Shhh! Give noise pollution the silent treatment

Thursday, August 18, 2011 0 comments

The world is getting louder, and all that racket can have serious consequences for your health. Here's how to handle the increase in noise pollution and find a little peace for body, mind, and even soul. By Holly Pevzner

My husband's snoring is a health hazard. Or so I learned last year, when I bought a jar of earplugs and found out that I could pay for them with my flexible-spending account. According to medical experts, nighttime quiet is as important to my well-being as wearing eyeglasses or getting my daily vitamins, and even low-level noise prevents deep, restorative rest. Noise also contributes to high blood pressure, strokes, circulatory problems, and distracted thinking. Plus, anecdotally at least, it makes us cranky.

Lately we seem to be on the run from unwanted sound. There are more than 500 kinds of noise-canceling headphones on Amazon.com, and the iPhone White Noise Lite app has been downloaded more than 10 million times. Writer George Prochnik's In Pursuit of Silence ($16, amazon.com), published last year, is a 352-page historical and scientific examination of why society has gotten louder and how we can quiet down again.

See More: 3 Quick Ways to Reduce Stress

"I felt there was less of the silence I had always found necessary and wondered whether I was just getting grouchier," says Prochnik, who lives in New York City. "I started asking people what about city life bothered them most, and noise was always near the top of the list."

The scientific evidence that noise damages our health is stronger than ever, he adds. "I think we're seeing noise tied into a host of other problems of the age—problems of attention, aggression, insomnia, and general stress," says Prochnik. "Noise is now our default position as a society. But I believe we have to make an effort to build a passionate case for silence."

See More: 8 Health Shortcuts That Work

The Sound and the Fury

Out of approximately 111.8 million households accounted for in the U.S. Census Bureau's 2009 American Housing Survey, about 25.4 million reported being bothered by street noise or heavy traffic. The World Health Organization recently published a study of the relationship in Western Europe between environmental noise and health conditions, including cardiovascular disease, cognitive impairment, sleep disturbance, tinnitus (chronic ringing of the ears), and plain old annoyance. According to the findings, about 1,629 heart attacks that occur in Germany each year are caused by traffic noise.

Even hospitals, the places we go to heal, have gotten louder. A 2004 Johns Hopkins University study found that average daytime hospital noise rose from 57 decibels in 1960 to 72 decibels in 2004. Blame the cacophony of PA announcements, beepers, heating and cooling systems, people talking to one another, and people talking into equipment activated by voice recognition.

See More: 6 Doctor-Recommended Remedies for Back Pain

And of course any discussion of the upsurge in public noise has to include the cell phone, which has made it possible for all of us to converse endlessly, anytime, anywhere. "We spew noise pollution into our phones, and all that noise only makes us noisier," says Bart Kosko, a professor of electrical engineering at the University of Southern California, in Los Angeles, who has written a book on the scourge of sound, entitledNoise ($25, amazon.com). It's worth noting that we may be deaf to our personal contributions: In a 2006 Pew Research Center poll, 82 percent of respondents said they had encountered annoying cell-phone chatter in public, but only 8 percent said they had noticed their own phone habits irritating others.

Things aren't much better underwater. Acoustic scientists at the Pennsylvania State University Applied Research Laboratory, in University Park, have found that North American right whales are calling to one another more loudly. Most likely that's a result of the commotion produced by commercial shipping.

See More: Solutions for Everday Overindulging

Alarming Developments

All this hubbub is bad news for the human brain and nervous system, which, evolutionarily speaking, aren't used to noise. "Over millions of years, we evolved in quiet environments," says Kosko. "If you heard a loud noise, it was probably something like an animal roar and meant danger was near." An encounter with a tiger, say, would set off a cascade of stress hormones, such as adrenaline and cortisol, to help mobilize our bodies to fight a threat or flee from it. The same thing happens today when we hear a car alarm.

"When you're disturbed by noise, your body reacts as it does to any stressor—your heart beats faster, your blood pressure increases," says New York City environmental psychologist Arline L. Bronzaft, Ph.D., who has been studying noise for more than 30 years. "Being surrounded by noise can affect you even when you don't realize it." To wit: In a study published in 2000 in the Journal of Applied Psychology, clerical workers were divided into two groups. One group was placed in a quiet room, the other in a space as noisy as a typical open office. The noisy-office workers had elevated levels of the stress hormone epinephrine and were significantly less motivated to try to complete challenging cognitive tasks. Yet few of them reported feeling especially stressed.

