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contentsPeople First


4 Childhood ObesityDr. Hister looks at overweight children, a growing health concern that affects up to 19 percent of 5 to 17 year olds.

5 Save On HealthyGreat savings on trusted health and wellness products.

6 AntibioticsPeoples Pharmacist Ian Lloydprovides advice on antibiotics andhow to achieve the best health outcome.

7 Healthy ChoicesTake charge of your healthwith beneficial probiotics, vitamins and supplements.

9 Pharmacist RecommendedHelpful advice on osteoporosis,a bone wasting disease.

14 Fussy Eater StrategiesDarlene Booth provides helpful advice on dealing with picky eaters.

15 Chicken Coconut CurryBrand new feature recipeFrom Company’s ComingHealthy Family Recipes.

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4 Childhood Obesity

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6 Antibiotics

7 Healthy Choices

9 Pharmacist Recommended

I figure most of my readers are close to my owndemographic, that is, gorgeous, brilliant, witty, tal-ented, exceedingly charming although also totallymodest baby boomers, a huge demographic blipthat is, however, aging far more readily than we everthought possible so that these days on the rare occa-sions that a few of us manage to stay up beyond ourcustomary bedtime of 9 PM to attend a party withothers of our cohort, our main – and very often ouronly - topic of conversation is our various aches, illsand losses of function, with inevitable side dishes, ofcourse, of how hard it is to deal with our even olderparents and how gorgeous our grandchildren are. What happened to us, eh? Didn’t you also think

we were going to live nearly forever? Not to men-tion, stay young and vigorous till the day before ourdemise? Ah well, at least we’re still here to complain(and to torture our kids).Anyway, all that is to say that I’m on pretty safe

ground when I assume that most of you readingthis didn’t know many obese kids when you weregrowing up.I can’t, for example, recall any significantly over-

weight kids in any of my schools, and just to makesure that assertion isn’t just a trick of my increasinglyfaulty memory (see above under: losses of function),I looked up a picture of my grade 7 graduating class,after which I hauled out my high school graduationyearbook, and after recovering from the guffaws atthe hair styles and the clothes of that era (and boy!did we ever look earnest), all I could find were a few

roly-poly kids, including me, but none whowould have been obese or even “very overweight.”But my how times have changed. Thus, according to Statistics Canada, in 2011,

19.8 % of 5-17-year-olds were overweight and an-other 11.7 % were classified as obese, so if yougraduated in my era, you’d nearly instantly figureout that 31.5 % of kids are now overweight orobese. (Graduates of the new math should just tryto figure out how they feel about those numbers).In other words, over the last 30 years or so we’ve

gone from relatively negligible numbers (in 1978, 3% of Canadian kids were judged to be obese) to asituation in which 1.6 million Canadian kids are nowoverweight or obese.So why have kids gotten so much fatter over the

last 3 decades?Well, it doesn’t take a rocket scientist to figure out

that the main reasons behind this explosion of fat-ness have to be environmental since genes couldn’thave changed all that much over just a few decades.And again, although there are a host of potential

environmental suspects (pollution, chemicals, etc),it’s pretty easy to finger a couple of suspects as themost likely ones to account for this drastic change:alterations in diet – namely, what our kids are eatingand drinking and especially how much they eat anddrink - and a huge change in kids’ levels of exerciseand activity.When it comes to diet, again, there are several

potential factors but for me the outstanding “neg-Continued On Page 11

Dr. Art HisterCHILDHOODOBESITY


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Antibiotics are one of the greatest discoveries ofmedicine. Before their discovery, things didn't endwell for people with infections. Today, we thinknothing about seeing the doctor for a nasty coughor skin infection. We walk in the door, have a quickchat, get a prescription for antibiotics and all will bewell. But a 100 years ago, these minor medical con-ditions could have proven fatal. Maybe with a littlehistory lesson and knowledge of today's antibiotics,we can learn to appreciate this medical miracle.Many people think of penicillin as the first antibi-

otic. This is partially true. Actually, the first antibi-otic, called pyocyanase, was discovered in the1890s by German doctors, Rudolf Emmerich andOscar Low. However, it was not always effectiveand sometimes proved to be toxic. Penicillin wasthe first useful and safe antibiotic. Sir AlexanderFleming first discovered this new drug in 1928. Heshared the 1945 Noble Prize for medicine with thetwo chemists who discovered how to manufactureit: Sir Howard Florey and Ernst Chain. All of thesediscoveries stemmed from the work of Louis Pas-teur. He believed that germs and microbes werethe cause of diseases; which was controversial inhis day. Louis Pasteur is one of my heroes, he alsomadegreat discoveries in the area of brewing sci-ence.When you visit your doctor's office, how does he

choose which antibiotic to use? The first thought is:do you need antibiotics at all? It is thought that onethird of all antibiotic prescriptions are unnecessary.

