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Health & Fitness

Keep spring workout stamina goingAs the weather gets

warmer, people think about getting outside and becom-ing active again.

Warm weather and lon-ger days provide the natu-ral motivation that many folks need, but it also can be challenging getting back into the swing of things if the weather has kept you from pursuing a consistent workout regimen.

So as you plot out your plan to regain your form, think about mixing work-outs into your routine that will help you remain active throughout the year so you can avoid the same difficult transition next year.

Here are a few tips to fol-low as you construct an ex-ercise plan that can be con-tinued even after the good weather passes:

Consider a gym membership

While you might prefer to enjoy the outdoors dur-ing workouts when it’s nice, a health club can offer the same opportunities when the weather isn’t great, whether it’s the summer or winter.

Many clubs have groups such as running clubs, which provide some ex-

tra motivation because the group workouts are sched-uled at a specific time.

Fitness instructors at the clubs may also be able to help you formulate a plan for staying active through-out the year.

Check to see if your health insurance provider offers a discount on club member-ships, as many providers do with the condition that you visit the club regularly.

Bring the gym home While gyms provide a

year-round location for ex-ercising, finding the time and motivation to make it there can present an ex-tra barrier. That’s why for some, buying a piece of workout equipment for the home is a better and more

convenient alternative. Today’s home workout

equipment has come a long way from the flimsy home treadmills of years ago, with swim spas representing some of the most innovative tools.

Using wave propulsion technologies, swim spas offer the same benefits as a pool without taking up nearly the space at a frac-tion of the cost.

World champion swim-mer Michael Phelps, who will be incorporating the use of a swim spa in his own training, provided input on the design of a signature line of swim spas for Master Spas.

“Not everybody has ac-cess to a community pool or their local pool is only open

for a few months out of the year. A swim spa provides another way for people to access water, whether it’s just for fun or for exercise, year round,” says Phelps.

Look for workouts that can be completed in a small indoor spaceFor example, yoga and

Pilates workouts offer ex-tensive physical benefits, yet only require a little bit of open floor space.

Learn by enrolling in classes or through vid-eos.

Other beneficial station-ary circuit workouts com-prised of body-weight ex-ercises like pushups and sit-ups don’t require much space either.

An added bonus of using a swim spa is you can also use it for these types of land-based workouts and water aerobics.

To learn more about swim spas and the benefits they

can provide, visit michael-phelpsswimspa.com.

Being able to stay active all year ultimately means finding a routine that con-tinues to be interesting and fits into your daily life.

So as you figure out how you are going to get back into shape this spring, try some new things that you can potentially continue through the winter and see what works best for you.

— Courtesy of ARAContent

“A swim spa provides another way for people

to access water, whether it’s just for fun or for exercise, year round.”

Michael PhelPsworld champion swimmer

photo courtesy of aracontent

home workout equipment has come a long way from the flimsy home tread-mills of years ago to the innovative swim spas of today.

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World Health Day

Bacteria growing resistant to treatment

By Naomi CreasoNSentinel [email protected]

Every year the World Health Organization selects a theme for its annual World Health Day, which falls on April 7 this year.

World Health Day is meant to be a reminder of all things health-related, and this year, the theme is less focused on diseases and more on how we’ve been treating them.

Since penicillin was dis-

covered in 1928 by Alex-ander Fleming, antibiotics have become a miracle drug that some argue should in-stead be treated like a non-renewable source.

That argument mirrors this year’s World Health Day theme of antimicrobial re-sistance, or drug resistance in bacteria.

Just as flu strains can change from year to year, bacteria can change and develop ways to survive the drugs that are meant to kill or weaken them.

With the use of antibiot-ics, more and more bacteria have changed and devel-oped resistance to medicine that at one point used to be effective.

“If you put pressure on the bacteria by adding an-tibiotics, it changes and responds to that pressure,” said Dr. John Goldman, who practices infectious disease and internal medi-cine at PinnacleHealth. “If you give it enough time, it will become more and more resistant.”

What Goldman and other physicians are seeing is a growing number of bacte-ria becoming resistant to a limited number of anti-biotics.

There are two major types of diseases that Gold-

man has seen on the grow, one of which has been re-ported widely in the news — methicillin-resistant Staphylococcus aureus, or MRSA.

“There’s been a major increase of staph aureus,” Goldman said. “It was maybe 10 percent of (skin) infections presented at hospitals. Now it’s roughly a third. Physicians are now saying that at least half of any skin infection presented in the hospital is MRSA. It’s becoming increasingly re-sistant to first-line drugs.”

Also becoming more re-sistant is Klebsiella species of bacteria, which causes a variety of health care-asso-ciated infections, including

internalist Dr. John Goldman explains how bacteria are becoming resistant to antibiotics and what that means for future treatment of infections.

■

photo illustration

With the use of antibiotics, more and more bacteria have changed and developed resistance to medi-cine that at one point used to be effective.• See Bacteria, H4

Health & Beauty

Get your feet ready for spring, sandals From slogging through

snow, ice and slush to be-ing confined in heavy boots to fight the cold — if your feet could talk, what a tale of winter woe they might tell.