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"When you're faced with a threat—and that's how your body and mind perceive noise—you automatically prioritize other functions for survival's sake," says Paul Salmon, an associate professor of clinical psychology and a codirector of the Biobehavioral Laboratory at the University of Louisville, in Kentucky. The primitive, reflexive circuits of the brain take over, while the regions involved in higher cognitive functions, such as planning and decision making, become less active. So, yes, when the kids are screaming, you actually might not be able to hear yourself think.

The Silent Treatment

Before you run screaming, listen to this: We can fight the assault of noise without crawling into an isolation tank. The latest research indicates that short periods of quiet can help us put ourselves back together again.

Most of the scientific studies on the benefits of silence focus on meditation, the practice of just sitting quietly and focusing on breathing. According to recent findings, brief periods of meditation can lower blood pressure and reduce pain. Meditation can even enhance cognitive performance; in one study, middle-schoolers who meditated were shown to have higher test scores. Studies from the University of Wisconsin–Madison and other medical schools have revealed that meditation can increase activity in the left side of the frontal region of the brain, the area associated with a more positive emotional state.

See More: 17 Ways to Safeguard Your Heart

"Silence and meditation aren't exactly the same thing," says New York City meditation teacher Harshada Wagner. "In meditation, you start with silence—or at least quiet, since total silence is almost impossible. Then, within that quiet, you turn attention to a deeper part of yourself. It's really a silence from demands." Wagner believes that the biggest misconception about meditation is that when we do it, we have to cease all thought, a virtually impossible proposition. "The mind is like an ocean," he says. "You're never going to still it. But the goal here is just to give yourself a break."

To make meditation "a little deal, not a big deal," says Wagner, start with a five-minute session. Sit in a comfortable spot (yes, it can be the couch), close your eyes, and focus on your breathing, which should be "natural and easy but deep." Starting at your toes, relax your entire body, working up to the top of your head with the in breath, then traveling back down again with the out breath in one continuous motion, like an undulating wave. With every wave, feel your body letting go of tension. "Don't worry about your mind—it may keep thinking," says Wagner. "Try to let go of your to-do list. If you fall asleep, it's fine. There's no wrong way to meditate."

See More: A Thorough Examination of Medical Clinics

Silent Partners

Silence can mean more than just shutting out the world. "It can also connect us to one another," says Katherine Schultz, the dean of education at Mills College, in Oakland, and the author of two books about silence as a classroom teaching tool. The subject first fascinated her as a teacher and a principal in Quaker schools. For the Quaker faith, silence is a cornerstone; in a worship service, participants sit quietly and speak only when they are moved to. "I learned that out of silence, both children and adults often spoke and thought more clearly and creatively," says Schultz. She is on the board of a Quaker camp and says that when discussions get intense, one member may prompt the others to stop and sit in silence. "There's often an incredible shift in the conversation as a result," she says, "because we start reflecting, not just reacting."

See More: 10 Painless Changes You Can Make for a Green Home

Sometimes, ironically enough, we have to be quiet to communicate with each other, says Schultz: "Teachers are taught to count to 10 after they ask a question because it's uncomfortable to sit in silence—you immediately start to think that no one is going to answer. But that wait time is what gives more students space to participate."

The Point Is Mute

When writer Anne LeClaire decided to spend at least a day each month without talking, she realized "so much of what I would have said wasn't particularly necessary anyway." The author of Listening Below the Noise ($14, amazon.com), LeClaire started the silent days 19 years ago as part of a "quiet little project" during a hard time when the mother of a close friend was dying. "There's a correlation between silence and slowing down," she says. "The assault of noise and busyness creates this false urgency. Now I'm calmer but also more energetic—a feeling that carries over into the nonsilent days."

See More: How to Solve 9 Sleep Problems

There are ways that the rest of us can weave quiet into our lives, says LeClaire: We can turn off the car radio, take a walk without music, cook or do some other chore in silence, or retreat to the bathroom (where one's family is less likely to invade) for a silent soak. We can take a half-day sabbatical from technology. "Or once a week, find a quiet place where you can sit and listen to nothing," she says. "Five minutes is good. Thirty minutes is even better."

LeClaire likes to think of silence not as emptiness but as space. "Imagine a page of words. If we took away the margins and the space between the paragraphs, we would have just a page of black," she says. "It wouldn't be prose anymore. Without silence, our lives don't make any more sense than that page."

5 Hidden Signs of Heatstroke

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Hidden signs of heat stroke

Hidden signs of heat stroke


As the temperature climbs this summer, so does your risk of heatstroke—a serious, and potentially fatal, medical condition that occurs when your body is unable to cool itself and overheats to temperatures up to 106 degrees Fahrenheit. Luckily, heatstroke can be prevented easily, especially if you know how to identify and treat its often unnoticed, early symptoms.

