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Issue Number 45 April, 2008

Don Hall, DrPH, CHES
Founder and CEO of Wellsource, Inc.

Worksite Wellness/Health Economics Research Highlights

Worksite Wellness/Health Economics

Good Incentives Increase Participation in Wellness Program

A low participation rate in corporate wellness programs is one of the major reasons organizations fail to get healthcare costs to drop. Companies successful in reducing costs usually have 80% or more of their employees and families actively involved. One great way to get more people to participate is to build effective incentives into your program structure.

Research Highlights

Blood Pressure and Coffee Consumption

Coffee is one of the most popularly consumed beverages in the world. Any health effects, even if small, from drinking coffee could have large public health effects. One of the concerns of drinking coffee and caffeinated beverages is its effect on blood pressure. It’s been known for many years that even one cup of coffee increases the stress hormone epinephrine and causes blood pressure to rise, but it’s been thought to be only a temporary effect. Two recent meta-analyses (combining several studies to analyze a specific problem) have looked at coffee and caffeine intake and have concluded that they do result in higher blood pressure. The rise is modest but significant.

Triglycerides and Cardiovascular Risk

When assessing coronary risk, blood triglycerides have traditionally not been considered a major coronary risk factor. The reason is that when you statistically adjust for blood cholesterol (LDL and HDL), fasting triglyceride levels cease to be a significant predictor of risk.

Whole Grains and the Risk of High Blood Pressure

Whole grains contain numerous nutrients (vitamins, minerals, fiber, and phytochemicals) that are protective to our health. They reside primarily in the outer bran and inner germ layers of the wheat kernel. In making white flour, both the germ and the bran layers are removed along with these protective nutrients. Because of this, white flour is more energy-dense (higher in calories) but less nutrient-dense..

Preventing Hip Fractures

Each year in the United States, some 329,000 people experience a hip fracture. Breaking a hip is serious. It can lead to immobility, isolation, depression, and early mortality. In fact, 1 out of 5 persons who break a hip will die within the first year. Hip fractures are also very costly in medical care and long-term support. This is the bad news. The good news is that you can do something to lower your risk of a hip fracture.

Vitamin D and Risk of Heart Disease

Research continues to accumulate on the benefits of vitamin D to your health. The latest evidence found is the role vitamin D plays in heart health, and it comes from the famous Framingham Heart Study. Researchers studied 1,739 offspring from the Framingham study. At the start of the study, vitamin D blood levels (25 OH vitamin D) were measured to see who might be deficient. Five and a half years later, researchers recorded.

Health Links

A Pocket Guide to Blood Pressure Measurement in Children

Gives guidance on the new standards and norms for children’s blood pressure. Prepared by the National Institutes of Health, National High Blood Pressure Education Program.

Vitamin D Council

Interested in vitamin D and health? This informational site gives you numerous articles, studies, and interviews with vitamin D researchers. The site is not a government agency, or conservative views, but high pro-vitamin D. I think you will find it enlightening and challenging to your thinking.

Resources

PowerPoint® Slides

Recipes

Try this recipe for a delicious Spring brunch dish.

Spinach-Potato Quiche

1 Recipe Potato, Oat or Wheat Crust 3 T Cornstarch
1 c Onions, Chopped 2 T Water
1 c Fresh mushrooms, chopped 2 T ENER-G® Egg Replacer
1 clove Garlic, minced 1 T Dry minced onion
1 T Olive oil 1 tsp Chicken-style seasoning
10 oz Fresh spinach, coarsely chopped 1 tsp Salt
1 c Raw potatoes, shredded 1 tsp Basil
4 oz Chopped green chilies, canned ¼ tsp Lawry's® Seasoned Salt Paprika to garnish
1 c "Cheese" Sauce (recipe follows) 2 boxes Mori-Nu Tofu, extra firm (12.3 oz each)
  1. Prepare the Potato Quiche Crust (recipe following) and set aside.
  2. In a non-stick frying pan, sauté onions, mushrooms and garlic in oil or 2 T water until onions are translucent.
  3. Remove from heat, then remove large stems from spinach, cut into 2-inch pieces and place in a large pot with 1 cup water.
  4. Simmer until tender. Drian, cool and squeeze dry.
  5. Add spinach, potatoes and chopped chilies to onion-mushroom mixture, cook 1 or 2 more minutes and remove from heat.
  6. Prepare "Cheese" Sauce and set aside one cup for the recipe. (This step can be done well in advance to save time on the day it is needed.)
  7. In a blender, combine 1 cup "Cheese" Sauce, tofu, cornstarch, water and egg replacer.
  8. Process until smooth and creamy. Then pour out into a bowl.
  9. Add the spinach-potato mixture, and all the seasonings, except paprika, to the tofu/cheese sauce mixture and mix well.
  10. Pour into a 10-inch quiche dish with the prepared crust and garnish with paprika.
  11. Bake at 350° F, 50-60 min. or until center of quiche is set.

Yield: 10-inch quiche

"Cheese" Sauce

1 c Rice or millet , cooked 1 T Fresh lemon juice
1 c Hot water 1 tsp Onion powder
¾ c Raw cashews or almonds 1 tsp Salt
¼ c Carrots, cooked ½ tsp Lawry's® Seasoned Salt
2 T Nutritional yeast flakes ¼ tsp Garlic powder
  1. In a blender, combine rice/millet, water, nuts, and carrots.
  2. Process at high speed until smooth and creamy.
  3. Add remaining ingredients and blend again briefly.

Yield: 2½ cups

Potato Quiche Crust

⅓ c Potatoes, cooked and mashed
1 c Unbleached white flour
1 T Soymilk powder, plain
½ tsp Salt
⅓ c Water
3 T Olive oil, "extra light"
1 tsp Sesame seeds
  1. Peel, cube, and boil 2 potatoes.
  2. Mash enough potatoes to equal ⅓ cup and set aside.
  3. Combine flour, soymilk powder, and salt.
  4. Mix water and oil together and pour into the dry ingredients.
  5. Stir until just moistened then add mashed potatoes to the dough.
  6. Knead mixture together until a soft, pliable dough is formed. Let dough rest several minutes.
  7. Roll dough out on a floured surface, then press dough into a 10-inch quiche dish.
  8. Flute edges, press sesame seeds into bottom of crust.

Yield: 10-inch crust

Recipes © 2001 Tastefully Vegan written by Gerard and Kathryn McLane. Used with permission.

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Wellsource Inc.
15431 SE 82nd Dr.
Portland, OR 97015
(503) 656-7446

About Making Healthy Choices™

The Making Healthy Choices™ newsletter is written by Don Hall, DrPH, CHES, founder and CEO of Wellsource, Inc. with contribution from associated health professionals. It is available as a resource to Wellsource clients and other select organizations involved in promoting health.

Selected content is general health information from evidence based research. Its purpose is not to treat disease but to promote healthy lifestyles. Persons with health problems should consult their physician for specific guidance.

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