You may be tempted to pull your sandals out of the closet and stuff your heavi-est hosiery to the back of the sock drawer, but before you set your soles free to savor spring, some preparation is in order.

Being cooped up in cramped footwear during winter months can cause feet to suffer from a variety of ailments, from dry, flaky skin and discolored toenails to pesky corns and unsight-ly calluses.

Warm weather prepPampering your feet

in preparation for warm weather can help feet look and feel their best when warmer weather calls for donning flip-flops and peep-toe shoes.

“Caring for your feet not only promotes good hygiene, it can alert you to any problem areas that may need attention be-fore slipping into sandals this spring,” says Dr. Mi-chael King, president of the American Podiatric Medical Association (APMA).

“Plus, it’s a good way to relax and de-stress after a tiring winter. When your feet feel good, you’re more likely to feel good all over,” he adds.

Tips for your toesThe APMA offers these

10 tips for getting your feet spring-ready:

1. Start with a soak. Im-merse your feet in warm water with Epson salts, herbal soaks or oils for at least 10 minutes.

2. Use a pumice stone or foot file to gently remove thickened, dead skin build-up (calluses) around the pre-soaked heels, balls and sides of the feet. Never use a

razor as it removes too much skin and can easily cause in-fection or permanent dam-age if used incorrectly.

3. Eliminate dry, flaky winter skin on the soles, sides and tops of the feet by using an exfoliating scrub.

4. Massage a generous amount of emollient-en-riched skin lotion all over your feet, such as Amerigel Care Lotion, which has the APMA’s Seal of Approval. This hydrates the skin and the massaging helps to pro-mote circulation.

Be sure to remove any ex-cess moisturizer from under your toenails or between toes; build-up in those ar-

eas can provide a breeding ground for bacteria.

5. Use a straight-edge toe-nail clipper to trim nails to just above the top of each toe to ensure nails don’t be-come curved or rounded in the corners.

6. Help lock in moisture by wearing a pair of poly-cotton blend socks at bed-time.

7. Forgo nail polish if your nails are not healthy.

If you have healthy nails, remove polish regularly to

keep them in top condition.8. Wash your feet daily

with soap and water. Dry carefully, paying ex-

tra attention to the area be-tween your toes.

9. Inspect last spring and summer’s footwear.

Throw away any shoes or sandals that appear worn.

10. If any skin or nail problems exist, see a podia-trist for a medical diagno-sis.

Today’s podiatrists are physicians, surgeons and

specialists are trained to di-agnose and treat conditions that affect the foot, ankle and related structures of the leg.

To find a podiatrist near you, log on to www.today-spodiatrist.com.

With a little foot-friendly preparation, your feet can be ready to step into spring ... and let memories of win-ter boots melt away with the snow.


“Caring for your feet not only promotes good hygiene, it can alert you

to any problem areas that may need attention

before slipping into sandals this spring.”

Dr. Michael KingAmeRicAn poDiAtRic meDicAl ASSociAtion

photo courtesy of ARAcontent

Before you set your soles free to savor spring, some preparation is in order.


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pneumonia, bloodstream infections, wound or surgi-cal site infections and men-ingitis, according the Cen-ters for Disease Control. The people most at risk are those who require de-vices, like ventilators, and those who are treated with antibiotics over a long pe-riod of time. Usually, infections only occur in sick patients re-ceiving treatments for oth-er conditions.

“It’s resistant to the two most common types of an-tibiotics,” Goldman said.

“Typically, we’ve only seen these in not only the hospitals but in patients who have been there for a long time and who have been treated by antibiot-ics, or in people in nurs-ing homes who are being treated with antibiotics,”

he added.

Dwindling supplyAs plenty of other types

of bacteria, as well as some fungi and parasites (malar-ia), become more resistant, the number of effective an-tibiotics dwindle, which is a problem since the variety of available antibiotics is limited.

“The big worry is that there is not a lot of new an-tibiotics in the pipeline,” Goldman said. “Not only will some bacteria become resistant to all of our cur-rent treatment options, but we may be faced with going back to how we saw bacte-rial infections in the 1900s before we had antibiotics. We could support some-one with the infection, but we’d have to let their bodies own immune systems fight it. The mortality would go way up. Obviously, we

don’t want to see that hap-pen.”

Goldman noted that the worst-case scenario is not a problem doctors are facing right now, and that most antibiotics are still capable of treating bacterial infec-tions.

The area of concern right now are infections that are developing resis-tance to multiple antibiot-ics, which has pulled the antibiotic colistin out of retirement.

“It’s a last-ditch drug,” he said. “It hasn’t been used widely because of prob-lems with the kidney. If you don’t use it, you don’t lose it. The worry is that the bacteria will be resistant to colistin, and then there won’t be any good treat-ment options. After this drug, the bacteria would be resistant to everything.”

