MELATONIN: IS IT SAFE? PAGE - RAISES HIS VOICE TO HELP OTHERS THE DAILY SHOW'S - WebMD
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MELATONIN: IS IT SAFE? PAGE 37 M AY W E B M D.C O M 2019 TREVOR NOAH THE DAILY SHOW’ S RAISES HIS VOICE TO HELP OTHERS PAGE 31 CUT YOUR RISK FOR FALLS • DADS GET THE BABY BLUES, TOO • SKIN CARE GIFTS FOR MOM
WEBMD MAGAZINE Contents M AY 2 0 1 9 “THE BODY HAS A FASCINATING WAY OF KNOWING WHAT YOU NEED, EVEN IF YOU IGNORE IT.” FEATURES SAM JONES / TRUNK ARCHIVE 31 VOICE LESSONS 41 THE MIND OF A 2-YEAR-OLD The Daily Show ’s Trevor Noah bounces 37 HOMING IN ON MELATONIN You might be surprised at how smart and back after vocal cord surgery How safe is this hormone? sophisticated kids are at this age 1 W E B M D.C O M
WEBMD MAGAZINE Contents M AY 2 0 1 9 15 17 51 30 46 CHECKUP 28 51 C UTTING EDGE New research on osteoporosis 52 E XPERT Q&A The meaning behind “naturally derived” 53 W HO’S WHO An intro to rheumatologists 54 C ONDITION FOCUS The scoop on chronic fatigue syndrome 45 55 H EALTH SMARTS Are you at risk of falling? FAMILY 57 B Y THE NUMBERS Facts and stats on strokes 22 R ELATIONSHIPS Research on how quality 58 Q UIZ LIVING time with your children FOOD Test your knowledge of hepatitis C now pays off later 59 I NSIGHT EALTHY SPACES 10 H 45 G OOD FOR YOU Who should—and shouldn’t—take 19 23 P REGNANCY The mental health Tips for tart and an aspirin a day Five habits you can benefits of spending tasty rhubarb break now for your time in green places 46 3 WAYS: SALADS baby’s health 60 ORK WISE 11 W Toss a satisfying entree 24 B ABY The harm in checking work email after hours BEAUTY The perils of 48 B UILD A BETTER baby walkers Mastering meatloaf OMEN’S HEALTH 12 W 16 SKIN CARE 49 FOOD 101 How stress can put you The versatility of 25 K IDS’ HEALTH The wonders of at risk for diabetes coconut oil A simple way to curb mollusks vision problems 13 M IND MATTERS 17 EXPERT PICKS 26 T EEN HEALTH New knowledge on brain anatomy Gifts for moms Warnings on teens IN EVERY ISSUE 18 D ERM Q&A and marijuana 3 EDITOR’S NOTE 14 M EN’S HEALTH Scar facts Dads and the 19 B EAUTY SMARTS 28 PARENTING 5 U PFRONT baby blues A cheat sheet How to instill kindness News about teen vaping, 15 F ITNESS on masks in kids sleep, and more Working out during your 30 P ET HEALTH 60 TAKE 10 period A guide to animal ON THE COVER Josh Gad’s tips for prosthetics managing anxiety 2 W E B M D.C O M
E d i t o r ’s N o t e FROM THE WEBMD TEAM What advice about healthy habits do you give your kids? I’ve quickly learned that advice shared with toddlers needs to be simple and fun. We talk and sing about what we can do to keep our bodies strong, brains smart, and hearts happy. Daniel the DANI SIEGEL Tiger also helps sell the message ANNIC JOBIN WebMD Director, Editorial WebMD Executive when Mommy and Daddy aren’t Director, News & Development Operations convincing enough. Partnerships I have always encouraged my son to get outside F or our cover star, The Daily Show and play and to eat meals SHERA COLLINS host Trevor Noah, helping impover- that include lean protein, WebMD Video Producer ished children have a better chance vegetables, fruit, and I try to teach my kids that you at life is one of his most important water in order to power his don’t have to be the “best” at missions. As we learn in this issue, he something to enjoy it. You can body. Keeping the fridge enjoy gymnastics even if you credits his own success from growing stocked with healthy don’t make the team; you can run, even if you up poor in South Africa to where he is choices went a long way in haven’t won a race. I was too self-conscious as a now in part to his mother and the advice helping him develop good kid to do sports that I wasn’t great at. I wish I’d just she gave him. As a parent, that’s always learned to enjoy them! eating habits. heartwarming to hear. We give our kids lots of pointers and hope they listen to at least a small portion of it. When it comes to health, leading by example Blog Makeover is always a good way to go. But as par- ents, we can’t help offering our words Check out the fresh, new look of of wisdom as well! For this issue, we WebMD Blogs! With more images asked our staff what they pass along to and improved navigation, the new P H O T O G R A P H Y: S H A R O N S U H ; S T Y L I N G : M I N D Y S A A D their own children. design makes it easier than ever to dive into your favorite content. Our blogs feature expert perspectives and inspiring patient stories on a Kristy Hammam variety of condition and wellness Editor in Chief topics. Visit blogs.webmd.com. kristy@webmd.com STAY IN TOUCH LIKE US ON FACEBOOK SUBSCRIBE TO OUR NEWSLETTERS TWEET US PIN WITH US EMAIL THE EDITORS facebook.com/webmd webmd.com/newsletters twitter.com/webmd pinterest.com/webmd/webmd-magazine webmdmagazineeditors@webmd.net 3 W E B M D.C O M
395 HUDSON ST., NEW YORK, NY 10014 EDITOR IN CHIEF CHIEF MEDICAL EDITOR A DV E R T I S I N G S A L E S Kristy Hammam Michael W. Smith, MD N E W YO R K EDITORIAL DIRECTOR SENIOR MEDICAL EDITORS CLAUDIA FERN cfern@webmd.net Colleen Paretty Hansa Bhargava, MD 212-624-3728 Arefa Cassoobhoy, MD, MPH EXECUTIVE EDITOR Brunilda Nazario, MD PATRIA RODRIGUEZ Jennifer Fields prodriguez@webmd.net 212-417-9542 MEDICAL EDITOR VICE PRESIDENT, Neha Pathak, MD C HICAGO EDITORIAL DEVELOPMENT Stephanie Snipes CONTRIBUTING WRITERS TRACY KENNEDY tkennedy@webmd.net Christina Boufis 312-758-6919 MANAGER, EDITORIAL DEVELOPMENT OPERATIONS Sonya Collins ANNA NOVINGER Alyson West Jodi Helmer anovinger@webmd.net Ayren Jackson-Cannady 312-523-3171 VICE PRESIDENT, PUBLISHER Katherine Kam WEST COAST Vanessa Cognard Lauren Paige Kennedy Lisa Marshall NICOLE JONES SALES OPERATIONS ANALYST Matt McMillen njones@webmd.net 213-718-5550 LaTeisha Clay Colleen Oakley Erin O’Donnell Gina Shaw Stephanie Watson C O R P O R AT E CHIEF EXECUTIVE OFFICER CHIEF FINANCIAL OFFICER VICE PRESIDENT, FINANCE Robert N. Brisco Blake DeSimone James McCann CHIEF MEDICAL OFFICER SVP, CORPORATE DIRECTOR, POLICY & John Whyte, MD, MPH DEVELOPMENT AND GLOBAL GOVERNANCE STRATEGY Theresa Saladino Jeremy Schneider AC C O U N T EDITORIAL M A N AG E M E N T EDITOR ACCOUNT DIRECTOR Michelle Rubin Eric Meisner ASSISTANT EDITOR 155 AVENUE OF THE AMERICAS ACCOUNT SUPERVISOR Rachel Vipond NEW YORK, NY 10013 Wenona Williams-Fassinou FOOD EDITOR PROJECT MANAGER Elizabeth Elliott PRESIDENT Kellie Kramer Georgine Anton COPY CHIEF SENIOR MARKETING Grant Fairchild CHIEF CLIENT OFFICER SERVICE MANAGER Tom Sebok Annie Gormley BOOKINGS DIRECTOR Susan Pocharski CHIEF CREATIVE OFFICER ACCOUNT EXECUTIVE spocharski@gmail.com Roald van Wyk Oscar Buitrago 617-869-1713 C R E AT I V E PRODUCTION GROUP DESIGN DIRECTOR ASSISTANT ART DIRECTORS DIRECTOR Missy Bergwall Amber Hanson Sigrid Anderson Jessica M. Johnson ASSOCIATE CREATIVE DIRECTOR Brittany Long Joni Breese CUSTOMER SERVICE & SUBSCRIPTIONS MANAGE YOUR SUBSCRIPTION EMAIL webmd@emailcustomerservice.com CALL 888-798-0088 CLICK “Contact Us” at the bottom of every page on WebMD.com. WebMD Magazine is distributed to doctors’ offices throughout the U.S., online at WebMD.com, and by download from the App Store. WebMD Magazine is not responsible for advertising claims. WebMD Magazine (ISSN 1553-9946), Vol. 15, No. 3, is published by WebMD LLC and may not be reproduced in whole or in part without written permission of WebMD LLC. All editorial content is reviewed by our board-certified physicians, is for informational purposes only, and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. WebMD does not endorse any specific product, service, or treatment. Always seek the advice of your health care provider with any questions regarding a medical condition and never disregard professional medical advice or delay seeking it because of something you have read in WebMD Magazine. If you think you have a medical emergency, call your doctor or 911 immediately. © 2019 WebMD LLC. All rights reserved.
