Healthy Comadres, Healthy Family

Healthy Eating Wisdom: Eat Like Your Abuelos

 

Looking for Healthy Eating Wisdom?  Your Abuelos Might Have the Answer

Have you noticed how many diseases are related to what we eat? High blood pressure, heart disease, diabetes, cancer. And if you’re trying to come up with a healthy eating plan, it is very confusing. Eat this. Dont eat that. Every time you turn around, there is another diet that you have to follow.  It’s enough to make us un poco loca.
But lucky for us, there’s some encouraging news. Researchers are finding out some things that many of us already know. Our grandparents and great-grandparents had a healthier lifestyle than we do, and that’s a fact.

Healthy Eating Wisdom from My Grandfather

Take my Papa Pepe for instance, my dad’s father, who immigrated from Spain. Wiry little dude walked everywhere! If he weighed 135 pounds, he weighed too much. Swore that the onion he chomped on and the copious amount of garlic that my abuela cooked with kept him young and nimble even when the arthritis caught up with him in his 70s. We have an old cane of his that has a black mark on the inside of the curve of the cane, and that was from jumping on the bus. He used to run up to the bus and hook his cane around the door handle and hoist himself up the bus steps without missing a beat.

Three Meals a Day

I remember he bragged about his eating habits. “I eat breakfast, I eat lunch, I eat dinner. ¡Y, Ya!

The big meal in those days, and still today in Spain and Latin America, was lunch. And that was paired up with a nice nap. La hora de la comida, which is what we called it at home, started with soup, then a second dish mostly consisting of a small portion chicken, fish or meat and veggies. Dessert was usually a cup of flan or fruit, or even 2-3 galletitas, usually Marías. Small portions but with a lot of variety.

The soups were basic and traditional like cocido, which is made up of lots of veggies and very little meat. This was my Papa Pepe’s favorite. But there were also the caldillos. Ours were usually made with chopped fresh tomato, garlic, onion and green chile with small bits of lean beef and cubed potatoes. Meat was expensive then, so the meat portions were always small. A chuleta (pork chop) was thin cut and no bigger than the palm of your hand. The side dishes were veggies such as calabacitas, green beans, or a cucumber salad. ¡Un pan! (One piece of bread)

Dinner was lighter than lunch. Some leftovers from lunch perhaps, or a lentil stew with carrots and onions, or even a simple bowl of frijoles de la olla. Sometimes we had chorizo con papas, scrambled up with some eggs. This was a bit heavier, but again, the portions were small, so we could enjoy it without excess. ¡Chiquito pero sabroso! (Small but tasty. )

You can eat a great variety of foods when you eat small portions. “¡Es provete, no traguete!” is one of my favorite dichos related to eating. (It translates to: it’s a taste, not a gorge.) So even a traditional chorizo, which has more fat than a regular cut of lean meat, in small amounts, is delicious. Todo en moderación. (Everything in moderation.)

Papá Pepe was anti-chuchulucos. Now there’s a word for your dictionary! CHUCHULUCOS. (Mostly refers to the sweet stuff, like candy, churros, pies, pan dulce, cakes, etc.) He never touched the stuff.  

So my abuelo ate three meals with no snacks in between; never ate sugar, except maybe in his café con leche, walked everywhere he could, and worked from sun up to sun down. Lived to be 90.

But life has changed. Now we supersize our meals. We use food as a stress management tool and snack for entertainment purposes. The crunchier, the fattier, the more addicting, the more we like it. We sit in our cars, sit in front of our desks, plop down in front of some kind of screen for hours every day and weigh much more than our grandparents did.

One of the most interesting lectures I ever attended as a health educator was years ago from Dr. David Hayes Bautista, a Professor of Medicine and Director of the Center for the Study of Latino Health and Culture at the School of Medicine at UCLA. 

He cautioned that “Assimilation could be hazardous to our health,” and it was all about how Mexican immigrants were healthier when they got here than when they had lived here for a few years. Current research from UCLA also shows that as Mexican immigrants spend more time in this country, their health physical and mental health deteriorates.

The basic traditional Mexican diet consists of corn tortillas, beans, fresh vegetables like tomato, avocado, chiles and onions, and some fruit. Traditional Mexican life included walking as a means of transportation and working hard.  

Once we gave up walking as a mode of transportation, changed our traditional lifestyles from working on farms and ranches or even subsistent farming like growing our own food and tending to our orchards, gardens and chickens, we also started eating larger portions and more processed foods with lots more fat, sodium and sugar.

Modern North American life has not been kind to our health. Along with eating more processed and fast foods, came the convenience and affordability of cars. These changes make our lives easier but also carry unintended consequences. (Para cada solución hay un problema.)

We eat more poorly and are less active than our grandparents, and our poor bodies just started slowing down and wearing out.

It’s not rocket science, Comadres. But there you have it.

There’s an old dicho that you might have heard: “Lo que no mata engorda.” The equivalent of – “If it  doesn’t kill you, it will make you fatter.” Now, a more appropriate dicho for our times  may be, “Lo que te engorda, te puede matar,” – “That which makes you fat may kill you.”

Unfortunately, I speak from experience. I just found out that I have prediabetes again. I had been diagnosed with prediabetes many years ago and that is when I started biking every day and cutting back on carbs and fat. I lost the magical 5%-7% of my body weight, and the prediabetes went away. It worked for me for over 10 years.

Recently, I gained some weight, and sure enough, I am back in the prediabetes range. Now let me tell you that I haven’t changed my mind about having diabetes. I do not want diabetes, and I am going to do what I can to prevent or delay it.  

So, I am going to channel Papá Pepe and start going back to a more traditional way of eating. I’m cutting back on portion sizes and do more walking.  

I always thought that I did plenty of exercise. I ride my bike every day, come rain or shine, but I also confess that I’ve been riding to a French Café. So, I’m bailing on the croissant and switching to whole grain toast.

When my Viejo takes our giant dog for a walk in the morning, I’m getting up and going with them even if it means going in my PJ’s. (I’m in Portland right now and people shop in their pajamas here, so I’m cool.)

I’m using our De Las Mías Healthy Lifestyle Checklist and calling my Comadre, best friend and sister, test kitchen chef, extra-ordinaire, and Silver Sneaker maniac to report in.   

No more CHUCHULUCOS for me and that means, not eating those sour ginger candies I get at the corner store! BUMMER! Okay, well maybe just a few on the week end! ¡Poquitos porque son benditos!

I’m going to practice what I preach and let you know how it goes. In 6 months, if I lose 5%-7% of my weight, I should be under the Pre-diabetes range again.  

For now, I’m going to take it easy, be kind to myself, love my body, treat it well, and make it last.

I’m signing off now to take my bici to Petite Provence, to eat my whole grain toast with an egg for protein and to enjoy the fall colors.

¡Hasta la vista!

 

Sources:

Gordon, Dan. Life in America: Hazardous to immigrants’ health? December 01, 2014 

Pérez-Escamilla. Acculturation, nutrition, and health disparities in Latinos. American Journal of Clinical Nutrition. 2011;93(suppl):1163S–7S. 2011 American Society for Nutrition

 

Healthy Body, Healthy Comadres, Healthy Family, Latina Community

Latinas, Cancer and Healthy Lifestyles

Latinas, Cancer and Healthy Lifestyles: What Every Latina Needs to Know

Lately, we’ve been talking about what researchers call the Latino Health Paradox. The mystery of Latino longevity that shows that, a pesar de todo, in spite of all the odds, such as low education, low income, and low access to health care, Latinos still live longer than anyone else in the U.S., and Latinas live longer than anyone else!

That is good news, Comadres!

But even though we live longer than most people in the U.S., we are not protected from obesity, heart disease, diabetes and some cancers. We hear a lot about diabetes in our community, but not that much about cancer, and cancer is a doozy.

Latinas and Cancer is a complex topic, but it’s one we think is important for you and your comunidad to understand. (Hint: Prevention and early detection!)

Latinas and Cancer

According to the American Cancer Society 2018-2020 report, Latinos and Latinas are less likely to be diagnosed with cancer than non-Latino whites overall, but cancer is the leading cause of death among Latinos. (Go figure!)

There are several reasons for this confusing fact. One reason may be that incidence of cancer is just lower among Latinos, which would be very good news, indeed. But another reason might be that Latinos get diagnosed in later stages of cancer when it is too late to cure it. And that is tragic news, Comadres, because many cancers are curable if we catch them early enough.

Another blow to the cancer dilemma among Latinos is that many of us don’t have access to health care. Some simply don’t have the resources to treat cancer when it happens. Many states have cancer early detection programs that are often free or low cost. In some states, there may even be low cost treatment options, but being low income and not having health care is still a huge challenge and one that we need to address. (a discussion for another day).