Other than developing

more antibiotics, there isn’t too much to do to avoid an-timicrobial resistance.

Goldman noted that there are some ways a person can contract drug resistance from eating often under-cooked meat from animals who were given antibiotics, but the best way to avoid doing your body too much damage is to know when to use antibiotics and when not to pressure your doctor into giving you one.

“A lot of people are prob-ably getting antibiotics for viral infections,” he said.

“What they should be using, for something like sinusitis, is something that helps the sinus drain. An-tibiotics really won’t do anything for viruses, other than expose you to the side effects — the typical side effects you get from antibi-otics — stomach ache, rash, diarrhea,” he added.

Bacteria• Continued from H3

COMBATDRUG RESISTANCE

No action today,no cure tomorrow

Des

ign

: /

Health & Fitness

Make family fitness a priority this springThe frost is lifting, the

snow is melting, and you’re beginning to remember how good it feels to be outside.

Your fingers stop going numb, you don’t see your breath anymore and you can finally take your kids out of the house without wrapping them in more layers than a wedding cake.

Spring has sprung and that means the ability to get back outside.

Outdoor activities can be a great, inexpensive way to spend quality time with your family while staying fit and setting good examples for healthy lifestyles.

The Centers for Disease Control and Prevention rec-ommend adults get active at least two and a half hours per week.

For teens, the CDC rec-ommends at least one hour of physical activity per day. Anything that increases breathing and heart rate and strengthens muscles counts.

Even exercising for small chunks of time — 10 min-utes per day — can help im-prove overall health in chil-dren and adults.

Family routineOne way to encourage

healthy lifestyles is to incor-porate your family into your

exercise routine. Many out-door activities that families can participate in never get old.

This spring, greet the sea-son with some of these ac-tivities:

• Take a hike or plan a family picnic at your lo-cal forest preserve or state park. Start the hike at dusk to reach a clearing in time for a beautiful sunset and star gazing. Just be sure to bring a flashlight for the walk back.

• For the baseball fans in your bunch, take a bike ride around your neighborhood park to release some energy before settling on the couch to catch the first pitch.

• If your crew is on the competitive side, lace up your sneakers and rally your neighbors for a game of kickball at your local high school. Keep up the fun by tracking team scores all sea-son long.

• Outdoor activities re-quire some safety equip-

ment — helmets, sunglasses, sunscreen — and, if you have young children, extra acces-sories like the proper stroller or trailer are necessary.

Spring is the time for new beginnings, so the time is right to set your family on a healthy path.

As you put away the win-ter coats and start opening your windows, keep in mind all the outdoor activities you can do with your family.


Shape up with choresAs the days start getting

longer and warmer, folks are again pondering ways to be more active.

Joining a gym or be-ginning a workout regi-men are great ways to get in shape, but exercising more can also be as simple as resolving to complete daily chores around the house.

Tackling items on your household to-do list is a great way to spruce up your home, while also toning your body. How-ever, the repetition of some household chores can lead to injury, so it’s important to take the proper precautions so you can stay healthy while you get in shape.

Here are a few ideas for getting active around the house and how to avoid injury while tackling these projects:

Plant a garden: Hav-ing a garden lends itself to a constant cycle of good health, from the planting, weeding and harvesting of the vegetables, to eat-ing the fresh produce.

Yardwork: Raking

leaves, sweeping walk-ways and mowing the lawn are also great ways to get out and get mov-ing. When doing odd jobs around the house, it’s a good idea to limit the amount of time you spend on each activity and rotate activities so you aren’t continuously putting stress on the same joints and muscle groups.

Indoor chores: If the weather doesn’t permit you to get outside and work, use indoor chores to get active.

If you have a set of stairs in your house, use them to your advantage when doing chores. For example, if you’re putting away freshly folded laun-dry, take multiple trips to your upstairs bedroom. Again, you can avoid in-jury if you vary your tasks accordingly.

When you begin to look at everyday chores as a chance to exercise, you can improve your health while also tidying up your home, and you can feel a sense of accomplishment in more ways than one.

Photo courtesy of ARAContent

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Healthy Eating

Small diet changes make big differenceAre you one of the mil-

lions of middle-aged Amer-icans who resolved to im-prove your health this year, through diet, exercise or other lifestyle changes?

If so, you know that it’s not easy to change old hab-its — especially the salty, sugary and fatty ones that taste so good.

Unfortunately, poor diet is a vital problem for a grow-ing majority of the nation’s population, particularly the baby boomer generation.

Obesity is the nation’s top health concern and poor diet is a major contributing factor, according to the U.S. Department of Agriculture (USDA) and Department of Health and Human Services (HHS) as reported in the Di-etary Guidelines for Ameri-cans.

The report cites data in-dicating 72 percent of men and 64 percent of women are overweight or obese, with about one-third of adults being obese.

Not only does a diet high in calories and low in nutri-ent density lead to weight gain, but neglecting the vi-tal nutrients found in whole grains, milk, fruits and veg-etables may increase your risk of cancer, heart disease and other chronic health problems.

