Tuesday, May 7, 2013

31 Surprisingly Delicious High-Fiber Snacks



It helps keep things moving smoothly (you know what we mean), it can lower our risk for diabetes and heart disease, and it keeps us fuller, longer. What is this magic stuff?  Dietary fiber! It’s essential to our diets, plus a high fiber nibble can buy us time before the next meal hits the kitchen table. Here are 31 of our favorite fiber-packed snacks — one for every day of the month. We opted for snacks with at least five grams of fiber (20 percent of the daily recommended value) to tide you over. Instead of turning to chalky store-bought high-fiber bars, try out some of these tastier choices.

 
1. Orange Spinach Smoothie
 This tasty treat goes down easy while sneaking in tons of fruits and veggies. Toss 1 large orange (peeled and separated), ½ a large banana, 1 handful of strawberries, 2 cups of spinach, 1/3 cup of plain Greek yogurt, and 1 cup of ice into a blender. Store any leftovers in the freezer for tomorrow (pro tip: Pour the leftovers in ice cube trays for easier blending).
 
2. Raspberry Cream Cheese Toast
 Toast 1 slice of whole-grain bread, spread with 1 to 2 tablespoons of low-fat cream cheese, and top with ½ cup of raspberries (1 cup of raspberries has eight grams of fiber, so feel free to add a few extra, or snack on another handful while making the toast).
 
3. Mediterranean Artichokes
 Strain 1 6-ounce jar of artichokes to remove all liquid. Snack on them as-is, or get fancy by topping with 1 tablespoon of feta, a squeeze of lemon juice, a little olive oil, and some cracked pepper. This six-ounce (or ¾ cup) serving of the hearts (the center portion of an artichoke) has more than seven grams of fiber. Plus, they’re a rich source of vitamin C. (We won’t tell anyone if you stick a fork in the jar.)
 
4. Enlightened Bars
 These healthier ice cream bars aren’t just low in calories — they actually have some impressive nutritional stats: Eight grams of protein, no artificial sweetener, only three grams of sugar, and five grams of fiber per bar. Plus, these smooth and creamy treats come in coffee, fudge, and orange cream flavors. At Greatist HQ, the favorite’s a tie between coffee and fudge. (I vote coffee!)
 
5. Maple n’ Oat Stuffed Apple
 This snack is not only tasty — it’s lovely to look at, too. Boil 1 cup of steel cut oats in 4 cups of water. Stir in a pinch of cinnamon and nutmeg, and a drizzle of maple syrup, and turn the heat to low while the oats cook (covered) for 20 minutes. Serve in a hollowed apple (we like ‘em overflowing). If it’s too tough to eat raw, microwave the cored apple for a minute, and then fill it up. Or, if time’s on your side, stuff the apples with oatmeal and then bake for 20 to 30 minutes until the apple is tender.
 
6. Sweet Potato Fries
This one is easy as pie. (Sweet potato pie, that is.) Cut a sweet potato lengthwise, and toss the orange-hued wedges in oil, and spices for a new take on a hamburger’s BFF. Shhh, it’s a secret: A medium sweet potato has more potassium than a banana and five grams of fiber.
 
7. Pears and Cottage Cheese
Core a pear and slice in half top to bottom. Scoop low-fat cottage cheese on top of the pear and sprinkle with cinnamon or poppy seeds. One medium pear touts six grams of protein.
 
8. Edamame Hummus
A new take on hummus, this spread adds some color and fiber to your dipping delight. Bring a pot of water to a boil, and toss in 2 cups of frozen edamame (16 whopping grams of fiber!). Boil for three minutes, remove from heat, and drain. Combine edamame, 3 cloves of garlic, 6 tablespoons of olive oil, a pinch of salt, cumin, paprika, cayenne, and a squeeze of lemon in a food processor. Blend until smooth. Serve with toasted pita bread or sliced veggies like carrots and cukes.
 
9. Pumpkin Yogurt Dip
Pumpkin, a superfood rich in beta carotene (essential for skin and eye health) is an easy and tasty way to sneak in some fiber, especially when it’s from a can. Mix together½ cup of canned pumpkin puree, ½ cup of non-fat plain Greek yogurt, 1 teaspoon of honey, ½ teaspoon of vanilla, and a good helping of cinnamon and nutmeg (or pumpkin spice if you’re feeling fancy). Spoon it straight or use as a dip with graham crackers or apple slices. (Note: Make sure to use plain pureed pumpkin, not pumpkin pie filling, which is loaded with sugar and salt.)
 