We have prepared an overview on Latinas and Cancer.   Here are some Healthy Lifestyle steps to take to protect yourself.

Breast Cancer

Breast cancer is lower among Latinas than non-Latinas in the U.S., but breast cancer is still the leading cause of death among Latinas.  

The reason why: breast cancer in Latinas is often found in the advanced stages when it is harder to cure. Latinas don’t get mammograms at the same rate as non-Latina whites. Some of our comadres can’t afford it, but some of them just don’t get mammograms. They’re busy or they’re embarrassed or they just don’t want to deal with it, but they don’t go and that does not end well.

Early detection of breast cancer saves lives.

What to do:

  • If you are 40 to 44, the American Cancer Society recommends that you start talking to your doctor about mammograms.
  • If you are between the ages of 45 and 54, the American Cancer Society recommends a yearly mammogram.
  • If you are over the age of 55, the American Cancer Society recommends a mammogram every two years.
  • All women need to learn how to do self examine our breasts. Your health care provider can teach you how. Just ask!
  • If you don’t have insurance, there are breast cancer early detection programs in all states that can help you. Some programs may even have free or low cost treatment options.
  • If you care about your comadres, moms, sisters, friends and madrinas, share this information with them. Offer to go with them to their mammograms. Go get coffee and dessert afterwards!

Colorectal Cancer

Although colorectal cancer among Latinos is lower than among Non-Latino Whites, colorectal cancer is the second most commonly diagnosed cancer among Latinas and Latinos. Colorectal cancer is the 3rd leading cause of cancer deaths among Latinos.

Colorectal cancer is a very treatable cancer, if caught early.

Latinos and Latinas are squeamish when it comes to colorectal cancer screening. (¡Nos da asco!) Latinos undergo colorectal screening less than any other group.  And the result of not getting screened is a tragedy that does not have to happen.

What to do:

  • The only way to catch colorectal cancer early is to make yourself go through the yukky tests! There are several tests that are commonly used to find colorectal cancer. None of them are fun or pleasant and many of us are just too embarrassed or grossed out to do them.  
  • There are 2 stool tests that are commonly used. They detect blood in the stool.  You may know them as the FIT, which stands for fecal immunochemical test, or the FOBT, which stands for fecal occult blood test. (Basically it involves putting some poop on a card and sending it in for analysis. So, yes, fuchi, but effective, and it could save your life.)
  • The other common test is the colonoscopy, which involves a tripa up your rear end.  That’s where the colon is. This falls into the category of ¡Ni modo! Grin and bear it. They give you a sedative to make you more comfortable and to help you forget it ever happened. Some people don’t feel a thing. ¿What do you say we just get over the vergüenza and do the test, Comadres?  
  • Talk to your doctor about which colorectal cancer screening test is best for you, and preserve your long life!

Cervical Cancer

According to the American Cancer Society, the cervical cancer rate among Latinas is 40% higher than among non-Latina white women. Although cervical cancer rates have gone down over the last few years, it is still too high for us, Comadres!

Cervical cancer is caused by certain kinds of viruses, called HPVs (the human papillomavirus). Sometimes the virus goes away on its own. But over time if HPV doesn’t go away, it can cause cervical cancer.

What to do:

  • The main way to prevent HPV is to get the HPV vaccine. The CDC recommends that all children, boys and girls, get the vaccine between the ages of 13-17 so they can be protected for the rest of their lives.
  • Recently, the HPV vaccine was approved by the Food and Drug Administration for people up to the age of 45. Check with your doctor and find out if  you can get vaccinated.
  • If you have HPV, the way to catch it before it becomes cancer is to have cervical cancer screening. It starts with a pap test and you may need an HPV test as well.  
  • Smoking puts us at risk of persistent HPV infections and cervical cancers. So if you don’t smoke, don’t start. If you smoke, quit.

Stomach Cancer

Stomach cancer is higher among Latinas than non-Latina white women. Scientists don’t have a full understanding of stomach cancer yet, but they have linked some stomach cancers to exposure to bacterial infections of the stomach.  Some of these infections can be found and treated. More studies are needed to learn more about why Latinos and Latinas are at higher risk of stomach cancers.

What to do:

  • If you have had stomach bacterial infections, talk to your doctor about what you can do to protect yourself from stomach cancer.
  • If you smoke, quit. If you don’t smoke, don’t start. (Seeing a theme here?)
  • Cut down on drinking alcohol. It is recommended that women drink only one alcoholic drink a day.
  • Avoid foods that are preserved with salt and limit your intake of smoked or charred foods.
  • Cut down on processed meats, like bologna, chorizo, and ham
  • Eat plenty of fruits and non-starchy vegetables like onions, garlic and leeks. There are studies that show these  kinds of fruits and veggies can protect against stomach cancer.
  • Follow good hygiene practices such as washing your hands after you go to the bathroom, washing fruits and veggies before you eat them, and being careful with how you store your food

Gallbladder Cancer

Gallbladder cancer is higher among Latinas than among non-Latina whites. It is also higher among Latinas than in Latinos. More research is needed on gallbladder cancer and why it is so high among Latinas.

Possible connections are being overweight, being on hormone replacement therapy, and/or if you have had gallstones.

What to do:

  • Cut back on your risk for gallbladder cancer by getting to a healthier weight.  
  • If you are overweight, start eating a healthier diet and get more active.
  • Join De Las Mías and follow our healthy living plan!
  • If you are on hormone replacement therapy, talk to your doctor about this risk.

Latinas, Cancer and Healthy Lifestyles 

We wanted to give you a snapshot of Latinas and cancer, so you can start thinking about it and take action! There’s good news about Latinas and Cancer and it has to do with Healthy Lifestyle.  

Here’s the Good News:

  • The American Cancer Society states that 42% of all cancer cases can be prevented, mainly by not smoking, eating healthfully and being physically active.
  • Other cancers like breast, colon, and cervical cancer can be cured if you catch them early enough.
  • Review this article with your familias. Take these specific steps and protect yourself and your hijas, comadres, tías, moms, and madrinas.
  • If you are lucky enough to be able to sign up for health insurance, do it now. ¡Vale la pena!

For a deeper dive into Latinos and cancer, read the American Cancer Society report: Cancer and Facts & Figures.

The take-away, Comadres, is this: All roads lead to following a healthy lifestyle program like De Las Mías.  

Take back your power and hold on to the Latina Health Paradox! Get your cancer screenings and live to tell the tale! Take charge of your health and your life. You’re driving, Comadre!

Let us know one thing you are doing today to change the cancer story for Latinas!

〰️

Check out the De Las Mias app. It’s free and ready for download in the Google Play Store. Follow us on Facebook and Instagram @delasmiaslife.

 

————

Sources:

American Cancer Society. Cancer Facts and Figures for Hispanics/Latinos. 2018-2020. Atlanta, American Cancer Society, Inc. 2018.

https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/cancer-facts-and-figures-for-hispanics-and-latinos/cancer-facts-and-figures-for-hispanics-and-latinos-2018-2020.pdf

https://www.fredhutch.org/en/events/cancer-in-our-communities/hispanic-americans-and-cancer.html

Healthy Body, Healthy Comadres, Healthy Family

The Mysterious Case of a Long Latino Life

The Mystery of the Long Lives of Latinos

¿Sabías que? Latinos live longer than other groups in the U.S. And Latinas live longer than almost anyone? (Yes, I am talking about you, Comadre!)

According to the Population Reference Bureau, a non-profit organization that specializes in demographics, Latinos outlive non-Latino whites by 3 years on average.  

Long Live Latinos!

In 2014, life expectancy at birth for the U.S. Hispanic population was 81.8 years, compared with 78.8 years for the U.S. non-Hispanic white population. If you are a Latina, you are expected to live to be over 83 years of age, compared to 81 years of age for a non-Hispanic white women.

¡Imagínate! In spite of Latinos having lower income and less education than other groups in this country, we still live longer! (Strong Stuff!)

It’s a Mystery

Scientists sometimes call this life expectancy mystery the “Latino Health Paradox.”

Here are some of the clues that researchers think may solve the mysterious case of Latino longevity:

One reason that scientists think Latinos may live longer is that we don’t smoke as much as our white and black brothers and sisters. Latinas tend to smoke less than other groups and we tend to quit earlier. Since lung cancer is the number one cause of cancer deaths in this country, and we’re not smoking as much as others, we’re not dying of lung cancer at the same rate. That’s good news!

What to do: If you don’t smoke, don’t start. If you smoke, quit.

Another reason that Latinos might live longer is that many of us are immigrants, and immigrants come into this country with better health, better eating habits and more physically active than the folks who already live here. It is only after we spend a lifetime in the States that we start losing our grip on our good health and longevity. 