But even if you never grew out of your childhood dis-like of spinach, you can make healthier choices in the kitchen without sacri-ficing taste.

The latest Dietary Guide-lines highlight several tac-tics to improve adults’ health and lengthen life ex-pectancy.

Recommendations for slight but effective diet ad-justments include:

Increase vegetable and fruit intake

You know fruits and veg-gies are good for you, but not everyone enjoys the crunch of a celery or carrot stick.

The nutrients found in fruits and vegetables are ex-tremely important to main-taining a healthy lifestyle. The antioxidants in these nutrient-rich whole foods have been shown to de-crease risk of chronic health problems, including a num-ber of cancers.

The USDA suggests adults should consume five serv-ings of fruits and vegetables each day, but many people don’t reach this goal and instead reach for unhealthy snacks because of time, convenience and availabil-ity.

You can get your daily servings in a tasty, on-the-go treat.

With the help of a high-powered Vitamix 5200 machine, you can trans-form less-than-appeal-ing produce into a smooth, sweet, yet nutrient-packed smoothie.

Fruity flavors will over-power the less appealing, and your tongue won’t even know it’s tasting better health.

Increase whole grain intake

Nutrition experts agree Americans consume too many refined grains, and the new Dietary Guidelines suggest one half of all grains consumed in a day should be whole grains.

Choosing whole wheat bread and pasta rather than the nutrition-lacking white versions is a small change that can make a big differ-ence.

So m e h i g h - p owe re d blending machines can even grind whole grains for mak-ing your own healthy bread, pancake and other dough-based recipes.

Just make sure not to combat your positive move toward whole grains with a negative overload of spreads

or sauces full of trans fat.

For individuals 50 and older

The 2010 Dietary Guide-lines recommend those aged 50 years and older consume foods fortified with vitamin B12, or take dietary supplements for healthy aging.

This nutrient is key to maintaining normal func-tion of the brain and ner-vous system and affects en-ergy production.

Many breakfast cereals and other processed foods are fortified with vitamin B12 and you may also find the vitamin in pill form.

Vitamin B12 is vital to red blood cell and DNA produc-

tion, and increasing intake has additional benefits in-cluding higher energy lev-els.

Studies show absorption of vitamin B12 decreases while aging, so adding this nutrient to a healthy daily diet is important for those over 50.



Use a blender to make smoothies, soups and other recipes packed with vita-min-rich produce to lower your risk of cancer, heart disease and other chronic health problems.


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Health & Wellness

Allergy sufferers: Be wary of mythsKnowing fact from fic-

tion can make the difference between misery and relief for millions of spring allergy sufferers.

“People often sneeze and wheeze through spring if they use misinformation to manage their condition,” says allergist Dr. Myron Zitt, past president of the American College of Allergy, Asthma and Immunology (ACAAI).

“But no one should suf-fer from spring allergies. Knowing the facts, getting a proper diagnosis and the right treatment allows al-lergy patients to feel good all season long.”

The ACAAI — whose al-lergist members specialize in treating allergies and asthma

- dispels several common spring allergy myths.

MythOver-the-counter (OTC,

or nonprescription) oral an-tihistamines are just as ef-fective as prescription med-icines in controlling a stuffy nose.

FactOTC antihistamines can

help control some allergy symptoms, but they have little effect on relieving a stuffy nose or the inflam-mation that often occurs with allergies.

They also can cause drowsiness. Allergists can prescribe more effective anti-inflammatory medi-cations as well as find the

source of suffering, rather than just treat the symp-toms.

MythOTC decongestant nasal

sprays are addictive.

FactOTC decongestant nasal

sprays are not technically addictive. However, peo-ple who overuse them may think they are because they need more and more to get relief from the congestion.

To combat this, OTC de-congestant nasal sprays shouldn’t be used more than three days in a row. Also, an allergist can prescribe a na-sal spray containing a ste-roid, which may be more ef-fective and is not addictive.

MythAllergy shots require too

much time and are more ex-pensive than taking medi-cine to relieve symptoms.

FactDepending on how both-

ersome the allergies are, immunotherapy (allergy shots) may actually save money and improve quality of life. In fact, a recent study showed that immunothera-py reduced total health care costs in children with al-lergic rhinitis (hay fever) by one-third, and prescription costs by 16 percent.

The shots are similar to a vaccine, exposing the re-cipient to a tiny bit of aller-gen at a time, to build up a tolerance to it. As tolerance

increases, allergy symptoms will be significantly lessened and may even go away. That can save sick days and mon-ey spent at the drug store.

To learn more about aller-

gies and asthma, take a re-lief test or find an allergist, visit www.AllergyAndAsth-maRelief.org.



Spring allergies can be manageable.

Health & Wellness

Finally! Seasonal allergy reliefAs the seasons change,

few can resist the urge to freshen up the house by cleaning and opening the windows.

But letting a warm breeze into your home might also let other undesirable things, like allergens, in as well.

