Health - Parenting Hub

Expert Advice from Bonitas Medical Fund

Dealing with diabetes

South Africa is the most obese nation in sub-Saharan Africa*. It’s not surprising then that we also have the highest rate of Type 2 diabetes. The danger is that most people are unaware of the risk until they are diagnosed as pre-diabetic or Type 2 diabetics. Diabetes is the third most significant risk factor for disability and early death in South Africa. While 4.5 million South Africans are currently diagnosed with the condition, what’s more alarming is it’s estimated that 61% of diabetics remain undiagnosed. The concern about the number of diabetics is not restricted to our country though. The International Diabetes Foundation predicts that by the year 2040, over 642 million people worldwide will be diagnosed with the disease. Lee Callakoppen, Principal Officer at Bonitas Medical Fund, together with the Scheme’s clinical team talks about diabetes and why a proactive and holistic approach to management of the disease is essential. What is diabetes? It is a disease that occurs when your blood glucose, also called blood sugar, is too high. Insulin – a hormone made by the pancreas – helps glucose from food get into your cells to be used for energy. An overview Type 1 diabetes. Results from the body’s failure to produce insulin, the hormone that unlocks the cells of the body, allowing glucose to enter and fuel them Type 2 diabetes. With Type 2 diabetes, the more common type, your body does not make or use insulin well Pre-diabetes. This means that your blood sugar is higher than normal but not high enough to be called diabetes. If you are at risk for Type 2 diabetes, you may be able to delay or prevent developing it by making some lifestyle changes Gestational diabetes. Is diabetes diagnosed, for the first time, during pregnancy (gestation) 10 early signs of diabetes The symptoms of diabetes are usually so mild that they can easily go unnoticed. This results in many diabetics being unaware of their condition until they are diagnosed with Type 2 diabetes. Fortunately, diabetes is a manageable condition, especially if diagnosed early. Here are 10 early signs you can look out for: #1 Frequent urination When your blood sugar is elevated, the kidneys can’t keep up with the amount of glucose in your system, allowing some of it to go into your urine. This results in you having to urinate more often than usual. #2 Increased hunger and thirst Diabetics usually don’t get enough energy from their food, which leads to a craving for more food. The frequent urination is also likely to cause dehydration and lead to you feeling thirstier than normal. #3 Pain and numbness If you have Type 2 diabetes, you might experience numbness in your hands and feet. This is usually a sign of nerve damage or diabetic neuropathy and is usually after years of living with diabetes. #4 Dry Mouth A dry mouth is one of the most common symptoms of diabetes. Symptoms may include: Trouble chewing, swallowing or speaking, dry, cracked lips, sores or infections in the mouth or a furry, dry tongue. #5 Blurred vision High sugar levels in the blood can damage the tiny blood vessels in the eyes, causing fluid to seep into the lens of the eye, potentially causing blurry vision. #6 Yeast infections Yeast feeds on glucose, so having plenty of glucose around makes it thrive. Yeast infections usually grow in warm, moist areas of skin, like between fingers and toes, under breasts and in or around sex organs. #7 Slow healing cuts and wounds Over time, high blood sugar levels narrow your blood vessels, slowing blood circulation and restricting much needed nutrients and oxygen from getting to the wounds. As a result, even small cuts and wounds may take weeks or months to heal. #8 Skin discolouration Insulin resistance can cause patches of darker skin to form on creases of the neck, armpits, groin area or over the knuckles. This condition, known as acanthosis nigricans, can be a result of diabetes. The skin in the affected area also becomes thickened. #9 Fatigue Diabetes-related fatigue is caused by fluctuating blood glucose levels resulting in not enough glucose for the body’s energy supply. #10 Weight loss Losing weight without trying to, can be a warning sign of diabetes. When your body can’t get energy from your food, it will start burning muscle and fat for energy instead, resulting in weight loss even though you haven’t changed your eating habits. Holistic treatment and management of diabetes critical Over the past few years, the Council for Medical Schemes (CMS) cited an increased prevalence of chronic conditions, diabetes in particular, as one of the key contributors to a rising disease burden and escalating healthcare costs. ’To offset this growing disease burden and proactively empower patients with diabetes to take control of their health, Bonitas has developed an integrated, holistic programme that is based on the specific needs of members with diabetes,’ says Callakoppen. Diabetic co-morbidities – a higher risk Individuals with diabetes often have other chronic conditions (co-morbidities) – such as high blood pressure, high cholesterol, heart disease and depression. This fact greatly increases the risk of diabetics developing complications such as nerve damage, eye problems, kidney damage as well as problems in pregnancy. To manage diabetes effectively, all the other conditions and complications must be managed as well. A key feature of the Bonitas diabetes programme is that it manages each individual’s unique mix of disease and lifestyle factors, rather than a standard approach to managing a specific disease. Diabetes Management Complications of diabetes must be prevented by ensuring access to proper treatment such as specialised diabetes’ doctors, paediatricians, podiatrists, diabetic educators to help manage the diabetes. Diabetics need to understand their condition and be empowered to make the right decisions to stay healthy. Containing the risk ‘We believe the way forward is an increased focus on prevention, lifestyle changes, coordination of care by doctors and the utilisation of evidence-based disease management interventions,’ says Callakoppen. ‘The Bonitas clinical team uses an innovative Emerging Risk predictive model and screening algorithms

September 1, 2023

Breastfeeding Webinar – How to know if baby is full

Sr Ingrid Groenewald explains more about breastfeeding and how to know if baby is full or still hungry.

August 18, 2023

Webinar – Vaginal Infections during Pregnancy

Sr Talia discusses different vaginal infections that you can experience during pregnancy

August 11, 2023

Webinar – Baby Milestones

Sr Ingrid Groenewald explains the milestones that you can experience in your baby’s first year.

August 2, 2023

Webinar – Gestational Diabetes

In this antenatal class, Sr Talia explains what Gestational Diabetes is, what the symptoms are and how to manage it.

July 28, 2023

Webinar – Caesarean Birth and Recovery

In this webinar, Sr Ingrid Groenewald explains the process of a Caesarean Birth and the recovery process thereafter.

July 21, 2023

Advice from the experts

ARTIFICIAL SWEETENERS: TIME TO RETHINK YOUR CHOICES?

Affinity Health, a leading provider of high-quality healthcare, explores the ongoing debate regarding whether the consumption of artificial sweeteners poses health hazards. If you’re trying to limit the amount of sugar and calories in your diet, you may resort to artificial sweeteners or other sugar replacements. Various foods and beverages labelled as “sugar-free” or “diet” contain artificial sweeteners and other sugar replacements, including soft drinks and baked goods. What are all these sugar substitutes? And what role do they play in your diet? Understanding artificial sweeteners and alternative sugars Sugar substitutes are sweeteners used in place of traditional sugar (sucrose). Artificial sweeteners are only one sort of sugar replacement. There are several sweeteners on the South African market, with Sorbitol, Xylitol, Acesulfame, Potassium, Aspartame, Saccharine, Stevia, and Sucralose being the most common. Mannitol and Maltitol are utilised in producing goods and are not sold separately as sweeteners. The pros and cons of artificial sweeteners Artificial sweeteners are chosen as an alternative to sugar because: They can be used in baking or cooking Artificial sweeteners have almost no calories and don’t cause weight gain They are not associated with tooth decay or cavities. They aren’t carbohydrates and generally don’t raise blood sugar levels. “For decades, artificial sweeteners have been the subject of intensive scrutiny,” says Murray Hewlett, CEO of Affinity Health. “Critics of artificial sweeteners assert that they contribute to numerous health issues, including cancer. However, according to the National Cancer Institute and other health agencies, no solid scientific evidence exists that any of the permitted artificial sweeteners cause cancer or other major health problems. Numerous studies demonstrate that, in moderation, artificial sweeteners are generally safe.” The Food and Drug Administration has defined an acceptable daily intake (ADI) for each artificial sweetener. The ADI is the maximum amount of a substance considered safe for daily consumption throughout a lifetime. It’s essential for consumers not to exceed the recommended ADI. Different Artificial Sweeteners Aspartame Aspartame, a low-calorie sweetener created in 1965, tastes similar to sugar but is 200 times sweeter. It is unique among low-calorie sweeteners in that the body metabolises it to amino acids, aspartic acid, phenylalanine, and a minor quantity of ethanol. In 1981, aspartame was authorised by the U.S. Food and Drug Administration for use in various foods. It has been hypothesised that aspartame’s interference with the function of rheumatoid factor can decrease joint pain and immobility caused by chronic inflammation. It has also been argued that aspartame’s components can cause various health issues, including increased susceptibility to seizures, behaviour, mood, or cognitive function. However, there are no solid indications that aspartame can cause these problems. Saccharin Saccharin was discovered more than a century ago. It is typically used to enhance the flavour of toothpaste, diet foods and beverages, as it is 300 to 500 times sweeter than sugar. According to limited studies, consuming saccharin-containing items may cause weight gain and obesity by interfering with core homeostatic and physiological processes. However, on the whole, sucralose is deemed safe for all population segments, including those with chronic health conditions such as diabetes. Acesulfame Potassium Acesulfame Potassium is a non-caloric sweetener found in numerous products. The US FDA approved acesulfame K for non-alcoholic beverages in 1998 and awarded permission for general use in 2003. The Joint Expert Committee on Food Additives (JECFA), a scientific advisory council for the World Health Organization and the Food and Agriculture Organization of the United Nations, assessed the evidence and found that acesulfame K is safe. Neotame Neotame is a no-calorie sweetener derived from the dipeptide composed of aspartic acid and phenylalanine amino acids. The components of neotame are combined to create a distinct sweetener. Neotame is approximately 8000 times sweeter than table sugar and 40 times sweeter than aspartame. Neotame is chemically similar to aspartame but more chemically stable, making it suitable for usage in baked goods. However, it may also be employed as a flavouring agent in other types of food. It was approved by the U.S. FDA in 2002, although its use is still uncommon. Stevia Stevia is produced from the South American herb Stevia Rebaudiana, which has been used to sweeten liquids and create tea in Paraguay for generations. Rebaudioside A is one sweetening chemical found in the stevia plant. The steviol glycosides meet the JECFA’s purity requirements (WHO). The clinical investigations demonstrate that stevia sweeteners do not influence blood pressure or blood glucose response, indicating they are safe for people with diabetes to consume. Recent studies, including human intake, metabolism, and toxicity studies, support the safety of stevia sweeteners. Based on published research, independent scientific experts from the United States and worldwide have agreed that stevia sweeteners are safe for persons of all ages. Stevia has an extremely low acute toxicity and no known adverse responses. Conclusion Several scientific studies are conducted to determine the safety of artificial sweeteners, which regulatory agencies subsequently approve. Some substances are also approved with warning labels. “If you’re concerned about whether an artificial sweetener is safe and its potential side effects, always read the warnings and recommended daily allowance on the product. Consult your healthcare provider if you have any questions or concerns,” concludes Hewlett.

December 2, 2022

WHY IS PROSTATE CANCER SO COMMON IN MALES?

According to Affinity Health, a leading provider of high-quality healthcare, while prostate cancer primarily affects men over the age of 65, it can strike earlier, especially if you have a family history of prostate cancer. What Is Prostate Cancer? Prostate cancer is cancer that occurs in the prostate. In males, the prostate is a small walnut-shaped gland that produces seminal fluid, which nourishes and transports sperm. Prostate cancer is one of the most common types of cancer. Many prostate cancers are slow-growing and limited to the prostate gland, where they may not cause significant harm. While some prostate cancers grow slowly and require little or no treatment, others are aggressive and spread rapidly. Early detection of prostate cancer, while still confined to the prostate gland, gives the best chance of successful treatment. Who Is Predisposed to Prostate Cancer? Every man is at risk of prostate cancer, but some factors contribute to the risk. Age: The most critical risk factor for prostate cancer is age. Men aged 65 and older account for roughly two-thirds of all prostate cancer diagnoses. However, as you age, the disease becomes less aggressive, especially after age 70. Family History: Men with a history of prostate cancer are at a higher risk. Having a father or brother with the disease doubles your chances of getting it. When multiple family members are affected, your chances increase. Race: Black men are about 60% more likely than white men to develop prostate cancer. When cancer is diagnosed, it is more likely to be advanced. Doctors aren’t sure why different races have different rates of prostate cancer, but they believe environmental factors are to blame. Diets High In Fat: Dietary fat may also be linked to prostate cancer. Men in high-fat diet countries eat fewer fruits and vegetables. The disease is much more prevalent in countries where meat and dairy products dominate the diet, as opposed to those where rice, soybean products, and vegetables are the primary staples. Obesity: Extra weight does not appear to increase your chances of developing prostate cancer. However, it may reduce your chances of getting a lower-grade type and increase your chances of getting an aggressive form. Although not all study findings agree, some evidence suggests that obese men are more likely to have advanced prostate cancer and die from it. Sedentary Way of Life: Although there haven’t been many studies to determine how closely a lack of physical activity is linked to prostate cancer, it has been shown to play a role in other types of cancer, including colon and endometrial cancer. However, because a lack of physical activity is frequently associated with obesity and metabolic syndrome, there may also be a link between it and prostate cancer. Changes in the BRCA1 or BRCA2 Gene: These are what your doctor may refer to as mutations. Because you are born with them, they are risk factors over which you have no control. They run in families, but only a few people are affected. They increase the likelihood of breast and ovarian cancer in women, as well as prostate cancer in some men. Lynch Syndrome: Lynch syndrome, also known as hereditary non-polyposis colorectal cancer (HNPCC), is caused by a gene change that occurs at birth. It can increase your chances of getting a variety of cancers, including prostate cancer. Signs and Symptoms While most prostate cancers are asymptomatic, the following symptoms and signs of prostate cancer may occur: Urine flow that is weak or interrupted, or the need to strain to empty the bladder Urge to urinate frequently during the night Urine with blood Erectile dysfunction Urinary pain or burning An enlarged prostate (that causes discomfort or pain when sitting) Back, hip, thigh, shoulder, or other bone pain Leg or foot swelling or fluid buildup Unknown cause of weight loss Fatigue Alteration in bowel habits If you are concerned about any changes you are experiencing, please consult your doctor. Your doctor will ask you how long and frequently you have been experiencing the symptom, among other things (s). Diagnosis is made to assist in determining the cause of the problem. Screening For Prostate Cancer A digital rectal examination or finger test is the only way for a doctor to examine your prostate. To check the size of the prostate and for lumps, a doctor must insert a gloved, lubricated finger into the rectum and press the bowel wall, this is unpleasant, but a minute of discomfort can save your life. The prostate exam is the most effective screening test for prostate cancer. Screening should begin at the age of 40 if you have a family history of prostate cancer. If you are not at high risk, you should start screening at the age of 50, unless you have any of the warning signs, in which case you should begin screening right away,” says Murray Hewlett, CEO of Affinity Health. Treatment Of Prostate Cancer Prostate cancer treatment options include surgery, radiation, and hormone therapy, which can be used alone or in combination. “Treatment is highly individualised and is planned according to clinical findings. The earlier prostate cancer is detected, the better the prognosis,” concludes Hewlett.