1.  Muscle cramps
Heat cramps, a precursor leading up to heatstroke, can be a first sign that the body is struggling to maintain its temperature. Heat cramps are severe, sometimes disabling muscle cramps that begin suddenly in the hands, calves, or feet. If you're engaging in physical activity and suddenly experience shooting pain in these areas, be sure to hydrate and get to shade immediately. Your cramps are likely being caused by its temperature, not your exercise!

2. Feeling faint, light-headed or dizzy
Heat exhaustion is another, less severe condition that can lead to heatstroke. One of its main symptoms is feeling faint or light-headed. If you are feeling dizzy or confused after a day in the sun, take preventative measures—such as staying in cool, shaded areas and wearing loose-fitting cotton clothes—to avoid progressing into the more-serious heatstroke condition. People who suffer from diabetes, high blood pressure, heart disease, or other medical conditions that make it difficult to cool off need to be especially careful  and proactive if they begin to feel faint in the heat.

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3. Headache
Though most people attribute headaches to stress or a cold, they can also be caused by dehydration. In fact, headache is a commonly ignored symptom of heat exhaustion, which left untreated can evolve into heatstroke. If you're in a warm environment and you feel a headache, make sure to hydrate and cool down immediately. Avoid drinking beverages with alcohol or caffeine when it's hot out, too, as these drinks contain a chemical that causes you to retain less water, leading you to dehydrate more easily.

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4. Overall fatigue and weakness
Fatigue is usually considered a sign of a poor night's rest, but in fact it can also be a signal that you're having trouble cooling off. As your temperature rises, you may begin to feel weak and tired. Consider it a sign from your body that you need to take it easy, and take a breather in a shaded area while drinking some water. Taking a cold shower, soaking your feet in a bucket of water, or putting a wet towel over your shoulders will also help you cool down.

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5. Sweating accompanied by cold, clammy skin
Sweating is your body's natural way of cooling off—which is why staying hydrated is so important. As sweat evaporates from the surface of your skin, your skin cools and lowers your temperature. But if you don't have enough water in your system, there isn't any to sweat out and bring your temperature back down. Though a person experiencing heatstroke will usually have dry, flushed, and warm skin (because sweating has ceased), an earlier sign is sweat accompanied by cold or clammy skin. Staying out of the humidity will also help, as it's harder for your sweat to evaporate when the surrounding air is damp. It's one of your body's last-ditch attempts to get you to cool off, so make sure you listen to it!

3 food tips to beat insomnia

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By Kerri-Ann Jennings, M.S., R.D., Associate Editior-Nutrition forEatingWell Magazine

Lately, the only thing keeping me from a full night's sleep has been the sun blasting through my window at 5 a.m. But there have been times when I've spent wakeful hours unable to sleep. During those spells of insomnia, I break out every tip I know to get normal sleeping patterns again…relaxation techniques, like deep breathing, getting into a "bedtime routine" of winding down, even journaling those stressful thoughts that keep my mind jumping. While these tips can help, I'm also interested in how to use food to beat insomnia (after all, I'm a registered dietitian and associate nutrition editor at EatingWellMagazine).

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So I asked some of EatingWell's nutrition advisors what foods they use (or avoid) to help them get a good night's sleep. Here's what they said:

Tip 1: Limit alcohol
Miriam Nelson, Ph.D., EatingWell advisor and director of the John Hancock Center for Physical Activity and Nutrition at Tufts, limits herself to one alcoholic drink per day (the recommended guideline for women). David Katz, M.D., EatingWell advisor and director of the Yale University Prevention Research Center, also notes that alcohol can impair sleep. Says Katz, "I love good wine, but I certainly notice adverse effects on my sleep if I overindulge. So I am careful about alcohol intake, both by drinking a moderate amount and by drinking with a meal several hours before bedtime."

Why it works: Even though alcohol can make you drowsy and help you fall asleep, too much of it can make you wake up at night. In a past issue of EatingWell Magazine, Rachel Johnson, Ph.D., M.P.H, R.D., EatingWell advisor and professor of nutrition and food sciences at the University of Vermont, reported that alcohol may suppress the REM (rapid eye movement) sleep state that's critical to a good night's sleep. Follow Katz's advice and have your drink a few hours before bedtime, if at all.

Tip 2: Curb caffeine
Both Johnson and Katz find that caffeine affects sleep. Johnson avoids it altogether, while Katz avoids it after 4 p.m., at the latest, and usually doesn't have any after 2 p.m.

Must-Read: 4 Health Reasons You Shouldn't Quit Coffee (and 4 Cons to Consider)

Why it works: Caffeine affects people differently. If you find that you're sensitive and it's keeping you up at night, you'd do best to cut back or limit it to the morning only (and if you still are having trouble sleeping, try cutting it out altogether). Caffeine may also impair sleep more as you get older, according to research inSleep Medicine. Remember that while coffee, tea and soda are big sources of caffeine, chocolate also delivers caffeine (an ounce of dark chocolate has about 25 grams of caffeine, equivalent to a quarter cup of brewed coffee).

