topeka health & wellness - 03-2015

LIFELONG BENEFITSof Exercising

How to MakeHEALTHY SNACKS

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Diabetes and Hearing Loss

GYMNASTICS: What is it all really about?

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www.TopekaHealthandWellness.com MAGAZINE

TOPEKA MARCH 2015

See page 3 for informationabout front page photo

• March 2015 ----------------------------------------- www.TopekaHealthandWellness.com ------------------------------------------------ Topeka Health & Wellness

Carlson Family Trust

WE HONOR THE MEMORY OF PAST RACE DIRECTOR RUSS WILLIS WHO PASSED AWAY ON DEC. 29, 2014

5K Walk/Run & 10K RunSaturday, March 21, 2015

8 am start

Funds raised support the Topeka Lions Foundation’s Eyeglass Procurement Program.

Topeka Lions 31st Annual

online registration available at: active.comdownload a registration form:

idesignGS.comHard copy forms available at :Garry Gribbles Running SportsLate Registration & Packet Pick up Garry Gribbles Running Sports21st & Wanamaker (Next to Target)Friday, March 20, 2015 4 pm to 7 pmOn-site RegistrationRace day late registration 7 am at theCombat Air Museum, Saturday, March 21, 20156700 SW Topeka Blvd · Forbes Field,Topeka, KSRecycle used eyeglassesBring used eyeglasses for recycling by the Lions Club for 3rd world countries.

Topeka Lions Club

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8 am startMuseum

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idesignGS.comHard copy forms available at :Garry Gribbles Running Sports

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Topeka Health & Wellness ----------------------------------------- www.TopekaHealthandWellness.com ------------------------------------------------ March 2015 •

PUBLISHER: Lee Hartman [email protected]

SALES & MARKETING: Kevin Doel [email protected]

A Free Monthly Magazine PromotingHealthy & Happy Living in the Capital City

785-380-88482611 SW 17th St., Topeka, KS 66604

www.TopekaHealthandWellness.com

Topeka Health & Wellness is available at over 300 locations in the Greater Topeka area,including Hospitals, Medical Offices, Dental Offices, Spas, Fitness Centers, Restau-rants, Coffeehouses, Groceries, Health Food Stores and other business & retail loca-tions, including over 100 indoor & outdoor Display Racks.

Written marerials submitted become the property of Topeka Health & Wellness, and all contentin print or online is for informational purposes only and are not intended as professional med-ical advice or treatment. The statements and opinions contained in the advertisements and ar-ticles are not necessarily the views of Topeka Health & Wellness. Any reporduction of our print oronline content without prior written consent is prohibited.

ON THE COVER: Several of the people who contributedto making this first issue of Topeka Health & WellnessMagazine a success also are instrumental in con-tributing to the health and wellness of Topekans!Thank you to (from L-R) Laura Burton, Communi-cations Coordinator with Midland Care Connection;Kevin Doel, Marketing Director with Topeka Health& Wellness Magazine; Karon Lee, Marketing Direc-tor with GreatLife Golf & Fitness; Eric Enns, Ownerof Canada Drug of Topeka; Triny Lindsay, owner ofCAGE Gymnastics; and Sam Gonzales, co-ownerof NuSound Hearing Center. Photo-bomber on thetreadmill is Connor Doel. Thanks to photographerMelody Heifner for contributing her talents to our premier issue’s cover.


By Amber Groeling, RD, LDRegistered Dietitian

id you know snacking can help you loseweight and get ready for shorts and tanktop weather? Snacking is a way to keep

your metabolism burning calories, and it pro-vides an opportunity to include all the importantfood groups in your diet. Snacking can also keepyou from overeating at your next meal, accordingto the Academy of Nutrition and Dietetics. Andif you’re an athlete, healthy snacks can help meetthe increased calorie and nutrient needs of main-taining/gaining lean body mass.

The key? Snacks full of quality nutrition, notadded sugars and processed foods. Keep yoursnacks under 200 calories each for an averageadult, or between 200-300 calories for athletes,and limit snacks to when you are physically hun-gry. Think of snacks as mini-meals that con-tribute nutrient-rich foods.

Fiber and Protein: the perfect pairfor snacks

Fiber and protein provide a winning combinationto keep you feeling full and satisfied until the nextmeal. Focus on whole food sources of fiber andprotein like fruit and nuts. These foods provideyour body essential nutrition along with fillingfiber and protein.

Healthy Snack Options

Here are some healthy snack options, which in-clude a good source of protein and fiber:• ¼ cup nuts, such as pistachios, and a pieceof fruit

• 1 small apple or other fruit spread withnatural peanut butter or almond butter

• Carrots, cherry tomatoes, cucumber orcelery sticks with Greek yogurt dressing orhummus

• Greek yogurt with 1 cup of berries• Peanut butter smoothie: Blend 6 oz. Greekyogurt, one banana and 1 tablespoonpeanut butter

• Fresh fruit or vegetables with ½ cup low-fat cottage cheese

• A hard-boiled egg with a small piece offruit or ¼ cup nuts

• Spread celery sticks with a light cheesewedge. Top with raisins.

• Put cubes of low-fat cheese and grapes onpretzel sticks.

Go Green SmoothieServes 1: about 1-½ cups

All you need

½ cup Hy-Vee unsweetened almond milk1/3 cup Hy-Vee nonfat plain Greek yogurt1 cup baby spinach or baby kale1 small banana, preferably frozen½ cup Hy-Vee frozen pineapple chunks1 tbsp Hy-Vee HealthMarket chia seeds, thesehelp with fullness1-2 tsp pure maple syrup, honey or stevia (op-tional)For added protein add a scoop of vanilla proteinpowder – either whey or vegan4-5 ice cubes for a thicker smoothie

All you do:

Add almond milk and yogurt to a blender, thenadd spinach, banana, pineapple, chia and sweet-

ener (if using). Blend until smooth.

Nutrition per serving: Calories 240; Fat 5 g; Car-bohydrate 45 g; added sugar 0; Protein 13 g; Fiber10 g; Sodium 145 mg; Potassium 1038 mg; Vita-min C (102% daily value), Vitamin A (64% DV),Magnesium (31% DV), Calcium & Potassium(30% DV), Folate (28% DV).

Source: Adapted from Eating Well, Inc.

The information is not intended as medical advice.Please consult a medical professional for individual ad-vice.

