boot camp-style classes do exactly what they seem like they should do: put you through an intense workout filled with body weight, weighted and cardio movements designed to work every single muscle in your body.  While most classes generally offer beginner level modifications for boot camp moves, it is important to make sure that the class you are attending caters to all skill levels.

Spinning — If you enjoy biking or riding a stationary bike, then spinning is for you!  Perched atop a spinning bike, instructors lead the class through a series of intensity intervals, treating the class as if the whole group were going up and down hills, racing as fast as they can and then treating their muscles to much deserved lower intensity “rests.”

Barre — A very low intensity workout, barre, or barre Pilates, utilizes props and small muscle movements to train specific muscle groups.  Props like exercise rings, exercise balls, weights and more are utilized as aids to resistance training, most while holding onto a dance barre, working different muscles to create changes throughout the body.

Interval Training — Interval training combines cardio with weight lifting, creating a mash up of exercises that raises the heart rate, builds muscle, burns fat and helps to transform the body.  Intervals of activity (with or without weights) are mixed with intervals of rest to help people gradually build themselves and achieve their fitness goals.

Harvey Institute Offers Non-invasive Prenatal Testing

The Prenatal Diagnostic Center at the Harvey Institute for Human Genetics at GBMC offers non-invasive testing that can determine fetal abnormalities in early pregnancy. Through the use of detailed fetal ultrasound and innovative blood tests, the Center is equipped to help educate pregnant women about genetic conditions, coordinate prenatal screenings, provide insights into test results and offer resources to help facilitate the best possible health outcome.

Physicians Natalie Blagowidow, MD, and Shama Jari, MD, work closely with a staff of genetic counselors to help guide patients through the process of prenatal testing in the Center. Patients who might consider such testing include women of advanced maternal age (those who will be 35 or older when they give birth), women with high-risk pregnancies, women with a history of fetal abnormalities in prior pregnancies and women with family histories of genetic conditions. Patients are referred by their obstetricians for prenatal testing. Couples interested in preconception counseling may be referred by their physician or can make appointments themselves.

There are two options for non-invasive screening a pregnant woman can obtain during the first trimester. The first is a detailed fetal ultrasound performed between 11-13 weeks of pregnancy. The ultrasound can identify markers that may indicate a higher chance of the presence of trisomy 13, also known as Patau syndrome, trisomy 18, also known as Edwards syndrome, and trisomy 21, Down syndrome — all of which can lead to major health complications for the mother and fetus. This ultrasound can be combined with bloodwork to determine a risk estimate for chromosomal abnormalities.

The second option is a cell-free fetal DNA screening. “The screening is performed by taking a blood sample from the mother,” says Dr. Blagowidow. The test also provides a high detection rate for abnormalities such as trisomy 18 and certain sex chromosome abnormalities. “The test is currently considered the best non-invasive tool for detecting Down syndrome prenatally,” Dr. Blagowidow adds. She recommends that women who choose the fetal DNA screening also have the detailed first trimester ultrasound.

While the benefits of the blood test are significant — a less than one percent false positive rate for Down syndrome and no increased risk of miscarriage — there are facts to consider before undergoing the screening. “It’s important for patients to know that cell-free fetal DNA testing is not ‘diagnostic,’ like an amniocentesis or chorionic villus sampling,” says Dr. Blagowidow, referring to definitive genetic tests. Cost can also be a drawback, as insurance companies have varying levels of coverage for this new genetic screening.

If a patient undergoes the prenatal screening and the results are positive, genetic counselors will help to facilitate next steps and review the pros and cons of further testing with the patient. “Our goal is to give parents-to-be as much information as possible, while preserving the health of both mother and fetus,” says Dr. Blagowidow.

For additional information about the services offered by the Prenatal Diagnostic Center at the Harvey Institute for Human Genetics at GBMC, visit or call 443-849-GBMC (4262).

Snoring and Your Health

According to Mayo Clinic, at least half of the adults in the world snore sometimes. Snoring occurs when airways are blocked from tissues in your throat that relax as you sleep. When air passes through these relaxed tissues, it creates a vibration which in turn makes the snoring sound. This can be disruptive to the person snoring and his or her loved ones.

People who snore regularly may suffer from obstructive sleep apnea, a condition in which breathing is interrupted numerous times during sleep. As a result, the brain and body may not get enough oxygen. This can lead to waking up many times at night, being tired throughout the day, having headaches in the morning or waking with a sore, dry throat. Men and people who are overweight are more likely to have obstructive sleep apnea, but it can affect anyone.

