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Tuesday, April 29, 2008

Nap Time

Though the Practice Is Fading in Some Places, Experts Find Benefits In Midday Slumber. And a Few Firms Are Even Open to Shut-Eye.

by Dennis Drabelle
Special to The Washington Post
Tuesday, April 29, 2008

I never used to be a napper. In fact, daytime slumber was virtually beyond a congenitally wired type like me. My buddies would catch 40 winks on the long bus ride home from our high school, but for me that was out of the question. With age, however, my metabolism has changed. After the double whammy of a late-morning run and lunch, I'm pretty much a goner. I lie down and nod off in much the same way that Marlene Dietrich fell in love in that old song of hers: because I can't help it.

While it lasted, though, my nap resistance put me in sync with the American way of sleep: Do it all at once and strictly at night. Traditionally, we've begrudged ourselves naps. They may be forced on toddlers, recommended for pregnant women and tolerated among senior citizens with nothing better to do, but they've been frowned upon for worker bees in their prime. Recently, however, sleep scientists have discovered advantages to napping, which they view not just as solace but also as something akin to brain food. No longer written off as a cop-out for the weak and the bored, the nap is coming into its own as an element of a healthy life.

When you take a look at American history, we might seem to be a nap-friendly people. After all, some of our most productive figures napped shamelessly during the day, among them Benjamin Franklin and Thomas Edison. But they probably did so because, like Dietrich, they couldn't help it. Consider the daily schedule Franklin drew up for "The Art of Virtue," a treatise he worked on for 50 years but never finished: Over a 24-hour period, sleep gets allotted a mere five hours. Or take the contemptuous words of Edison: "Sleep is an acquired habit. Cells don't sleep. Fish swim in the water all night. Even a horse doesn't sleep. A man doesn't need any sleep."

If Franklin and Edison followed their own rules for success, their naps were compensatory: They conked out during the day to make up for the sleep they'd skimped on the night before. For these Type A personalities, napping may have been a badge of honor, proof that they disdained sleep as a nuisance to be beggared and cheated. (By the way, Edison may have known a lot about filaments and wires, but he was dead wrong about fish and horses.)

Napping was more valued on the other side of the Atlantic, where the habit's foremost champion was probably Winston Churchill. In "The Gathering Storm," the first volume of his World War II memoirs, the British statesman wrote, "Nature had not intended mankind to work from 8 in the morning until midnight without the refreshment of blessed oblivion which, even if it only lasts 20 minutes, is sufficient to renew all the vital forces."

In southern Europe, naps were woven into the fabric of life. Offices and stores would shut down for two or three hours so that employees could go home, lunch with their family and doze through the hottest part of the day. But Spain, where the siesta is deeply ingrained, has been adjusting to changed circumstances. Especially in big cities, most Spanish workers don't head home at midday anymore (they live too far from the office for this to be practical) or use the time out for sleeping, and the siesta has become a pointless interruption that prolongs the workday until as late as 7:30 p.m. In 2005, the Spanish government canceled the siesta for its employees, although it offered them flex time for easing into the new regimen.

Elsewhere, the nap is winning friends and invigorating people. Some new studies make dramatic claims for it. Taken in the workplace, naps can increase productivity and reduce "general crabbiness," according to a just-concluded 25-year survey of the practice in industrial countries. A study conducted by researchers at the University of Haifa in Israel showed daytime nappers doing better at retaining a newly mastered skill -- bringing a thumb and forefinger together in a certain sequence -- than a control group whose members slept only at night.

Experiments conducted by Matthew A. Tucker of Harvard Medical School suggest that a 45-minute nap can enhance the ability to perform tasks relying upon memory. And Dimitrios Trichopoulos, also at Harvard, has found that among a sample of 23,000 adult Greeks, habitual nappers were 30 percent less likely to die of heart disease.

There is even anecdotal evidence that napping can enhance creativity, including a charming confession made by Salvador Dali. To prime the pump for his surrealist paintings (the melting watch, the human leg with a built-in chest of drawers, etc.), the Catalan-born artist used to take -- and abort -- a nap after lunch. He would sit down with his arms extending beyond the chair's arms. In one hand he would grasp a key between thumb and forefinger. After he fell asleep, his fingers would relax, the key would fall to the floor, the clatter would wake him up, and he would harvest the wild associations common to the first few minutes of sleep.

The recent experiments, along with a relaxation of the old 9-to-5 rigidity, have awakened employers to the benefits of on-the-job sleep. A growing number of companies either make nap rooms available to their employees or encourage them to put their heads down on their desks. High-tech firms with a youthful workforce tend to be cooler with on-the-job snoozing than old-line companies staffed mainly by veterans -- a contrast that shows up here at The Post. The paper's headquarters in downtown Washington lacks a room dedicated to naps, whereas the company's Internet operation in Arlington has a small one set aside for that purpose.