Tip 3: Eat a bedtime snack
Dietitian and host of Food Network's Healthy Appetite Ellie Krieger says that if she feels hungry at bedtime, she'll have a carbohydrate-rich snack, such as an apple or clementine or a few crackers. Said Krieger, "I think that by triggering serotonin, it relaxes me a little." On the other hand, eating too large a meal close to bedtime may also impair sleep, say both Krieger and Katz.

Must-Read: 6 More Great Reasons You Should Eat Carbs
Why Carbs Don't Make You Fat and 12 More Nutrition Myths Busted

Why it works: A light bedtime snack can help make you sleepy, primarily because hunger is a known sleep robber. As Krieger suggests, carbohydrates make a good bedtime snack, because they may promote serotonin production, which can make you drowsy.

What do you eat or drink to get a good night's sleep?

Conquer Your Fitness Fears

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If you're too afraid to try spinning due to its high-intensity reputation, or your lack of flexibility has made you steer clear of yoga, you could be missing out on a workout that's not only great for you, but something you might really enjoy. Read on to learn the truth about a few of the most seemingly-intimidating exercises around, and learn our tips for how to overcome your fears and get started on one of these fitness routines.



Spinning

Many gym-goers think spinning—an instructor-led cardio workout done on a stationary bike—is simply "too hard," says Nadia Zaki, certified spinning instructor at Equinox gyms. But don't be intimidated! While it is in a group setting, spinning is actually a very individualized workout. "Everyone controls his or her own bike's resistance," says Zaki. "So you can work as hard as you want." Instead of feeling pressured to keep up with the class, take what the instructor says as a guideline and go at your own pace. Though the (often spirited) teachers are there to motivate you, they rarely single out class attendees or tweak anyone's resistance without permission. Plus, the class is a lot of fun. "It has to be, otherwise nobody would do it, since it's demanding," says Zaki. "It's more like a dance party than anything else." Plus, like outdoor cycling, spinning is arranged in short intervals (reminiscent of riding up and down hills), which breaks up the time and makes the class fly by.

If you're thinking about trying it: To ensure a good first experience, tell your instructor you're a beginner. Oftentimes they'll even ask at the start of class who's new, so that they can give you a few pointers and help you properly adjust your bike. "If your seat is too far back or your handlebars are too low, it can add the wrong kind of strain to your workout," says Zaki. "In fact, if you've had a bad experience in the past, that may be why." And make sure you wear long, form-fitting shorts to prevent chafing on your inner thighs from seat friction; padded bike shorts are also an option if you find the seat uncomfortable. Photo: Jupiter/Getty Images


Running

Running is a popular cardiovascular exercise because it's so effective, and so easy to pick up. "If you can walk, you can turn that into a light jog and then you can run," says Marybeth Moore, certified personal trainer. So why is it so tough to stick with? "When it comes to running, people set themselves up for failure," Moore says. "They think they should be able to get out there and run a mile off the bat." But just because you're capable of running a mile doesn't mean you're ready to—or that it's not going to hurt. "Most of us end up working our body too hard the first time and inevitably hate it," she adds. The key is easing into a routine. "The walk-run method (alternating between walking and jogging until your stamina is built up) is an extremely effective starter method," Moore says.

If you're thinking about trying it: Running can be pretty hard on the body. It's just you and the pavement—there's nothing to lessen the impact—so make sure you have supportive sneakers designed for running. With the right shoes, you'll put less strain on your muscles and tendons, which contributes to a more comfortable run and faster recovery period, Moore says. Then, start by following a structured plan written by a professional. Moore recommends picking up a book for beginner runners, like Galloway's Book on Running by Jeff Galloway. "He writes effective training programs that work and keep you injury-free," Moore says. And be sure to check out WD's "Beginner's Guide to Running" for other beginner tips. Photo: Thinkstock/Getty Images


Learn everything you need to know about running—before you hit the pavement.


Yoga

Though many people think they need to be flexible to reap the benefits of yoga—a workout that improves strength, flexibility and relaxation by having you hold various poses—that's not necessarily true. One of the most important factors of the process is actually breathing, because it brings oxygen—a vital element for our bodies—to the blood and brain. Thus, if you can breathe, you can enjoy yoga, according to Zaki, also a certified yoga instructor. The poses simply help promote blood flow to certain body parts, bringing oxygen to them in order to remove toxins as well as rejuvenate them. As for being flexible: "Since most people are beginners, there's an easier modification for almost every move," Zaki says.

