• A child’s body temperature rises three to five times faster than an adult’s. When a child is left in a vehicle, that child’s temperature can rise quickly — and the situation can quickly become dangerous.
• Heatstroke begins when the core body temperature reaches about 104 degrees.
• A child can die when their body temperature reaches 107 degrees.
• When temperatures are in the 60s, a car can heat up to more than 110 degrees, according to the National Highway Traffic Safety Administration.
• Parents should never leave their children alone in a car. Rolling a window down or leaving the air conditioning on while the motor runs is not enough to keep them safe.
• Young children can’t express they are too hot or thirsty, and “often they don’t have the awareness of how to cool themselves off.
• If you see a child in a car suffering from heat stroke, you should immediately remove the child from the vehicle and take her or him into a nearby air-conditioned building.  If you can’t open the car, call the police immediately.
• If you notice that the child is either lethargic or unresponsive, then, of course, you want to call 911. But while you’re waiting you can also cool the child down by pouring cold water over them or fanning them. You just want to get them out of the hot environment as soon as possible.”

Sometimes, when kids are left behind in cars, it’s because parents have forgotten they are there. Luckily, there are steps you can take to remind yourself. Among them:

• Make a habit of checking your vehicle from front to back before you lock the door and leave your vehicle.
• Place something you know you’ll need, such as a purse or briefcase, in the back seat of the car so you’ll remember to see your child there, too.
• Leave a note in your car where you know you’ll check it before leaving.
•  Ask your childcare provider to call you if your child does not show up. Because, in some cases, a child may be left in a vehicle or bus carrying many children.
• The risk of hot car death is just as high when children have access to unlocked car doors in their driveway or parking lot.
• Noe says it’s important to teach your kids not to play in or around cars.
• Make sure to keep your car doors and trunk locked and to store your car keys so they’re out of your child’s reach.

Furry family members inside a hot car are in just as much danger as your kids. Your pets could suffer organ damage or die after being left in a hot vehicle, according to the Humane Society of the United States. Call the police or a shelter if you see an animal that may be suffering from the heat inside a parked vehicle.

What happens during heat stroke?

Heat stroke occurs when your body can’t control its temperature, which can rise to 106 degrees or higher within 10 to 15 minutes, says CDC. Young kids are at high risk because their bodies heat up quickly. When a child’s temperature reaches 107 degrees, it can be fatal, says NHTSA. On average, one child dies every 10 days in the U.S. due to heat stroke after being left unattended inside of a car, according to Safe Kids Worldwide.

Signs that someone may be suffering a heat stroke are dizziness, a rapid pulse and skin that is hot and dry without signs of sweat.

Reprinted with permission from The Nation’s Health, APHA.

The post Check that Backseat (Preventing Child Hot Car Deaths This Summer) appeared first on Black Health Matters.

Kelly Larson, Injury Prevention Lead at Bloomberg Philanthropies, says, “The increase in drowning deaths in the United States, as well as drowning being the leading cause of death among 1-4 year-olds, led us to expand our investment to include drowning, prevention efforts here.” The focus will be on data collection in the ten states that make up half of the drowning tragedies: Alaska, Arizona, California, Florida, Georgia, Louisiana, Michigan, New York, Oklahoma, and Texas.

Larson points out that children under five are at the highest risk of drowning. In the U.S., they have focused their swim education efforts on an older demographic. “In the United States, we plan to provide swim instruction to 20,000 children ages 6-15, being very diligent in identifying local organizations who can offer swim lessons to those who need it most,” the Prevention Lead says. “Bloomberg Philanthropies will support the CDC Foundation in partnership with the U.S. Centers for Disease Control and Prevention to work in select, high-burden states to provide basic swim and water safety skills instruction in most affected populations. We are working with local organizations in these communities to offer the lessons.”

The $60M investment is expected to fund programs globally through 2027. “As part of this commitment, we are also evaluating safety policies, including pool fencing and personal flotation devices here in the United States, to see how we may advocate for stronger laws,”  Larson says. “We recognize that drowning is the leading cause of death for 1-4-year-olds and want to take a hard look at some of the drowning prevention policies in each state. We want to understand better what policies are in place and identify opportunities to strengthen policies that will reduce drowning.”

The post Bloomberg Philanthropies Donates $60M to Prevent Drownings appeared first on Black Health Matters.

In her book, Dr. Harden Bradford has given us a contemplative roadmap that allows us to slow down, do some inner reflection, and learn from the insights so we can find healing, but it is an experience we can also do with our friends.

We discussed how our true sister-friendships add to our lives, allowing us to take off the masks we use as protection and be vulnerable. But our attachment styles (one of four ways we connect with our parents) also appear in our adult relationships and factor into our friendships. Helping us understand that we all approach relationships differently.

She also provides insight into friendship breakups and why they can be as devastating as relationships ending. And how to have a productive conversation with a friend who seems to make everything about her.

Finding a therapist can be challenging. Dr Harden Bradford tells us when we might be ready to explore therapy. She gives us some keys to navigating the process and empowers us to feel no obligation to stay with a therapist who doesn’t work for us. And gives us some realistic ways to navigate our progress.

She also believes that we shouldn’t shy away from group therapy. One reason is that the hurts we experience are often within our community, and we should use community to heal. Often, we think we are alone with our challenges, but the experiences of others can offer us new insights.

She delves into how and why the bonds between Black women have cultural, historical, and emotional significance.

Listen to our full chat here.

The post Dr. Joy Harden Bradford on Sisterhood, Healing and The Power of Community appeared first on Black Health Matters.

A recent report from McKinsey called The State of Black Resident’s Report examines where we live and the factors that improve or impede our economic prospects. According to their research, 30% of us live in twelve megacities (urban centers), 7% of us live in high-growth hubs (think Austin, Charlotte, Minneapolis, and Silicon Valley), 12% of us reside in the suburbs, and 19% make our homes in what is categorized as stable cities (Jacksonville, Cincinnati, St. Louis) and independent economies (like Lancaster, PA and Winston-Salem, North Carolina).

According to McKinsey’s findings, “Black outcomes are generally better in suburban and high-growth areas where Black residents are underrepresented.”

Why is this the case, you might ask?

Across the U.S., suburban neighborhoods have the highest overall Black outcome scores. These areas are reported to be the top indicator of the critical metrics, “such as median household income ($79,000), workers in management roles (36 percent), life expectancy (78 years), and bachelor’s degree attainment (29 percent).” However, only 52% of Black suburban dwellers own their homes compared to 62% of white residents.

Coming in second are high-growth hubs like Seattle, Las Vegas, and Silicon Valley, where few live. But while there is great potential there, our underrepresentation in tech jobs and the high cost of living, including exorbitant housing, makes it a less financially stable option for us.

Interestingly, we outearn our peers nationally when we live in megacities. When we chose these urban and urban-adjacent areas, we faced longer commutes and high housing costs. And we are paid “roughly 60 percent of what white megacity residents do.”

For all our communities to reach the same economic outcomes as those living in suburban communities would take 10 to 30 years.

Where has the Black population decreased in the past decade?

“Over the past decade, the Black population declined in large cities and rural counties while growing in the suburbs,” according to McKinsey. This type of movement is something that has been happening for decades. The Black population has been moving out of urban areas and into the suburbs since the 1960s when the Civil Rights Movement began to dismantle segregation laws. This shift was accelerated by white flight from cities in response to desegregation efforts.

Despite moving from urban cities to the suburbs, “Less than 0.1 percent of the Black population lives in a county close to parity.”

This research reminds us that the racial wealth gap is not just an issue of income inequality but also one of opportunity. It is essential to recognize that our community faces unique challenges in our pursuit of economic mobility, and it is critical to address those challenges head-on. Without change, the report indicates it would take 300 years for all the communities we live in to reach parity with our white counterparts.

The post Cities or Suburbs: Where Do We Thrive Economically? appeared first on Black Health Matters.

Karen Good Marable and Nailah Elridge were brought together through the shared caregiving experience. Both Karen and Nailah were caregivers for their parents with dementia—an illness that causes a decline in mental ability and is not a normal part of aging. Through sharing their stories, the new friends recognized the relief of having someone to talk to and the role of this support in healing. This is what sparked the creation of the Refresh My Memory podcast.

‘Refresh My Memory’ is an ongoing conversation that digs deep into what life looks like from the lens of a caregiver.

Multi-hyphenate hosts Karen and Nailah take you through their journeys, from noticing the small changes in their parents to getting and living with official diagnoses.

Within our community, it isn’t uncommon that we often put off, ignore, or deny concerns about our health due to historical marginalization and disparities in healthcare spaces. By opening the door to conversations around health, caregiving, and dementia, Karen and Nailah are raising awareness while building a community we can rely on for support, advice, and healing.

With the holidays at our front door, managing all our roles while caregiving for our loved ones can be challenging. When asked for tips and advice for managing the holidays as a caregiver, Karen and Nailah had this to offer:

Keep gatherings early in the day.

Sundowning is a set of dementia symptoms that include anxiety, disorientation, and agitation. Making the most of the daytime hours can mean getting the best from your loved one without interrupting their evening routine.

Enroll everyone in helping.

Caring for a loved one is a shared responsibility. Ask friends and family to step in when and where necessary to help spread the love. This can ensure no one person is overwhelmed or left out. And if possible, Karen says including your loved one in activities can also help them feel included.

Keep it small and make everyone aware of the diagnosis.

An inner-circle-only gathering reduces sensory overload. You want your loved one to feel supported and comfortable. Karen suggests ensuring guests are aware of any diagnosis to communicate respectfully and avoid trigger phrases such as, “Remember when…”

Make time for yourself.

Take some moments for yourself, “even if it’s an hour alone to sit in the bathtub and read or have a glass of wine,” Nailah says. You can’t pour from an empty cup, so be sure to replenish yourself.

Take pictures and enjoy the moment.

Holidays are synonymous with family time. Appreciate every moment at hand. Taking it up a notch with pictures is a tip Nailah says helped their family during their first post-diagnosis holiday season. Putting pictures of their family at her dad’s bedside was a way to include him in the festivities and bring him comfort.

Keep traditions alive.

Karen emphasizes keeping traditions as close to “normal” as possible. From gift exchanges to favorite foods, keeping the environment familiar to your loved one may help ease them from any anxiety, confusion, or irritation they may experience. And while you’re gifting, keep those as practical as possible.

Caregiving is an experience that can be swept under the rug or buried under the many hats that we all wear. Too often, even the position of caregiver is assumed based on birth order, geographical proximity, financial status, and more. Though we may not talk about it, many of us can relate. For a parent, child, and everyone in between, caregiving is an ever-changing responsibility that affects many. It’s not an easy job, and it deserves to be recognized this month and every month. Happy National Family Caregivers Month.

Join Karen, Nailah, and their community in spreading awareness about life as a caregiver. Season one of ‘Refresh My Memory’ is available for streaming now. Stay tuned for more in the new year as Karen and Nailah gear up for Season 2, where they hope to expand to include voices from all experience backgrounds.

“When you’re in the thick of it, you think you’re alone. But you’re not alone.”

You can also find Refresh My Memory on Instagram or visit their website.

The post 6 Tips For Navigating Caregiving During the Holidays appeared first on Black Health Matters.

Consider Budget

“Whenever you’re doing an event, you have got to start with the numbers first, whether that’s a large-scale event or an intimate event in your own home,” said Johnson.

Make a Realistic Guest List

It’s tempting to throw a grand shindig where everyone you’ve ever double-tapped on Instagram is welcome, but that is only feasible for some people. “If you have a smaller number, you can create a more elevated experience for those in that room of a few,” Johnson pointed out.

The ideal number of guests is determined by your setup.

“For a sit-down, you do a hundred percent seating, meaning that if you have ten seats, then you invite ten people,” she continued. The seating requirements for gatherings that do not require place settings are a bit more lax. “If it’s a cocktail or more of a house party style, you can do as low as 50 percent [seating]. That’s the minimum that will typically do,” Johnson explained. The seating sweet spot for most affairs is between “50 and 75 percent.”

Divide The Labor…In Advance

“Parties are great, but clean up can be a heavy lift,” said Johnson. “If you already have a housekeeper, just notify them you’re having a party.” Keeping your housekeeper informed can help get your home back on track quicker. “They can adjust their schedule around what you’re having in your home,” she explained. If this is not a service you usually splurge on, you can still get help on the fly. “If you don’t normally have a cleaning team, you can use services like TaskRabbit,” said Johnson. If enlisting hired help is not an option, you can ask those “dearest and closest to you.” “If hiring is not an option, just get some help in advance so that you’re not overwhelmed,” said Johnson. Avoid awkward interactions by designating responsibilities ahead of time. “Usually, people don’t mind, but you don’t want to spring it on people,” Johnson advised.

Plan The Menu Thoughtfully

Inclusion is always in style. Please remember to ask your guests about any dietary restrictions before the event so that you can make sure they’re comfortable.

Do not assume that because someone was drinking alcohol and eating meat or cheese the last time you saw them, they will still be doing so on the day of your function.

Labeling items on a table or passed tray helps avoid issues as well. Everyone will be informed about their options to make the right decision.

Pick Unique Post Dinner Activities

Instead of pulling out the card games, cigars, and cognac, try something new by adding a charitable element to your party this holiday season. “Social impact is the new black,” declared Johnson. “So post dinner. I see that as a great opportunity to make baskets that can be taken down to food shelters or given to groups already collecting holiday items.” “You can wrap toys,” she added. “As we know, this economy has created a scenario where the food pantries have more demand than they can even supply, and many people are losing their jobs. So, as a part of your invitation, ask people to bring a gift or an item aside after dinner,” she continued. “What’s better than a Friendsgiving but by blessing others?”

The post 6 Steps To Planning a Memorable Friendsgiving appeared first on Black Health Matters.

CKD impacts over 37 million U.S. adults, but African Americans, Hispanics, American Indians, and Alaska Natives are at higher risk and more likely to develop the condition. This is likely due to higher rates of some chronic conditions such as diabetes and high blood pressure that exist in these communities. Additional research is needed to better understand the exact cause of these disparities.

Your heart and kidneys may appear far apart but are intricately linked through your blood vessels. Any condition that affects one of them can affect the other too. There is a direct link between heart disease and kidney disease; having one greatly increases your risk of having the other. Understanding the relationship between these two conditions is essential to managing them.

The Link Between CKD and Heart Disease

Chronic kidney disease can cause or worsen heart disease. Both conditions share similar risk factors, including age, excess weight, diabetes, and high blood pressure.

Heart disease includes several heart conditions, with coronary artery disease being the most common. Other conditions include heart attack, arrhythmias, and heart failure.

Ways to Lower Your Risk

Your care team can help you manage kidney disease effectively to minimize complications, slow down disease progression, and reduce your risk of developing heart disease. Here are practical steps you can take to lower your risk:

• Follow up with your healthcare provider regularly. Regular medical checkups promote early detection of kidney and heart disease. Your provider may monitor your blood pressure, blood sugar, and cholesterol.
• Maintain a healthy weight. Maintaining a healthy weight helps lower your risk of other health conditions.
• Adopt a healthy diet. A diet rich in vegetables, fruits, and fiber helps keep your protein and potassium levels stable and your kidneys working well. You should work closely with your healthcare team to assist you with planning healthy meals.
• Exercise regularly. Aim for 30 minutes of exercise per day such as going for a brisk walk around your neighborhood.

Why You Should Consider a Clinical Trial

The progression of kidney disease can lead to kidney failure. More than 30% of people with kidney failure are Black. Alarmingly, less than 10% of participants in clinical research represent the Black community. Historically, clinical trials do not appropriately represent the minority populations who are most at risk of being negatively impacted. The bottom line: clinical trials need diverse participants.

Clinical trial diversity is important to help researchers better understand how different groups may react or respond to treatment. You can make a difference. Participating in a clinical research study allows you to be actively involved in your healthcare, have access to investigational medication, and help others by progressing medical research. Talk to your healthcare provider if you are interested in clinical research to determine if it is a good option for you.

There is an ongoing study testing whether an investigational medication can reduce the risk of stroke, heart attack, and death from cardiovascular causes. Click here to learn more.

This article is sponsored by Novo Nordisk.

References

1. Cardiovascular Disease in Chronic Kidney Disease | Circulation
2. What Is Chronic Kidney Disease? – NIDDK.
3. Chronic Kidney Disease (CKD): Practice Essentials, Pathophysiology, Etiology
4. Chronic Kidney Disease and Cardiovascular Disease: Is there Any Relationship? – PMC
5. The Surprising Link Between Chronic Kidney Disease, Diabetes, and Heart Disease.
6. Coronary Artery Disease – StatPearls – NCBI Bookshelf
7. Heart Disease & Kidney Disease – NIDDK
8. Diversity in Clinical Trials – American Kidney Fund

The post Kidney Disease and the Heart: Importance of African American Participation in Clinical Trials appeared first on Black Health Matters.

After a lifetime of facing racial and health inequities, Black seniors are confronted with the daunting prospect of spending their twilight years with declining health, limited income, and virtually no savings. The disparities in health outcomes, economic opportunities, and access to quality care have placed them at greater risk, particularly during the COVID-19 pandemic. This article explores the critical issues surrounding elder care in the Black community, including the alarming health disparities, cultural norms, and challenges that impact the quality of life for older Black Americans.

Health Disparities

1. Chronic Health Conditions: Numerous studies have shown that Black Americans suffer from a higher prevalence of chronic health conditions, including high blood pressure, diabetes, cancer, and Alzheimer’s disease. These conditions not only reduce their life expectancy but also lead to a diminished quality of life.
2. Healthcare Access: Generations of racial discrimination have resulted in limited access to quality healthcare for Black individuals. They often receive lower-quality care and face barriers in accessing essential medical services.
3. COVID-19 Impact: The COVID-19 pandemic has disproportionately affected older Black Americans, resulting in higher infection and mortality rates. Lack of access to healthcare, distrust of institutions, and comorbidities have compounded the crisis.

Economic Inequities:

1. Wealth Gap: Historical economic racism has left many Black seniors with low wages, low homeownership rates, and minimal savings or investments. The wealth gap between Black and white Americans is substantial and continues to grow.
2. Retirement Savings: Many older Black Americans lack retirement savings, with fewer participating in employer-sponsored retirement accounts like 401(k) plans. This leads to reduced financial security in their later years.
3. Social Security Reliance: A significant portion of Black seniors heavily relies on Social Security as their primary source of income. However, the average Social Security benefit is insufficient to cover essential expenses.

Cultural Norms and Family Dynamics:

1. Cultural Values: Providing care for elderly family members is deeply ingrained in Black culture. Many Black caregivers view it as a duty and privilege, to find meaning and purpose in caring for their aging loved ones.
2. Strong Community Networks: Historically, Black families have relied on strong community networks, including churches and extended family, to provide eldercare support. This has shaped cultural norms around caregiving.
3. Distrust of Institutions: Deep-seated mistrust of healthcare and government institutions, rooted in historical injustices such as the Tuskegee syphilis study, leads many older Black Americans to be hesitant about seeking outside help or institutional care.

Challenges and Solutions:

1. Increased Outreach: Healthcare providers and community organizations must engage in targeted outreach to build trust and provide culturally competent care to older Black individuals.
2. Economic Empowerment: Initiatives to address economic disparities, improve access to education, and promote financial literacy can help Black seniors accumulate wealth and retirement savings.
3. Caregiver Support: Acknowledging the vital role of caregivers, particularly in the Black community, and offering support services, respite care, and educational resources can ease the caregiving burden.
4. Culturally Relevant Healthcare: Healthcare professionals should receive cultural sensitivity training to better understand the unique needs and concerns of older Black patients.