Healthy Snacks Can Be Helpful for Weight Loss

2951 SW Wanamaker Rd.Topeka, KS 66614

Amber Groeling, RD, LDRegistered Dietitian

785-272-1763 [email protected]

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iabetes and hearing loss are two of Amer-ica's greatest health concerns. Accordingto the American Diabetes Association,

nearly 30 million people in the U.S. have diabetes,and an estimated 34.5 million have some type ofhearing loss. Many studies have been done to try tofind the overlap between the these two large groups.

In November of 2012, HealthDay News reportedfindings from a group of researchers. Their studywas published in the Journal of Clinical Endocrinol-ogy and Metabolism and found that people with di-abetes may have a higher risk of hearing problemsthan those without the ailment.

The researchers combined the results from thirteenpast studies and found that impaired hearing wastwice as common among people with diabetes com-pared to those without. Although hearing loss isoften associated with the aging process, the effects ofolder age did not explain the link with diabetes. Infact, the connection between diabetes and hearingloss was actually stronger among people who were60 or younger.

Dr. Joel Zonszein of Montefiore Medical Center inNew York City noted that this finding was consistentwith the idea that poor blood sugar control, whichdamages blood vessels and nerves throughout the

body, might explain why the link between diabetesand hearing loss is so strong.

Across these studies, neither age nor noise exposureexplained the connection between diabetes and hear-ing loss but the 2012 study specialists stated that therecould still be other explanations for the link such asmedications that many diabetics take.

What I found most interesting about the article wasDr. Zonszein's statement that "primary care doctorsmay not even ask diabetic patients about their hear-ing."

His explanation was that because diabetes is tied toa large range of complications that can include heartdisease, kidney failure and more, primary care physi-cians "usually focus on bigger-picture things such asoverall blood sugar control, diet and weight control."

Unfortunately, this puts the burden of monitoringhearing loss on the patient themselves. Many pa-tients state that they never even knew that medicalconditions such as diabetes could effect their hearingand thought if it was a concern their doctor wouldhave mentioned it.

One of the specialists suggested that it may be a goodidea for people with any form of diabetes to havetheir hearing tested. This was suggested not just be-cause of the link to diabetes but because studies showthat hearing loss may increase the odds of depression

and dementia, which adds an even greater load to theburden of diabetes.Since it can happen slowly, the symptoms of hearingloss can often be hard to notice. In fact, family mem-bers and friends sometimes notice the hearing lossbefore the person experiencing it. This is exactly whyNuSound Hearing Center recommends everyonehave their hearing screened every ten years aftergraduating high school, then every year after the ageforty or once a major medical diagnosis such as dia-betes is given.

At NuSound Hearing Center, hearing evaluations areprovided as a community service; there is no charge.The evaluation takes approximately one and a halfhours and the results will be sent to your primarycare physician.

If a hearing loss is detected, our team of specialistswill partner with you, your family, and your physi-cians in choosing the best course of action. Whetherhearing aids, hearing protection, phone or TV assis-tance, or yearly monitoring, NuSound HearingCenter will customize a treatment plan for you.

NuSound Hearing Center understands the impor-tance of your health and wants to help you make thebest of your life. Call today to schedule your yearlyevaluation.

Diabetes and Hearing Loss By Belinda Gonzales • Nusound Hearing Center

D

Nusound Hearing Center5950 SW 28th Street Ste. A

Topeka, KS 66614785.783.8121

www.nusoundhearing.com


www.nusoundhearing.com

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By Triny Lindsay – CAGE Gymnastics, Owner

ust the word “gymnastics” conjures up im-ages of past Olympians, death defying trickson the high bar or seemingly effortless tum-

bling on the balance beam. The 4 inch wide bal-ance beam.What does all this mean for the toddler who likesto jump on the bed, flip over the end of the sofa

and climb out of thecrib like a monkey ina tree? There are nu-merous reasons forchildren to be in-volved in gymnastics.Obviously, it’s anoutlet for energy anda way to safely learnhow to flip, climb,swing, jump andmore. Some of the

more overlooked benefits of gymnastics includethe following:

Studies show that children learn cognitive skillsmore effectively in an environment that includesthe body as well as the mind (Barrett, 1998).Gymnastics and early childhood movement edu-cation is directly attributed to developing neuro-logical pathways in students and promotingreading readiness. While the preschool gymnas-tics teacher runs about and plays with the little

kids in her class, she is preparing her students forsuccessful experiences in school; children whohave participated in movement education activi-ties have longer attention spans, increased com-munication skills, general problem solving skillsand improved self-esteem.

In a study of school-aged youth, researchersfound that the risk of substance abuse by adoles-cents is decreased by physical training programsthat incorporate life skills. Better school atten-dance, lower anxiety and depression, and de-creased use of tobacco and alcohol were allreported after a twelve week physical trainingprogram (Collingwood, Sunderlin, Reynolds &Kohl, 2000). Recreational sports activities, includ-ing gymnastics is a key to balanced human devel-opment and has been proven to be a significant

factor in reducing alcoholand drug use (Williams,1994).

Many studies have re-ported the benefits thatmoderate impact activitiessuch as gymnastics haveon the development ofbone density and the pre-vention of osteoporosis.Plyometric exercises (alsoknown as jump training)like tumbling and vaultinghave been determined by

the American Col-lege of SportsMedicine to be asafe, beneficialand fun activityfor children.

Gymnastics alsocontributes to the immediate economic vitality ofyour local community; gym owners pay rent, em-ploy people, pay taxes and purchase goods.

For me, gymnastics is not just a sport. It’s alifestyle. From the itty-bitties to the teen-agers,gymnastics teaches how to:

• deal with fear• set goals• listen to your body• deal with frustration• reap the reward of hard work• block out distractions• and so much more….

These are life skills that children take with themfar beyond the doors of the gym.

Gymnastics – What is it really about?

J

CAGE Gymnastics 785-266-4151

2925 SW 37th St., Topekawww.cagegymnastics.com

Triny Lindsay


By Joseph Gadzia, MDKMC Dermatology

he sun is the life-giver on our planet. Itprovides the light and the warmth thatwe need to survive. It also, however, gives

off two types of radiation that penetrate the at-mosphere, clouds and the layers of our skin. Thatradiation is in the form of UVA and UVB waves.