T I M E LY T O P I C S Up f r o n t NEWS YOU CAN USE Dear Mom M O T H E R ’ S D AY This month, many people honor the millions of American women who have delivered and raised children. Motherhood gives back, too, with a few health advantages also worth celebrating. 4% TO 12% 50% Percentage by Percentage by which 11% 26% which a woman’s ovarian cancer risk odds of living into is lowered among her 90s increases Percentage by which a woman’s risk for type women who’ve had if she gives birth 2 diabetes goes down for each 12 months she children compared Percentage by which women can lower their to her first child breastfeeds. Her risk for breast cancer drops to those who haven’t risk for multiple sclerosis by giving birth to one after age 25. by 4.3% for each year of breastfeeding. given birth. child. Having four children cuts the risk by 80%. G ET T Y I M AG ES 5 W E B M D.C O M
Upfront IN THE NEWS Sleep supplement safety Melatonin. You’ve likely heard of this popular supplement—maybe you’re among the more than 3 million adults who take it (some half-million children do, too). But what do you really know about this hormone, marketed to aid sleep, cure insomnia, curb jet lag, and more? “A lot of people just take it right before they go to bed as if it were a sleeping pill. It’s not that simple,” one of our experts explains. Some research does show benefits and general safety with short-term use for some people—but long-term effects for just about COLLEEN everybody are less well-known, and concerns about kids are real. PARETTY One indication is the alarming spike in calls to poison centers in the Editorial Director, colleen@ last few years about melatonin use or misuse. Our report, “Homing webmd.com in on Melatonin” (page 37), lays out what researchers know about this hormone—and what they don’t, which on balance is a lot. Read this before you give melatonin a try or give it to your kids, and check in with your doctor for help with dosage and timing. A better night’s sleep and your health are worth the extra effort. — 45% Percentage of adults ages 50 DEPRESSION FOG Poor thinking skills and serious depression often go hand-in-hand. While researchers once thought that depression could cause a WOMEN: DON’T WAIT Heart attacks are just to 64 who decline in thinking skills, a new study says otherwise. People who worry they as common for women have a first-degree relative with major depressive disorder, but do won’t be able as men, and fast not have depression themselves, perform more poorly on thinking to afford health skills tests than people without a family history of depression. treatment makes all the insurance in That was the result of an analysis of 54 studies of more than 8,000 difference. Yet women retirement. first-degree relatives of people with major depressive disorder. The SOURCE: National Poll wait 37 minutes longer on Healthy Aging finding suggests that weak thinking skills could be a risk factor for to call for help when depression rather than a consequence of it. SOURCE: JAMA they have one. The delay could be because pain in the chest and left arm are the most recognized signs, but those symptoms are more common in men. Women, on the other hand, often feel back, shoulder, or stomach pain during a G ET T Y I M AG ES heart attack. SOURCE: European Heart Journal: Acute Cardiovascular Care 6 W E B M D.C O M
Upfront Upfront CANCER-CLOT SPINACH BOOST LUCK OF THE DNA CONNECTION Do you prefer your spinach hidden in How do some people live to 100 relatively disease-free? It a smoothie rather than on your plate? could be in your DNA. Researchers studied DNA floating In the year leading up Good, because that’s the best way to get its in the bloodstream—not the DNA inside cells—of people to a cancer diagnosis, antioxidant effects. Spinach is packed with in their 20s, their 70s, and both healthy and unhealthy older adults have an the antioxidant lutein, which can reduce inflammation in the body. Food scientists 100-somethings. The DNA developed irregularities with increased risk of stroke prepared spinach in many different ways— age, which the researchers saw in the samples from the and heart attack, boiled, baked into a lasagna, fried, served folks in their 70s and the unhealthy centenarians. But the particularly the kind raw in a salad, and blended into juices DNA of the healthy centenarians looked more like that of caused by a blood clot, and smoothies. Heat destroyed the lutein. Blending the raw leaves released the most the 20-somethings than that of the other old-timers. The according to a study lutein for the body to absorb. Fat in the finding could help researchers understand what makes of nearly 750,000 smoothie, from milk or yogurt, makes the some people live longer—and better—than others. people. This discovery lutein easier for the body to soak up. SOURCE: Aging Cell suggests that cancer, SOURCE: Food Chemistry SCHOOL VS. SLEEP especially advanced- $1 BILLION stage cancers and lung and colon cancer TEEN VAPING ON THE RISE 14% Teenagers are chronically sleep-deprived. Going to bed earlier Percentage of high isn’t the solution. The biological clock determines when people at any stage, could Teen vapers are on the rise. More than one in three school seniors who report fall asleep. For teens, like it or not, that’s later at night. So, when a increase risk for these high school seniors have vaped in the last month. That binge drinking in the last Seattle school district pushed high school start times 55 minutes Annual cost of injuries caused by clots. People who have two weeks. That’s having number was just above one in five last year. They say the later, kids got 34 extra minutes of sleep every night, without animals—that includes everything from a heart attack or stroke, five or more drinks in a changing their bedtime, and their grades went up by nearly 5%. dog bites to bee stings. devices are easier to get this year, too. More than 20% row. That’s down from SOURCE: Trauma Surgery and Acute Care Open the researchers say, SOURCE: Science Advances of teen vapers say they have vaped nicotine, compared almost 17% in 2017. should make sure they to 11% last year. But teens may not know what they are SOURCE: University of Michigan A DRINK A DAY PAIN TRICK are up to date with their vaping. The most popular devices don’t offer nicotine- cancer screenings. Gently stroking babies SOURCE: Blood free options, and some labels are inaccurate. WEIGHTY The heart benefits of moderate drinking