Addressing these issues surrounding elder care in our community requires a comprehensive approach that prioritizes healthcare access, economic empowerment, and culturally sensitive support systems. As we strive for equity and justice, it is crucial to ensure that older Black Americans receive the care, dignity, and respect they deserve in their later years.

The post Respect For The Aged Day: Why Elder Care Is Vital To The Black Community appeared first on Black Health Matters.

With her electrifying performances and powerful vocals, Tina Turner left an indelible mark on the music industry and became a role model for generations to come.

Born Anna Mae Bullock on November 26, 1939, in Nutbush, Tennessee, Turner rose to fame in the late 1960s as part of the Ike and Tina Turner duo. After emerging from her tumultuous relationship, Tina embarked on an iconic solo career that cemented her place as one of the most successful female pioneers in music history.

During the 1980s, Tina Turner’s comeback became the stuff of legends. She released a string of chart-topping hits, including “What’s Love Got To Do With It,” “Private Dancer,” and “The Best.” Her dynamic voice captured the hearts of millions of fans globally. With over 180 million albums sold and 12 Grammy Awards to her name, Turner’s impact on the music industry is immeasurable.

Tina Turner’s influence extended far beyond the music industry. Her life story was portrayed in the critically acclaimed 1993 biographical film “What’s Love Got To Do With It” and the 2021 Broadway musical “Tina – The Tina Turner Musical.” These productions brought her journey to a wider audience, spreading her message of strength and empowerment even further.

Beyond her musical and theatrical achievements, Tina Turner became an inspiration and role model, especially for the black community. Her resilience and determination in overcoming personal hardships resonated with many people, demonstrating that it is possible to rise above adversity and achieve success on one’s own terms. and empowerment to countless individuals.

In recent years, Tina Turner openly discussed her experiences of abuse, shedding light on an important issue and encouraging others to speak out against domestic violence. By sharing her story, she became a beacon of strength for survivors and an advocate for change. Her courage in confronting her past demonstrated the power of resilience and inspired others to find their own voices.

With her passing, the world has lost a true music legend and a cultural icon. Tina Turner’s impact on the black community and the music industry will continue to be felt for generations to come.

As the world mourns the loss of a musical icon, we celebrate the incredible legacy left behind by Tina Turner and the enduring impact she had on the black community and beyond. Rest in peace, Tina Turner. You will be dearly missed.

The post Legendary Queen of Rock ‘n Roll, Tina Turner, Passes Away at 83 appeared first on Black Health Matters.

What is chronic kidney disease? What are these healthcare disparities? What gene mutations make Blacks more susceptible to this disease? Read on for these answers and more.

What is Kidney Disease?

Kidney damage causing chronic kidney disease (CKD) is more common than you think. Diabetes and high blood pressure are the two most common causes, but many autoimmune disorders (like Lupus) also target the kidneys. Becoming severely dehydrated often or recurring urinary tract or bladder infections can contribute to kidney disease over time. Polycystic kidney disease is one type of this disease that is usually genetic, causes more kidney damage over time, and affects how well the kidneys filter blood.

When kidney function is compromised, one or both kidneys cannot filter blood as efficiently as necessary to keep you healthy. Toxins build up in the blood, making you feel sick and possibly damaging other organs. The condition may be temporary while you recover from an illness, but more often, the disease is long-term with a gradual loss of function.

Common Symptoms

Some signs of chronic kidney disease are easy to overlook because they can mimic symptoms of minor illnesses like dehydration. This could be feeling tired or having dark urine. If you already have diabetes, you may be used to swelling in your lower legs. However, some symptoms are a warning sign of chronic kidney disease, and you should address these with a healthcare provider as soon as possible.

• Nausea or vomiting
• Cramps or muscle spasms, especially in the lower legs
• Confusion or trouble concentrating
• Trouble sleeping
• Dry, itchy skin
• Metallic taste or poor appetite

Risk Factors for CKD

Many people are at increased risk of developing chronic kidney disease and aren’t aware, while many others already have lowered kidney function without realizing it. Kidney disease progresses quickly without treatment. If you have one or more risk factors listed below, you should discuss them with your healthcare provider.

• Diabetes
• High blood pressure
• Heart disease
• Over age 60
• Long-term use of pain relievers (particularly NSAIDs)
• Family history
• Ethnic background

Kidney Disease Treatment

The five stages of kidney disease range from very little damage and normal function in the early stages to end-stage kidney disease with little to no function. Complete kidney failure requires dialysis to remove the waste product from your blood and an eventual kidney transplant. CKD treatment will vary depending on kidney function, co-existing health conditions, and other factors. You will work closely with your kidney doctor, any other specialists needed, and your primary provider to ensure you can manage the progression of the disease as best as possible.

Why is Kidney Disease Different for Black People?

Any chronic illness brings many challenges, but Blacks facing CKD experience more of them. From biology and DNA to racism within the healthcare system, kidney disease differs for the Black community.

Systemic Racism

Racism has been ingrained within the healthcare system for decades. There are several ways in which Blacks experience systemic prejudice, including accessing or being offered healthcare resources or services.

Access to Healthcare

It is widely reported by research organizations, university publications, and others that healthcare disparities exist within the black community. Those living in poorer neighborhoods may not have access to well-equipped medical clinics or adequate health insurance. Many black Americans don’t have a primary healthcare provider for preventative care, even for such conditions as high blood pressure, or access to specialists like a kidney doctor, so early detection of most chronic illnesses is challenging.

The black population is less likely to receive testing for chronic illness if suspected, even routine urine tests, or be referred for advanced care if warranted. These healthcare access disparities are being addressed, but change has been slow, and has led to lower quality of life for many suffering from a long list of diseases and not just those affecting the kidneys.

Diagnosing Kidney Failure in African Americans

GFR is a standard blood test that measures the glomerular filtration rate, giving healthcare providers an estimate of how well your kidneys function. A long-standing belief within the medical community was that GFR results were higher for African American adults. There weren’t many clinical studies to support this theory, so a task force was created to reassess the notion. After ten months, no evidence was found, and the task force recommended that all healthcare providers immediately apply the same GFR equations to both African American and Caucasian patients. These tests are now more accurate and early detection is much easier.

Racial Bias in Transplants

NBC reported in February 2023 that changes had been made to how patients’ priority is determined when added to the kidney transplant waiting list. According to the report, Dr. Martha Pavlakis says that “the inclusion of race variables is inaccurate,” and the outdated GFR lab test is now banned. African Americans on the list will be credited with time, meaning they could receive a kidney transplant one to two years sooner than expected. Before this change, the average wait time for an African American was 64 months compared to 37 months for a non-Hispanic white person.

A study published by Current Transplantation Reports supports this, citing “structural racism” as a leading cause of Blacks’ lower access to living donor kidney transplantation (LDKT).

Co-existing Conditions

Diabetes and hypertension (high blood pressure) are the leading causes of kidney diseases. The Office of Minority Health at the US Department of Health and Human Services reports that there are nearly twice as many black Americans with diabetes than non-Hispanic white people. According to the American Heart Association, over half have high blood pressure. It is more likely to develop early and become more severe. Many fall into both categories as one is a risk factor for the other.

Other conditions are also risk factors for kidney disease, like cardiovascular diseases, disproportionately affecting the black community. Black women are especially vulnerable to autoimmune diseases, like Lupus, that attack the kidneys and sometimes lead to using NSAIDs to control joint pain.

Treatment for chronic kidney disease often requires treatment of underlying health conditions, which requires access to consistent healthcare and medications. In some communities experiencing economic disparities, this can create many challenges.

Genetic Predisposition

In addition to underlying medical conditions, a common gene mutation may increase their risk. Dr. Opeyemi Olabisi of Duke University describes this mutation and its effects for the New York Times. The APOL1 gene is found in the DNA of those with sub-Saharan or Afro-Caribbean ancestry as a defense against African trypanosomiasis. This disease, also called sleeping sickness, is caused by a parasite. While the normal gene has been helpful for millennia, those that inherit two copies of the mutated gene are much more likely to develop kidney disease. This is similar to a gene that naturally developed an immune response against malaria but made current generations more usceptible to sickle cell disease.

Medications currently being tested could help target these gene mutations to help treat chronic kidney disease in the black community at its source. Genetic testing may help determine who is at risk, but there’s no guarantee that a person with both mutations will develop the disease. However, knowing about their vulnerability could lead to high blood pressure and added stress, leading to another risk factor.

How Are Things Changing?

Thankfully, the healthcare system is slowly changing to ensure everyone gets the care they deserve regardless of race or income level. These changes are slow but happening nonetheless. Just a few of the transformations we’ve seen so far include the following:

• Addressing Social and Economic Disparities
• Better Access to Culturally-Competent Care
• Healthcare Education
• Preventative Medicine
• Better Understanding of Kidney Function
• Faster Referrals for Kidney Transplant
• Less Bias in Receiving a Transplant
• Genetic Testing When Appropriate
• Targeting of the APOL1 Gene

Chronic Kidney Disease in African Americans

It may take time for every community to see the effects of reform. Still, we hope that more awareness of these disparities will soon affect even more positive change, allowing those suffering from kidney disease to experience a better quality of life through every stage of the condition. Black Health Matters has the privilege of working with amazing people and organizations to help spread this awareness.

If you or someone you know is diagnosed with chronic kidney disease, know that there are studies and tests underway for new treatments and changes within healthcare every day to make getting those treatments easier once they are available.

The post The Realities of Kidney Disease Within the Black Community appeared first on Black Health Matters.

The Statistics

A 2018 study published in the American Journal of Obstetrics and Gynecology found that nearly 10% of women seen at Kaiser Permanente Washington in 2014 were diagnosed with uterine fibroids. Women age 50-54 had higher risk with nearly 16% diagnosed. However, Black women were most susceptible with over 18% of the diagnoses among all ethnic groups.

It’s important to note that many cases are asymptomatic and go undiagnosed. Researchers estimate that up to 80% could develop fibroids by age 50 and African Americans are up to three times more likely to develop them than White people. In addition, they are seven times more likely to require surgery to treat them.

What Are Uterine Fibroids?

Fibroids grow in various locations on, in, or around the uterus. This includes the wall of the uterus, the uterine lining, near the fallopian tubes, or nearby internal organs. Some locations are more common than others.

Types of Fibroids:

• Intramural fibroids develop inside the muscular wall of the uterus and are often the most difficult to treat.
• Submucosal fibroids grow in the uterine cavity.
• Subserosal fibroids develop close to the muscular wall on the outside of the uterus.
• Pedunculated fibroids develop on the outside of the uterus but not as closely as the subserosal fibroids. They connect with a stem and sit farther away. This is the least common type of uterine fibroid.

Symptoms of Uterine Fibroids

Fibroids are quite common, but most women aren’t aware they have them. Those with symptoms could experience a wide range of things depending on how many there are, where they are located, and their size. While very heavy bleeding and pelvic pain are the most common signs of fibroids, every person’s experience will be unique, which is why personalized attention from a knowledgeable provider is essential.

Possible Signs of Uterine Fibroids:

• Pelvic pain
• Painful periods
• Pain during sex
• Heavy menstrual bleeding
• Long menstrual cycle
• Frequent urination
• Inability to urinate or empty your bladder
• Constipation
• Low back pain
• Leg pains

Possible Complications

With very heavy menstrual bleeding or bleeding between periods comes the risk for anemia, a condition in which your body does not have enough healthy red blood cells. Symptoms of anemia include lethargy, dizziness, and shortness of breath. Close management by a physician is necessary if fibroids cause anemia to become life-threatening.

Some fibroids may twist at the stem and cause severe pain and symptoms that mimic illness. They may also grow quickly, requiring surgical intervention if medication does not slow their growth. If fibroid tumors begin to break down, the body may react with fever or nausea. Treating the fibroids can often resolve infertility, which is one of the more common complications of uterine fibroids.

Fibroids Causes and Risk Factors

It’s still unknown what causes uterine fibroids, but research suggests that there are several risk factors for them. One of the biggest risk factors is hormones. Those who take hormones or who have natural hormone imbalances seem to be at higher risk of developing fibroids. This is only one of many contributors, however, and those at risk of developing fibroids should discuss their concerns with their healthcare provider.

Risk Factors for Uterine Fibroids:

• Age
• Black women
• Weight
• Family history of fibroids
• High blood pressure
• Food additive consumption
• Diet high in red meat
• Vitamin D deficiency
• Never being pregnant
• Chronic stress
• Major stress events

Diagnosing Fibroids

Because many uterine fibroids are first detected through a routine pelvic exam, it may be difficult to detect them in very heavy women. However, if your provider suspects them or notices changes in the size or shape of your uterus, they may order additional diagnostic tests to determine their presence, size, and location.

Diagnostic Tests for Uterine Fibroids:

• Ultrasound: An ultrasound probe uses sound waves to view internal organs. Your provider may order a sonohysterography test in which they inject saline into the uterus during an ultrasound so that it is easier to see the uterine cavity.
• MRI: Magnetic resonance imaging, or MRI, can be much more effective at visualizing uterine fibroids once they’ve been detected with ultrasound.
• Hysteroscopy: A lighted scope is used to view this inside of the uterus. This is a minimally invasive procedure done in the clinic.
• Endometrial Biopsy: While nearly all fibroids are benign (non-cancerous), your provider may suggest a biopsy to confirm it with a diagnostic fibroid biopsy.

Treatment Options for Uterine Fibroids

There are many treatments available for uterine fibroids, including things you can do at home to complement your doctor’s care, making it more effective, to medications and even surgery to help manage your symptoms depending on severity. Because there are so many options, it’s important to discuss them with your health care provider so you can make the most informed and best choice for your care.

Best Home Care

Many home remedies are simple and you may already do them, such as a heating pad and over-the-counter pain relievers. However, there is more you can do to help manage your pain without or in addition to the help of your medical provider.

Diet

A mostly vegetarian diet may help those with uterine fibroids, although cold-water fish like salmon and tuna that are high in omega-3 fatty acids are beneficial. You may choose to supplement your diet with fish oil. Many women with fibroids find that avoiding high-calorie foods can help reduce symptoms as well, instead choosing green vegetables, apples, and citrus fruits that all contain high levels of flavonoids. You may decide to work with a dietician or nutritionist if you are overweight, as weight management is a large part of managing symptomatic uterine fibroids.

Stress

There are many ways stress levels affect the female reproductive system and this is especially true for those with fibroids. One study by the Department of Epidemiology, Gillings School of Global Public Health at the University of North Carolina Chapel Hill found that significant and stressful life events seemed to be a contributing factor in the presence and growth of uterine fibroids. To help control stress, you may choose to work with a therapist, get regular massage, exercise regularly, or meditate. Certain types of yoga can both manage stress and offer exercise benefits to help manage weight loss.

Available Medications

Taking over-the-counter pain relievers may help reduce the pain and control heavy bleeding because they also act as anti-inflammatories. However, they won’t treat fibroids long term because they don’t shrink them. Birth control pills or an intrauterine device (IUD) may work the same way. However, medications that regulate hormones could help shrink fibroids over time so long as you continue taking the medication. Your physician may recommend medication as one of the first treatment options.

Non- or Minimally Invasive Procedures

Some procedures are minimally invasive, or not invasive at all, and would be the next step in treating fibroids. These procedures are often very effective at treating fibroids that haven’t responded as well to medication alone or your doctor feels your fibroids need more aggressive therapy to control your symptoms.

• Forced Ultrasound Surgery: A specialized MRI machine targets high-energy, high frequency sound waves at each fibroid to destroy them.
• Myolysis or Cryomyolysis: These procedures use either extreme heat or cold as water, electric current, laser, or other form to destroy the uterine lining.
• Uterine Fibroid Embolization (UFE): A plastic or gel material is placed into the fibroid blood vessels, cutting off blood supply and causing them to shrink.

Surgery to Treat Fibroids

It may be necessary to remove fibroids surgically through myomectomy. If uterine fibroids return frequently or no other treatments have been successful at managing symptoms, the last treatment option is usually a hysterectomy to remove the uterus completely. This is a permanent solution and many healthcare providers will exhaust all other treatments or consider it only for those nearing menopause.

Questions to Ask Your Provider

The US Department of Health and Human Services Office on Women’s Health answers many questions that women may have about uterine fibroids, especially for those recently diagnosed. They also provide a list of questions to ask your provider that can help you better understand the condition and how it affects you, such as how many fibroids you have and what size they are.

Other questions you may want to ask are:

• Where are the fibroids located?
• Will they grow larger and how will you know if they do?
• What potential problems could they cause?
• Are there any future tests needed to monitor the fibroids?
• Do the fibroids require treatment immediately?
• What treatment options do you suggest?

If you feel uncomfortable with your doctor’s answers or wish to verify the results or suggested treatment, be sure to schedule a second opinion with another provider. This is another way you can take control of your health.

The Final Word On Fibroids

Although not all fibroids cause symptoms, some women may only experience inconvenient, heavy bleeding while others require extensive treatment like surgical intervention. Those of reproductive age are at a higher risk of developing fibroids. Black women are even more susceptible. Black Health Matters is working to spread awareness of conditions affecting the Black community by sharing information and solutions. However, all women should know their risk of uterine fibroids and discuss the possibility and treatment options with their provider.

The post Empowering Women: Understanding Fibroids and Taking Control of Your Health appeared first on Black Health Matters.

What is Food Insecurity?

First, we should define food insecurity. The definitions are relatively simple, but the concepts have profound effects on various populations throughout the country. These definitions are provided by the US Department of Agriculture Economic Research Service.

• Low food security is the “reduced quality, variety, or desirability of diet.” There may be “little or no indication of reduced food intake.” This used to be called “food insecurity without hunger.”
• Very low food security is “multiple indications of disrupted eating patterns and reduced food intake.” This used to be called “food insecurity with hunger.”

The Committee on National Statistics recommended the changes to these definitions to better represent the problems many Americans face every day. The committee also helps to oversee the methods used to measure food insecurity. Studies typically consider economic and social factors on nutrition, as well as other factors determined by nutritionists, statisticians, and others who may offer valuable insight.

What Factors Affect Food Insecurity?

The US Department of Health and Human Services promotes Healthy People 2030. This initiative has several objectives, all designed to call attention to issues with the highest public health burden. One of those objectives is food insecurity. They have determined several factors affecting food insecurity and aim to reduce their impact on those most affected by them.

Income

Income affects food insecurity in several key ways, from the inability to afford groceries to lack of access in addition to the stress placed on breadwinners to provide for their families with fewer resources. Let’s take a closer look.

Low-income neighborhoods may not have as many grocery stores that are regularly stocked with fresh produce or larger retail outlets offering a wider variety of affordable food options. With fewer food stores to shop from, prices at such stores are typically higher. They can also force residents to shop at discount retailers that don’t specialize in food sales or convenience stores with higher food prices. Some food support programs like WIC (the Special Supplemental Nutrition Program for Women, Infants, and Children) only cover specific types or brands of foods. If these are not available, substitutions are rarely allowed.

Transportation also becomes a factor for those with low income. Many families without access to personal transportation rely on public transit, even to get their groceries. This limits the amount of food they can purchase at any one time and also the types of food, as transporting food long distances can take time. Cold foods can easily spoil or melt, especially in warm weather, on a crowded bus. Children may not have fresh milk and other foods recommended for healthy growth and development, both physical and mental.

With lower income comes the stress of stretching the dollar, including paying the bills and feeding the family. Added stress can affect your mental health and mental health struggles can make it harder to manage your money, creating a spiral from which many have a hard time breaking free.