These non-visible forms of light interact with theDNA of our skin cells, causing damage to thegenes that control how often a cell divides andmultiplies. When these cells are irrevocably dam-

aged, the cell losesthe ability to controlitself and it repeat-edly divides whileravaging nutrientsand space from thenearby normal cells.If the damaged cellalso starts losing itsanchors to the skin,it can start migratingto other areas of thebody in the form of

“metastasis”. Depending on the type of skin can-cer, this can be rapidly fatal, as the cancer kills offthe normal cells in other organs and stops theirproper function.

The damage done by the sun, however doesn’t al-ways lead directly to cancer. Sometimes there canbe an early form of damage called ‘pre-cancerouslesions’, or medically termed as actinic keratosis.These lesions are often better felt than seen, andpresent as rough, sandpaper-like spots on theskin. They can also be very noticeable as thick redscaly spots on the skin.

These types of pre-cancers can be readily treatedby your dermatologist without surgery. We have

various methods to remove these to help reducethe chance of progression to cancer. Such modal-ities as “freezing” the lesions with liquid nitrogen,application of chemotherapy creams, and treat-ment with phototoxic chemicals are the mostcommon methods used, and are usually donewith minimal downtime.

There are many types of skin cancer that are dif-ferent based on the type of cell from which thecancer is derived. The three most-common typesof skin cancer are:

1. Basal Cell Carcinoma (BCC)2. Squamous Cell Carcinoma (SCC)3. Melanoma

BCCs are derived from cells in the hair follicles.SCCs are derived from the squamous cells (thecells you see with your eyes and feel with your fin-

gers when you rub your skin). Finally, Melanomasare derived from the melanocytes which are thecells that give your skin its pigment or color.

In next month’s issue of Topeka Health and Well-ness I will explain the three types of cancers, andhow they are prevented and treated.

Life-giving sun can be damaging to skinPRE-CANCEROUS LESIONS AND HOW TO TREAT THEM

Joseph Gadzia, MD,completed medicalschool at the Med-ical Center ofDelaware, andcompleted histraining in derma-tology at KUSchool of Medi-cine. He is a board-certified dermatologist with the AmericanBoard of Dermatology. KMC Dermatologysees patients with skin conditions like acne,skin cancer, eczema, psoriasis, and more.

Dr. Joseph Gadzia, MD

KMC Dermatology and MedSpa2921 SW Wanamaker Dr.

Topeka, Kansas 785-272-6860

www.KMCPA.comwww.KMCHairCenter.com

T

Close-up of actinic keratosis skin lesion


By Heidi Tyline King

eel younger, live longer. It's no slogan —these are actual benefits of regular exercise.People with high levels of physical fitness are

at lower risk of dying from a variety of causes, ac-cording to a recent study published in the Journal ofthe American Medical Association.

What the Benefits of Exercise Mean for YouThere's more good news. Research also shows thatexercise enhances sleep, prevents weight gain, and re-duces the risk of high blood pressure, stroke, type 2diabetes, and even depression."One study found that when breast cancer survivorsengaged in exercise, there were marked improve-ments in physical activity, strength, maintainingweight, and social well-being," explains Rachel Per-muth-Levine, PhD, deputy director for the Office ofStrategic and Innovative Programs at the NationalHeart, Lung, and Blood Institute of the National In-stitutes of Health."Another study looked at patients with stable heartfailure and determined that exercise relieves symp-toms, improves quality of life, reduces hospitaliza-tion, and in some cases, reduces the risk of death,"adds Dr. Permuth-Levine. She points out that exer-cise isn't just important for people who are alreadyliving with health conditions: "If we can see benefitsof moderate exercise in people who are recoveringfrom disease, we might see even greater benefits inthose of us who are generally well."

Exercise BasicsPhysical activity doesn't have to be strenuous to pro-duce results. Even moderate exercise five to six timesa week can lead to lasting health benefits.When incorporating more physical activity into yourlife, remember three simple guidelines:1. Exercise at moderate intensity for at least 2hours and 30 minutes spread over the courseof each week.

2. Avoid periods of inactivity; some exercise atany level of intensity is better than none.

3. At least twice a week, supplement aerobic ex-ercise (cardio) with weight-bearing activitiesthat strengthen all major muscle groups.

Making Exercise a HabitThe number one reason most people say they don'texercise is lack of time. If you find it difficult to fit ex-tended periods of exercise into your schedule, keepin mind that short bouts of physical activity in 10-minute segments will nonetheless help you achievehealth benefits. Advises Permuth-Levine, "Even in theabsence of weight loss, relatively brief periods of ex-ercise every day reduce the risk of cardiovascular dis-ease."Set realistic goals and take small steps to fit moremovement into your daily life, such as taking thestairs instead of the elevator and walking to the gro-cery store instead of driving. "The key is to start grad-ually and be prepared," says Permuth-Levine. "Haveyour shoes, pedometer, and music ready so you don'thave any excuses."To help you stick with your new exercise habit, varyyour routine, like swimming one day and walkingthe next. Get out and start a baseball or soccer gamewith your kids. Even if the weather doesn't cooperate,have a plan B — use an exercise bike in your home,scope out exercise equipment at a nearby commu-nity center, or consider joining a health club. Thetrick is to get to the point where you look at exerciselike brushing your teeth and getting enough sleep —as essential to your well-being.

Remember that physical fitness is attainable. Evenwith small changes, you can reap big rewards thatwill pay off for years to come.

(Originally published at EverydayHealth.com)

Stop procrastinating and start exercising! THE BENEFITS ARE LIFELONG AND TOO GREAT TO IGNORE

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www.greatlifegolf.com

Members of GreatLife Golf & Fitness exercise in one of the company’s many fitness facilities.

For more in-f o rma t i o nabout fitnessand exerciseoptions atGreatLife inTopeka, con-tact: KaronLee at (785)640-6340.


By Darcy Childs, Kansas Koyotes

hrough many years of working with indoorprofessional football players I have come torealize one thing about their athletic abili-

ties. While many athletes are born with certain skillsand talents there is one common denominator to allgreat athletes: hard work. Other than that the waysathletes train are as numerous as the athletes them-selves. Whether you're training for a competition,or a couch potato trying to get back in shape, ath-letic training can benefit everyone.

There are three main components to any fitnessprogram: exercise, nutrition and proper rest.Strides can be achieved with any exercise pro-gram, but lasting results and athletic training re-quire all three aspects to achieve success.