10. Quinoa Pizza Bites
These simple nuggets are full of flavor. Fresh basil and tomato paste make them really taste like pizza. The key fiber-filled ingredients, quinoa and kidney beans, also make for a stellar protein-packed snack. Protein powerhouse quinoa is one of the only grains or seeds that provide all the essential amino acids our bodies can’t produce themselves!
 
11. Rice Cake with Almond Butter and Pumpkin Seeds
For a snack with some crunch, schmear 1 brown rice cake with 2 tablespoons almond butter. (Get this: almond butter beats peanut butter when it comes to fiber, iron, and vitamin E.) For even more crunch (and fiber), sprinkle 1 tablespoon pumpkin seeds on top. The little green seeds are a super rich source of magnesium, which is especially good for strong bones. Extra bonus: Just half a cup of pumpkin seeds has about 14 grams of protein.
 
12. Banana Berry Oats
For quick microwave oatmeal, mix ½ cup rolled oats and a dash of cinnamon in a microwave-safe bowl. Stir in ½ cup of water and microwave for one minute. Remove the bowl, add ½ a banana (sliced), and cook for another minute. Stir in 3 to 4 tablespoons of low fat milk or vanilla almond milk, and top with ½ to 1 cup sliced strawberries, blackberries, and other berries of choice. While all fruit helps out in the fiber department, berries are especially good sources — raspberries and blackberries have eight grams per cup.
 
13. Chocolate Bran Crunchies
For a seriously fiber-filled snack, grab a box of bran cereal, which has 10 grams of fiber per ½ cup serving. Combine 1 cup of bran cereal with ½ cup of slivered almonds, and 4 ounces (3 to 4 squares, depending on the bar) of melted dark chocolate (melt in a microwave in 20 second intervals until smooth). Spoon tablespoon-sized mounds of the chocolately delicousness onto a parchment-lined baking sheet and pop it in the freezer for 15 to 30 minutes to set.
 
14. Spiced Flax Balls
These balls get the fiber benefits of flax (five grams per tablespoon) plus their omega 3s. Pulse 1 cup of almonds in a food processor until finely chopped. Add ½ cup of ground flax seeds, ½ cup of dates, ½ cup of raisins, ¼ cup of chopped dried apricots, ¼ cup of shredded coconut, 1 teaspoon of cinnamon, and a pinch of nutmeg and ground ginger. Pulse the mixture until it sticks (you may want to add a teaspoon or two of water). Roll the dough into walnut-sized balls, then cover in cling wrap and refrigerate. Enjoy!
 
15. Blackberry Basil Popsicles
Toss 1 ½ cups of fresh blackberries (one of the highest fiber contents of any fruit), 1 handful of fresh basil, ¼ cup of honey, and the juice of one lemon into a food processor or blender. Puree the ingredients until well combined (strain out the seeds if you’d like it smooth). Add the mixture to popsicle molds or small paper cups, and freeze for at least eight hours. For extra big kid fun, pour the mixture into ice cube molds and add them to blackberry margaritas or a mojito for an icy, antioxidant-filled treat.
 
16. Feta-Stuffed Prunes
Grandma was right: Prunes can get you back on track. The dried plums (once you get over the stereotype of them being an “old people food”) are really sweet and delicious. Plus, prunes have an insane amount of fiber (12 grams for 1 cup). Eat them as is, or cut a small opening and stuff some feta or blue cheese in the center for a quick sweet-n’-savory bite. Bonus: Prunes are considered the epitome of a functional food(which means they’re really good at promoting health!)[1].
 
17. Chocolate Bean Butter
For a no-fuss sweet (but healthy!) snack, try out this chocolate spread. Combine 1 can of white kidney beans, 5 tablespoons of unsweetened cocoa powder, ½ teaspoon of stevia powder (or sweetener of your choice), a pinch of sea salt, 3 tablespoons of coconut oil, and 1 teaspoon of vanilla extract in a blender or food processor and pulse until smooth (adding a splash of water or almond milk if it’s too dry). Spread onto a brown rice cake or use as a dip for sliced fruit. We knowchocolatecan lower blood pressure but adding beans to the mix effectively pumps a healthy dose of fiber to the mix (6 grams for ½ a cup!)[2].
 
