SELECTHEALTH SUMMER/FALL 2015 Walk into a world of wellness They say you can understand someone by walking a mile in his or her shoes, but what do you gain by walking a mile in your own? Plenty! A brisk walk pumps up your muscles, including the heart and lungs, and perks up your mood. It helps keep your weight in check and regulates blood sugar. Walking also boosts your energy and bone strength and helps relieve chronic pain. All these small benefits add up in a big way. People with a walking habit of 30 minutes a day lower their risk for heart disease, type 2 diabetes, and obesity. Regular walkers may even live longer than those who take a pass on exercise. Studies say you can gain two hours of life for every hour you spend walking. Now that’s a victory lap. HITTING THE ROAD It may be a modest motion, but walking can take you to remarkable places and enhance your social life. You might enjoy the following activities: • An early morning stroll through your neighborhood—bask in the quiet and listen to nature. • A noontime walk with a coworker—catch up or do some window shopping. • A weekend hike with the whole clan—kids and teens profit from time outdoors, too. Take photos and bring a picnic to make a day of it. When bad weather hits, you can head to a museum or mall or step on a treadmill to get in your daily strides. However, on many not-so-nice days, a hooded jacket is all the gear you’ll need to keep up your walking ways. That’s the beauty of walking—the simplicity. You can get started with just a good pair of shoes—those designed for walking or running are your best bet. Be sure they fit well and have arch support and heel cushioning. 2 Don’t weight to lose 4 The ABCs of health PACE YOURSELF The pace you choose will depend on your overall health, so check with your doctor first if you have any concerns about walking. You can begin with as little as ten minutes of strolling and gradually work up to a brisk 30 minutes. Every step takes you further into a world of good health and well-being. References: See page 7 Get tips to make walking part of your life at startwalkingnow.org. Fall into healthy habits This issue is full of ways you—and your family— can develop healthy practices. smart choices Join The Weigh to Health® program Now available: Intermountain SM Health Answers A phone call could save you an emergency room visit. Instead of relying on the Internet for self-diagnosis, you can pick up the phone and talk to a registered nurse any time. This new 24/7 service is available through Intermountain Health Answers, which is staffed by registered nurses and offered exclusively to our members and the uninsured. The Weigh to Health is a six-month standardized program addressing weight management and lifestyle changes from a threefold approach—nutrition, physical activity, and behavior modification. It includes a combination of individual and group sessions with a registered dietitian and other health professionals to give you the skills you need to lose weight and improve health. Most SelectHealth plans cover the upfront cost of The Weigh to Health for members who qualify with a BMI greater than or equal to 30 or members who have a diagnosed weight-related comorbidity such as high cholesterol, hypertension, or cardiovascular disease. If you have questions about coverage, call us at 800-538-5038. We hold orientations regularly (typically monthly), so you can begin at your convenience at a facility near you. For more information and a list of facilities where The Weigh to Health is offered, visit intermountainhealthcare.org/ nutrition. Intermountain Health Answers is free, and it can help you make sense of your symptoms and determine how and where to get the best care. To reach Health Answers, call 844-501-6600. How effective is The Weigh to Health? In 2014: • 94.6% of participants completed the program. • 21.8% experienced at least a 5% reduction in weight and 50% of those experienced a 10% reduction in weight. • 33.5% increased to 150 minutes per week of physical activity. Carry less. Know more. If you’ve got your phone, we’ve got you covered. With the SelectHealth mobile app, you have access to your health plan whenever—and wherever—you need it. Forgot your wallet? No problem—it’s easy to bring it up on your phone. Looking for a participating doctor? Find one in minutes. Curious whether you’ve met your deductible? That’s here, too. Access your insurance plan on the go. Log in to our secure app and find out how easy it is to do the following: 2 Total Fitness | Summer/Fall 2015 | selecthealth.org • 60.5% began eating breakfast seven days per week. • 49.3% ate meals with family seven days per week. • 26.7% regularly consumed five or more servings of fruits and vegetables per day. • 