This is because most common colds and flus arecaused by viruses, for which antibiotics will nothelp. It can be very hard to determine if an infec-tion is caused by a virus or a bacteria. Here are afew things the might warrant a visit to your familydoctor:• The infection is limited to a specific area of thebody, such as the sinuses or a finger

• Symptoms do not improve, or worsen, after 72 hours

• You have a medical condition that might leadto complications: heart disease, asthma,immune system suppression.

• There is a significant amount of pain associated with the infection.

So you have seen your doctor and you do havea treatable bacterial infection, why not just pick justany antibiotic for treatment? The reason is that spe-cific antibiotics are only effective against certaintypes of bacteria. This is referred to as an antibi-otic's spectrum of activity. It is also known that cer-tain bacteria are associated with certain types ofinfections. The bacteria that causes skin infectionsis different from the bacteria that causes kidneyinfections. If you do receive a prescription for antibiotics,

what is the most important thing to do? The an-swer is: finish your entire course of antibiotics. Youdo this for a few reasons. The most important rea-son is to help prevent antibiotic resistance. This iswhere a particular bacteria is able to survive in the

Ian LloydPeoples PharmacistANTIBIOTICS


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presence of an antibiotic which previously wouldhave been able to cause its eradication. One thingmedical science has learned is that bacteria are greatat adapting to new threats to prolong their survival.Take the threat of antibiotics for example. When youtake a full course of antibiotics, it will most likely erad-icate upwards of 90% of the offending bacteria. Ifyou only take the antibiotic for half its intended du-ration, perhaps only 50% of the bacteria will be erad-icated. The remaining bacteria have the opportunityto learn about this new antibiotic threat and adapt inorder to survive next time. If this happens, the bacte-ria might be immune to a particular antibiotic. If youthink this is improbable, you are wrong. Currently,Physicians have to consider known antibiotic resist-ance when choosing a treatment. This is why it is im-portant to finish your complete course of antibiotictherapy.Side effects, side effects, side effects. It can be a

major concern and the reason most people stop tak-ing their antibiotics early. While this article is not long

enough to discuss all the issues with antibiotic sideeffects, your local Peoples Pharmacist is a wealth ofinformation. The most common side effect, with allantibiotic treatment, is stomach upset. Issues rangeand are associated with all areas of the digestive sys-tem from: nausea, gas, bloating to diarrhea. From topto bottom, so to speak. Perhaps taking your medi-cine with food will help. Sometimes reducing thedose and increasing the frequency of taking it willhelp. The most common cause of stomach side ef-fects is the disruption of your normal bacterial flora.Our entire gastrointestinal tract is lined with helpfulbacteria. Actually, our entire body is covered withbacteria. I try not to think about this too much. Thesegood bugs perform a multitude of functions: aidingin digestion, keeping out infectious bacteria, makingcertain vitamins and positively affecting our immunesystem. The antibiotics you take are not selectiveabout which bugs they get rid of. This could lead toa reduction in your natural intestinal good bacteria.One possible way to remedy the side effects of gas,

Ian Lloyd...Continued From Page 6

Continued On Page 10


Don’t Play A Guessing GameWith Your Daily Medications

Many people today are on more than one medication, and

when you combine this with a busy and active life, it can lead to

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pharmacistrecommendedHealth & Wellness Information From Your Peoples Pharmacist