What to do: ¡Eat like your Abuelos! Go back to your traditional foods. ¡Qué vivan los healthy tacos! Y ¡Qué viva la ‘Mediterranean diet!’ 

Follow the De Las Mías 9 Steps to Healthy Living. Use the De Las Mías app to get healthy and stay on track. Check out our healthy lifestyle checklist in the app! It works, but only if you use it!

A third reason why we might be so tough and resilient has to do with our familias and our comunidad. Dr. Ortega, a researcher at UCLA Center for Latino Health, tells us that our mental health takes a turn for the worse as we lose our family and community connections. This is especially true for our teenagers as they become more Americanized. Hanging on to our cultura, our values, our families and our community makes us stronger and can help our children be more resilient.

Through ongoing research, we are learning that there is a direct link between long-term stress and health. We now know that having social and family support is key to managing stress and that means better mental health, for ourselves and our children.

 

How to preserve our longevity: Hang on to your familias for dear life! Keep on nurturing your familias, vecinos, comadres y compadres as if your health depended on it, because apparently it does!

 

What scientists call the “Latino Health Paradox” is a wonderful mystery that we should embrace and promote in ourselves. Be proud of it, Comadres! We are a resilient, hardworking, healthy people and we need to make the most of this gift.  

Ask yourselves:

  • What can I do to keep this mystery alive and well in myself and my familia?
  • How can I preserve this gift that has been handed down to me by my ancestors?  

And give thanks for the Latino Health Paradox!

〰️

Check out the De Las Mias app. It’s free and ready for download in the Google Play Store.  Follow us on Facebook and Instagram @delasmiaslife.

————

Sources:

Scommegna, Paola. New Studies Link U.S. Hispanics’ Longer Life Expectancy to Migration Patterns, Less Smoking. PRB – Population Reference Bureau. September 2017. https://www.prb.org/hispanics-life-expectancy-migration-patterns/

Gordon, Dan. Life in America. Hazardous to Immigrants Health? UCLA Newsroom. 2014. http://newsroom.ucla.edu/stories/life-in-america-hazardous-to-immigrants-health

 

 

¡Hola, Guapa!, ¡Hola, Sabrosa!, Edición No. 6: Healthy Eating, English, Healthy Comadres, Healthy Family

Healthy Eating Wisdom: Eat Like Your Abuelos

  Looking for Healthy Eating Wisdom?  Your Abuelos Might Have the Answer

Have you noticed how many diseases are related to what we eat? High blood pressure, heart disease, diabetes, cancer. And if you’re trying to come up with a healthy eating plan, it is very confusing. Eat this. Dont eat that. Every time you turn around, there is another diet that you have to follow.  It’s enough to make us un poco loca.
 
But lucky for us, there’s some encouraging news. Researchers are finding out some things that many of us already know. Our grandparents and great-grandparents had a healthier lifestyle than we do, and that’s a fact.

Healthy Eating Wisdom from My Grandfather Take my Papa Pepe for instance, my dad’s father, who immigrated from Spain. Wiry little dude walked everywhere! If he weighed 135 pounds, he weighed too much. Swore that the onion he chomped on and the copious amount of garlic that my abuela cooked with kept him young and nimble even when the arthritis caught up with him in his 70s. We have an old cane of his that has a black mark on the inside of the curve of the cane, and that was from jumping on the bus. He used to run up to the bus and hook his cane around the door handle and hoist himself up the bus steps without missing a beat. Three Meals a Day I remember he bragged about his eating habits. “I eat breakfast, I eat lunch, I eat dinner. ¡Y, Ya! The big meal in those days, and still today in Spain and Latin America, was lunch. And that was paired up with a nice nap. La hora de la comida, which is what we called it at home, started with soup, then a second dish mostly consisting of a small portion chicken, fish or meat and veggies. Dessert was usually a cup of flan or fruit, or even 2-3 galletitas, usually Marías. Small portions but with a lot of variety. The soups were basic and traditional like cocido, which is made up of lots of veggies and very little meat. This was my Papa Pepe’s favorite. But there were also the caldillos. Ours were usually made with chopped fresh tomato, garlic, onion and green chile with small bits of lean beef and cubed potatoes. Meat was expensive then, so the meat portions were always small. A chuleta (pork chop) was thin cut and no bigger than the palm of your hand. The side dishes were veggies such as calabacitas, green beans, or a cucumber salad. ¡Un pan! (One piece of bread) Dinner was lighter than lunch. Some leftovers from lunch perhaps, or a lentil stew with carrots and onions, or even a simple bowl of frijoles de la olla. Sometimes we had chorizo con papas, scrambled up with some eggs. This was a bit heavier, but again, the portions were small, so we could enjoy it without excess. ¡Chiquito pero sabroso! (Small but tasty. ) You can eat a great variety of foods when you eat small portions. “¡Es provete, no traguete!” is one of my favorite dichos related to eating. (It translates to: it’s a taste, not a gorge.) So even a traditional chorizo, which has more fat than a regular cut of lean meat, in small amounts, is delicious. Todo en moderación. (Everything in moderation.) Papá Pepe was anti-chuchulucos. Now there’s a word for your dictionary! CHUCHULUCOS. (Mostly refers to the sweet stuff, like candy, churros, pies, pan dulce, cakes, etc.) He never touched the stuff.   So my abuelo ate three meals with no snacks in between; never ate sugar, except maybe in his café con leche, walked everywhere he could, and worked from sun up to sun down. Lived to be 90. But life has changed. Now we supersize our meals. We use food as a stress management tool and snack for entertainment purposes. The crunchier, the fattier, the more addicting, the more we like it. We sit in our cars, sit in front of our desks, plop down in front of some kind of screen for hours every day and weigh much more than our grandparents did. One of the most interesting lectures I ever attended as a health educator was years ago from Dr. David Hayes Bautista, a Professor of Medicine and Director of the Center for the Study of Latino Health and Culture at the School of Medicine at UCLA.  He cautioned that “Assimilation could be hazardous to our health,” and it was all about how Mexican immigrants were healthier when they got here than when they had lived here for a few years. Current research from UCLA also shows that as Mexican immigrants spend more time in this country, their health physical and mental health deteriorates. The basic traditional Mexican diet consists of corn tortillas, beans, fresh vegetables like tomato, avocado, chiles and onions, and some fruit. Traditional Mexican life included walking as a means of transportation and working hard.   Once we gave up walking as a mode of transportation, changed our traditional lifestyles from working on farms and ranches or even subsistent farming like growing our own food and tending to our orchards, gardens and chickens, we also started eating larger portions and more processed foods with lots more fat, sodium and sugar. Modern North American life has not been kind to our health. Along with eating more processed and fast foods, came the convenience and affordability of cars. These changes make our lives easier but also carry unintended consequences. (Para cada solución hay un problema.) We eat more poorly and are less active than our grandparents, and our poor bodies just started slowing down and wearing out. It’s not rocket science, Comadres. But there you have it. There’s an old dicho that you might have heard: “Lo que no mata engorda.” The equivalent of – “If it  doesn’t kill you, it will make you fatter.” Now, a more appropriate dicho for our times  may be, “Lo que te engorda, te puede matar,” – “That which makes you fat may kill you.” Unfortunately, I speak from experience. I just found out that I have prediabetes again. I had been diagnosed with prediabetes many years ago and that is when I started biking every day and cutting back on carbs and fat. I lost the magical 5%-7% of my body weight, and the prediabetes went away. It worked for me for over 10 years. Recently, I gained some weight, and sure enough, I am back in the prediabetes range. Now let me tell you that I haven’t changed my mind about having diabetes. I do not want diabetes, and I am going to do what I can to prevent or delay it.   So, I am going to channel Papá Pepe and start going back to a more traditional way of eating. I’m cutting back on portion sizes and do more walking.   I always thought that I did plenty of exercise. I ride my bike every day, come rain or shine, but I also confess that I’ve been riding to a French Café. So, I’m bailing on the croissant and switching to whole grain toast. When my Viejo takes our giant dog for a walk in the morning, I’m getting up and going with them even if it means going in my PJ’s. (I’m in Portland right now and people shop in their pajamas here, so I’m cool.) I’m using our De Las Mías Healthy Lifestyle Checklist and calling my Comadre, best friend and sister, test kitchen chef, extra-ordinaire, and Silver Sneaker maniac to report in.    No more CHUCHULUCOS for me and that means, not eating those sour ginger candies I get at the corner store! BUMMER! Okay, well maybe just a few on the week end! ¡Poquitos porque son benditos! I’m going to practice what I preach and let you know how it goes. In 6 months, if I lose 5%-7% of my weight, I should be under the Pre-diabetes range again.   For now, I’m going to take it easy, be kind to myself, love my body, treat it well, and make it last. I’m signing off now to take my bici to Petite Provence, to eat my whole grain toast with an egg for protein and to enjoy the fall colors. ¡Hasta la vista!   Sources: Gordon, Dan. Life in America: Hazardous to immigrants’ health? December 01, 2014  Pérez-Escamilla. Acculturation, nutrition, and health disparities in Latinos. American Journal of Clinical Nutrition. 2011;93(suppl):1163S–7S. 2011 American Society for Nutrition  

¡Hola, Guapa!, Edición No. 6: Healthy Eating, English, Healthy Body, Healthy Comadres

Latinas, Cancer and Healthy Lifestyles

Latinas, Cancer and Healthy Lifestyles: What Every Latina Needs to Know

Lately, we’ve been talking about what researchers call the Latino Health Paradox. The mystery of Latino longevity that shows that, a pesar de todo, in spite of all the odds, such as low education, low income, and low access to health care, Latinos still live longer than anyone else in the U.S., and Latinas live longer than anyone else!