68.4% consumed no sweetened beverages. • View, email, and fax images of your SelectHealth ID Card • Search for doctors and hospitals • See Intermountain InstaCare® wait times and locations—even reserve your place in line • View your benefits and claims, including year-to-date totals • Look up pharmacies and medications Find us on Google Play® or in the Apple® App StoreSM. If you’ve still got questions, call us at 800-538-5038. We’d love to hear from you. safe & sound Speak up for your safety Whether you are in a hospital setting or visiting your healthcare professional at a clinic, it is important to be actively involved with your own care. You play a vital role in making sure the care you receive is safe. Speak up and talk to members of your healthcare team if you have questions or concerns about your care, because you have a right to know. Here are some guidelines that can support your safety: • Make sure your doctor or nurse asks your name and your date of birth before giving you medications or treatments. Speak up if you think a caregiver has confused you with someone else. • Pay attention to the care you receive—don’t be afraid to ask any healthcare professional to wash his or her hands before they care for you. • Know the medications you take and understand why you take them—carry an up-to-date list of medications you are taking in your wallet or purse. • Educate yourself about your medical condition—get information from your doctor, library, and support groups. • Ask a trusted family member or friend to be your healthcare agent— your agent can ask questions that you may not think about when you are under stress and can speak up for you if you cannot. Make sure this person understands your advance directives preference. Advance directives ensure that the care you receive is in line with your wishes if you aren’t able to communicate them. • Understand all informed consent documents or other medical forms you are asked to sign. Forms can be confusing, so take your time and ask questions. Participate in all decisions about your care and treatment, and don’t be afraid to ask for a second opinion. You are the center of your healthcare team. References: See page 7 selecthealth.org | Summer/Fall 2015 | Total Fitness 3 ABCs of family health Use these 26 letters as a valuable guide to help your family stay healthy and safe You may not know that the ABCs you learned as a child can help you do more than read and write. Those same 26 letters can also be used as a guide to help keep your family healthy and safe. Check out these alphabet-inspired family health tips from the Centers for Disease Control and Prevention (CDC) and other experts: A is for a healthful appetite. Make sure your family follows a nutritious eating plan that includes plenty of fruits, vegetables, and whole-grain foods. Limit red meat and processed or other high-fat foods. Provide healthy snacks, and serve water instead of sugary drinks. B stands for bicycle helmet. Make sure everyone in the family wears a properly fitted helmet when riding a bike or scooter, skateboarding, or using in-line skates. C is for checkups. Regular visits to the doctor can help lower everyone’s risk for health problems. D is for good dental health. Don’t forget about the dentist when scheduling your family’s mustdo appointments. E There are few things more important than exercise. All F Knowing your family medical history can help reduce your risk members of your family should get in at least 30 minutes of moderate physical activity most days of the week. For kids, 60 minutes of active play is even better. for serious hereditary diseases. Find out what conditions run in your family, and talk to your doctor about what you can do to lower your risk. G is for growth and development. Height and weight aren’t the only important measurements of your child’s growth. Keep track of milestones in how your child plays, learns, speaks, and acts. H stands for heart disease. Learn what puts your family at risk for heart disease. High blood pressure and cholesterol, being overweight, and not getting enough exercise can all increase your risk for heart problems. I Install smoke alarms on every floor of your home. Place smoke alarms near bedrooms, and test them every month to make sure they work Love your colon The importance of screening You have the power to do something about colorectal cancer. As you may know, the colon is a very important part of your body’s digestive system. It helps in the final stages of digestion, absorbing water and minerals from food and eliminating bodily waste through the rectum. Because the colon is such a vital part of your body, it’s important to keep it in good health. Colorectal cancer is one of the most serious conditions that can affect