A new study was published this month in the medical journal The Lancet that appeared to be groundbreaking for some but is really common sense when you stop to think about it.  The study came out of Europe and looked at young patients with heart disease and addressed that they are smoking more and twice as many suffer from diabetes compared to 12 years ago. It was determined that heart disease prevention in routine clinical practice is inadequate, with only a third of patients being referred to and joining prevention programs, while doctors are prescribing more and more drugs. The most shocking revelation was that despite large increases in the use of all classes of blood pressure lowering drugs, blood pressure management showed no improvement.

One thing many of us agree with is that lifestyle programs should be the backbone of preventive care. Saving people’s lives from acute heart attacks is one thing where conventional medicine excels, but we need an urgent investment in prevention to address the lifestyle causes of heart disease. The nation’s integrative health care leaders met in Washington DC earlier this month to discuss patient centered health care and how to reduce health care costs in the long term. As I was there to witness this inspiring meeting, the word prevention was repeated over and over.

Just how do we prevent heart disease? Exercise and diet are key. How many times do you hear yourself or friends and family make excuses for not exercising. Well, there is not an excuse; in fact your life depends on it! Remember that even housework and gardening burn a number of calories. Enjoy the increased light and longer days. Get on a bike with your kids or throw your little ones in the jogger. Create a mom’s walking group in your neighborhood.

As for diet, fresh fruits and veggies, 5-8 servings a day! When choosing which ones, always aim for a variety of colors to increase the vitamin and mineral assortment. Fiber is important as well. Try to get a minimum of 25 grams a day. While fresh fruits and veggies have a lot of naturally occurring fiber like pectin, other reliable sources are Chia seed, which also contain essential fatty acids. Try Gaia Herbs Chia Fresh. It can be added to salads, smoothies or taken alone.

And yes, of course, no heart healthy plan will ever be complete without mentioning Omega-3 fatty acids. The American Heart Association recommends eating fish regularly and/or consuming around one gram daily of EPA+DHA from fish oil. For a great quality heart healthy option, try Nordic Naturals Ultimate Omega. They have a guaranteed no repeat policy because their oils are so fresh.

-Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

I was at my son’s travel soccer tryouts last night. The setting: a beautiful local winery that rents its fields to our town for the kids to play soccer and lacrosse. The winery is surrounded by dense New England forest, the kind every kid dreams about running through if it weren’t for the deer tick checks that inevitably follow each romp.

In New England, we wait a long time to wear tank tops and capris, following our dreadfully long winters, only to be bombarded by flying, biting bugs of all shapes and sizes. Black flies, gnats, mosquitoes… if you have ever been to New England in the summer, you know what I am taking about. The beauty is like no other, and so are the bugs.

People love to have me around because I am a natural magnet for these venomous creatures. They tend to leave others alone when I am around. Unfortunately for my daughter, I passed this gene on to her.

As a result I have been forced into finding the perfect natural insect repellent, while avoiding conventional sprays that contain DEET. And let me tell you, I have tried them all!

Here’s what works: essential oils of citronella, lemon eucalyptus, cinnamon, rosemary, lemongrass, cedar, peppermint, clove, and geranium.

The down side of these is that they require frequent application to be effective.

My personal favorite formula, Buzz Away Extreme, is made with all natural ingredients (and it smells good, too). Not only did it last an entire soccer practice, but it allowed me to water my garden three hours later, at dusk with not a single bite!!

–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

The state of women’s emotional health during and following pregnancy has become a hot topic on Capitol Hill. During the spring of 2008, Congress will be addressing provisions for “The Mother’s Act”, Senate Bill 1375, which provides federal funding for the development of new treatments for anxiety, depression, and unpleasant mood changes that can occur with motherhood. The “baby blues” of motherhood are characterized by mood swings, feelings of being overwhelmed, tearfulness, irritability, mood changes and a sense of vulnerability, all of which any new mother can attest to!

While the excitement around the passing of this bill is high, it can’t be overlooked that much of the funding for this bill is coming from the pharmaceutical industry. Let me assure you, pregnant women do not have an anti-depressant deficiency. Nutritional treatments for improving emotional health during and following pregnancy have been scientifically proven and need to be considered as well.

It is well established that appropriate nutrition greatly improves pregnancy outcomes for both mom and baby. During pregnancy, a women’s physiology changes dramatically to meet the needs of the growing baby. Nutritional demands, in the form of fat, protein and calories, must be increased to ensure that these physiologic changes are met.

Be sure to write your Senators and let them know that you support this bill, especially if it is inclusive of non-pharmaceutical means as well, including, but not limited to nutritional intervention. Let your voice be heard!!

–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.