December 2, 2022

Summer Smoothies Perfect for Sharing

With early morning weekly starts or lazy weekend mornings, everyone can agree that getting up in summer is much nicer than the colder months we’ve come out of. But, when it’s just too hot to cook breakfast, here are some yummy pick me up smoothies to get you on your way. Four delicious juicy smoothies are vitamin packed to keep you going whether it’s on the run for work, heading into the outdoors or just lazing by your pool. Pineapple and cucumber smoothie A fresh fast-morning smoothie packed with greens and vitamins. Ingredients (makes 4) 1 whole cucumber 1 x 440 g can Rhodes Quality Pineapple Pieces in Syrup, drained 250 ml (1 cup) Rhodes Quality 100% Pineapple Juice, chilled 250 ml (1 cup) coconut water, chilled 2.5 ml (½ tsp) Hinds Spices Pure Ground Ginger Method Place the cucumber, Rhodes Quality Pineapple Pieces in Syrup, Rhodes Quality 100% Pineapple Juice, coconut water and Hinds Pure Ground Ginger into a blender. Blend until smooth. Serve immediately. Spinach and orange juice smoothie A fresh fast-morning smoothie packed with greens and vitamins. Ingredients (serves 2) 375 ml (1½ cups) Rhodes Quality Orange 100% Fruit Juice Blend 1 small cucumber, chopped 500 ml (2 cups) fresh spinach, washed 1 large banana 250 ml (1 cup) ice optional: 10 ml (2 tsp) honey Method Place the Rhodes Quality Orange 100% Fruit Juice Blend into a blender. Add the remaining ingredients and blend on high until smooth and creamy. Serve immediately. Carrot, apple, ginger and orange juice An everyday immune boosting juice. Ingredients (serves 8) 250 ml (1 cup) Rhodes Quality Apple 100% Fruit Juice, chilled 250 ml (1 cup) Rhodes Quality Orange 100% Fruit Juice, chilled 2.5 ml (½ tsp) Hinds Ground Ginger 2 carrots 1 cup ice Method Place the Rhodes Quality Apple 100% Fruit Juice and the Rhodes Quality Orange 100% Fruit Juice into a liquidiser. Add the Hinds Ground Ginger, carrots and ice. Process until smooth. Serve well chilled. Peach and ginger smoothie Fast and fresh breakfast smoothie. Add a little ginger to smoothies for its anti-inflammatory and immune boosting properties. Ingredients (makes 2) 1 x 410 g can Rhodes Quality Peach Halves in Syrup, drained 5-10 ml (1-2 tsp.) Fresh ginger, peeled and finely grated 5 ml (1 tsp.) Honey 190 ml Coconut milk To serve: Ice cubes Method Place the Rhodes Quality Peach Halves in Syrup in a blender. Add the ginger, honey and coconut milk. Blend until smooth. Pour the smoothie over the ice cubes and serve. Remember to Go with Goodness this summer, go with the right food choices for your family, go with Rhodes Quality. Visit: www.rhodesquality.co.za or follow @rhodesquality #GoWithGoodness for more summer inspiration.

December 2, 2022

Top 5 health tips for a holiday that won’t cramp your style

Candice Chirwa is an author, gender activist, and thought leader affectionately known as the Minister of Menstruation due to the incredible work she has done around period poverty and educating girls about period hygiene. Since 2021 she has helped the Salome range by participating in their campaigns aimed at removing the stigma attached to menstruation. Together with Salome, Candice shares her top tips to get you ready for a stress-free holiday that won’t cramp your style. Period fatigue is real – so rest I would highly recommend that you get your rest in. Year-end fatigue is real and so is period fatigue, and it is important to not skip out on any form of rest especially during the holiday season. Make it your goal to get eight to nine hours of sleep throughout the holiday season. Heavy menstrual bleeders, we’ve got you too! Everyone has different methods of handling period pain. For some, it’s using hot water bottles and applying it directly to their abdomen, for others it’s exercising that helps reduce menstrual cramping. I do suggest that menstruators opt for comfort during this season. Avoid wearing tight clothing and instead choose to wear loose clothes during the summer. For heavy menstrual bleeders, I’d also recommend using period products that last for 12 hours such as night time pads, menstrual cups, period underwear and tampons. Busting a holiday myth – period One myth that some people still believe in is that you shouldn’t swim when having your period. I believe in the exact opposite and would highly recommend going for a gentle exercise, like swimming, to keep you cool and to release endorphins which is nature’s own pain reliever. If you’d like something more intense and a cardio burner to help manage period pain, a hike is a sure way to manage the pain and keep your PMS mood swings away. Any low-stress exercise such as dancing and yoga stretches can make you and your body feel happier. Be careful of what you are eating Stay away from foods that can cause bloating such as dairy and foods that contain a lot of sodium. It can be difficult to make healthy choices when braai food and sugar treats are in readily available during the festive season. However, when it comes to your period it is a good time to remain hydrated. Go for herbal extract solutions There are definitely benefits to using herbal based medicine that relieves menstrual cramps. A particular pro, is that ranges like the Salome range have minimal side effects that can impede on your daily holiday activities. I also find using natural treatment options to be a healthier route that is unlikely to lead to gastric issues. The Salome range, launched in 2020 by South African pharmaceutical company 3Sixty Biomedicine, addresses common women’s health issues. In 2022 Salome expanded its herbal extract based range to include products that assist with managing symptoms commonly associated with menopause and for the relief of minor symptoms in the days before menstruation (premenstrual syndrome). Now the current product range based on herbal extracts offers over the counter treatment options that help manage heavy menstrual bleeding, menstrual pain, premenstrual syndrome, menopause, Polycystic Ovary Syndrome (PCOS) and infertility linked to PCOS. The full Salome range that contains natural ingredients is available online at Takealot.com and www.salome-range.co.za, as well as over the counter at most pharmacies nationwide. For more information about the Salome range, go to www.salome-range.co.za or connect on social media: Facebook: Salome Range Twitter: SalomeRange Instagram: SalomeRange

December 2, 2022

The Gift of Hearing

‘Blindness cuts us off from things but deafness cuts us off from people’ [Helen Keller] Hearing loss is more common than we think, up to 19% of South African school children suffer from varying degrees of hearing difficulties. Hearing is the foundation for speech and language development as well as learning and communication. The long-term impact of losing one of the key senses has a major impact on the quality of life. Early detection and treatment is vital and it’s important to conduct hearing tests throughout a child’s schooling. However, the reality is that many learners have limited or no access to audiological screening and treatment. To address this important health issue and close the gap on hearing impediments, Bonitas Medical Fund has partnered with humanitarian aid organisation, Gift of the Givers, on a project that will initially screen around 15 860 learners during 2023. ‘The Gift of the Givers Foundation is internationally recognised for its swift disaster response, community support and healthcare interventions,’ says Lee Callakoppen, Principal Officer at Bonitas. ‘We are truly excited by this partnership and we know this ambitious project will have a profound impact on so many lives.’ The importance of hearing tests According to the South African National Deaf Association (SANDA), children should have their hearing tested several times throughout their schooling: When they enter school, at ages 6, 8 and 10 and at least once during Grades 8 or 9 and Grades 10 and 12. This audiology project, which is being rolled out over a 10-month period, will initially test around 15 860 learners across Grade R to Grade 12 at various schools located in six areas in KZN: Umlazi, Indanda, Chatsworth, Phoenix, Marionhill and Durban central. The plan is to expand the project to other Provinces. Screening practicalities A South African manufactured portable audiometer, called the Kuduwave, will be used for the project. This state-of-the-art, medically certified device has revolutionised the testing and diagnosis of auditory related deficiencies. It combines a headset, audiometer and sound booth into a single, lightweight device, which can be used in just about any location. This means the audiology team can test learners at school. ‘Two Kuduwave units will be used to increase capacity and reduce downtime,’ explains the audiology team at Gift of the Givers. The programme is being overseen by an ear, nose and throat surgeon as well as an audiologist and speech therapist. They will provide training, consultation and oversight for the audiology team conducting the screenings. ‘Each test takes between 5 and 15 minutes,’ explains Gift of the Givers audiology team. ‘During which time the learner’s middle ear will be pressure tested for ear infections and ears will also be checked for inflammation and earwax. Diagnostics and after-care If the screening fails, a full diagnostic test will be undertaken. ‘This project not only covers the screening but goes a step further and offers an after-care element. This includes follow-up medical treatment, if required, to ensure learners receive the assistance they need so that their development is not delayed,’ explains the audiology team. ‘I cannot even begin to imagine a life without sound,’ says Callakoppen. ‘Not hearing someone’s voice, the lyrics of a song, rain falling on a roof or laughter. As a medical aid we advocate for prevention through early screening, detection and treatment for any ailment – including hearing.’

December 1, 2022

New ULTIMALT: Providing the Benefits of Malt to Mothers

With the world moving towards an emphasis on health, an increased focus is placed on the importance of breastfeeding for both mothers and infants, and awareness has grown around the delicious alcohol-free malt beverages that are now available to enhance health for expecting and lactating mothers such as ULTIMALT, a favourite new malt beverage recently launched in South Africa. Humans have consumed barley for thousands of years with good reason. The medicinal effects of the barley grain, from which barley malt extract is derived have long been recognized in Africa and Asia, and now malt’s complete nutritional properties are confirmed by nutritional science. Barley malt contains protein, essential amino acids, soluble fibres, vitamins B1, B2, B6 and B612, and other micro minerals. It is also one of the richest dietary sources of beta-glucan, a polysaccharide that has been shown to increase prolactin, the hormone responsible for lactation. This not only makes barley malt highly nutritious, but when enjoyed 90 minutes prior to breastfeeding, promotes an increase in milk production. Malt drinks are well known to be both wholesome and highly nutritious, while providing some protein, sugar, essential minerals and levels of vitamins A and B vitamins. It also provides the all-important folic acid that is beneficial during both pregnancy and breastfeeding and plays an important role in the maintenance of the gut microbiome. A healthy Diet During Pregnancy A healthy diet during pregnancy helps to support the mother’s wellbeing and supplies the nutrition the baby needs to develop and grow. As a general guide, pregnant mothers need to eat a healthy diet, high in nutrients and low in sugar, salt, and saturated fats with an extra total of about 300 calories for the additional energy expenditure and nutritional needs. Fresh fruits, healthy fats such as avocado and salmon, free range and pasture fed meats, fresh vegetables such as leafy greens, and other folate and vitamin boosting foods such as malt barley, conveniently packaged in malt beverages such as ULTIMALT. The Consumption of Alcohol During Pregnancy & Breastfeeding Sadly, South Africa has the highest prevalence of Foetal Alcohol Spectrum Disorder (FASD) than anywhere else in the world with 111.1 instances per 1 000 children (the global average is 7.7) which is a result of expecting mothers consuming alcohol. Alcohol crosses the blood barrier and travels into the unborn foetus wreaking havoc of stillbirth, miscarriage or a range of disabilities that are classified under the term FASD. Lactating mothers are further adversely affected by consuming alcohol which is absorbed from their blood into their breastmilk. Consuming alcohol while breastfeeding can lead to several ill effects such as: Impaired milk production in the mother Disturbed milk ejection reflex in the mother Sleep disturbances for baby Increased crying for baby Increased startling for baby Decreased milk intake by baby Decreased weight gain by baby However, consuming a malt beverage such as ULTIMALT delivers a nutritious punch of vitamins, proteins, and other components, without any of the disadvantages – for both pregnant and breastfeeding mothers. Breastfeeding is the ultimate milk for a baby as it supplies all the necessary nutrients for optimum infant health in the proper proportions. It protects against allergies, sickness, and obesity. It protects against diseases such as cancer, and even against infections, like ear infections. Of course, many mothers are not able to breastfeed for a variety of health or personal reasons, however if naturally able to breastfeed, breastmilk is the safest and healthiest food for the first six months of life for all children everywhere. ULTIMALT is brewed using an authentic African recipe, with the most advanced western brewing processes. The result is a tastier, healthier & lighter malt drink. Tastier as an authentic and exclusive African recipe is used, unlike other sugary drinks that can leave an aftertaste in the mouth. Lighter as no refined sugar is added in the brewing process. Healthier as it contains natural sugar from barley and fructose from fruit.

