Obesity: Lifestyle or Genetics?

Posted on November 1, 2017 by Joann Ariola

“How does she eat so much and not gain any weight?”

It’s a question that has left many puzzled and quite frustrated. The conversation about weight, however, is a longstanding one. Today, especially, weight gain and weight loss remain relevant discussions, as the United States faces an obesity epidemic.

Though several health initiatives to help fight obesity have been implemented over the past few years, it is important to first understand what factors contribute to obesity. According to a National Institutes of Health funded study conducted by UCLA, not only does behavior and environment affect obesity, but genetic factors can also play a significant role in causing obesity.

How our genes actually influence obesity varies. As explained by the Centers for Disease Control and Prevention (CDC), genes give the body instruction for responding to changes in its environment. Some research has linked genes to metabolism, pointing out that genetics affects how one’s body responds to high-fat diets. Genes can either cause an increased tendency to store fat or a diminished capacity to use dietary fats as fuel. Other research has suggested that genes influence behaviors, such as overeating and being sedentary.

The conversation about obesity can now change since research has shown that body weight is hereditary and that genetic disposition affects weight. In all efforts to fight obesity, living environments where high calorie foods are prevalent and physical activity is limited should be looked at more closely.

We understand that the road to healthier choices isn’t easy to travel, especially alone. Here at Jamaica Hospital Medical Center our outpatient registered Dietitians assist patients to grow their knowledge about nutrition, wellness and healthy eating. To schedule an appointment the outpatient nutrition services department can be reached directly at .

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Be Careful With This Scary Halloween Costume Accessory

Posted on October 27, 2017 by Michael Hinck

With Halloween approaching, many are getting into the spirit by looking for costumes that frighten. Whether choosing a scary witch, chilling vampire or a creepy zombie costume, there is one spooky accessory that is considered dangerous and should not be used.

Decorative, or costume contact lenses are very popular this time of year because of their ability to change the color or overall appearance of your eyes. Many people use them to create a “frightening look”, but this attempt to terrify can come at a cost to your vision.

It is important to know that contact lenses are medical devices intended to correct your vision and are regulated by the Food and Drug Administration (FDA). They should not be worn unless prescribed by an eye doctor. Retailers that advertise them as cosmetics or sell them over-the-counter, without a prescription are breaking the law. The issue with these “fashion” lenses is that they are advertised as one size fits all, but this is not accurate. Before wearing contact lenses, your doctor should measure each eye to properly fit the lenses and evaluate how your eye responds to them. A poor fit can cause serious eye damage, including:

Scratches on the cornea (the clear dome of tissue over the iris—the part of the eye that gives you your eye color)
Sorneal infection (an ulcer or sore on the cornea)
Conjunctivitis (pink eye)
Decreased vision
Blindness

According to an article published by the FDA, “The problem isn’t with the decorative contacts themselves. It’s the way people use them improperly—without a valid prescription, without the involvement of a qualified eye care professional, or without appropriate follow-up care.” Many of the issues arise due to a lack of care instructions on decorative contact lens packaging.

The FDA warns to never buy these types of contact lenses from street vendors, beauty supply stores, novelty or Halloween stores, or an internet site that does not require a prescription.

If you are determined to get decorative contact lenses to complete your scary look this Halloween, speak to your eye doctor and get a prescription that includes the brand name, lens measurements, and an expiration date. Then go to a seller that requires you have a prescription. Failure to do so, and the biggest scare could be the damage you do to your eyesight.

Put a lid on it! – The Benefits of Wearing a Bike Helmet for Safety

Posted on July 12, 2017 by Andrew Rubin

It’s no secret that the main advantage of wearing a helmet while riding your bicycle to increase safety. This is exactly why helmets were devised and it’s the reason that they’re required, by law, in the New York State.

Since you can never predict exactly when, where and how you’ll fall from your bike, it pays to heed the warning of the experts and statistics that prove the benefit of wearing a helmet while riding a bicycle a bit further.

The National Highway Traffic Safety Administration cites that 70% of bicyclists involved in a fatal crash suffer from head injuries. The NHTSA further cites that helmets are 85 to 88 percent effective in preventing head and brain injuries and refers to helmets as “the single most effective way to reduce head injuries and fatalities from bicycle crashes.”

The Bicycle Helmet Safety Institute goes on to state that non-helmeted riders are 14 times more likely to be involved in a fatal crash than helmeted riders. While there’s no guarantee that a helmet will save your life, it’s clear that wearing one is much safer than not wearing one.

If you are going to riding your bicycle, it would be a wise safety measure to purchase a helmet before taking that bike on the road

What’s Bugging You?

Posted on July 5, 2017 by Joann Ariola

Summer usually means picnics and family reunions, but it also means a reunion with insects that can wreak havoc on outdoor activities. Follow these tips to minimize the potential for bug bites and bee stings.

When outdoors – especially in wooded areas – wear long sleeves, pants, and socks to help protect your skin from insect bites. Be aware that insects may be drawn to scented soaps and perfumes. Also, cover food and drain or dump standing water, which attracts most insects.