The first component is exercise. To achieve yourfitness goals you must find a program that worksfor you. Aerobic exercise like running, walking, orcycling works well for some while resistancetraining involving weights and calisthenics - suchas pushups, crunches, or lifts using only yourbody weight - works better for others

The football players I have worked with over theyears combine all forms of exercise. Most do po-sition-specific exercises. Wide receivers and run-ning backs concentrate on speed exercises such asleg lifts and presses to build up their leg strength.Linebackers will concentrate more heavily onupper body strength to improve their tacklingabilities. This season the Koyotes, particularly theoffensive and defensive linemen, are working witha local Aikido Master, Gary Boaz, to help buildtheir strength, and they are learning to use theiropponent's strength against them.

One key is to find a program that you enjoy.Whatever your preference, you must do some-thing every day. I have seen players doing push-ups and sit-ups in the office just to make sure theyget some work in every day.

Secondly, nutrition is vital to your fitness goals.

The transient nature of playing football makes ithard to eat well. Many players stay in hotels dur-ing the season, so home-cooking is not possible.It is still possible to eat well, even in fast-foodrestaurants. Most restaurants these days publishtheir nutritional information online. The players

also special-order items and even ask if they canbe cooked. At Wendy’s, one player I know will adda plain beef patty to a bowl of chili to get his pro-tein intake up.

Supplements such as Whey and Casein Proteincan help meet your nutritional needs but there isno substitute for protein from natural sources likebeef, chicken and quinoa for example. A greatsubstitute for sour cream on a baked potato isplain Greek yogurt, which is protein packed withprobiotic benefits.

Just keeping an accurate food diary has helpedmany players trim down or bulk up to their opti-mum playing weight. Knowing what you put intoyour body on a daily basis greatly reduces bingesnacking. There are many calorie counter appsthat can help you keep track of your progress.

Lastly, rest is an often overlooked but vitally im-portant component of your health plan. Some ofthe best players make sure they get 8-9 hours ofsleep each night during the football season. Sci-entists have found that sleep decreases the ap-petite, increases the body’s ability to burn caloriesand increases muscle mass. All these factors aidin your general health and well being.

For years athletes have put together strengthand conditioning programs to fit the needs oftheir respective sports. Like these athletes, if weput forth the effort to learn and implement afitness plan that covers all three components -exercise, nutrition and proper sleep - we too willachieve any goals we set for ourselves.

Thoughts on “Football Fitness” from the Koyotes

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Koyotes players helping Hartford HighSchool students in proper lifting techniques.

Photos by Amanda Glasgow

785-200-8800123 SW 6th Ave., Suite #200www.KansasKoyotes.com


y 10:00 on an average morning,Topeka nurse Jodi Holzmeister has al-ready spent hours in a part of the

health care system that most of us rarely see.As a hospice nurse, Jodi is dedicated to end-of-life care, helping patients manage symptoms intheir final months and die peacefully.

“For my patients, I provide comfort care,” Jodiexplains, “to manage symptoms so that peoplecan have peace. I also provide support for thefamily and help educate them about the dyingprocess so they know what to expect.”

Working in hospice care requires a special per-son. Many assume the work of hospice nursesis always difficult or heartbreaking, but Jodisays that although there are sad moments,“there are so many things I love about thiswork. I value simply being there at end of life,which is so important for my patients and fortheir families.”

One of Jodi’s favorite things about working inhospice is the opportunity to serve people athome. Although Midland Care offers TheHouse at Midland Care, an inpatient hospicefacility for patients with symptoms that cannotbe managed elsewhere, most of Midland Care’spatients are served in their own homes or sen-ior housing communities. “I like providinghome care because it gives me the opportunityto get to know my patients and develop long

term relationships with them and their fami-lies. It’s not like working at a hospital whereyou see someone at one shift and may not seethem again. You truly get to form relation-ships.”

Other Midland Care staff agrees that althoughworking in hospice care can be challenging,there are times of sadness, times of joy andeverything between. Midland Care CEO Kar-ren Weichert shares “we love serving our pa-tients and their families. Our passion ishelping people meet health care challengesthat would otherwise decrease their quality oflife. We laugh, cry, sing, play games, eat cookiesand hold hands right alongside the people weserve, and we’re extremely grateful for theirtrust in us.”

Patients and families of nurses like Jodi aregrateful for the support. One woman recentlywrote that her family member “had the bestcare – love and understanding, he was happy.I thank you for the great care you all gave him.I knew he was in the right place to the end.”

Like many family members served by hospice,she came away from her experience with agreater understanding of the benefits of hos-pice care, writing “I would love a place likeyours for me when the time comes.”

Midland Care is the most experienced hospiceprovider in the area, having provided care formore than 35 years. Although people can nowchoose between many hospice providers inNortheast Kansas, many families prefer a not-for-profit provider over a for-profit company.Midland Care is Medicare certified and is ac-credited by CHAP (Community Health Ac-creditation Partner) and NHCPO (NationalHospice and Palliative Care Organization).Midland Care is the only program in the areato offer an inpatient facility, The House atMidland Care, if symptoms become too diffi-cult to manage at home.

Anyone with questions about hospice care maycontact Midland Care anytime, 24 hours a day,7 days a week at 1-800-491-3691 or online atwww.midlandcare.org

Midland Care: Nurses Offer Hope, Comfort, Support

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(785) 232-2044

(800) 491-3691

www.MidlandCare.org


By Eileen McGivern, BSN, RNVice President of Strategic Community Initiativesand Director of BrewsterConnect

uch has been written in the media aboutthe wave of baby boomers that will beneeding care and assistance in the com-

ing years. The senior industry is faced with the hugetask of how to care for these people and with the highcosts of construction, building more buildings maynot be the best solution! It is reported that 85% ofseniors say that they do not want to move to a retire-ment community or assisted living facility. In fact,they don’t want to move at all!

The adage, “what is old is new again” may apply. Inpast generations, families lived and died in the samehome. Often elderly parents and grandparentsmoved in with family members or younger familymembers moved to live with the aging parent.Changes in society often prevent this from happen-ing as many couples both work outside the home.How to support our loved one’s successful aging canbecome a dilemma.

