Thursday, September 8, 2011

3 Questions About Fragrance Allergies

An interview with expert Clifford W. Bassett, MD, on fragrance allergies.


By Charlene Laino

If you find yourself developing a killer headache when riding an elevator with someone who was a bit generous dabbing on the perfume, you have company. More than 2 million Americans have fragrance allergies or sensitivities -- and the number is on the rise.

Although that person's perfume may have been all too obvious a culprit, there are many hidden sources of fragrances, says Clifford W. Bassett, MD, medical director of Allergy & Asthma Care of New York. Bassett helped WebMD sniff out the truth about fragrance allergies.

What are some of the most common sources of fragrance allergies?

Skin care products, colognes, perfumes, moisturizers, soaps, deodorants, aftershave – all kinds of products that smell nice but contain chemicals that our immune system may not like very much.
What are the most hidden sources of fragrance allergies?

Low-allergy or hypoallergenic products may contain fragrances that aren't obvious because of a less aromatic smell. Fragrance-free products may have a "masking" fragrance added to cover up the smell of the chemicals.

Also, many magazine ad inserts for perfumes and skin care products are laden with fragrance. People may actually have difficulty reading the publication as a result of the scent.

In some cases, the reaction to various products can be aggravated by exposure to the sun. This is known as a photosensitivity.

What are the symptoms of fragrance allergies?

Most commonly, the skin is affected. There may be rash or redness, itchiness or even blistering of the face and skin as a result of daily or one-time usage of a product.

Fragrance allergies can also affect the eyes, causing extreme redness, irritation, tearing and burning, and some swelling of the eyelids. Sneezing, runny nose, nasal congestion, headache, even breathing difficulties can also be triggered by a strong odor.

13 Ways to Fight Sugar Cravings

Sweet tooth raging out of control? Here's how to tame those sugar cravings.


By Wendy C. Fries

Does that morning Danish leave you craving another treat two hours later? Do you grab a candy bar to cope with your afternoon slump -- and then reach for a cola to get out of your post-slump slump?
If you’ve found that munching sugary snacks just makes you crave more sugary snacks, you’re not alone. Eating lots of simple carbohydrates -- without the backup of proteins or fats -- can quickly satisfy hunger and give your body a short-term energy boost, but they almost as quickly leave you famished again and craving more.

How can you stop sugar cravings once and for all? Here's expert advice.


Why Do We Crave Sugar?

There are many reasons why we go for sweet things.
That appetite may be hardwired. "Sweet is the first taste humans prefer from birth," says Christine Gerbstadt, MD, RD, a dietitian and American Dietetic Association (ADA) spokeswoman. Carbohydrates stimulate the release of the feel-good brain chemical serotonin. Sugar is a carbohydrate, but carbohydrates come in other forms, too, such as whole grains, fruits, and vegetables.
The taste of sugar also releases endorphins that calm and relax us, and offer a natural "high," says Susan Moores, MS, RD, a registered dietitian and nutrition consultant in St. Paul, Minn.
Sweets just taste good, too. And that preference gets reinforced by rewarding ourselves with sweet treats, which can make you crave it even more. With all that going for it, why wouldn’t we crave sugar?


The problem comes not when we indulge in a sweet treat now and then, but when we over-consume, something that’s easy to do when sugar is added to many processed foods, including breads, yogurt, juices, and sauces. And Americans do overconsume, averaging about 22 teaspoons of added sugars per day, according to the American Heart Association, which recommends limiting added sugars to about 6 teaspoons per day for women and 9 for men.

How to Stop Sugar Cravings: 8 Tips to Use Right Now

If you're craving sugar, here are some ways to tame those cravings.
Give in a little. Eat a bit of what you’re craving, maybe a small cookie or a fun-size candy bar, suggests Kerry Neville, MS, RD, a registered dietitian and ADA spokeswoman. Enjoying a little of what you love can help you steer clear of feeling denied. Try to stick to a 150-calorie threshold, Neville says.

Combine foods. If the idea of stopping at a cookie or a baby candy bar seems impossible, you can still fill yourself up and satisfy a sugar craving, too. "I like combining the craving food with a healthful one," Neville says. "I love chocolate, for example, so sometimes I’ll dip a banana in chocolate sauce and that gives me what I’m craving, or I mix some almonds with chocolate chips." As a beneficial bonus, you'll satisfy a craving and get healthy nutrients from those good-for-you foods.

Go cold turkey. Cutting out all simple sugars works for some people, although "the initial 48 to 72 hours are tough," Gerbstadt says. Some people find that going cold turkey helps their cravings diminish after a few days; others find they may still crave sugar but over time are able to train their taste buds to be satisfied with less.