Osteoporosis is a disease that causes bones tolose mass and become thin and brittle. Weakerbones mean there is more risk of breaks, whichcan result in pain, deformity, and other seriousconsequences. As people age their bodies start tore-absorb calcium from their bones, leading tosome loss in bone density. Osteoporosis occurswhen the bone loss is excessive.Osteoporosis is sometimes called the “silent

disease” because many people do not noticesymptoms until they break a bone. Symptoms forolder people may include fractures of the hip,wrist, or vertebrae (back bone), back pain, loss ofheight, vertebral collapse, which shortens andcurves the spine.Osteoporosis affects about one in four women

over the age of 50 and one in eight men over 50.You are more at risk of osteoporosis if you:• are 65 years or older• are of Caucasian or Asian descent• have a history of osteoporosis in your family• have a thin (small-boned) frame.• started menopause before age 45

You have an increased risk for osteoporosis if you:• eat lots of high-protein foods• drink a lot of alcohol or caffeinated beverages• smoke• do not get enough calcium or vitamin D• do not do much weight-bearing exercise

Certain drugs or other products may also increaseyour risk of osteoporosis. If you are taking medica-tions, ask your Peoples pharmacist about risks.Talk to your doctor if you have risk factors

for osteoporosis. There are severalways to determine how muchbone mass you have lost. Your doc-tor may recommend a heel ultra-sound, bone density scan, or othertests.You can reduce your risk for os-

teoporosis by making healthychoices about what you put intoyour body. Follow these basicguidelines:• Eat plenty of fruits and vegeta-

bles — at least 5–10 servings a day.• Limit your daily salt intake to less than 2100

mg.• Limit your daily alcohol intake to two bever-

ages or less. • Limit your daily caffeine intake to three cups

of coffee, tea, or soda.• Quit smoking.

Other things you can do to help prevent osteo-porosis include getting enough calcium, gettingenough vitamin D, and staying physically active.Its important to get enough calcium. Ask your

Peoples pharmacist about calcium supplements ifyour diet does not provide enough calcium. Yourbody will absorb calcium better if you get enoughvitamin D.Its important to get enough vitamin D. Your

body manufactures some Vitamin D when ex-posed to sunlight. You should also include vitaminD in your diet, particularly if you’re over 65. Ask your Peoples Pharmacist about calcioum

and Vitamin D supplements if your diet does notprovide enough.You can help prevent osteoporosis by doing

some weight-bearing physical activity most daysof the week — exercise at a light to moderate in-tensity for at least 30–60 minutes. Weight-bearingactivities include walking, low-impact aerobics,and dancing. Weight training and other resistanceexercises can help maintain bone density as well.For more infomation, talk to your doctor or

Peoples Pharmacist about osteoporosis preven-tion.

Osteoporosis - The Silent Disease

peoplesdrugmart.com People First 9

your risk of osteoporosis. If you are taking medica- For more infomation, talk to your doctor orPeoples Pharmacist about osteoporosis preven-

peoplesdrugmart.com

your risk of osteoporosis. If you are taking medica-tions, ask your Peoples pharmacist about risks.Talk to your doctor if you have risk factors

bone mass you have lost. Your doc-

sound, bone density scan, or other

• Eat plenty of fruits and vegeta-

your risk of osteoporosis. If you are taking medica-tions, ask your Peoples pharmacist about risks.

For more infomation, talk to your doctor orPeoples Pharmacist about osteoporosis preven-tion.

Ian Lloyd...Continued From Page �

bloating and diarrhea is to replace these lost bacteria.As you might have guessed, I am a big fan of probi-otics and take them every day. Probiotics is thegeneric name which refers to supplements that con-tain healthy intestinal bacteria. Probiotics are oftencalled acidophillus, which is the Latin name for mostprevalent bacteria within our digestive tract. Butwhich kind should one take and how much? I tend torecommend a multi strain variety. With over 100 dif-ferent bacteria in our digestive tract, it is hard to saythat any one is best. As a dosing guideline I recom-mend 1-5 billion cells for daily health and over 10billion for treatment of any stomach issue. Should probiotics be kept in the fridge? The form

of probiotic does not really matter, as long as it givesa guarantee of potency on the label. Some forms ofprobiotics do not have to be kept in the fridge. If youbought it out of a fridge, it should stay in the fridge.If you are currently taking antibiotics, you should takethe probiotic supplement at a different time of dayfrom the antibiotic. If you are taking it for general

health, it does not matter when you take it. The next major antibiotic side effect is fatigue. I'm