Employment

Employment is a direct reflection of income and therefore has a significant impact on food insecurity. Low-income neighborhoods rarely have enough job opportunities to support the number of working-age residents in the area. The job opportunities that are available rarely pay a livable wage, sometimes requiring multiple members of the same household to work several jobs in order to support everyone in the family. With long hours in jobs that may be hazardous to one’s health, workers feel the effects both short- and long-term, increasing their risk factors for various health conditions.

For example, during the Covid-19 pandemic, many low-wage workers faced some of the most dangerous conditions, frequently working as cashiers, cooks, laborers, or in various healthcare positions. Many of those who lost their jobs worked in such low-wage positions and faced job and food insecurity as a result.

Residents in low-income neighborhoods must travel well outside of their immediate area for work, especially for higher-paying positions, adding to the time spent away from home to earn income. Families affected by food insecurity must spend money on public transportation or ride-sharing, instead of food.

Disability

The CDC is responsible for the National Health and Nutrition Examination Survey conducted each year. An analysis of the surveys over a span of six years revealed that women with a disability were more likely to report that they’ve also experienced food insecurity at some point prior or concurrent to their disability. Those that reported disability, as well as a poor diet and low or very low food security, were more likely to receive some type of food assistance.

The connection between food insecurity and disability is not new. However, the extent of the problem and what can be done to correct it are still being evaluated by the CDC and other agencies. This is another objective of Healthy People 2030 and will most likely continue to be a primary goal in the next iteration of the program in 2040 and beyond.

Who is Most Likely to Be Affected?

The disparities in income, employment, and disability disproportionately affect some people with low food security. As recently as 2020, the percentage of US households experiencing low or very low food security was just over 10 percent. While this is a staggering number of people affected by hunger, 17.2% of Hispanic households experience hunger and the number of Black households is over twice the national average at 21.7 percent.

What Are the Medical Consequences of Food Insecurity?

Hunger and food insecurity go beyond the stress of being unable to afford nutritious food. For children, physical and mental development can be affected. For adults, risk factors for chronic health conditions increase. Hunger affects the mental, emotional, and physical health of anyone experiencing food insecurity.

Children

The odds that a child under 36 months will experience fair or poor health because of food insecurity is 95% higher than in children living in homes reported without hunger. This is a startling statistic and one that must change if we are to give children the best odds at mental and physical health stability as they grow.

Young children may experience developmental delays when not receiving adequate food nutrition. Poorer cognitive function was reported for children in grades 1, 3, and 5 during a study conducted from 1999 to 2003 by the Economics of Education Review. A large part of poor performance in school may be traced to behavioral challenges caused by both lack of nutrition and a more stressful home environment. They may also be affected by the mental health of others in the home, most notably a child’s mother. Higher rates of depression and anxiety in parents have been proven to affect children of all ages, but most especially adolescents between the ages of 14 and 25.

Adults and Seniors

For adults, the risk factors of food insecurity on chronic health conditions are much more wide-ranging and no less profound. This is especially true if food insecurity began early in life as a child and continued for many years. For those populations most at risks, like African Americans, this causes the most health problems.

The conditions most likely to arise because of food insecurity include:

• Poor oral health
• Depression and anxiety
• Iron deficiency
• Poor maternal health
• Diabetes
• Hypertension (high blood pressure)
• Obesity

What Are the Financial Costs of Food Insecurity?

Feeding America has calculated the additional healthcare costs associated with hunger. Through their own research and by compiling data from Medicaid/Medicare and other sources, they have been able to accurately map the annual costs at the county and state level and per adult. For example, the lowest increase in healthcare costs due to low food insecurity is in North Dakota with $57 million, but the highest is in California with just over $7 billion. This is a large disparity in cost increase and the size of the population alone is not enough to explain the difference.

Another study compiled data from the Survey of Income and Program Participation in two statistical models to determine the probability of medical debt. Nearly 20% of households carry some form of medical debt. Of those, around half had private insurance. The average amount of that medical debt was nearly $22,000. The highest risk factors for medical debt were having no health insurance, a private health insurance with a high deductible, or a disability. Carrying medical debt, especially high medical debt, was found to contribute to low food security, especially for those who are already at risk, such as the Black population and others who live in low-income areas.

Conclusion

While anyone in the US can be affected by food insecurity, some populations are more at risk than others. African Americans struggle more than most and Black Health Matters helps to raise awareness by sharing the disproportionate effects that many face every day. If you experience hunger and food insecurity, know that there is access to food resources and education about support systems near you. Reach out to healthcare providers, case workers, and other social supports to learn more about what services are available in your area.

The post From Hospital Bills to Hunger Pains: The Costly Toll of Medical Care on Food Security appeared first on Black Health Matters.

Types of Oral Cancers

As with most conditions, there are several types of mouth cancer. It may be in a specific place initially, and possibly spread to other locations within the mouth, to the lymph nodes, and throughout the body. Much like breast cancer and other forms, the risk of spreading is abundant and should be monitored.

Most oral cancers are squamous cells that line the tissues of the mouth. Other common types of mouth cancer include lymphoma, which typically affects the lymph nodes and the tonsils, while minor salivary gland carcinomas affect the salivary glands of the mouth and throat.

Common locations for oral cancers include:

• Lip Cancer: This is the most common type of mouth cancer and typically has a positive prognosis when caught early.
• Gum Cancer: Typically linked to chewing tobacco and alcohol use, this cancer can quickly spread to the jaw.
• Tongue Cancer: When in the front two-thirds of the tongue, it can quickly spread to the lymph nodes.
• Doctors classify cancer at the back of the tongue, tonsils, and back of the mouth as throat cancer.

Determining Severity

Cancer Research UK breaks down the stages and grades of oral cancers. Determining the severity of the cancer is an essential first step for diagnosis before treatment can begin. It helps to ensure that treatment is as effective as possible.

Oral Cancer Staging

Doctors can use two methods for determining the stage of your oral cancer. The first is clinical staging, using results from tests and scans. They typically perform pathological staging if you will have surgery to remove the cancer and they will send part of the removed tissue to the lab for testing. It is more precise and can help determine the type of cancer as well as the cancer’s location if it has spread.

There are two ways to stage mouth cancer:

• TNM: Your doctor will consider the size and depth of the tumor, whether it has spread to the lymph nodes, and whether it has spread to another part of the body.
• Number Stages: Your doctor will assign a number zero (pre-cancer) through 4 A, B, or C based on how invasive the cancer has become.

Mouth Cancer Grades

Oral cancer grading differs from staging. This step involves the appearance of cancer cells, from looking like typical, healthy cells to abnormal cells well differentiated from the healthy cells around the tumor. Your doctor will assess them and assign a grade 1, 2 or 3. A “Gx” grade means it can’t be determined.

Oral Cancer Risk Factors

There are many lifestyle choices, health conditions, and other variables that may increase your chances of developing oral cancer. Remember that you have some control over several factors, like smoking cigarettes, that could improve your health and risk, while not others.

• Nicotine Products: The most common cause of mouth cancer is tobacco use, especially smoking or chewing tobacco. While those who use nicotine themselves are at highest risk, even secondhand exposure can lead to cancer.
• Alcohol Use: Drinking alcohol is one of the top risk factors for mouth cancer and heavy drinkers or those who drink and use nicotine products are most susceptible.
• Human papillomavirus (HPV): Not all types of HPV cause cancer, but some are high risk. For example, HPV16 causes approximately 70% of all cases of oral cancers.
• Gender: Oral cancer is twice as common in men than women. Researchers believe smoking causes the higher rates of oral cancer in men.
• Age: Most cases of mouth cancer occur in those over the age of 50 unless caused by an HPV-related infection. This is because it takes time for cells to mutate and develop.
• Weight: Based on statistical research, weight has some effect on your likelihood of developing oral cancer.
• Diet: People who eat a diet low in vegetables and fruits seem to be at a much higher risk. Eating a well-balanced diet may help improve risk factors for many health conditions like diabetes.
• UV Light: Sunlight contributes to skin cancer and may also affect rates of lip cancer, a form of mouth cancer.
• Co-Existing Health Conditions: Those who have Fanconi anemia or Dyskeratosis congenita are also at higher risk of developing oral cancer because of their predisposition to blood diseases.

Possible Treatment Options

Your primary care physician will refer you to a specialist who will evaluate your condition and recommend the best treatment plan. It could include surgery, chemotherapy, or radiation therapy, depending on the type, location and severity of the cancer. You will probably work with a team of providers, including one or more of those listed here.

• Otolaryngologist
• Oral and Maxillofacial Surgeon
• Radiation Oncologist
• Medical Oncologist
• Plastic Surgeon

Detecting Oral Cancer Early

An early diagnosis is important for improving survival rates. Healthcare professionals can easily spot signs of mouth cancer by looking for lesions within the oral cavity, feeling for enlarged lymph nodes, asking about family history, and referring a patient to a specialist for any suspect symptoms.

Symptoms of oral cancer may include:

• Changes in the skin
• Lumps
• Numbness
• Pain or tenderness
• Change in bite
• Problems swallowing
• Difficulty chewing
• Hoarseness
• Feeling like something is caught in the throat
• Sore throat
• Ringing in the ears or ear pain

Mouth Cancer in African Americans

There are many barriers for Black men and women with mouth cancer, from biological differences affecting successful treatment to the number of people who use nicotine products to access to health care resources ensuring early detection and proper cancer treatment.

Genetic Differences

Two recent studies have shown that a Black person with oral cancer will likely respond differently to treatment. The first, published in 2021 in JCO Oncology Practice, showed that African Americans have fewer immune cells within oral cancer tumors and they don’t respond as effectively to the same treatments as Caucasian patients. Tumors may also show more instances of mutations. The second, published in 2022 in the Journal of the National Cancer Institute, reviewed the treatment outcomes of both the Black population and white people enrolled in clinical trials. In clinical trials, all patients receive the same cancer treatment, so socioeconomic factors are minimized. The results showed that biological factors still play a large role in survival rates.

Lifestyle Choices

The Oral Cancer Foundation reports that those living below the poverty line are more likely to smoke than those that don’t. Given that many African Americans live in poorer neighborhoods and are more likely to suffer from un- or underemployment, this puts them at higher risk of smoking, using chewing tobacco, or using other forms of nicotine-based products. Some states within the US also have higher rates of smoking than others. The states with the highest rates of smokers are Nevada, Kentucky, and Ohio, while those with the lowest rates are Utah, Hawaii, and California. Compared to others, Blacks or multiracial people self-identifying as African American are more likely to smoke than Caucasians or Hispanics.

Related Conditions

There are more than 100 types of human papillomavirus (HPV). While not all of them cause cancer, some strains are more common within the Black community may explain why mouth cancer is so much more prevalent. Some types of HPV infections were more common in Caucasians, like types 16 and 51, while others were more common in Blacks. Type 35 is one of the highest risk factors for mouth cancer.

Access to Resources

Why is access to resources so important? Researchers have well documented that early detection is less likely with minimal access to resources, such as adequate health insurance and local medical providers. Studies show that if cases are discovered early, the 5-year survival rate can reach 85%, but only 28% of all cases are found early. However, more than half of all oral cancers are diagnosed after having spread to local tissues such as the lymph nodes. The survival rate at this point drops to 68%. If the cancer has spread further, it drops to just 40%.

According to the Kaiser Family Foundation, Black people are less likely to have health insurance because of a financial barrier. They are also more likely to live below the poverty line but not qualify for state financial aid or not be able to utilize those resources if they do because of lack of transportation. Food insecurity may lead families to focus more on day-to-day needs and not long-term care like their health. This reduces the chance they will receive a routine dental exam with an accompanied oral cancer exam.

It’s also clear that Blacks do not receive the same level of care that white Americans do. Brigham and Women’s Hospital recently found that race, among other factors, played a role in whether a dentist even screened for mouth cancer during a routine dental exam. Dentists may also not provide education about the risk factors and the steps they can take to help prevent oral cancer, especially smoking and human papillomavirus.

Oral Cancer Awareness Month: Recognizing Black Americans

The first step in improving oral health and bettering the survival rates of mouth cancer, especially for Black Americans, is to acknowledge the problem. The American Cancer Society reports that cancer rates for Black people have decreased since the 1990s and this is a trend we wish to see continue. Black Health Matters will do our part by raising awareness of the effects of mouth cancer on the African American population.

The post A Hidden Danger: What You Should Know About Oral Cancer appeared first on Black Health Matters.

How many women die every day because of preventable childbirth or other pregnancy-related events or conditions? The CDC estimates around 800. This startling statistic is just one of the many reasons maternal health, both in the Black community and overall, is taken so seriously, with various related objectives from top agencies like the World Health Organization (WHO), the US Department of Health and Human Services (HHS), and the United Nations Population Fund (UNFPA).

Let’s look at the most common issues that pregnant women face, the many risk factors for preventable complications, some sobering statistics, and what is being done on the national and global levels to improve maternal mortality rates.

Common Pregnancy Health Concerns

There are a few discomforts women can expect during their pregnancy. Women can avoid acidic foods to aid heartburn and eat more fiber to help treat constipation, especially early on, to easily treat some discomforts at home. Women often turn to family or friends for advice to help treat such things, finding unique ways to ease soreness or dry skin. Even expected symptoms of pregnancy can affect maternal health, however, and easing them can increase mood and help expectant mothers look forward to the birth of their child.

Other Symptoms You Might Experience:

• Cramps

• Feeling faint

• Hot flashes

• Incontinent

• Dry skin

• Back pain

• Headache

• Pelvic pain

• Stretch marks

• Tiredness

• Morning sickness

Risk Factors for Pregnancy-Related Complications

The Office of the Surgeon General published a “Call to Action” acknowledging the higher-than-average maternal mortality rates in the United States. In it, they call attention to the disparities within the Black population, suggest what should be done to reduce mortality rates for all mothers, and lay out a long-term plan with strategies to affect this and future generations.

But when do symptoms become risk factors and dangerous for both mothers and the child? Therefore, it’s critical to work closely with an OB/GYN or other health services throughout your pregnancy, so risk they can identify risk factors, monitored, and treated as early as possible.

High Blood Pressure

More women are at risk of high blood pressure (hypertension) prior to pregnancy, mainly due to increased obesity rates. Many women are waiting until later in life to start a family, also contributing to the probability they will begin their pregnancy with high blood pressure, develop it during, or experience a spike during delivery that may all lead to complications. High blood pressure during pregnancy is called preeclampsia.

Diabetes

If a woman did not previously have signs of diabetes but develops it during her pregnancy, they will diagnose her with gestational diabetes. Diabetes significantly increases the chance for complications and it closely related to preeclampsia. Managing maternal health in this condition is vital, as it can lead to miscarriage, stillbirth, preterm birth, birth defects, and more.

Obesity

With higher rates of obesity, it is becoming a more common risk factor for maternal health in the United States especially. An unhealthy weight can contribute to other conditions like high blood pressure, diabetes, and mental health that can contribute to other maternal health concerns, compounding the risk of pregnancy complications.

Illness and Infection

From Covid-19 to a common cold to more serious infections like chlamydia or HIV, illnesses and infections can affect maternal health and the health of the infant. A mother should work closely with a physician if they are diagnosed with an illness or infection prior to or while pregnant. Most times, there are ways to mitigate the risk to the baby before and after birth. However, many of these risks are preventable causes and can be reduced through education and other community resources, such as sexual and reproductive health.

Substance Use Disorders

A substance use disorder can describe everything from nicotine and alcohol to methamphetamine and cocaine. According to the Surgeon General’s report, 12% of the pregnant women polled reported using some type of nicotine product within the last month and 10% reported drinking alcohol. Another 5% reported drug use. Not only does substance use affect maternal health, but it increases health risk to the baby because of pregnancy complications.

Mental Health

Maternal health and mental health are closely linked. This can include pre-existing mood diseases, such as depression or anxiety, or postpartum depression which affects up to 20% of new mothers. In fact, over a ten-year period, they found that nearly 10% of all pregnancy-related deaths were because of a mental health condition. Only by addressing mental health stigma and offering more patient-centered care in the United States can we support maternal health as well.

Domestic Violence

In some states, especially in the south, domestic violence is the single most common cause of maternal deaths for the Black population. This violence often begins during pregnancy or soon after it. Intimate partner violence among Black Americans is one of several preventable causes of maternal and child deaths in the US, especially when addressed at a socioeconomic level.

More Maternal Health Statistics

The United Nations Population Fund offers insight into the global importance of maternal health and that women everywhere are susceptible to preventable causes of maternal mortality. Around the world, nearly 300,000 women died in 2017 alone, mostly due to:

• Severe bleeding

• Obstructed labor

• Sepsis

• Unsafe abortion

• Eclampsia

These deaths are significantly lower than those recorded in 2000, but are still unacceptable. Many of these deaths occur in sub-Saharan Africa or Southern Asia, and global efforts are making an impact.

The Commonwealth Fund analyzed data from the WHO, National Center for Health Statistics, and other studies to get a better picture of who is at the highest risk. In the United States, mortality rates are getting worse year after year, starting in 2000, and worsening significantly since the start of the Covid-19 pandemic. The current maternal mortality rates are three times that of the country with the next highest death rate, New Zealand. The hardest hit are African Americans, who account for more than half of all maternal deaths.

A National and Global Response

Maternal health is a concern not only in the United States, where it affects the Black population and multiracial people disproportionately but the world over. What is being done to improve health outcomes?

US Department of Health and Human Services (HHS)

Health and Human Services has formed a workgroup comprised of four US federal agencies working together to address maternal health as a national crisis and the disparity affecting the non-Hispanic Black population. The workgroup has focused not only on supporting women and infants directly but also by addressing other emerging health concerns that affect maternal death, such as drug use and sexually transmitted diseases.

American Public Health Association (APHA)

The American Public Health Association is focused on addressing preventable causes of maternal death. They do this by investing in sexual and reproductive health education, preventative health care for women, and more. Like other agencies, they have focused their efforts on the disproportionate affects of poor maternal health on Black Americans, partnering with the Center for Reproductive Rights for “Black Mamas Matter” and the World Federation of Public Health Associations for “Reducing Maternal Mortality as a Human Right.”

The United Nations Population Fund (UNFPA)

The focus of the United National Population Fund is sexual and reproductive health care, promoting basic health standards around the world, especially where maternal deaths are most common. Working in sub-Saharan Africa, Southern Asia, and other regions, the UNFPA supports programs that train providers in preventative care during pregnancy, emergency birth response, and critical care for newborns. These initiatives have improved health outcomes over the last two decades and more improvement is expected.

The World Health Organization (WHO)

The World Health Organization helps to support all members with their individual efforts to address maternal health, especially maternal deaths. They closely monitor the progress being made and how effective initiatives are at supporting those that are most vulnerable. This includes the United States, where the majority of those affected are Black people and deaths continue to increase.

Maternal Health: Disparity in Preventable Deaths

Yes, women experience common symptoms during pregnancy. Most will agree that these symptoms are well worth the discomfort once their child is born healthy. However, many women don’t have the same access to care or are at risk for miscarriage, preterm labor, cesarian birth, birth defects, other birth complications or even maternal death because of an increase in risk factors that could be preventable.

Maternal mortality rates have only worsened over the last two decades in the US and this trend will only change with more education about maternal health and better access to care for those disproportionately affected. Black Health Matters is helping to do just that by raising awareness, challenging the system, and bringing more resources to the Black population most vulnerable.

The post Understanding The Importance Of Maternal Health appeared first on Black Health Matters.