Mosquito bites can be more than just annoying and itchy, they can also make you really sick. Using insect repellent is the best way to protect yourself and your family, especially when traveling overseas. Repellent is the best way to prevent diseases like Zika that are primarily spread by mosquitoes.

Treating Bites and Bee Stings

If a sting occurs, remove the stinger as soon as possible by scraping the area with your fingernail or something with a flat surface, such as a credit card. For bee and wasp stings and non-poisonous spider bites, wash the area thoroughly with soap and water and apply ice to reduce swelling. Continue to wash two or three times daily until the skin has healed.

Severe Reactions

If you are stung in the mouth, seek medical attention immediately. Severe swelling occurs quickly in oral mucous membranes and can block airways, making breathing difficult or impossible.

If you have a severe reaction to a bug bite, go to the nearest hospital Emergency Room or call 911. Otherwise Jamaica Hospital’s Ambulatory Care Center is available to help, to schedule an appointment, please call 718-206-7001.

For more hospital events, highlights, health and fitness tips, visit us on

and follow us on Twitter !

Want to Quit Smoking? We Can Help!

Posted on June 13, 2017 by Joann Ariola

Tobacco is the single greatest cause of multiple diseases and premature deaths in the USA today. It kills more Americans each year than alcohol, crack, heroin, homicide, suicide, car accidents, fire and AIDS combined. There are an estimated 480,000 deaths in the United States annually that are due to tobacco use. It is the only legal consumer product that is lethal when used exactly as recommended by the manufacturer.

Smoking cigarettes affects many aspects of health. Tobacco smoke contains about 7000 chemicals, including low concentrations of such strong poisons as ammonia, cyanide, arsenic and formaldehyde. It also contains 69 carcinogens – substances that are known to cause cancers in humans. Direct association has been established between smoking and cancers of the lung, mouth, nose, throat, larynx, esophagus, colon and rectum, stomach, pancreas, cervix, bladder, kidney and blood.
In the United States, Illnesses caused by smoking cost more than 300 billion dollars per year in direct medical care and lost productivity. Smokers pay twice as much for life insurance and will die on average of 13-14 years earlier than non-smokers. It costs tobacco companies approximately 5 cents to produce a pack of cigarettes.

Many lung conditions are either caused or aggravated by cigarette smoke. It irritates bronchial airways and stimulates mucous production leading eventually to decreased elasticity and functional failure. Patients suffering from COPD, Asthma, Chronic Bronchitis or Emphysema have a much higher risk of dying when repeatedly exposed to smoke.
Smokers are also at greater risk for cardiovascular disease. Smoking damages blood vessels making them stiff and narrow, obstructing blood flow which results with elevated blood pressure, heart attacks, strokes, kidney failure or chronic skin changes.

Pregnant women exposed to tobacco smoke have increased risk of complications like miscarriage, premature birth, and brain and lung damage in developing baby. Sudden infant death syndrome is three times more likely if mother smoked during pregnancy.
Secondhand smoke is the smoke exhaled by smokers or given off by a burning cigarette or pipe. Inhaling secondhand smoke is as hazardous as smoking a cigarette. There is no safe level for secondhand smoke exposure established. People can inhale it at work, homes, cars or public spaces and have all the complications mentioned above.

Smoking tobacco is an addiction similar to heroin and cocaine. It can be successfully treated but the majority of cases require three or more attempts. Quitting smoking offers a chance of feeling better and living longer. Studies have shown that five, common sense steps, provide the best chance for quitting smoking for good:

1. Get ready: set a quit date and throw out all cigarettes and ashtrays from your home.

2. Get support: tell your family, friends and doctor about quitting plans; search the internet for advice.

3. Learn new behaviors: distract yourself from the urge to smoke; exercise or go for a walk.

4. Get medication: combining medication like nicotine patches or Zyban with behavioral adaptation and family support quadruples your chances of success.

5. Be prepared for relapse and difficult situations- most people try to quit a few times before succeeding.

If you would like to learn more about quitting smoking, please call 718-206-8494.

Quinoa Edamame Salad

Posted on June 12, 2017 by Jamaica Hospital Medical Center

QUINOA EDAMAME SALAD aka Traffic Light Salad

Yields: Approximately 12 – 15 servings

Preparation time and cook time: total 15 minutes

Salad Ingredients:

1 cup uncooked quinoa, prepared according to package direction

1 12 oz bag frozen shelled edamame, defrosted

3 scallions chopped

1 red pepper chopped

1 can of yellow corn

1 avocado chopped

Dressing Ingredients:

¼ cup red wine vinegar

3 Tbsp water

½ cup olive oil

1 Packet Good Seasons Italian Salad Dressing Packet (0.7oz)

Directions:

In a small pot, combine quinoa and 1 cup water. Bring to a boil; reduce heat. Cover; simmer for 12 – 15 minutes or until water is absorbed. Remove from heat; set aside.

In a large bowl combine the quinoa, edamame, corn, red pepper, scallions, and avocado; toss to combine. Add dressing; toss to coat.