More than 40 million Americans suffer from in-door and outdoor allergies in the United States, which makes it one of the coun-try’s most common, yet overlooked health condi-tions.

Allergies occur when a person’s body overreacts to “allergens,” often referred to as triggers.

People can experience allergy triggers anytime throughout the year.

Allergy symptoms may include sneezing; runny nose; itchy, watery eyes; and itchy nose or throat.

Allergies are the fifth-leading chronic disease in the U.S. among all ages. Avoiding contact with al-lergens, like pollen, will help reduce allergy symptoms significantly.

Reduce exposureSome tips to reduce pollen

exposure and/or relieve al-lergy symptoms are:

• Stay indoors between 5 and 10 a.m., and when pollen counts are report-ed to be high, especially on windy days when more pollen is carried through the air.

• Clean air filters fre-quently and air ducts at least once a year.

• Use high-efficiency par-ticulate air filters (HEPA).

• Keep windows closed and set the air conditioner to use recirculated air.

• Minimize exposure to wooded areas or gardens.

• Avoiding hanging laun-dry outdoors; this will pre-vent it from collecting air-borne pollen.

• Talk to your allergist, pharmacist or other health-care provider about taking an OTC antihistamine for indoor and/or outdoor al-lergy relief.

OTC medicationMany people may find al-

lergy relief from over-the-counter (OTC) allergy med-ications, and now there is a new option.

The U.S. Food and Drug Administration (FDA) re-cently approved the Allegra family of allergy medica-tion products for OTC use in adults and children two years of age and older.

Allegra OTC offers fast, non-drowsy, 24-hour relief of allergy symptoms. *Starts to work at hour one.

There are more than two million school days and four million missed or lost work-days each year, due to aller-gies.

With proper management and patient education, al-lergy symptoms can be re-lieved.

“As an allergist, I’m of-ten addressing my patients’ concerns about treating their allergy symptoms with a medicine that can relieve their symptoms quickly and doesn’t make them tired or groggy,” says Dr. Eli Meltzer, Allergy & Asthma Medical Group and Research Center.

The Allegra family of OTC products will be available in drug, grocery, mass mer-chandiser and club stores nationwide, providing al-lergy sufferers with the same, effective relief they’ve received from its original prescription strength, now without a prescription.

Additionally, Allegra-D, which also relieves nasal congestion and sinus pres-sure, will be available with-out a prescription at the pharmacy/service counter for use in adults and chil-dren 12 years of age or old-er.

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Photo illustration

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Healthy Eating

Small diet changes make big differenceAre you one of the mil-

lions of middle-aged Amer-icans who resolved to im-prove your health this year, through diet, exercise or other lifestyle changes?

If so, you know that it’s not easy to change old hab-its — especially the salty, sugary and fatty ones that taste so good.

Unfortunately, poor diet is a vital problem for a grow-ing majority of the nation’s population, particularly the baby boomer generation.

Obesity is the nation’s top health concern and poor diet is a major contributing factor, according to the U.S. Department of Agriculture (USDA) and Department of Health and Human Services (HHS) as reported in the Di-etary Guidelines for Ameri-cans.

The report cites data in-dicating 72 percent of men and 64 percent of women are overweight or obese, with about one-third of adults being obese.

Not only does a diet high in calories and low in nutri-ent density lead to weight gain, but neglecting the vi-tal nutrients found in whole grains, milk, fruits and veg-etables may increase your risk of cancer, heart disease and other chronic health problems.

But even if you never grew out of your childhood dis-like of spinach, you can make healthier choices in the kitchen without sacri-ficing taste.

The latest Dietary Guide-lines highlight several tac-tics to improve adults’ health and lengthen life ex-pectancy.

Recommendations for slight but effective diet ad-justments include:

Increase vegetable and fruit intake

You know fruits and veg-gies are good for you, but not everyone enjoys the crunch of a celery or carrot stick.

The nutrients found in fruits and vegetables are ex-tremely important to main-taining a healthy lifestyle. The antioxidants in these nutrient-rich whole foods have been shown to de-crease risk of chronic health problems, including a num-ber of cancers.

The USDA suggests adults should consume five serv-ings of fruits and vegetables each day, but many people don’t reach this goal and instead reach for unhealthy snacks because of time, convenience and availabil-ity.

You can get your daily servings in a tasty, on-the-go treat.

With the help of a high-powered Vitamix 5200 machine, you can trans-form less-than-appeal-ing produce into a smooth, sweet, yet nutrient-packed smoothie.

Fruity flavors will over-power the less appealing, and your tongue won’t even know it’s tasting better health.

Increase whole grain intake

Nutrition experts agree Americans consume too many refined grains, and the new Dietary Guidelines suggest one half of all grains consumed in a day should be whole grains.

Choosing whole wheat bread and pasta rather than the nutrition-lacking white versions is a small change that can make a big differ-ence.

So m e h i g h - p owe re d blending machines can even grind whole grains for mak-ing your own healthy bread, pancake and other dough-based recipes.