That is good news, Comadres!

But even though we live longer than most people in the U.S., we are not protected from obesity, heart disease, diabetes and some cancers. We hear a lot about diabetes in our community, but not that much about cancer, and cancer is a doozy.

Latinas and Cancer is a complex topic, but it’s one we think is important for you and your comunidad to understand. (Hint: Prevention and early detection!)

Latinas and Cancer

According to the American Cancer Society 2018-2020 report, Latinos and Latinas are less likely to be diagnosed with cancer than non-Latino whites overall, but cancer is the leading cause of death among Latinos. (Go figure!)

There are several reasons for this confusing fact. One reason may be that incidence of cancer is just lower among Latinos, which would be very good news, indeed. But another reason might be that Latinos get diagnosed in later stages of cancer when it is too late to cure it. And that is tragic news, Comadres, because many cancers are curable if we catch them early enough.

Another blow to the cancer dilemma among Latinos is that many of us don’t have access to health care. Some simply don’t have the resources to treat cancer when it happens. Many states have cancer early detection programs that are often free or low cost. In some states, there may even be low cost treatment options, but being low income and not having health care is still a huge challenge and one that we need to address. (a discussion for another day).

We have prepared an overview on Latinas and Cancer.   Here are some Healthy Lifestyle steps to take to protect yourself.

Breast Cancer

Breast cancer is lower among Latinas than non-Latinas in the U.S., but breast cancer is still the leading cause of death among Latinas.  

The reason why: breast cancer in Latinas is often found in the advanced stages when it is harder to cure. Latinas don’t get mammograms at the same rate as non-Latina whites. Some of our comadres can’t afford it, but some of them just don’t get mammograms. They’re busy or they’re embarrassed or they just don’t want to deal with it, but they don’t go and that does not end well.

Early detection of breast cancer saves lives.

What to do:

  • If you are 40 to 44, the American Cancer Society recommends that you start talking to your doctor about mammograms.
  • If you are between the ages of 45 and 54, the American Cancer Society recommends a yearly mammogram.
  • If you are over the age of 55, the American Cancer Society recommends a mammogram every two years.
  • All women need to learn how to do self examine our breasts. Your health care provider can teach you how. Just ask!
  • If you don’t have insurance, there are breast cancer early detection programs in all states that can help you. Some programs may even have free or low cost treatment options.
  • If you care about your comadres, moms, sisters, friends and madrinas, share this information with them. Offer to go with them to their mammograms. Go get coffee and dessert afterwards!

Colorectal Cancer

Although colorectal cancer among Latinos is lower than among Non-Latino Whites, colorectal cancer is the second most commonly diagnosed cancer among Latinas and Latinos. Colorectal cancer is the 3rd leading cause of cancer deaths among Latinos.

Colorectal cancer is a very treatable cancer, if caught early.

Latinos and Latinas are squeamish when it comes to colorectal cancer screening. (¡Nos da asco!) Latinos undergo colorectal screening less than any other group.  And the result of not getting screened is a tragedy that does not have to happen.

What to do:

  • The only way to catch colorectal cancer early is to make yourself go through the yukky tests! There are several tests that are commonly used to find colorectal cancer. None of them are fun or pleasant and many of us are just too embarrassed or grossed out to do them.  
  • There are 2 stool tests that are commonly used. They detect blood in the stool.  You may know them as the FIT, which stands for fecal immunochemical test, or the FOBT, which stands for fecal occult blood test. (Basically it involves putting some poop on a card and sending it in for analysis. So, yes, fuchi, but effective, and it could save your life.)
  • The other common test is the colonoscopy, which involves a tripa up your rear end.  That’s where the colon is. This falls into the category of ¡Ni modo! Grin and bear it. They give you a sedative to make you more comfortable and to help you forget it ever happened. Some people don’t feel a thing. ¿What do you say we just get over the vergüenza and do the test, Comadres?  
  • Talk to your doctor about which colorectal cancer screening test is best for you, and preserve your long life!

Cervical Cancer

According to the American Cancer Society, the cervical cancer rate among Latinas is 40% higher than among non-Latina white women. Although cervical cancer rates have gone down over the last few years, it is still too high for us, Comadres!

Cervical cancer is caused by certain kinds of viruses, called HPVs (the human papillomavirus). Sometimes the virus goes away on its own. But over time if HPV doesn’t go away, it can cause cervical cancer.

What to do:

  • The main way to prevent HPV is to get the HPV vaccine. The CDC recommends that all children, boys and girls, get the vaccine between the ages of 13-17 so they can be protected for the rest of their lives.
  • Recently, the HPV vaccine was approved by the Food and Drug Administration for people up to the age of 45. Check with your doctor and find out if  you can get vaccinated.
  • If you have HPV, the way to catch it before it becomes cancer is to have cervical cancer screening. It starts with a pap test and you may need an HPV test as well.  
  • Smoking puts us at risk of persistent HPV infections and cervical cancers. So if you don’t smoke, don’t start. If you smoke, quit.

Stomach Cancer

Stomach cancer is higher among Latinas than non-Latina white women. Scientists don’t have a full understanding of stomach cancer yet, but they have linked some stomach cancers to exposure to bacterial infections of the stomach.  Some of these infections can be found and treated. More studies are needed to learn more about why Latinos and Latinas are at higher risk of stomach cancers.

What to do:

  • If you have had stomach bacterial infections, talk to your doctor about what you can do to protect yourself from stomach cancer.
  • If you smoke, quit. If you don’t smoke, don’t start. (Seeing a theme here?)
  • Cut down on drinking alcohol. It is recommended that women drink only one alcoholic drink a day.
  • Avoid foods that are preserved with salt and limit your intake of smoked or charred foods.
  • Cut down on processed meats, like bologna, chorizo, and ham
  • Eat plenty of fruits and non-starchy vegetables like onions, garlic and leeks. There are studies that show these  kinds of fruits and veggies can protect against stomach cancer.
  • Follow good hygiene practices such as washing your hands after you go to the bathroom, washing fruits and veggies before you eat them, and being careful with how you store your food

Gallbladder Cancer

Gallbladder cancer is higher among Latinas than among non-Latina whites. It is also higher among Latinas than in Latinos. More research is needed on gallbladder cancer and why it is so high among Latinas.

Possible connections are being overweight, being on hormone replacement therapy, and/or if you have had gallstones.

What to do:

  • Cut back on your risk for gallbladder cancer by getting to a healthier weight.  
  • If you are overweight, start eating a healthier diet and get more active.
  • Join De Las Mías and follow our healthy living plan!
  • If you are on hormone replacement therapy, talk to your doctor about this risk.

Latinas, Cancer and Healthy Lifestyles 

We wanted to give you a snapshot of Latinas and cancer, so you can start thinking about it and take action! There’s good news about Latinas and Cancer and it has to do with Healthy Lifestyle.  

Here’s the Good News:

  • The American Cancer Society states that 42% of all cancer cases can be prevented, mainly by not smoking, eating healthfully and being physically active.
  • Other cancers like breast, colon, and cervical cancer can be cured if you catch them early enough.
  • Review this article with your familias. Take these specific steps and protect yourself and your hijas, comadres, tías, moms, and madrinas.
  • If you are lucky enough to be able to sign up for health insurance, do it now. ¡Vale la pena!

For a deeper dive into Latinos and cancer, read the American Cancer Society report: Cancer and Facts & Figures.

The take-away, Comadres, is this: All roads lead to following a healthy lifestyle program like De Las Mías.  

Take back your power and hold on to the Latina Health Paradox! Get your cancer screenings and live to tell the tale! Take charge of your health and your life. You’re driving, Comadre!

