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Health & Wellness
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Battling the winter blues - Canadian
Physiotherapy Association recommends
exercise to prevent and treat depression |
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http://www.newswire.ca/en/releases/archive/January2009/22/c9532.html?view=print
TORONTO, Jan. 22 /CNW/
- This time of year is not always
easy for Canadians. It's cold and dark, the
Christmas decorations are down, the credit
card bills are piling up, and some of us may
be feeling anxious or depressed. Canadians
facing job losses because of the economic
downturn may be particularly vulnerable to
mental health problems.
While counseling and medication are common
ways of dealing with depression, there is a
growing body of evidence that shows the
effectiveness of physical activity in
helping to prevent and treat mild and
moderate forms of depression. Research
indicates that exercise improves mood,
making people with depression less negative,
angry, tired, and anxious. It can also have
a positive effect on self-esteem and improve
sleep. A recent study found that just 30
minutes of moderate exercise on most or all
days of the week can both help prevent and
treat depression.
The Canadian Physiotherapy Association (CPA)
supports the use of exercise to complement
other treatments for depression. "Exercise
is an important component in preventing and
treating depression. It is an easy,
inexpensive and safe way to manage the
symptoms of depression," says Nancy Durrant,
a physiotherapist at the Centre for
Addiction and Mental Health in Toronto. "As
well as improving the symptoms," she adds,
"exercise improves many other aspects of
health such as cardiovascular fitness, so
both mental and physical health needs are
being met."
For those individuals with health
challenges, physiotherapists can tailor
their exercise prescription to not only
assist in the rehabilitation process but
provide the added benefit of improving mild
to moderate depression. You can work with
the physiotherapist to choose the type of
exercise that is most suitable. The
physiotherapist will provide guidance in
pacing, and increase the exercise gradually
to ensure you progress safely and steadily.
As well as prescribing an exercise program,
the physiotherapist can suggest lifestyle
changes that may help you meet identified
goals. The health benefits of regular
exercise will be noticed in a short time.
What's more, the positive effects of regular
exercise may last for a substantial period
of time. "My practice experience with people
with mild to moderate depression supports
the research in this area," says Nancy
Durrant. "An improvement in the mood of
depressed people who follow a structured
exercise program can provide long-term
benefits."
For further
information: and spokesperson interview
please contact: Virginia Bawlf,
National Media Relations Officer, (416)
932-1888 (x222), (647) 379-4145 (cell),
vbawlf@physiotherapy.ca |
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Canada
celebrates Family Literacy Day
TORONTO, Jan. 26 /CNW/ -
Families and
communities across Canada will be
participating in literacy-related events on
and around January 27 for Family Literacy
Day, Education ministers Kelly Lamrock and
Shirley Bond announced today on behalf of
the Council of Ministers of Education,
Canada (CMEC).
"Family Literacy Day offers an opportunity
for families across Canada to discover and
explore the joys of reading and learning,"
said Shirley Bond, Minister of Education for
British Columbia, CMEC's lead province for
literacy. "There are so many great and fun
ways for families to share and grow together
- whether through playing word games or
puzzles, reading or telling stories, writing
thank you letters or working from a recipe.
By promoting literacy in the home, we are
investing in our children's future and
preparing them for success later in life."
Now in its 11th year, Family Literacy Day is
a national awareness initiative to promote
the importance of literacy-related family
play and learning.
Events being held across the country
include:
Family Literacy
was launched in 1999 by ABC Canada Literacy
Foundation. As part of Family Literacy Day
celebrations, on January 23 and 24 ABC
Canada is encouraging Canadians to help
break the Guinness World Record for "Most
Children Reading with an Adult, Multiple
Locations." Participants can register for
the challenge online at
www.FamilyLiteracyDay.ca.
In their joint declaration, Learn Canada
2020, Canada's education ministers
identified literacy as one of their key
priorities. As well as supporting
initiatives such as Family Literacy Day,
they have created networks on literacy
across the country with the goal of
gathering and sharing teaching resources for
learners of all ages. "Literacy is the
gateway to opportunity," said Kelly Lamrock,
New Brunswick's Minister of Education and
Chair of CMEC. "By fostering an interest in
reading when children are young, we are
supporting their growth into fully literate
adults, equipped with the skills and
confidence to live happy, healthy,
productive lives."