Just make sure not to combat your positive move toward whole grains with a negative overload of spreads

or sauces full of trans fat.

For individuals 50 and older

The 2010 Dietary Guide-lines recommend those aged 50 years and older consume foods fortified with vitamin B12, or take dietary supplements for healthy aging.

This nutrient is key to maintaining normal func-tion of the brain and ner-vous system and affects en-ergy production.

Many breakfast cereals and other processed foods are fortified with vitamin B12 and you may also find the vitamin in pill form.

Vitamin B12 is vital to red blood cell and DNA produc-

tion, and increasing intake has additional benefits in-cluding higher energy lev-els.

Studies show absorption of vitamin B12 decreases while aging, so adding this nutrient to a healthy daily diet is important for those over 50.



Use a blender to make smoothies, soups and other recipes packed with vita-min-rich produce to lower your risk of cancer, heart disease and other chronic health problems.


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pneumonia, bloodstream infections, wound or surgi-cal site infections and men-ingitis, according the Cen-ters for Disease Control. The people most at risk are those who require de-vices, like ventilators, and those who are treated with antibiotics over a long pe-riod of time. Usually, infections only occur in sick patients re-ceiving treatments for oth-er conditions.

“It’s resistant to the two most common types of an-tibiotics,” Goldman said.

“Typically, we’ve only seen these in not only the hospitals but in patients who have been there for a long time and who have been treated by antibiot-ics, or in people in nurs-ing homes who are being treated with antibiotics,”

he added.

Dwindling supplyAs plenty of other types

of bacteria, as well as some fungi and parasites (malar-ia), become more resistant, the number of effective an-tibiotics dwindle, which is a problem since the variety of available antibiotics is limited.

“The big worry is that there is not a lot of new an-tibiotics in the pipeline,” Goldman said. “Not only will some bacteria become resistant to all of our cur-rent treatment options, but we may be faced with going back to how we saw bacte-rial infections in the 1900s before we had antibiotics. We could support some-one with the infection, but we’d have to let their bodies own immune systems fight it. The mortality would go way up. Obviously, we

don’t want to see that hap-pen.”

Goldman noted that the worst-case scenario is not a problem doctors are facing right now, and that most antibiotics are still capable of treating bacterial infec-tions.

The area of concern right now are infections that are developing resis-tance to multiple antibiot-ics, which has pulled the antibiotic colistin out of retirement.

“It’s a last-ditch drug,” he said. “It hasn’t been used widely because of prob-lems with the kidney. If you don’t use it, you don’t lose it. The worry is that the bacteria will be resistant to colistin, and then there won’t be any good treat-ment options. After this drug, the bacteria would be resistant to everything.”

Other than developing

more antibiotics, there isn’t too much to do to avoid an-timicrobial resistance.

Goldman noted that there are some ways a person can contract drug resistance from eating often under-cooked meat from animals who were given antibiotics, but the best way to avoid doing your body too much damage is to know when to use antibiotics and when not to pressure your doctor into giving you one.

“A lot of people are prob-ably getting antibiotics for viral infections,” he said.

“What they should be using, for something like sinusitis, is something that helps the sinus drain. An-tibiotics really won’t do anything for viruses, other than expose you to the side effects — the typical side effects you get from antibi-otics — stomach ache, rash, diarrhea,” he added.

Bacteria• Continued from H3

COMBATDRUG RESISTANCE

No action today,no cure tomorrow

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Health & Fitness

Make family fitness a priority this springThe frost is lifting, the

snow is melting, and you’re beginning to remember how good it feels to be outside.

Your fingers stop going numb, you don’t see your breath anymore and you can finally take your kids out of the house without wrapping them in more layers than a wedding cake.

Spring has sprung and that means the ability to get back outside.

Outdoor activities can be a great, inexpensive way to spend quality time with your family while staying fit and setting good examples for healthy lifestyles.

The Centers for Disease Control and Prevention rec-ommend adults get active at least two and a half hours per week.

For teens, the CDC rec-ommends at least one hour of physical activity per day. Anything that increases breathing and heart rate and strengthens muscles counts.

Even exercising for small chunks of time — 10 min-utes per day — can help im-prove overall health in chil-dren and adults.

Family routineOne way to encourage

healthy lifestyles is to incor-porate your family into your

exercise routine. Many out-door activities that families can participate in never get old.

This spring, greet the sea-son with some of these ac-tivities:

• Take a hike or plan a family picnic at your lo-cal forest preserve or state park. Start the hike at dusk to reach a clearing in time for a beautiful sunset and star gazing. Just be sure to bring a flashlight for the walk back.

• For the baseball fans in your bunch, take a bike ride around your neighborhood park to release some energy before settling on the couch to catch the first pitch.

• If your crew is on the competitive side, lace up your sneakers and rally your neighbors for a game of kickball at your local high school. Keep up the fun by tracking team scores all sea-son long.

• Outdoor activities re-quire some safety equip-

ment — helmets, sunglasses, sunscreen — and, if you have young children, extra acces-sories like the proper stroller or trailer are necessary.