before medically MATTERS SOURCE: University of Michigan may apply to people with heart failure, too. necessary painful Among 393 people with heart failure, the procedures, such as the 8,986 Obesity causes nearly ones who drank seven or fewer alcoholic heel stick test shortly one in 25 cancers drinks per week outlived those who didn’t after birth, reduces worldwide, including drink at all. Limited drinking could increase brain activity associated breast, colorectal, good cholesterol and improve blood sugar with pain during the Number of children esophageal, and control. Natural chemicals in beer and procedure. The perfect and adolescents pancreatic. Weight wine called polyphenols might increase the stroke for pain reduction, who died between 1999 and 2016 from might also contribute body’s concentration of nitric oxide, which researchers found in an prescription and illicit is important for blood vessel health. The experiment, covers 3 to gallbladder, liver, and opioid poisonings— benefits came from just one drink a day. The centimeters (a little more ovarian cancers and G ET T Y I M AG ES an increase of findings aren’t a free pass for heavy drinking, than 1 inch) of a baby’s multiple myeloma. almost 30%. which has many health consequences. skin per second. SOURCE: CA: A Cancer Journal SOURCE: JAMA SOURCE: JAMA for Clinicians SOURCE: Cell Press 7 8 W E B M D.C O M W E B M D.C O M
Upfront SLEEP THE LONELIEST NUMBERS AWAY THE Three out of four people feel seriously CRAVINGS lonely at any given time, according to a study of healthy people ages 27 to Sleep quality and weight 101. Loneliness peaks in the 20s, 50s, regulation are tightly and late 80s. linked. In fact, just one SOURCE: International Psychogeriatrics lost night of sleep makes junk food more desirable, KEEP IT CLEAN according to an MRI study of lean, healthy men’s brains when offered “Is that stethoscope junk food after a good clean, Doc?” A night’s sleep and after a new study finds sleepless night. that the tool is a SOURCE: Canadian Medical Association Journal breeding ground for infection- causing bacteria, including staphylococcus, TAKE THEM OUT the source of staph An estimated 1 million annual outpatient and emergency room visits infections. are a result of serious eye infections from sleeping in contacts. SOURCE: Infection Control and Hospital Epidemiology SOURCE: Annals of Emergency Medicine GO MED What makes the Mediterranean diet so good for your heart? In a 12-year study of nearly 26,000 women, those who stuck most closely to the diet were up to 28% less likely to have a heart attack or stroke. They also had lower levels of inflammation, better blood sugar control, and less body fat. The Mediterranean diet emphasizes vegetables, fruits, whole grains, legumes, and nuts; swaps butter for healthy fats such as olive and canola oils; substitutes spices for salt; reduces red meat to a few times a month; G ET T Y I M AG ES and includes fish or poultry at least twice a week. SOURCE: JAMA 9 W E B M D.C O M
H E A LT H Y H A B I T S Living MEANINGFUL CHANGE Green RESEARCHERS AT THE INSTITUTE FOR GLOBAL HEALTH IN BARCELONA H E A LT H Y S PAC E S TRACKED 6,500 ADULTS AGES 45 TO 68 FOR 10 YEARS. During that Is Good time, the middle-aged and older adults took tests that measured short-term memory, reasoning, and vocabulary. Then the researchers used satellite images to measure the greenness of each person’s neighborhood. The people who lived in the greenest areas showed WHETHER IT’S THE UNTAMED the slowest decline in thinking skills over time. It could be, the WILDERNESS OR A NEIGHBORHOOD researchers say, that green spaces promote healthy behavior. PARK, SPENDING TIME IN GREEN Spending more time in these places—especially exercising, G ET T Y I M AG ES PL ACES IS GOOD FOR YOUR socializing, or just releasing stress—might help preserve thinking MENTAL WELL-BEING skills as you age. —SONYA COLLINS 10 W E B M D.C O M
Living Search for the slideshow How to Break Your Phone Habit at WebMD.com. boundaries have largely been dissolved, enabling employers and employees to remain tethered on an electronic leash. In one 2016 study of 365 adults, Belkin and her colleagues found that, on average, employees spend about one full extra day per week checking work-related email outside of normal office hours. Some respondents reported checking it as many as 40 additional hours. Regardless of how much time they spent actually responding to them, the mere expectation by their employer to keep an eye on electronic messages boosted an employee’s emotional exhaustion by requiring cognitively taxing “micro-role transitions between work and non-work domains.” “Even if employees make a conscious choice not to respond while they are with their family, there is always a chronic stressor in the back of their mind,” Belkin says. “You are either checking messages or you are thinking about checking them.” In a follow-up study published in July, the researchers surveyed 142 full-time employees, as well as their bosses and romantic partners. The more their boss expected them to check electronic messages after hours, the more anxiety and less relationship satisfaction their partner felt. “Unlike the employee, the significant other is rela- tively powerless to take direct action,” the authors note, calling partner impact an underreported and “insidious Marriage Killer? downside” of electronic communication. Belkin, who frequently checks electronic messages WORK WISE after hours herself, acknowledges that in the internet age it’s hard not to. But she says employees can take several steps to protect their time—and relationships: NEW RESEARCH SUGGESTS MONITORING WORK EMAILS AFTER HOURS CAN HARM PARTNERS’ HEALTH AND RELATIONSHIP SATISFACTION • Ask your employer to establish a rotating on-call schedule, designating certain days or times BY Lisa Marshall that people must monitor electronic messages. REVIEWED BY Patricia A. Farrell, PhD, WebMD Medical Reviewer • Ask your employer to specify in emails whether WORRIED THAT YOUR AFTER-HOURS WORK EMAILS ARE DRIVING A WEDGE immediate action is necessary or if a response BETWEEN YOU AND YOUR SIGNIFICANT OTHER? You’re probably right, new can wait until work hours (often employees think research confirms. they have to respond immediately when it’s not “We found that the more people check their work email, the more really necessary). anxious they feel and the less satisfaction they feel with their overall health and marital relationship,” said Liuba Belkin, PhD, associate professor of • Establish strict, no-email times in which you management at Lehigh University and co-author of the studies. “We also turn off your phone. (Research shows that the mere found that this anxiety and lack of satisfaction spills over to partners.” presence of a smartphone in the room can reduce Belkin notes that in the past, strict physical boundaries existed focus.) “Just not even having it in the vicinity between work and home life. But in the age of smartphones, those during family time can help a lot,” says Belkin. BY THE NUMBERS 8 65% 55% Percentage of employees G ET T Y I M AG ES Number of hours per week, who believe their company Percentage of employees on average, that employees has high expectations who have a hard time monitor work emails outside of them to monitor work detaching from work of office hours. emails after hours. after hours. 11 W E B M D.C O M