Endometriosis is a disease in which the endometrium—the tissue that lines the inside of the uterus or womb—is present outside of the uterus. Endometriosis most commonly occurs in the lower abdomen or pelvis, but it can appear anywhere in the body.

Symptoms of endometriosis include lower abdominal pain, pain with menstrual periods, pain with sexual intercourse, and difficulty getting pregnant. On the other hand, some women with endometriosis may not have any symptoms at all.

Endometriosis is a common health problem for women. Researchers think that at least 11% of women, or more than 6.5 million women in the U.S., have endometriosis.

Endometriosis most commonly impacts women between the ages of 25 and 40. It can also happen to younger women during their teenage years. Although many will find relief from endometriosis symptoms after menopause, it can still cause discomfort and pain.

There’s no clearly understood cause for endometriosis, so at this point there is no known way to prevent it.

Diagnosing endometriosis is also complicated as not every person has every symptom, and the severity of the symptoms varies from person to person. The “gold standard” for diagnosis is surgery to look inside the abdomen and pelvis; it can not be officially diagnosed from a lab test or imaging. Women in the U.S., on average, will suffer from endometriosis for 10 years before receiving a proper diagnosis.

According to a recent study, Black women are 49% less likely to get an endometriosis diagnosis compared to White women. That’s largely because of health disparities that exist, says Jessica Shepherd, MD, an ob-gyn and women’s health expert.

“This can be due to the fact that black women are often overlooked when it comes to pain and pain management and are more likely to be misdiagnosed, often with providers thinking pain is due to something else,” said Dr. Shepherd.

The actress Tia Mowry wrote in a 2018 Women’s Health article that she didn’t know why she had been experiencing extreme pelvic pain until she saw a Black physician who immediately knew she had endometriosis. Others had told her not to worry about her symptoms.

When there has been an endometriosis diagnosis, treatment usually involves a combination of medication or surgery. Because endometriosis is usually a lifelong condition, patients will usually try surgery and several different medications over their lifetime. The approaches you and your doctor choose will depend on how severe your signs and symptoms are and your current and future plans for pregnancy.

Doctors typically recommend trying conservative treatment approaches first, opting for surgery if initial treatment fails. For many people, endometriosis needs to be continuously treated with medicine to control symptoms like pain. It’s important to maintain a regular appointment schedule with your healthcare provider so that you can work together on managing your condition long-term.

If you are a woman with moderate to severe pain associated with endometriosis and seeking contraception, you could be qualified to participate in the SERENE study. The SERENE study is evaluating whether the drug relugolix combination therapy (Rel-CT) can prevent pregnancy when used in premenopausal women with endometriosis. Relugolix-CT has been FDA-approved to manage symptoms of moderate to severe pain associated with endometriosis. To find out more about the SERENE study, please follow this link.

Sponsored by Myovant Sciences, GmbH

The post Suffering from Endometriosis? Learn About the Serene Study appeared first on Black Health Matters.

Living Beyond Breast Cancer, a Philadelphia nonprofit that connects people with trusted information and a community of support, offers these tips on how to tell partners, children, and parents about your diagnosis.

Talking to your partner or spouse about your metastatic breast cancer diagnosis

When you tell your partner or spouse about your diagnosis, they may understandably be shocked, overwhelmed, or scared about what life will be like now. This is a significant change for your life and theirs, and each of you needs time to adjust in whatever way works for you.

Here are some common partner concerns, and ways to talk about them together:

• Let your partner know what you need. If you can, try to be as specific as possible. For instance, maybe you need help with laundry or preparing meals.

• If you haven’t already, invite your partner or spouse to go with you to a doctor appointment so they can understand more about your diagnosis, the kinds of treatment you may have, and side effects that you may experience.

• Your partner or spouse may also be concerned about physical intimacy and how that may change. It can help to talk honestly with your partner about how treatment affects your desire for and experience of sex, and to explore new ways to stay physically and emotionally connected.

• Schedule regular time to just be together and talk honestly with each other about what’s happening. Let your partner know how you’re feeling emotionally and physically and ask them how they’re feeling.

• Sometimes the changes that come with a serious diagnosis can trigger fear or anger in a partner or spouse. If your partner is not responding in a way that feels supportive to you, suggest that the two of you meet with a therapist who works with couples affected by serious illness.

How to talk to your children about your metastatic breast cancer diagnosis

For many parents, it’s a first instinct to try to protect children from news about a difficult diagnosis. One of the hardest parts of telling children about a metastatic breast cancer diagnosis is that it is not curable, and that treatment is ongoing. But it’s important to be as honest as possible.

Experts say that there is no right or wrong way to talk to children about a diagnosis, although there are tips to guide the conversation:

• Don’t assume children, even very young ones, won’t find out if you don’t tell them.
• Use accurate, specific words that are age- and developmentally appropriate. Since you know your child best, you may already know what will work well.
• Be honest but emphasize that your doctors have medicines that they hope will help you.
• Let them know what they can expect in their day-to-day experience. For example: “On treatment days, I’ll be tired, so Uncle Mark will pick you up from softball practice.”

• Tell them you will let them know if there are changes in your health situation.
• Invite them to ask questions and check in with them for regular follow-up conversations.
• Particularly for young children, consider sharing your diagnosis with their teachers and additional caregivers so that they can best support your child’s social and emotional needs.

How to talk to your parents about your metastatic breast cancer diagnosis

Telling a parent that you’ve been diagnosed with metastatic breast cancer can bring up many extreme emotions for all of you. Still, it’s important to be honest and let them know.

Here are some ways to have the conversation:

• Schedule some uninterrupted time to talk with your parents about your diagnosis.
• It can help to rehearse what you’re going to say ahead of time. If it’s comfortable, try role-playing what you want to say with a sibling or your partner.
• Share your honest feelings with your parents and let them know what you need.
• Stop, listen, and observe their body language from time to time to see if they’re understanding what you’re telling them.
• Encourage them to ask you any questions they may have.

While all of these tips can be very useful in telling your loved ones about your metastatic breast cancer diagnosis, it can still be an emotionally and mentally difficult process. Especially if family members react poorly. Joining and national or local cancer patient support group, whether virtual or in-person, can be a great way to connect with other people who are facing similar situations.

The post Talking to Your Family About Your Metastatic Breast Cancer Diagnosis appeared first on Black Health Matters.

Every so often an opinion poll goes around on social media asking if folks would want to know in advance if they carry genetic material that could cause a fatal disease. Most people say no. Some of these diseases are terrifying, and advanced knowledge about something for which there is no cure? No thanks.

I’ve been a health reporter for years and know full well that early detection is crucial. But I’ve never taken any of these polls. Honestly, I’ve never felt the need.

That stance was called into question when my mom contracted pneumonia.

While in the hospital being treated, her medical team noticed fluid buildup caused by a leaking valve. A cardiac catheterization showed no blockage in her arteries (“she has the arteries of a 17-year-old,” one cardiologist said in amazement). A trans-esophageal echocardiogram was equally uninformative. Yes, her mitral valve was leaking. No, they didn’t know why.

But maybe she was a candidate for a relatively new procedure to repair the valve. If so, she’d be good as new. To prepare for the new procedure, she needed an MRI.

The MRI showed Mom’s heart muscle was thicker than it should be. This led to a heart biopsy. And finally, a diagnosis: something called amyloidosis. My mom struggled to pronounce it for a while. It could cause heart failure, they said.

We learned that there are several types of amyloidosis, so we needed to find out which type of amyloidosis she had. There is light chain amyloidosis, which sounded suspiciously akin to a blood cancer to my health journalist’s ears. I couldn’t get a straight answer about this, even when the recommended therapy for this type of amyloidosis included chemotherapy. There is wild-type ATTR amyloidosis, which the doctors said typically occurs later in life. And hereditary ATTR (hATTR) amyloidosis, a genetic and rare form of the disease that affects about 50,000 people worldwide with about 3-4% of African Americans carrying a TTR gene variant (i.e., mutation) called Val122Ile (V122I).

There were a lot of tests involved to determine which kind of amyloidosis she had. One night she had to produce nine huge tubes of blood. Then there was the three-gallon jug to collect a week’s worth of urine; this was to test Mom’s kidneys. She was also scheduled to have a bone marrow biopsy and a body X-ray.

There were also lots of questions about family history. Both my maternal grandparents suffered from congestive heart failure (CHF). My grandmother, who passed away at age 76, had diabetes, and though the link between diabetes and heart disease wasn’t discussed with her during her lifetime, CHF was listed as the cause of death on her death certificate. Granddaddy, once a smoker, battled emphysema and CHF the last two years of his life. Though he’d quit smoking before I was born, and had been nicotine free for nearly 40 years, his tobacco habit exacted a high price in the end. When he died at age 85, there’d been no mention of amyloidosis.

Knowing Family Medical History Is Key

While we waited for test results, a genetic counselor charted our family medical tree as best as she could. But as in many African American families, figuring out the tangled branches is a tall order. Even before being diagnosed with a disease we’d never heard of, there were gigantic holes in our family health history.

There’s the great-aunt who blamed her daughter’s death from asthma on a blister. High blood pressure and diabetes had run roughshod through generations of relatives, but nobody talked about the connection to heart disease. Scads of ancestors died without ever sharing their diagnoses. And this is all without taking into account the limitations 400 years of slavery and the difficulty African American families have in gathering complete medical knowledge.

Fortunately, blood test results solved the four-month-long mystery. My mom tested positive for a TTR gene variant associated with hATTR amyloidosis less than 12 hours before her bone marrow biopsy, rendering that painful test unnecessary.

I must note a couple of things so I don’t sound whiny and ungrateful: 1) Mom had been through so many tests—some invasive, a few pretty painful—so we were relieved to have a name for what ailed her, and 2) though four months of tests and questions seemed like a lot to us, her diagnosis came relatively quickly. hATTR amyloidosis often stumps folks in the medical community because its symptoms mimic so many other conditions, sometimes leaving patients suffering for years without a diagnosis.

It’s in the Genes

Our genetic counselor stressed the importance of understanding how hATTR amyloidosis can be passed down through families. Genetic counseling can help folks understand their chances of developing the condition, as well as make them familiar with the testing process and implications of a diagnosis. Genetic counselors also can help people understand the issues related to genetic testing—from personal risk to possible insurance impact— and can help determine if a genetic test may be right for them.

hATTR amyloidosis is caused by a variant or change in the TTR gene. This gene change affects the function of a protein called transthyretin (TTR). The condition is inherited in an autosomal dominant fashion, meaning a person needs to inherit only one copy of the affected gene from one parent in order to develop the disease. Everybody gets two copies of the TTR gene, one inherited from each parent. When one parent carries a variant in the TTR gene, each child will have a 50 percent chance of inheriting that variant. However, inheriting the TTR gene with a variant does not necessarily mean that he or she will develop hATTR amyloidosis.

My mom, one of six children, would need to discuss this with her siblings in the hopes they’d all get tested. She’d done the heavy lifting; they would need to have only a blood or saliva test to find out if they’d inherited the variant.

Our genetic counselor made it even easier. She supplied us with detailed information about hATTR amyloidosis and included geneticists in every city where family members reside. She also noted that a family member can inherit the TTR gene with a variant but having the variant does not mean hATTR amyloidosis is a given. Put simply: A person can carry the variant without ever developing the disease.

Still, only one of Mom’s siblings—her youngest sister—was tested (she doesn’t have the variant, so her only child, a son, doesn’t need the test). The remaining brothers and sisters have dragged their feet about testing, even though they all have young adult grandchildren on the verge of building lives and families. This information could be vital in their decision to have children—or not.

As much as I hate needles, I was tested last fall. What’s that saying? Knowing is half the battle. While I’m not showing any symptoms of hATTR amyloidosis, I did test positive for the genetic variant. The way I see it, my dark cloud is lined with a double layer of silver: I don’t have children, so this branch of the variant stops with me, and by knowing the results now, I’m better prepared should I start seeing signs of this disease down the road.

Genetic Testing 101

One option for genetic testing is through the Alnylam Act® program. Alnylam Pharmaceuticals is sponsoring no-charge, third-party genetic testing and counseling for individuals who may carry one of the 120 or more gene variants known to be associated with hATTR amyloidosis. The Alnylam Act program was created to provide access to genetic testing and counseling to patients as a way to help people make more informed decisions about their health. While Alnylam provides financial support for this program, tests and services are performed by independent third parties. Healthcare professionals must confirm that patients meet certain criteria to use the program. Alnylam receives de-identified patient data from this program, but at no time does Alnylam receive patient-identifiable information. Alnylam may use healthcare professional contact information for research purposes. Both genetic testing and genetic counseling are available in the U.S. and Canada. Healthcare professionals or patients who use this program have no obligation to recommend, purchase, order, prescribe, promote, administer, use or support any Alnylam product. In addition, no patients, healthcare professionals, or payers, including government payers, are billed for this program.

For more information about hATTR amyloidosis and genetic testing, please visit Alnylam’s The Bridge® and Alnylam Act.

For additional information and support check these resources:
o Amyloidosis Foundation: amyloidosis.org
o Amyloidosis Support Groups: amyloidosissupport.org
o Amyloidosis Research Consortium: arci.org
o The Foundation for Peripheral Neuropathy: www.foundationforpn.org/
o National Organization for Rare Disorders: rarediseases.org
o Global Genes: globalgenes.org

Alnylam Pharmaceuticals does not endorse and is not responsible for the content on sites that are not owned and operated by Alnylam Pharmaceuticals.

Content sponsored and provided by Alnylam Pharmaceuticals. Intended for U.S. audiences only.

The Bridge and Alnylam Act are registered trademarks of Alnylam Pharmaceuticals, Inc. © 2023 Alnylam Pharmaceuticals, Inc. All rights reserved.

TTR02-USA-01004-V3

The post We Have What? hATTR Amyloidosis: My Family’s Journey appeared first on Black Health Matters.

African Americans are More Susceptible to Risk Factors

You may not be surprised that the African American population typically has more risk factors for dementia. Even those they share with different ethnicities and multiracial people, affect the race disproportionately. Some risk factors lead to others. Many are unavoidable, but some could be lessened with better education and resources within mainly black communities.

• Age: The risk of developing Alzheimer’s increases as you get older, with the highest risk after age 85. We should note that caucasians still have a longer lifespan, on average, compared to blacks, but that the life-expectancy gap has narrowed significantly in recent years.
• High Blood Pressure: More black men are diagnosed with hypertension than white males. The disparity between black and white women is even more significant.
• Vascular Conditions: While this is still being studied, those with chronic vascular conditions may be at higher risk.
• Stress and Depression: It’s well documented that African American communities experience higher rates of depression and related symptoms of stress due to racism, segregation, socioeconomic barriers, and more. Stress directly contributes to cognitive decline later in life.
• Diabetes: Stress and many of the same risk factors can lead to diabetes, which creates another risk factor for dementia.
• Heart Disease and Stroke: Vascular dementia is typically caused by a stroke but may be caused by any condition that reduces or blocks blood flow to parts of the brain, damaging brain tissue.
• Obesity: It hasn’t yet been proven that weight contributes directly to the risk of developing dementia. However, obesity does increase your risk of diabetes and heart disease. All three can be decreased with a healthy lifestyle.
• Family History: There appears to be DNA unique to African American populations making them more susceptible to dementia. If you have a family member with Alzheimer’s Disease, you should be screened regularly and limit your risk factors.
• Exposure to Pollution: One study suggests that those living in neighborhoods with higher levels of environmental pollution are at higher risk of developing dementia.

Many View Dementia and Aging Differently

African American adults perceive their health and the health care system differently than others, especially compared to white men. Some misperceptions may come from a lack of health education, and others from previous experiences, either their own or people they know. However, the Alzheimer’s Association reports that more than half of black people believe that significant memory loss is natural as they get older, and only about a third are concerned as symptoms develop. Even more startling is that these numbers are despite nearly two-thirds of Black Americans knowing someone with some form of dementia and severe memory problems.

Healthcare Discrimination Affects Patients and Caregivers

Discrimination is a significant part of black history. Healthcare disparity is one of the ways in which black communities are still affected by it, and there are several reasons these racial inequalities persist. Neighborhoods comprised mainly of African Americans often don’t have enough clinics or hospitals. If they do, they may not have access to the latest technology, or those who live there might not be able to afford it. The rates of low-income health insurance are higher in primarily black communities, which can limit the care received.

Even within these neighborhoods, there is a lack of diversity among providers, making it challenging for patients and caregivers to find a doctor with the same ethnic background. Caregivers may find navigating the healthcare system more difficult, especially with some types of insurance, like Medicare, because they haven’t done it before, and the processes can be confusing. Finding a caseworker or other advocate is a hurdle that many family members face when a loved one is diagnosed with Alzheimer’s Disease or dementia.

Blacks are Less Likely to Receive an Early Diagnosis

Even though black people are up to two times more likely to develop Alzheimer’s Disease than the general population, only a third will receive a correct dementia diagnosis and begin a treatment plan on the first visit compared to white patients. In total, African American patients are 10% less likely to receive a diagnosis of dementia at all even as the disease progresses and the first symptoms develop.

Cultural perceptions delay care for memory problems because many believe it to be a natural part of aging. Black people often won’t see a doctor until more severe signs of dementia develop, like hallucinations and behavioral symptoms. This makes it less likely they will be diagnosed early on. Discrimination may play a factor, as it seems that many patients need to exhibit more severe symptoms to warrant a dementia diagnosis than white patients. Some people may not have access to health care due to socioeconomic status, even with low-income options and the Affordable Care Act (ACA). In 2018, it was reported that 9.7 percent of black racial groups were uninsured compared to only 5.4 percent of Caucasians.

The Cost of Care is Typically Higher

The cost of medical care for those in the early stages of dementia is much lower. Many patients can still live at home with a family member as long as they have supervision until the disease progresses and memory loss worsens. However, this assumes a treatment plan only for mild cognitive impairment. Managing behavioral symptoms can be much more costly, including in-patient care in a facility designed for more advanced cognitive decline. According to UsAgainstAlzheimer’s, the cost of treatment of dementia and dementia-related illnesses in the United States for African Americans was over $71 billion in 2012. With the number of cases of dementia estimated to double overall by 2060, these costs will become astronomical, especially for those seeking care for more advanced stages of the disease.

Survival Rates Vary Among Ethnic Groups

It’s difficult to find a consistent answer when determining how long individuals living with dementia will live past their diagnosis. A study by the University of Southern California School of Gerontology found that the African American population with dementia had one of the shortest survival rates, only slightly longer than caucasians. One published by the National Institutes of Health places black people above both white and indigenous populations. However, we should note that many develop Alzheimer’s much earlier than they seek treatment, so their survival rates would be much longer had they received an early diagnosis at the onset of memory problems.

The Black Population is Under-Represented in Studies

Rena A.S. Robinson has been studying Alzheimer’s Disease on a molecular level, looking for a biological reason for the disproportional number of African Americans with dementia. While this research is vital, and you can read more about it below, she found something equally as significant regarding understanding how these statistics could be misinterpreted. Her research shows that most clinical trials rarely represent the actual U.S. population. On average, these studies include approximately 5% blacks, yet they comprise around 13% of the total population. This could lead to skewed results.

There is a Possible Biological Vulnerability

A recent study began by evaluating past medical research reports including over 1,200 people ranging from age 43 to 104. Researchers discovered that approximately one-third had symptoms of the early stages of dementia-related memory loss. They then used brain scans and spinal fluid samples to test for two biological markers indicating Alzheimer’s Disease. Amyloid plaques were the same regardless of ethnic background. However, in the study, spinal fluid from African Americans showed significantly lower levels of tau proteins. These levels seemed to correlate to the APOE4 gene directly. In other studies, this gene has shown an increased risk of developing Alzheimer’s Disease even in those who are white, but the risk factor may not be as profound in black people. Still, tau proteins may mean that the African American population has a higher risk of developing Alzheimer’s or other related dementias.