According to information collected by the National Sleep Foundation, Toyota encourages naps at its Tokyo headquarters, where they are easy to take thanks to an energy-conservation policy: During lunch hour, the company turns off its lights. In New York, those who can't find the peace and quiet they need to nap at work (or at home, for that matter) can patronize Yelo, a Manhattan sleep salon at which clients bed down for 20 to 40 minutes at a time. Yelo's slogan: "The city that never sleeps needs a nap!"

All this should please Sara Mednick, perhaps napping's most ardent advocate among American scientists: She's so sold on the practice that she calls a napless existence "the madness of monophasic sleep."

Mednick brings to her discipline not only impressive credentials (she is a professor in the psychiatry department at the University of California at San Diego), but also a popular touch: The cover of her book "Take a Nap! Change Your Life" incorporates a wheel with a dial for fine-tuning your nap schedule. You can also go to Mednick's Web site at http://www.takeanap.info, fill out a brief questionnaire, e-mail in the answers, and in a jiffy your personal nap-need index will land in your mailbox. My score fell in the "mild sleepiness" range, wherein "a nap will not only create a second day but will clear away any daytime sleepiness that will prevent optimal performance." (Churchill knew all about the nap's role as a multiplier of time: "You get two days in one," he declared. "Well, at least one and a half.")

Mednick was in Washington last month to give a talk at the Role of Sleep in Memory and Learning Conference, a co-production of the National Sleep Foundation and the Atlanta School of Medicine. She used slides and cited studies, but above all she projected enthusiasm for her favorite practice. "A perfect nap in the middle of the day," she declared, "is like a mini-night."

But hold on there, Sir Winston and Dr. Sara! Napping may be advisable for most people -- and superior, as many scientists assert, to keeping oneself artificially alert by gulping down coffee, tea, colas, chocolate and other caffeine-laced substances (a case, if ever there was one, of fighting the symptoms without addressing the underlying need). But a tricky question remains: How long should the interlude be? With naps, as with so much else in life, can you have too much of a good thing?

As an insomniac, I take a keen interest in these questions: I've found that if I nap longer than half an hour, or nod off later than about 2 p.m., I'm likely to have trouble falling asleep that night. My concerns were met on the day following Mednick's ode to the nap, when another expert at the conference, Eric Nofzinger of Harvard, drew a distinction between blissful sleepers and tossers like me: "The more you keep insomnia patients awake during the day, the more consolidated sleep they'll get at night."

When I reached Mednick by e-mail, she didn't quarrel with Nofzinger's caveat or my own qualms. "I do believe that people with severe sleep problems should be kept on a strict sleep diet," she wrote back. "What I think would be more helpful than telling [them] not to nap is getting people on a prescribed sleep regimen that incorporates naps. But only short and restricted naps."

Fair enough. Severely troubled sleepers should consult a physician about fixing their slumber, perhaps with naps of suitable length folded in. Those with less dire problems, among whom I number myself, can use trial-and-error to determine what napping coordinates work best for them. As for the lucky rest of you, you're free -- and encouraged -- to nap for as long as 90 minutes per day. (Beyond that, almost everyone runs the risk of encroaching on nighttime sleep.) The point is to inform ourselves about a practice that has all too often been sniffed at, done on the sly and snatched haphazardly.

In a country where fewer than half of us say we regularly get a good night's sleep, naps are increasingly important restoratives, and we owe it to ourselves to take them right.

Dennis Drabelle is a contributing editor of Book World. Comments:drabelled@washpost.com.

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Sunday, April 27, 2008

5 Veggies That Make Any Salad Super-Healthy

by RealAge

Five salad veggies have turned out to be antioxidant superstars. Toss a handful into any bowl and you'll instantly up your defenses against everything from wrinkles to heart disease and even help make your RealAge younger. Punch up the antioxidant power even more by seasoning some olive oil and vinegar with a few of the herbs and spices below. Health food doesn't get any easy-breezier!

5 Superstar Veggies
Artichokes
Radishes
Broccoli
Red chicory
Leeks

7 Stellar Seasonings
Sage
Rosemary
Marjoram
Thyme
Tarragon
Cumin
Fresh ginger
Garlic


The #1 Vegetable
Of the 27 vegetables scientists studied, the almighty artichoke led the antioxidant pack. Plus it's rich in both fiber and folate, two good-for-you nutrients. Look for plump but compact globe-like artichokes with thick, green, fresh-looking scales.