Spring is the time for new beginnings, so the time is right to set your family on a healthy path.

As you put away the win-ter coats and start opening your windows, keep in mind all the outdoor activities you can do with your family.


Shape up with choresAs the days start getting

longer and warmer, folks are again pondering ways to be more active.

Joining a gym or be-ginning a workout regi-men are great ways to get in shape, but exercising more can also be as simple as resolving to complete daily chores around the house.

Tackling items on your household to-do list is a great way to spruce up your home, while also toning your body. How-ever, the repetition of some household chores can lead to injury, so it’s important to take the proper precautions so you can stay healthy while you get in shape.

Here are a few ideas for getting active around the house and how to avoid injury while tackling these projects:

Plant a garden: Hav-ing a garden lends itself to a constant cycle of good health, from the planting, weeding and harvesting of the vegetables, to eat-ing the fresh produce.

Yardwork: Raking

leaves, sweeping walk-ways and mowing the lawn are also great ways to get out and get mov-ing. When doing odd jobs around the house, it’s a good idea to limit the amount of time you spend on each activity and rotate activities so you aren’t continuously putting stress on the same joints and muscle groups.

Indoor chores: If the weather doesn’t permit you to get outside and work, use indoor chores to get active.

If you have a set of stairs in your house, use them to your advantage when doing chores. For example, if you’re putting away freshly folded laun-dry, take multiple trips to your upstairs bedroom. Again, you can avoid in-jury if you vary your tasks accordingly.

When you begin to look at everyday chores as a chance to exercise, you can improve your health while also tidying up your home, and you can feel a sense of accomplishment in more ways than one.


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World Health Day

Bacteria growing resistant to treatment

By Naomi CreasoNSentinel [email protected]

Every year the World Health Organization selects a theme for its annual World Health Day, which falls on April 7 this year.

World Health Day is meant to be a reminder of all things health-related, and this year, the theme is less focused on diseases and more on how we’ve been treating them.

Since penicillin was dis-

covered in 1928 by Alex-ander Fleming, antibiotics have become a miracle drug that some argue should in-stead be treated like a non-renewable source.

That argument mirrors this year’s World Health Day theme of antimicrobial re-sistance, or drug resistance in bacteria.

Just as flu strains can change from year to year, bacteria can change and develop ways to survive the drugs that are meant to kill or weaken them.

With the use of antibiot-ics, more and more bacteria have changed and devel-oped resistance to medicine that at one point used to be effective.

“If you put pressure on the bacteria by adding an-tibiotics, it changes and responds to that pressure,” said Dr. John Goldman, who practices infectious disease and internal medi-cine at PinnacleHealth. “If you give it enough time, it will become more and more resistant.”

What Goldman and other physicians are seeing is a growing number of bacte-ria becoming resistant to a limited number of anti-biotics.

There are two major types of diseases that Gold-

man has seen on the grow, one of which has been re-ported widely in the news — methicillin-resistant Staphylococcus aureus, or MRSA.

“There’s been a major increase of staph aureus,” Goldman said. “It was maybe 10 percent of (skin) infections presented at hospitals. Now it’s roughly a third. Physicians are now saying that at least half of any skin infection presented in the hospital is MRSA. It’s becoming increasingly re-sistant to first-line drugs.”

Also becoming more re-sistant is Klebsiella species of bacteria, which causes a variety of health care-asso-ciated infections, including

internalist Dr. John Goldman explains how bacteria are becoming resistant to antibiotics and what that means for future treatment of infections.

■

photo illustration

With the use of antibiotics, more and more bacteria have changed and developed resistance to medi-cine that at one point used to be effective.• See Bacteria, H4

Health & Beauty

Get your feet ready for spring, sandals From slogging through

snow, ice and slush to be-ing confined in heavy boots to fight the cold — if your feet could talk, what a tale of winter woe they might tell.

You may be tempted to pull your sandals out of the closet and stuff your heavi-est hosiery to the back of the sock drawer, but before you set your soles free to savor spring, some preparation is in order.

Being cooped up in cramped footwear during winter months can cause feet to suffer from a variety of ailments, from dry, flaky skin and discolored toenails to pesky corns and unsight-ly calluses.

Warm weather prepPampering your feet

in preparation for warm weather can help feet look and feel their best when warmer weather calls for donning flip-flops and peep-toe shoes.

“Caring for your feet not only promotes good hygiene, it can alert you to any problem areas that may need attention be-fore slipping into sandals this spring,” says Dr. Mi-chael King, president of the American Podiatric Medical Association (APMA).

“Plus, it’s a good way to relax and de-stress after a tiring winter. When your feet feel good, you’re more likely to feel good all over,” he adds.

Tips for your toesThe APMA offers these

10 tips for getting your feet spring-ready:

1. Start with a soak. Im-merse your feet in warm water with Epson salts, herbal soaks or oils for at least 10 minutes.

2. Use a pumice stone or foot file to gently remove thickened, dead skin build-up (calluses) around the pre-soaked heels, balls and sides of the feet. Never use a

razor as it removes too much skin and can easily cause in-fection or permanent dam-age if used incorrectly.