Source: Anonymous

Registered Dietitians at Jamaica Hospital Medical Center assist patients to grow their knowledge about nutrition, wellness, and healthy eating. An appointment with a Registered Dietitian consists of a comprehensive nutrition assessment, nutrition education, behavior modification counseling and goal setting. Each goal established is individually tailored to patient’s specific nutritional and medical issues. Our outpatient Registered Dietitians specialize in weight management counseling, diabetes, as well as pediatric and prenatal nutrition.

To schedule an appointment, please call 718-206-7056.

Safe Driving This Holiday Weekend

Posted on May 24, 2017 by Andrew Rubin

A holiday weekend is upon us and that means many people will be hitting the road to visit family and friends, taking shopping trips to the mall, the beach, barbeques, or just celebrating at home. Many people get time off from work and everyone wants to have a good time. By taking a few precautions you can get to your destination safely and have a wonderful time.
Safe driving is a key component of having a happy holiday weekend. To make sure that everything goes well, here are some safety tips to follow:
• Do not speed
• Do not text while driving
• Do not drink and drive
• Plan your route in advance
• Make sure your car is operating properly – check fluids, brakes and lights
• Make sure that you are well rested before getting behind the wheel
• Make sure that everyone in the vehicle is buckled up
Following these safe driving tips will make sure your holiday weekend will be a lot happier.

Jet Lag and Sleep

Posted on May 2, 2017 by Xavia Malcolm

Jet lag can profoundly affect sleep and alertness. This sleep disorder occurs when your body’s internal clock (circadian rhythms), which tells you when to sleep, becomes imbalanced after traveling to different time zones.

According to the National Sleep Foundation, when a person travels to a new time zone their “circadian rhythms are slow to adjust and remain on their original biological schedule for several days. This results in our bodies telling us it is time to sleep, when it’s actually the middle of the afternoon, or it makes us want to stay awake when it is late at night.”

Jet lag can lead to daytime fatigue, gastrointestinal problems, mood changes, a general unwell feeling, headaches, mild depression, insomnia and difficulty staying alert and concentrating. These symptoms generally appear within a day or two of travel and can worsen the longer you travel and the more time zones you cross.

There are several ways to combat or minimize the effects of jet lag. Here are a few you can try:

Avoid alcohol the day before your flight and during your flight.
Get plenty of rest before you fly.
Avoid caffeine or other caffeinated beverages before or while traveling.
Drink lots of water.
Wear sunglasses during your flight.
Move around the plane on long flights.
Adapt immediately to the schedule of your destination. While it may be tempting to sleep during the day after your arrival, it is advised that you stay up and active and expose your body to sunlight.
Avoid heavy meals upon arrival to your destination.

Symptoms of jet lag are mostly temporary and typically last a few days; however, if you are a frequent flyer they may become more severe. You can speak with your doctor or a sleep specialist who may recommend treatments such as light therapy, melatonin supplements or prescription medication.

To schedule an appointment with a sleep specialist at Jamaica Hospital Medical Center, please call 718- 206-5916.

What Time Do You Typically Eat Dinner ?

Posted on April 20, 2017 by Andrew Rubin

Typically people eat dinner between 6:00 PM and 7:30 PM. Dinner time fifty years ago people ate between 5:00 PM and 6:30PM but now due to work and commuting schedules dinner time for many of us has shifted to eating later. The time that most people sit down for their dinner also varies in different parts of the country and the world. In some places around the world dinner isn’t eaten until 9 o’clock or later.
Research has shown though that eating a big dinner close to bed time can lead to weight gain because you probably won’t burn up all of the calories you take in. Also, late night eating can increase the amount of glucose and insulin in your body which can have an Effect on your ability to fall asleep. If you are going to be eating dinner late at night, it is best to make it a light one.

Are THere Any Known Dangers to Virtual Reality Headsets?

Posted on February 17, 2017 by Michael Hinck

Virtual Reality (VR) headsets have become a very popular item for teens and pre-teens. Users can simply download virtual reality apps onto their smartphone and place the phones into specially designed headsets that transform the viewer into a three-dimensional, virtual world. While technology is an amazing experience, some are raising concerns about whether or not it is safe for children.

Most VR headsets products have recommendations for use in place. These usually include a minimum age of either ages 12 or 13 and older. Other manufacturers suggest children only use them while under adult supervision and most suggest taking breaks every 30 minutes when using these products. When trying to determine why these warnings are in place, the answers aren’t so clear. The most logical answer is that these advisories are precautionary since the technology is so new that there is not enough information on whether or not there are any health concerns.

One of the most common concerns being asked is what the consequences of wearing VR headsets can have on a child’s eyesight. The reason some believe it can lead to problems with vision is that the process of creating a 3-D illusion in a VR headsets requires that the eyes focuses on objects differently than they would in the real world. Others believe that using VR headsets can actually help diagnose ocular disorders when the user is unable to view objects in the headset correctly.

Like all new technology, it is best to carefully read the manufacturers suggestions and follow them accordingly.