December 1, 2022

Choosing a medical aid

It’s the time of year when medical schemes announce revised contributions, benefits and enhancements for the year ahead. With all the options it can be a little confusing, which is why you need to be smart by doing due diligence to ensure you choose a medical aid that provides the cover you need and is affordable. It’s also important to look at how you can manage your medical expenses to make your healthcare benefits last. ‘There are 17 open medical schemes in South Africa, each with their own set of plans and benefits,’ explains Lee Callakoppen, Principal Officer of Bonitas Medical Fund. ‘It can be a little overwhelming trying to decide what is best which is why we advise consulting a medical aid broker or financial advisor.’ Brokers are accredited by the Council of Medical Schemes (CMS) and are qualified to offer advice and support at no extra charge. Together you can work your way through the different options, ahead of choosing a medical aid plan. Brokers also know the financial stability of the schemes, which should be a consideration in the final decision. A starting point, with or without a broker, is to compare what is available. Most medical schemes offer a range of healthcare options – from traditional medical aids through to hospital, savings, network or income-based plans that can make private healthcare more affordable. So, what should you consider? Affordability is key Take a careful look at your monthly budget to determine what you can afford. The rule of thumb is that contributions should not exceed 10% of your monthly income. However you also need to take a look what the plan you’re considering offers and whether there are additional costs, such as co-payments. A medical aid co-payment is a fee that the member is liable for when making use of certain medical services. These co-payments usually apply to specialist or elective medical procedures and differ from one medical aid scheme to another. Your health status Assess your current health status and that of your family so that you can determine what cover you need. Specifically, consider pre-existing conditions or ailments, together with any chronic medication or treatment that you or your family make use of as well as how often you visit a doctor or specialist and what you spend on dentistry or optometry. Then reflect on what expenses over the past year were once-off (like childbirth) and which are likely to come up time and again – such as flu. This will help you decide on whether you need a comprehensive medical aid or a hospital plan. The fine print It’s important to take the time to read all the information. Benefits vary from plan to plan, so you need to establish what is and isn’t covered. Check what supplementary benefits are available that can potentially save significant day-to-day expenses. These could include preventative care benefits, ranging from basic screenings for blood pressure, cholesterol, blood sugar and Body Mass Index (BMI) measurements through to mammograms, pap smears and prostate testing. In some cases, these extend to maternity programs, dental check-ups, flu vaccinations and more. Once you understand what is on offer, you can make an informed comparison and decision. Managed Care Managed Care programmes help members manage severe chronic conditions such as cancer, diabetes and HIV/AIDS. Ask whether the scheme you are considering has a managed care programme. Medical savings A medical scheme allocates an annual fixed amount for medical savings – you need to know what this allocation is and whether you feel it will be adequate for your needs. Daily detail Look at what the scheme suggests will help make your benefits last, bearing in mind the following: Are you required to use a specific GP, hospital network or Designated Service Providers (DSPs)? Although this helps keep costs down, you need to check the network in your area before making a final decision Having to be referred to a specialist by your GP? Does your medical plan offer additional GP consultations, which they will pay for, after you have exhausted your day-to-day benefits? Technology Technology and virtual care are being embraced by medical schemes, even more so since the Covid-19 pandemic. Check what is offered on the plan you’re considering and also whether you’re able to access your benefits, submit claims, find healthcare providers, WA chat and access your medical information online 24/7. Age will impact your decision If you have young children, ensure that the medical aid option you select provides sufficient child illness benefits. For young couples looking to start a family: Does the option provide sufficient maternity benefits? However, if you are slightly older, ensure you select an option that covers chronic conditions and provides sufficient in-hospital cover in the event of hospitalisation. Waiting period and exclusions The Medical Schemes Act and the specific scheme’s rules determine this. Callakoppen recommends that you enquire with the relevant scheme about their exclusion list and waiting periods. Financial stability of the scheme With two medical schemes recently being placed under curatorship, it’s important to choose a medical scheme with a solid track record and reputation. Check the claims payment record … do they pay on time? Equally important is the demographics and size of the scheme. Has the membership of the scheme grown over the past few years and what is the general age? And finally, take a look at the annual contribution increase, in fact a good idea is to look at the increases over the past three to five years to see how these compare with the rest of the industry. ‘Health is the new wealth,’ says Callakoppen. ‘Your health is important, as are your finances, don’t take either for granted. When it comes to healthcare cover, invest time to research and understand what you need. If in doubt, phone the call centre, your broker or financial advisor to ensure you find the right medical scheme to walk the healthcare path with you.’

November 23, 2022

The impact of social media on our mental health

‘Like’ it or not, social media can cause anxiety, depression, and other health challenges. Affinity Health, a leading provider of high-quality healthcare, discusses the link between social media and mental health. People frequently turn to social media to gain positive feedback to increase their self-esteem and experience a feeling of belonging in their social circles. For some people, social networking is a terrific way to improve their mental health. For others, the opposite rings true. “Because social media can have both benefits and drawbacks, it’s critical to understand how it impacts you and your mental health,” says Murray Hewlett, CEO of Affinity Health. Why social media can be detrimental to mental health It Can Be Addictive There is evidence that social media addiction exists. Social media addiction is a behavioural addiction defined by an excessive preoccupation with social media. An uncontrolled want to log on to or use social media and invest so much time and effort in social media that it interferes with other vital aspects of life. Like substance use disorders, addictive social media use may result in mood and behaviour changes and withdrawal symptoms. It Can Trigger Depression The greater our use of social media, the less content we appear to be. Research has discovered a correlation between Facebook use and decreased happiness and life satisfaction. The more participants use Facebook daily, the more these two measures reduce. Comparisons Can Be Psychologically Harmful As we scan through our feeds, we fall into the trap of comparing ourselves to others and passing judgement on how we measure up. One study examined how we compare ourselves to others in “upward” or “downward” ways, i.e., whether we feel better or worse off than our friends. In the realm of social networks, it appears that most feel they don’t measure up after spending excessive periods on social media. It Can Spark Jealousy It’s no secret that the comparison factor in social media promotes jealousy; most people will admit that seeing other people’s exotic vacations and well-behaved children makes them envious. Research has shown that using social media causes feelings of envy and resentment. It Can Cause A Negative Cycle Part of the unhealthy loop is that we return to social media even though it does not make us feel excellent. This is likely due to what is known as a “forecasting error”. Like a drug, we believe getting a fix will help, but it makes us feel worse due to our inability to predict our responses accurately. One study compared how individuals feel after using Facebook to anticipate feelings beforehand. The individuals in this study almost invariably felt worse after using Facebook than those who engaged in other activities. However, a subsequent investigation revealed that people generally assumed they would feel better, not worse, after scrolling through social media feeds. It Can Create Social Withdrawal Having more social media friends does not necessarily indicate a better social life. Obtaining genuine social support is essential, as loneliness is associated with various physical and mental health issues. Time spent with virtual friends is not as beneficial as time spent with real ones. “Of course, this does not imply that social media has no benefits. However, if social media negatively impacts your mental health, you should consider taking a break,” Hewlett adds. “Everyone is unique, and there is no set amount of time spent on social media, the frequency you check for updates, or the number of posts you make that indicates your use is becoming unhealthy. Instead, it is about the influence of social media on your mood and other elements of your life.” Warning signs your online habits are unhealthy Keep these warning indicators in mind as you consider if you should investigate how social media affects your mental health. You don’t make time for self-care. You devote more time to social media than to friends and family. After being online, your feelings of despair or anxiety worsen. You frequently compare yourself to others and are envious of their posts. You are preoccupied with social media and neglect your interests or hobbies. You constantly have to check social media. Here’s how to keep your mental health safe when using social media Use these four suggestions from Affinity Health to strike a good balance between social media and mental health. Reduce your time on social media: If you believe that social media has a detrimental impact on your mental health, limit your time. Set screen time limitations or make a timetable for when you will check social media. Don’t use social media to start or end your day: Rather than starting or finishing your day on a potentially unpleasant note, replace it with things you enjoy. According to a 2018 study, persons who check Facebook at night are more likely to be dissatisfied or depressed. Consider why you’re signing on: Knowing your reasons for using social media will assist you in shifting your emphasis away from social media and toward other things, such as exercising or starting a new hobby. Spend time with friends and family: While social media platforms can be a source of connection, they can also lead to feelings of loneliness if you aren’t getting what you anticipate from the community. Face-to-face contact and quality time are not substitutes for social media. Making time to spend with friends and family can assist in combating this.

November 16, 2022

Finding Purpose in the Pain

Axial Spondyloarthritis affects around 60 million people worldwide. We estimate around 160 000 people in South Africa may have it. If you are younger 45 years, and you have back pain that lasts for more than 3 months that is not mechanical, and feels better with excercize, you could have AxSpA and you do not even know it. Ankylosing spondylitis, now frequently referred to as spondyloarthritis (SpA), is a chronic inflammatory disease causing axial arthritis and inflammatory lower back pain resulting in the eventual impairment of spinal mobility. Moreover, its systemic complications include stiffness and inflexibility, restriction of lung capacity and function, eye inflammation, compression spinal fractures, and heart problems. Hence, early diagnosis and intervention play a key role in preventing acute complications and improving the quality of life. It’s a painful, progressive form of inflammatory arthritis. It mainly affects the spine but can also affect other joints, tendons and ligaments. Other areas such as the eyes and bowel can also sometimes be involved. Inflammation occurs at the site where ligaments or tendons attach to the bone. This is known as enthesis The inflammation is followed by some wearing away of the bone at the site of the attachment. This is known as enthesopathy As the inflammation reduces, healing takes place and new bone develops. Movement becomes restricted when bone replaces the elastic tissue of ligaments or tendons Repetition of this inflammatory process leads to further bone formation and the individual bones which make up your backbone (vertebrae) can fuse together AxSpa places a huge physical impact and psychological stress on patients which can disrupt every aspect of their life and its quality including mobility, sleep, work and relationships. It is a poorly understood disease that causes patients to worry for their future. Here is Matthew’s story Mathew Fah was just seven years old when he developed persistent pain in his ankle. And the pain never went away. After a host of blood tests, X-rays and doctors’ visits, the little boy whose knee was also painful, was finally diagnosed with Juvenile Rheumatoid Arthritis (JRA). The prognosis couldn’t have been worse. His parents were told that their son would be wheelchair-bound by the time he turned 16. “Being so young, I did not really understand this, but it was a huge stress for my parents.” Matthew’s diagnosis meant that he couldn’t participate in many sports, play with his friends or live a normal life. “I had to take a handful of pills every day, the worst of course, Cortisone.” His diet also changed drastically. Fast forward a few years. While the pain and flares began to decrease, they didn’t go away entirely. During his high school years, the pain flares had decreased to about once a year. But his constant was persistent back and neck pain. “Going to the doctors was now second nature, but my back and neck pain was never linked to any auto immune condition.” Regular visits to the physiotherapist helped. He was 16 years old when his GP told him the wonderful news that he was in remission. A delighted Matthew was able to join his friends and play the sports he loved. As the years advanced, he learned to live with back pain, but then he began to experience pain in his hips and ribs. “The pain was so bad that I was unable to walk or breathe. I feared each time I had to sneeze, cough or do any sudden movements.” After many tears and sleepless nights, Matthew feared that it was something related to his diagnosis as a child, but he was too scared to do anything about it. “The thought of living my life like I had done as a child persuaded me to not seek any medical help.” Cortisone injections for pain became his normal, as did visits to the physiotherapist and chiropractor. It was on Christmas morning in 2013. when he woke up with a burning pain in my big toe. “Initially, I thought I had been bitten by a spider. It was red, swollen, and sore to the touch.” His girlfriend insisted that he see a doctor. At the age of 27, he was diagnosed with gout. He searched for remedies on Google, but the pain never subsided.” So it was back to the doctor again. “My GP had treated me all my life. He knew my history with JRA and had diagnosed me with Rheumatoid Arthritis. I was just not happy with this diagnosis.” Matthew decided to get a second opinion. While his blood tests didn’t show any rheumatoid factor, the Gout diagnosis was confirmed despite normal uric acid levels. The pain became steadily worse. It moved from his toe into the arch of his foot, heel, knee, hands and fingers. “I could hardly walk or hold anything in my hands. Not so great for a Personal Trainer.” At this point, he was diagnosed with Sero-negative Rheumatoid Arthritis: All the symptoms of Rheumatoid Arthritis, but just no blood markers. Then a good friend of mine recommended that he consult with a Rheumatologist. It took Matthew a month to get an appointment. The Rheumatologist took the time to listen, perform her assessments and study Matthew’s extensive medical history. “Then she sat me down. With certainty, she said she was almost 100% sure that I had Ankylosing Spondylitis.” Matthew went for all the previous blood tests, but this time, the test included the HLA-B27 gene. X-rays on his back, neck and hips followed which showed no fusion of his neck or back, but there was some fusing in his Sacroiliac joints. The HLA-B27 came back positive. Diagnosis: Ankylosing Spondylitis. “The nice thing about my Rheumatologist is that she is very careful with her prescription of medication. She did not want to rush straight to biologicals, but rather start with methotrexate and NSAIDS.” It took Matthew a couple of months to find the right dose, as well as an NSAID that worked. He was put on Salazapyrin at a later stage. “Medication is

November 15, 2022

Intermittent fasting and pregnancy, is it dangerous?