The Runners-Up
Radishes, broccoli, and even luscious leeks are stocked in most supermarkets. But what's red chicory? An Italian salad favorite with an oddly appealing bitter taste. Try mixing it with romaine.

The High-Powered Herbs and Spices
Sage, rosemary, and thyme...when Simon and Garfunkel made them famous, nobody knew they had disease-fighting powers. Cumin, a spice used heavily in Indian food, is even more impressive, as is ginger. But experiment: All of these seasonings are simple ways to boost the health -- and flavor -- of any salad (soups too). Here's a get-you-started recipe.

COOL-BEANS ARTICHOKE SALAD
This elegant mix is both light and filling -- perfect to serve a few friends on a sultry night.
Serves 4

10 baby artichokes, peeled and quartered
2 cups diagonally cut asparagus
1/3 cup thinly sliced radishes
3 green onions, thinly sliced
1 19-oz. can white beans, rinsed and drained
3 cloves garlic, minced
2 tsp. lemon juice
1 Tbsp. olive oil
1/4 tsp. salt
1/8 tsp. black pepper
8 large romaine leaves

1. Steam the artichokes for 8 minutes. Add the asparagus and steam about 2 minutes more, or until crisp-tender. Drain and run vegetables under cold water. Let cool.

2. Make dressing: Whisk together garlic, lemon juice, olive oil, salt, and pepper.

3. Combine radishes, onions, and beans in salad bowl with half of dressing and toss well. Gently stir in artichokes and asparagus.

4. To serve, place 2 romaine leaves each on four plates. Divide salad equally among plates and drizzle with remaining dressing.

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Monday, April 07, 2008

The Worst Places for Your Health

The Worst Places for Your Health
By Jessie Knadler, for Prevention
URL: http://health.msn.com/health-topics/slideshow.aspx?cp-documentid=100199544

Location, location, location: Store owners aren't the only ones concerned with finding the perfect spot in which to situate their stuff. Researchers in a wide variety of fields know that how you organize your environment--from where you stand in fitness class to the place you choose to store your meds--has a surprising effect on everything from your weight to your chances of staying well. In other words, when it comes to how you feel, it's not just what you do, it's where you do it. Here, surprisingly bad locales for your health--and the best places to optimize it.

The worst place for your toothbrush: On the bathroom sink

There's nothing wrong with the sink itself--but it's awfully chummy with the toilet. There are 3.2 million microbes per square inch in the average toilet bowl, according to germ expert Chuck Gerba, PhD, a professor of environmental microbiology at the University of Arizona. When you flush, aerosolized toilet funk is propelled as far as 6 feet, settling on the floor, the sink, and your toothbrush. "Unless you like rinsing with toilet water, keep your toothbrush behind closed doors--in the medicine cabinet or a nearby cupboard," Gerba says.

The worst place for your sneakers and flip-flops: In the bedroom closet

Walking through your house in shoes you wear outside is a great way to track in allergens and contaminants. A 1999 study found that lawn chemicals were tracked inside the house for a full week after application, concentrated along the traffic route from the entryway. Shoes also carry in pollen and other allergens. Reduce exposure by slipping off rough-and-tumble shoes by the door; store them in a basket or under an entryway bench. If your pumps stay off the lawn, they can make the trip to the bedroom--otherwise, carry them.

The worst place to try to fall asleep: Under piles of blankets

Being overheated can keep you from nodding off, researchers say: A natural nighttime drop in your core temperature triggers your body to get drowsy. To ease your way to sleep, help your body radiate heat from your hands and feet, says Helen Burgess, PhD, assistant director of the Biological Rhythms Research Laboratory at Rush University Medical Center in Chicago. Don socks to dilate the blood vessels in the extremities--then take the socks off and let a foot stick out from under the blankets.

The worst place to cool leftovers: In the refrigerator

Placing a big pot of hot edibles directly into the fridge is a recipe for uneven cooling and possibly food poisoning, says O. Peter Snyder Jr., PhD, president of the Hospitality Institute of Technology and Management in St. Paul, MN. The reason: It can take a long time for the temperature in the middle of a big container to drop, creating a cozy environment for bacteria. You can safely leave food to cool on the counter for up to an hour after cooking, Snyder says. Or divvy up hot food into smaller containers and then refrigerate--it'll cool faster.

The worst place for a workout reminder: Stuck on your post-it laden fridge

A visual nudge can help--but only if you notice it, says Paddy Ekkekakis, PhD, an exercise psychologist at Iowa State University. In one study, a sign urging people to use the stairs rather than the nearby escalator increased the number of people who climbed on foot by nearly 200%. Put your prompt near a decision point, Ekkekakis says--keep your pile of Pilates DVDs next to the TV; put a sticky note on your steering wheel to make sure you get to your after-work kickboxing class. Just remember: The boost you get from a reminder is usually short-term, so change the visuals often.