not sure why this happens. Often people with an in-fection are feeling tired already. The best way to dealwith this side effect is to rest. It does sound overlysimplistic, but rest is the perfect way to allow yourbody to heal and fight off any infection. If fatigue getsexcessive or worsens, contact your Physician or Peo-ples Pharmacist. Headache is another common sideeffect of antibiotic therapy. Again people with infec-tions tend to have a fever which could lead to in-creased fluid loss from sweating. Dehydration cancause headaches. It would be best to drink extra hy-drating fluids to help your body heal.This is by no means a complete article about an-

tibiotics. If you have any questions about antibiotics,or any other question about your health, ask yourPeoples Pharmacist. They can be a wealth of informa-tion.Written By Ian Lloyd, Pharmacist & Chartered Herbalist, Peoples Pharmacy


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Dr. Hister...Continued on Page 13

Dr. Hister...Continued From Page 4

ative” for today’s kids is the incredible array of highly-calorific foods and beverages which were just notavailable to us, and in sizes that we only dreamtabout: gigantic portions of pop and popcorn andburgers and fries and muffins, in fact, the default fornearly everything available to a kid to eat or drink isnow “giant” sized, and not just for kids: at Starbucks,a short (what to me is a normal-sized) cappuccino isnot even on the menu, although you can get one ifyou ask for it.But what I think is even more important as a cause

of obesity in kids is that “down” time for kids haschanged so dramatically over the years.The rule once was, most of you can acknowledge,

that your mom sent you out to play and told you tocome home only if you got beat up (and then, onlyif you were bleeding enough) or if she yelled that itwas time for bed, and you didn’t play indoors – therewas, of course, next to nothing to do indoors – youplayed on the street, in the parks, on any patch ofgrass you could find (in east end Montreal, patchesof grass were virtually non-existent, so that street ballhockey was by far the most popular game, even inmid-July or just a few weeks, in other words, afterwe kids had thrilled to watch the Canadiens bringhome yet another of their nearly annual StanleyCups. One day, one day surely kids here in BC willalso get that thrill. I just hope it happens before I die).Now, of course, for many and varied reasons,

“playing” has changed completely, which to me, isthe greatest loss suffered by today’s kids because“play” – simple loose, un-chaperoned time in thepark or on the pavement with other kids – broughtus so many crucial skills that we got to apply in keyways in our adult years: we learned to judge what wecould actually do successfully (or at least withoutmajor accident) and what might be beyond our abil-ities or skills to accomplish, we learned to get hurtand pick ourselves up instantly away (because, ofcourse, we didn’t want to be excluded from thegame which had quickly moved on without us), welearned to solve disputes without adults butting in tohelp us “share”, we learned to make our own deci-sions, and on and on. (I know, I know: if you’re under

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Dr. Hister...Continued From Page 11

50, I sound like a geezer, right? But hey, it’strue, so deal with it).Not to mention, of course, that we got a ton of

exercise every day, although we didn’t called it ex-ercise (the words “exercise” and “aerobics” hadprobably not even been invented yet), we called itplaying (adults referred to it as “staying out of yourmother’s hair”).These days, of course, play is organized, heavily

supervised, sanitized, and worst of all, limited, sono surprise that one recent British study found thatmany kids actually try to avoid going to the parkto “play.”Anyway, my main point in raising these issues is

that unfortunately, the future doesn’t look brightfor obese kids, since studies have shown that beingoverweight in childhood and adolescence is linkedto much earlier onset of those complications com-monly linked to obesity: high blood pressure,strokes, diabetes, and so on.In fact, one study from the American “stroke

belt”– a belt that stretches from the Carolinasthrough Georgia, Alabama, Louisiana, and Missis-sippi, where the rate of strokes is significantlyhigher than in other American states – concludedthat a person who grows up and remains as ateenager in the stroke belt retains a higher risk forstroke for the rest of their lives, even if they even-tually move out of the stroke belt and change theirhabits to become more resistant to stroke.In other words, teen years are crucial in reducing

the eventual risk of stroke (and probably lots ofother negative consequences, too).So the bottom line is simple to understand, dev-

ilishly hard to apply: as is also true for many of us,our kids desperately need to learn to eat less (andbetter) and move more. Soon.Unfortunately, how you achieve those goals is

way beyond my limited abilities to figure out, so Ithink I’ll just got out and play some ball hockey, ifthat is, my wonky knee and my bad back and myasthma allow me to do that.