your colon. It is the second-biggest cancer killer in the United States among cancers 4 Total Fitness | Summer/Fall 2015 | selecthealth.org that affect both men and women. While colorectal cancer is very serious, there is a bright side—it may be preventable through regular screening. In fact, 90 percent of the time, colorectal cancer can be treated if caught early. By discussing screening with your doctor and following recommendations, you may be able to do something about colorectal cancer. you’re in charge properly. Be sure to replace batteries yearly or as recommended by the manufacturer. J is for job safety. It’s great to let kids get involved in household chores. Just make sure they are supervised and don’t use dangerous tools, utensils, or appliances. K stands for kid time. Get to know your child’s friends, interests, and hobbies. Consider volunteering at your child’s school. L Make it a goal for all family members to spend less time on the couch or in front of the computer or television. Plan family activities to get everyone up and moving. M is for motor vehicle safety. Buckle up every time you drive, and make sure that all passengers wear seat belts. Young children should be secured in approved and properly installed child safety seats. N means not going out in the sun without protecting your skin. The sun’s rays can cause skin cancer and other serious skin damage. Always use sunscreen with a sun protection factor (SPF) of 30 or more. Whenever possible, try to cover up with long-sleeved shirts, long pants, a wide-brimmed hat, and sunglasses to protect your eyes. O Ensure that others caring for your child—such as family, friends, daycare workers, and school staff—have your contact information, know what to do in an emergency, and are aware of any health problems your child may have. P is for pedestrian safety. Teach your kids about traffic safety—such as crossing at corners, obeying traffic signals, and looking both ways for vehicles. Q stands for quit smoking. Kicking the habit is an important step toward improving your health and the health of your family. R is for safe recreation. Remind all family members to take part only in safe sports and activities and to always use the proper safety equipment. S Get screened for cancer. Ask your doctor when each family member should be screened for different types of cancer. T If you feel yourself losing control, take a break. Ask a U Use good sense in the kitchen. Prevent foodborne illness friend or family member to watch your kids for a while. Talk to your doctor if you have trouble controlling your anger. by using a separate cutting board for raw meat, poultry, and fish—and be sure to wash fresh produce under running water. V stands for vaccinations. Make sure your child’s vaccinations are up-to-date. Remember that adults need vaccinations too. Talk with your doctor about yearly flu shots and other important immunizations. W Remind all family members to wash their hands. The best way to reduce the chance of getting sick is to wash hands with soap and warm water—especially after coughing or sneezing, before eating, and after using the restroom. X is for losing extra weight. Being overweight can increase your risk for diabetes, heart disease, and some types of cancer. Balance how much you eat with how much you exercise. Y Z is for you time. Take a mental health break each day to relax, unwind, and do something you enjoy. is for ZZZs. Make sure the whole family gets plenty of sleep— preferably seven to nine hours a night for adults and more for kids. A good night’s sleep helps make life more enjoyable for everyone. Now that you’ve relearned your ABCs, you can put the alphabet to use in a new way to create a safe and healthy environment for your entire family. References: See page 7 Encourage healthy habits for everyone. Go for a family walk, or play together after dinner. Screening recommendations If you have these traits, it’s important to be screened: • You are 50 or older. • You have other bowel diseases. • You have already had an abnormal colonoscopy (including polyps). • You are older than 50 and haven’t had a colonoscopy in ten years. • You have close relatives who have had colon cancer. Ask your doctor if it’s the right time for you or your loved ones to get screened. If you have questions about your coverage, call Member Services—we’re here to help you understand your benefits. References: See page 7 90 percent of the time, colorectal cancer can be treated if caught early. selecthealth.org | Summer/Fall 2015 | Total Fitness 5 smart choices In praise of pumpkins Round, orange, and glowing, pumpkins are unmistakable signs of fall. Pumpkins don’t shine only as jack-o’lanterns, however. These nutritious golden stars of the harvest