People who experience prolonged poor sleep may be at an increased risk of high blood pressure, heart conditions or stroke. But fortunately, there are some ways to reduce snoring. Below are a few tips and healthy habits:
  • Have a set sleep schedule. Try keeping to a schedule by going to bed at the same time every night.
  • Stop smoking. Smoking may cause swelling and blockage of the upper airway. 
  • Maintain a healthy weight with diet and exercise. Snoring can be made worse by extra tissue in the neck and throat area.  
  • Cut your substance intake before bed. Drinking alcoholic or caffeinated beverages before bedtime may keep you awake. 
  • Sleep on your side or at a 4-6 inch incline. This helps to keep the tongue or other tissues from blocking your airway.
  • Sleep in a comfortable environment. It is not only important to make sure that your bed is comfortable, but also your surroundings. Most people sleep best in areas that are not too bright, stuffy, hot or cold.
If snoring persists, it may be time to consider speaking with a physician. GBMC offers sleep services and studies for adults who may be experiencing sleep problems. The studies are done in home-like environments and can provide information to the certified sleep technicians from Sleep Services of America and GBMC physicians.

For more information about the Sleep Services at GBMC, visit

Knowledge is Power: Understanding Breast Cancer Risk Assessments

A diagnosis of breast cancer is a terrifying reality to face. Unfortunately, the disease seems to know few boundaries, affecting women and men of all ages and ethnicities. According to the American Cancer Society, about one in eight women in the United States will develop invasive breast cancer during her lifetime.

Sara Fogarty, DO, breast surgeon at the Sandra & Malcolm Berman Comprehensive Breast Care Center at GBMC, does not want that statistic to frighten women. “People should keep in mind that modern medicine has many tools available to estimate a patient’s risk, detect abnormalities early and treat the disease successfully,” she says. “In addition to self-exams and regular visits to an OB-GYN, a lifetime risk assessment is one of the most valuable weapons women have against breast cancer.”

Why is a Risk Assessment Important?

Ignorance is often described as bliss, but when it comes to breast cancer, knowledge is power. After an appointment with a physician, patients are presented with a complete picture of their odds for developing breast cancer at some point during their lives. The results of the assessment allow the physician to determine when it’s appropriate to begin mammograms for screening and whether the patient is eligible for more extensive MRI screening or genetic testing. In certain cases, the risk assessment result may signal the physician that a discussion about preventive breast removal surgery (prophylactic mastectomy) is worthwhile.

What to Expect

During a lifetime risk assessment, the physician inquires about a number of standard personal health details like age, menopausal status, use of hormone replacement therapy (HRT) and parity, which refers to the number of children a woman has borne. He or she will also measure the patient’s body mass index (BMI) and take a family history of first- and second-degree relatives with breast or ovarian cancer, including their ages at the time of diagnosis. The physician uses a tool to assess the data and can discuss results with the patient during the same visit.

The Bottom Line

Although patients cannot control some risk factors like family history or age, they can take action on others. Measures that have the most impact on reducing risk include maintaining a healthy weight through diet and exercise, breastfeeding if possible, minimizing alcohol use to no more than one drink per day and avoiding or limiting HRT. “Breast cancer risk assessments are often the beginning of a conversation between the patient and physician about what the patient can control in order to decrease her risk,” notes Dr. Fogarty. “This is an important first step toward prevention.”

For more information on the services provided at the Sandra & Malcolm Berman Comprehensive Breast Care Center, visit or call 443-849-GBMC (4262).

Whey Better Protein Balls


1/2 cup natural peanut, almond or cashew butter
3 tbsp honey
1 orange, zest only
1/2 tsp cinnamon
2/3 cup plain, vanilla or chocolate whey protein powder
3 tbsp chia seeds
Pinch of salt


Stir together nut butter, honey, orange zest, cinnamon and a pinch of salt. Add the protein powder and mix until fully incorporated. The mixture should be doughy and just slightly moist. If it is too dry, add water 1 tablespoon at a time until the desired consistency is reached.

Roll the mixture into twelve 1-inch balls. Place chia seeds in a shallow dish and roll the protein powder balls in the seeds.

Store in an airtight container and refrigerate.

Makes 12 protein balls.


Serving Size: 1 proteinball 
Calories: 108
Fat: 59 g 
Protein: 6 g 
Carbohydrates: 42 g 
Fiber: 2 g 
Sugar: 6 g
Cholesterol: 10 mg

Recipe courtesy of

Tuesday, December 16, 2014

Safe Toys for Children

Safe Toys for Children
Toys range in size and intricacy from plush stuffed animals to entire-assembly-required sets of tiny parts, meaning they also vary in terms of the ages of the children for whom they are intended.  While it may be a really great feeling to buy the kids in your life whichever toys they want most, you’ll feel even better when you give them something that is fun and age range/safety appropriate.