18. Buffalo Wing Hummus
Seriously, this is a real thing. It’s all the deliciousness of the Super Bowl, minus all the not-so-good stuff. Blend 2 cans of chickpeas, 2 to 3 cloves of garlic, ¼ cup of tahini, ¼ cup of lemon juice, 1 ½ teaspoons paprika, 3 tablespoons wing sauce, 2 tablespoons hot sauce, 1 tablespoon white vinegar, and a pinch of kosher salt. Puree until smooth and dip-able, and enjoy with celery and carrot sticks (or by itself…). The beans up the fiber content to a dip that usually gets its base from a fatty dairy source.
 
19. Kale Chips
We’ll be honest here: These guys definitely don’t taste exactly like potato chips. But if you’re looking for a healthier (or more chic) way to crunch, kale chips are it. Preheat oven to 375. Rinse and dry 1 large bunch of kale, then remove the stems and tough center ribs. Rip the kale into large pieces, toss with a little olive oil, then sprinkle with some salt and pepper. Arrange in a single layer on a large parchment lined baking sheet (careful not to overlap). Bake until crisp, about 10 to 15 minutes, checking frequently (they can burn easily!).
 
20. Lentil Trail Mix
We did tell you trail mix can be a dangerfood. However, we’re about to give you a healthier option for this munchable snack, plus it’s pretty (and vegan, gluten-free, dairy-free, sugar-free, and grain-free!).  Bake 1 cup of red lentils in a 350 degree oven on a baking sheet (after sprinkled with a touch of salt) for 30 to 35 minutes, or until they are crunchy. Chop up ½ cup dried apricots and pineapple, and toss the little chunks in rice flour to take away the stickiness. Combine lentils, fruit, ½ cup of pumpkin seeds, ½ cup of sunflower seeds, and ½ cup of dried cranberries, and munch away.
 
21. Banana in A Sweater
This easy-to-whip-together snack gets its fiber from superfoods flaxseed, chia, and oats. In a small bowl mix 1 teaspoon of honey with 2 tablespoons of a nut butter of choice (peanut and almond tend to be our favorites, but for a different taste and texture, try pecan butter, cashew butter, or walnut butter). In a shallow bowl, mix 1 tablespoon of oats, ½ tablespoon of chia seeds, ½ tablespoon of ground flaxseed, and ¼ teaspoon of cinnamon. Coat a peeled banana with the nut mixture (it’ll be easier if the banana is cut in half), then roll it in the dry mixture. While the banana serves as a carrier for all the tasty toppings, it adds three grams of fiber, too.
 
22. Chocolate Peanut Butter Balls
Considering my love affair with chocolate and peanut butter as separate entities, a combo of the two really knocks it out of the park. Plus, these snack bites are actually healthy and you only need three ingredients to make ‘em. Mix 3 scoops of chocolate protein powder, ¼ cup of ground flax seed, and ½ cup of peanut butter (look for the unsalted variety). Form the mixture into small balls and pop in the freezer to set before eating.
 
23. Banana Chocolate Chip Quinoa Bake
The very best thing about this recipe is that it takes only five minutes to make. Grease a microwave safe dish (try coconut or vegetable oil on a piece of paper towel for a light coating). In a small bowl, mix 1/3 of a medium banana (mashed), ¼ cup of egg whites, ½ cup of quinoa flakes (the flake version of the superfood grain), 1 tablespoon of chocolate chips, 1 tablespoon of chopped pecans, and a pinch each of cinnamon and nutmeg. Pour the mix into the dish, and even out with a fork until it reaches all of the edges. Pop it in the microwave for two and a half minutes. Let it cool and enjoy!
 
24. Chocolate Crunch Mix
This is the ultimate homemade Chex mix. Combine 1 cup of Chex cereal, 1 cup of pretzel sticks broken in half, and ¼ cup of roasted almonds. Drizzle with 3 tablespoons of melted dark chocolate (to melt: microwave for one minute, stir, and continue heating in 20 second intervals until completely melted). Spread the mixture on a wax paper-lined baking sheet and refrigerate until the chocolate sets. For a little extra fiber, sprinkle in some sesame seeds.
 