season— packed with fiber, potassium, and vitamin A—have a long history of lighting up many a delish dish. Historically, pumpkin was a Native American staple that was roasted over an open fire. And when colonists filled the plump orange gourds with milk, spices, and honey, and then baked them in hot ashes, it was the precursor of our classic Thanksgiving dessert. THE PIE’S NOT THE LIMIT Today, pumpkin is in everything from summertime smoothies to specialty coffees that taste like autumn. In fall and winter, try fresh pumpkin in: • Chili Pumpkin patch trivia • Pumpkins are cucurbits—this family of vine plants also includes cucumbers and squash. • Pumpkins grow on every continent but Antarctica. • Pumpkin was once thought to remove freckles. • The largest pumpkin on record weighed 1,140 pounds. References: See page 7 • • • • Enchiladas Pasta dishes Soups and stews Stir-fries Be sure to pick a blemish-free pumpkin (labeled as sweet or pie) that’s heavy and free of soft spots and has a one- to twoinch stem still attached. Peel it, cut it into cubes, and it’s ready to cook. Sound like too much work? Try plain, solid-packed canned pumpkin. It’s as nutritious as fresh—and available year-round. The puree can add savory goodness to dips, breads, muffins, puddings, and smoothies. So whether you classify pumpkin as a fruit (as botanists do) or a veggie, carving out space for it in your menu can boost flavor and nutrition all year, and that’s something to grin about. References: See page 7 6 Total Fitness | Summer/Fall 2015 | selecthealth.org from the source References Walk Into a World of Wellness American Academy of Podiatric Sports Medicine. “Walking and Your Feet: Benefits of Exercise Walking.” aapsm.org. Web. 7 July 2015. American College of Sports Medicine. “Starting a Walking Program.” acsm.org. Web. 7 July 2015. American College of Sports Medicine. “Walking for Health: Easy, Inexpensive and Effective.” acsm.org. Web. 7 July 2015. American Council on Fitness. “A Walk a Day.” acefitness.org. Web. 7 July 2015. American Heart Association. “Get Moving: Easy Tips to Get Active!” heart.org. Web. 5 Dec. 2014. American Heart Association. “Walk, Don’t Run, Your Way to a Healthy Heart.” heart.org. Web. 23 June 2014. American Heart Association. “Walking 101.” heart.org. Web. 23 June 2014. Arthritis Foundation. “Building a Walking Workout.” arthritis.org. Web. 7 July 2015. Arthritis Foundation. “5 Walking Strategies for Fitness Success.” arthritis.org. Web. 7 July 2015. Arthritis Foundation. “Overcoming Exercise Barriers from Pain to Rain.” arthritis.org. Web. 7 July 2015. Arthritis Foundation. “12 Benefits of Walking.” arthritis.org. Web. 7 July 2015. National Institute of Diabetes and Digestive and Kidney Diseases. “Walking... A Step in the Right Direction!” niddk.nih.gov. Web. Feb. 2014. Speak Up for Your Safety Intermountain Healthcare. “Please Speak Up.” my.intermountain.net. Web. 2012. National Institutes of Health. “Speak Up for Your Safety.” clinicalcenter.nih.gov. Web. May 2009. ABCs of Family Health American Academy of Dermatology. “How Do I Prevent Skin Cancer?” aad.org. Web. 23 Mar. 2015. American Dental Association. “Questions About Going to the Dentist.” mouthhealthy.org. Web. 8 July 2015. American Heart Association. “Physical Activity Improves Quality of Life.” heart.org. Web. 2 Mar. 2015. American Heart Association. “What Are My Risks for Getting Heart Disease?” heart.org. Web. 30 July 2014. Centers for Disease Control and Prevention. “Five Minutes or Less for Health Weekly Tip: Check Alarm Batteries.” cdc.gov. Web. 3 Nov. 2014. Centers for Disease Control and Prevention. “Heads Up: Preventing Brain Injuries.” cdc.gov. Web. 1 Dec. 2006. Centers for Disease Control and Prevention. “Managing Stress.” cdc.gov. Web. 19 Dec. 2012. Centers for Disease Control and Prevention. “Parents: ABCs of Raising Safe and Healthy Kids.” cdc.gov. Web. 5 Feb. 2014. Centers for Disease Control and Prevention. “Rethink Your Drink.” cdc.gov. Web. 15 May 2015. Centers for Disease Control and Prevention. “The Health Effects of Overweight and Obesity.” cdc.gov. Web. 5 June 2015. Centers for Disease Control and Prevention. “Walk This Way! Taking Steps for Pedestrian Safety.” cdc.gov. Web. 7 Oct. 2014. Centers for Disease Control and Prevention. “What Can You Do to Protect Yourself and Your Family From Food Poisoning?” cdc.gov. Web. 8 June 2015. National Cancer Institute. “Cancer Screening.” cancer.gov. Web. 8 July 2015. National Sleep Foundation. “How Much Sleep Do We Really Need?” sleepfoundation.org. Web. 8 July 2015. Love Your Colon Love Your Colon. N.p.: Genentech, Apr. 2013. PDF. In Praise of Pumpkins American Institute for Cancer Research. “AICR HealthTalk.” preventcancer.aicr.org. Web. 15 Oct. 2012. American