If you're thinking about trying it: First and foremost, choose a beginner's class. "Anything with the word 'basic' in its title is a safe bet," says Zaki. But if you take a regular class, just be sure to do the beginner's modification of each pose. "If you hurt yourself by overstretching, you (understandably) won't want to come back," she adds. And don't worry about not knowing the poses. Instructors usually have you practice each of them at least twice during class. "Because of your muscle memory, the poses get easier every time," says Zaki. And repetition is key! So the more classes you attend per month, the more you'll progress, and eventually your flexibility will improve until you can perform the regular and eventually the advanced variations of the poses. To find the right yoga discipline for you, check out "WD's Guide to Yoga."Photo: Jupiterimages/Thinkstock


Strength Training

Strength training—resistance and weight-bearing exercises that strengthen and tone your muscles—tends to scare off women. While men want bigger muscles, women are often afraid of bulking up. "It isn't going to happen!" Vasquez says. "The female body just doesn't have the genetic and hormonal makeup to get super-jacked unless you start going to extremes (consuming extra calories, bodybuilding, etc.)." Instead of bulking you up, strength training gives women the slim/toned look of a dancer, not to mention that it reduces your risk of osteoporosis by preventing bone loss, and improves metabolism, since muscle burns more calories than fat.

If you're thinking about trying it: Hit the gym when it's less crowded (early in the morning or late at night) if you're nervous about looking inexperienced. "Finding the right venue will help keep you motivated," says Monica Vasquez, personal trainer at New York Sports Club. "Though you must take the time to learn, with proper instruction and care for injury prevention, anyone can do strength training," she explains. When you weight-train for the first time, use the weight machines, Vazquez recommends. "Start with longer sets of lighter weights, as this will help strengthen your stabilization muscles and connective tissues, which will need to be strong when you graduate to dumbbells," she says. And don't be shy about asking the gym staff for help: That's what they're there for. If you don't have a gym membership, a cost-effective way to get strength-training into your routine is to simply buy a set of dumbbells and a DVD. Photo: Stockbyte/Thinkstock



Don't fear the dumbbells—discover the truth about the benefits of strength training.


Hooping

Hooping—a combination of hula-hooping and other exercise moves, like squats and lunges—is a relatively new fitness sensation that has left some skeptical. "The most common fear we encounter is, 'I was never really that good at hula-hooping when I was young, so I probably wouldn't be any good at it now,'" says Jacqui Becker, Hoopnotica-certified instructor. "But more often than not, adults have only previously tried hula-hooping using a child's toy hoop." Exercise hoops are larger and heavier, which helps create centrifugal force and keeps the hoop up, making it much easier to use. Some also shy away from hooping because they feel the workout is too dance-inspired, but there are different class styles to choose from. "In addition to dance classes, during which the instructor often teaches a routine, there are also fitness-based classes, in which the hula-hoop is used as more of a weight or prop," says Becker. Plus, "hooping is low-impact, so it's easy on the joints," making it a good option for all fitness levels.

If you're thinking of trying it: Check out Hoopnotica.com, the largest distributor of fitness hoops in the world. Through the site, you can find classes near you or order a DVD and hoop. "We also offer Skype lessons, so you can learn in the privacy of your own home with the support of a Hoopnotica-certified instructor," says Becker. Photo: Adam Gault/Thinkstock


Fitness Boxing

Fitness boxing—a workout consisting of short bursts of high-intensity sequences during which you train like a boxer but don't spar—is typically tough, says Christy Nacinovich, instructor at Crunch NYC. But don't worry: The boxing classes offered at gyms (as opposed to martial arts studios) are designed for beginners. At the start of most classes, instructors go over the basic moves—sometimes without gloves and always without impact—for anyone new. And the practice doesn't necessarily require you to be in top physical condition. "Much of boxing's intensity is mental," she says, as there is a big emphasis on form. "It takes focus to carry out each move smoothly and precisely."

If you're thinking about trying it: Aside from letting your instructor know you're a beginner so that you're paired with the right partner, make sure you wear the right gear. "Dress to sweat," says Nacinovich. You'll be working in short intervals, so your body is constantly sweating to deal with the shift in heart rate and body temperature. Wear a tank top or loose T-shirt—anything that doesn't impede arm movement—made with a cotton-spandex blend, which allows for "breathing." Photo: Peter Augustin/Getty Images


Steal exercise tips from the guys for a more productive workout.