25. Spicy Roasted Chickpeas
Crunchy roasted chickpeas are becoming pretty popular at grocery stores, but they can bare a hefty price tag. These chickpeas are a heckuva lot cheaper, easy to make, and have a kick to them. Drain and rinse 1 can of chickpeas and add to a bowl. Add 1 tablespoon of olive oil, ½ teaspoon of salt, and ½ teaspoon of cayenne pepper and toss to coat. Arrange in a single layer on a foil-lined baking sheet and bake for about 15 minutes at 450 degrees. Take them out and shake ‘em around before returning to the oven for another 15 minutes, or until the chickpeas are brown and crunchy. Just half a cup of the little guys provides six grams of fiber and six grams of protein.
 
26. Pumpkin Spice Smoothie
Combine 1 cup of pumpkin puree, 1 tablespoon of honey, 1 frozen banana, 1 cup of unsweetened soy milk or almond milk, 2 tablespoons of ground flax seed, and a½ teaspoon each of cinnamon, nutmeg, ginger, and cardamom (pumpkin spice works too). Aside from shelling out fiber, pumpkin is a great source of vitamin A, which is key for healthy eyes and also helps maintain heart, lung, and kidney health.
 
27. Fig and PB Dough Balls
Each of these dough hunks has four grams of fiber and just 150 calories. Grind ¾ cup of peanuts in a food processor until it reaches a fine crumb. Add in 2 tablespoons of maple syrup, ¼ cup of agave, ½ cup of oats, 2 tablespoons of peanut butter, ¼ cup of ground flax seed, ½ teaspoon of cinnamon, 2 tablespoons of chia seeds, and6 dried figs. Pulse until the mixture begins to come together, and then roll into 1-inch balls.
 
28. Avocado Boat
Cut an avocado in half, and twist it to separate both pieces. Remove the pit, and fill up the hole with salsa and some shredded cheese. Aside from a pretty stellar fiber content (six grams for just half of a medium one), avocados are a fantastic source of monosaturated fats, which can help improve cholesterol levels, decrease the risk of heart disease, and benefit brain activity.
 
29. Black Bean Brownies
Brownies with beans? These fudgy squares take on the taste of chocolate way more than the beans — we promise. The batter forms up quick in a food processor, and doesn’t require a whole lot of prep work. More good news: Sneaking in black beans loads the brownies with fiber, and provides lots of folate, a nutrient that’s necessary to make DNA and RNA, the building blocks of cells.
 
30. Yellow Split Pea Spread
This spread makes for a colorful alternative to hummus. Dip veggies like broccoli, celery, or cauliflower, or try whole-wheat pita triangles. Veggies, on veggies, on veggies!
 
31. Popcorn
Popcorn is a whole grain, made from a seed so it can keep you fuller longer than other more calorie-laden snacks. For a budget friendly version, try popping a handful of kernels in a small brown bag in the microwave. Fold the rim of the bag over twice, and lay it horizontally in the microwave. Cook until popping begins to slow but doesn’t stop completely. To jazz up the regular old movie necessity, add fresh herbs like dill or parsley, or try a sweet variety with cinnamon, nutmeg, and honey (microwave it first for a bit to thin it out).

Blood Test May Help Define Breast Cancer Risk

The effort to develop a blood test to reveal a woman's risk for breast cancer may be one step closer to fruition, but is still far from becoming a reality, according to a new study.
 
The researchers found that blood hormone tests may predict the risk for developing postmenopausal breast cancer up to 20 years after a blood sample was taken.
But the study has limitations and needs to be replicated and expanded, said Dr. Xuehong Zhang, lead author and an epidemiologist at Brigham and Women's Hospital in Boston.
 
If the research is confirmed by other studies, women could have their blood levels of so-called "sex hormones" such as estradiol, testosterone and the androgen DHEAS (dehydroepiandrosterone sulfate) assessed every 10 to 20 years to get a biological assessment of their breast cancer risk, Zhang explained.
 
"We're thinking that the addition of hormone levels to our current risk prediction models might improve our ability to find high-risk women who would benefit from additional screening or prevention," he said.
 