What is Being Done to Address These Disparities?

More Diverse Medical Research

Based on previous studies, new ones are underway to dive deeper into the reasons behind these staggering statistics. One example is the Health and Aging Brain Study by the HSC Institute for Translational Research. This study has been funded by several prominent organizations, including the National Institutes of Health, to understand better how Alzheimer’s Disease affects those with various ethnic backgrounds. Other studies continue to research amyloid plaques and tau proteins to better understand how they affect brain changes by race.

Health Education Programs

Education is becoming available at every level of health care, from neighborhood clinics to large universities like the University of Kansas Medical Center. At this university, a free program offers resources and tools for those most impacted by memory loss and encourages participation in their clinical trials. The community benefits from access to more resources like promoting a healthy lifestyle, and the research studies benefit from more engagement with the community. Programs like this are available or being developed around the country.

Caregiver Support Groups

Being a caregiver for a family member with memory loss is hard, even when you don’t face the additional challenges of discrimination and socioeconomic hardship. Caregiver support groups like the African American Dementia Caregiver Support Program and others near you or online may help you deal with everyday struggles and learn about additional resources available. If you support someone with impaired thinking skills, there are people available to support you as well.

Fighting the Disparities in Dementia

There are still many challenges, especially as the number of Americans with dementia symptoms rises. However, with continued efforts to combat risk factors, more clinical trials being funded, and additional resources being made available for vulnerable neighborhoods and socioeconomic groups, our black communities can defy the projections and become stronger against Alzheimer’s Disease and related dementias. Support is available for people living with dementia, caregivers of any age, and even providers educating their patients.

The post Surprising Facts About Alzheimer’s And Black People appeared first on Black Health Matters.

Keep scrolling to learn how Zena made her mouthwatering appetizer.

Check Out Zena’s Bread Dipping Oil Recipe

@zenaskitchen

Bread dipping oil shoutout to @saltochtahini for the inspo!

♬ Chill Vibes – Tollan Kim

Ingredients:

• 100ml extra-virgin olive oil
• 2 tbsp balsamic vinegar
• 1 tbsp pomegranate molasses
• 1 heaped tbsp sundrenched/sun-soaked tomatoes, finely chopped
• 1 heaped tbsp chargrilled artichokes, finely chopped
• 1 heaped tbsp olives, finely chopped
• 1 heaped tbsp fresh flat-leaf parsley, finely chopped
• ½ garlic clove, minced (optional)
• 1 tsp sumac
• 1 tsp Aleppo Chili

Mix everything and enjoy!

Health Benefits of Aleppo Chili

As delicious as this bread dipping oil is, you’ll love it more when you learn about the benefits of the Aleppo Chili pepper. This pepper contains multiple nutritional values. A study concluded that Aleppo pepper contains mainly vitamins and minerals like common vegetables and fruits. Among the beneficial values, some of them are:

• Dietary fiber
• Sodium
• Potassium
• Calcium
• Iron
• Manganese
• Folic acid
• Vitamin A
• Vitamin C

But the goodness doesn’t stop there. The Aleppo Chili pepper helps with the following things:

• Improves vision
• Boost the immune system
• Prevent macular degeneration diseases
• Aid digestion
• Maintain a healthy heart
• Boost metabolism
• Aid in weight loss
• Relieve a common cold

These are just several health benefits; however, the list goes on.

What your favorite appetizers to serve to friends and family? Comment below!

The post A Bread Dipping Oil Perfect For The Holidays appeared first on Black Health Matters.

The first hint of a possible COVID-19 surge is what’s been happening in Europe. Infection numbers have risen in many European countries. “In the past, what’s happened in Europe often has been a harbinger for what’s about to happen in the United States,” says Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota. “So I think the bottom line message for us in this country is: We have to be prepared for what they are beginning to see in Europe.”

Several computer models project that coronavirus infections will continue to recede until the end of the year. But researchers stress there are too many uncertainties range the projection numbers. For instance, whether more infectious variants start to spread throughout the U.S. is a factor they review. Scientists notice that the new omicron subvariants are even better at dodging immunity.

“We look around the world and see countries such as Germany and France are seeing increases as we speak,” says Lauren Ancel Meyers, director of the UT COVID-19 Modeling Consortium at the University of Texas at Austin. “That gives me pause. It adds uncertainty about what we can expect in the coming weeks and months.”

Researchers don’t know if people’s susceptibility to new subvariants they haven’t been exposed to is the reason for rising numbers in Europe. Plus, there are different levels of immunity in different countries. “If it is mostly just behavioral changes and climate, we might be able to avoid similar upticks if there is broad uptake of the bivalent vaccine,” Lessler says. “If it is immune escape across several variants with convergent evolution, the outlook for the U.S. may be more concerning.”

COVID-19 Surge Factors

Some researchers say the U.S. is already seeing signs of a possible COVID-19 surge. For example, virus levels were detected in the country’s northeastern part of wastewater. That could be an early warning sign of what’s coming, though the virus is declining nationally. Also, infections and hospitalizations are rising in some parts of the region, according to Dr. David Rubin. “We’re seeing the northern rim of the country beginning to show some evidence of increasing transmission,” Rubin says. “The winter resurgence is beginning.”

But if a dramatically different new variant doesn’t emerge, the U.S. can avoid a winter surge this year. “We have a lot more immunity in the population than we did later,” says Jennifer Nuzzo, who runs the Pandemic Center at the Brown University School of Public Health. Another crucial variable that could affect the ct of a rise in infections is how many people get one of the new bivalent omicron boosters to shore up their waning immunity.

The booster uptake in the U.S. is sluggish. About 50% of individuals who are eligible for a booster haven’t received one. In addition, the demand for the updated booster isn’t high. Fewer than 8 million people received one of the new boosters out of the more than 200 million eligible.

The post Early Signs Of COVID-19 Surge On Its Way appeared first on Black Health Matters.

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The post Protected: hATTR Amyloidosis: African American Community Disproportionately Affected By A Rare, Inherited, Rapidly Progressive Disease appeared first on Black Health Matters.

“I just lost my dad in February,” O’Neal tells PEOPLE. “So, I really struggled with how I was going to get down the aisle. Losing my dad in the midst of planning this wedding was a lot, so my sons handed me off.”

The couple instantly fell in love with the location and knew it was the perfect place to wed. “I think after that first visit, we knew this was the place we wanted to get married,” O’Neal said. For Henderson, 41, Anguilla’s rich history and welcoming residents made them “proud to connect to” the island and “start their journey” there.

The post Shaunie O’Neal Marries Pastor Keion Henderson In Anguilla Ceremony appeared first on Black Health Matters.

Top 10 Fruit-Infused Waters

These fruit-infused water recipes are super easy to make. Just get your large glass of H2O and add your fruit. Or for a fancier effect, you can freeze the fruit slices in ice cubes to add to your water.

1. Strawberry Mint
2. Orange & basil
3. Honeydew, cantaloupe, & melon
4. Chia Seeds (Bubble Water)
5. Blackberry mint
6. Orange, lime, lemon, & mint
7. Cucumber & lime
8. Watermelon & rosemary
9. Kiwi & blackberry
10. Mango Basil

Benefits of Fruit-Infused Waters

These infused waters make our water pretty and very picture-worthy. However, once you’re done uploading your photo of infused water to your social media or group chat, you will appreciate all its benefits. We spoke about hydration, but how does adding extra elements to the water keep us hydrated? Our bodies need minerals known as electrolytes to absorb, retain, and deliver fluids efficiently to our cells. Some major electrolytes include calcium, potassium, and magnesium. Therefore, citrus fruit or cucumbers are naturally rich in electrolytes.

The next benefit ties into the importance of hydration. When you are dehydrated it shows – poor complexion, dry lips, etc. However, once you boost your intake with the fruit infusions, it will improve general blood circulation and detoxification. The last benefit of fruit-infused water is it promotes weight loss. Think of these waters as natural juice instead of the processed, sugary juice we purchase in the stores. Our infused water will carry significantly fewer calories. In addition, studies show that drinking water before a meal reduced calorie consumption by 13%.

After all of these benefits, how could you not try one of these fruit-infused water recipes? I am a huge fan of watermelon and mint, or orange and basil. Which infused water are you going to try? Comment below!

The post 10 Fruit-Infused Waters For Glowing Skin appeared first on Black Health Matters.

The Vocal Powerhouse Known As LaShun Pace

Terrian LaShun Pace was born in Atlanta, GA. She was a member of the Grammy-nominated sibling group The Anointed Pace Sisters. The group also included her sisters Duranice, Phyllis, June, Melonda, Dejuaii, Leslie, Latrice, and Lydia. The group released several albums between 1989 and 2009. Their album “U-Know” landed them at number two on the Billboard charts. In addition, they appeared in blockbuster movies and various plays, including Tyler Perry’s hit “Madea’s Family Reunion.”

Pace released her debut album “He Lives” in 1990. She is known for her hit songs “I Know I Been Changed” and “Act Like You Know.” Throughout her career, she toured some of the gospel’s greatest legends. The gospel singer was a Stellar Award winner and evangelist. She went on to release her autobiography “For My Good But His Glory” in 2003. Pace’s single “Act Like You Know” became a TikTok trend, which inspired her to start working on a new album.

LaShun Pace leaves behind seven of her nine sisters and an adult daughter. We send our condolences to her family and loved ones.

The post Gospel Singer LaShun Pace Passes Away At 60 appeared first on Black Health Matters.

We thrive on connections with one another, and COVID-19 has required physically distancing in ways that make it hard to connect socially. If we think staying away from loved ones has been difficult all year, the upcoming holiday season will make this reality even more of a challenge. People are being encouraged not to travel and, instead, stay home to celebrate without visitors.

On holidays like Thanksgiving and Christmas, it’s understandable that people are trying to find ways to socialize safely in the same spaces. But with community spread contributing to the latest coronavirus spike across the country, safe spaces might not be possible. We have even seen multiple cases of COVID-19 transmission among people who tried to social distance outdoors. Despite our best efforts, it will be almost impossible to maintain COVID-19 precautions at holiday gatherings—and that’s if we give it our best efforts.

To keep our families safe, and if you can’t stay away from loved ones, consider the following when making decisions about how to connect with others and help one another find ways to foster those connections safely:

1. People are most contagious for COVID-19 just prior to symptom onset. So those who look and act completely healthy could actually be highly contagious for the virus.
2. Whenever food and drink are served, people cannot wear masks, and this increases the risk of transmission.
3. When people need to speak loudly because of physical distance or background noise, virus droplets travel farther than usual.
4. Alcohol relaxes inhibitions and contributes to louder talking and lapses in distancing and proper mask wearing.
5. Transmission occurs outdoors as well as indoors.

The post 5 Things to Consider Before Attending a Holiday Gathering appeared first on Black Health Matters.

Here’s what else you should know: You can eat healthy when you’re in a hurry, too tired to cook something healthy or have no time.

Eating fast food doesn’t mean you have to mean a fatty cheeseburger and salty fries. These days, there are a variety of menu options where you can find healthier options. Many fast-food restaurants also have their menus, with calorie counts, online.

Smart picks for a quick and easy meal are places where you have more control over what goes into your order. At a sandwich shop, make healthy adjustments such as no mayo, extra veggies and whole-wheat bread. (Plus, they also often have salads and soups.) Many eateries now offer build-your-own bowls, vegetarian options or grilled meat and vegetable plates—all good bets.

But if you find yourself still driving through through a traditional fast-food joint, keep these tips in mind:

• Avoid anything fried (think: French fries, chicken strips and nuggets, and onion rings).
• A grilled skinless chicken breast sandwich is lower in saturated fat than a burger.
• Don’t supersize. In fact, ordering the kid’s menu version of your favorite fast food can give you the taste you crave with far fewer calories.
• Skip calorie-heavy sides, toppings and dressings.
• Bypass sugary drinks in favor of water, unsweetened tea, or fat-free or low-fat milk.

The post Eat Healthy When You Have No Time appeared first on Black Health Matters.

“Many of us understand how incredibly stressful it can be to be in our home all of the time. And when you couple that with a person who’s already in an abusive relationship, whether it be emotional, physical, mental, financial, we see these increased stressors causing probably more increased abuse,”  said Amanda Kubista-Owen, a social worker in the Mayo Clinic Health System. “People that were experiencing abuse previous to COVID-19 now it seems like those situations have increased and become more dangerous. We’re seeing that not only with domestic violence, but childhood sexual assault, or human trafficking, sexual assault and intimate partner violence. There are all sorts of ways in which we see vulnerable populations are even more vulnerable at this time.”

Financial or economic abuse is another form of abuse that is especially difficult as many families are experiencing financial stress due to furloughs, layoffs and cutbacks.

“If you think about economic abuse as it is it’s a form of an abuse where one person is controlling the finances of a family,” Kubista-Owen said. “And oftentimes, the person that’s being abused, their finances are restricted. They’re not allowed to work, or if they are working, perhaps their money is taken from them right away. And now when you look at a situation where many people are unemployed, many people don’t have any kind of income coming in, you’re going to see those stressors increase. When you see stress increase, you’re going to see increased instances of abuse, whether it’s economic, whether it’s physical. It all kind of just bubbles up. And at times, you’ll see it come out in many different ways.”

Make a plan to ensure your safety and that of your children. “There are many things you can do to protect yourself or develop a plan for safety. If possible, have cell phone or old cell phone. Those (old cell phones) will call 911 always as long as it can turn on and it has power. Try to connect, if possible, with a support person, as we’re seeing people are more isolated. Also, having a getaway bag packed or an exit strategy is something that’s really important,” Kubista-Owen said.

Creating a safety plan may include:

• Know your local domestic violence and sexual assault resources. If there isn’t a local organization, call the National Domestic Violence Hotline at 800-799-7233 (SAFE).
• Keep a cell phone hidden for emergencies, if possible.
• Let a trusted neighbor know your situation, share your safety plan, develop a code.
• Get an extra set of keys for house and car.
• Prepare an exit strategy and getaway bag with clothes, toothbrush.
• Ensure you have your medications, identification, birth certificate.

Knowing what not to do to help a person in a difficult and abusive situation is as important as knowing what to do.

“If you know a person has a history of being in an abusive relationship, or has a current situation going on, the best thing you can do is be there to listen to them,” Kubista-Owen said. “Don’t give them an ultimatum. That’s even isolating that person further. Listen first.”

The post COVID-19: Finding Safety When Home Isn’t Safe appeared first on Black Health Matters.

Instead of: Sour Cream
Try: Greek Yogurt
The Skinny: Plain Greek yogurt and sour cream are nearly alike in both taste and texture, so there’s really no excuse not to use the lean, protein-packed alternative to fatter sour cream. A dollop of Greek yogurt can save you more than 20 grams of saturated fat while more than doubling your protein intake.

Instead of: Full-fat Cheese
Try: Low-fat Cheese
The Skinny: Many cheesy casseroles and bakes call for ricotta. Swap the full-fat cheese with the skinner version and cut 9 grams of saturated fat per serving.

Instead of: French Fries
Try: Potato Salad
The Skinny: According to a USDA Agricultural Research Service study, chilled potatoes pack more resistant starch than any other kind of potato. Sometimes called the third starch, resistant starch is not absorbed in the small intestine, so you eat less and feel fuller longer. Use extra-virgin olive oil, red wine vinegar and mustard instead of mayo to slash even more calories.

Instead of: Sausage Patties
Try: Center-cut bacon
The Skinny: Salty, fatty breakfast pork will try to seduce you every now and again. If you indulge, remember that center-cut bacon has only 25 calories per slice. It’s loaded with nearly 200 milligrams of sodium, though, so go easy.

Instead of: 1⁄2 cup chocolate ice cream
Try: 1⁄2 cup fat-free chocolate pudding
The Skinny: Fat-free pudding will save you 7 grams of fat.

Instead of: Granola
Try: Oatmeal
The Skinny: A half-cup cooked serving of Quaker Steel Cut Oats contains 150 calories, 2.5 grams of fat and 1 gram of sugar, while, a half-cup of Quaker’s Apple, Cranberry & Almond Granola weighs in at 200 calories, 5 grams of fat, and a whopping 13 grams of sugar—before you add the milk.

Instead of: Vegetable Soup
Try: Split-Pea Soup
The Skinny: Pea soup has 10 grams of protein, more than the amount in a glass of milk or an egg.

Instead of: Flour Tortilla
Try: Corn Tortilla
The Skinny: Save 450 milligrams of sodium.

Instead of: Rice
Try: Baked potato
The Skinny: Get nearly three times the fiber in that baked potato. You’ll also clock 20 percent of your daily dose of potassium, which helps regulate blood pressure.

Instead of: A Bran Muffin
Try: Raisin Bran
The Skinny: Coffee shop muffins can pack 400 calories or more. But when you eat your bran with a spoon, using 2/3 cup 1% low-fat milk, you trim the calories and get 2 grams more fiber than in the muffin. You’ll also add 200 milligrams of bone-building calcium.

Instead of: Orange Juice
Try: An Orange
The Skinny: A cup of orange juice contains about 21 grams of sugar and almost no fiber. A large orange has slightly less sugar—about 17 grams—but will give you more than six times the heart-healthy fiber.

Instead of: Chocolate Chip Cookies
Try: Fig Bars
The Skinny: Though they are technically still cookies, fig bars contain much less refined sugar. They are also a great source of fiber, so you won’t wolf down a whole pack at one time.

Instead of: Meat Lasagna
Try: Cheese Ravioli
The Skinny: Compared with the lasagna, the ravioli is downright Kelly Ripa-thin, with about half as much total and saturated fat as lasagna.

The post Food Swaps appeared first on Black Health Matters.

What are eating disorders? Eating disorders are a range of illnesses that impact the way that you eat—from eating too little or eating way too much—that have serious repercussions to your physical and emotional health, according to the National Institutes of Health. The most common include bulimia, anorexia and binge eating.

What causes them? Eating disorders are much more complex than having low-self esteem or poor body image. Doctors believe that they are a result of genetic, biological, behavioral, psychological and social factors that interact with one other. However, more research needs to be done.

How common are they? It’s estimated that 24 million people suffer from an eating disorder, says the National Association of Anorexia Nervosa and Associated Disorders. Fifty percent of people with eating disorders are considered depressed, and eating disorders have the highest death rate of any mental illness. However only 1 in 10 with this problem receive treatment.

Do black girls get eating disorders? Having an eating disorder ain’t just a white thing. A 2009 study found that not only were African American girls 50 percent more likely than white girls to be bulimic, but that socioeconomic status was not a factor in developing these disorders. Girls from the lowest income bracket were 153 percent more likely to be bulimic than their richer counterparts.

Can men suffer from these disorders? Yes they can. Contrary to popular belief, no one is exempt from eating disorders. A recent study found that 17.9 percent of boys and male teens were extremely concerned with their weight and body image. Also, these boys were more at risk for engaging in binge drinking and drug use.

What is anorexia nervosa? Anorexia is a deadly disorder where no matter how thin someone is, it’s just not enough. A person with anorexia refuses to maintain a healthy body weight; has an intense fear of gaining weight; and has a distorted body image that does not reflect reality. Complications include reproductive and thyroid abnormalities; anemia; heart problems, bone density loss, neurological problems and, in some cases, death.