CMEC is an intergovernmental body composed
of the ministers responsible for
elementary-secondary and advanced education
from the provinces and territories. Through
CMEC, ministers share information and
undertake projects in areas of mutual
interest and concern. Last April, CMEC held
a Pan-Canadian Literacy Forum to engage
members of the education, non-profit,
business, and labour sectors in a dialogue
about literacy. Highlights from the forum
are now available online. For more
information, visit
www.Literacy.cmec.ca . |
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Canadians Experiencing Early Morning Sugar Shock
Study Shows Average
Canadian Consumes Half their Recommended Daily Sugar
Intake at Breakfast
TORONTO, Jan. 26 /CNW/ -
Canadians consume, on average, more than six
teaspoons of added sugar in the morning, which is
half the World Health Organization's daily maximum
estimate of 12 teaspoons a day(1). The results come
from a national survey commissioned by SPLENDA(R)
Brand Sweetener that looked into Canadians' morning
eating habits and the potential impact on their
overall health and well-being.
Sugar consumption proved to be consistent from coast
to coast and across age and gender lines with the
significant exception of Québec, where the typical
morning sugar intake was a whopping 11.8 teaspoons,
nearly double the national average. In Quebec,
nearly 40 per cent of respondents fell into the
highest consumption category compared to only 22 per
cent in Ontario, the province with the lowest sugar
intake. "I am surprised by the results of this
survey and give most Canadians a failing grade when
it comes to sugar intake at breakfast. For optimal
health, we should have no more than one or two added
teaspoons of sugar at breakfast, at most" says Cara
Rosenbloom, registered dietitian. "What we consume
at breakfast sets up our energy levels for the
entire day. It impacts our concentration on the job
and affects our food choices later in the day. This
survey tells me Canadians are setting themselves up
for a number of issues since many of their breakfast
calories come from sugar."
The survey found that people who consumed high or
very high levels of sugar in the morning are more
likely to: have afternoon sugar cravings, strong
cravings for carbohydrates and seek out sweets after
dinner; and have less energy when they wake up in
the morning when compared to Canadians who claimed a
lower sugar intake.
Morning buzz leads to
afternoon bust
Canada is a nation of coffee fans with nearly 60 per
cent of respondents enjoying at least one morning
cup of joe. On average, Canadians coffee drinkers
add 1.5 teaspoons of sugar to every cup and have
nearly two cups by 10 a.m. and almost two and a half
by noon. That means the average Canadian coffee
drinker consumes an extra three to four teaspoons of
added sugar every single morning. "Keep in mind that
while a teaspoon of sugar may contain only 15
calories, having an extra four teaspoons of sugar a
day can add up to more than six pounds in a year,"
says Rosenbloom. "It's easy for little things to
make a big impact if you lose track."
Tea drinkers aren't safe from sugar's sweet grip,
actually adding more sugar per cup (1.7 teaspoons)
than coffee drinkers. The biggest offenders are
latte lovers who add 2.3 to 2.5 teaspoons per
beverage. With nearly two lattes consumed before
noon that means the average latte drinker is taking
in four to five teaspoons of sugar from his or her
caffeine boost. "If a person consumes extra calories
from added sugar in the morning, evidence shows they
are more likely to take in more calories in their
total daily consumption," said Sharon Zeiler, Senior
Manager, Nutrition Initiatives and Strategies,
Canadian Diabetes Association. "Excess calorie
consumption and the associated weight gain are some
of the risk factors for developing Type 2 diabetes."
Sugar a key component of
many of Canada's favourite breakfast foods
Of the 89 per cent of respondents that eat
breakfast, nearly 94 per cent claim to do so
regularly and 8 out of 10 said they eat it every
day. Most people enjoy their breakfast at home (80
per cent) with only seven per cent of respondents
claiming to eat breakfast either on the way to, or
at, work. The most popular breakfast choice for
Canadians is toast which, on its own, is not high in
simple sugar. However, toast is regularly knocked
into the excess sugar category with the frequent
addition of the popular combination of peanut butter
and jam, adding an extra 2.5 teaspoons of sugar.
Bagel-lovers (16 per cent) are more likely to opt
for low-sugar additions like butter and cream
cheese, but what they may not realize is that the
average bagel surprisingly contains almost two
teaspoons of added sugar. And, with 44 per cent of
bagel eaters adding peanut butter and jam, they are
in fact consuming the same amount of sugar found in
the average doughnut or muffin.
Yogurt, perceived by many to be a healthy meal
option, is the breakfast choice of one in five
Canadians and one in four female respondents. And
while plain yogurt packs a very modest sugar punch,
most yogurt eaters opt for the high-sugar fruit
bottom (48 per cent) and flavoured (38 per cent)
varieties which can contain as much as six teaspoons
of sugar in a single serving.