The research was scheduled for presentation Thursday at the annual cancer prevention conference of the American Association for Cancer Research (AACR) in Anaheim, Calif.
Although it has been established that levels of estrogen and androgen in the blood can be associated with the risk of postmenopausal breast cancer, researchers haven't known how far into the future that risk prediction might go, Zhang said.
Working with participants in the Nurses' Health Study, a large and long-running effort to study women's health issues, blood samples were collected in 1989 to 1990, and then again in 2000 to 2002. Only postmenopausal women not taking hormones were eligible for this study. The researchers found 796 cases of diagnosed breast cancer through June 2010.
 
The study showed that women with hormone levels in the top quarter for estradiol, testosterone and DHEAS had a 50 percent to 107 percent greater chance of developing breast cancer as compared to women in the lowest quarter. Elevated hormone levels were also associated with recurrent or fatal breast cancer.
 
Those women in the highest quarter for sex hormone-binding globulin (SHBG) -- which has been understood to reduce the cancer-causing effects of some hormones -- had a 30 percent lower risk for breast cancer compared to those with SHBG levels in the lowest quarter.
 
The researchers also found that elevated levels of estrogen increased a woman's risk for hormone receptor-positive breast cancer.
 
Tests for the levels of these hormones are available now, but the results are often uncertain because laboratories vary greatly in how they define and interpret the results, Zhang said.
 
A breast cancer expert urged caution in interpreting the study.
 
"I would ask, if you're postmenopausal and have elevated levels of these hormones, should you potentially turn off your body's hormones [to help prevent breast cancer]?" asked Dr. Julie Gralow, director of breast medical oncology at the Seattle Cancer Care Alliance.
 
"If the hormones are good for your bones, your heart and maybe the brain, should you do anything to reduce them if you're perceived to be at some increased risk? It could affect your health negatively [to try to reduce those hormone levels]," Gralow said.
 
Should such a blood test become available, Gralow said she would want women to balance their potential risk of breast cancer against the danger of other diseases and conditions, including osteoporosis and fractures, heart disease and even dementia. "This is an interesting finding that needs to be put into the perspective of the total health of the postmenopausal woman," she said.
 
Risk factors for breast cancer currently include aging, genetics, race and ethnicity, family history and a personal history of breast cancer, among others, according to the American Cancer Association.
Because this study was presented at a medical meeting, the data and conclusions should be viewed as preliminary until they are published in a peer-reviewed journal.

More information
Learn more about breast cancer risk factors from the American Cancer Society.
Copyright © 2012 HealthDay. All rights reserved.
 
 
 

Protect Your Kids From Pollen Allergies

Many children suffer allergies at this time of year as trees and other plants start releasing pollens into the air. So parents need to monitor their youngsters for symptoms, an expert says. 
"There are different types of allergies, but if you notice that your child has more symptoms and reactions during the spring it‘s a clue that they have a pollen allergy," Dr. Joyce Rabbat, a pediatric allergist at Loyola University Chicago Stritch School of Medicine, said in a Loyola news release.
 
Symptoms of pollen allergies -- which are most likely to be worse on dry, windy days -- include itchy eyes, sneezing, stuffy/runny nose, coughing and asthma.
 
"If your child‘s allergy symptoms are interfering with his or her daily life, there is no reason to let the child suffer. Allergy symptoms are very treatable. Some people think it‘s just something they need to ‘live with‘ but that‘s not the case," Rabbat said.
 
She said parents can take the following steps to help reduce children‘s allergy symptoms:
  • Check pollen counts and limit children‘s time outside when the counts are high.
  • Keep windows and doors closed, especially on high-count days. This will help limit the amount of pollen that lands on furniture and carpets. Turn on your air conditioner to filter pollen from the air within your house.
  • Have children wash their face and hands when they come in from outdoors. A shower and change of clothes can take pollen off the body.
"If your child is active outdoors or in sports, make sure he or she takes allergy medication before heading outside," Rabbat said.
 
Parents also need to watch for asthma symptoms because many children with allergies also have allergic asthma. Symptoms of allergic asthma include coughing, shortness of breath, rapid breathing, wheezing and a feeling of tightness in the chest.
 
"Often treating children‘s allergies helps to control their asthma as well. Kids may need to take an allergy medicine before going outside, or they may need daily allergy medication. It‘s also important to get ahead of your allergy symptoms. Once allergies are flaring, they become more difficult to treat. If you are on a good medication regimen before the pollens peak, it makes for a much more enjoyable season," Rabbat said.