Pilates

The many reasons people avoid Pilates—they're not flexible enough, they have weak abdominal and back (or core) muscles—are the very reasons they should be practicing, explains James Darling, certified Pilates and dance instructor at Equinox gyms. "Pilates is effective in that it focuses on alignment and core strength. When these two things are in line, moving through your day—from walking to dancing—becomes much easier," he says. And whether they know it or not, many people have already done some Pilates moves before. "The basis of the practice has been used in physical therapy and dance for decades," says Darling. Finally, Pilates is an incredibly calming workout, involving short repetitions of gentle movements.

If you're thinking about trying it: Let someone at your gym know you're a beginner, and ask which Pilates teacher they think would be best for you. And all experts agree: At least for the first few times you try Pilates, you should take a class—not use a DVD. "Pilates is so alignment-based, it's difficult to understand each move without someone there to instruct you," says Darling. Give your teacher a full rundown on your current physical state—for instance, if you have any injuries—and he or she will cater to your level and abilities. "There are modifications for almost everything that ails you," Darling says. Photo: Elizabeth LHOMELET/Getty Images

8 summer diet blunders to avoid

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Keep your diet on track by avoiding high-fat coffee drinks and sugar-laden smoothies!

Keep your diet on track by avoiding high-fat coffee drinks and sugar-laden smoothies!Credit: sxc.hu/michelmik, michelmik

Aaah, summer. It's the season for grilling out, poolside cocktails, picnicking at the beach and enjoying the freshest fruit of the season. Many summertime activities revolve around food so you may need to plan ahead if you want to keep your diet on track. Many summertime treats -- think ice cream, iced coffee and even some fruit-based desserts -- can put you well over your calorie quota for the day and prevent you from reaching your diet goals.

Whether you're counting calories or following a strict low-carb plan this season, keep yourself on track by avoiding these summer diet blunders:

1. Iced coffee drinks. Those frozen coffee concoctions can satisfy your sweet tooth and give you a boost of energy, but they're often loaded with cream, full-fat milk, chocolate and sugar. Make your own coffee drinks in a blender at home so that you can control what goes in your drink, or stick with the "lite" menu at your favorite coffee shop.

2. Smoothie overload. While fresh fruit, yogurt and protein powder smoothies can be a great addition to your summer diet, too much of a good thing can kill you in the calorie department. All of that fruit and fresh juice is loaded with sugar, and even too much natural sugar can hurt your diet.

3. Eating fruit without protein. Fresh fruit is a great source of vitamins, minerals and fiber, but remember that fruit also contains fructose. If you want to avoid the sugar high-low cycle, eat your fruit with a low-fat protein. I eat fruit with low-fat cottage cheese, skim milk or low-fat yogurt to keep blood sugar levels stable and to avoid a sugar crash.

4. Ice cream for dessert. Summer season calls for sweet and creamy treats, but your favorite Ben & Jerry's flavor is probably loaded with fat, sugar and a meal's worth of calories per serving. Trade ice cream for low-fat or non-fat frozen yogurt to keep calories and fat at a minimum.

5. Unhealthy eats at the picnic table. Summer picnics can spell diet disaster. Avoid the seven layer salad, hot dogs and of course, anything fried to keep your diet on track. Marinate and grill up lean meats or stick with the veggie burger to get your protein fix without the extra fat and calories found in burgers, hot dogs and other picnic favorites.

6. High-calorie salad fixin's. From croutons to full-fat dressings, it's easy to sabotage your healthy eating plans when you hit the salad bar. Make sure you're aware of the nutrition facts of different salad items in the buffet line, and load up on steamed and raw veggies, green, leafy vegetables and light vinaigrettes if you're watching your weight.

7. Only choosing fat-free salad dressing. While fat-free versions of your favorite salad dressings can save you some calories, you still need some fat in your diet in order to stay healthy. Try reduced-fat dressing made with an olive oil base to add some healthy fats to your diet. Small amounts of healthy fats can help to reduce or eliminate cravings, and will help you feel more satisfied with that big pile of lettuce and veggies.

8. A few too many margaritas. Or pina coladas, daiquiris and other summer cocktails that are loaded with sugar. Remember that alcohol metabolizes into sugar fairly quickly, and most frozen drinks have a lot ofadded sugar for taste. If you're going to enjoy a summertime cocktail, keep track of the calories or consider going alcohol-free if you want to keep your diet on track.

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Your 10 Most Embarrassing Sex Questions Answered

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The straight-talking doc addresses 10 of your most mortifying down-there queries below, and tackles even more on the episode of The Doctors. For local listings, please visit www.thedoctorstv.com. And check out the June Cosmo, on newsstands now, for even more I-can't-ask-that! gyno queries. By Ashley Womble

Stressed About a Sex Drought

I haven't had sex in over a year. Will that effect me when I finally get it on again?

No. It might hurt a bit when your guy first enters you, but nothing a little lube can't ease.