The worst place to sit on an airplane: The rear

Avoid this section if you're prone to airsickness, says retired United Airlines pilot Meryl Getline, who operates the aviation Web site fromthecockpit.com. "Think of a seesaw," Getline says. "The farther from the center you are, the more up-and-down movement you experience." Because the tail of the plane tends to be longer than the front, "that's the bumpiest of all," she says. "The smoothest option is sitting as close to the wing as you can."

The worst place to pick up a prescription: The pharmacy drive-thru

In a survey of 429 pharmacists, respondents ranked drive-thru windows high among distracting factors that can lead to prescription processing delays and errors, says survey author Sheryl Szeinbach, PhD, professor of pharmacy practice and administration at Ohio State University. If you don't want to give up the convenience of a rolling pickup, be sure to check that both drug and dose are what the doctor ordered.

The worst place to set your handbag: The kitchen counter

Your fancy handbag is a major tote for microbes: Gerba and his team's swabs showed up to 10,000 bacteria per square inch on purse bottoms--and a third of the bags tested positive for fecal bacteria! A woman's carryall gets parked in some nasty spots: on the floor of the bus, beneath the restaurant table--even on the floor of a public bathroom. Put your bag in a drawer or on a chair, Gerba says--anywhere except where food is prepared or eaten.

The worst stall to pick in a public restroom: The one in the middle

The center stall has more bacteria than those on either end, according to unpublished data collected by Gerba. No, you won't catch an STD from a toilet seat. But you can contract all manner of ills if you touch a germy toilet handle and then neglect to wash your hands thoroughly.

The worst place to stand during your first few fitness classes: Front and center

You might think that you'd want to be near the mirrors so you can check your form, but your sweat session will be more motivating if your view is obstructed, suggests a 2003 study at McMasters University. In that research, 58 sedentary women all exercised at similar intensity levels. But those who did it in a mirrored room reported feeling more anxious about their body's imperfections after their workout than women who sweated without mirrors distracting them.

The worst place for a nighttime reading light: Overhead

These fixtures put out relatively bright light--enough to significantly delay the body's secretion of melatonin, showed a 2000 study. That can wreck your night, since rising melatonin levels are a major cue for your body to prepare for sleep. A low-power light clipped to your novel will let you read but leave the room dark enough for your brain to transition into sleep mode.

The worst place to keep medicine: The medicine cabinet

It's not uncommon for the temp in a steamy bathroom to reach 100°F--well above the recommended storage temperatures for many common drugs. The cutoff for the popular cholesterol drug Lipitor, for instance, is around 77°F. To stay out of the red zone, store your meds in a cool, dry place, such as the pantry.

The worst place to set fruit before washing it: The kitchen sink

Of all the household germ depots, the kitchen sink sees the most bacterial traffic--even more than the toilet, says Kelly Reynolds, PhD, a professor and environmental microbiologist at the University of Arizona. If the perfect berry drops while you're washing it, pop it in the trash--not your mouth.

The worst place to use earbuds or headphones: On an airplane, train, or subway

Sure, music's a better traveling companion than your seatmate's cell phone conversation. But studies show that if you listen through a headset in a noisy environment, you probably crank the volume too high. Harvard researchers found that in reasonably quiet surroundings, volunteers tended to keep the volume at an ear-friendly level. But when the researchers added background noise--the loud rumble of an airplane cabin--80% boosted the volume as high as 89 decibels, a level that risks long-term hearing damage. If you must have music, consider noise-canceling headphones--only 20% of listeners in the study who used a set got close to the danger zone.

The worst place for your coffee: The refrigerator or freezer

Think that you're preserving freshness by stashing it in the fridge? Think again. Every time you take it out of the fridge or freezer, you expose it to fluctuating temperatures, which produces condensation. "The moisture leeches out flavor--it's like brewing a cup of coffee each time," says John McGregor, PhD, a professor in the department of food science and human nutrition at Clemson University. The best spot to store beans or grounds: in an opaque, airtight container kept on the counter or in the pantry.

The worst place for your TV: Wherever you dine

Studies show that distraction is your waistline's enemy--it can keep you from noticing how much you're eating. In a 2006 study, volunteers ate faster when watching TV than while listening to music--consuming 71% more macaroni and cheese when watching a show. If you have the tube on while cooking, turn it off before dinner at the kitchen table, and avoid being tempted into eating in front of the TV in the living room. The best place for your television: up or down a flight of stairs, so you have to "work" to get a snack--you'll be much less likely to munch.

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