Your baby’s health during your pregnancy solely depends on you – what and when you consume is important to both of you. Intermittent fasting is a diet that many turn to to lose weight and improve health. This is a time restricted form of fasting and you may wonder if it’s healthy to keep up this kind of eating while trying to get pregnant or when you are pregnant. Is it safe to fast while I am pregnant? Fasting during your pregnancy is not recommended. While there is research that shows this may be a good way to help with weight loss and potentially reduce the risk of type 2 diabetes, this is not ideal when your body needs more calories than normal. While pregnant your nutritional focus should be to make sure that your baby is getting all the right vitamins and minerals. While in the initial stages of pregnancy you might not need more calories than normal, as your pregnancy progresses you will need to eat more – making fasting a less viable option. However, if you are struggling with morning sickness (most prevalent in the first trimester), you’ll find that eating bland foods little and often can help ease the nausea, which isn’t compatible with fasting for hours at a time. Not only will snacking help keep the nausea at bay, but it’ll also keep your blood sugar stable. While there aren’t studies that look at intermittent fasting throughout pregnancy, it has been found that moms-to-be with lower glucose levels had lower fetal movement, which can be a warning sign of potential issues during your pregnancy. Can I start intermittent fasting straight after birth? If you’ve decided to eat regularly during your pregnancy, you may wonder if you can return to your old lifestyle after having your baby. However, while you are breastfeeding it’s best to stick to a regular eating schedule. Even after birth your body will be needing extra calories for breastfeeding – restricting these can lead to reduced milk supply

November 9, 2022

Introducing the Top 3 African Superfoods to Boost Gut Health & Everyday Vitality – Baobab / Moringa / Hibiscus

Baobab fruit powder is an astonishingly nutrient-rich super food providing vitamins, minerals, antioxidants, and dietary fibre and is traditionally eaten throughout Africa to boost a range of health benefits. Baobab powder is a nutrient-dense pulp that is extracted from baobab fruit. When the fruit are ripe the pulp inside the fruit dries out naturally, concentrating all the nutrients into a naturally formed powder. One of baobab’s greatest gifts is that it is one of the richest plant-based sources of calcium known, containing almost four times the amount of calcium in milk, making it an excellent source of calcium for everyone, but especially children, vegans, pregnant and post-menopausal women. Did you know? It can take a baobab tree up to 200 years before it produces its first hard, green-brown velvety pod-shaped fruit? Baobab powder, extracted from the dried fruit pulp contains: 1# Six times as much potassium as a banana which assists in regulating blood pH, blood pressure, and conducting nerve impulse. 2# The highest vitamin C content of any fruit, offering four times more than an orange. It also has one of the highest antioxidant ratings. 3# Is an excellent source of magnesium containing twice as much magnesium as dark leafy greens. 4# Is an exceptionally rich source of bioavailable iron. ENERGY & VITALITY BaoActive Super blend Baobab Moringa 80g pouch R72.00 / 300g R198 High in vitamins C, E, K, B3 & B6, potassium, calcium and magnesium, protein, and soluble dietary fibres. Baobab powder is combined with Moringa powder in a 75:25 ratio to provide strong immunity-building functions to protect the body from the toxic effects of stress and provides important level of vitamin C as an antioxidant boost against infections. This powerful combination of vitamins and minerals works to: 1# combat tiredness and fatigue 2# promotes muscle growth and strong bones 3# memory enhancement and cognitive health 4# keeping you energised, sharp and focused Its dietary fibre provides roughage and stimulates the growth of intestinal microflora, as well as calcium which supports the function of digestive enzymes. By reducing acidity in the gastric environment, the Baobab Moringa Super blend acts as an anti-ulcer agent. Pale, creamy green in colour and with a refreshing sweet-sour and green-leaf flavour, Baobab Moringa is a super food you can add to smoothies, power shots, lattes and yoghurt and combine with other delicious ingredients like coconut water, almonds and frozen banana, for a creamy delicious boost to your day in minutes. TRY THIS RECIPE: Green Moringa Smoothie POWERFUL ANTIOXIDANT BaoActive 100% PURE Hibiscus Powder 80g R98.00 High in vitamins B3 and B6 Polyphenols and flavonoids and antioxidants. This Hibiscus Superfood is made from the trumpet-shaped flowers of the Hibiscus Sabdariffa plant and is known to: 1# reduce hypertension 2# lower cholesterol 3# prevent fat accumulation 4# lower blood pressure. With a deep pink, fuchsia colour and a refreshing, tangy raspberry flavour, mix a teaspoon to water, hot and cold teas with honey to taste, smoothies, yoghurts, ice-cream, desserts, and other healthy recipes, such as the unique TRY THIS RECIPE: Quinoa & Hibiscus Soup perfectly soothing and satisfying at the end of a long day. IMMUNITY & GUT HEALTH BaoActive 100% PURE Baobab capsules (120) R164.00 are a daily supplement high in vitamin C and are excellent source of plant-based calcium. Each capsule contains magnesium, potassium, and iron as well as elevated levels of dietary fibre providing a prebiotic effect helping to: 1# stabilize blood sugar levels 2# boost satiety and weight loss 3# boost natural vitality BaoActive products are naturally gluten free, Vegan friendly and made for raw and plant-based diets with each ingredient certified organic, Halaal and Kosher. Available for online purchase at BaoActive and Wellness Warehouse.

November 7, 2022

Can You Drink Alcohol When You Have High Cholesterol?

Affinity Health is a leading provider of high-quality health cover. Here are their views on binge drinking for people living with high cholesterol. A glass or two of red wine daily can lessen the chance of developing heart disease. Alcohol has some heart-healthy properties. But before you raise a glass and toast to your heart, you should be aware of the dangers of alcohol. Can Alcohol Raise Cholesterol Levels? First, the good news! Moderate drinkers have lower incidences of cardiovascular disease. They may even live longer than abstainers. Additionally, alcohol may reduce the risks of blood clots. Alcohol can also reduce inflammation. Red wine may be beneficial for reducing the risk of heart disease and death. It includes higher levels of natural plant compounds, such as resveratrol. This is a compound with antioxidant characteristics and may protect artery walls. What Are The Dangers Of Consuming Too Much Alcohol? Now, the bad news! Light to moderate alcohol intake may be beneficial to your heart health. But excessive alcohol consumption increases the risk of: Heart disease and stroke. Blood pressure. Obesity. Triglyceride levels in the blood. Additionally, excessive alcohol consumption can result in: Cardiac muscle damage (cardiomyopathy). Irregular heart rhythm (arrhythmia). Stroke. Heavy alcohol consumption may render the heart too weak to pump effectively. That is a condition known as congestive heart failure. Learn More: The Effects of Alcohol on the Brain All You Need To Know About Cholesterol You may know that cholesterol is dangerous to your health. But your body needs cholesterol to execute essential functions. Examples include producing hormones and constructing cells. Cholesterol circulates through the blood on two lipoproteins: HDL high-density lipoproteins That is the good cholesterol that can reduce the risk of heart disease and stroke. LDL low-density lipoproteins That is the bad cholesterol that can increase the risk of heart disease and stroke. Excessive LDL cholesterol can accumulate in your blood vessel walls. That accumulation is known as plaque. As your blood vessels accumulate plaque over time, their interiors become constricted. That constriction can eventually obstruct blood flow to and from vital organs. Blood flow obstruction may cause angina or a heart attack. “Your body requires cholesterol for proper functioning. But too much cholesterol can lead to health problems. That includes an increased risk of heart disease. So, maintaining a healthy cholesterol level is essential,” says Murray Hewlett, CEO of Affinity Health. Affinity Health does not recommend that you start drinking alcohol to lower your cholesterol or improve circulation due to the dangers of alcohol consumption. Instead, Affinity Health recommends: Controlling your weight. Consuming a balanced diet. Exercising regularly to maintain appropriate cholesterol levels. “If you do plan to drink, consult with your doctor first. Drink in moderation (one glass of wine or beer a day for women, two for men),” adds Hewlett. Does It Matter How Often And How Much You Drink? Many variables influence the effects of alcohol on health, including cholesterol levels. It is important to remember that alcohol affects individuals differently. For instance, women are more vulnerable to the effects of alcohol. That is because they have lower quantities of the alcohol-degrading enzyme dehydrogenase. So, women cannot metabolise alcohol at the same pace as men. They absorb more alcohol into their bloodstream. That is why alcohol consumption recommendations vary by gender. Current recommendations for moderate alcohol consumption are one drink or fewer per day for women and two drinks or less per day for men. When Should You Consult A Physician? A healthcare expert can analyse your cholesterol levels and potential heart disease risk factors. They can determine whether they are within a healthy range. “Light to moderate alcohol consumption is unlikely to worsen cholesterol levels. But heavy alcohol consumption is dangerous. If you are concerned that your drinking is negatively impacting your health, you should visit a medical expert,” concludes Hewlett. Learn More: What is Alcohol Use Disorder?

November 3, 2022

NutriPure Vitamin Gummies – A chewy and tasty vitamin for everyone

Fruits and vegetables are powerhouses of concentrated micronutrients. Most people today are familiar with the fact that professionals recommend consuming at least five servings of vegetables or fruits per day. It is important that we recognize that dietary supplements cannot replace any balanced diet but can support and help maintain good health and general well-being. Today, more people need food supplements to support their diets and to keep their bodies in good working order. Nutripure has recognised the fact that many people don’t enjoy taking pills, so NutriPure has created delicious gummies for individuals to bridge the gap in nutrition. With NutriPure chewable gummies for adults and kids, your whole family can now enjoy taking vitamins conveniently with no pain associated with swallowing tablets or capsules. NutriPure gummies are specially formulated for adults and kids with natural pectin. NutriPure gummies help to unlock energy, support immunity, maintain overall health, and enable you to enjoy the goodness your body requires to thrive – all with just one gummy vitamin per day. NutriPure contains no added preservatives, no artificial flavours or colourants, is free of dairy, wheat, nuts, and eggs, and has no sugar coating. Kids variants are suggested for 3+ years. NutriPure for Adults NutriPure Vitamin D3 (From R 134.95) helps maintain strong bones and teeth plus is excellent for the immune system and is known to aid in the fight against viruses. Vitamin D contributes to: The normal function of the immune system The maintenance of normal bones and teeth The maintenance of normal muscle function Normal absorption/utilization of calcium and phosphorus NutriPure Apple Cider Vinegar (From R159.95) gummies contain apple cider vinegar, enriched with Vitamin C and B6. Vitamin B6 contributes to normal energy-yielding metabolism and the reduction of tiredness and fatigue. Vitamin C and B6 contribute to the normal function of the immune system. Nutritional highlights: With 500mg of Apple Cider Vinegar per serving for immune support and metabolism Vitamin C for immune health Vitamin B6 for energy-yielding metabolism Vitamin C & B6 to reduce tiredness & fatigue NutriPure Immune Support (From R134.95) has been carefully formulated with 6 essential vitamins and minerals: Vitamin C, Vitamin D, Vitamin B6, Vitamin B12, Zinc, and Selenium which all contribute to the maintenance of good health. Each NutriPure Multivitamin (From R134.95) contains a balanced dosage of 12 essential vitamins and minerals: Vitamin D, B6, B12, C, biotin, pantothenic acid, and niacin help to metabolize carbohydrates, fats, and proteins and are factors in the maintenance of good health. NutriPure for Kids NutriPure Vitamin C 60s/120s (From R 109.95) contributes to the immune system by helping to boost immunity. Vitamin C also contributes to the normal functioning of the nervous system and can reduce fatigue and exhaustion. Nutripure gummies contain 80mg of vitamin C. At any age, a balanced gut is highly important in keeping the body in healthy working order. NutriPure Probiotics (From R 164,95) is formulated with Bifidobacterium infantis & Lactobacillus rhamnosus, two scientifically tested bacteria strains. Each Nutripure gummy contains 1 billion live cultures to help your child boost their daily culture intake. Ideal to use everyday Important to take when children are on antibiotics NutriPure Immune Support + (From R 109.95) contains a unique blend of 6 essential vitamins and minerals that all contribute to the normal function of the immune system. Vitamin C, B6, and B12 help to metabolize carbohydrates, fats, and proteins and are factors in the maintenance of good health. NutriPure Vitamin D (From R109.95) helps maintain strong bones and teeth plus is excellent for the immune system and is known to aid in the fight against viruses. Vitamin D contributes to: The normal function of the immune system The maintenance of normal bones and teeth The maintenance of normal muscle function Normal absorption/utilization of calcium and phosphorus NutriPure Multivitamin (From R109.95) contributes to the function of children’s immune systems and the function of many other systems in the body. Each NutriPure Multivitamin complete contains 11 essential vitamins & minerals: vitamin D, B6, B12, C, biotin, pantothenic acid, and niacin help to metabolize carbohydrates, fats, and proteins and are factors in the maintenance of good health. Nutripure can be found at Dis-Chem, Clicks, Takealot, and other major retailers. For more information go to http://nutripure.co.za/

November 2, 2022

What is the Link Between Smoking and Heart Disease?