Let us know one thing you are doing today to change the cancer story for Latinas!

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Check out the De Las Mias app. It’s free and ready for download in the Google Play Store. Follow us on Facebook and Instagram @delasmiaslife.

 

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Sources:

American Cancer Society. Cancer Facts and Figures for Hispanics/Latinos. 2018-2020. Atlanta, American Cancer Society, Inc. 2018.

https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/cancer-facts-and-figures-for-hispanics-and-latinos/cancer-facts-and-figures-for-hispanics-and-latinos-2018-2020.pdf

https://www.fredhutch.org/en/events/cancer-in-our-communities/hispanic-americans-and-cancer.html

¡Hola, Guapa!, Edición No. 6: Healthy Eating, English, Healthy Body, Healthy Comadres

The Mysterious Case of a Long Latino Life

The Mystery of the Long Lives of Latinos

¿Sabías que? Latinos live longer than other groups in the U.S. And Latinas live longer than almost anyone? (Yes, I am talking about you, Comadre!)

According to the Population Reference Bureau, a non-profit organization that specializes in demographics, Latinos outlive non-Latino whites by 3 years on average.  

Long Live Latinos!

In 2014, life expectancy at birth for the U.S. Hispanic population was 81.8 years, compared with 78.8 years for the U.S. non-Hispanic white population. If you are a Latina, you are expected to live to be over 83 years of age, compared to 81 years of age for a non-Hispanic white women.

¡Imagínate! In spite of Latinos having lower income and less education than other groups in this country, we still live longer! (Strong Stuff!)

It’s a Mystery

Scientists sometimes call this life expectancy mystery the “Latino Health Paradox.”

Here are some of the clues that researchers think may solve the mysterious case of Latino longevity:

One reason that scientists think Latinos may live longer is that we don’t smoke as much as our white and black brothers and sisters. Latinas tend to smoke less than other groups and we tend to quit earlier. Since lung cancer is the number one cause of cancer deaths in this country, and we’re not smoking as much as others, we’re not dying of lung cancer at the same rate. That’s good news!

What to do: If you don’t smoke, don’t start. If you smoke, quit.

Another reason that Latinos might live longer is that many of us are immigrants, and immigrants come into this country with better health, better eating habits and more physically active than the folks who already live here. It is only after we spend a lifetime in the States that we start losing our grip on our good health and longevity. 

What to do: ¡Eat like your Abuelos! Go back to your traditional foods. ¡Qué vivan los healthy tacos! Y ¡Qué viva la ‘Mediterranean diet!’ 

Follow the De Las Mías 9 Steps to Healthy Living. Use the De Las Mías app to get healthy and stay on track. Check out our healthy lifestyle checklist in the app! It works, but only if you use it!

A third reason why we might be so tough and resilient has to do with our familias and our comunidad. Dr. Ortega, a researcher at UCLA Center for Latino Health, tells us that our mental health takes a turn for the worse as we lose our family and community connections. This is especially true for our teenagers as they become more Americanized. Hanging on to our cultura, our values, our families and our community makes us stronger and can help our children be more resilient.

Through ongoing research, we are learning that there is a direct link between long-term stress and health. We now know that having social and family support is key to managing stress and that means better mental health, for ourselves and our children.

 

How to preserve our longevity: Hang on to your familias for dear life! Keep on nurturing your familias, vecinos, comadres y compadres as if your health depended on it, because apparently it does!

 

What scientists call the “Latino Health Paradox” is a wonderful mystery that we should embrace and promote in ourselves. Be proud of it, Comadres! We are a resilient, hardworking, healthy people and we need to make the most of this gift.  

Ask yourselves:

  • What can I do to keep this mystery alive and well in myself and my familia?
  • How can I preserve this gift that has been handed down to me by my ancestors?  

And give thanks for the Latino Health Paradox!

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Check out the De Las Mias app. It’s free and ready for download in the Google Play Store.  Follow us on Facebook and Instagram @delasmiaslife.

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Sources:

Scommegna, Paola. New Studies Link U.S. Hispanics’ Longer Life Expectancy to Migration Patterns, Less Smoking. PRB – Population Reference Bureau. September 2017. https://www.prb.org/hispanics-life-expectancy-migration-patterns/

Gordon, Dan. Life in America. Hazardous to Immigrants Health? UCLA Newsroom. 2014. http://newsroom.ucla.edu/stories/life-in-america-hazardous-to-immigrants-health

 

 

¡Hola, Guapa!, English, Healthy Body, Healthy Comadres

Latinas, The Hub of the Family: Self-Care for the Super Mujer

Self-Care for the Super Mujer 

As Latinas, we know we are the rock of our familias. We are the classic Super Mujeres who do it all. We are Super Mamás, Super Abuelas, and Super Caregivers of our aging parents, tías and tíos. We are often, if not always, expected to take the high road. We are in charge of our families, and we are proud of it. We embrace it. We knock ourselves out doing it – we can bring home the frijoles, cook em, serve em up, and make sure our children, partners and viejitos are healthy, safe and sound. But what about self-care?  

Latinas have been called the Hub of the Family. And we know that’s true. Research shows that Latinas make most of the health care decisions for the family; we make the major economic decisions, such as how the money is spent, where we shop for clothes and groceries. We decide on schools, discipline, elder care, you name it. Being a Super Mujer and Hub of the Family is a huge package —un paquetón. But think about this for a moment: If we are the hub of the familia, what happens if the hub breaks down? (Hint: When the hub breaks down, nos lleva la tiznada. And I’m being polite here. There is a better word for that in my Chingonario.)

So this article is the beginning of what I hope can be a conversation on self-care. How can we take care of ourselves as we take care of others?

 

 

Here are some things to ponder about self-care as you look at yourself as the hub of the family.

How do you take care of yourself? Self-care is essential when you’re taking care of others. Quick, make a list of 5 self-care activities that you practice.

If you can’t get to 5, make a wish list on 5 more things you can do to start taking better care of yourself. Write it down and post it somewhere. Remember, contemplation is the first step to action!

Here are some basic self-care tips to try:

  1. Your morning ritual. Think of a day when you would feel joyful and relaxed. What does that day look like? How do you start your day? A friend of mine, Roni in Tucson, takes self-care seriously. She always starts her day with a cup of tea in bed with her favorite inspirational reading. She gets up 30 minutes earlier than everyone else and makes a cup of tea and goes back to bed. She listens to soft music, reads a passage or two from her little book and meditates for 5 minutes. She tells me that this morning ritual is essential to start her day on the right foot. What little moments can you carve out for yourself in the morning to start your day off right?
  2. Your physical well-being. Did you know that the majority of us Latinas are not physically active? You might say, “Well if you were in my shoes, you wouldn’t be that physical active either!” And you might be right, but just think about how you can add 20-30 minutes of activity to your day. Can you sneak in a 15 minute walk at work during your break or lunch? Can you start parking a little further away at the grocery store to get in a few extra steps? Think about moving your body as self-care and see at happens next.  
  3. Your vegetables. Eat your veggies, whole grains and fruits. We have a wonderful tool on the De Las Mías App – Our Healthy Living Checklist. If you are not used to taking care of yourself, you probably wouldn’t check everything off the list at first, but can you start with veggies? Can you have a salad for lunch every day? Can you snack on fruit and nuts instead of crunchy stuff with a lot of salt and fat? Start making some headway on your healthy living checklist! ¡Vales la pena! – You’re worth it.
  4. Your bedtime ritual is one of the most important steps you take in self-care. Sleep is sacred for the Super-Mujer, the hub of the family! You have to be rested and ready to start another day!  Some night time rituals to try:
  • Go to bed at the same time every night if you can.
  • Avoid screen time 30 minutes before bed.
  • Avoid caffeine in the evening.
  • A warm bath or shower before going to bed is always nice.
  • Don’t go to bed too hungry or too full.
  • Keep the room cool and dark.
  • If you can’t sleep, don’t toss and turn. Get up and walk around, or read. When you get sleepy again, go back to bed.
  • Are you worried about something?  Write it down and put it in your worry box.  It will be there in the morning when you’re rested and you can tackle it then.

Cuida a tus viejitos. Taking care of elders is not easy, even if you love your viejitos with all your heart. In order to take care of them, you need to take care of yourself. Just pretend you’re on a flight. Give yourself oxygen first.