Dr. Art Hister can be heard on CKNW and other Corus Radio Net-work stations on House Calls on Saturdays at 10 AM, as well as seenon Global TV news on Saturday mornings at 9:20.

PEOPLES PHARMACISTSHelping People Live Better Lives

We Can Help WithSafe MedicationDisposal.Bring your unused or expi

red med-

ications to a Peoples for environ-

mentally responsible disposal.

Remove the risk of accidental

poisoning or potential abuse.


Chris DreyerPharmacist & Owner, Lytton

We Can Help WithTravel Vaccinations.When travelling abroad, p

lan ahead

and talk to a Peoples Pharmacist.

Most administer travel vaccinations

and can recommend medications

for potential stomach troubles.

Talk to a Peoples Pharmacist for

advice on staying healthy

while you travel.

Andrew HoffertPharmacist & Owner, Nelson

We Can Help WithMedication Reviews.Medication reviews are in-

depth

consultations that improve health

outcomes by helping resolve any

issues that may have arisen due to

your medication. Ask about the

medication review service.

John LeungPharmacist & Owner, Abbotsfo

rd

�� B��R.H.N, B.S.W.

Parents have so many things to worry about and their chil-dren’s health tops the list. When a child rejects food or onlywants to eat the same thing every day we become concernedthat they won’t thrive. It can be labelled food neophobia,fussy eating, being picky or “selective eating disorder”; butto some degree, a healthy dose of scepticism is a good thing.Children have an evolutionary survival mechanism prone tofear new things but sometimes this may swing out of balancein relation to food. This may create mealtime stress and leadto food related power struggles. Fussy eaters do present theultimate challenge for parents but some awareness and sim-ple survival tips can help smooth the way for mealtime peace.As a mother of two children with appetites on the opposite

ends of the spectrum, I feel that I earned a PHD in surviving“fussy eater” syndrome. My daughter used to turn up hernose at most animal flesh and my son would literally gag onbeans and legumes. Meals were carefully scrutinized shouldthey contain onions, mushrooms or tomatoes in a form otherthan sauce and there were days when I literally felt like I wasa short order cook. By the way, the short order cook gig wasone of my first major mistakes. Had I “Googled it” back in theday, I likely would have stumbled across information againstit and avoided the pitfall. But we did not have Internet “backin the day” hence, my lessons came fast and furious andmostly through trial and error. When they say hindsight is20�20, they mean it; if I had it all to do over again, I would doit differently. Here are a few things I have learned along theway:1. Most kids will grow out of picky eating eventually if giventhe chance. The more we cater to it, the more we enforce it.I learned this when my son (who gagged on beans) stockedhis cupboard full of canned chili when he started buying hisown groceries. When questioned he replied that they werecost effective and though they weren’t his favourite, he could justify eating them based on supply and demand. 2. Sometimes it is a cultural thing. My daughter’s cohort wereprimarily from vegetarian families. When she went to Brazil

in grade 11, she came back with a healthy appetite for allthings pork and beef; the more mysterious the better. I hadcreated a mealtime culture that enforced individual menuplans and both kids were happy to abide.3. It’s okay to stick with staple favourites but switch up theside dishes frequently. The more often a child is exposed tonew foods the more likely they are to embrace them eventu-ally. Tempt them with appetizing dips, interesting shapes andconversations around the new food. I began to involve mychildren in meal planning and shopping and it helped too.4. Sometimes it is the principle of the phobia you are dealingwith more than a taste thing. My son had a thing aboutonions so I used to tell him they were bits of cabbage. You canalso hide or disguise some foods by pureeing them and blend-ing them into their favourite dishes. Be careful here though.I have a friend whose grandmother used to make “use up thefridge” cookies. 1ucchini loaf is one thing, but even thefamily dog would hide when Grandmother was baking.5. Children learn by modelling their parent’s behaviour. It didnot help my culinary challenges when my children’s fathermodelled his own picky eating preferences. Thankfully, giventime and plenty of perseverance on my part, even he beganto enjoy a wider range of foods than when we first met. Mealtimes should be a family time for connection and not

a stressful event that ends with a winner and a loser. Buildfamily culture around sharing a wide variety of healthy foodand your children will grow up without questioning the“norm.” My daughter is now a young mother who hasbegun to research her own strategies for introducing foodsto her son. Baby led weaning is a practice that introducesreal food to children when they are capable of feeding them-selves. Some research has shown that introducing foods withinteresting textures tends to limit the tendency toward futurefood fussiness. However she proceeds with his diet, my jobis to be the best grandmother I can be and you can bet mycookies will be delicious!Good Health to You!