Hooking Up with a Stud

I just started dating a guy who has a piercing on his penis. Is this dangerous to me?

There's no way to guarantee the condom won't break, so make sure he's been tested for STDs and use an alternative form of birth control. Making sure you're well lubricated during intercourse will help minimize the chance of it ripping.

Related: 25 Sex Tips You Didn't Know


Not Feeling It

I'm 23 and have totally lost my sex drive. I'm in a good relationship, but I can't get aroused. Why?

It's most likely stress, but talk to your gyno to rule out physical issue, like a side effect of the Pill.

A Post-Sex Peeve

Can having sex give me a yeast infection?

Yeast isn't transmitted sexually, but it thrives in warm, moist areas like your vagina after intercourse. Towel off completely postsex.

Related: His Favorite Time to Have Sex


The Hair Up There

I have some hair on my breasts. Is this normal, and can I just razor it off?

It's normal and common, especially around the nipples. Shaving can lead to ingrowns, so a depilatory is safer.

Worse than the Munchies

My boyfriend smokes pot. Could this be why he has trouble staying hard?

It might be, but weak erections can also have a physical or emotional cause. Ask him to take a break and see if helps.

Related: Why His Size Matters


Unsexy Side Effect

Does having a lot of sex affect how often I have to poop?

No.

Worth a Shot

I'm 30. Is it too late for me to get an HPV vaccine?

The HPV shots are still only FDA-approved for women no older than their mid-20s, but check with your gyno.

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Fretting Over Fertility

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The healthy-diet foods that health experts really eat

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The good-for-you staples, snacks, and treats that health experts are really eating—plus, how you add them to your diet. By Lisa Whitmore

Staples

Almond Butter
"When I need a boost after a workout, I'll eat a small spoonful right out of the jar," says Kathy Kaehler, a fitness expert in Los Angeles. A bonus: Studies show that eating almonds can help reduce your risk of cardiovascular disease.

See More: The 30 Healthiest Foods

Frozen Grapes
"If I crave ice cream at night, I have a handful of these instead," says Lacey Stone, a fitness professional in New York City. "They're so sweet, they do the job."

Sardines
"Believe it or not, I've loved them since I was a kid," says Elisa Zied, a registered dietitian in New York City and the author of Nutrition at Your Fingertips ($19, amazon.com.) "They're rich in heart-healthy omega-3 fatty acids." She eats them straight from the can: "But no heads or tails, please!"

See More: How to Select, Store, and Cook Summer Produce

Greek Yogurt
"It's one of my favorite foods," says Yvonne Castaneda, a fitness manager at the Sports Club/LA, in Miami, who eats it with berries, honey, and almonds. Plain Greek yogurt is generally higher in protein and lower in sugar than regular yogurt, so it helps keep blood sugar stable and staves off a midmorning crash.

Salmon
"The healthy fats help me focus and perform better," says Tiffany Boucher, a trainer at Equinox in New York City. "I'll put a few fillets in a Ziploc Zip'n Steam bag, throw it in the microwave, and have dinner for several nights—no need to prep food after a long workday."

See More: 24 Nutritious (and Tasty) Snacks

Shredded Wheat
"It provides fiber, which fills me up, and I have it with fruit for even more nutrients," says Zied, who adds a sliced banana to her bowl before pouring on skim milk. "Shredded wheat is a great choice because it has very little added sodium. That's rare when it comes to ready-to-eat cereals."

Parmesan Cheese
"You don't need much to get a lot of taste payoff," says Lisa Drayer, a registered dietitian in New York City and the author of The Beauty Diet ($23, amazon.com). She sprinkles it on pasta, salads, and soups. Parmesan packs more calcium than many other cheeses: One ounce provides over 30 percent of most women's daily recommended intake.

See More: Food Labels, Decoded

Seltzer
Naturally, every expert extolled the virtues of plain water. But, yes, even they get bored with it sometimes. Drayer switches it up with seltzer: "I add a splash of cranberry or orange juice—sweet, easy, and refreshing." Those not watching calories should feel free to go with up to a 50/50 mix, says Drayer.

Apples
"I eat one almost every day," says Michael Kaplan, a doctor of osteopathic medicine and the chief medical officer of the Center for Medical Weight Loss, headquartered in Tarrytown, New York. They're full of fiber and antioxidants and may help reduce your risk of developing colon and liver cancers. "A Brazilian study even found that eating three apples daily may aid in weight loss," says Kaplan.

See More: 20 Little Ways to Drop Pounds

Whole-Grain Cereals
Several experts like the cholesterol-lowering benefits of whole-grain cereals, such as classic Cheerios and steel-cut oats. Drayer mixes Newman's Sweet Enough Cinnamon Fiber Flakes with Kashi Heart to Heart to add variety. "It makes for a more interesting breakfast," she says.