We found a great article from the Mayo Clinic that gives some good suggestions on how to manage caregiver stress. Try some of these Mayo Clinic suggestions and let us know how it goes:

  • Accept help. Be prepared with a list of ways that others can help you, and let the helper choose what he or she would like to do. For instance, a friend may offer to take the person you care for on a walk a couple of times a week. Or a friend or family member may be able to run an errand, pick up your groceries or cook for you.
  • Focus on what you are able to provide. It’s normal to feel guilty sometimes, but understand that no one is a “perfect” caregiver. Believe that you are doing the best you can and making the best decisions you can at any given time.
  • Set realistic goals. Break large tasks into smaller steps that you can do one at a time. Prioritize, make lists and establish a daily routine. Begin to say no to requests that are draining, such as hosting holiday meals.
  • Seek social support. Make an effort to stay well-connected with family and friends who can offer nonjudgmental emotional support. Set aside time each week for connecting, even if it’s just a walk with a friend.
  • *Get connected. Find out about caregiving resources in your community. Many communities have classes specifically about the disease your loved one is facing. Caregiving services such as transportation, meal delivery or housekeeping may be available.
  • *Join a support group. A support group can provide validation and encouragement, as well as problem-solving strategies for difficult situations. People in support groups understand what you may be going through. A support group can also be a good place to create meaningful friendships.

*An important note on the last two tips: Research shows that when it comes to asking for help in taking care of our viejitos, Latinas and Latinos under-utilize available services. These services are often free and bilingual. We encourage you to reach out to your local churches, social services, such as Catholic Charities, your local AAA, Area Agency on Aging, and/or your community clinics. Find out what’s available! Don’t go it alone, ¡Comadre!  

¡Cuídate, Mujer! It’s not easy being a Super Mujer – Hub of the Family!  

Let us know what you do to take care of yourself. Pass on your wisdom to others so they can find benefit from what you’ve learned.

Sources:

https://www.nielsen.com/us/en/insights/reports/2013/latina-power-shift.html/

http://www.pewresearch.org/fact-tank/2017/09/18/how-the-u-s-hispanic-population-is-changing/

https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/caregiver-stress/art-20044784

Flores, et al. Beyond Familism: Ethics of Care of Latina Caregivers of Elderly Parents with Dementia. Health Care Women Int. 2009

 

 

ESPAÑOL

Latinas, el centro de la familia: Autocuidado para la supermujer

 

Las latinas somos el pilar principal que sostiene a la familia.  Somos la clásica Supermujer que hace todo. Somos supermamás, superabuelas y supercuidadoras de nuestros padres, tías y tíos que están en su tercera edad.

Como madres, siempre se espera que tomemos el buen camino. Nos hacemos cargo de nuestras familias y estamos orgullosas de ello. Nos sacrificamos haciéndolo: compramos, guisamos y servimos los frijoles.  Nos aseguramos de que nuestros hijos, parejas y padres mayores estén sanos y salvos.

A las latinas se les conoce como el centro de la familia. Hay varios estudios científicos que comprueban que las latinas toman la mayoría de las decisiones de atención médica de la familia; tomamos las grandes decisiones económicas, como por ejemplo, cómo se gasta el dinero, dónde se compra la comida y la ropa de la familia. Decidimos cómo educar a nuestros hijos, a qué escuela mandarlos, cómo disciplinarlos y cómo cuidar de nuestros viejitos.

Estamos en el todo de la familia. Ser la mera mera y el Centro de la familia es un paquetón. Pensemos en esto: Si somos el centro de la familia, ¿qué pasa si el centro se descompone? (Pista: Cuando el centro se descompone, nos lleva la tiznada. Y estoy siendo educada, pues hay una palabra que lo describe mejor en mi Chingonario).

Este artículo es el principio de lo que espero sea una conversación sobre cómo cuidarnos a nosotras mismas mientras que cuidamos a los demás: desde la cuna hasta la tumba.

 

Éstas son algunas cosas que debes considerar al verte como el centro de la familia.

 

¿Cómo te cuidas? El autocuidado es fundamental cuando estás cuidando a los demás. A ver, rápidamente, haz una lista de 5 cosas que haces para cuidarte.

Si no llegaste a 5, haz una lista de 5 cosas que deseas  hacer para cuidarte mejor. Escríbelas y pégalas en el refri o en tu espejo, en algún lado donde puedes acordarte que tu propio cuidado es importante. Recuerda: ¡la contemplación es el primer paso hacia la acción!

 Aquí les compartimos algunos consejos básicos de autocuidado:

  1. ¡Tus mañanitas! Piensa en un día en el que te sentirías feliz y relajada. ¿Cómo sería ese día? ¿Cómo empiezas tu día? Una amiga, Roni, que vive en Tucson, siempre empieza su día con una taza de té en cama, leyendo su lectura inspiradora favorita. Se levanta 30 minutos antes que los demás y se hace su taza de té y regresa a la cama.  Escucha música tranquila, lee un párrafo o dos de su librito y medita 5 minutos. Me cuenta que ese ritual matutino es fundamental para que empiece bien su día. ¿Qué pequeños momentos puedes crear en la mañana para sentir que empiezas tu día bien? ¿Cómo sería tu Ritual Matutino?
  2. Tu bienestar físico. ¿Sabías que la mayoría de nosotras las latinas no somos físicamente activas? Podrías decir, “Pues si estuvieras en mis zapatos, ¡tú tampoco serías muy activa!” Y puede que tengas razón, pero piensa cómo le puedes agregar 20-30 minutos de actividad a tu día. ¿Puedes echarte una caminata de 15 minutos durante tu break del trabajo o tu hora de la comida? ¿Puedes empezar a estacionarte un poco más lejos del super para que camines un poquito más? ¿Qué pequeñas medidas puedes tomar para que puedas mover más tu cuerpo?
  3. Tus verduras. Come tus verduras, tus granos integrales y frutas. Tenemos una herramienta increíble en la app de De Las Mías: Nuestra Lista de Vida Sana. Si no te estás cuidando, seguramente al principio, no vas a marcar todo lo que está en la lista, pero ¿qué tal si empiezas con tus verduras? ¿Qué tal si te comes una ensalada a la hora de la comida todos los días? ¿Y si te comes una fruta o nueces de snack en vez de algo crujiente con demasiada sal y grasa? ¡Empieza a avanzar con tu lista de vida sana! ¡Vales la pena!
  4. Tu ritual a la hora de acostarse. ¿Qué tan bien duermes? ¡El sueño es muy importante para la roca de la familia! ¡Tiene que estar descansada y lista para empezar el nuevo día! Estos son algunos rituales de noche que puedes intentar:
  • Si puedes, acuéstate a la misma hora todos los días.
  • Evita estar frente a una pantalla 30 minutos antes de acostarte.
  • Evita la cafeína en la noche.
  • Un baño calientito antes de acostarte siempre es rico.
  • No te acuestes demasiado llena ni con mucha hambre
  • Mantén tu recámara fresca y oscura.
  • Si no puedes dormir, no estés dando vueltas. Párate y camina un poco o lee. Cuando te dé sueño de nuevo, regresa a la cama.
  • ¿Estás preocupada por algo? Escríbelo y ponlo en tu cajita de las preocupaciones. Ahí estará en la mañana cuando estés descansada y lo puedas resolver.

Cuida a tus viejitos. Cuidar de los viejitos no es fácil, aunque los ames con todo tu corazón. Para poder cuidarlos, tienes que cuidarte a ti. Haz de cuenta que estás en un vuelo. Ponte el oxígeno tu primero.

Encontramos un artículo en inglés buenísimo del Mayo Clinic que da muy buenas recomendaciones sobre cómo manejar el estrés como cuidador. Prueba algunas de estas sugerencias y cuéntanos cómo te va:

  • Acepta ayuda. Prepara una lista de maneras en que los demás te pueden ayudar a ti, y deja que el ayudante escoja que le gustaría hacer. Por ejemplo, un amigo puede ofrecer llevar a la persona que cuidas a pasear un par de días a la semana. O una amiga o miembro de la familia puede ayudarte con algún encargo: ir al super o preparar la cena.
  • Enfócate en lo que puedes proveer. Es normal sentirse culpable a veces, pero entiende que nadie es un cuidador “perfecto”. Créetela que estás haciendo lo mejor que puedes y tomando las mejores decisiones que puedes en cada momento.
  • Establece objetivos realistas. Divide las tareas grandes en pasos más pequeños para poder hacerlos uno a la vez. Fija prioridades, haz listas y establece una rutina diaria. Empieza a decir que no cuando alguien te pida que hagas algo que te va agotar, como organizar fiestas de fin de año.
  • Busca apoyo social. Haz un esfuerzo y mantente conectada con la familia y amigos que te puedan dar apoyo emocional sin juzgarte. Aparta tiempo cada semana para conectar con tus amistades, aunque sea una caminata con una amiga.
  • *Conéctate. Busca recursos en tu comunidad sobre cuidado a mayores. Muchas comunidades tienen clases específicamente sobre la enfermedad que tiene tu ser querido. Pueden tener servicios de cuidado disponible como transporte, comidas a domicilio y limpieza.
  • *Únete a un grupo de apoyo. Un grupo de apoyo puede darte validación y apoyo, al igual que estrategias de solución de problemas para enfrentar situaciones difíciles. La gente en los grupos de apoyo entiende por lo que estás pasando. Un grupo de apoyo también puede ser un buen lugar para crear buenas amistades.