Brewster is always looking for ways to assist seniorsin living their best life right now, with a plan for thefuture. Brewster Place offers the traditional retire-ment community continuum of care options: mov-

ing from one level of care to another as individualneeds change, starting with independent living, toassisted living, and on to skilled nursing care setting.We can also provide additional supports on ourcampus to help residents maintain their independ-ence without moving to a higher level of care.

Brewster also recognizes that people want to remainin their homes but desire a connection to other sen-iors. BrewsterConnect is a membership program de-signed to connect active seniors to wellness andsocialization activities to help people stay healthy andindependent while staying in their own homes.BrewsterConnect members have access to BrewsterPlace exercise equipment rooms, fitness classes, artsand crafts, interesting lecture series and intellectualprograms, as well as activities and outings to com-munity events and points of interest. BrewsterCon-

nect also can provide a transportation connectionfrom home to Brewster Place.

In addition, technology systems can be utilized tokeep seniors living in their homes safe and connectedto loved ones through our BeClose technology sys-tem. And, as a member of BrewsterConnect, one alsohas access to a preferred vendor network that pro-vides an array of services such as lawn care and snowremoval, computer and small appliance repair, handyman service and more. Just one call to BrewsterCon-nect is all that’s required to get connected to a reliableservice provider, many of which offer discounts toBrewsterConnect members. Additionally, Brewster-Connect members have access to case managementservices available on an hourly basis. These servicesmay include accompaniment to doctor’s appoint-ments or procedures and on-going symptom man-agement.

So how will “Aging in Place” look for you? Whatplans have you made and what discussions have youhad with your families? Thinking about our homesand how we can make them more “aging friendly”can provide some lively discussion. Many of ourhomes are where raised our children and we aretasked to now make our once “baby-proofed” hometo an “age-proof” home. Brewster continues to beon the cutting edge of successful aging. If you havequestions, call us.

What does that mean?

M

785-274-3350www.brewsterconnect.org


Get Connected to: Wellness and exercise programs Activities, cultural events and trips Educational seminars A network of trusted service providers Transportation options Technology to keep you safe in your home

Experience ALL that l i fe and Brewster P lace have to of fe r .

For membership information, call 274-3303 today!

w w w . B r e w s t e r C o n n e c t . o r g

Your connection to a more fulfi ll ing life. Bike for Discounts

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When you ride your bicyclewhile wearing your helmet toparticipating businesses

Topeka Health & Wellness ----------------------------------------- www.TopekaHealthandWellness.com ----------------------------------------------- March 2015 •

olorectal Cancer is the second leading causeof cancer-related deaths, and third mostcommonly diagnosed cancer in the US. The

American Cancer Society estimates there will beabout 129,000 new cases of colorectal cancers in 2015.

Risk Factors for Colorectal Cancer

1. Lifestyle related: Smoking and excessive al-cohol use are related to increased risk. Dietshigh in red meat and processed meat appearto increase risk, whereas diets high in fruits,vegetables and whole grains seem to be pro-tective against colorectal cancer. Inactivityand obesity, and Type-2 Diabetes seem toincrease risk of cancer, more in men thanwomen.

2. Age: Those who are older than 50 seem tobe at a higher risk, as nine out of 10 patientsdiagnosed are over age 50.

3. FamilyHistory: Having a family history ofcolon cancer or previous history of colonpolyps carry an increased risk. Certain in-herited genetic syndromes also increase therisk of colon cancer. Having a previous di-agnosis of Crohn’s disease or ulcerative co-litis also increases risk for colorectal cancer.

4. Ethnicity: African Americans especiallycarry an increased risk of cancer.

Signs and Symptoms

Early cancers can be asymptomatic. Rectal bleed-ing, blood in stool, unintentional weight loss,weakness and fatigue, change in bowel habits orstool caliber that lasts more than a few days canbe symptoms of colorectal cancer.

Tests to Diagnose Colorectal Cancer

The best prevention of colorectal cancer isthrough tests to diagnose like endoscopic studiessuch as Colonoscopy or Flexible Sigmoidoscopy,imaging studies like Air Contrast Barium Enema,CT colonography, or stool studies like fecal occultblood testing, fecal stool DNA or fecal immuno-chemical testing are available for diagnosis.Colonoscopy is the only technique that is able todetect both cancers and polyps, and remove orsample tissue at the same time.

Screening for Colorectal Cancer

Screening saves lives by preventing and findingcancers early. Death rates from colorectal cancerhave dropped over the last 20 years, largely due

to screening. Colon cancer starts as small growthscalled polyps that can eventually grow into cancerover years. These can be identified during testing,especially with colonoscopy. If found when smallcan be removed completely to prevent cancerfrom forming. If they are large, they can be sam-pled and surgically-removed treating cancer at anearly stage. Because not enough people are gettingtested, only about four in 10 are diagnosed at anearly stage. Early stage cancer detection has a 5-year survival rate of 90 percent.

Who needs to be screened for Colorectal Cancer?

• Everyone over the age of 50 • Anyone with symptoms of rectal bleeding,blood in stool, unintentional weight loss,change in stool habits and change in stoolcaliber

• Anyone with family members with coloncancer or colon polyps

• Anyone with a family history of inheritedgenetic syndromes that cause colon cancer

• Anyone with a personal history of Crohn’sdisease or ulcerative colitis

March Is Colorectal Cancer Awareness Month, sowhat are you waiting for? Call Kansas MedicalClinic to schedule a colonoscopy.

The Second Leading Cause Of Cancer-Related Deaths

Balaji Datti, MD,completed medicalschool at Sid-dhartha MedicalCollege, NTR Uni-versity of HealthSciences, India. Heobtained a Mastersdegree in PublicHealth at West Vir-ginia University and completed Internal Med-icine residency training at LSU HealthSciences Center, Shreveport, Louisiana, wherehe also completed a fellowship in both Gas-troenterology and Hepatology. He is Board-Certified in Internal Medicine and BoardCertified Gastroenterology and is trained inEGD, Colonoscopy and ERCP. He is currentlyaccepting new patients.

KMC GastroenterologyTopeka Endoscopy Center

2200 SW 6th Ave.Topeka, Kansas 785-354-8515

www.KMCPA.comwww.TopekaEndoCenter.com

Dr. Balaji Datti, MD

Colorectal Cancer Stages

Colorectal Polyp removal

C


oday, 30 percent of Kansas adults are obese,which increases their risk of stroke, type 2diabetes and cancers such as endometrial,

breast and colon. Communities throughout the stateare finding new solutions to create healthy schools,neighborhoods and workplaces. Two new reportsfunded by the Kansas Health Foundation and con-ducted by the Public Health Law Center (PHLC)provide local Kansas government important recom-mendations and direction on how to impact twomajor determinants of health for a community: in-creasing access to healthy food, and increasing bikingand walking.