3. Eliminate dry, flaky winter skin on the soles, sides and tops of the feet by using an exfoliating scrub.

4. Massage a generous amount of emollient-en-riched skin lotion all over your feet, such as Amerigel Care Lotion, which has the APMA’s Seal of Approval. This hydrates the skin and the massaging helps to pro-mote circulation.

Be sure to remove any ex-cess moisturizer from under your toenails or between toes; build-up in those ar-

eas can provide a breeding ground for bacteria.

5. Use a straight-edge toe-nail clipper to trim nails to just above the top of each toe to ensure nails don’t be-come curved or rounded in the corners.

6. Help lock in moisture by wearing a pair of poly-cotton blend socks at bed-time.

7. Forgo nail polish if your nails are not healthy.

If you have healthy nails, remove polish regularly to

keep them in top condition.8. Wash your feet daily

with soap and water. Dry carefully, paying ex-

tra attention to the area be-tween your toes.

9. Inspect last spring and summer’s footwear.

Throw away any shoes or sandals that appear worn.

10. If any skin or nail problems exist, see a podia-trist for a medical diagno-sis.

Today’s podiatrists are physicians, surgeons and

specialists are trained to di-agnose and treat conditions that affect the foot, ankle and related structures of the leg.

To find a podiatrist near you, log on to www.today-spodiatrist.com.

With a little foot-friendly preparation, your feet can be ready to step into spring ... and let memories of win-ter boots melt away with the snow.


“Caring for your feet not only promotes good hygiene, it can alert you

to any problem areas that may need attention

before slipping into sandals this spring.”

Dr. Michael KingAmeRicAn poDiAtRic meDicAl ASSociAtion

photo courtesy of ARAcontent

Before you set your soles free to savor spring, some preparation is in order.


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Health & Fitness

Keep spring workout stamina goingAs the weather gets

warmer, people think about getting outside and becom-ing active again.

Warm weather and lon-ger days provide the natu-ral motivation that many folks need, but it also can be challenging getting back into the swing of things if the weather has kept you from pursuing a consistent workout regimen.

So as you plot out your plan to regain your form, think about mixing work-outs into your routine that will help you remain active throughout the year so you can avoid the same difficult transition next year.

Here are a few tips to fol-low as you construct an ex-ercise plan that can be con-tinued even after the good weather passes:

Consider a gym membership

While you might prefer to enjoy the outdoors dur-ing workouts when it’s nice, a health club can offer the same opportunities when the weather isn’t great, whether it’s the summer or winter.

Many clubs have groups such as running clubs, which provide some ex-

tra motivation because the group workouts are sched-uled at a specific time.

Fitness instructors at the clubs may also be able to help you formulate a plan for staying active through-out the year.

Check to see if your health insurance provider offers a discount on club member-ships, as many providers do with the condition that you visit the club regularly.

Bring the gym home While gyms provide a

year-round location for ex-ercising, finding the time and motivation to make it there can present an ex-tra barrier. That’s why for some, buying a piece of workout equipment for the home is a better and more

convenient alternative. Today’s home workout

equipment has come a long way from the flimsy home treadmills of years ago, with swim spas representing some of the most innovative tools.

Using wave propulsion technologies, swim spas offer the same benefits as a pool without taking up nearly the space at a frac-tion of the cost.

World champion swim-mer Michael Phelps, who will be incorporating the use of a swim spa in his own training, provided input on the design of a signature line of swim spas for Master Spas.

“Not everybody has ac-cess to a community pool or their local pool is only open

for a few months out of the year. A swim spa provides another way for people to access water, whether it’s just for fun or for exercise, year round,” says Phelps.

Look for workouts that can be completed in a small indoor spaceFor example, yoga and

Pilates workouts offer ex-tensive physical benefits, yet only require a little bit of open floor space.

Learn by enrolling in classes or through vid-eos.

Other beneficial station-ary circuit workouts com-prised of body-weight ex-ercises like pushups and sit-ups don’t require much space either.

An added bonus of using a swim spa is you can also use it for these types of land-based workouts and water aerobics.

To learn more about swim spas and the benefits they

can provide, visit michael-phelpsswimspa.com.

Being able to stay active all year ultimately means finding a routine that con-tinues to be interesting and fits into your daily life.

So as you figure out how you are going to get back into shape this spring, try some new things that you can potentially continue through the winter and see what works best for you.


“A swim spa provides another way for people

to access water, whether it’s just for fun or for exercise, year round.”

Michael PhelPsworld champion swimmer

photo courtesy of aracontent

home workout equipment has come a long way from the flimsy home tread-mills of years ago to the innovative swim spas of today.

H12 — The Sentinel, Carlisle, Pa., Sunday, March 27, 2011 www.cumberlink.com

moreBoDY&

SunDaY, march 27, 2011

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