Grab some gum. If you want to avoid giving in to a sugar craving completely, try chewing a stick of gum, says nutrition advisor Dave Grotto, RD, LDN. "Research has shown that chewing gum can reduce food cravings," Grotto says.

Reach for fruit. Keep fruit handy for when sugar cravings hit. You'll get fiber and nutrients along with some sweetness. And stock up on foods like nuts, seeds, and dried fruits, says certified addiction specialist Judy Chambers, LCSW, CAS. "Have them handy so you reach for them instead of reaching for the old [sugary] something."

Get up and go. When a sugar craving hits, walk away. "Take a walk around the block or [do] something to change the scenery," to take your mind off the food you’re craving, Neville suggests.

Choose quality over quantity. "If you need a sugar splurge, pick a wonderful, decadent sugary food," Moores says. But keep it small. For example, choose a perfect dark chocolate truffle instead of a king-sized candy bar, then "savor every bite -- slowly," Moores says. Grotto agrees. "Don’t swear off favorites -- you’ll only come back for greater portions. Learn to incorporate small amounts in the diet but concentrate on filling your stomach with less sugary and [healthier] options."

Eat regularly. Waiting too long between meals may set you up to choose sugary, fatty foods that cut your hunger, Moores says. Instead, eating every three to five hours can help keep blood sugar stable and help you "avoid irrational eating behavior," Grotto says. Your best bets? "Choose protein, fiber-rich foods like whole grains and produce," Moores says.

But won't eating more often mean overeating? Not if you follow Neville's advice to break up your meals. For instance, have part of your breakfast -- a slice of toast with peanut butter, perhaps -- and save some yogurt for a mid-morning snack. "Break up lunch the same way to help avoid a mid-afternoon slump," Neville says.

How to Stop Sugar Cravings: 5 Tips for the Long Term


One of the best ways to manage sugar cravings is to stop them before they start. To help you do that:
Skip artificial sweeteners. Artificial sweeteners may sound like a great idea, but "they don’t lessen cravings for sugar and haven’t demonstrated a positive effect on our obesity epidemic," says Grotto, author of 101 Foods That Could Save Your Life.

Reward yourself for successfully managing sugar cravings. Your reward could be large or small. Remember why you’re working on it and then reward yourself for each successful step.

Slow down. For one week, focus on your sugar cravings and think about what you’re eating, suggests Chambers. Diet mayhem often results from lack of planning. So slow down, plan, "and eat what you intend to eat, instead of eating when you’re desperate," Chambers says.

Get support. Many people turn to sweet foods when they're stressed, depressed, or angry. But food doesn't solve emotional issues. Consider whether emotions are involved in your sugar cravings and whether you need help to find other solutions to those emotional problems.

Mix it up. You may need more than one strategy to thwart sugar cravings. One week you may find success with one tactic, and another week calls for an alternative approach. What’s important is to “have a ‘bag of tricks’ to try,” Gerbstadt tells WebMD. To tame sugar cravings, you really need to "figure out what works for you," Neville says.

Lastly, go easy on yourself. It may take time to get a handle on your sugar cravings. "It’s difficult to shift any system -- whether it’s the world economy or your eating," Chambers says.

Wednesday, August 24, 2011

6 Best Foods You're Not Eating

From watermelon to red cabbage, find out why these foods should be part of a healthy diet.

By Kathleen M. Zelman, MPH, RD, LD

Some foods are so healthy they star on every nutrition expert’s super food list. But often missing on those lists are some nutritional gems or underrated foods that don’t get the attention they deserve.


Sorting out the best foods to eat is not always easy because the choices can be daunting. Adding to the confusion are overrated foods like salads that are perceived to be good for you but can be health horrors.


Here are six foods not typically thought of as nutritional powerhouses that can definitely upgrade your diet. Getting to know them -- and understanding more about the nutritional goodness of foods in general -- will help you to make more informed choices that can impact your health, weight, and wallet.


Criteria for the Best Foods

In order to make our best list, foods had to be whole foods that are familiar, widely available, affordable, nutrient-rich -- and most importantly, taste great. After all, what good is a super food if it isn’t a culinary delight?


Beyond the obvious ‘health halo’ super foods like blueberries, nuts, and salmon, WebMD asked nutrition experts for their opinion of the best underrated foods that belong on your menus. Here are their top six picks:


1. Beans and Lentils

Make no beans about it, beans and lentils are among the most overlooked items in the grocery store. Beans really are nutrition superstars rich in protein, fiber, complex carbs, iron, magnesium, potassium, and zinc.