The “Increasing Access to Healthy Food” report isavailable at http://bit.ly/1zowumQ, and the “Increas-ing Walking & Bicycling report” is available athttp://bit.ly/1zowzH9.

"Health problems in Kansas are not set in stone," saidMary Marrow, staff attorney for Public Health LawCenter. "Each community has the power to supportlifestyles that are more physically active and providegreater access to healthier food. These reports show

that the answers are local. We can solve the problemswith the choices we make, and the way we structureour communities."

Supporting active living and healthy eating at the cityand county level can have a tremendous impact onKansas communities. From supporting economicdevelopment by attracting residents, business andtourists, to connecting local producers (sources offresh, local, and healthy foods) and growing localeconomies, there are important benefits to creatinghealthy environments for Kansas families. A few sug-gestions from the report include:

Increasing Access to Healthy Food:• Establishing a local Food Policy Council • Nutritional Standards for food served in gov-ernment spaces and public places

• Incentivizing new grocery stores, farmer’s mar-kets and mobile Food Businesses

Increasing Walking and Biking:• Creating a community Bicycle and PedestrianMaster Plan

• Requiring safer road/sidewalk design for driv-ing, bicycling and walking

• Implementing safe routes to school initiativesfor children

These reports are supported by a $2.2 million grantHealthy Communities Initiative (HCI) grant fromthe Kansas Health Foundation, which is a statewideeffort to support more than 20 counties for thehealth and wellness of all citizens, with the ultimategoal of using policy change to improve each com-munity.

Heartland Healthy Neighborhoods (HHN) is a HCIgrant recipient that is working with partners across

the county to increase walking and biking throughan improved built environment that includes Com-plete Streets. HHN has also developed the Commu-nity Health Improvement Plan to address obesity,access and knowledge of health care, and infant mor-tality in Shawnee County that will be released inApril 2015.

“It is our goal to see a positive change in the futureof Shawnee County by convening partners on healthissues, facilitating the conversation and advocatingfor change,” said Lissa Staley, HHN LeadershipMember and Topeka and Shawnee County PublicLibrary Health Information Librarian.

To arrange interviews with Heartland HealthyNeighborhoods Leadership Team, please email LissaStaley: [email protected].

About the Heartland Healthy NeighborhoodsHeartland Healthy Neighborhoods’ mission is tomobilize the community to take action on healthpriorities so that policy, environment, and practiceinfluences a culture shift toward health and wellnessfor everyone in Shawnee County.

New Reports Unveil Practical Solutions for Local Governments to Improve Health in Communities

T

CONTACT: Lissa StaleyHeartland Healthy Neighborhoods

[email protected] Leadership recently held meetings indowntown Topeka to explain HHN initiativesto local leaders.


hether you have taken up runningto lose weight, to improve fitness,to relieve stress, to compete, or

just to kill time, you'll find that the benefitsare many.

No doubt you're looking for "the best way" torun, and we can point you in the right direc-tion. Keep in mind, though, that there are fewuniversal truths to running. Everything de-pends on the individual, and techniques thatsome runners swear by might not be right foryou. Experiment, find what makes you com-fortable. It's not terribly complicated: theonly hard and fast rule to running is that yousimply keep putting one foot ahead of theother.

Benefits of RunningWhy did you decide to start? Most likely youranswer includes feeling better--physically,mentally, emotionally. Running is among thebest aerobic exercises for physical condition-ing of your heart and lungs. Studies haveshown the health benefits to be enormous, re-ducing the likelihood of everything from thecommon cold to cancer. Your stamina will in-crease. You'll lose weight; most beginners lose

nearly a pound a week.

Just as important, running--like many formsof exercise -- is a great cure for stress, emo-tional strain, even mild depression. You'lllikely find yourself with fewer headaches andmore energy, patience, humor and creativity.Studies have found that healthy adults whoexercise regularly are generally happier thanthose who don't.

And running, quite simply, is convenient. Youdon't need any elaborate gear. No specialplaying field or apparatus. No need to jugglethe schedules of others. Just a pair of shoesand the inclination to get out the door.

Rewards of the SpiritYou've probably started running for the phys-ical benefits, but youwill quickly discoverother, more metaphys-ical rewards. Yep, nokidding: Metaphysical.Health reasons may bewhy most start run-ning, but it's the lesstangible benefits thatfinally motivate us topersist, to become"runners."

While running can bea social activity, it ismore frequently anopportunity to spenda little time with your-self and yourthoughts, a chance todevelop an increasedself-awareness. As youbecome more aware ofthe nuances and con-dition of your own

body, you also discover things about yourinner self.

Many say they are at their most creative andlucid, even meditative, during their runs, asthe worries of the day slip away. Confidenceincreases as you push your own limits, meet-ing goals and often surprising yourself by ex-ceeding your own expectations.

Running is a sport of discipline, sometimesof sacrifice, and always of self-reliance. Youmay surprise yourself with your capacity forall three. The personal rewards can be quitepowerful.

Source: Active.com

Why Run?

W

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ost think of platelets as the compo-nent of blood that coagulateswounds. However, the function of

platelets is for more than just forming clots.When activated, they secrete cytokines (proteins)and growth factors, acting as an integral part ofwound healing. Because of the platelet's impor-tant function, concentrated preparations ofplasma have been used in various fields as an at-tractive therapy for many conditions.

Platelet Rich Plasma - or PRP - is a preparationtaken from a patient’s own blood, in which theplatelets are enriched in concentrated plasma.The therapy was originally used for injectionsinto damaged joints in the orthopedic field. Nowit is being used by cosmetic dermatologists andplastic surgeons for overall facial rejuvenation.

Recently, hair specialists have been trialing thetherapy in patients who are balding. Animal stud-ies show that PRP increases dermal papilla cells,which are decreased in individuals with balding.Potent hair growth stimulators, Fibroblast growthfactor-7 and Beta-catenin, are also increased byPRP treatment. In addition, mice treated with

PRP have quicker transitions into the growingphase of hair than untreated mice.