Living Reason to Relax W O M E N ’S H E A LT H A NEW STUDY SUGGESTS STRESS PUTS WOMEN AT RISK OF DEVELOPING DIABETES BY Kara Mayer Robinson REVIEWED BY Brunilda Nazario, MD, WebMD Senior Medical Editor Looking for a doctor? Use WebMD’s Physician Directory. Go to WebMD.com/findadoctor. A STUDY FROM THE AMERICAN HEART a known diabetes risk factor. And it can ASSOCIATION FINDS THAT OLDER WOMEN trigger anxiety, depression, and mental with mounting stress were almost twice as health problems, which make it harder likely than women with little or no stress to to take good care of yourself. If you don’t develop diabetes. eat well and exercise, you’re more likely to When you’re stressed, your body makes develop diabetes. more hormones such as cortisol, growth According to the study, both acute and hormone, glucagon, and adrenaline, chronic stress bump up your risk. Acute which make your blood sugar levels go stress is when you suddenly find yourself up, explains Nadia Ali, MD, an integrative in a traumatic or negative situation, like medicine doctor in Wayne, Pennsylvania. losing your job or having a serious accident. This can lead to insulin resistance, which Chronic stress happens over a long period of can trigger diabetes. time, such as when you have ongoing prob- Stress also raises your blood pressure, lems with work, finances, or relationships. ASK YOUR DOCTOR YOUR DOCTOR Q How does Q Do I have Q What lifestyle Q Should I see CAN HELP YOU UNDERSTAND stress affect an underlying choices do you a therapist? YOUR RISK AND my body? medical recommend? Your doctor can RECOMMEND Your doctor may condition that If you’re feeling help you decide STRATEGIES needs to be TO COPE run tests to see stressed, your if it’s best to get WITH STRESS. how stress affects monitored? doctor may professional NADIA ALI, your insulin level, Your doctor can suggest specific help—and help MD, SUGGESTS insulin resistance, changes to your you find it. identify if there’s STARTING WITH THESE and inflammation. something else at diet and exercise QUESTIONS. play and help you program. manage it.
Search for the quiz How Living Your Brain Works: Myths and Facts at WebMD.com. Know Your Own Mind M I N D M AT T E R S A NEW STUDY REVEALS VARYING HUMAN EXPERIENCES MAY ALTER THE ANATOMY OF THE INDIVIDUAL BRAIN, MAKING YOURS—OVER TIME—AS IDENTIFIABLE AS A FINGERPRINT BY L auren Paige Kennedy REVIEWED BY Neha Pathak, MD, WebMD Medical Editor UNTIL RECENTLY, SCIENTISTS BELIEVED THAT HUMAN BRAINS WERE He and his team studied 200 healthy people who underwent ANATOMICALLY INDISTINGUISHABLE. However, one recent study MRI brain scans three times over the course of two years. They from the University of Edinburgh suggests men, on average, have evaluated more than 450 features of brain anatomy, including slightly higher brain volume than women, even when corrected for volumes of gray and white matter, total brain volume, and body size—although researchers are hard-pressed to identify exactly thickness of the cortex—with interesting conclusions. which specific substructures within the brain might hold this extra Jäncke notes that people with special skills, such as volume. And women, on average, have thicker cortices than men, competitive chess players and professional athletes, showed which are associated with higher cognitive test scores. unique characteristics in the regions of the brain that But examining a typical brain and being able to identify one control for such gifts, clearly distinguishing them from the from another based solely on its structure? Scientists didn’t average person. think it possible. He adds that even short-term experiences—such as That notion is changing now with a new study conducted by breaking an arm, resulting in its temporary immobility—can a team of researchers at the University of Zurich (UZH). “We also alter the brain’s physical characteristics, with a reduction were able to confirm that the structure of people’s brains is very in the thickness of the brain’s cortex in the specific areas individual,” says the study’s author, Lutz Jäncke, a UZH professor of responsible for controlling that arm. “We suspect those neuropsychology. Jäncke says his team’s research shows a combi- experiences that have an effect on the brain interact with the G ET T Y I M AG ES nation of genetic and non-genetic influences affect not only brain genetic makeup, so that over the course of years every person functioning but also individual anatomy. develops a completely individual brain anatomy,” Jäncke says. 13 W E B M D.C O M
Living Baby Blues M E N ’S H E A LT H NEW FATHERS DEVELOP DEPRESSION AT TWICE Search for the article THE RATE OF OTHER MEN 10 Tips for New Dads BY M att McMillen REVIEWED BY Michael W. Smith, MD, WebMD Chief Medical Editor at WebMD.com. DEPRESSION IN NEW DADS CAN HAVE LASTING more invested in their relationships and family QUESTIONS CONSEQUENCES FOR THE WHOLE FAMILY. A study compared to men whose testosterone remains by British researchers, released in December, high. However, if it gets too low, depression FOR YOUR revealed that fathers with postpartum risk rises. “You want it to be somewhere in the DOCTOR depression raise daughters with higher risk of middle,” says Saxbe. Q Am I depressed? developing depression as teens. It’s too soon to say whether testosterone- Though researchers have begun to catch up replacement therapy might help new fathers The symptoms of depression with the reality of postpartum depression among avoid or recover from depression. Another vary but often center around men, the public remains largely unaware despite unknown: Whether changes in testosterone levels loss: loss of energy, loss of the numbers of men affected, says psychologist could be used to help predict which fathers-to-be hope, loss of self-esteem, Darby Saxbe, PhD, an assistant professor of psy- have an elevated risk of depression, a complicated loss of interest (including chology at the University of Southern California. disease that has many causes and triggers. interest in your newborn). “About 10% of new dads become depressed,” But, Saxbe says, men can help themselves, says Saxbe. “That’s about twice the rate of either to reduce their risk of depression or to help Q Do I need treatment? depression among other men.” them feel better when they become depressed: Self-care is essential, but Why new dads—or moms, for that matter your depression may require —become depressed remains incompletely Maintain your social life. Stay close to loved outside help, which may understood, but Saxbe’s own research indicates ones. Strong friendships and family relation- include cognitive behavioral that the most masculine of hormones—testoster- ships provide invaluable support as you adapt to therapy, an effective type of one—plays a role. In a study published in 2017, your new role. talk therapy, and/or anti- Saxbe reported that men with lower levels of depressant medication. testosterone were more likely to have symptoms Stay active. Join a gym, play sports with