��SSY�EATE��ST�ATE�IES


Recipes For Good Health

A modernized twist on an Indian classic, this recipe uses a creamycurry to blend the flavours of stewed chicken, onions, spinach,tomatoes and garlic. Tasty without being too spicy, this dish willappeal to adult and child alike, and busy cooks love the ease ofpreparation. Just sit back and let this meal take care of itself.11⁄2 lbs (680 g) boneless, skinless chicken breast halves1⁄4 tsp (1 mL) ground cumin1 tsp (5 mL) curry powder1⁄4 tsp (1 mL) ground cinnamon1⁄8 tsp (0.5 mL) ground cloves1⁄8 tsp (0.5 mL) cayenne pepper1 tsp (5 mL) paprika3⁄4 tsp (4 mL) salt1⁄2 tsp (2 mL) pepper1 white onion, diced3 carrots, julienned 1 tomato, diced4 cloves garlic, minced1⁄2 cup (125 mL) coconut milk1 Tbsp (15 mL) brown sugar1⁄2 cup (125 mL) tomato paste1 cup (250 mL) brown rice11⁄4 cups (300 mL) boiling water3 cups (750 mL) fresh spinach leaves, lightly packed7 oz (200 g) raw cashews2 Tbsp (30 mL) chopped fresh cilantro

Heat a large crock pot and add first 15 ingredients. Set on medium-high heatand cook for 3 to 5 hours. Add brown rice and boiling water and cook for another 45 minutes or until riceis tender.Fold in spinach and cook for another 2 minutes or until spinach has wilted.Garnish with cashews and cilantro.

1 serving: : 520 Calories; 21 g Total Fat (8 g Mono, 3 g Poly, 7 g Sat); 65 mgCholesterol; 50 g Carbohydrate; 7 g Fibre; 37 g Protein; 470 mg Sodium

Chicken Coconut Curry

PEOPLES DRUG MART & PEOPLES PHARMACY LOCATIONS

The articles published in People First are for the general information of thereader. While effort is made to reflect accepted medical practice and knowl-edge, articles should not be relied upon for the treatment or managementof any specific medical concern or problem and People First accepts no li-ability for reliance on the articles. For proper diagnosis and medical care,you should always consult your family physician promptly. Opinions ex-pressed in sponsored articles by, Dr. Art Hister, Ian Lloyd, and DarleneBooth are paid editorials and are not necessarily shared by Peoples DrugMart stores or Peoples Drug Mart (B.C.) Ltd.Some advertised products are not available in all stores. We reserve the rightto substitute products or limit quantities. Prices effective while quantities last.Sale in retail quantities only.

*Points awarded on net pre-tax purchases. Certain re-strictions apply (check with your local Peoples DrugMart or Peoples Pharmacy for a complete list ofnon-eligible medications, services & products).

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Cholesterol; 50 g Carbohydrate; 7 g Fibre; 37 g Protein; 470 mg Sodium

Healthy Family Recipes Cookbooksare available at participating

PEOPLES DRUG MART & PEOPLES PHARMACYReprinted from Healthy Family Recipes©Company's Coming Publishing Limited

Chicken Coconut Curry

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Travel VaccinationsAt Peoples PharmacyMost Peoples Pharmacists can nowadminister travel vaccinations on-site

Planning a trip for this winter? A visit toyour doctor, and a subsequent visit to aPeoples Pharmacist that is trained and cer-tified to provide travel vaccinations, canhelp you with travel health.

Besides travel vaccinations, a Peoples Phar-macist can also recommend medicationsfor stomach troubles and motion sickness.

Talk to a Peoples Pharmacist for advice onstaying healthy while you travel.

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