When used as an adjunct to hair transplantation,hair follicles pre-treated with PRP can demon-strate better density and graft survival. The theoryis that the platelets are secreting growth factors,leading to stem cell activation from the surround-ing hair follicles.

Because of the improved hair growth seen withhair transplantation and the above-mentionedanimal studies, hair specialists have started usingPRP as primary treatment for male and femalepattern balding, as well as alopecia areata. PRPtreatment is particularly attractive for women

who have not seen great results with minoxidiland young men who may not be suitable candi-dates for finasteride or hair transplantation.

Although, PRP seems to be a promising advance-ment in the field of hair loss, there have not beenmany published, large human clinical trials for itsuse as a treatment in balding. Therefore, manyhair specialists have not adopted its use widely be-cause the amount of benefit is unclear and mostimportantly, there is no consensus on how oftenthe injections should be given or at what concen-tration.

In conclusion, Platelet Rich Plasma or PRP injec-tions are an enticing new treatment for balding.In the future, PRP treatments may act as an ad-junct to more well-studied treatments, such asminoxidil, finasteride, and hair transplantation,as opposed to primary therapy.

Advances in the Cure for Balding: Platelet Rich Plasma

M

KMC HAIR CENTER913-631-6330

6333 Long Ave., Suite 360Shawnee, KS 66216


A recent poll by the National Sleep Foundation(www.sleepfoundation.org) revealed that two outof every 10 Americans sleep less than six hours a

night. Peoplesleeping toofew hours re-port beingdrowsy atwork and tootired to exer-cise or eathealthy.

Sleep deprivation can also affect our personalsafety. Nearly 40 percent of Americans sleepingtoo few hours have driven while drowsy at leastonce a month in the past year.

“Getting enough sleep every day is as importantto your health as eating healthy and being physi-cally active,” says Dr. Woodie Kessel, a member ofthe Sleep in America task force.

If you are having trouble sleeping, talk to yourdoctor. There may be medical disorders–like

sleep apnea–affecting your sleep.

Should your doctor give you a good bill of health,there are some steps you can take to assure youget enough sleep every night. • Stick to a regularbedtime schedule, including weekends;

• Exercise regularly earlier in the day;• Avoid alcohol, nicotine andcaffeine before bed;

• A mattress with good support is impor-tant. If yours is 10 years old, it’s probablytime toreplace it.

The ABCs of catching your ZZZsSLEEP DISORDERS, DEPRIVATION ROB US OF GOOD HEALTH

The symptoms of a cold – which include fever,fatique, and a dry cough–are similar to thoseof the flu. Here are a few key differences be-tween the common cold and flu to help you se-lect the proper treatment.

Fever at or above 100 degrees is uncommon inadults and older children if it’s a head cold.With flu, high fever is common and can lastthree to four days. Headache and muscle achesare symptoms of a cold or flu, but with flu, the

pain can be severe.

Tiredness is mild if youhave a cold, but withflu, this symptom cancome on suddenly andlast two or moreweeks. Runny nose andcoughing is commonfor both illnesses.

With a cold, the patientjust treats the symp-toms. If it’s flu, pa-tients can get anantiviral flu medicinein the first two days ofthe illness, this treat-ment can reduce the

s e v e r i t yand dura-tion of in-f l u e n z a .A n n u a lflu shotsalso re-duce therisk ofg e t t i n gthe illness.

The bestd e f e n s ea g a i n s tcold or fluis handw a s h i n gin warm, soapy water. Get plenty of rest, eatwell, exercise and quit smoking to boost yourimmune system. For more information, seeyour doctor or visit the Centers for DiseaseControl and Prevention Web site,www.cdc.gov.

Is it a cold or the flu?KNOW SYMPTOMS TO SELECT PROPER TREATMENTS


HEALTH FAIR 2015

3rd ANNUAL

Saturday, March 28thBig Gage Shelter House from 10:00 am to 2:00 pm

Sponsored by Topeka Youth Project • Georgianna “George” Wong, Executive Director

We all know the negative impact that unhealthy lifestyle choices have on individuals and the community in lost productivity andincreased costs. When we learned Topeka is the 8th fattest city in America we knew TYP could help address this problem byhelping engage youth directly, making them active participants in managing their health and advocates within the family for

making healthier choices.

With this goal, we are partnering with St. Francis Health Center and Washburn University School of Nursing to bring a day ofhealth information, demonstrations, and screenings to area residents. Our focus is on engaging youth and families with funevents, a 1K family run, demonstrations, information, and contests. Area businesses and non-profits will also have an

opportunity to promote their healthy lifestyle messages and organizations.

We are offering business vendors and non-profit organizations an opportunity to sponsor this exciting community event. As a non-profit serving Topeka’s youth for over 30 years, we want to help other non-profit organizations get their

messages out to the community.

Call now about half-price vendor booths for non-profits.273-4141


This summer, we’re uniting 50,000 RIDERS

from across the country to ride 30 MILLION MILES

THE NATIONAL BIKE CHALLENGE!"#$%&'"(&)*!$#+!'*

MAY 1 – SEPTEMBER 30NATIONALBIKECHALLENGE.ORG

MEDICARE MONDAYS – First Monday ofevery month starting July 7, 1-3pm. Topekaand Shawnee County Public Library (Men-ninger Room 206), 1515 SW 10th. Seniorhealth insurance counseling. For info: 580-4545 or [email protected]

TRAIL LIFE & AMERICAN HERITAGEGIRLS TROUPS - Every Mon. 6pm, Corner-stone Community Church, 7620 SW 21st.Faith-based scouting programs are kids age

5-18. Register online atcornerstonetopeka.com. For info: 478-2929.

LADIES’ EXERCISE- Tuesday evenings 7-8pm & Friday mornings 8-9 am, First Baptist,129 w 15th St., Lyndon. free active supportl:fat burning, strength, fitness. Contact Sheri207-0380 or [email protected]

THE FIRST PLACE 4 HEALTH PROGRAM –Mondays, 6:30pm or Saturdays, 8am, Topeka

First Assembly, 500 SW 27th St. This pro-gram points members to God’s strength &creates a compassionate support group thathelps members stay accountable in a positiveenvironment & delivers faith-based health &weight management instruction. To join orstart a new group, contact Jan Norris, 972-0582 or [email protected] or visitfirstplace4health.com

Healthy Event Calendar for Greater TopekaTo list an event in this calendar, email it to [email protected]

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HEARTLAND HEALTHYNEIGHBORHOODS – 2ndMon., 11:45am-1pm. Promot-ing neighborhood well-beingby mobilizing people, ideas &resources. 233-1365.