of depression, like feelings of helplessness, friends, or find some other way to work out Q How long will troubled sleep, faded interest in work and in regularly. Exercise improves your mood and may this last? activities they once liked, and a rise in irritability, help balance your hormone levels. anxiety, and anger, to name just a few. That varies from man to Saxbe says that men’s testosterone levels man, and, unfortunately, Sleep. Tricky when you have a new baby, sleep fluctuate over the course of pregnancy and postpartum depression is nevertheless essential to your mental health. during the postpartum period, and a drop can may raise your risk of more Nap when the baby sleeps, catch up on week- have some positive effects. Men with lower depression down the road. ends, do whatever it takes to prevent or reduce a testosterone levels are less aggressive and feel sleep deficit. Q How might this affect my family? Your depression may boost the likelihood that your chil- dren will develop behavioral and emotional problems as early as age 4, especially if mom’s depressed as well or there’s parental conflict in the home. G ET T Y I M AG ES 14 W E B M D.C O M
Search for the slideshow 13 Living Ways to Get Rid of Your Period Cramps at WebMD.com. Business As Usual FITNESS SHOULD YOU SKIP WORKING OUT WHEN YOUR PERIOD COMES? 4 TIPS NO WAY, SAYS OUR EXPERT. HERE’S WHY. EXERCISE IS GOOD FOR YOU, EVEN DURING YOUR BY K ara Mayer Robinson PERIOD. TRY THESE TIPS REVIEWED BY Brunilda Nazario, MD, WebMD Senior Medical Editor FROM SHERRY ROSS, MD, TO MAKE IT AS UGH, THESE CRAMPS MAKE ME WANT TO CURL UP time to try a new form of training, especially if SEAMLESS AS POSSIBLE. 1. ON THE COUCH. IT’S BEST IF I SKIP THE GYM TODAY. it’s high-intensity). Yoga and Pilates are good GET COMFY If this is you every 28 days or so, think again. choices when you have your period because Dress comfortably Working out during your period can actually they give you more energy and minimize and keep it simple. help you feel good. “Exercise is helpful for cramps and bloating, says Ross. “My other Pick fabrics like nylon, spandex, and polyester, many of those disruptive and annoying period favorites are brisk walking, jogging, swimming, which are comfy, non- symptoms,” says Sherry Ross, MD, OB/GYN and the elliptical machine,” she says. absorbent, and flexible. at Providence Saint John’s Health Center in Santa Monica. For starters, exercise eases mood swings, Equip yourself Hook yourself up with the right products. “Wearing 2. ADD BREATHING EXERCISES Do breathing exercises lower back pain, and cramps. It can minimize a sanitary pad could be bulky and messy,” says Ross. before you work out. Not bloating, water retention, weight gain, and Try a tampon or menstrual cup. If your flow is only will this ease you into fatigue. “The feel-good and mood-boosting heavy, back it up with a thick panty liner. exercise, it can help with endorphins and serotonin also help ease depres- Put in a new tampon before your workout anxiety, depression, and sion, social withdrawal, and stress experienced emotional roadblocks. and change it immediately after. No time for a 3. during certain times of the month,” Ross says. post-workout shower? Apply a feminine vaginal TAKE CARE wipe to the outside of your vagina to remove Make sure you’re well Smart moves unwanted bacteria. hydrated before, during, Unless you’re losing a lot of blood, feeling When you’re not working out, take ibuprofen and after your workout. If dehydrated, dizzy, weak, depleted, or sick, it’s you have to stop midway and apply a hot water bottle to your stomach. This to change a tampon or better to continue your routine and work out can soothe your cramps and headaches so you can sanitary napkin, do it. rather than stay on the couch, says Ross. But get moving later. you may need a few strategies to keep you going when you’re not feeling up to snuff. “Listen to your body,” says Ross. If you feel tired, weak, nauseous, and dizzy, take a day off. But try 4. TUNE IN Listen to your body. Don’t pressure yourself or If you have heavy bleeding and cramping, try to be active at least 30 to 45 minutes, four to seven G ET T Y I M AG ES overexert yourself. Lean gentle, safe activities. Swap your high-octane times a week, she says—“It may be the best way in to your strengths and gym workout for a long walk. Instead of rock to avoid physical and emotional upheaval” during weaknesses—and know climbing, try yoga (and now probably isn’t the your period. when to say when. 15 W E B M D.C O M
BEHIND THE SCIENCE Beauty INSIDE OUT Coconut COCONUT OIL ISN’T JUST MAKING WAVES AS A GOOD-FOR-YOU FOOD. SKIN CARE The natural ingredient, made of fatty acids including bacteria-blocking linoleic acid and moisture-boosting lauric acid, is also a beauty basic that works Cure-All wonders on most skin and hair types. “If you have very dry skin, use it on top of a humectant to lock in hydration,” says Michelle Henry, MD, a New York City dermatologist. However, use caution if you have an oily or sensitive complexion as coconut oil can lead to blocked pores or irritation and, in some people, skin TRY COCONUT OIL AS A FACE allergies. Dandruff or flaky scalp got you down? Use the oil in the evening as WASH, HAIR CONDITIONER, AND G ET T Y I M AG ES a hair treatment that you can leave in or rinse out, adds Rhonda Klein, MD, a MUCH MORE dermatologist in Westport, Connecticut. “Some people even swear by coconut oil as a lubricant for shaving,” she adds. —AY R E N JAC KSO N - CA N N A DY 16 W E B M D.C O M
Beauty “T Sk Beauty h in lip is h M s el ed Pretty lin wh ps ic e s i l e t o Li a H EXPERT PICKS presents p an re in S A5 d d u t e n ys S m w ci s t ri n n e l em oo kl g t y m , $ th es he o 6 & ar ap ist 8 p Pl ou p ur um u e n d a ze r i p ck CHECK OUT THESE PRO GIFT PICKS THAT MOMS WILL LOVE a th n an e ce d m p er ou of lum WELL BEYOND MOTHER’S DAY FROM SUSAN BARD, MD, DERMATOLOGIST AT VIVE DERMATOLOGY IN BROOKLYN th f in p .” e BY Ayren Jackson-Cannady u REVIEWED BY Karyn Grossman, MD, WebMD Medical Reviewer p Check out the Women’s Health Message Board at WebMD.com. eye light tool time SkinCeuticals A.G.E. Eye Complex, $98 Clarisonic Mia “Containing caffeine, this stimulates Prima Sonic circulation to help minimize dark Facial Cleansing circles, puffiness, and fine lines so you Brush, $99 see results quickly.” “Give her the gift of time with this ultrasonic face brush that gently cleanses and exfoliates to simplify mom's skin-care routine while clearing the way for her serums and treatments to work more ayrush-On effectively.” l p able B5 n andup. r de unforSgPeFt 50,a$pplitcrautiin amsaykto le THE OPINIONS EXPRESSED IN THIS t 6 o e P H O T O G R A P H Y: R I C K L O Z I E R SECTION ARE OF w S n es n' e nt THE EXPERTS AND po iencescree n maknd wosuper nd ge ARE NOT THE OPIN- IONS OF WEBMD. WEBMD DOES NOT G ET T Y I M AG ES ENDORSE ANY nsc ee a o ,a ” Su scr eeze s als aby es. SPECIFIC PRODUCT, SERVICE, OR o re ol s u n br i F o r b t p y er on a al SP afe f skin TREATMENT. C d i r ow at e , s ve “P plic min kids nsiti ap his to se re T ly on p ap 17 W E B M D.C O M 17 W E B M D.C O M