New York-based nutrition consultant and author of Read It Before You Eat It, Bonnie Taub-Dix, MA, RD says healthy foods like beans and lentils defy the recommendation to only shop the perimeter of the grocery store. “There are hundreds of essential foods like beans and lentils lining the shelves in the center aisles that should not be overlooked.”
Versatile and easy on your wallet, Taub-Dix suggests lowering the sodium in canned beans by approximately 40% by thoroughly rinsing the beans in water.

Elisa Zied, MS, RD, author of Nutrition at Your Fingertips, says we don’t come close to eating the three cups a week recommended by the U.S. government's 2005 Dietary Guidelines. “Eating a diet rich in legumes can help promote weight loss and has been shown to lower LDL [low-density "bad" cholesterol] and raise HDL [high-density "good" cholesterol],” she says.
Toss these nuggets into soups, stews, salads, grain medleys, or greens or create a veggie dip by pureeing beans and adding your favorite seasoning, like hummus made from chickpeas.

2. Watermelon


Watermelon is everyone’s favorite summertime fruit. But because it is so naturally sweet, some people avoid it because they think it is high in sugar.


Elizabeth Ward, MS, RD and author of Expect the Best, says watermelon should be a staple in everyone’s diet. “It is fun to eat, sweet, juicy, low in calories, and chock full of vitamins C, A, potassium, and lycopene. Because it is so high in water, it helps meet fluid needs.”
A bonus is that the thick peel keeps pesticides far from the flesh, earning it a spot on the Environmental Working Groups ‘clean 15’ produce with least pesticide residue.

3. Sweet Potatoes


Sweet potatoes are often thought of as high in calories and carbs because they are so naturally sweet. But don’t let that fool you.


American Dietetic Association spokeswoman Heather Mangieri, MS, RD says “sweet potatoes are nutritional all-stars and one of the best vegetables you can eat. Not only are they a great source of beta carotene, vitamin C, fiber, and potassium, but this highly underrated vegetable is so versatile it can be enjoyed with very few extra calories or embellishment.”


She suggests topping a slow-baked sweet potato with a sprinkle of cinnamon, applesauce, and crushed pineapple -- or black beans and salsa. Other options: Mash it or slice into fries and oven bake until golden brown.


4. Red Cabbage

Sarasota, Fla., physician and registered dietitian Christine Gerbstadt MD, RD, votes for the cruciferous vegetable, red cabbage.
“A great source of fiber, vitamins A, D, and K; folate; and lots of trace minerals with only 22 calories in one cup chopped," Gerbstadt says. " Rich in antioxidants, this veggie can boost cancer-fighting enzymes. You can eat it raw, cooked, sweet, savory, stand-alone in a dish like coleslaw, or add it to almost anything from soups, salads, casseroles, sandwiches, burgers, and more.”


She suggests keeping a head of red cabbage in your crisper to inspire creative ways to add more color and nutrition to your meals.


5. Canned Tomatoes

Fire-roasted petite diced tomatoes are a staple in the pantry of Georgia State University professor emeritus Chris Rosenbloom, PhD, RD. “Everyone thinks fresh is best but cooking tomatoes helps release some of the disease-fighting lycopene so it is better absorbed," Rosenbloom says.
A study in the 2009 Journal of Clinical Oncology shows that a diet rich in tomatoes may help prevent prostate cancer and that lycopene, a strong antioxidant, may also help prevent other types of cancer. Of course, many other lifestyle and genetic factors also affect cancer risk.


Stock your pantry with canned tomatoes for pizza, spaghetti sauce, and home-made salsa or toss a can into soups, stews, casseroles, greens, or pasta dishes. And if your power goes out, "canned foods are a lifesaver," Rosenbloom says.
If canned tomatoes are not your favorite, how about low-sodium vegetable juice? Miami registered dietitian Sheah Rarback, MS, RD, nominates the vegetable juice that has been around for a long time with only 140 mg sodium and an excellent source of vitamin C and potassium.


6. Plain, Nonfat Greek Yogurt

There are many yogurts on the market, and plain, nonfat Greek yogurt is a standout.
All yogurts are excellent sources of calcium, potassium, protein, zinc, and vitamins B6 and B12. What distinguishes Greek yogurt is its thicker, creamier texture because the liquid whey is strained out. Also, it contains probiotic cultures and is lower in lactose and has twice the protein content of regular yogurts.


“Skip the extra sugar calories found in most yogurts and pump up the protein by choosing Greek yogurt that contains twice as much protein, which is great for weight control because it keeps you feeling full longer,” says Judith Rodriguez, PhD, RD, president of the American Dietetic Association and nutrition professor at University of North Florida.
Rodriguez suggests pairing the tart yogurt with the natural sweetness of fresh fruit or your favorite whole grain cereal