What is binge eating? Binge eating, the most common eating disorder among adults, is the act of consuming a large amount of food in a short period of time. This affects 3.5 percent of women, 2 percent of men and 1.6 percent of teens and kids, according to the National Institutes of Health. Complications include obesity, diabetes, heart disease, gallbladder disease and high blood pressure.

What is bulimia? Bulimia, an illness that singer and actress Brandy once had, is when a person binges on food or has regular episodes of overeating. Then they use different methods—such as vomiting or abusing laxatives— to prevent weight gain from eating so much. Complications include constipation, dehydration, cavities, hemorrhoids, pancreatitis and tears in the esophagus.

The post It’s National Eating Disorders Awareness Week appeared first on Black Health Matters.

At the beginning of this year an auspicious change occurred, but in all probability, not many people took notice. The nutrition facts label that appears on all packaged foods has gone through a transformation.

In 2016, The U.S. Food and Drug Administration published final rules regarding the changes and gave food manufacturers with $10 million dollars or more in annual sales until the beginning of this year to comply. Smaller companies have a year’s extension.

The changes are made to give consumers access to more recent and accurate nutrition information, particularly the link between diet and chronic diseases, such as obesity and heart disease.

More significant, however, is the addition of added sugars, or sugars and syrups that are added to foods or beverages when they are processed or prepared. Foods such as fruit and milk contain naturally occurring sugars that help fuel the body. Added sugars, on the other hand, contain no nutritional value, and provide only calories.

According to the Centers for Disease Control and Prevention, people should limit consumption of added sugars to less than 10 percent of total daily calories. The American Heart Association, however, is more stringent, and recommends a limit of nine teaspoons (36 grams or 150 calories) a day for men and six teaspoons (25 grams or 100 calories) a day for women.

A point of comparison is one 12-oucnce can of soda, which contains eight teaspoons, or 32 grams of added sugar.

Significant changes have also been made to the section on the listing of required nutrients. Vitamins A and C are no longer mandated since they are readily available in most American diets. Two nutrients ─ vitamin D and potassium ─ are now required. Both are essential nutrients, which means that they are required for normal functioning of the body. However, the body cannot manufacture them, and instead relies on you for their production. Vitamin D is necessary for bone health. Potassium helps control blood pressure.

Other nutrients, calcium and iron, remain required and are still listed on the labels.

When shopping, it’s easier to grab your food of preference and go. So what’s the value of nutrition labels? Actually, a high percentage of what we eat every day is packaged foods. Bread, cereal, salad dressings, sugary beverages, baked goods ─ they all count. Many of these foods are highly processed and contain excessive amounts of fats, sugars and sodium.

The bottom line is just as you closely scrutinize the fruits and veggies that you purchase, take a closer look at that nutrition facts label before you reach for your wallet.

From Bay State Banner

The post Nutrition Facts Labels Get a Makeover appeared first on Black Health Matters.

The study also finds, however, that the association between home cooking and diet quality differs between high- and low-income populations.

The research highlights the importance of promoting meal preparation and cooking at home as key strategies for improving eating habits across the United States, said lead author Julia Wolfson, assistant professor of health management and policy at the School of Public Health at the University of Michigan.

“However, the fact that we see a much stronger association between cooking and better diet quality among higher income groups speaks to the fact that, of course, it matters what you cook if you want to eat healthy.”

For their study, Wolfson and colleagues used the Healthy Eating Index—a measure of diet quality used to assess how well foods align with recommendations of the Dietary Guidelines for Americans—and data collected from the 2007 to 2010 National Health and Nutrition Examination Survey.

The study looked at 8,668 adults aged 20 years or older with complete and reliable data from two 24-hour dietary recalls. The Healthy Eating Index score ranged from 0 to 100, with 100 being the best, and high scores indicating better diet quality. The score is based on 13 component parts measuring both adequacy and moderation food groups.

Of the participants, 13 percent lived in households where someone cooked dinner 0-2 times per week, 21 percent lived in households where someone cooked dinner 3-4 times per week, 31 percent lived in households where someone cooked dinner 5-6 times per week, and 36 percent lived in households where someone cooked dinner 7+ times per week.

The study also found that:

• Greater cooking frequency (3+ times per week) was associated with higher total HEI score compared with cooking 0-2 times per week.
• Compared with cooking 0-2 times per week, cooking dinner 7+ times per week resulted in a 2.96 point increase in HEI overall.
• Among lower-income individuals the increase was 2.68 points and among higher-income individuals the increase was 5.08 points.

Individuals who were 65 years or older, Hispanic, foreign born, had less than a high school education, were unemployed, had lower household income, were married or living with a partner, had four or more people in their household, received SNAP benefits, received WIC benefits, or had less than full food security were more likely to cook seven or more times per week.

Wolfson said while additional research is needed to further understand the potential systematic differences between high- and low-income populations for healthy home cooking, increasing access to affordable healthier food options may be a solution to decreasing the disparity between the two populations.

“Helping more people cook healthy meals at home is a laudable goal, but it is not always feasible for everyone,” she said. “More must be done to help ensure that all people, no matter how frequently they cook, or their level of income, are able to consume a healthy diet.”

From Futurity

The post Home Cooking Is Healthier appeared first on Black Health Matters.

But does it really work? And is it good for you?

At its core, intermittent fasting is a pattern that features periods of fasting and eating. The premise is this: When our insulin levels drop far enough and for long enough, as they do when we fast, we’re able burn off fat.

There are a number of different intermittent fasting diets:

• liquid fasting, a 24-hour period where you ingest only liquids
• dramatic caloric reduction is dropping from 2,000 calories to 500 calories
• time-restricted eating, where you eat every day but during only a limited number of hours—maybe a six- to eight-hour window
• alternate-day fasting, where you fast for a day and then eat normally the next day
• weekend restriction limits calories during the week, but not on weekends

In addition to lower insulin levels—which over time leads to weight loss—there’s literature that suggests intermittent fasting may slow the aging process through weight loss, lower blood pressure and reduced cholesterol. Other research shows increased lifespan as well as protection against diabetes, cognitive decline, heart disease and some cancers. 

But the bulk of this promising research has been performed only in cells and animals in the lab. Human studies that will show what happens to our bodies when we fast is still underway.

Early results show some types of fasting may have positive effects on blood sugar control, blood pressure, and inflammation. And fasting can lead to weight loss. Researchers are studying whether these beneficial changes are side effects of the weight loss or the fasting process.

For most of us, the main reason to try intermittent fasting is to lose weight. Remember Beyoncé’s body after her cayenne pepper, honey and lemon water diet a few years ago?

But “that doesn’t work for everyone,” said Vicki Catenacci, a nutrition researcher at the University of Colorado. “It takes a lot of focus. It takes a lot of math, and a lot of willpower. For some people, restricting calories every day may be the best approach. For others, it might be easier to not have to count calories every day and use an intermittent fasting strategy for weight loss.” 

So how do you know if intermittent fasting will work for you?

For some, restricting food may cause problems. For example, studies have found people who regularly fast more than 16 or 18 hours a day have a higher risk of gallstones. They’re also more likely to need surgery to remove the gallbladder. 

But eating for 12 hours and then fasting for 12 hours is likely safe for most people, experts say, though they caution against people trying fasting diets not based on research. 

If you’re considering fasting, start with a chat with your health care provider. Some people, including those younger than 25, who are pregnant or breastfeeding, who take insulin or other medications to control diabetes, who have been prescribed medication that must be taken with food, who have a seizure disorder, who have eating disorders or who operate heavy machinery at work, shouldn’t fast at all.

Even if you give intermittent fasting a try, you still need to make healthy food choices. That means choose fruits, vegetables, beans, lentils, whole grains, lean proteins and healthy fats; drink lots of water; and avoid sugars and processed foods. Because when you eat matters, the experts say, but what you eat probably still matters more.

The post Is Intermittent Fasting for You? appeared first on Black Health Matters.

It’s a common belief that if cancer doesn’t run in your family, it’s unlikely you’ll receive a cancer diagnosis. But this is a myth.

According to the National Cancer Institute, only 5 percent to 10 percent of cancers are hereditary. That means about 90 percent of cancers are caused by other factors.

A significant proportion of that 90 percent comes from habits you do or don’t do. In fact, the American Cancer Society says we cause more than 40 percent of these cases of cancer.

Several factors that increase the risk of cancer are out of our control:

• Age. The incidence of cancer rises as you age. About 52 percent of the cases are diagnosed in people between the ages of 55 and 74. Cancer in folks younger than age of 34 is relatively uncommon by comparison.
• Environment. You have to breathe, and you have no say over burning fossil fuels or other air pollutants.
• Race and gender. You can’t influence your race or your gender. For instance, African Americans are more likely to be diagnosed with—and to die from—pancreatic cancer than folks of other races. Black men, for reasons still not fully understood, suffer the highest incidence of prostate cancer. Black women are more likely to contract aggressive and deadly forms of breast cancer.

Some factors, however, you can control, some behaviors you can change–meaning some tweaks can help prevent cancer. The problem is that too many of us see genetically modified foods, hormones in beef, stress and other myths and falsehoods as the major culprits behind cancer. But every two years the American Institute for Cancer Research publishes its Cancer Risk Awareness Survey, and the results show while 93 percent of respondents know tobacco increases cancer risk, less than 40 percent attributed cancer to alcohol, processed and red meats, diet, and inactivity.

Smoking. The largest controllable factor contributing to cancer is tobacco. The Centers for Disease Control and Prevention says smoking is the leading cause of preventable deaths, accounting for about 1,300 deaths every day in this country. Smokers don’t suffer alone; more than 41,000 deaths each year are the result of exposure to secondhand smoke.

Most of us know smoking is related to cancers of the lung, mouth and throat, but tobacco is an equal opportunity offender, affecting nearly every organ in the body. “This is one of the most potent ways of delivering a toxic substance,” said Christopher Lathan, who specializes in lung cancer at Dana-Farber Cancer Institute.

This is no surprise, since tobacco smoke contains 250 harmful chemicals, at least 69 of which can cause cancer, according to the NCI. Switching to cigars, pipes, e-cigarettes or smokeless tobacco isn’t any safer. All tobacco use is linked to some form of cancer.

So why do people still smoke? It’s addictive, and nicotine is one of the hardest drugs to give up. Still, quitting is the best option. “The single best thing you can do is stop smoking,” Lathan said. “Over time the risk decreases.”

It may take more than 10 attempts to quit, so don’t be shy about seeking help. For assistance and advice on quitting smoking:

• Smokers’ Helpline: 800-QUIT-NOW (800-784-8669)
• National Cancer Institute’s Smoking Quitline: 877-448-7848
• American Cancer Society’s Quit for Life: 800-227-2345
• Smokefree

Obesity. The second most significant risk factor of cancer is obesity, according to the AICR. It accounts for nearly 7 percent of all cancer deaths. That is especially concerning since the prevalence of obesity in this country keeps growing, standing around 40 percent right now, and it is more common in black folks.

Fat might be thought of as just unwanted extra pounds, but actually it is linked to 13 different cancers. Why? Fat produces estrogen, which in excess can increase the risk of breast, ovarian and uterine cancers, especially in post-menopausal women.

Alcohol. What’s the harm in having a glass of wine with dinner or a beer while watching the game? That depends on how many you have. The National Institute on Alcohol Abuse and Alcoholism says limit alcoholic drinks to one drink a day for women and two for men. How much is a drink? It’s probably much less than you think: 12 ounces of beer; 5 ounces of wine; and 1.5 ounces, or a shot, of 80-proof liquor, such as scotch.

But a glass of wine holds 22 ounces, and a stein of beer 44 ounces. So your nightly glass of wine or beer with the fellas is actually four servings. It’s the amount of alcohol, not the type of alcoholic drink, that increases risk. Excessive alcohol, especially in tandem with smoking, is linked mostly to cancers of the head, neck and esophagus, but also can lead to cancers of the breast, colon and liver.

Diet and inactivity. About 5 percent of preventable causes of cancer are attributed to a sedentary lifestyle, especially for women, and poor diet. You don’t need to train for a marathon to reap cancer prevention benefits. Thirty minutes a day of moderate-intensity physical activity—think: walking—is enough. Marry that movement with a healthy diet of fruits, veggies, whole grains, legumes and nuts, and you’ll make significant headway toward preventing cancer. Nutritionists suggest limiting red meat to 12 ounces a week, while avoiding processed meats, such as bacon and ham, almost entirely. Both are linked to colon cancer.

Infectious disease. Human papillomavirus, or HPV, is the most common sexually transmitted virus. A CDC report found that almost half of all sexually active men and women in this country will contract the sexually transmitted infection at some point in their lives. Our immune systems kill most cases of it, but when HPV persists, it can result in cancer of the cervix, vagina, penis, throat and anus. Fortunately, the FDA-approved HPV vaccination can prevent most infections. Gardasil 9 has been approved for females and males between the ages of nine and 45.

Skin cancer. We tend to think skin cancer isn’t an issue for us, but research shows survival rates of melanoma, the more deadly form of skin cancer, are lower in black folks. That means everybody, including us, should use sunscreen, avoid the sun when it’s at its strongest, and wear protective clothing and sunglasses when outdoors. Year-’round, folks. And check unusual moles or changes in your skin annually.

Screenings. Detecting cancers in the early stage when treatment is more successful can be a simple as getting screened. Even better: Tests for cervical and colon cancer often find pre-cancerous changes in cells before they have the chance to transition into cancer, making this an easy method to prevent cancer.

All of these steps taken together can do a lot to help keep you cancer free. Even if you can change only one of these behaviors, you are on the right path. “Prevention decreases risk,” Lathan said.

The post Prevent Cancer appeared first on Black Health Matters.

So what should you eat to manage those common chronic conditions or avoid developing them in the first place? We checked with our friends at mayoclinic.org to find out.

High cholesterol

To lower your cholesterol and keep your heart healthy, think fiber, fish and Little Miss Muffet. Specifically:

• Eat more foods high in soluble fiber, such as apples, kidney beans and oatmeal.
• Add fish—specifically salmon, mackerel or herring—to your diet to get more omega-3 fatty acids. (If you’re not a fish fan, walnuts and flaxseeds are also good sources of omega-3s.)
• Think “Yes way.” (Ahem, whey.) Whey protein, which is found in dairy products, may account for many of the health benefits attributed to dairy. Studies have shown whey protein given as a supplement lowers both LDL cholesterol and total cholesterol as well as blood pressure. Speaking of which …

High blood pressure

“Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol can lower your blood pressure by up to 11 mm Hg if you have high blood pressure,” according to Mayo Clinic.

Diabetes

If you have or are at risk of developing diabetes, it’s not just what you eat but when that matters. A diabetes diet is based on eating three meals a day at regular times. Those meals should include:

• Healthy carbohydrates, such as fruits, veggies, beans, whole grains and low-fat dairy products.
• High-fiber foods, which are also the stars of the healthy carb list above.
• Heart-healthy fish. (Think the same swimmers that help lower cholesterol.)
• Small amounts of monounsaturated and polyunsaturated fats, such as those found in nuts, olive oil and avocados.

The post Fill Your Next Prescription on the Produce Aisle appeared first on Black Health Matters.

The gap in cancer deaths in the United States has narrowed for most cancers, but disparities remain for two common cancers, according to a recent report from the American Cancer Society.

For deaths from breast cancer in women, the gulf between blacks and whites has widened. For deaths from colon cancer in men, the racial divide has remained steady at 50 percent higher for blacks than whites. This imbalance, researchers said, is likely driven by inequalities in access to care, screening and treatment.

“There is good news. Cancer death rates among black women are decreasing for all of the top cancers, but compared to whites not as much progress has been made—particularly for breast cancer,” said lead researcher Carol DeSantis, an epidemiologist with ACS.

Fewer overall cancer deaths since the early 1990s have saved more than 300,000 black lives over the past two decades, the report noted, suggesting that deaths are declining because improved screening detects many cancers earlier, and improvements in care have made treatments more effective.

“The disparities remain because not everyone is getting access to the best cancer therapies,” DeSantis said. She also blamed the disparity in care on economics not race. “It’s just that there are more poor blacks,” she said.

The report, published in CA: A Cancer Journal for Clinicians, highlighted other findings:

• Cancer death rates have dropped faster among blacks than whites for all cancers combined, and for lung, prostate and colon cancer in women.
• In 1990, the cancer death rate for men was 47 percent higher in blacks than in whites; in 2012 it dropped to 24 percent higher. Among women, the disparity decreased from 19 percent higher in 1991 to 14 percent in 2012.
• Since 1990, deaths from breast cancer dropped 23 percent among black women and 37 percent among white women, increasing the racial disparity. From 2008 to 2012, breast cancer deaths were 42 percent higher in black women than in white women, despite lower breast cancer rates overall. Researchers said the higher death rates among black women are likely due to a number of factors, including differences in cancer progression at diagnosis, obesity, other chronic illnesses, tumor type and access to care.
• From 2003 to 2012, colon cancer deaths dropped faster among black women than white women. But the drop was slower among black men than white men.
• For most cancers, fewer blacks than whites survive five years. Researchers suggested much of this difference is due to limited access to “timely, appropriate and high-quality care.” These barriers result in later diagnosis, when treatment choices are limited and often less effective.
• Obesity increases cancer risk, and black women have the highest obesity rates of any group. In 2013-2014, nearly six in 10 black women were obese, compared with about four in 10 white women. Obesity rates are similar in black and white men.

“There is some promising news that there is a narrowing of the gap in cancer disparities,” said Christopher Flowers, M.D., chair of the Health Disparities Committee for the American Society of Clinical Oncology. “But [this study] also raises the concern that there still is a gap between black and white patients in terms of cancer deaths.”

ASCO is trying to develop new ways to educate doctors and improve the quality of care in hospitals that “serve traditionally underserved populations,” Dr. Flowers said, adding that Medicaid reform might help to address the racial disparities in cancer care.

DeSantis said changes in insurance access, through the Affordable Care Act, will likely help narrow the gap between blacks and whites, because more people will have health insurance. “That’s a huge step,” she said.

The post Racial Gap in Cancer Deaths Continues to Narrow appeared first on Black Health Matters.

There’s still no cure for the common cold, but there are foods you can eat to give your body the edge it needs to fight off infection. You may know about chicken soup, but there are more options. Load up on the nutrition that builds your immune system and acts as a shield against colds and flu.