SAFE STREETS COALITIONMEETING – Mar. 4, 11:45am-1pm. Great Overland Station.For info: 266-4606 or [email protected]

UNVEILING/RIBBON-CUT-TING PARTY - March 5, 4-6pm, at GreatLife Golf & Fit-ness at Shawnee CountryClub, 913 SE 29th St. The newTopeka Health & WellnessMagazine will have a Ribbon-cutting at 4pm, Unveiling offirst issue, followed by enter-tainment & demonstrations ofvarious ways to achievehealthy living & eating! Therewill be healthy snacks &drinks to enjoy! Advertiserswill be taking part with boothsand tables to show their prod-ucts & services

NO I.D. 3 STARLITE SOUTH– Mar. 7, Starlite Skate Center,301 SE 45th St. $10 to enter,$8 with canned good.

MUSIC MAKERS - Mar. 21, 1-3pm, NOTO Arts Center, 935N. Kansas Ave. Fro kids 5-11and an adult. A class for par-ents and kids to create hand-made musical instruments andparticipate in music making

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fun. $30. Presented through a partnershipbetween the NOTO arts center and the ex-pressive therapies program at Valeo BHC andmade possible in part by Kansas CreativeArts Industries Commission who receivessupport from the National Endowment forthe Arts, a federal agency. Part of the Cre-ative Wellness Series - The power of the artsfor health and happiness. No previous art or

music experience needed. Contact CaraWeeks at 783-7558, [email protected] at notoartsdistrict.com

2ND ANNUAL DERBY DODGEBALLTOURNAMENT – Mar. 22, 2pm, Logan Ele-mentary, 1124 NW Lyman Rd. $20 to play,includes team t-shirt, a snack, and bottledwater. Co-rec, all guys, and all girls divisionsavailable. 6-8 players per team. $2 for specta-tors. Kids 3 and under free. For info: [email protected]

MOMS EVERYDAY EXPO – Mar. 28, 11am-4pm. West Ridge Mall. For info: [email protected]

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Irish Fest 5K Fun Run - Mar. 14, 9am, at8th & Jackson

Topeka Health & Wellness ----------------------------------------- www.TopekaHealthandWellness.com ----------------------------------------------- March 2015 •

3rd ANNUAL BRIGHTER FUTURESHEALTH FAIR” - Mar. 28, 10am-2pm, BigGage Shelter House. Fun events, 1 K familyrun, demonstrations, information, & con-tests. Many area vendors will promotehealthy lifestyle messages, products & organ-izations. For booth info call Topeka YouthProject 273-4141

ADVENTURE'S IN LEARNING- SPRINGSESSION - Apr. 10, 17, 24 & May 1, 9am-12,First Baptist Church, 3033 SW MacVicar Ave.Shepherd's Center of Topeka's program forthose over 55. Participants choose from fourdifferent classes on health, religion, news &current events, people & places, community,the arts, and library wisdom, offered at 9am.At 10:00 brunch is served. At 10:30, secondclass begins. At 11:30, participants choosebetween a musical performance in the sanc-tuary or exercise in the gym. For info: 267-0248

MS WALK 2015 – Apr. 11, 7am. LakeShawnee.

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SEVENTH ANNUAL HER-ITAGE CHRISTIAN 5KRUN/WALK AND PAN-CAKE FEED – Apr. 11,Crestview Community Ctr;Shunga Trail. Registration 8-8:45, 5k at 9, Fun Run at9:10. $20 Registration in-cludes t-shirt and pancakefeed ticket. Prizes for topthree runners. $5 donationfor pancake feed, 8:30-11.

BRIDGE2BRIDGE 5K – Apr.18, 10am. $25 pre-registra-tion before Apr. 17, 8am. $35at-event registration, 9am.

BALLET MIDWEST'S CIN-DERELLA - Apr. 18 at 8pm& Apr. 19 at 3pm, TopekaPerforming Arts Center. Twoperformances featuring tal-ented, local dancers; a de-lightful, comedic balletfollowing the grace of thebeautiful Cinderella and theantics of the silly stepsisters!An enchanting event for thewhole family to see thischarming fairytale come tolife as Cinderella's dreamscome true! Relive the magicand happily ever after! If theshoe fits...wear it! Ticketsavailable through Barbara'sConservatory of Dance,TPAC Box Office, & Ticket-master. $10 Student, $14Senior, $18 Adult, and $50Family Pack (2 adults & 2students)

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For booth & parade information: [email protected] or www.TopekaEasterParade.com

Presented by

“Like” us onTopeka Easter Parade & Family Fun Fair

Fun Fair open 9:00 am - 3:00 pm near Big Gage Shelterhouse! Praise Bands & Dance Troupes will perform!Craft stations, Facepainting, Easter Photos, Games & more! • Magician T.A. Hamilton performs live on stage!

Food, drinks & snacks available! Easter Egg Hunts at 9:00 am & 1:00 pm in AnimalLand Playground!

Police K9 units andFiretrucks will be there

Look for parad

e route marker

signs for best v

iewing!

Free to the public!

Parade and Fun FairSSaatt..,, AApprriill 44,, 99aa..mm.. -- 33pp..mm..

It all takes place inside Gage Park!Parade s

tarts at 10:30!

T he T o p e ka


ZUMBATHON - May 1, 6:30pm - 8:30pm,Our Lady of Guadalupe Church basement,201 NE Chandler. Fundraiser to benefit Mid-land Care ( Hospice) Suggested donation $5.Vendors welcome: $10 - pay in advance thru

Paypal: [email protected]

NATIONAL BIKE MONTH in MayNATIONAL BIKE TO SCHOOL DAY - May 6NATIONAL BIKE TO WORK WEEK - May11th – 15th

LIFEHOUSE'S 21ST ANNUAL GOLF TOUR-NAMENT - May 22, 11am Registration,12:30 shotgun, Shawnee Country Club. 4person scramble includes: Carts, Green fees,Prizes, Player gifts, Lunch, and Refresh-ments! $75/person, $300/team. www.lifehousecac.com


topeka health & wellness - 03-2015

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