Affinity Health, a leading provider of high-quality health cover, discusses how smoking affects circulation this Heart Awareness Month. Cardiovascular disease (CVD) includes heart disease and strokes. It is the primary cause of disability and death worldwide. It accounts for 31% of all deaths, or 17 million deaths annually. Previously, more than half of deaths due to CVD occur before age 65. By 2030, premature deaths due to CVD among adults of working age (35-64 years) may increase by 41%. The statistics supplied by The Heart And Stroke Foundation for SA are also grim. CVD kills more South Africans than all the cancers combined. It causes about one in six deaths in South Africa (17.3%). Every day, 215 individuals die from heart disease or strokes. “The risk of CVD increases with the number of cigarettes smoked. Even if the duration of smoking is minimal, smoking less than five cigarettes per day may cause early signs of CVD,” says Murray Hewlett, CEO of Affinity Health. Murray, who obtained his MBA from Charles Sturt University in 2008, encourages healthy living. He continues to say that cigarettes with less tar or nicotine don’t lessen the risk of CVD. But non-smokers exposed to second-hand smoke are at a higher risk of developing CVD. How Smoking Harms the Cardiovascular System When you breathe, your lungs absorb oxygen and transport it to your heart. Your heart pumps oxygen-rich blood throughout your body’s arteries. But when you inhale smoke, the blood transported throughout the body becomes tainted. It carries the toxins from the smoke. At this stage, your blood has more than 7 000 chemical compounds in cigarette smoke. That can interfere with vital processes that maintain normal function. That blocks your heart and blood vessels, leading to CVD. Smoking is also a known cause of abdominal aorta damage, which may cause a life-threatening aneurysm. Quitting Smoking Cuts CVD Risks Even though we do not know which smokers will develop CVD due to smoking, quitting is best for their hearts. Quitters instantly begin to enhance heart health and minimise the risk for CVD. Within one day of quitting smoking, the following occurs: Your heart rate slows down. Your blood pressure stabilises. Carbon monoxide levels decrease. Oxygen can reach your heart and other organs faster. Within two to three months, this is what happens in the body: Your senses of smell and taste improve. Your lungs start to regain the capacity to clean themselves. You can cough up mucus, which keeps your airways clean. Blood flow to your hands and feet improves. Within one year: Your lungs are healthier. You can breathe easier. Within two to six years: Your heart attack or stroke risk drops. Severe health risks continue to decrease over time. Learn More: Can Quitting Smoking Reverse Diabetes? Where to Get Help Around 20% of South Africa’s adult population (age 15+) smokes cigarettes. And a 2012 survey found that about 5% of the adult population used other tobacco products. While quitting smoking is difficult, it is achievable. The most effective way to stop smoking is with a combination of: Support (from your GP, pharmacist, family and friends). Stop-smoking medicines such as nicotine replacement therapy. “Speak to your healthcare provider about nicotine replacement therapy (NRT). It may be safer for quitting smoking by supplying regulated doses of nicotine without the harmful compounds found in cigarette smoke,” concludes Murray. Learn More: Can You Afford the Health Risks of Smoking?

October 31, 2022

WHAT IS THE BIGGEST CAUSE OF CERVICAL CANCER?

“Long-lasting human papillomavirus (HPV) may lead to cervical cancer,” says Affinity Health. Cervical cancer affects the cells of the cervix. The lower part of the uterus links to the vagina. Human papillomavirus (HPV) is a sexually transmitted infection. It contributes to most cervical cancer cases. Cancer of the cervix starts when healthy cells in the cervix undergo DNA alterations. The mutations cause the cells to grow out of control and increase without dying. The aberrant cells accumulate to form a bulk (tumour). Cancer cells can invade neighbouring tissues. They break off from a tumour to metastasise (spread) to other body parts. “It is unclear what causes cervical cancer. But HPV is a factor,” says Murray Hewlett, CEO of Affinity Health. “Often, when exposed to HPV, the immune system stops the virus from causing harm. But in a tiny number of individuals, the virus lives for years. It contributes to the transformation of some cervical cells into cancerous cells. It’s important to note that not all women infected with HPV get cervical cancer. That means that lifestyle factors may influence if you will get cervical cancer.” What are the Symptoms of Cervical Cancer? Often, early-stage cervical cancer generates no symptoms. Included among the signs and symptoms of advanced cervical cancer are: Bleeding after sexual activity, between cycles, or after menopause. Bloody, watery vaginal discharge that may be thick and odorous. Pelvic pain or pain during sexual activity. Make an appointment with your doctor if you experience any concerns. Variations of Cervical Cancer The type of cervical cancer determines your prognosis and course of therapy. Principal kinds of cervical cancer include: Squamous cell carcinoma: This cancer begins in the thin, flat cells that border the cervix. They can expand into the vagina. Most cervical malignancies are squamous cell carcinomas. Adenocarcinoma: This cervical cancer develops in the glands lining the cervical canal. Both types of cells are sometimes involved in cervical cancer. Rarely, cancer may occur in other cervix cells. What Increases the Risk of Cervical Cancer? Among the risk factors for cervical cancer are: Many sexual partners: The more sexual partners you have, the higher your likelihood of contracting HPV. Early sexual activity: Early sexual activity raises the chance of contracting HPV. Other sexually transmitted diseases (STIs): Other sexually transmitted infections increase the chances of HPV. These include: Chlamydia Gonorrhoea Syphilis HIV/AIDS A compromised immune system: If another condition impairs your immune system and you have HPV, your risk of developing cervical cancer may be increased. Smoking: Cigarette smoking is linked to squamous cell cervical cancer. How to Minimise your Cervical Cancer Risk Consult your physician about the HPV vaccine: Vaccination against HPV infection may lessen the risk of cervical cancer and other malignancies. Ask your physician if an HPV vaccine is suitable for you. Perform regular Pap testing: Pap tests can reveal precancerous cervix disorders. That can be monitored or treated to prevent cervical cancer. Most medical organisations recommend initiating Pap tests at age 21, to be repeated every few years. Learn More: 9 Essential Health Screenings for All Women Practice safe sex: Reduce your chance of developing cervical cancer by using a condom every time you engage in sexual activity. Also, limit the number of sexual partners you have. Don’t smoke: If you are a smoker, consult your physician about quitting methods. How Does Early Detection of Cervical Cancer Increase the Chances of Successful Treatment? Early detection is key to a positive outcome in cervical cancer cases. Learn More: Why It Is Important to Detect Cervical Cancer Early? Affinity Health members have access to: 24/7 Telehealth Consultations with a Nurse, Doctor or Mental health Practitioner. Qualified Primary Healthcare Professionals at the Medical Society Centres. Preventative screening, lifestyle advice and more! For more information, click here.

October 28, 2022

What Are The Various Types Of Childhood Cancer?

According to Affinity Health, awareness of cancer in children is crucial. Between 800 and 1000 South African children are diagnosed with cancer each year. Sadly, childhood cancer survival rates in South Africa remain low. That is in comparison to international statistics. Many cases are detected too late when cancer has already reached an advanced stage. That reduces the likelihood of successful treatment. Did you know? September was International Childhood Cancer Awareness Month! In this light, Affinity Health is raising awareness about childhood cancers. What are the Childhood Cancer Survival Rates in SA? Many childhood cancers are treatable. High success rates range from 70% to 80% in countries with ample resources. In contrast, approximately 80% of children with cancer in Africa die. That is because they live without access to adequate care. Although South Africa has an established oncology healthcare service, the infrastructure is overburdened. Cancer knowledge in primary healthcare services is low. There are widespread service delivery issues. The overall South African survival rate for childhood cancer is 52.1%. Childhood Versus Adult Cancer Cancer can attack any body part and affects people of all ages. It begins with a genetic mutation in a single cell. That subsequently multiplies into a mass (or tumour) that spreads throughout the body. It is fatal if left untreated. In contrast to adult cancer, most malignancies in children have no identified cause. Many studies have attempted to determine the causes of juvenile cancer. But only minimal cases signal environmental or lifestyle issues. “There is a significant difference between paediatric malignancies and adult cancers. That is due to children being prone to growth spurts within a short period. Thus, cancer grows quicker and more aggressively. Treatment or guidance may be effective for adults. But it may not be effective for children,” says Murray Hewlett, CEO of Affinity Health. Hewlett is also a director of many for-profit and non-profit organisations. “Most childhood cancers occur in growing cells. That includes bone marrow, blood, kidneys, and nervous system.” The five most prevalent childhood malignancies in South Africa from 2009 to 2013 were: Acute Lymphoblastic Leukaemia Brain and spinal cord malignancies Nephroblastoma Wilms’ tumour Lymphoma Other types of childhood cancer are uncommon, but they occur occasionally. Children may rarely get cancers such as: Rhabdomyosarcoma Retinoblastoma Bone cancer (including osteosarcoma and Ewing sarcoma) What are the Top Five Cancers in Children? Leukaemia Leukaemia is a cancer of the blood and bone marrow and is the most prevalent type of childhood cancer. It accounts for around 28% of all childhood malignancies. Acute Lymphocytic Leukaemia (ALL) and Acute Myeloid Leukaemia (AML) are the most prevalent forms among children. Learn More: Why Children Get Leukaemia Symptoms associated with ALL and AML include: Bone and joint pain Fatigue Weakness Pale complexion Unexplainable bleeding or bruising Fever Rapid weight loss Both ALL and AML can progress rapidly. Thus, they must be treated (usually with chemotherapy) upon diagnosis. Brain and Spinal Cord Malignancies Brain and spinal cord tumours account for around 26% of all juvenile malignancies. That makes them the second most prevalent malignancy in children. There are many forms of brain and spinal cord tumours, and therapy and prognosis vary for each. The majority of childhood brain cancers begin in the cerebellum and brain stem. They may cause: Headaches Nausea Vomiting Blurred Double vision Vertigo Seizures Difficulty walking Tumours of the spinal cord are less prevalent than brain tumours in children and adults. Neuroblastoma Neuroblastoma begins in early types of nerve cells. These are in an embryo or foetus that is developing. Neuroblastomas constitute roughly 6% of childhood malignancies. This malignancy is in newborns and young children. It is uncommon in youngsters above the age of 10. The tumour can begin anywhere. But it typically starts in the abdomen, where it causes swelling. Additionally, it can cause symptoms such as bone pain and fever. Wilms’ Tumour Wilms’ tumour (also known as nephroblastoma) is a type of kidney cancer. It is most prevalent in children between three and four years old. It is uncommon in older children and adults. It can manifest as a bulge or lump in the abdomen. Occasionally, a child may exhibit other symptoms, such as: Fever Discomfort Nausea Poor appetite Wilms’ tumour makes up around 5% of childhood malignancies. Lymphomas Lymphomas start in the following regions: Immune system cells called lymphocytes Lymph nodes Lymph tissues, such as the tonsils or thymus Bone marrow Other organs Depending on where cancer originates, symptoms may include: Weight loss Fever Night / Day sweats Exhaustion Lumps beneath the skin in the neck, armpit, or groin area Hodgkin lymphoma (also known as Hodgkin’s disease) and non-Hodgkin lymphoma are the two primary kinds of lymphoma. Both forms are in both children and adults. Hodgkin lymphoma represents around 3% of childhood malignancies. But it is more prevalent in early adulthood (often in the 20s) and late adulthood (after age 55). Hodgkin lymphoma is uncommon in children under five years old. Non-Hodgkin lymphoma accounts for around 6% of childhood malignancies. It is more common in children under the age of three. These tumours frequently progress rapidly in children and need intensive treatment. But they also tend to react better to treatment than most adult non-Hodgkin lymphomas. Introducing Affinity Junior Early cancer detection is critical, particularly in the case of childhood cancers. So, Affinity Junior provides affordable healthcare for your children with cost-effective health coverage. The unique feature of the Affinity Junior plan is that the policy covers only your children. For more information on Affinity Junior, click here. Learn More: Top 10 Cancer Myths Debunked

October 26, 2022

Handling Childhood Illness Effectively

Most parents know that during the course of raising a child you will have to deal with different bouts of illness. Here is some information, from Bonitas Medical Fund, which should help you to manage common early childhood illnesses successfully.

October 24, 2022

IT’S TIME FOR ICE CREAM!