More information
The Nemours Foundation has more about seasonal allergies in children.
Health News Copyright © 2013 HealthDay. All rights reserved.
 
 

Monday, May 6, 2013

Triathlon Training:

While training it is important to have a diet that is made up of a balance of foods. The nutritional breakdown should be: 55-65 percent carbohydrates, 10-20 percent protein and 20-30 percent fat. Prior to training you want to eat an easily digestible meal about 1 to 2 hours ahead of time. If you are working out for longer periods of time, over an hour, you might need an intermittent snack to keep you going. If so this should be no more than 15 grams of carbohydrate, such as a banana or a bar. After a workout you should have a balanced meal within 30 minutes for optimal recovery for the workout. A perfect recovery meal might be chocolate milk or peanut butter on whole grain braid. In terms of fluids you should take in 16 to 20 ounces of fluid two hours prior to exercising.  Fluid intake should be about 8 ounces for every 20 minutes throughout your work out.  After working out it is critical to replenish your fluid intake.  

Skillet Shrimp and Tomatoes with Feta

This one-skillet dish features bold flavors of shrimp, cherry tomatoes, feta, and a few other ingredients for simple elegance prepared in mere minutes. Serve with pasta. 
 
Makes about 4 (1-cup) servings
 
1 tablespoon olive oil
1 onion, chopped
1 teaspoon minced garlic
4 cups cherry tomatoes, halved if large
1 pound medium peeled shrimp
1 teaspoon dried oregano leaves
1/2 cup white wine or fat-free chicken broth
2 tablespoons chopped parsley
Salt and pepper to taste
2 tablespoons crumbled, reduced-fat, feta cheese
 
1.  In large nonstick skillet coated with nonstick cooking spray, heat oil and sauté onion 3 minutes.
2.  Stir in garlic and tomatoes, cook 3 minutes. Add shrimp and oregano, continue cooking and stirring 3 minutes longer.
3. Add wine, parsley, season to taste. Continue cooking until shrimp are done and sauce slightly thickens with tomatoes. Sprinkle with feta, serve. 
 
Nutritional information per serving:
Calories 196, Calories from fat (%) 25, Fat (g) 6, Saturated Fat (g) 1, Cholesterol (mg) 170, Sodium (mg) 279, Carbohydrate (g) 14, Dietary Fiber (g) 3, Sugars (g) 9, Protein (g) 21, Diabetic Exchanges: 3 vegetable, 3 lean meat
 

From Holly Clegg’s Gulf Coast Favorites:  30 minute recipes from my Louisiana Kitchen

Recipe from Holly Clegg’s Gulf Coast Favorites!
This and many other great recipes can be found on her website:
http://www.hollyclegg.com
 

Many Stroke Patients Don‘t Call 911

TUESDAY, April 30 (HealthDay News) -- More than one-third of people having a stroke don‘t call 911, even though that‘s the fastest route to potentially lifesaving treatment, a new study reports.
 
"Prompt diagnosis and early management is essential to decrease morbidity and mortality after stroke," said lead researcher Dr. James Ekundayo, an assistant professor of family and community medicine at Meharry Medical College in Nashville, Tenn. "If about one-third does not arrive by ambulance, the implication is that they will have delayed evaluation and treatment with lifesaving drugs," Ekundayo said.
 
For patients with ischemic stroke -- a blood clot blocking a blood vessel in the brain -- prior research has shown that administration of clot-busting drugs within two hours of symptom onset greatly reduces the odds of disability three months later. Ischemic stroke is more common than hemorrhagic stroke, which occurs when a blood vessel bleeds into the brain.
The study -- published April 29 in the journal Circulation: Cardiovascular Quality and Outcomes -- looked at how more than 200,000 stroke patients arrived at hospital emergency rooms from 2003 to 2010. About 64 percent arrived by ambulance and the rest used other forms of transportation, the researchers found. Patients who used emergency medical services (EMS) had shorter pre-hospital and in-hospital delays, the study found.
 
"They arrived early, had prompter evaluation and received more rapid treatment," Ekundayo said. Time to treatment is faster partly because EMS notifies the receiving hospital about the patient, "and the emergency room staff is ready to act as soon as the patient arrives," Ekundayo added.
 
EMS teams also know which hospitals have advanced stroke care and can take patients directly there.
 