1. Fennel, a natural expectorant, can help clear chest congestion and soothe a persistent cough. Fennel can be eaten raw or roasted, but you for best cold-fighting results make a tea from fennel seeds: 1.5 teaspoons of fennel seeds and one cup boiling water. Steep for 15 minutes, strain and sweeten with honey.
2. Licorice-flavored anise seeds have antibacterial properties shown to ease coughing and help clear congestion. Anise seeds can be baked in breads and cookies, but for to keep colds at bay, add one cup of crushed anise seeds to one cup of hot water, and flavor with sugar, garlic, cinnamon or honey. Sip this tea up to three times a day.
3. Omega-3-rich oily fish—mackerel, salmon and tuna—help reduce inflammation in your body. Chronic inflammation keeps your immune system from working properly can contributes to colds and flu (along with more serious diseases, such as heart disease).
4. Recent research suggests vitamin C may not prevent colds, as once thought. But taking the vitamin at the first sign of illness may reduce a cold’s duration by about a day. So be sure to include lots of citrus—grapefruits, lemons limes and oranges—in your diet.
5. Zinc has a strong track record of fighting colds. Studies show taking zinc lozenges appears to shorten the duration of cold symptoms in adults. But you can also get zinc from your diet; oysters contain more of the nutrient per serving than any other food. Just skip the raw version. Uncooked shellfish could contain harmful bacteria that can make you sick in other ways.
6. Garlic does more than spice up your food. These fragrant cloves contain allicin, a compound that produces potent antioxidants when it decomposes. One study found that people who took garlic supplements for 12 weeks between November and February got fewer colds than those who took a placebo. Note that you’ll get the biggest antioxidant boost from raw garlic.
7. Brazil nuts are high in protein, healthy fats and selenium—a mineral that’s essential for proper immune function and may help guard against infections and flu. You only need a small amount of selenium (getting too much cold raise your risk for certain diseases). And one Brazil nut contains more than a day’s recommended value of the mineral, so go easy on these treats.
8. That old saying, “the darker the berry, the sweeter the juice” holds true when it comes to leafy greens. The darker the greens, the higher the nutrient content. So when preparing your immune system for sniffles season, choose arugula instead of iceberg lettuce. Greens like arugula may help relieve chest congestion, runny nose and coughs.
9. Oats contain a type of fiber called beta-glucan, known for its cholesterol-lowering and immune-boosting properties. Animal studies show beta-glucan from oats helps prevent upper respiratory tract infection. This is true whether you get your oats from a bowl of oatmeal or from a snack bar made from oat grain.
10. Sunflower seeds are excellent sources of vitamin E, an antioxidant that protects cell walls from damage. A study from Scotland found that people who ate diets high in vitamins C and E produced less phlegm. But a single one-ounce serving is plenty; it contains 30 percent of your recommended daily intake. For a healthier choice, opt for dry-roasted seeds over those roasted in oil.

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1. During acupuncture treatment, a practitioner inserts tiny needles into your skin at precise points. Studies show acupuncture may be helpful in relieving nausea caused by chemotherapy. Acupuncture may also help relieve certain types of pain in people with cancer. Acupuncture is safe if it’s performed by a licensed practitioner using sterile needles. Ask your doctor for names of trusted practitioners. Acupuncture isn’t safe if you’re taking blood thinners or if you have low blood counts, so check with your doctor first.
2. Aromatherapy uses fragrant oils to provide a calming sensation. Oils, infused with scents such as lavender, can be applied to your skin during a massage, or the oils can be added to bath water. Fragrant oils can also be heated to release their scents into the air. Aromatherapy may be helpful in relieving nausea, pain and stress. Aromatherapy can be performed by a practitioner, or you can use aromatherapy on your own. Aromatherapy is safe, though oils applied to your skin can cause allergic reactions. People with cancer that is estrogen sensitive, such as some breast cancers, should avoid applying large amounts of lavender oil and tea tree oil to the skin.
3. Exercise may help you manage signs and symptoms during and after cancer treatment. Gentle exercise may help relieve fatigue and stress and help you sleep better. Many studies now show that an exercise program may help people with cancer live longer and improve their overall quality of life. If you haven’t already been exercising regularly, check with your doctor before you begin an exercise program. Start slowly, adding more exercise as you go. Aim to work your way up to at least 30 minutes of exercise most days of the week.
4. Hypnosis is a deep state of concentration. During a hypnotherapy session, a therapist may hypnotize you by talking in a gentle voice and helping you relax. The therapist will then help you focus on goals, such as controlling your pain and reducing your stress. Hypnosis may be helpful for people with cancer who are experiencing anxiety, pain and stress. It may also help prevent anticipatory nausea and vomiting that can occur if chemotherapy has made you sick in the past. When performed by a certified therapist, hypnosis is safe. But tell your therapist if you have a history of mental illness.
5. During a massage, your practitioner kneads your skin, muscles and tendons in an effort to relieve muscle tension and stress and promote relaxation. Several massage methods exist. Massage can be light and gentle, or it can be deep with more pressure. Studies have found massage can be helpful in relieving pain in people with cancer. It may also help relieve anxiety, fatigue and stress. Massage can be safe if you work with a knowledgeable massage therapist. Many cancer centers have massage therapists on staff, or your doctor can refer you to a massage therapist who regularly works with people who have cancer. Don’t have a massage if your blood counts are very low. Ask the massage therapist to avoid massaging near surgical scars, radiation treatment areas or tumors. If you have cancer in your bones or other bone diseases, such as osteoporosis, ask the massage therapist to use light pressure, rather than deep massage.
6. Meditation is a state of deep concentration when you focus your mind on one image, sound or idea, such as a positive thought. When meditating, you might also do deep-breathing or relaxation exercises. Meditation may help people with cancer by relieving anxiety and stress. Meditation is generally safe. You can meditate on your own for a few minutes once or twice a day or you can take a class with an instructor.
7. During music therapy sessions, you might listen to music, play instruments, sing songs or write lyrics. A trained music therapist may lead you through activities designed to meet your specific needs, or you may participate in music therapy in a group setting. Music therapy may help relieve pain and control nausea and vomiting. Music therapy is safe and doesn’t require any musical talent to participate. Many medical centers have certified music therapists on staff.
8. Relaxation techniques are ways of focusing your attention on calming your mind and relaxing your muscles. Relaxation techniques might include activities such as visualization exercises or progressive muscle relaxation. Relaxation techniques may be helpful in relieving anxiety and fatigue. They may also help people with cancer sleep better. Relaxation techniques are safe. Typically a therapist leads you through these exercises and eventually you may be able to do them on your own or with the help of guided relaxation recordings.
9. Tai chi is a form of exercise that incorporates gentle movements and deep breathing. Tai chi can be led by an instructor, or you can learn tai chi on your own following books or videos. Practicing tai chi may help relieve stress. Tai chi is generally safe. The slow movements of tai chi don’t require great physical strength, and the exercises can be easily adapted to your own abilities. Still, talk to your doctor before beginning tai chi. Don’t do any tai chi moves that cause pain.
10. Yoga combines stretching exercises with deep breathing. During a yoga session, you position your body in various poses that require bending, twisting and stretching. There are many types of yoga, each with its own variations. Yoga may provide some stress relief for people with cancer. Yoga has also been shown to improve sleep and reduce fatigue. Before beginning a yoga class, ask your doctor to recommend an instructor who regularly works with people with health concerns, such as cancer. Avoid yoga poses that cause pain. A good instructor can give you alternative poses that are safe for you.

You may find some alternative treatments work well together. For instance, deep breathing during a massage may provide further stress relief.

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It’s time to shake up your spice rack, and pull out that bottle of turmeric. The root spice with a warm, slightly bitter flavor is a main component in curry spice, and it is the ingredient that gives cheeses, mustards and butter their golden color. More than just making foods tasty, however, turmeric has been shown to relieve pain, aid digestion and fight inflammation.

One study, published in the Journal of Alternative and Complimentary Medicine, found that curcumin, the active component of turmeric, was as effective as ibuprofen at relieving knee pain. Other studies show the spice, eaten daily for a month, can ease symptoms of irritable bowel syndrome and soothe skin conditions like eczema.

To get the most out of turmeric’s benefits, use it in recipes that also call for pepper, which promotes the absorption of turmeric into the bloodstream.

Tandoori Chicken

4 skinless, boneless chicken breast halves

1/2 teaspoon curry powder

1/2 teaspoon red pepper flakes

1/2 teaspoon kosher salt

1/4 teaspoon ground ginger

1/4 teaspoon paprika

1/4 teaspoon ground cinnamon

1/4 teaspoon ground turmeric

2 tablespoons water

Preheat grill for high heat. In a medium bowl, mix curry powder, red pepper flakes, salt, ginger, paprika, cinnamon and turmeric with water to form a paste. Rub paste onto chicken breasts and place them on a plate. Cover and let marinate for 20 minutes. Brush grill grate with oil. Place chicken on the grill. Cook 6 to 8 minutes on each side, until juices run clear when pierced with a fork. Serves 4.

Nutrition analysis: 264 calories; 134 mg cholesterol; .4 g fiber; 358 mg sodium; .7 g carbohydrates; 5.8 g fat; 49.1 g protein

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Cancer comes with a lot of information and a lot of emotion. That mix can make doctor visits tricky.

Doctors try to be clear as they walk through recommended treatments, explaining the possible risks and side effects. But the language involved in cancer care is complicated.

Patients are often stuck wondering what is a contraindication or an intervention? And what does oncology mean anyway?

“Most doctors are pretty good about explaining complex concepts. The word ‘doctor’ means teacher, and we take that seriously,” said Reshma Jagsi, M.D., Newman Family professor and deputy chair of radiation oncology at Michigan Medicine. “But as a whole, we are starting to realize we could do a much better job of providing forms and information that our patients can understand.”

Jagsi and colleagues recently published a study that looked at the informed consent forms patients are given to sign before beginning radiation treatment. The forms are intended to outline what patients can expect during treatment, including possible side effects and other risks.

The researchers looked at 113 forms from cancer centers across the country. Only nine forms were at or below an eighth grade reading level, which is recommended. Some forms were equal to a 15th grade reading level, which implies about seven years of post-high school education.

The study was an eye-opener, Jagsi said, and the authors propose working with national organizations to make these documents easier to understand.

It’s important because informed consent documents can be a helpful written reminder of a conversation with your doctor.

But what do you do when the conversation feels no less complicated than the form?

“Your doctor is trying to listen but may not fully appreciate where you’re coming from. We try our best to sense what the patient is or is not following,” Jagsi said. “We want to know what it is you didn’t understand so we can correct that understanding.”

In cancer treatment, and radiation in particular, patients are often scared and nervous before treatment and report afterward that it wasn’t as bad as they had expected.

“We don’t want people to be unduly scared. We want to make the treatment as clear and transparent as possible,” Jagsi said.

Try these six tips to leave your doctor’s office truly informed:

• Don’t be afraid to say you don’t understand. Doctors want you to know what to expect. If they aren’t explaining it well, ask them to explain it again more simply. Ask them to draw a picture if that might help.
• Take notes or ask a family member or friend to take notes. Even if you understand in the moment, having your notes to refer to, in terms you understand, might be helpful later.
• Ask for any forms or brochures at the beginning of the conversation and mark them up during the appointment. Add explanations that make sense to you.
• Restate what you think you heard and ask your doctor if you’re understanding correctly.
• Make a list of questions before your appointment. Don’t leave till your questions are answered in a way you understand.
• If you try all these steps and you are still confused by what your doctor is saying, ask if someone else from the care team, such as a nurse or physician’s assistant, can step in and explain in a different way.

From Michigan Health

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It’s another week, and there’s more evidence that we need to get up out of our seats. A new study reveals women who sit too much have an increased risk of cancer.

A growing database of research from the past couple of years shows too much sitting carries risk above just lack of exercise. Most notably, studies have looked at the connections between excess sitting and heart disease, diabetes, stroke and obesity.

The new study included 184,000 adults aged 50 to 70, who were enrolled in American Cancer Society Cancer Prevention Study II Nutrition Cohort. Participants answered a questionnaire about how many hours they work, exercise, perform household activities and sit for leisure (sitting to watch TV, reading or playing with electronic gadgets). Researchers followed the 69,260 men for about 13 years and the 77,462 women for about 16 and compared their behaviors to their health.

For women, the results are distressing. Those who sat more than six hours a day had a 10 percent greater risk of getting any cancer compared to ladies who sat for less than three hours. Those who sat for more than six hours a day had a 65 percent increased risk for multiple myeloma, a 43 percent higher risk for ovarian cancer and a 10 percent increased risk for invasive breast cancer than their peers who sat for three hours or less each day.

Too much sitting can impact metabolism and may also increase body fat and estrogen levels, which can lead to common female cancers, according to experts.

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Bristol Myers Squibb has teamed up with the Emmy-winning actor to shine a light on the lives of Americans dealing with cancer. With its new video series, “Survivorship Today: What It’s Like to Live with Cancer,” Bristol-Myers Squibb is aiming to advance the public’s understanding of the day-to-day experiences of cancer patients. Each video shares perspectives from cancer survivors around the country.

In the series’ first episode, survivors Bin and Jamie detail their journeys with the disease. Jamie recounts developing cancer right after giving birth, and her husband having to drive her to the closest cancer center, four hours away from home, every week. Bin speaks about the fear, shame and needless secrecy that surrounds diagnosis and treatment in the African American community, especially with men. Both impart through their conversations that “the road to recovery is through community.”

Bristol-Myers Squibb is a pharmaceutical company headquartered in New York City that works every day to deliver innovative medicines for patients with serious and life-threatening diseases. Sterling K. Brown is an actor best known for his role as N’Jobu in Ryan Coogler’s “Black Panther” and as Randall Pearson on NBC’s “This Is Us.”

—Clark Smith

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What’s your skin cancer backup plan? When you’re frolicking on the beach this summer, don’t forget to put sunscreen on your back. According to a recent survey, this is the most neglected body part for many people in the United States when they try to be proactive about skin cancer prevention.

Experts at the American Academy of Dermatology, sponsors of the survey, say the back is a common site for melanoma, a potentially deadly skin cancer. But of the more than 1,000 people polled, more than a third said they rarely or never apply sunscreen to their backs. Nearly half (43 percent) also said they never or rarely ask anyone to assist applying sunscreen to their backs.

Men were most likely to forego sunscreen, with 40 percent of survey participants saying they rarely or never apply sunscreen to their backs, and they were twice as likely to be uncomfortable about asking for help applying it. Thirty-three percent of women said they skip sunscreen on their backs.

The poll also that too few Americans check their backs for signs of skin cancer. More than half (57 percent) said they know how to do a self-check (women were more likely than men to understand the procedure), but only half inspect themselves at least once a year. Overall, only 36 percent of those surveyed check their backs for skin cancer at least once a year, and only 35 percent ask someone else to help.

Experts say that while many people may be uncomfortable asking someone to apply sunscreen, we need to take charge of our health and monitor our skin for new or changing spots because the best way to cure skin cancer is early detection.

Skin cancer is one of the most common cancers, with more than 3.5 million cases of basal and squamous cell skin cancer diagnosed in the U.S. each year, according to the American Cancer Society. Another 73,000 cases of the most deadly form of skin cancer, melanoma, are diagnosed annually.

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You’ll soon know how many calories are in that bag of pretzels or that package of cheese crackers you snagged from the cafeteria vending machine. As part of the Affordable Care Act, the Food and Drug Administration has new labeling regulations that require vending machine companies to display calorie counts alongside the cost for each item. It is hoped the action will help consumers make healthier snack choices.

Companies with 20 or more machines a year to comply with the new labeling rules, but an industry group that represents vending machine operators is arguing for a two-year deadline. The National Automatic Merchandising Association says complying with the law could prove expensive for small companies with few employees and low profit margins.

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It was standing room only at a community event about genetically engineered foods at the National Center for Primary Care at Morehouse School of Medicine in Atlanta.
For some, it was the first time they had heard of science’s ability to manipulate genetic material in plants and animals, and for others it was affirmation of a government cover up of America’s food.
“We have a right to know what’s in our food,” said Rev. Ralph David Abernathy III, son of famed civil rights leader Ralph David Abernathy Sr. He was outraged when he learned he had been eating genetically modified organisms, or GMOs, and didn’t know it.
“Without GMO food labels, people are stripped of their right to choose,” he added.
Abernathy—alongside Rashid Nuri, CEO of Truly Living Well Center for Natural Urban Agriculture, and Jeffery Smith, consumer activist and Seeds of Deception author—spoke to the large crowd this fall about the quiet introduction of biotechnology over the past two decades to the American food system.
The World Health Organization defines GMOs as organisms in which the genetic material, or DNA, has been altered in a way that does not occur naturally.
Unlike traditional methods of crossbreeding, genetic engineering is faster and more precise. The process involves selecting a desired trait from one organism and inserting it into the DNA of another. For example, crops can be modified to resist pesticides or designed to have a longer shelf life like the Flavr Savr tomato, the first commercially approved genetically engineered crop in 1994.
Despite the touted benefits that genetically modified crops are the solution to world hunger, resistant to drought and disease, and enhance nutrition, many believe GMOs have no place in our food supply.
Nuri believes the answer to sustainability can be found in naturally taking care of the land the crops are grown on. “We build the soil,” he says. “God grows the food. If the soil is strong, the plants are strong.”
The best indication of the quality of soil, he says, is the number of earthworms in it, for example. “Go to most commercial farms,” he adds, “and you won’t find anything. The soil is dead.”
While GMO benefits are debatable, GMOs themselves are hard to avoid. The meal you ate last night likely had ingredients that were genetically altered. According to the Grocery Manufacturers Association, 70 percent of processed foods in America’s supermarkets contain genetically engineered ingredients. That’s because almost all of the corn, soy, cotton, canola and sugar beets grown in the United States are genetically engineered. Most grains fed to farm animals are also genetically engineered.
The Federal Drug Administration believes genetically modified crops are no different from traditionally grown crops and therefore need no special regulation.
The World Health Organization says GMOs aren’t known to pose a risk to human health, but adds GMOs should be assessed on a case-by-case basis as it’s not possible to make general statements on the safety of all GM foods.
With the prevalence of GMOs, coupled with lax regulation and unknown long-term health risks, more people are demanding to know what’s in their food.
But for those who are concern with its safety, avoiding GMOs is hard to do. That’s because out of 64 countries requiring labels on GMO-containing foods, the U.S. is not one of them.
More than 20 states are currently fighting for GMO labeling laws. Monsanto, the world’s largest genetically modified seed producer, successfully squashed California’s Prop 37 in 2012 to label GMOs. And although Connecticut is the first to successfully enact a law requiring labeling, four other states must pass similar legislation in order for it to take effect.
On the other side of the debate, scientists’ attempt to prove GMOs are safe is futile. David H. Freedman writes in the September food issue of Scientific American, “Are Genetically Engineered Foods Evil?”:
“Frankenstein monsters, things crawling out of the lab,” Freedman writes. “This is the most depressing thing I’ve ever dealt with.” Goldberg, a plant molecular biologist at the University of California, Los Angeles, is not battling psychosis. He is expressing despair at the relentless need to confront what he sees as bogus fears over the health risks of genetically modified genetically modified crops.
“People are afraid of what they don’t understand,” says Caleph B. Wilson, Ph.D., an immunologist at the Perelman School of Medicine at the University of Pennsylvania who uses genetic modification to develop therapies for cancer and HIV patients. “It’s the same reason people are afraid of the dark. They can’t see what’s out there, and that can be scary.”
Wilson says scientists can do a better job at listening to the concerns of the public. He believes once people have a better understanding of the science behind GMOs, even it they still don’t support it, their issue will not be based on fear.
Read more about GMOs at theGrio.com.

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When you hear the word “sugar,” you probably think of that sparkly white stuff in the covered bowl on your breakfast table. But sugar is called by many names and if you have diabetes, knowing those names may be the key to good control.
My patients often ask why there are carbohydrates in meat like frankfurters, bologna or other processed meats. Or why their blood glucose levels are higher than usual after eating these foods. Hidden sugar is usually the cause.
Often times, food manufactures list these ingredients using unfamiliar terms, but with a little detective work you can find hidden carbs in your food. Carbs are important to monitor because the body breaks them down into sugar, raising your blood sugar levels.
Renée M. Simpson, a California-based registered dietitian, says, “Reading the nutrition label is always a good way to find hidden sugars.”
It’s also important to bear in mind that your body can’t tell the difference between sugars. “All of these [hidden sugars] are sweeteners, and they will all affect the blood sugar just as any other sweetener would,” says Simpson.
So let’s look at the different names you might find in an ingredient list—all of which mean sugar.