Simple substitutions are
the solution
"Starting the day off with a healthy breakfast that
also satisfies the taste buds is all about making
the right choices, which include foods that are high
in fibre and protein, and substituting high sugar
options for lower sugar choices," says Rosenbloom.
"Enjoy whole grain toast with a small amount of
peanut or almond butter and add a low/no-sugar,
all-fruit spread instead of jam. Opt for a plain
yogurt and add fresh fruit and cereal with less than
four grams of sugar per serving. If you have a sweet
tooth, make your own breakfasts, like muffins,
smoothies and oatmeal, using a low-calorie
sweetenerlike SPLENDA."
"SPLENDA is unique in the world of low-calorie
sweeteners because, unlike many other sweeteners,
you can also cook and bake with SPLENDA," adds
Rosenbloom. SPLENDA has the great taste of sugar and
is suitable for the whole family. With eighty-one
per cent of Canadians enjoying their breakfasts at
home, SPLENDA has created a wide selection of
delicious, lower sugar and, most importantly,
easy-to-make recipes that can be found on
www.splenda.ca.
About Splenda
SPLENDA(R) Brand Sweetener is made with sucralose, a
low-calorie sweetener that is made from sugar,
tastes like sugar but it's not sugar. It has an
outstanding safety profile and is a good sugar
alternative for the whole family. It does not
contain aspartame. Over the past 20 years, more than
100 studies have been conducted to support the
safety of sucralose. Today, millions of people
around the world safely enjoy more than 4,000 foods
and beverages sweetened with sucralose.
SPLENDA provides a good sugar-alternative for a
healthy lifestyle without sacrificing taste.
SPLENDA Brand Sweetener is owned and marketed by
McNeil Consumer Healthcare, a division of Johnson &
Johnson Inc. McNeil Consumer Healthcare markets a
broad range of well-known and trusted healthcare
products, including products in the adult and
pediatric pain relief, allergy, gastro-intestinal,
nicotine-replacement and sugar substitute
categories. |
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Vitamin D for people over 50: Background
From Health Canada -
http://www.hc-sc.gc.ca/fn-an/food-guide-aliment/context/evid-fond/vita_d-eng.php"
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Issue
The amount of vitamin D provided by the food
intake pattern recommended in the revised Food
Guide does not meet the Adequate Intake (AI)
established by the Institute of Medicine of the
National Academies for individuals over 50 years
of age. Meeting the Adequate Intake for those 51
years and over through food sources alone is
almost impossible without recommending
unrealistic daily amounts of some foods. Thus,
Health Canada recommends that in addition to
following Canada's Food Guide, all adults over
the age of 50 should take a daily vitamin D
supplement of 10 micrograms (400 IU).
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Role of Vitamin D
Vitamin D is involved in bone health. The major
role of vitamin D is the maintenance of serum
calcium and phosphate concentrations within the
normal range (IOM, 1997). Improved muscle
strength, reduced fracture rates, and reduced
rates of falling have been associated with
higher levels of vitamin D in the body (Bischoff
et al., 2003; Bischoff-Ferrari et al., 2004a,
2004b, 2005).Vitamin D may also play a role in
the prevention of some cancers and offer a
protective effect against certain autoimmune
diseases (Munger et al., 2004; Gorham et al.,
2005; Harris, 2005; Garland et al., 2006).
Vitamin D deficiency impairs normal bone
metabolism, leading to rickets in children and
osteomalacia (undermineralized bones) or
osteoporosis (porous bones) in adults (IOM,
1997).
Vitamin D overdose is manifested by
hypercalcemia (elevated calcium level in the
blood). Prolonged exposure to excess vitamin D
can lead to calcification of the kidney and
other soft tissues including the heart, lungs
and blood vessels (IOM, 1997).
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Dietary Reference
Intakes for Vitamin D
The Dietary Reference Intakes (DRIs) are a set
of scientifically based nutrient reference
values for healthy populations. DRIs are based
on indicators of good health and the prevention
of chronic disease, as well as possible adverse
effects of excess intakes of nutrients. There
are several different types of reference values,
each with different uses (see Appendix for
definitions).
Table 1 shows the Adequate Intake for vitamin D
for men and women 19 years and over, as well as
the Tolerable Upper Intake Level, as established
by the Institute of Medicine (IOM) of the
National Academies.