*Una nota importante sobre las dos últimas recomendaciones: la investigación muestra que en el cuidado de los viejitos, las latinas y latinos usan muy poco los servicios de ayuda que existen. Estos servicios generalmente son gratuitos y bilingües. Te recomendamos que contactes a tu iglesia o asistencia social local, como las Caridades Católicas, tu AAA local, Area Agency on Aging, y/o las clínicas de tu comunidad. ¡Busca lo que está disponible! ¡No lo hagas sola Comadre!

¡No es nada fácil ser Supermujer! ¡Cuídate, Mujer!

Cuéntanos qué haces para cuidarte. Comparte tu conocimiento con las demás para que aprovechen de lo que tú has aprendido.

Fuentes:

https://www.nielsen.com/us/en/insights/reports/2013/latina-power-shift.html/

http://www.pewresearch.org/fact-tank/2017/09/18/how-the-u-s-hispanic-population-is-changing/

https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/caregiver-stress/art-20044784

Flores, et al. Beyond Familism: Ethics of Care of Latina Caregivers of Elderly Parents with Dementia. Health Care Women Int. 2009

 

Healthy Body, Healthy Comadres

Stress Management and Traditional Latina Remedios

 

Stress Management Latina Style 

We come from a rich Indo-Hispano tradition of adversity, cultural clashes, magical spirituality and wisdom. We carry this mixed bag passed down by our grandmothers, madrinas, tías and mothers. It’s in our blood and in our soul. We hand it down to the next generation through our DNA, our traditions, memories, stories and practices.  But did you ever think of these remedios as stress management tools?

As we take a deeper dive into the negative effects of stress in our lives, and we become more immersed in the science of chronic stress and its effects on our health, we can also dig deep into how our abuelas and great-grandmothers endured and thrived in spite of their adversity. They may not have been calling it that, but those tips, tricks and yes, even brujerías, were the original stress management tools!

Two concepts come to mind when thinking of stress management in Latino cultures. One is Aguantar and the other is Remedios. One is better than the other.

 Aguantar is one of those words that has much more meaning in Spanish than in English. In English it means to put up with, to endure. But for generations, we Latinas have been conditioned to not just endure, but to be silent about it. That “Calladita me veo más bonita” type of endurance. Aguantar goes with silence and that goes hand in hand with “sucking it up” for the sake of others. You’ve seen it in your mothers, tías and abuelas, that stoic dignity that comes from suffering – from grinning and bearing it.

I loved attending the #WeAllGrow Latina Summit last year and seeing droves of young Latinas pass by ¡Calladitas No More! banners, some even taking selfies by this 3-word manifesto: Silent No More!

Latinas are learning and growing and taking back our health, our power and our joy. As always, and like good Latinas, we do this not just for ourselves, but also for our familias. And that is a very good Latina tradition that we vow to pass down.

The other concept that comes to mind as we explore this multigenerational link of Aguantar el Estrés, is the concept of Remedios.

All things have a dark and light side and to me, the light side of Aguantar is the magic and power of our Remedios. The Remedy!

Remedios carries with them the magic of healing, of miracles, of hopeful expectancy. I went on a Búsqueda of Remedios that can help with stress management and here are a few that I found in my own Remedios Tool Box: 

1. El Santuario. The Sanctuary.

You may associate the word sanctuary with a church, such as El Sanctuario de Chimayó in beautiful Northern New Mexico, but you can make your own little sanctuario in your home or garden. Claim a little corner somewhere in your home or garden.  When you make this special sacred place, you can use it as an intentional remedio to help you cope with stress. Your bedroom works well for a sanctuario because often, it is the most private place in a home.

  • Start by claiming it as a special place where you can go for a quiet moment.
  • Place a few objects there that have meaning for you. A picture of your dad if that inspires strength, or a picture of your mom, if she inspires faith.
  • Place a picture or statue of your favorite Santito, or Our Lady of Guadalupe, a rosary, or whatever holds sacred value or a positive memory.  
  • Choose a candle that you will light only when you are in the room and place it securely on a flame proof base. (Twice, I almost burned the house down.)
  • Add some flowers. A bowl of holy water, or a bowl of water that you have blessed yourself.
  • Spend a few minutes with your sanctuario every day or acknowledge it when you pass by.

Use this sacred space to let go of your stress, worry and fear. Practice this and little by little you might find some magical refuge.

2. Sanctuary Creative Visualization

Another sanctuary practice that is lovely and has given me comfort in hard times is to do a deep relaxation exercise and add a creative visualization. Imagine a special place in your mind’s eye where you can go to feel comfort and peace. Does a beautiful garden come to mind? Or a special place to go for a sunset? Perhaps you went for a long walk on a beach one day and you felt relaxed and at peace. Take a few minutes and create this special sanctuary in your mind.  Feel peace and refuge there and go back anytime you want.

3. Un Tecito. A little cup of tea.   

Latinas have a long tradition of drinking their tecitos. Té de manzanilla – Chamomile tea is the most common. We even give it to babies to relax! Take a break, brew some tea, sit down and drink it in. As you sip your tea, try to relax and “letigo.”  

Té de tila – Linden tea is popular as a relaxation tea, but you shouldn’t drink it if you are pregnant or have heart disease. If you have any kind of chronic condition, it is always a good idea to ask your doctor if you should drink té de tila.  

Another favorite is té de azar – which is orange blossom tea. Té de azar was the classic tea given to young ladies when they were nervous before the big dance. Life is a big dance, sometimes, Comadres, so fortify yourselves.

Any kind of herbal tea will do. There are some great teas, like Sleepy Time, that will do the trick

3. La Limpia. The Cleanse.

Limpia has different meanings to different folks. Most would agree that a limpia is a cleanse. You might want to ask your abuelas and madrinas what they have used to do a limpia, or if they ever did one at all. Not all Latinas practice this tradition, but the basic limpia that I do is simply get some good sage and burn a little in a metal or ceramic bowl. It’s nice to offer it to the four directions, face each direction and let the smoke go over your head. After you smudge, you could put a few lemon drops in a cup of water in spray bottle and spray the room. This is a simple ritual that could help you feel more relaxed after an argument, after a guest leaves your house if she or he stressed you out, or you feel tension or unpleasantness in the room and you want to “clear the air.”  The important quality to try to achieve is to intentionally let go of tension, stress, and malas vibras.

4. La veladora. The blessed votive.    

We love our candles, but we have to be careful. Did I tell you I have almost burned down the house twice?! So fair warning, comadres! But there are some wonderful veladoras out there. Te prendo una veladora always means I will light a candle to help make your wish come true. So use your veladoras, wisely. I burn mine in the fireplace now, so there is no chance that I will cause a fire except the one that is burning in my passionate heart. We love the classic Virgen de Guadalupe votives.

5. El Bubble Bath.  

I’m a Latina and I am a grandmother now, so you can say this one came from an old abuela. I love a good bubble bath. Just take some “me” time, ¡Comadres! Get some bubbles, put on some relaxing music, a do not disturb sign on the bathroom door and chill out! This remedio works wonders if your back aches or you have tired feet from standing all day at work.

 

What are some of your tried and tested remedios? What customs from your culture do you bring to your own stress management?

Healthy Body, Healthy Comadres

Deep Relaxation: How to Be a Healthy y Calmada Super Mujer

The Health Benefits of Deep Relaxation

When we are stressed out, and especially when we have been stressed or worried for a long time, it is important to take care of ourselves and learn ways to cope, such as practicing deep relaxation.  The goal is to keep stress from turning into a health problem. If you read Stress and Cortisol, you now know that there is scientific evidence that the long term effects of cortisol can cause health problems, not to mention las lonjitas (those pesky rolls around the middle). It turns out that getting thick around our middles, developing the lonjita syndrome, is not just a cosmetic problem. There is a link between lonjitas and developing chronic conditions like obesity, prediabetes, diabetes, heart disease and high blood pressure.  

Scientists are starting to refer to chronic stress as toxic stress. There is mounting evidence that deep relaxation can help us counter toxic stress and prevent some diseases.

So as time goes by, we will provide you with updated information, tips and tricks on how to counter the negative effects of chronic stress.  