I scream, you scream, we all scream ICE CREAM! As the whole country heads into summer, the timing is perfect to learn to make your own ice cream. It is super easy and the whole family can get involved. Try this “Amasi and Cookies Ice Cream” recipe created by Reabetjoe Mokoko, the Cooking Dietitian. She uses amasi, cream, and condensed milk. No churning or ice cream maker required. This recipe has cookie crumbles in it, but you can replace those with fresh fruit (think berries, peaches, apples) or even caramel crumbles. Did you know that amasi (also called maas) is indigenous to South Africa and traditionally served with pap or drunk straight. It is very popular as an ingredient in a variety of dishes including scones, marinades, soups and now ice cream. Below is the “Amasi and Cookies Ice Cream” recipe or you can download the recipe card here: https://www.rediscoverdairy.co.za/recipe/wprm-amasi-and-cookies-ice-cream/ Ingredients 500 ml 2 cups amasi 500 ml 2 cups cream 250 ml (1 cup) condensed milk 5 ml (1 tsp) vanilla essence 1 cup sandwich chocolate cookies crushed Instructions Line a loaf tin with cling wrap and place in the freezer to chill. In a bowl whisk the vanilla essence and condensed milk together. Beat the cream to soft peak stage using an electric mixer. Add the condensed milk with the vanilla essence and the amasi to the whipped cream and continue to mix till everything has been well incorporated. Once the ice-cream mixture is well mixed remove from the mixture and fold in the crushed biscuits. Pour the mixture into the chilled loaf tin and place in the freezer for 3 – 4 hours or until the ice-cream has set. When set, turn out, slice or serve as needed. And if you are out and about buying ice cream for your family, remember to check the label to ensure you are buying real dairy ice cream. The ingredients listing should start with milk

October 24, 2022

How Does Foetal Alcohol Syndrome Affect Babies?

According to Affinity Health, a leading provider of high-quality health cover, South Africa has the highest prevalence of foetal alcohol spectrum disorder (FASD) globally. What is Foetal Alcohol Syndrome? FASD is a collection of physical, behavioural, and learning disorders that can arise in individuals exposed to alcohol during pregnancy. According to research, there is no safe amount of alcohol and no safe period to consume during pregnancy that will not result in FASD. Therefore, drinking any amount of alcohol during pregnancy poses a risk to the foetus. Globally, 1 in 13 births exposed to alcohol during pregnancy result in FASD, with a reported frequency of eight per 1 000 children and adolescents in the general population in 2017. The nationwide prevalence of FASD in South Africa ranges from 29 to 290 per 1 000 live births, the highest rate in the world. A recently published study assessed the frequency in the Western Cape Province to be between 196 and 276 children per 1 000, the highest prevalence among South African provinces. How Does Alcohol Consumption During Pregnancy Affect a Growing Baby? When alcohol enters the circulation of a pregnant woman, it is transported straight to the developing tissues of the foetus via the placental tissue that separates the mother’s and baby’s blood systems. That implies that when a pregnant woman consumes alcohol, so does the foetus. The alcohol is completely absorbed by the foetus and causes irreparable brain damage. This brain injury eventually leads to severe behavioural abnormalities. The adverse effects of alcohol can cause harm to the foetus at any time of pregnancy; they are not limited to a single stage. Learn More: The Importance of Early Monitoring During Pregnancy Signs and Symptoms of FASD in Babies Some children experience the symptoms of FASD to a far greater degree than others. The signs and symptoms of foetal alcohol syndrome may include any combination of physical deformities, intellectual or cognitive impairments, and difficulties with daily functioning and coping. Babies born with FASD may present with the following symptoms: Distinctive facial characteristics, including small eyes, an unusually thin upper lip, a short, upturned nose, and a smooth skin surface between the nose and the top lip Disfigurements of the joints, limbs, and fingers Low body weight Short height Sleep and sucking difficulties Small head size Vision or hearing problems Disorders of the heart, kidneys, and bones As a baby with FASD grows, they may exhibit the following symptoms: Poor coordination Hyperactive conduct Attentional difficulties Poor memory Academic challenges (especially with math) Learning disabilities Language and speech delays Mental retardation or a low IQ Poor reasoning and judgement skills If you suspect that your baby has FASD, consult your doctor immediately. Learning difficulties and behavioural disorders may be alleviated by early diagnosis. “Because early detection may lower the risk of long-term complications for children with foetal alcohol syndrome, inform your child’s doctor if you consumed alcohol during pregnancy. Do not wait until problems occur before getting assistance,” says Murray Hewlett, CEO of Affinity Health. Murray launched Affinity Health in 2011. His vision is to make South Africans healthier and enhance the quality of their lives. “If you have adopted or fostered a child, you may not know if the biological mother drank alcohol during pregnancy, and it may not occur to you that your child may have foetal alcohol syndrome. However, if your child has learning and behaviour issues, consult with their physician to determine the underlying cause.” Where to get help If you suspect your child may have FASD, speak to your family health care provider, who may refer your child to a specialist knowledgeable about FASDs, such as a developmental paediatrician, child psychologist, or clinical geneticist. There are clinics in some places whose personnel are specially trained to diagnose and treat children with FASDs. If you’re pregnant and battling sobriety, remember that recovery is in reach with the proper treatment and support. If you or someone you know needs assistance with alcoholism, speak with your healthcare physician for a list of experts within your area that can assist, or contact the following organisations for help: Alcoholics Anonymous: 021 418 0908 Al-Anon: 021 595 4517 SANCA: 021 945 4080 FASFacts: 023 342 7000 Narcotics Anonymous SA: 083 900 6962 Learn More: The Dangers of Binge Drinking

October 21, 2022

Bonitas Medical Fund: 2023 Product Launch round up

At a glance: 340 119 Principal members 709 881 Total beneficiaries 190 000 new members over the past 36 months Average age of beneficiary: 33.9 Average age of new members is 15 years younger than existing members R7.4 billion in reserves 36.5% solvency ratio AA Credit rating Plans Bonitas offers a wide range of plans that are simple and easy to understand. There are 15 options in five categories: Savings, traditional, hospital, Edge (virtual) and income-based. Increases A three-month price freeze will apply in 2023: From January to March contributions remain the same as 2022 The average increase, across all plans, is 5.9%. However, factoring in the three-month price freeze, the average increase drops to 4.8% Plan increases range from 0% to 9.4% BonStart has a 0% increase By applying very low contribution increases since December 2020, the Scheme has effectively passed R1.4 billion in savings back to members Nine plans are priced under R3 000 per main member’s monthly contribution The most popular plans, with newer members, include Primary, Primary Select, BonFit, BonEssential, BonEssential Select, BonStart and BonStart Plus Note: Contributions from April 2023 What’s new? Bonitas has introduced a mental health app – in partnership with Panda. It’s a free to download mental health and wellness mobile app that uses scientifically validated assessment tools and appropriate treatment to provide the right care at the right time. Panda will be available from October 2022 The Hospital-at-Home initiative has been successful and the offering is being extended to include: A programme for re-admissions Screening and disease prevention Alternative to stepdown facilities Kidney dialysis at home An improved programme for chronic kidney disease Restructured benefits are unlimited for PMB cancers across all plans. With a set Rand amount where non-PMB cancer cover is available. Once the Rand limit is exhausted, a 20% co-payment will apply Cover for two doses of the vaccine Human Papillomavirus (HPV) for girls aged between 9 -14 years, on BonComprehensive, BonClassic, BonComplete, Standard and Standard Select Introduction of one booster vaccine for Pertussis or whooping cough, per beneficiary aged between 7 and 64 years on Standard, Standard Select, BonComplete, BonClassic and BonComprehensive. The savings component across the savings plans have been increased from between 5% to 9.4% and amended rules allow members to use their savings as they deem fit for the new year The Benefit Booster – introduced in 2022 which unlocked R446million in additional benefits – has been adjusted according to utilisation Footprint and networks Our footprint extends across all 9 provinces, with our membership concentrated in Gauteng, KwaZulu Natal, the Western Cape and the Eastern Cape. A GP network of over 4 400 An extensive Pharmacy network, with around 2 500 practices located in all nine provinces to dispense chronic, acute and over-the-counter medicine through Scriptpharm Dental network, through DENIS, provide access to around 3 000 practices across SA Optical network through PPN gives members access to over 2 300 practices

October 19, 2022

TOP 10 HEATH CONDITIONS AFFECTING MILLENNIALS

Affinity Health is a leading provider of high-quality health cover. Here are their views on the top 10 health conditions affecting millennials. Did you know that 44% of older millennials born between 1981 and 1988 have at least one chronic condition? According to Murray Hewlett, CEO of Affinity Health, there is no doubt that growing research indicates many millennials are less healthy than anticipated. What are the Top 10 Conditions Affecting Millennials? “Hypertension, diabetes, and obesity are major contributors,” Hewlett explains. Obesity may cause rising rates of some of the most common diseases among millennials: Hypertension Diabetes Cancer. Migraine headaches. Major depression. Asthma. Neurodevelopmental disorders. Eating disorders. Inflammatory bowel disease. High cholesterol A quarter of the global population comprises of millennials. Gen Z is progressively seizing the spotlight and will exceed the millennial population. But the millennial moment is not yet over. “The top 10 disorders afflicting millennials are not particularly surprising. The prevalence rates for these conditions among millennials compared to prior generations are frightening,” adds Hewlett. In 2017, millennials aged 34 to 36 were 11% unhealthier than Gen Xers aged 34 to 36 in 2014. Also, diagnosis rates for eight of the top 10 health disorders increased by double digits. Hewlett explains, “because millennials are experiencing substantial health difficulties earlier than prior generations, we must address these issues immediately.” Learn More: Millennials and Affordable Healthcare Mental Health Disorders are Most Prevalent Among Millennials Compared to previous generations, millennials live with more behavioural disorders. The most alarming of these include severe depression and hyperactivity. “We may be observing a moderate impact of diagnosis across all generations for once stigmatised mental health illnesses. But millennials are experiencing a greater prevalence than either Generation X or baby boomers,” adds Hewlett. Among the most prevalent health issues among millennials are: Depression Substance abuse. Alcoholism. The best thing millennials can do for their health, according to Hewlett, is seek preventive care. They may receive a correct diagnosis and treatment before a condition worsens. “Studies have found that one-third of millennials do not have a primary care provider. The majority do not receive regular preventative care. Also, most millennials only visit the doctor when unwell or injured. They do not attend recommended health check-ups,” says Hewlett. “By not seeking preventive care, millennials negatively affect their long-term health. If they do not already have one, Affinity Health advises all millennials to prioritise primary healthcare. Primary Healthcare Screening refers to healthcare services like preventative tests. These detect and prevent potential health risks or diseases. Many illnesses can be treated more effectively and at a lower cost if brought to the attention of a physician early on,” concludes Hewlett. How Affinity Health Can Help Affinity Health aims to make affordable healthcare available to all South Africans with healthcare plans designed to suit your health and financial needs. We are passionate about quality healthcare. For more information on Affinity Health, click here.

October 19, 2022

New Salome M-Pause to help manage hot flushes for 73% of women who don’t treat their Menopause

According to a recent State of Menopause* international study, a staggering 73% of women who have menopause are not treating their condition and symptoms. To address this alarming statistic, in mid-March 2022 3Sixty Biomedicine introduced a new product within their women’s reproductive health product range that will address symptoms of menopause such as hot flushes, profuse sweating and low mood associated to the condition. The new Salome M-Pause contains a combination of herbal extracts for the relief of menopausal symptoms which draws on the natural ingredients of Hypericum Perforatum (also known as St John’s Wort) and Cimicifuga Racemosa (black cohosh rhizome). The US-based State of Menopause* study conducted in July 2021 on 1039 women aged between 40 to 65, found that nearly one-third (29%) of women never sought information about menopause before they experienced it; while nearly half (45%) didn’t know the difference between perimenopause and menopause. A further one-fifth (20%) of women experienced symptoms for a year or more before being assessed by a healthcare provider and 34% had never been formally assessed or diagnosed as menopausal. “Sadly, even though almost all women experience menopause symptoms as part of their natural female journey, it is still something that is considered pretty taboo to talk openly about. This leads to women suffering from uncomfortable and often debilitating symptoms linked to menopause without asking for or receiving the necessary advice on treatment options to alleviate their suffering. We believe that every woman’s reproductive health journey matters. No matter what stage of womanhood you find yourself in, you should never be ashamed to speak openly about what you are experiencing in order to understand what is considered ‘normal’ and how you can minimise discomfort to improve your quality of life through getting the necessary treatment information, “says 3Sixty Biomedicine CEO, Boitumelo Sebambo. According to Sebambo, the newest addition to their popular over the counter Salome range that is based on herbal extracts – looks to complete the range’s ability to assist women throughout their reproductive health journey. The Salome range, produced by 3Sixty Biomedicine, is known for advocating for more awareness around common conditions that impact women’s reproductive health and encouraging lifestyle choices and products that will ultimately help ensure a better quality of life. Each product within the Salome range contains herbal extracts that have minimal to no side effects but maximum efficacy due to the research and development done on particular natural ingredients that have been clinically proven to assist in managing common women’s reproductive health conditions like menopause, premenstrual syndrome (PMS) heavy menstrual bleeding, menstrual pain and Polycystic Ovary Syndrome (PCOS). According to Dr Shavit Sachs, Naturopathic Practitioner and secretary for the South African Naturopath Association, the herbal extracts used within the new Salome M-Pause have been used internationally to tackle a wide range of women’s health issues, including climacteric symptoms. “Cimicífuga racemosa contained in Salome M-Pause is known to improve some of the symptoms associated with menopause such as hot flushes, and profuse sweating as well as insomnia”, explains Sachs. Another herbal extract included in the product is Hypericum perforatum that has previously been used orally to manage light to moderate depression, anxiety, perimenopause, seasonal psychic disturbances, restlessness, and viral infections. For more information about the Salome range and to be part of the World Menopause Month conversation this October, visit www.salome-range.co.za. The full Salome range of products are available to the public from pharmacies nationwide or online at Takealot.com and Salome’s website and can be reimbursed from medical aid savings. Facebook: Salome Range Twitter: @SalomeRange Instagram: SalomeRange References: https://hellobonafide.com/pages/state-of-menopause Salome M-Pause patient information leaflet

October 18, 2022

PUTTING YOUR KIDS ON A PATH TO GOOD NUTRITION

For many parents, nothing is as stressful as getting your kids to eat all the food on their plate, especially when it comes to veggies. Eating a variety of healthy foods is essential for your children’s wellbeing. Here are some tips on how to get your kids to eat better.