• Brown sugar is a combination of white sugar and molasses, which gives it a soft texture. Brown sugar comes in two varieties—light and dark. Light brown sugar has a delicate flavor contrasted by the more intense molasses flavor found in dark brown sugar. Light or dark, one tablespoon of brown sugar gives you 13.5g carbs and 52 calories.
• Carob powder is made from the pulp of the tropical carob tree. Carob is often used as a chocolate substitute because it tastes similar to chocolate. Other than the ingredients listed on a label, carob powder may be found in natural food and specialty food stores. One tablespoon of carob powder provides 10.5g carbs and 24 calories.
• Confectioners’ sugar, also called powdered sugar, is granulated sugar that has been crushed into a fine powder. It is often used to make icings and candy. It’s also used as a dusting on desserts. One tablespoon of confectioners’ sugar will give you 7.5g carbs and 29 calories.
• Not to be confused with high fructose corn syrup, corn syrup is a thick, sweet syrup created by processing cornstarch with acids or enzymes. Corn syrup is available light or dark. Light corn syrup has all the color and cloudiness removed; dark corn syrup has caramel flavor and coloring added to it. One tablespoon of corn syrup has 15.5g carbs and 57 calories.
• A tablespoon of granulated fructose has about the same number of calories and carbs as a tablespoon of granulated sugar, but fructose is almost twice as sweet. Fructose is naturally occurring in fruits and honey. You may also see it noted in the ingredient list as fruit sugar or levulose. One tablespoon of fructose, fruit sugar or levulose has 12.6g carbs and 46 calories.
• High-fructose corn syrup “is a very inexpensive sweetener that is used by manufacturers often to intensify the sweetness of the product,” Simpson says. It is no different than honey, sucrose or fruit juice concentrate when it comes to diabetes. They will all turn to glucose in your bloodstream. One tablespoon of high-fructose corn syrup has 14.4 carbs and 53 calories.
• Honey is a thick sweet liquid made by bees from the nectar of flowers. Sweeter than white sugar, honey is often touted as being a natural sweetener. Weighing in at 17.3g carbs and 64 calories per tablespoon, honey has more carbs and calories than high-fructose corn syrup!
• Molasses is the dark, sweet syrup remaining after sugar has been squeezed from sugar cane or sugar beets. Molasses can vary in color and flavor depending on how much sugar has been extracted. Light molasses is lighter in flavor and color. Dark molasses is thicker and less sweet than light molasses. Blackstrap molasses is very thick, dark and has a somewhat bitter taste. One tablespoon of molasses has 14.9g carbs and 58 calories.
• Raw sugar is the residue left after sugarcane has been processed to remove molasses and refine the sugar crystals. Because raw sugar may contain contaminants such as mold, 100 percent raw sugar is not available in the United States. However, turbinado sugar, which is raw sugar that has been steam cleaned is available. One tablespoon of turbinado or raw sugar has 15g carbs and 60 calories.
• Rapadura is an unrefined sugar, produced by evaporating the water from organic sugar cane juice. Unlike other sugars, rapadura is not separated from the molasses part of the sugar cane during processing. Organic Rapadura is made from organically grown sugar cane. Organic or not, it’s still sugar and one tablespoon of has 12g carbs and 45 calories.
• “Sucanat stands for SUgar CAne NATural, meaning that it is a product made from organic sugar,” Simpson says. “It still contains the natural molasses found in unrefined sugar.” Unlike regular brown sugar, sucanat is grainy, has a darker color and tends to taste like molasses. One tablespoon provides 12g carbs and 45 calories.

From theGrio.com

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The National Domestic Hotline defines domestic violence as a pattern of behavior in any relationship that is used to gain or maintain power and control over an intimate partner. Contrary to popular belief, domestic violence includes physical, emotional, economic, sexual or psychological actions or threats.
Black Women Have the Greatest Risk
Black women have the greatest risk of experiencing domestic violence. In 2005, black women represented 8 percent of the population, but accounted for 22 percent of intimate partner homicides.
Teens and Domestic Violence
Domestic violence among African-American teens is twice the rate of white teens. A 2003 national study of high school students revealed that almost 14 percent of African-American youth compared to 7 percent of white youth reported that a partner hit or slapped them on purpose from 2002-03.
Black Men Are Victims, Too
Between 1993 and 1998, black males experienced intimate partner violence at a rate about 62 percent higher than that of white males. This was also about 22 times the rate of men of other races, according to statistics from the American Bar Association’s Committee on Domestic Violence.
Break-Ups to Make-Ups
Although 70 percent to 80 percent of black women leave or attempt to leave a violent relationship, many black women may find it harder to leave a battering relationship than white women. While reasons for staying in abusive relationships vary, many researchers attribute economic and social issues and lack of dependence on the police.
Outer Wounds
Approximately 40 percent to 50 percent of female victims are physically injured when assaulted by their intimate partner, accounting for more than 200,000 visits to the hospital emergency room each year, according to the Feminist Majority Foundation.
Domestic Violence Affects Mental Health
Women who were victims of domestic violence are more likely to develop a mental disorder at some point in their lifetimes. The U.S. Department of Health and Human Services in August 2012 changed the guidelines for preventive care, which requires all new health plans to offer no-cost domestic violence screenings.
Death By Spouse or Partner
Black women are about three times more likely to die at the hands of a partner or ex-partner than members of other racial groups. Intimate-partner homicide is also among the leading causes of death for black women ages 15 to 35.
Signs of Abuse
There are various signs that you are in an abusive relationship. Those signs include an over-possessive partner who checks your cell phone, shows extreme jealousy or insecurities, has mood swings or constantly makes false accusations. For more signs of domestic violence visit here.
For more about intimate partner abuse, visit BET.com.

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That belly pain you’re experiencing could be lactose intolerance, a reaction to too much milk sugar in your diet. The disorder, which may cause mild to severe diarrhea, nausea, abdominal cramps, bloating and gas about 30 minutes after eating or drinking foods that contain lactose, occurs when you don’t make enough of the enzyme lactase, which breaks down the sugar in milk. It can be uncomfortable, but it is not life threatening. About 50 million Americans suffer from lactose intolerance, many of them African American.

Why Do I Have This?

Several factors that make you or your child more prone to lactose intolerance include:

• Age. Lactose intolerance becomes more common as you age; the condition is uncommon in babies and young children.
• Ethnicity. Lactose intolerance is most common in black, Asian, Hispanic and American Indian people. Some research suggests 75 percent of African Americans are lactose intolerant; other studies note that 49 percent of us experience physical discomfort after eating dairy foods, with only 24 percent actually being lactose intolerant. Roughly 50 percent to 80 percent of Latinos have lactose intolerance.
• Premature birth. Infants born prematurely may have reduced levels of lactase because this enzyme increases in the fetus late in the third trimester.
• Diseases affecting the small intestine. Small intestine problems that can cause lactose intolerance include bacterial overgrowth, celiac disease and Crohn’s disease.
• Some cancer treatments. If you have received radiation therapy for cancer in your abdomen or have intestinal complications from chemotherapy, you have an increased risk of lactose intolerance.

How Can I Treat Lactose Intolerance?
For starters, eat fewer dairy products. This is a sure-fire way to reduce symptoms.
For many, however, dairy products are a convenient way to get vitamins and nutrients, such as calcium. You can find calcium in foods other than dairy, including:

• Broccoli
• Calcium-fortified breads and juices
• Canned salmon
• Milk substitutes, such as soy and rice
• Oranges
• Pinto beans
• Rhubarb
• Spinach

If you give up dairy products, you’ll need to make sure you get enough vitamin D, which isn’t found in significant amounts in many foods (only eggs, liver and yogurt). Your body makes vitamin D when exposed to the sun, but only if you’re not wearing sunscreen. (Note: You should always wear sunscreen to protect against skin cancer.)
You may not have to avoid dairy foods completely. You may be able to tolerate low-fat milk products, such as skim milk, better than whole-milk products. It also may be possible to increase your tolerance to dairy products by gradually introducing them into your diet.
How Can I Build Up Tolerance?

• Choose smaller servings of dairy. Sip small servings of milk—up to 4 ounces at a time. The smaller the serving, the less likely it is to cause gastrointestinal problems.
  Save milk for mealtimes. Drink milk with other foods. This slows the digestive process and may lessen symptoms.
• Try an assortment of dairy products. Not all dairy products have the same amount of lactose. Hard cheeses, such as Swiss or cheddar, have small amounts of lactose and usually don’t cause symptoms. You may be able to tolerate cultured milk products, such as yogurt, because the bacteria used in the culturing process naturally produce the enzyme that breaks down lactose.
• Buy lactose-reduced or lactose-free products. Find these at most supermarkets in the refrigerated dairy section.
• Keep an eye out for hidden lactose. Milk and lactose are often added to prepared foods, such as cereal, instant soups, salad dressings, nondairy creamers, processed meats and baking mixes. Check the ingredient list for milk and lactose. Also look for other words that indicate lactose—whey, milk byproducts, fat-free dry milk powder and dry milk solids. Lactose is also used in medications. Let your pharmacist know if you have lactose intolerance.
• Use lactase enzyme tablets or drops. Over-the-counter tablets or drops containing the lactase enzyme (Dairy Ease, Lactaid) may help you better digest dairy products. You can take tablets just before a meal. Or add the drops to a carton of milk. (A word of caution: Not everyone with lactose intolerance is helped by these products.)

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Folic acid, also called folate, is a B vitamin that plays an important role in the production of red blood cells and helps your baby’s brain and spinal cord develop properly.
Without enough folic acid in your body, your baby’s neural tube may not close correctly and she could develop neural tube defects, including:
Spina bifida: incomplete development of the spinal cord or the vertebrae
Anencephaly: incomplete development of major parts of the brain
Babies with anencephaly usually do not live long, and those with spina bifida may be disabled. (Note: Actors Boris Kodjoe and Nicole Ari Parker have a daughter with spina bifida.) The good news is that getting enough folic acid may safeguard your baby from neural tube defects by at least 50 percent. If you’ve already had a baby with a neural tube defect, folic acid can reduce the risk of having another child with a neural tube defect by as much as 70 percent.
When Should I Start Taking Folic Acid?
Since birth defects occur within the first three to four weeks of pregnancy, it’s important to have folic acid already in your system during those early stages.
“By the time a period is missed, pregnancy recognized, it may be too late for folic acid to make a difference,” says Jeffrey Ecker, M.D., a Boston-based maternal fetal medicine doctor.
Because of this reason, your doctor will probably tell you to start taking a prenatal vitamin with folic acid before conception. The Centers for Disease Control and Prevention recommends folic acid every day for at least a month before you become pregnant and continue taking it daily throughout your pregnancy. However, the CDC also recommends all women of childbearing age take folic acid every day. So taking it even earlier than a month before conception is just fine.
In addition to preventing birth defects, this B vitamin also reduces pre-term delivery. One study showed women who took folic acid for at least a year before getting pregnant cut their chances of delivering early by at least 50 percent.
How Much Folic Acid Should I Take?
The recommended dose for all women of childbearing age is 400 mcg of folic acid a day. Check your multivitamin to see if it has the recommended amount. If you take folic acid supplements, skip the multivitamin. You should not take both.
Follow these guidelines for folic acid if you’re trying to conceive or are pregnant:

• Trying to conceive: 400 mcg
• First three months of pregnancy: 400 mcg
• Months four to nine of pregnancy: 600 mcg
• While breastfeeding: 500 mcg

You can also get folic acid in your diet. The best sources are:

• Beans
• Enriched breads and cereals
• Lentils
• Liver
• Nuts
• Orange juice
• Poultry
• Rice
• Spinach
• Sprouts

The post Get a Baby-Ready Body: Increase Your Folic Acid Intake appeared first on Black Health Matters.

Tea is the world’s “it” drink. In fact, the beverage is second only to water as the world’s most popular drink, according to the Tea Association of the U.S.A. Studies show teas contain flavonoids that can help fight cancer, diabetes and heart disease. Some teas lower cholesterol and encourage weight loss. And with less caffeine than coffee, we can’t think of anything bad about tea. But we don’t want you to resort to reading tea leaves to know about the drink’s benefits, so we’re sharing five things you should know:

Hot tea is healthier than iced tea.
Fiction. Homemade iced tea can be as healthy as hot tea, but you have to brew it yourself to avoid the sweeteners in some popular bottled brands. And you have to drink more iced tea to get the flavonoids benefits of the hot version.

Tea can cause allergic reactions.
Fact. If nature makes you sneeze, know that some teas are made from flowers and plants. This doesn’t mean you can’t drink tea. If you have an allergic reaction to any type, just choose an alternative.

Tea can help with cold symptoms.
Fact. A warm cup of tea will provide almost instant relief for a sore throat. And black, green and oolong teas have antioxidant and anti-inflammatory properties that may help alleviate cold symptoms.

Putting milk in your tea negates its health benefits.
Fiction. Earlier studies said milk counteracted tea’s benefits, but recent research shows this simply isn’t true. So if you don’t suffer from lactose intolerance, add milk to your heart’s content.

If you take blood thinners, avoid green tea.
Fact. Green tea is a significant source of vitamin K, which can decrease the effectiveness of blood thinners such as warfarin. So hold off on the green tea while taking blood thinners or talk to your doctor.

The post Fact or Fiction: Tea Tales appeared first on Black Health Matters.

Don’t get it twisted; some unhealthy foods only sound like they’re healthy ….

1. On the positive side, energy bars have protein and fiber, but most of them are loaded with calories (like, about 280 of ’em). If you’re having one as an occasional meal, 280 calories is fine, but we tend to treat them (and eat them) as snacks. The Fix: If you simply must have an energy bar, shoot for one with 20 grams of protein and no more than 5 to 6 grams of sugar.
2. I tease a vegetarian friend of mine by calling her a tree-hugging granola eater. Funny thing, though: I’ve never actually seen her eat granola. Good thing. Even the word “granola” sounds as if it’s the very definition of healthy (it does have fiber, protein and potassium), but most granola is often high in fat, sugar and calories. The Fix: Low-fat versions of granola often exchange sugar for fat and have just as many calories as regular versions, so choose granola that uses honey or agave nectar as a sweetener.
3. My healthy friends seem to suck down smoothies all the time. Little do they know smoothies can pack as many calories as a milkshake. And added sugar can turn some smoothies into thick Kool-Aid (the syrupy kind your aunt made). Case in point: The smallest Jamba Juice Orange Dream Machine has 340 calories and 69 grams of sugar. The Fix: Have an eight-ounce glass of orange juice; it has only 110 calories.
4. Many frozen veggie burgers are packed with fillers such as gums, yeast extract and cornstarch to give them a legitimate a burger-like texture. Most of the vegetable is in name only. The Fix: Check the label. Make sure the first ingredient listed is vegetables. Choose brands that contain no more than 150 calories, 500 milligrams of sodium and 7 grams of protein.
5. Bran muffins got their heart-healthy tag in the late 1980s, thanks to the fiber in bran. But a muffin the size of your head in the local coffee shop is more likely a lot of fat and sugar with a tiny amount of bran. The Fix: Assuming you don’t really want a doughnut (some large muffins have more calories and sugar than that sweet treat), make your own and sweeten them with honey and applesauce. Or skip the muffin and have a bowl of bran cereal; make sure it’s a cereal with more than 5 grams of fiber per serving and fewer than 6 grams of sugar per serving.
6. Frozen yogurt is sugar laden and contains plenty of fat. Some can contain 20 grams of sugar and 15 grams of fat per cup, more than some ice creams. The Fix: A serving of plain vanilla frozen yogurt has 200 calories and 4.5 grams fat. Keep in mind that a serving is only half a cup. And be sure to choose one that contains live cultures.
7. Sure, veggie chips are made from vegetables. But most of them are still fried—like a potato chip (technically also a veggie chip, since potatoes are vegetables). One serving (about 38 chips) has approximately 150 calories and 9 grams fat. The Fix: Go for baked chips with 110 calories and 1.5 grams fat. Even better: Snack on the raw veggie instead.
8. Clearly rice cakes are considered healthy only because they are tasteless and hard as cardboard. After all, healthy is synonymous with tasteless and cardboard-like, right? Wrong. Rice cakes tend to be loaded with sugar, which will just set your glycemic index on overload. They don’t really have much nutritional value—no vitamins, no minerals, no fiber. And the flavored versions have a lot of sodium. The Fix: Spread a little bit of peanut butter on top of a rice cake to add heart-healthy monounsaturated fats. Or chuck the whole idea and reach for a piece of fresh fruit.
9. Whole milk has such a bad rap that any reduced-fat version must be better. Except 2% milk really isn’t healthy at all. It is reduced fat from whole milk, but here’s the rub: That percent represents the weight of the milk that’s fat, not the percent of calories from fat. More than one-third of the calories in each glass of 2% milk are mostly saturated fat, the kind that clogs arteries and increases your risk of heart disease. The kind of fat you’re supposed to avoid like skunks on the side of rural highways. The Fix: If you’re older than 2, drop down to 1% or skim milk. Both contain the same amount of protein and calcium as 2%. If the idea of drinking less than 2% milk triggers your gag reflex, look for Skim Plus. It’s fat free, and an extra 3 grams of protein per cup make it thicker.
10. You can’t go wrong with a spinach wrap, can you? (We mean the wrap itself, not what you put in the wrap.) It’s made from spinach isn’t it? And spinach is loaded with vitamins A and C, both of which have immune-boosting properties. Alas, spinach wraps are usually made from refined white flour dyed green with food coloring. The only real spinach in a wrap might be a pinch of spinach powder. The Fix: Buy some fresh spinach and cook it. One serving (a cup) is 65 calories, 105 less than a spinach wrap.

+ 4 Foods You Really Should Be Eating …

• Artichokes are fat-free and low in sodium, but rich in vitamin C, fiber, folate and potassium.
• Beets are high in folate, important if you’re trying to get pregnant. And they are stupid-healthy: One cup is only 60 calories—with no fat—about 40 percent of your daily value for folic acid and 4 grams of fiber.
• Pomegranate is loaded with fiber and antioxidants, but low in calories.
• Quinoa is a flavored whole grain chock-full of fiber and protein. In combination, the two help you feel full longer, which can keep you from overeating.

The post 10 Foods You Think Are Healthy That Really Aren’t appeared first on Black Health Matters.

Coffee can do a body good; we’ve said it on this website before, in stories about the health benefits about your morning cup of Joe. But too much of it could be bad for your waistline.
A new study found mice that downed a high-fat diet with a large amount of chlorogenic acid (CGA, an antioxidant found in coffee) over a 12-week period stored more fat and experienced insulin resistance, a precursor to type 2 diabetes.
These results were unexpected. “Our hypothesis was that the coffee compound would reduce weight gain and improve insulin sensitivity,” says Kevin D. Croft, Ph.D., of the University of Western Australia School of Medicine and Pharmacology and study co-author. “Clearly this is not the case.”
Don’t break into pre-coffee jitters just yet. The mice in the study had doses of CGA equivalent to five or six cups of coffee per day. Previous research has shown CGA in moderation can reduce blood pressure, increase insulin resistance and prevent weight gain.
If you limit yourself to three or four eight-ounce cups (or fewer) of coffee a day, you should be fine, Croft says.

The post Does Coffee Make You Fat? appeared first on Black Health Matters.

Organic foods: What the labels mean
If you’re interested in buying organic food products, make sure you understand the labels and what they mean:
100 percent organic. This means the product is completely organic or made of all organic ingredients. These may carry a small U.S. Department of Agriculture (USDA) organic seal.
Organic. This means that at least 95 percent of the ingredients are organically produced. These products can also carry the USDA seal.
Made with organic ingredients. This means that the food product contains at least 70 percent organic ingredients. These can’t carry the USDA seal.

The post Buying Organic appeared first on Black Health Matters.