Traditional Forms of Deep Relaxation

Deep relaxation has been around for centuries. Your abuelita probably practiced deep relaxation without knowing it when she prayed the rosary every night before she fell asleep. Praying the rosary has been a Latina ritual for centuries, and now we are starting to find out, that besides feeling closer to the Blessed Mother, Latinas were finding a way, through repetitive prayer, to “letigo.” Letting go is one of the healthiest things you can do if you are under a lot of stress, and there are many ways to do this. Praying the rosary is just one of them.

As our country becomes more culturally diverse, we see men holding prayer beads, and others wearing mala beads around their wrists. In Greece they have worry beads. My friend Julie has some purple amethyst beads to die for! I have an old strand of mala beads that I wear around my left wrist when I am particularly stressed out. For me, they remind me to take deep breaths throughout the day and stop and smell the roses. I also use them to repeat the serenity prayer or if I’m in really dire straits, a bunch of Hail Marys.

Repetitive prayer, like the Hail Mary, the recitation of a mantra, or the Serenity Prayer, helps place you in a relaxed, meditative state. This meditative state is deep relaxation and it helps counter the negative effects of stress.

Some of  us nerviosas, can’t-sit-still types, do the walking meditation technique that we shared a few weeks ago. I have comadres who get a similar benefit from knitting. There are several studies that link knitting to positive health effects, better memory and deep relaxation.

Find your own way of getting into a deep relaxed state at least once a day. There are many good free apps that you can download that will help you meditate, but remember, the goal is the same. Deep relaxation. ¡Namaste, Comadres!

Here is a tried and true technique that I learned many years ago when I worked in a pain management program at the University of Arizona, Southwest Arthritis Center.

  1. Find a quiet place where you will not be disturbed for at least 15 minutes.
  2. Sit in a chair in a comfortable position, or on the floor with your back against the wall.
  3. Take a deep breath. Breathe in through your nose and out through your mouth. Close your eyes and breathe slow deep breaths.
  4. Repeat. Take at least 5 deep breaths and feel your body relax.  
  5. Let go of the tension in your body.
  6. Pay attention to where you feel tense, and go there with your mind and just breathe into it.  
  7. Now start at your feet and pay attention to how they feel. Relax your feet.  Breathe into your feet in your mind’s eye and relax the muscles.
  8. Now go to your calves, breathe, relax, let go of tension in your calves.
  9. Now move up, taking slow deep breaths to your thighs. Relax.
  10. Up to your hips, your waist and chest. Take nice slow breaths and relax.
  11. Keep going up to your neck and move it slightly back and forth in a slow motion until you feel the muscles in your neck relax. Keep up your slow deep breaths.
  12. Now up to your face, your mouth,  your jaw, your nose, eyes and whole head. Tell yourself to let go of all the tension in your body.
  13. Now go back to your back and try to relax your muscles in your back, your buttocks and down the back of your legs, all the way back to your feet.
  14. Take a few more deep breaths.
  15. Stay in this relaxed position for a few more minutes. When you are ready, open your eyes.
  16. Now, slowly get up and go about your day.

There are other ways to go into a deep relaxed state. The Sanctuary Visualization technique is one we shared with you previously in The Vision Map. There are many Creative Visualization techniques that are fun, whimsical and relaxing, but this simple technique is a good place to start.

Do you practice a deep relaxation technique? What works best for you? Share your wisdom with us, Comadres!

I wish you Paz, Comadres. ¡Buena, Suerte!

 

 

Sources:

Benson, Herbert. The Relaxation Response. 2000. Harper Collins

Riley, J., et al. The Benefits of Knitting for Personal and Social Wellbeing in Adulthood. Findings from an International Survey. Journal of Occupational Therapy. February 15, 2013. https://doi.org/10.4276/030802213X13603244419077

Gawain, Shakti. Creative Visualization: Use the Power of Your Imagination to Create What You Want in Your Life. 2002. Nataraj Publishing.

Healthy Body, Healthy Comadres, Uncategorized

Stress, and How It Can Affect Your Health and Weight

 

Stress and How it Can Affect Your Health and Weight

Stress can affect your health and your weight. To understand more, let’s review a simple definition. Stress is your body’s reaction to change. All change is stressful. Any kind of change that causes your body or mind to react is stress. All of us have stress. We can experience it from any change in our everyday life. You can’t avoid it. Both happy and sad changes can cause us stress. Long-term stress, or chronic stress, however, can be harmful to your health. It can also make it harder for you to get to a healthy weight.

Scientists are beginning to call chronic or long-term stress, Toxic Stress. Dr. Thornburg, Director of The Moore Institute at  Oregon Health Sciences University has this to say: “Toxic stress, also referred to as chronic stress, is frequent or prolonged exposure to adversity. This can take the form of abuse, neglect, exposure to violence, or extreme economic hardship.”

Cortisol, the Stress Hormone

Dr. Thornburg explains that any type of stress causes a number of hormones to be released directly into the bloodstream. In the short-term these hormones help a person cope in response to a perceived threat. One of those hormones that can help a person cope with stress is cortisol. However, he goes on to explain, when a person experiences chronic stress or long term stress, the body produces too much cortisol and for a longer period of time. He compares it to the “body’s alarm button getting stuck in the ‘on’ position.”

Other studies suggest that when levels of cortisol stay high throughout the day, the body has a hard time adjusting. This long-term release of cortisol is linked to gaining weight around your waist. (Las Lonjitas.)  Having this extra weight around our middles puts us at higher risk for chronic conditions, such as diabetes and heart disease. Studies are finding that cortisol may also cause an increase in appetite and cravings. So, it’s not a myth that stress can cause you to want more Cheetos, papitas y chicharrones. 

Okay, that is the bad news, Comadres! But the good news is that the better you are at coping with stress, the better your chances are at protecting yourself from its negative effects.

The first step in solving a problem is to become aware of it. The second step is to make a plan to tackle it!

Take these steps to cope with stress:

  1. Learn to recognize the warning signs of stress. Pay attention to yourself. Ask yourself: “Have there been lots of changes in my life lately?” Are you feeling moody, angry or irritable? Do your muscles feel tight? Clenching your jaw at night when you sleep?  
  2. Have you noticed that you eat for emotional reasons? Ask yourself if you are physically hungry or emotionally hungry?
  3. Eat a healthy diet. Eat more vegetables, lean protein and whole grains.  Check out the De Las Mías 9 Step Eating Plan. And the Daily Checklist on our App! Check those healthy habits ever day! 
  4. Are you craving salty, crunchy, fatty, or sugary foods? Do yourself a favor and take these foods out of your house, desk, car, and/or mattress.  
  5. Keep a food diary or use one of our De Las Mías tools in the app to track your food and moods. Look for patterns. Does your mood affect your food choices?
  6. Get support. Talk to your comadres, friends, sisters or mom about problem solving.
  7. Make a plan. Ask for help. 
  8. Move your body, Muchacha! Go for a walk. Dance up a storm. Have sex.
  9. Get some shut-eye! Sleep is super important. If you aren’t getting good sleep, figure out how you can. Ask for professional help if you need it.  
  10. Keep a journal and write your feelings down. You can get great relief from keeping a diary just like when you were a little girl. Remember? Get yourself a worry box. I have one! If I am worried about something and the worry won’t go away, I write it down and put it into my worry box. It’s easier for me to let it go that way. Try it!  
  11. Learn to practice deep relaxation. Take deep breaths. Do Yoga. Stretch. Pray the rosary. Knit. Crochet. Embroider. These are all good ways to manage stress.

And, Comadres, please, if you feel helpless or hopeless and all your ganas are gone, or if you have been crying or thinking sad thoughts for more than two weeks, please ask for professional help. Go to your comadre, a priest, a pastor or a nun. Seek the help of a counselor, social worker, doctor or nurse. Tell someone, but please don’t suffer alone.  If you ever think of harming yourself or others, call: 1-800-273-8255. En español: 1-800-628-9454

 

Sources:

Thornburg. https://www.ohsu.edu/xd/education/schools/school-of-medicine/departments/the-moore-institute/about/message-from-director.cfm

Torres. Nowson. Relationship between stress, eating behavior, and obesity. Nutrition. 2007 Nov-Dec;23(11-12):887-94. Epub

Harding, et al. Psychosocial stress is positively associated with body mass index gain over 5 years: evidence from the longitudinal AusDiab study.Obesity (Silver Spring). 2014 Jan;22(1):277-86. doi: 10.1002/oby.20423. Epub 2013 Jun 13.

https://www.nimh.nih.gov/health/publications/stress/index.shtml

Epel ES, et al. Stress and body shape: stress-induced cortisol secretion is consistently greater among women with central fat. Psychosom Med 2000 Sep-Oct;62(5):623-32.