Birth to 6 months old—At this age, when infants develop through exploring with their eyes, ears and mouths, focus on gifts that are textured and safe for mouthing. There should be no small parts that could be swallowed or become lodged in the throat and nothing with potentially “entangling” cords, ribbon, elastic or strings.  
Suggestions: floor gyms, activity quilts, teething toys, large interlocking plastic keys or rings, cloth toys, soft dolls, stuffed animals, musical or chime toys, rattles
6 months to 1 year old—This is a time of learning: to sit up, to crawl and to figure out what toys are made of, including banging them, dropping them, stacking them, and opening and closing them. Avoid anything that is breakable, has sharp edges or is small enough to fit entirely in the mouth (swallowing risk).
Suggestions: push-pull toys, nesting/stacking toys, pop-up toys, soft blocks, bath toys, teething toys, stuffed animals, simple musical instruments, squeeze/squeak toys, rattles, cloth/cardboard picture books, medium-sized balls
1 to 2 years old—Kids at this age are on the move, and that means that they need toys that can keep up with their fast paces. Keep your selections focused on fun, adventurous games and toys without sharp edges or small parts.
Suggestions: wagons, backyard gym equipment, nesting/stacking toys, simple shape sorters, sandbox toys, wading pools, stuffed animals, kitchen toys, playhouses
2 to 3 years old—Physical games rule in this age group! Choose toys that keep kids engaged and active, still avoiding small parts and anything sharp or too rough-edged.
Suggestions: balls, building blocks, blocks with letters/numbers, dolls, puzzles, dress up clothes, play scenes, tricycles/protective gear, play vehicles, storybooks, stuffed animals
3 to 6 years old—Children act like miniature adults in this age group, pretending and imagining their way through the majority of their playtime sessions.  They will love things that engage them and allow the pretending to continue, but make sure to keep those things non-toxic and sharp edge-free.
Suggestions: tricycles/bicycles and helmets, construction toys, puzzles, props for make believe, non-toxic art supplies, simple story games, simple word/matching games, storybooks, lacing sets, basic jewelry sets
6 to 9 years old—Grade school children love informational experiences, games, competitions and crafts.  Give the gift of games that focus on mental and physical engagement.
Suggestions: roller skates/protective gear, swimming gear, jump ropes, construction toys, action figures, doll houses, jigsaw puzzles, magic sets, craft/model kits, art supplies, electronic games, board games, fairytale books
9 to 12 years old—In this period of life, children develop hobbies and life-long interests.  Active play, team sports, art projects, science projects and more will make perfect gifts.
Suggestions—sports equipment, model kits, science kits, chess/checkers, art supplies, advanced board games, video games, strategy games, advanced books

Prevent the Flu Before it Gets to You!

Prevent the Flu Before it Gets to You
Misery loves company and germs know it best! With flu season well underway, it’s always good to be reminded of some simple hand hygiene techniques that everybody can use to reduce the chances of catching the flu or a cold.

Listen to your doctors when they say that you should always wash your hands throughout the day before and after certain activities, such as eating a meal and using the restroom. Your hands are the most active and “touchy” part of your body, meaning that they come in contact with the most germs on any given day. Germs can be on objects like handrails, door knobs, toys, computer equipment and other people’s hands.

How exactly should you wash your hands? A good way to start is with plain old soap and water. The easiest step is to wet your hands in a sink lukewarm water. Apply one or two pumps of soap onto your hands to make sure you have enough. When lathering, be sure to get all around your hands including thumbs, under fingernails, in between your fingers, and the backs of your hands all the way up to your wrists. Some people sing “Happy Birthday” in their heads to assure that they wash their hands for at least 20 seconds, which is the optimal time to scrub away the germs. Afterward, rinse your hands with warm water to remove all of the soap from your hands and dry your hands with a towel. Use that towel to turn off the faucet and, if needed, to grasp a doorknob or handle.

If you don’t have access to soap and water, an alcohol-based hand sanitizer that contains at least 60 percent alcohol will do the trick. These products are great to carry on in your pocket or purse. Alcohol-based hand sanitizers are very effective as the alcohol kills most bacteria/viruses on contact. These products are actually less drying to hands than soap and water washing.

No matter how clean you may think your hands may be, remember that they touch a lot of germ-laden surfaces throughout the day! Keeping your hands away from your nose and mouth is a great way to prevent germs from infecting your body. Also, sharing food should be kept to a minimum, as that is a prime way for germs to spread from one person to another.

Have you already come down with a cold or the flu? GBMC's primary care physicians are accepting new patients. Visit or call 443-849-GBMC (4262) to find a physician who is right for you.