Beauty Search for the article Scars and Your Skin at WebMD.com. Scar Q Can over-the-counter creams and treatments make a scar DERM Q&A look better? KORMEILI There’s conflicting data about most products. There’s no Treatments concrete evidence that vitamins applied topically, like vitamin E or C, can improve wound healing. Silicone sheets may help with wounds that tend to get raised, but they do little for wounds that heal with depression or icepick marks. CONGRATULATIONS—YOU HAVE A SCAR. THAT’S A SIGN YOUR BODY IS DOING WHAT IT’S SUPPOSED TO. Q How do dermatologists treat scars? KORMEILI No two scars are the same, so we use a variety of creams, BUT TREATMENTS CAN HELP MINIMIZE ITS APPEARANCE. injections, and lasers based on their appearance. I may use one BY K ara Mayer Robinson type of laser to treat the redness, one type of laser to treat the white REVIEWED BY Mohiba K. Tareen, MD, WebMD Medical Reviewer line, and inject it with PRP (platelet-rich plasma) or cortisone to guide the healing process. For surgeries, we use the best sutures and surgical techniques to minimize scarring. I use a protocol of creams A SCAR IS YOUR BODY’S WAY OF HEALING A WOUND. It creates for burns to guide the healing process. new collagen to repair damaged tissue from an injury. But because it’s different from collagen you were born with, it may Q What’s the newest innovation in treatment? look and feel different. It may be raised, depressed, white, red, KORMEILI There’s a great deal of research for skin-care products brown, pink, or silver. with peptides. Some peptides may help generate new collagen, While a scar may be a good conversation starter—“I fell off my which helps wounds heal. Because most over-the-counter bike when I was 5!”—sometimes it’s better not to have a reminder cosmetic products aren’t under FDA control, it’s hard to know of what you’ve been through. We asked Tanya Kormeili, MD, a which have the best effect. dermatologist in Santa Monica, California, to shed light on scars Q When should I see a doctor? and explain how to minimize their appearance. KORMEILI When you have a medical issue with your skin or Q What causes most scars? something isn’t healing, see a doctor. If you have acne, get med- KORMEILI Scars are the direct result of injury to the skin, usu- ical treatment before it scars you. If you burn yourself, have a ally down to at least the dermis, or second level. Surgery, burns, dermatologist help. Ask for surgical scar treatment after surgery. or injuries from accidents can do that. Some types of acne, like It’s less expensive to get professional help early than to wait until deep lesions, can also cause scarring. the damage is permanent to find a solution. AN OUNCE OF PREVENTION STOP A SCAR BEFORE HANDS OFF. Don’t pick KEEP IT CLEAN. Take good COVER UP. Keep your GET HELP. If your scar isn’t G ET T Y I M AG ES IT SETTLES IN WITH at your scabs or acne. care of your injury. If you scar covered to boost the healing well, get profes- THESE TIPS FROM Nail marks and repeated don’t keep the area clean, healing process. Avoid sional help. A dermatologist DERMATOLOGIST trauma can cause it may become infected. exposing a fresh scar to will take a look to see what TANYA KORMEILI, MD. more scarring. the sun. it needs to get better. 18 W E B M D.C O M
Beauty Sign up for the Skin & Beauty Newsletter at WebMD.com. also reduces shine and helps the pores Mask, $45, to quench dehydrated EXPERT PICK: Bae likes the AHAs packed look smaller. skin. “The second ingredient is sodium in the Aveeno Positively Radiant hyaluronic, a derivative of hyaluronic MaxGlow Peel Off Exfoliating Face EXPERT PICK: Dobos likes Glamglow acid—a humectant that can hold 1,000 Mask, $10. Supermud Clearing Treatment, $59. times its weight in water and draw mois- It contains a blend of kaolin clay and ture into the skin.” SKIN COMPLAINT: SENSITIVITY AND exfoliating alpha and beta hydroxy acids IRRITATION to keep pores clear and soften skin. SKIN COMPLAINT: DULLNESS Ingredients to look for: anti- Ingredients to look for: alpha hydroxy inflammatory agents SKIN COMPLAINT: DRYNESS acids, vitamin C Ingredients to look for: hyaluronic acid, Masks packed with soothing ingredients glycerin A layer of dulling skin cells can cause a can help calm irritation and redness as lackluster complexion, so the gentle exfo- long as you opt for mild, gentle formulas. “Masks in general are especially good at liating benefits of alpha hydroxy acids “Masks can be great after certain laser hydrating,” Dobos says. “And sheet masks (AHAs) like glycolic, lactic, and citric procedures,” Bae says. “The hydrating are especially efficient at moisturizing. They acids can slough away the surface cells and cooling benefits can help heal the increase the amount of time hydrating ingre- and reveal fresher skin, explains Yoon- skin after a procedure.” dients come into contact with your skin—the Soo Cindy Bae, MD, a board-certified Celebrity facialist Joanna Vargas fibers have an occlusive quality and hold dermatologist in New York City and a says one of the best options comes moisture in longer.” Another perk of hydrating clinical assistant professor of dermatol- straight from the kitchen. She mixes masks is that they help plump fine lines, Jacob ogy at the New York University School of 2 tablespoons oatmeal, 1 tablespoon says, so they have an anti-aging effect. Medicine. She also suggests looking for honey, 1 tablespoon Greek yogurt, and vitamin C as an ingredient because it will 1 teaspoon apple cider vinegar as a EXPERT PICK: Dobos recommends Glow affect the production of melanin to help natural anti-inflammatory remedy for Recipe Watermelon Glow Sleeping brighten and even skin pigmentation. any skin type. Continued on page 21 Behind the Mask THE SCOOP BEAUT Y SMARTS BROW-ZING WHEN IT COMES TO SHAPING UP YOUR BROWS, YOU HAVE PLENTY OF OPTIONS. HERE’S YOUR CHEAT SHEET TO FINDING THE BEST FACIAL MASK FOR YOUR SKIN CONCERNS— HERE’S HOW TO FIND THE BEST ONE FOR YOU. STRAIGHT FROM THE PROS WAXING TWEEZING THREADING MICROBLADING BY L iesa Goins REVIEWED BY Mohiba K. Tareen, MD, WebMD Medical Reviewer Pros: In a hurry? This Pros: For a straight Pros: Threading, Pros: Microblading, is the quickest way to and crisp brow line, in which a string is which is essentially clean up your brows. tweezing is the way used to pull out facial a semi-permanent ONCE A BEHIND-CLOSED-DOORS The attention masks are getting may how to find the right option for you based “You’re able to remove to go. Tweezers can hairs individually or tattoo, helps fill in BEAUTY RITUAL, masking has be new, but they’ve been an essential part on your concern. Where you decide to wear a good amount of hair grasp thick or thin in small groups, can any brow holes or become something that celebrities, of a skin-care regimen since selfies have your mask, though, is totally up to you. all at once, and it comes hairs with unrivaled be just as precise gaps. “This method, including Bella Hadid and Lady had hieroglyphics for captions. “Although out from the root,” says precision. as tweezing if done which lasts six celebrity brow artist correctly. It’s also months to one year, Gaga, broadcast on social media— masks have been around for centuries, SKIN COMPLAINT: OILINESS AND and expert