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June 15, 2012     Heritage Florida Jewish News
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PAGE 6B HERITAGE FLORIDA JEWISH NEWS, JUNE 15, 2012 By Monte Mitchell Elite Strength & Fitness Getting into shape can be tricky business for a 10t of people. Most people want to be in better shape and more importantly in better health but have no clue on how to do so. "Cardio" (running, biking, swimming, etc.) is what most people think of when they think of getting into shape. This is an important aspect. but it's only one piece of the fitness puzzle. The two often forgotten pieces are strength train- ing and nutrition. Both pieces are vital to achieving optimal fitness and health. Strength training ben- efits range from: increased bone density and health, increased muscle mass, better balance and coordi- nation, improved posture. decreased arthritis pain. improved glucose control. boost in energy levels, im- proved mood and sleeping, and can even increase your resting metabolism by 15 percent. There are a lot of people who may even do cardio and strength training regularly but are still frustrated with their fat loss. If this sounds like you, you may want to take a harder look at your nutrition. The best way to go about improving your nutrition is to start journaling what you are eating every day. You will probably surprise yourself with what you are eating and snacking on through- out each day! Journaling can help you identify the junk you are putting into your diet. Once you have started do- ing that you will be able to change your dietary habits. It is recommended you eat smaller meals more fre- quently throughout the day. Try eating every three hours about five or six times a day. These meals should include a lean prot/fin, veggies and a complex carb or cz/rbs high in fiber. Start adding strength training into your routine about two to three times a week and eating healthier. Youwill bewell onyourway to a new fitter and healthier you. IC By Jessie Rosenberg, M.D. and Steven Rosenberg, M.D. Allergy&~ of Central Florida One of the greatest fears a parent may face is whether their child can become seriously ill if he/ she comes in contact with a food. such as peanuts. to which their child is allergic. Television and newspapers report nu-" merous stories of a child having to be rushed to an emergency room for treat- ment because the child was exposed to a food at~home, at a friend's house, or in a restaurant, that resulted in an allergic (anaphylac- tic) reaction. Food allergies are a growing problem for pe- diatric patients and their families. While the inci- dence of food allergies in the general populatioh is about 2 percent, there is a much higher incidence in pediatric patients with approximately 6 percent to 8 percent of children manifesting some type of sensitivity to a food. Most "of these pediatric suffer- ers are under the age of 5 years. It is estimated that one quarter of households in the United States alter their dietary habits to some extent to accom- modate a family member with a presumed food al- lergy. The manifestations of food allergic reactions range from mild throat and skin irritation to life- threatening anaphylaxis. Food allergy is by far the most common cause of anaphylaxis seen in the emergency department. An estimated 30,000 emer- gency department visits and 200 deaths each year are attributed to food- induced anaphylaxis. Of anaphylaxis induced by food allergy, peanuts arid tree nuts account for 80 percemt. Trends have shown that the prevalence of peanutallergy has actu- ally doubled within the last decade. Food allergy is very prevalent in children with eczema. It is estimated that 35 percent of children with moderate to severe eczema have food allergy that may be a triggering factor in their exacerbations. Chicken, eggs, cow's milk protein, peanuts, tree nuts, Tracy Friend (age 41) has lost 18% body fat, 33 lbs. and a total of 24.75 inches! Who Else Wants to Lose e ....... AT LEAST 18% Body Fat i. CALL NOW I and get ! and Be in the Best Shape . i TWO FREE I of Their_ Life with only i PersonaITraining ! 20-m,nutes, 2-3x a week? I Sessions! i If you would like to take charge ! A $120Value ! and make the first step towards L ....... a changing your fitness future call Elite Strength and Fitness and mention you saw this ad in Altamonte City Magazine our promise to you is that our system will get you the results you want. GUARANTEED. 