Snacks

Energy Bars
"If I don't get to sit down for a proper breakfast, this is a good substitute," says Boucher, who likes Luna Blueberry Bliss and Vanilla Almond bars. "These have 8 to 10 grams of protein and provide one-third of my daily calcium." New York City trainer David Kirsch loves the ease of bars so much that he created his own, called the Kirschbar. "It contains whey protein and six grams of fiber," he says. "And best of all, it tastes like real food."

See More: 25 Easy Instant Energy Boosters

Chocolate Milk
"Some foodie friends may be shocked to hear this, but I drink eight ounces of organic chocolate skim milk most mornings, with breakfast or after my workout," says Zied. (Research suggests that the mix of protein and carbohydrates in chocolate milk can make it an effective postexercise recovery drink.) The childhood favorite is loaded with calcium and vitamin D. Zied counts it as a nutritious treat. "I just cut back on added sugar elsewhere," she says.

Hard-Boiled Eggs
"Eggs have an undeserved bad reputation," says Kaplan, who enjoys up to two daily. In fact, eggs contain nutrients that can benefit your eyes, brain, and hair. And according to one study, they may help prevent blood clots, which could lower the risk of a stroke or a heart attack. Chicago trainer Don Scott, at Jim Karas Personal Training, calls them "my no-fuss, easy-transport snack."

See More: Know Your Good Fats From Your Bad Fats

Unsalted Nuts
"I stash them in my bag, my car—they're great for on-the-go," says Sara Haley, a trainer in Los Angeles, who likes nuts for their protein and good fats. They can help lower cholesterol, and one study showed that walnuts in particular have strong antioxidant benefits. Haley buys them in single-serving packets at Whole Foods to keep portions in check: "Even healthy calories can add up."

Dried Apples
"I love to carry these in my bag for a good, quick source of energy," says Castaneda, who mixes hers with a handful of nuts for a balanced snack. Chewy and sweet, "they stay fresh much longer than a whole apple," she says.

See More: Guilt-Free Sweet Treats

Surprises

Twizzlers

"They're my non-chocolate candy of choice," says Zied. "My husband and I split a pack at the movies, or I keep them in the pantry and indulge every few days." Zied's key to fitting these into her diet? "I limit myself to about three at a time," she says. (A "health" benefit: They're low in fat.)

Caramels
"When I want something sweet after a meal, I reach for these," says Haley. Since caramels take a while to eat, you can stop at one or two and still be satisfied. (Of course, a tooth brushing afterward is required.)

Can fidgeting make you more fit?

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That nervous-looking guy on the plane next to you with the jittery leg could be doing a lot more than irritating you for two hours? He might just be burning extra calories that are helping him get or stay fit.

Little activities we do daily, research is showing, could really add up, particularly during a time when people are moving less throughout their waking hours. Now scientists are digging in to see if nervous habits and movements as simple as walking to the coffee machine are helping lean people stay lean and could help obese people get fit.

Researchers have looked critically at these "incidental physical activities" to first judge how much they boost our cardiorespiratory fitness, which has recently been ranked as critical as blood pressure and cholesterol in predicting long-term health. Cardiorespiratory fitness is gauged by the most amount of oxygen a person can take in while working out, otherwise known as the VO2 max.

A recent study of participants who are overweight and sedentary but still in good health found that those who had little bursts of activity but did not formally exercise had greater a VO2 max than those people who moved slower or did not do even light activity for hours on end.

This is supported by an earlier study that compared lean and obese women's incidental activity. The leaner ladies were far more likely to fidget and to have bursts of movement, even as simple as standing up, leading authors to assert that the obese participants could burn up to 300 extra calories per day mimicking this lifestyle.

Scientists also weighed in that fitness levels -- and that golden VO2 -- can be boosted with incidental physical activities. This might make that cliche that you can get fit simply by opting to take the stairs rather than the elevator more valid.

Celebrity trainer Jillian Michaels has repeatedly said this attitude is indicative of a culture of lethargy, and that a commitment to push hard, even for short periods of time is necessary for people getting in shape or trying to lose weight. While that may be very true, perhaps it is also important to consider that our hourly walk to the water cooler or running down the stairs to answer the bell are keeping our bodies in tune, too. Incidental activity, these studies seem to be saying, doesn't replace a sweaty run or abs workout. But standing up and parking at the far end of the lot might just add to the formal exercise we are doing.

So drum your fingers upon your desk. Play air drums on the steering wheel. Put a skip in your step when you get out of bed. If these studies are right, our bodies cannot afford to lose those movements.

 
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