October 17, 2022

LONG-TERM EFFECTS OF POLIO

Affinity Health, a leading provider of high-quality health cover, says that while the polio vaccine has drastically curtailed the spread of this deadly disease, many who contracted polio at a young age may acquire post-polio syndrome later in life. What Is Polio? Polio (also known as poliomyelitis) is a dangerous and highly contagious disease caused by infection with one of three poliovirus types. The virus spreadsthrough person-to-person contact. It lives in an infected person’s throat and intestines. What Are The Signs And Symptoms Of Polio? From mild flu-like symptoms to life-threatening paralysis, the symptoms of polio range in severity. According to the World Health Organization, polio causes lifelong paralysis of the limbs, legs, or respiratory muscles in less than 1% of cases and is fatal in between 5 and 10% of cases. How Polio Propagates A person may acquire symptoms between three and 21 days after exposure to the virus and will be most contagious seven to ten days before and after the onset of symptoms. People are contagious as long as the virus is excreted in their faeces, which can last up to six weeks. The virus typically lingers in the throat for one to two weeks. What Is Post-Polio Syndrome? Post-polio syndrome is a collection of potentially incapacitating signs and symptoms that manifest decades after the initial polio infection. These signs and symptoms typically manifest 30 to 40 years after polio infection.4 Symptoms Of Post-Polio Syndrome Common post-polio syndrome signs and symptoms include: Muscle and joint pain and weakness that worsens over time Fatigue Loss of muscular tissue (atrophy) Problems breathing or swallowing Sleep apnea Risk Factors The following factors can raise your risk of acquiring post-polio syndrome: Initial polio infection severity: The severity of the initial infection correlates with the likelihood of developing post-polio syndrome. Age at the commencement of the first illness: If you contracted polio as an adolescent or adult, your likelihood of getting post-polio syndrome is higher than those who contracted the disease in early childhood. Recovery: Ironically, the quicker your recovery from acute polio, the greater the likelihood that you may develop post-polio syndrome. This may be because a greater rate of recovery increases the strain on motor neurons. Extreme physical exertion: You may raise your risk for post-polio syndrome if you frequently exercise to the point of extreme lethargy. Complications Of Post-Polio Syndrome Post-polio syndrome is infrequently fatal, but significant muscle weakness can result in complications: Falls: Leg muscle weakness makes it more likely that you will lose your balance and fall. You may then shatter a bone, such as your hip, resulting in additional difficulties. Fatigue: Post-polio syndrome patients frequently experience fatigue. The tiredness may be incapacitating even after minimal effort. It may also cause focus and memory difficulties. Pain: Musculoskeletal disorders and muscular weakness can contribute to persistent discomfort. Malnutrition: People who have experienced bulbar polio, which affects the nerves that lead to the muscles involved in chewing and swallowing, frequently struggle with eating and may develop malnutrition. Chronic respiratory failure: Weak diaphragm and chest muscles make it more difficult to take deep breaths and cough, which can lead to fluid and mucus accumulation in the lungs. Osteoporosis: Loss of bone density and osteoporosis are frequently associated with prolonged inactivity and immobility in both men and women. If you have post-polio syndrome, discuss bone density screening with your doctor. Sleep problems: Post-polio syndrome is often accompanied by sleep apnea and restless legs syndrome. Untreated, these sleep disturbances may exacerbate insomnia and exhaustion. Immunisation Against Polio Immunisation is the most effective means of preventing polio. The Centers for Disease Control and Prevention urges parents to immunise all infants and young children. Children should receive the polio vaccine at two, four, and six months of age. At age four, all children should receive a booster dose of diphtheria, tetanus, whooping cough, and polio vaccines (4-in-1 vaccine) Catch-up immunisation using combination vaccinations is offered for children up to and including nine years of age. Immunisation Against Polio For Adults It is suggested that all adults ensure they have received the polio vaccine. The polio immunisation for adults consists of three injections administered four weeks apart. “In South Africa, the last case of polio was reported in 1989. However, as long as there are occurrences of polio anywhere in the world, this dangerous virus can be easily imported and spread within a polio-free country. It’s crucial that parents ensure their children are up to date with all the necessary vaccinations and have themselves been vaccinated. Consult with your health care provider If you have not had at least three doses of polio vaccination, or if your child needs catch-up doses,” concludes Murray Hewlett, CEO of Affinity Health.

October 13, 2022

‘A DOSE OF CARE’ CAMPAIGN LAUNCHED

Panado®, the nation’s trusted pain reliever, is proud to announce the launch of the ‘A Dose Of Care’ campaign in collaboration with popular lifestyle show Afternoon Express. The campaign celebrates true community heroes across South Africa who serve others by providing a dose of care to those who really need it – so they can pass on a dose of care to their loved ones. As love is universal, no one can be left out! Think back over the past year. No doubt, you’ll be able to conjure up countless examples of selflessness and heroism within your community that have inspired you. If these examples tell us anything, it’s that perhaps it’s time we re-evaluate what we mean by ‘hero’. In the world that we live in, heroes don’t wear capes. Heroes are the everyday people who go out of their way to support those around them. From the early morning lift clubbers and even earlier morning rock-em-back-to-sleepers to the mother and daughter team who make sandwiches for hungry tummies. From the retired teacher who collects school shoes for disadvantaged learners to the Gogo who gives exceptional care to parentless children. We are touched by these stories of hope, kindness, compassion and community. Caring for the ones we love is truly a labour of love – it’s an opportunity for us to put love into action. Panado®, a flagship brand of Adcock Ingram, understands that one can’t give to others if your cup is running empty. Caring isn’t always hugs and smiles, giggles and laughter. Caring entails sacrifices and commitment. At times, it can feel overwhelming, scary, and thankless. South Africa is full of carers facing adversity, challenged with little support or financial resources. Yet, many of these exceptional carers still care above and beyond. Panado® sees you – and would like to help make your care a little easier. Speaking about ‘A Dose Of Care’ campaign, Gail Pretorius, Panado® Marketing Manager, says the campaign aims to help carers across Mzansi, who are inspired by the spirit of ubuntu and dedicated to incredible acts of human kindness and generosity. The campaign offers participants the chance to win ‘A Dose Of Care’ from Panado®, and the winners are then afforded the opportunity to “pay it forward” by donating an additional ‘A Dose Of Care’ to others giving back to their communities. “Panado® has been around for decades. You’ve seen it in your cupboards growing up, and so have our grandparents. It is a generational brand that delivers a dose of care through every dose administered to all, from tiny tots to grandparents. We also acknowledge and recognise that caring isn’t always as easy as it sounds. Sometimes taking care of ourselves, as well as friends and community members, is difficult,” says Pretorius. “That is why we at Panado® want to share a dose of care with those who really need it and enable them to share a dose of care with their loved ones. It’s fantastic to have Afternoon Express behind this kindness initiative, hopefully encouraging an onward domino effect of doing good deeds.” Panado® and Afternoon Express will share the work of do-gooders lifting others and helping alleviate the poverty crisis gripping parts of the country through ‘A Dose Of Care’ journey. Individuals and charities who have benefitted from ‘A Dose Of Care’ campaign thus far include the Kasi Hero Foundation and Thušanang Community Development NPO and there are many more to follow. The Kasi Hero Foundation was started in 2020 during Level 5 Covid-19 lockdown. What began as a small group of young volunteers running a weekly soup kitchen for the needy in Pimville, Soweto, has evolved into a recognised public benefits organisation providing daily meals, school uniforms, wheelchairs, and food parcels to vulnerable families. The Kasi Hero Foundation was gifted ‘A Dose Of Care’ and assistance with meals for the soup kitchen. When asked to nominate someone of their choice to receive a dose of care, they elected fellow hero, Mpho Mmasechaba, who runs a weekly soup kitchen, feeding hundreds of children daily. Panado® gifted another dose of care to Beatrice Leng, chairperson of Thušanang Community Development NPO in the Western Cape. Affectionately nicknamed The mayor of Tafelsig, Beatrice is known for her courage, genuine love and heart for the community, helping women and children who are survivors of abuse. Beatrice has spread care and hope across Tafelsig and surrounding areas for over 35 years. Beatrice in turn nominated Carolyn Meyer as her nominee of choice. Whether it’s an opportunity to feed a hungry tummy or create a safe haven for children, Carolyn is the definition of a dose of care. As South Africans, we are going through so much. It’s time we focus on the positive. There are so many people out there who do so much without asking for anything in return – and that’s exactly what ‘A Dose Of Care’ campaign is all about. To these heroes and heroes everywhere, Panado® says, “thank you for the work you do”! Can you think of someone in your community who deserves more recognition for all they do for others? Panado® would like to encourage South Africans to go out and nominate other South Africans within their families and communities who really show care for others and please share their stories. Tell us who they are, what they do for the community, and why they should receive a dose of care. Remember to use the hashtags #ADoseOfCare and #PanadoSA in your answer, and your chosen nominee could stand a chance to receive ‘A Dose Of Care’ from Panado®. To enter, or for more information, follow Afternoon Express Facebook page and Afternoon Express Twitter page. The campaign competition runs until 8 November 2022. T’s and C’s can be found on https://afternoonexpress.co.za/. References : 1. IRI Data for MAT August 2021. 2. Panado® Tablets approved professional information, June 2005. 3. Panado® Capsules approved package insert, August 1984. 4. Panado® Effervescent (Tablet) approved professional information, July 1992. 5. Panado® Paediatric Strawberry Approved package insert March 2002. 6. Panado® Paediatric Syrup Alcohol and Sugar-Free & Panado® Paediatric Syrup package insert. April 2010. 7. Panado® Infant Drops (Drops) approved professional information, August 1990. 8. Wilcock A, Twycross R. Therapeutic