Giselle Soto. Cons: Tweezing can one of the most is great if you’re an and even wear during flights. manufacturers have now developed newer BREAKOUTS be tedious as you affordable options ‘on the go’ person “I think masks have become so technologies and newer skin-care ingredi- Ingredient to look for: Kaolin clay Cons: Waxing may can only tweeze for brow shaping. because you won’t popular because in today’s world it’s ents, so patients are finding that masks can cause redness—and one hair at a time. need to worry about all about instant gratification and be an effective way to deliver ingredients to “Clay masks are good for anyone who has sometimes swelling— Therefore, if you self- Cons: On top of being taking an extra 20 to depending on the tweeze, you may find one of the most 25 minutes filling in self-care,” says Carolyn Jacob, MD, the skin,” says Rajani Katta, MD, a derma- acne concerns or oily skin because kaolin sensitivity of your yourself shaping your painful options for your eyebrows with a dermatologist in Chicago and tologist in Houston and a clinical professor absorbs sebum from the skin,” says Kelly skin. Unfortunately, eyebrows in the mirror brow grooming, a makeup,” says Soto. an associate clinical instructor at of dermatology at the University of Texas Dobos, a cosmetics chemist in Cleveland. waxing isn’t an option for nearly an hour. license or certification Northwestern School of Medicine. McGovern Medical School in Houston. “Sebum plugs up pores and is the food for for any individual is not required to Cons: Results vary “In as little as 10 minutes we can “Plus, they’re just fun to use.” bacteria, which cause the inflammation who uses doctor do threading. by skin type. Risks prescribed skin include potential scar G ET T Y I M AG ES feel like we are doing something With their popularity comes an over- and destruction of the follicle in acne and tissue and future medications or over- good for ourselves while getting whelming array of choices. Since there are acne scarring,” Jacob adds. So targeting the-counter products follicle damage. the satisfaction of doing something so many formulas designed to treat just sebum at the source helps stop the cycle of such as Accutane, good for our skin.” about any skin complaint, we asked experts breakouts. Plus, absorbing oil from the skin Retin-A, or a retinol. 19 20 W E B M D.C O M W E B M D.C O M
Beauty Continued from page 20 AISLE DO NO MATTER YOUR SKIN GOALS, YOU ALWAYS NEED TO FOLLOW DIRECTIONS. CUTICLE CARE EXPERT PICK: Jacob says the thermal BOTTOM LINE TO SCORE A PRO MANICURE AT HOME, START BY SPRUCING UP YOUR spring water in the Avène Soothing No matter your skin goals, you always CUTICLES. TAKE YOUR NAILS FROM Sheet Mask, $9.50, is a soothing staple need to follow directions, Katta says: “EH” TO EXTRA SPECIAL WITH THESE for softening and calming skin. “While masks can help increase the EXPERT-APPROVED PRODUCTS. Since most of us have some combination penetration of active ingredients into of skin complaints, Dobos suggests a the skin, that means that if they’re not multi-masking strategy—applying mask used correctly they can also increase your PRODUCT PICK formulas targeted to different zones of risk of irritation and redness.” Take note SPA RITUAL the skin. So apply a hydrating mask to of instructions on how long to leave the CUTI-CLEAN ($17) the cheeks that tend to be drier and a clay mask on and how to remove it to ensure “This makes the skin soft and easy to push, and it mask to the oilier areas of the nose and you’ll have skin you’ll want to show off also helps with any staining chin, for example. once you are unmasked. on the nail plate. Bonus: Spa Ritual is vegan, so everything is super natural.” Kimmie Kyees manicurist, St. Petersburg, Florida DIRTY SECRET “I don’t wash my pillowcases frequently. How bad is that?” PRODUCT PICK WELEDA SKIN FOOD HAND CREAM ($13) “Rich and beeswax-based, this is a great product for the driest areas of skin like hands, feet, elbows, and knees. It’s thick but glides on perfectly and just works. Plus, it smells divine.” Erica Marton celebrity manicurist, St. Petersburg, Florida PRODUCT PICK AGING FACTORS FRESH FACE VASELINE JELLY ($4) “I believe four factors aside from genetics “Washing your face morning and night can help ”This really is one of the contribute to unwanted aging changes—pollution, combat the issues connected to pillowcase best moisturizers money irritants, light, and climate. Pillowcases collect debris. Before bed, make sure your skin is free can buy, and it keeps the irritating dust mites and other pollution particles of makeup and dirt from your environment and skin barrier healthy. It in the air, two factors linked to signs of aging. Plus, do a gentle cleanse first thing when you wake also doubles as a wound up to ensure you’re removing any residue from healer for scrapes on the multiple studies show that pollution particles are a your pillowcase.” go and is an amazing major cause of wrinkles and age spots.“ cuticle softener.” Mona Gohara, MD FLIP AND SWAP LINEN LINEUP associate clinical professor of “I suggest turning over your pillowcase every “Some people may develop red pimples due to dermatology, Yale University other day and using a new one every fourth day. irritation from bed linens. In this case, consider Washing in a detergent that helps remove dust switching to a 400-thread count cotton, sateen, G ET T Y I M AG ES mites is also key. I like All Free Clear because it or silk case to prevent friction that can irritate doesn’t contain irritating dyes or fragrances.” these breakouts.” THE OPINIONS EXPRESSED IN THIS SECTION ARE OF THE EXPERTS AND ARE NOT THE OPINIONS OF WEBMD. WEBMD DOES NOT ENDORSE ANY SPECIFIC PRODUCT, —Loretta Ciraldo, MD, dermatologist, Miami SERVICE, OR TREATMENT. 21 W E B M D.C O M
H E A LT H Y T O G E T H E R Fa m i l y SMARTER LIVING Quality HARVARD RESEARCHERS ASKED NEARLY 4,000 MIDDLE-AGE ADULTS TO R E L AT I O N S H I P S ASSESS AND SCORE THEIR CHILDHOOD RELATIONSHIPS WITH THEIR PARENTS—did they spend quality time with you? Were they there for Time you when you needed them? Did they understand your worries and problems? Did they teach you about life? Then they evaluated how well the adults felt they were doing in their own lives. They learned that depression and substance abuse occurred much less frequently among PROVIDE YOUR CHILDREN WITH WARMTH adults whose parents had been more loving, affectionate, supportive, G ET T Y I M AG ES AND ATTENTION TO HELP THEM and communicative. In fact, their children grew up much more likely FLOURISH THROUGHOUT THEIR LIVES to thrive emotionally, psychologically, and socially. The lesson: Spend quality time with your children now, and, this research reveals, they will continue to benefit long after they leave your nest. — M AT T M c M I L L E N 22 W E B M D.C O M