Calls to EMS were less frequent among minority groups and in rural areas, the researchers found. Dr. Ralph Sacco, past president of the American Heart Association, said this finding shows a need for "more focused education campaigns on the importance of calling 911 among these groups." Sacco, chairman of neurology at the University of Miami Miller School of Medicine, said this study "amplifies the need to call 911 if you think you are having a stroke."
 
Experts say "time is brain," meaning the faster a stroke patient gets to the hospital, the better the outcome. Among patients who arrived within two hours of symptoms starting, 79 percent had come by ambulance. About 61 percent who called 911 got to the hospital within three hours, as opposed to 40 percent who didn‘t call EMS, the study found.
 
About 55 percent of the ambulance callers had a brain scan within 25 minutes of arrival at the emergency room, compared with 36 percent who didn‘t use EMS. Those eligible for a clot-busting drug received it sooner if they used an ambulance: 67 percent using EMS got the drug within three hours of symptoms starting compared to 44 percent who didn‘t call EMS.

Those who didn‘t call 911 were likely to say they didn‘t want to be a bother, or they didn‘t recognize the severity of the symptoms, the study authors said. Each year in the United States nearly 800,000 people have a new or recurrent stroke. Recognizing stroke symptoms and calling EMS are the best way to improve the outcome, the experts said. Experts recommend using the acronym F.A.S.T. as a simple way to remember the symptoms of a stroke.        
Here are the signs: 
 Face drooping: Is one side of the face drooping, or is it numb? Ask the person to smile
 Arm weakness: Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift down?
 Speech difficulty: Is speech slurred, or is the person unable to speak or hard to understand? Can the person repeat a simple sentence, such as "The sky is blue"?
 Time to call 911: If any of these symptoms exist -- even if they go away -- call 911 and get the person to a hospital immediately.
 
More information For more information on stroke, visit the National Stroke Association. Health News Copyright © 2013 HealthDay. All rights reserved.

Attn: Pregnant Women!

WEDNESDAY, Oct. 24 (HealthDay News) -- All pregnant women should be vaccinated against whooping cough, preferably in their last trimester, a panel of U.S. advisers recommended Wednesday.
 
Getting vaccinated during pregnancy means a mother can pass immunity to whooping cough to her baby, the U.S. government panel explained. Whooping cough, also known as pertussis, is a highly contagious bacterial disease that attacks the respiratory system.

The recommendation comes at a time when the United States is on track to record the highest number of whooping cough cases since 1959, according to the U.S. Centers for Disease Control and Prevention. So far, more than 32,000 cases have been reported and 16 people have died, most of them infants.
 
Of the infants who get pertussis, 30 percent to 40 percent get it from their mothers, and more than half need to be hospitalized. Of those hospitalized, one in five gets pneumonia and one in 100 dies, according to the CDC.
"This is a very good idea," said Dr. Marc Siegel, an associate professor of medicine at NYU Langone Medical Center in New York City, said of the recommendation. "This vaccine is safe during pregnancy," Siegel noted, with an annual flu shot being the only other vaccination approved for pregnant women.
 
The pertussis vaccine's protection only lasts 10 years, which may be one reason why there's an epidemic of this respiratory disease, Siegel said. Since infants can only start getting the pertussis vaccine at 2 months of age, they must rely on the immunity passed to them by their mothers, he said.
 
"The best way to protect the infant is to protect the mother," Siegel said. "If you give vaccine to a pregnant woman you are going to get some degree of protection [for the infant]."
 
Siegel said that immunity is also passed to the infant through breast milk, a process called passive immunity.
The expert panel, known as Advisory Committee for Immunization Practices, specifically recommended that all pregnant women be given a so-called T-dap vaccination, which protects against tetanus, diphtheria and pertussis, for every pregnancy. The CDC typically follows the panel's recommendations.
 
If a woman wasn't vaccinated during pregnancy, she should get vaccinated immediately after giving birth, the panel added.
 
If the new recommendations were followed, there would be a 33 percent reduction in cases, a 38 percent reduction in hospitalizations and a 49 percent reduction in deaths, according to CDC spokeswoman Alison Patti.
 
In 2011, the panel recommended that only pregnant women who had not had a T-dap vaccination be vaccinated, but only 3 percent of pregnant women got the vaccination after that recommendation, Patti said.
 
Dr. Marcelo Laufer, a pediatric infectious diseases specialist at Miami Children's Hospital, added that "this is long overdue."
 