October 12, 2022

THE PILATES DIFFERENCE STUDIO AND INSTAGRAM PHENOMENON

Introducing @thepilatesdifference. An authentic, home grown South African Instagram phenomenon that grew to 120K followers in eight months flat! With all the noise out there on social media, especially Instagram, how does a fitness brand manage to stand out? By being themselves and embracing an honest, real and fun approach to movement and fitness. This proudly South African brand has managed to grow their Instagram following to almost 120K followers through a simple and consistent message; just move your body and do it to feel good. The Pilates Difference is a brand that is making waves on social media, and they hail from the beautiful little town of Plettenberg Bay. Here they have their physical studio space which is buzzing all year round with both locals and visitors to this famous beach destination town. It is not the trendy location of their studio and popularity of their classes that has gotten everyone’s attention, but rather their hilarious, quirky and honest approach to fitness and movement in general. When asked what the ethos behind the brand is, Owner Colleen Tomlinson explains that people put too much pressure on themselves to always have a perfect exercise ritual or schedule. When in fact it is really just about moving your body – in any way, place or form. Whether it is trail running, yoga, walking or dancing – the most important element or result is that it makes you feel good. Exercise or physical fitness is not and should never be about punishment, and only about endorphins. Having a scroll through their Instagram feed (@thepilatesdifference) this entertaining duo used reels to grow their account exponentially in 8 months through funny and inspiring clips that they hope encourage people to get up and move their bodies, and sometimes laugh at themselves. They specialise in Barre and Pilates and while they may look sweet and fun – they will give you some great workout tips, plank challenges, and sets that will certainly have you sweating…and smiling. The Pilates Suspension Method – Brand new and just arrived on South African shores The new kid on the block when it comes to Pilates apparatus is the suspension trainer. While traditional Pilates equipment such as Reformers, Cadillacs and Towers are wonderful to work on and train with – they cost a small fortune to purchase. During lockdown the access to this type of Pilates became limited and the Pilates Suspension Method – developed in The United States by Rebecca Beckler – became so popular it is now a worldwide phenomenon. So what is all the fuss about? As a Stott®Pilates Instructor trainer, Rebecca developed the method that takes many exercises from traditional and contemporary Pilates equipment and matwork and created over 500 different exercises that can be performed using a suspension trainer, that are both safe and effective for all levels and abilities. A piece of equipment you can hang up over the door at home and affordable enough to purchase for gyms and studios. Colleen Tomlinson from The Pilates Difference, the instructor trainer in South Africa and Africa for the PSM, says that the difference she has seen in the strength, posture and athletic ability of her clients who regularly attend the classes (both online and in studio) is notable. The Pilates Difference is the service provider in South Africa and Africa that is rolling out these Instructor Training Courses in South Africa. Both from their beautiful studio in Plettenberg Bay as well as in major centres like Cape Town and Johannesburg. They are open not only to Pilates Instructors (although it is Pilates focused) but to all mindful movement practitioners and fitness professionals. Check their website, www.thepilatesdifference.co.za for more information on upcoming courses, retreats and workshops. ABOUT THE PILATES DIFFERENCE STUDIO IN PLETTENBERG BAY The Pilates Difference Studio is a Pilates and Barre Studio in Plettenberg Bay. We are a Stott Pilates® trained studio with additional schools of training contributing to our offerings; including internationally acclaimed bootybarre®. We offer Group classes on the Mat and Barre as well as various equipment sessions to smaller groups, duos and privates. We have Cadillacs, Reformers, Ladder Barrels, Stability Chairs and Suspension Trainers. The Studio was opened in January 2017 by Colleen Tomlinson. Her vision for The Pilates Studio was to provide a Pilates and Barre Studio that celebrates the true essence of Pilates and all that the discipline stands for. To teach people Pilates in order to empower them to become stronger, healthier, more mobile, more connected and more balanced. To make people aware that Pilates is not just an exercise routine, but rather a way of life and a commitment to ones well-being. At The Pilates Difference our focus is on the client and their experience with us. We put a lot of energy into creating a space that is warm and filled with positive energy, which leaves all our clients feeling energised, invigorated and often sweaty! Our bright, spacious studio is positioned in the centre of town in the elegant Yellowoods Centre. We are conveniently located next to a variety of eateries, coffee shops and stores. Situated alongside a quieter street which allows for more parking, we have a view of the endless Keurbooms beach and Bay. Open to both locals and plett visitors all year round. Can’t get to Plett, do one of their online workouts. There is something for everyone. For daily inspiration and workout challenges, follow @thepilatesdifference on Instagram.

October 12, 2022

Don’t misjudge generics

Even though generic drugs have been around for more than half a century, many patients in South Africa are unreasonably suspicious of what is. In essence it’s a ‘carbon copy’ of the original brand of drug or medicine. Bonitas Medical Fund believe it may be because consumers think that if they are cheaper they must be inferior. This lack of understanding costs consumers and medical aids millions of Rands each year.

October 10, 2022

Mental health post pandemic

The Covid-19 pandemic and the resultant lockdowns affected people across the world – mentally, emotionally and physically. These included feelings of isolation, work stress, frustration at rules and regulations, fear for close family and friends and a loss of control over your life. So, it is not surprising that we have seen an increase in mental health related issues. 1 in 6 South Africans suffer from anxiety, depression or substance use disorder. Over the last two years the prevalence of anxiety and depression disorders has increased by 36.4% and 38.7% respectively. 970 million people worldwide have a mental health or substance abuse disorder. A study by the Global Happiness Council (GHC) shows that mental illness is the main ailment among people of working age. Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund says, ‘This has a massive effect on employers as they try to cope with keeping their businesses going, preventing job losses and maintaining a happy and motivated workforce. The economic uncertainty, political instability and poor socio-economic conditions in South Africa have also added to the burden of mental health issues in South Africa.’ To make matters worse, according to South Africa’s National Mental Health Policy Framework, ‘up to 80% of South Africans who need mental health support are unable to easily access it’. In addition to a comprehensive mental health programme, Bonitas is the first medical aid to offer Panda to its members. It’s a free to download mental health and wellness mobile app that provides scientifically validated assessment tools to enable users to objectively measure their mental wellbeing. A gamified tracking tool allows you to document and monitor the progress you’re making on your personal mental health journey. This includes: Engaging in interactive, audio-only sessions with peers and mental health experts in the ‘Bamboo Forest’ Learning new skills through assignments and videos to help you live a more fulfilled life Tracking your mental health progress to measure how you are feeling Getting text-based chat support from an accredited wellness counsellor Booking 1:1 virtual consultations with accredited and registered counsellors, social workers, psychologists and other mental health professionals ‘The level of support depends on the degree to which you need help,’ says Dr Mkhatshwa. ‘This ranges from level one, where there is an easy access point to community, information and support, through to level 5 where Panda will notify you to contact emergency services. We know how tough it can be to go through difficult times all by yourself, but with Panda, you will be able to find the support and resources that you need. In a nutshell: The right care at the right time for a healthy mind, using your phone.’ What is mental illness? Mental illness is defined as ‘any behavioural or mental pattern that causes significant distress or impairs normal functioning’. It can occur as a once off, be persistent or recur. The common denominator being the debilitating nature of the condition. It is a medical condition A mental illness affects the way a person experiences and behaves in the world around them. It is a recognised medical condition in the same way as chronic diseases, such as diabetes and high blood pressure and can affect anyone, regardless of race, religion, income or age. It is not a sign of weakness or madness and is nothing to be ashamed of. The good news is, it’s a condition that that can be managed and treated successfully. Anxiety disorders and depression are the most common mental health problems but others include eating disorders, Post-Traumatic Stress Disorder (PTSD), obsessive compulsive disorder (OCD), bipolar mood disorder as well as psychotic disorders such as schizophrenia and personality disorders. Substance abuse, such as drugs and alcohol, is also classified under mental illness. Battling the stigma The Mental Health Society acknowledges, ‘The social stigma attached to mental ill-health and discrimination exacerbates patients’ condition. It often prevents people from seeking treatment. And, if they do, makes it harder to recover.’ Dr Mkhatshwa says, ‘Fortunately, increasingly well-known and influential people who are suffering from or have overcome mental illness, are being more open about it. This will go a long way to debunk myths, negativity, discrimination and judgement’. Recognising the signs These can vary but, in general, these include: Being frequently sad, depressed and gloomy for long periods and feeling overwhelmed by life’s problems Major changes in eating habits, resulting in weight loss or gain Struggling to concentrate and make decisions Loss of energy and lack of motivation Constant stress and anxiety over work, finances, life, friends and family Emotionally distant Frequently tearful Having difficulty sleeping or sleeping more than usual Loss of interest in activities Easily irritated and more aggressive than usual Having thoughts of death or suicide Drug or alcohol abuse may also be a sign of underlying mental illness Help is at hand There are specialised mental health programmes in place through most medical aids and most mental illnesses can be effectively treated by health professionals and community-based services or NGOs. This may include access to medication, therapy and counselling. The Mental Health Programme (MHP) from Bonitas, which forms part its Managed Care initiatives, is aimed at improving quality of life and empowering people with mental health issues to manage their condition. It is education driven and offers support for loved ones too. ‘The introduction of Panda will dovetail neatly with our MHP,’ says Dr Mkhatshwa. ‘Mental illness cannot be wished away,’ says Dr Mkhatshwa. ‘We can’t expect someone to ‘pull themselves together’, they simply can’t. But with the right support and help, symptoms will be relieved and the recovery rate is encouraging with patients getting back to being happier, more productive members of society.’

October 7, 2022

WHAT FEVER MAY SIGNAL

According to Affinity Health, a leading provider of high-quality health cover, while fevers themselves generally aren’t dangerous they often signal infection or illness that could require treatment. Fever is a natural response to infection. A fever is usually a sign that your body is working extra hard to fight infection. Body temperatures are different for everyone. But they lie within the range of 36°C to 37°C. A temperature of 38°C or higher is considered a fever. Often, a fever does not signal an alarm. But it is best to contact your nearest healthcare provider if the following happens: If the fever does not subside within a few days If the fever does not respond to over-the-counter medication What are the Indications of a Fever? The principal signs of a fever are: Temperatures above 38°C Chills, shivering and trembling Headaches and body aches Fatigue (tiredness) Irritability Loss of appetite Headache Sweating Reddened complexion or warm skin Learn More: When to Worry About Your Baby’s Temperature Why Does a Fever Occur? Fever has many causes and can be a sign of any disease. Among the most prevalent are: Colds or influenza Earaches Bronchitis Oral thrush Urogenital tract infections Mononucleosis Sunburn COVID-19 Heat exhaustion Vaccines and immunisations Hormone disorders (hyperthyroidism) Autoimmune conditions Teething (in babies) “Do not assume something is wrong if you have a higher-than-normal body temperature. Look for other signs of sickness. Body temperature fluctuates throughout the day,” says Murray Hewlett, Affinity Health CEO. Body temperature can change in response to any of the following human processes: Stress Excitement Heavy clothing Food Specific drugs Menstruation Exercise Additionally, children have a somewhat higher average body temperature than adults. How to Measure Body Temperature The best ways to measure body temperature is to insert a thermometer: Orally Rectally Axillary (under the arm) Or by placing a monitoring tool into the ear Can You Treat a Fever at Home? If your temperature is modest (less than 38°C), you do not need medical care. Ensure that you consume a lot of fluids (but no alcohol) and get a lot of rest. There are several effective strategies to bring down a fever to a higher degree. Medications like aspirin, acetaminophen, and ibuprofen are the most prevalent treatment option. If a youngster under 17 has a fever, DO NOT provide aspirin. Aspirin may be fatal for children. A lukewarm bath may also assist in lowering the temperature. When does a fever warrant concern? Immediately contact a physician if you experience any of the following: A high temperature accompanied by neck stiffness, disorientation, or irritation A fever that persists above 39.5°C for over two hours following home treatment A fever that lasts for more than two days A rash Photophobia (irritated by light) Dehydration Seizures If your child is running a high fever and is under two years old, it is best to get them checked by a doctor. Remember! Not all fever medicine is safe for babies. Medication can temporarily bring a temperature down. But it will not treat the underlying cause.

October 6, 2022

The Fermented Food Frenzy

40 trillion: the number of bacteria that make our gut a home. Every day, we live in harmony with these beneficial bacteria, collectively known as gut microbiota, which help to digest the food we eat, produce vitamins like vitamin K and the B-vitamins, protect against invading harmful bacteria, and help support our immune system. With such an important role to play, how do we keep our gut microbes happy and healthy? Simple – fermented foods, the rising stars on our grocery shelves. Fermented foods and beverages are made using different combinations of bacteria, such as lactic acid bacteria, and other microbes like moulds and yeasts. In fact, fermentation is thought to be the oldest and most economical method of producing and preserving food, with over 3 500 fermented foods making up one-third of our human diet. A Focus on Fermentation During fermentation, unique and beneficial changes take place to a food or beverage. The process of fermentation increases the shelf-life to improve preservation, vitally important in food security and food safety. Registered dietitian, Monique Piderit says: “Fermented foods also add to the nutritional value of our diet. This is because these foods can contribute towards making some vitamins and other healthy bioactive compounds more available to the body. We also know that fermented foods can help remove and reduce toxins (like mycotoxins) and anti-nutrients (like tannins and phytic acid) from our diets, as well as help with the digestion of parts of the food that sometimes cause trouble in our guts (like how the lactose in fermented dairy is pre-digested for easier absorption).” Go for the Gut Likely the most well-known benefit of eating fermented foods are the great gut-enhancing benefits. Poor diets, stress, medication like antibiotics and anaesthesia, as well as other factors can substantially effect the beneficial bacteria in the gut microbiota. Made with these healthy microbes, fermented foods are a source of live and active cultures. Regularly enjoying fermented foods in our diets can then help to restore the balance of gut bacteria because of the live cultures that exist naturally in these foods. And what’s more, studies have shown that if we regularly eat fermented foods and beverages, the live cultures can potentially increase the microbes in our gut by 10 000 times. Now while fancy fermented foods like kefir and kombucha are all the rage, there are two everyday foods that top this list: yoghurt and maas. Fermented dairy is so proudly part of our South African heritage and a supplementary staple food, with great cultural importance. These dairy-based South African favourites are convenient, easy-to-access, storage friendly. and cost-effective examples of fermented foods. Choosing these foods regularly also supports the recommendation of our food-based dietary guidelines to “Have milk, maas and yoghurt every day.” Here’s how to get with the fermented food frenzy, the South African way: Yoghurt, whether plain or flavoured, full cream or fat free, will support a healthy gut and also supplies naturally occurring vitamins, minerals, proteins, and carbohydrates essential for good health. Yoghurt makes for an easy lunchbox filler for children and adults alike. Not a breakfast fan? Blend with fresh fruit for an on-the-go smoothie or serve as a healthy dessert dusted with cinnamon. Maas can be enjoyed as an anytime drink, either on its own or with some added flavour like honey or cocoa powder for a twist. Keep it simple and pour over pap for a quick start to your morning or serve with fruit as you would with yoghurt. Stir into soups or sauces for a creamy taste or use as a recovery drink after exercise. Go to www.rediscoverdairy.co.za for more recipes and ideas on how to include yoghurt and maas as part of a healthy and balanced diet.

October 4, 2022

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