Fa m i l y Search for the slideshow Looking and Feeling Your Breaking Bad Best During Pregnancy at WebMD.com. PREGNANCY THESE FIVE BAD HABITS COULD THREATEN YOUR PREGNANCY AND UNDERMINE YOUR BABY’S FUTURE HEALTH—HERE’S HOW TO BREAK THEM BY Stephanie Watson REVIEWED BY Nivin C.S. Todd, MD, WebMD Medical Reviewer BAD HABITS ARE HARD TO BREAK, BUT PREGNANCY IS A Pregnant women need just 200 to 300 extra POWERFUL MOTIVATOR. These five behaviors pose risks calories per day. Too much weight gain can lead BY THE to your baby—and you. to high blood pressure, gestational diabetes, NUMBERS 25 and a larger than normal baby. It also increases Smoking your child’s risk of being overweight or obese Smoking is unhealthy at any stage of life, but in adulthood. especially when you’re breathing for two. This bad “Women should track their own weight during habit has been linked to miscarriage, birth defects, pregnancy to make sure they’re not excessively to 35 and premature birth. gaining,” says Wendy Bennett, MD, associate Pregnant women are “incredibly good at quitting” POUNDS professor of medicine at Johns Hopkins Medicine. because they’re so motivated, says Michelle Moniz, Adjust your diet and exercise as needed to keep MD, assistant professor of obstetrics and gynecology weight gain under control. at the University of Michigan. Counseling, group therapy, and medications can help you stop. Bingeing on sugar How much women Smoking pot is risky, too. Marijuana and other You and your baby need sugar (glucose) for should gain if they street drugs (like heroin and ecstasy) can contribute fuel. Yet eating too much sugar—or starchy started their pregnancy to miscarriage, stillbirth, birth defects, and a host of foods like bread and pasta that your body turns at a healthy weight. other pregnancy complications. into sugar—contributes to weight gain and Those who start out overweight should gestational diabetes. gain less, about 15 to Drinking alcohol Moms with gestational diabetes deliver large 25 pounds. Each drink you consume travels through the umbilical babies who have a higher risk for type 2 diabetes 46% cord to your baby. In large amounts, alcohol can cause when they grow up. Talk to a dietitian if you’re a collection of physical and intellectual disabilities concerned about your pregnancy diet. known as fetal alcohol spectrum disorders. You might have heard European women enjoy the Being a couch potato occasional glass of wine during pregnancy, but Moniz Your larger size is no reason to stop moving. In Percentage of smokers cautions that any alcohol is a bad idea. fact, exercise helps you stay at a healthy weight and who quit just before or “There is no known safe amount of alcohol in relieves pregnancy symptoms like constipation and during their pregnancy. pregnancy,” she says. Ideally, cut back even earlier, back pain. 150 before you are trying to conceive. Staying in shape can also make labor less laborious. “Exercise is one way to prepare your body, and your Overeating baby, for the process,” Moniz says. Just avoid lying Pregnancy never justifies calorie overload. “You on your back late in pregnancy and engaging in might be eating for two, but one of you is the size of a activities—like horseback riding or contact sports— How many minutes gummy bear,” Moniz says. that could lead to a fall or other injury. of moderate-intensity exercise pregnant women need each week. 87% Percentage of women who drank alcohol before their pregnancy but G ET T Y I M AG ES stopped drinking once they were pregnant.
Fa m i l y Don’t Walk BABY DESPITE WARNINGS AGAINST BABY WALKERS, SOME FAMILIES STILL USE THEM. HERE’S A LOOK AT WHY THEY’RE DANGEROUS. Search for the article BY Erin O’Donnell REVIEWED BY Hansa Bhargava, MD, WebMD Senior Medical Editor Baby Safety at WebMD.com. 4 TIPS PARENTS MAY BE TEMPTED TO PURCHASE BABY WALKERS “TO KEEP THEIR CHILDREN CHALLENGED, HAPPY, AND ENGAGED,” SAYS GARY A. SMITH, MD, DrPH. HERE ARE BETTER WAYS TO KEEP YOUR LITTLE ONE OCCUPIED AND INJURY-FREE. 1. TUMMY TIME Smith is a fan of placing your infant on her belly on the floor for short periods. This gives her practice lifting her head, rolling over, pushing up on her IT SEEMS LIKE A FUN IDEA: Sitting your infant Product Safety Commission (CPSC) led compa- hands and knees, and even starting to crawl. in a baby walker to give him a new way to scoot nies to make wheeled walkers wider than typical 2. around your home. But a recent study found doorways, or to manufacture them with a brake STATIONARY that an estimated 2,000 babies visit emergency that halts the wheels if they drop over the edge ACTIVITY CENTERS rooms each year with walker-related injuries— of a step. The CPSC added stricter standards These toys are usually often to the head and neck—after toppling in 2010, preventing companies from importing shaped like traditional baby walkers but lack down stairs. walkers without those safety features. wheels and keep your Even when they’re on level ground, walk- Although these rules reduced the number of infant in one spot. The ers allow young babies to reach hot stoves, injuries, babies are still getting hurt. “The thing seats often swivel or allow steaming mugs of coffee, appliance cords, and that gets my attention is that there’s a very high baby to bounce around. poisons, or to fall into pools before they fully proportion of really severe injuries,” Smith says. understand these dangers, explains Gary A. Smith, MD, DrPH, director of the Center for These include skull fractures, concussions, and burns to the head and neck. Strong babies can 3. PLAYPENS To keep baby contained for a little Injury Research and Policy at Nationwide override the brake to push themselves down while, consider a playpen Children’s Hospital in Columbus, Ohio, who stairs, and walkers zip around at lightning (sometimes called a “play yard”). Never leave led the study on walker injuries. speed. “A child can move up to four feet a sec- baby in a mesh-sided “The device is inherently dangerous by ond in a mobile baby walker,” says Smith. playpen with the side design, and for that reason simply shouldn’t Smith acknowledges that well-meaning lowered, though. And if be on the market,” Smith says. The American parents use walkers because they want to keep the playpen has a raised changing table insert, Academy of Pediatrics has called for a ban their infants stimulated and entertained. They remove it before putting on the manufacture and sale of baby walkers, believe babies will be safe if they just super- baby in to play. which are still sold in the U.S. vise them closely. (They might also think that Smith’s research does reveal some good news—the number of walker-related injuries walkers will help babies learn to walk, which is untrue, he adds.) But Smith says he has met 4. HIGH CHAIRS Need to keep baby busy has declined dramatically since 1990, when attentive, conscientious parents who were while you make dinner? more than 20,000 children visited emergency stunned by their child’s walker accident. “It The American Academy G ET T Y I M AG ES rooms due to walkers. In the following decade, doesn’t matter if you’re standing right there,” of Pediatrics suggests companies began making stationary activity he says. “Kids are going to move so quickly strapping older babies into a high chair to play with centers without wheels. And voluntary federal that you don’t have time to react before they’re toys placed on the tray. standards established in 1997 by the Consumer down the stairs.” 24 W E B M D.C O M
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