1312 Palmetto Avenue Winter Park, FL 32789 www.EliteStrengthandFitness.com Treating patien in Central Florida for over 25 Years ~LLEI~ ~ :~:~;~PtMA AS,~L'~'CI~TE~ OF C~I"RAL FtC) R~tDA Winter Park Orlando 407-678-4040 407-370-3705 Altamonte b~pringsViera 407-331-6244 407-678-4040 Steven Rosenberg, M.D. Carlos M. Jacinto, M.D. Our physicians are Board Allergy, & Immunology & Board Ced/f/ed The physicians and staff wish to extend to the Jew.ish Community ajoyous and happy Chanukah www.aaacfonline.com fish and soy protein cause the vast majority of food reactions in children living in the United States. Delay- ing exposure to these foodS may delay the development of allergic reactions and decrease the severity of the allergic state in children. However no study to date has been able to demon- strate that delaying the introduction of these foods will completely prevent the allergic state in infants, children and adults. Breastfeeding, regard- less of the mother's diet has been proven to be beneficial to the health of the infant. Exclusive breastfeeding for at least six months compared with cow's milk protein formula feedings provides a long- term protective effect on the development of respira- tory allergy in the pediatric patient. In subgroups of neonates with a family history suggestive of al- lergy .(atopy), it has been demonstrated" that early exposure to cow's milk pro- tein compared with breast milk increased the risk of developing eczema by age 18 months. The best rec- ommendations for mothers of high-risk infants at this time are to breastfeed for at least four to six months. When it is time for the parents to consider adding solid foods to the high-risk infant's diet, the least al- -lergenic foods should be given first. Cow's milk protein should not be add- ed until 9 to 12 months, eggs at 1'2 months, and peanuts, nuts, and fish at 3 years. Adding solid foods to the infant's diet in the first 4 months of life is not recommended and has been shown to pre- dispose high-risk infants to eczema. It should be stressed that many chil- dren, despite preventive efforts, will still develop food allergies. The prognosis for chil- dren who suffer from cer- tain food allergies is gen- erally good. Many patients diagnosed with anaphy- laxis to milk, wheat, eggs and soybean Will o, utgrow their clinical sensitivity. An estimated 50 percent of cases resolve by 18 months and 90 percent by 36 months. Children who develop food sensitivity after age 3 are less likely to lose their food sensitiv- ity. However in the case of sensitivity to peanuts, tree nutS, fish and shellfish .the chances of the child going into remission are significantly less, and in fact, the sensitivities to these foods may persist into adult life. Peanut/tree nuts are responsible for the ma- jority of food-induced anaphylaxis cases seen in the emergency depart- ment in the United States. It is important for physi- cians to educate families about the management ~)f peanut/tree nut allergy. Specifically, physicians should teach their patients to read food labels to see if peanuts or tree nuts have been added. Generally if a member of the family is allergic to peanuts/tree nuts, these foods should not be kept in the home. If they are in the home, they should have brightly colored warning labels and be out of reach of the pedi- atric patient. Restaurants and carry-out establish- ments should be contacted ahead of time and asked if they use peanuts, tree nuts or cold-pressed peanut oil in their cooking. The treatment of choice for anaphylaxis is inject- al)le epinephrine. Because of this an Epi-Pen should be carried at all times by the patient, and if neces- sary a school nurse. Many schools will establish pea- nut/tree nut free areas in the school cafeteria. Some airlines are no longer serving" peanuts to their passengers. The growing consensus is that an Epi- Pen should be available in all schools and even in restaurants. Jessie Rosenberg gradu- ated with a Bachelor of Science degree from Cornell University. She attended medical school at St. Georges University, Grenada, where she gradu- ated with an M.D. Jessie Rosenberg is currently doing an internship in pediatrics at the Univer- 'sity of Maryland, School of Medicine, Baltimore.- Steven Rosenberg has been in private practice in the Central Florida area for more than 30 years. His practice, Allergy and Asthma Associates of Central Florida special-" izes in pediatric and adult allergy, asthma and Im- munology. Dr. Rosenberg and his associate, Carlos Jacinto, M.D, have offices in the Dr. Phillips area, Winter Park, Altamonte springs and Viera.