Usually, when a woman becomes pregnant, her immunity against pertussis has worn off since she was probably vaccinated as a teen, which is why it's important to be re-vaccinated, he said.
 
Laufer also believes that any adult likely to be in contact with a newborn should be vaccinated. This includes fathers, grandparents and other family members, he said.
 
Pertussis is known for uncontrollable, violent coughing that often makes it hard to breathe. After coughing fits, sufferers often need to take deep breaths, which results in a "whooping" sound. Pertussis most often affects infants and young children and can be fatal, especially in infants under the age of 1, according to the CDC.
 
 
 
 
 

Financial Reality & Fitness

Any story or study that has the word “poverty” or related words glides onto my radar. As a financial consultant for 5 years at a major Wall Street firm, my Earth-Mother-in-a-Suit nickname was born as a result of focusing on socially responsible investing. In short, that meant finding companies for clients who wanted their investments to be mission consistent with their values. So if clients didn’t support alcohol, animal testing, firearms or tobacco, they didn’t want any part of their portfolio to be a company that did either.
 
In my working with corporations that were designated by Wall Street as suitable socially responsible investments, I found that some companies didn’t really care about being socially responsible until you could show them that having great employee benefits, or super recycling programs, for example could save the company money.
 
It was this education that inspired me to write my book. Harry Dent and other gurus have long been predicting a huge economic slow-down as the baby boomers retire. No matter how much you may hear on the news that the economy is improving, many polls show that most Americans believe we may have seen our prime. A growing number believe the studies that show the disparity between the income classes will keep growing; in short, the rich will get richer and poor, poorer.  My husband recently saw someone fill up a huge pleasure motorboat at the dock with 1000 gallons of diesel fuel at more than $4 a gallon!
 
Contrast that with this CBS News survey: one in two Americans are concerned that they will not be able to afford the holiday gifts they would like to buy.
 
The latest US census figures say that 1 in 6 Americans live below the poverty level of $22,000 for a family of 4. As any financial planner will tell you, 1/4th of your income should go to food. Some stories that say Americans are spending up to half their income on food. Taking the 1/4th percentage, this works out to $4 a day for food. So that means that 1/6th of America is already living on a food budget of $4 a day.
 
I wrote my book after I saw many stories on the news showing obese women, some on food stamps, loading their grocery carts with Twinkies saying, “You can’t eat well on a budget.”
 
I spent the past 3 years on the floors of big-box stores tracking food prices. I believed that if you could show how cheaply people could eat, they almost wouldn’t care what it was that they were eating. Show them how much better they would feel, and as a result of feeling better, how much money they could save by avoiding disease, doctors and hospitals, they would flock to the vegan table. The price of dry beans is 1/6th the cost of the cheapest (30% fat) hamburger meat. Add that up over a lifetime, and the savings are significant.
 
My own family history would appear to be a testimonial to the health of eating this way. I ran my first marathon in 2010 and continue to place in my age group at 5K races. I’ve helped coach our high school girls’ cross-country team.
 
I’ve only met 2 people who say they have my identical family history. My mom, aunt and both sisters had breast cancer. One of those sisters, both parents and all grandparents had diabetes and major heart disease. My mom, uncle and grandmother had Alzheimer’s. Most adults had osteoporosis, arthritis and varicose veins. I have none of it. I didn’t get all the good genes. Genes take a trigger. I keep asking to be studied. Either I am a genetic freak or I’m doing some things right. But since there’s no money in broccoli, I may be waiting awhile. You’d think doctors and researchers would be pounding a path to my door asking, “What has she been doing differently these past 32 years?” Alas…no money in broccoli, as I say in my talks all over the US and in my book. No broccoli board, association or lobby.

 
Changing your diet is so much easier than losing a limb to diabetes or having your chest cracked open for heart disease. The money it takes to maintain a healthy lifestyle is much less than the cost of living a debilitating life from diseases that can be easily prevented. Every time I buy running shoes, I think, “It’s cheaper than a co-pay. It’s cheaper than MRI.”
 
 
 

 
Ellen Jaffe Jones works online and in gyms as a certified personal trainer (AFAA), running coach (RRCA) and the author of the bestseller, “Eat Vegan on $4 a Day.” She can be reached at www.vegcoach.com