Institute for Cancer Research. “Pumpkin Soup.” preventcancer.aicr.org. Web. 10 Oct. 2011. American Institute for Cancer Research. “Spiced Pumpkin Stew.” aicr.org. PDF. 7 Oct. 2014. Academy of Nutrition and Dietetics. “Pumpkin Pie Dip Recipe.” eatright.org. Web. 8 July 2015. Fruits & Veggies More Matters. “Pumpkins: Carve and ... EAT Them!” fruitsandveggiesmorematters.org. Web. 30 Sept. 2009. Merriam-Webster. “Pumpkin.” Def. merriam-webster.com. Web. 8 July 2015. Penn State Extension. “Pumpkins, More Than a Decoration.” extension.psu.edu. Web. 8 Oct. 2013. University of Illinois Extension. “Pumpkins and More.” extension.illinois.edu. Web. 8 July 2015. Pumpkin Patch Trivia American Institute for Cancer Research. “Pumpkin Soup.” preventcancer.aicr.org. Web. 10 Oct. 2011. University of Illinois Extension. “Pumpkins and More.” extension.illinois.edu. Web. 8 July 2015. Pumpkin by the Numbers Penn State Extension. “Pumpkins, More than a Decoration.” extension.psu.edu. Web. 8 Oct. 2013. Pumpkin Stew American Institute for Cancer Research. “Pumpkin Stew.” preventcancer.aicr.org. Web. 14 Oct. 2013. Total Fitness is presented by SelectHealth, Inc., P.O. Box 30192, Salt Lake City, UT 84130-0192. All rights reserved. Total Fitness and its graphic representation are trademarks. Reproduction without permission is strictly prohibited. No material in this issue may be reproduced without written permissions. The publishers do not assume responsibility for unsolicited editorial material. SelectHealth is the trademark of SelectHealth, Inc. Total Fitness is an information newsletter for the members of a SelectHealth plan. The content provided here is for your information only. It is not a substitute for professional medical advice, and it should not be used to diagnose or treat a health problem or disease. Please consult your healthcare provider if you have questions or concerns. The information that is contained in this newsletter does not guarantee benefits. If you have any questions about your benefits or need to confirm your benefits, call Member Services at 800-538-5038. Models may be used in photos and illustrations. 2015 © Coffey Communications, Inc. All rights reserved. CUN31561 selecthealth.org | Summer/Fall 2015 | Total Fitness 7 Follow us on social media Facebook “f” Logo Nonprofit Org. U.S. Postage Marketing/Total Fitness P.O. Box 30192 Salt Lake City, UT 84130-0192 PAID Salt Lake City, UT Permit No. 874 C MYK / .ai facebook.com/ selecthealth twitter.com/ selecthealth instagram.com/ selecthealth Want the total collection? For past issues, visit selecthealth.org. The information contained in this newsletter does not guarantee benefits. If you have any questions about your benefits or need to confirm your benefits, call Member Services at 800-538-5038. The content presented here is for your information only. It is not a substitute for professional medical advice, and it should not be used to diagnose or treat a health problem or disease. Please consult your healthcare provider if you have any questions or concerns. U Pumpkin stew Makes 4 servings. INGREDIENTS 1 1 tbsp. olive oil medium green bell pepper, chopped 1 medium red bell pepper, chopped 1 medium onion, chopped 4 cloves garlic, minced ½ tsp. cumin (curry powder may be substituted) 1 (15-ounce) can pureed pumpkin (2 cups fresh may be substituted) 1 (15-ounce) can black beans, no salt added, drained 1 (15-ounce) can corn, no salt added, drained (1 to 1½ cups fresh or frozen may be substituted) 1 (14-ounce) can diced tomatoes, no salt added 2 cups reduced-sodium chicken broth (vegetable may be substituted) ¼ cup fresh cilantro, finely chopped, divided Salt and freshly ground black pepper to taste ¼ cup plain, low-fat yogurt (optional) DIRECTIONS • In large saucepan, warm oil over medium heat. • Stir in peppers, onion, and garlic and sauté about 6 minutes, until peppers and onion soften. • Stir in cumin, and continue to cook 1 to 2 minutes. • Pour in pumpkin, beans, corn, tomatoes, and broth. Add 1 tsp. cilantro, and season with salt and pepper to taste. • Bring to boil; then reduce heat. Cover and simmer 25 minutes. • Divide stew among four bowls and garnish with cilantro and yogurt, if desired. NUTRITION INFORMATION Serving size: 2 cups. Amount per serving: 301 calories, 5 g total fat (1 g saturated fat), 57 g carbohydrates, 14 g protein, 14 g dietary fiber, 307 mg sodium. Pumpkin by the numbers One cup of cooked pumpkin (fresh or canned) contains: • 2 grams of protein • 3 grams of fiber • 49 calories • 564 mg of potassium • 22,650 IU (international units) of vitamin A References: See page 7 References: See page 7 MEMBER SERVICES: Call 800-538-5038 NEXT Stay healthy TIME: with winter exercise
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