Table 1. Dietary Reference Intakes for Vitamin D
(IOM, 1997)
|
Age
groups |
Adequate
Intake (AI)
(for men and women) |
Tolerable Upper Intake Level (UL)
(for men and women; chronic exposure) |
| 19-50
years |
5 μg
(200 IU) per day |
50 μg (2000 IU) per day |
| 51-70
years |
10 μg
(400 IU) per day |
| >70
years |
15 μg
(600 IU) per day |
Since
the publication of the DRIs for vitamin D in 1997,
there has been a large body of research published
that indicates that vitamin D needs may be even
higher than the AIs listed above.
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Sunlight and Vitamin D
Vitamin D is synthesized in the skin upon exposure
to ultraviolet B (UVB) radiation. However, this
synthesis is affected by latitude, season, time of
day, age, sunscreen use, and skin pigmentation (IOM,
1997). In Canada, vitamin D synthesis in the skin is
absent during the winter months (October to March),
and for an even greater part of the year in far
northern latitudes. This means that for a
significant portion of the year, Canadians must rely
on dietary intake of vitamin D to maintain adequate
levels of vitamin D in the body.
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Sources of Vitamin D in the Canadian Food Supply The major sources of vitamin D are fortified foods.
In Canada, cow's milk and margarine must be
fortified with vitamin D. Goat's milk, fortified
plant based beverages (ex. fortified soy beverages),
and some calcium-fortified orange juices are
permitted to be fortified with vitamin D. Cheese and
yogurt can be made with vitamin D-fortified milk,
however, the final product does not contain as much
vitamin D as fluid milk alone. The only natural
sources of vitamin D in the Canadian food supply are
fatty fish and egg yolks.
Because it is a commonly-consumed food, fluid milk
is a major dietary source of vitamin D.
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Vitamin D Content of the Revised Food Guide The Food Guide's healthy eating pattern was
developed through a process called modelling. In
modelling, different combinations and amounts of
food are tested until a nutritionally adequate
pattern is found.
Canada's Food Guide recommends 3 servings of Milk
and Alternatives each day for adults over the age of
50. It is also recommended for all ages to "Have 500
mL (2 cups) of milk every day for adequate vitamin
D."
The results of modeling showed that even when
following these recommendations, the food intake
pattern does not meet the AI for vitamin D for men
and women aged 51 to 70 and 71 and older.
Trying to increase the vitamin D content of the
modelled diets through food sources was deemed
impractical because it would require consuming large
amounts of specific foods on a daily basis.
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Addressing the Vitamin D Shortfall in the Revised
Food Guide Meeting the AIs for vitamin D for those 51 years of
age and older is almost impossible without
recommending unrealistic daily amounts of some
foods. Supplements containing vitamin D can be used
as a complement to foods to achieve the recommended
levels of dietary vitamin D intake.
Table 2 shows the approximate amount of vitamin D
provided by the revised Canada's Food Guide for men
and women aged 51 and over, as well as the extra
vitamin D needed to meet the AI.
Table 2. Meeting Needs for Vitamin D
|
Age groups |
Adequate Intake(AI)
μg (IU) |
Approximate Vitamin D provided by
revised
Food Guide
(assuming 500 ml / 2 cups of fluid milk) |
Extra vitamin D needed to meet
AI μg (IU)
(for men and women) |
|
51 -70 y |
10 (400) |
5 (200) |
5 (200) |
|
71 y + |
15 (600) |
5 (200) |
10 (400) |
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Recommended Amount of Supplemental Vitamin D The recommended amount is 10 μg (400 IU) of
supplemental vitamin D daily. In addition to
following the Food Guide, a 10 μg (400 IU)
supplement will ensure that individuals over 50
years of age will meet the AI for vitamin D. It is
recognized that a supplement of 10 μg (400 IU) will
provide 5 μg (200 IU) more than the AI for people
51-70 years. However, daily intake of vitamin D will
still be well under the UL of 50 μg (2000 IU). In
addition, recommending a consistent amount of 10 μg
(400 IU) for all ages over 50 years makes for ease
of messaging.
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Conclusions and Recommendations The need for vitamin D increases after age 50. It is
difficult to meet the vitamin D recommendations for
people over 50 years of age without recommending
unrealistic daily amounts of some foods.
The amount of vitamin D provided by Canada's Food
Guide does not meet the Adequate Intake (AI)
established for individuals over 50 years of age.
Adequate vitamin D is important for bone health and
helps to reduce the risk of fractures in older
adults.
Therefore the following message recommending the use
of supplements to achieve adequate intakes of
vitamin D is included on the Food Guide:
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