Achieve Magazine Spring 2010

a•chieve (e chev) vb | -

-

1. to finish: complete: win: succeed 2. to accomplish: obtain with effort 3. to perform by one’s own efforts

kathryn lee publisher / creative director john lee vp / director of sales & marketing

Achieve is a quarterly health, wel lness and fitness magazine published by Impressions Group, LLC. The covers, contents and ads in Achieve magazine are copyright protected and may NOT be reproduced without prior consent of the publisher.

Our staff has made every effort to insure the accuracy of the publication, ho wever we assume no liability or responsibility for content, errors or omissions in any articles.

Achieve welcomes submission of information, articles and photos. We will make every effort to include the submitted items, ho wever we cannot guarantee inclusion or return.

table of

contents

health

2 men’s health:

why skin cancer kills more men than women

women’s health:

how to determine your heart attack risk

3 kids’ health:

treating adhd naturally

4 planet health:

april is earth month

oh my aching neck—no more!

yoga:

what can yoga do for me?

13 back health:

early intervention scoliosis

14 mind + body:

the mind and the body are the same thing

15 booking some downtime: bicycle diaries by david byrne

Race Directors, Event Planners Include your event in Achieve’s event calendar!

Send dates, times and contact information to: kathryn@ImpressionsGroupLLC.com

5 heart health:

wellness

fitness

To advertise in Achieve Magazine call— 252.355.8345

6 nutrition:

16 the basics:

heart attack signs

waging war on sweetened tea

vegetarian life:

Deadline for the next issu e — June 1, 2010

For more information, contact:

vegetarians have lower cancer risk than meat eaters

7 live healthy greenville: update

8

Post Office Box 2627 Greenville, NC 27836 252.355.8345 252.355.4224 FAX www.ImpressionsGroupLLC.com kathryn@ImpressionsGroupLLC.com © 2010

spring ‘10

12 massage:

comprehensive breast cancer care from the multi-disciplinary expert team of the carolina breast cancer center

10 fiscal fitness:

plan carefully when making a career move

11 corporate wellness:

reducing workforce obesity trims the fat from operating costs

sports med:

top 5 missed or misdiagnosed spor ts injuries

general exercise guidelines

cycling:

indoors or out—just ride!

17 active adult:

fitness, fun and friends

18 personal training:

a return to functional training

19 group fitness: bodypump!

running:

ideal racing weight

20 event calendar (april - june 2010)

Impressions Group, LLC

page 1

health mens’ health: why skin cancer kills more men than women The next time you’re at a ballgame, don’t be surprised if you get a quick lecture from Major L eague Baseball Commissioner Bud S elig, a melanoma sur vivor, about protecting your skin from the sun. For the tenth consecutive year, MLB has teamed up with the Amer ican Academy of Dermatolog y in the P lay Sun Smart campaign, which warns players and fans about the risks of sun exposure.

The effort will feature public service announcements at games, distribution of sun safety cards at ballparks, and free screening exams.

Yawn, yawn. I know. It’s certainly no shocker that a professional sports league has agreed to leverage its star power to publicize a public health problem. What is surprising are some of the facts that dermatologic al groups brandish about men and skin c ancer. According to the S kin Cancer Foundation, a nonprofit group that receives funding from companies that market sunscreen, men have nearly double the rates of squamous and basal cell c arcinomas that women have. And for melanoma—the dead liest t ype of skin c ancer—men have the highest chances of dy ing of the disease , according to the Amer ican Academy of Dermatology. Of the estimated 8,420 people who will die of melanoma in 2008, about 64% of them will be men, the group says.

Why men? “Part of it is bec ause men tend to get mor e [ultraviolet] exposur e because of their jobs, part of it is that they use sunscr een less, and part of it is later detection,” says Barbara Gilchrest, chair of the dermatolog y department at Boston University. Many of her male melanoma patients, she says, come in only after being nagged by famil y members. Nearly 47% of men r eport they never use sunscr een, one sur vey found. That’s par t of the r eason that r esearchers at the Centers for Disease Contr ol and P revention say men have higher rates of sunburn.

may offer less innate protection from squamous cell c arcinoma because of an apparent inabilit y to r etain adequate amounts of antioxidants. Though researchers c aution that mor e r esearch is needed to validate the findings, this segment explores the possibility suc h r esearch may lead to a gender-specific sunscreen.

The good news: When a skin tumor is caught early, the vast majority of c ases, even melanoma, are curable.

Here are eight tips on how to spot skin c ancer: 1) Look for new spots.

2) Monitor moles for any signs of change—shape, color, or size are red flags.

3) Be wary of moles that bleed. Normally they shouldn’t.

4) For men, watch your back and t runk; for women, your legs and calves.

5) Guys, monitor the top of your ears and head closely.

6) Don’t overlook your armpits, hands, belly buttons, scalp, bottom of feet, etc.

7) Have a second pair of eyes scour the body parts that are tough to inspect.

8) Call your doctor at the first indication of trouble. The earlier skin cancer is caught, the more curable it is.

A sur prising animal study published last year e ven suggested that male skin

Article by Adam Voiland for US News and World Report.

womens’ health: how to determine your heart attack risk

• High risk: You’ve been diagnosed with hear t disease, diabetes, or chronic or end-stage kidney disease.

Article by Deborah Kotz for US News and World Report.

How do y ou kno w whether y our ar teries ar e smooth and fr ee of plaque or clogged and interfering with your heart function? Unless you’ve been diagnosed with hear t disease , you pr obably don ’t kno w whether y our blood is flo wing freely or is on the verge of becoming blocked, triggering a heart attack or stroke.

There are several things y ou can do to assess y our risk. A study r eleased last week found that simplified r isk guidelines adopted in 2007 by the Amer ican Heart Association really can determine the likelihood of a woman suff ering a heart attack or dying from heart disease within the next 10 years.

The study, which used data fr om the Women’s Health Initiative tr ial, found that near ly 13% of the women deemed to be at “high r isk” did have a hear t attack or died fr om heart disease within 10 years; those deemed to be “at risk” had a 3% chance, and those at “optimal risk” had just a 1% chance.

Here’s how to determine which category you fall into:

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• At risk: You have more than one major hear t disease risk factor, such as smoking; poor diet; inactivity; obesity; family history of early heart disease; high blood pressure or cholesterol; metabolic syndrome or prediabetes; poor treadmill test results; signs of early vascular disease from imaging tests.

• Optimal risk: You have no major risk factors and follow a healthy lifestyle that includes the equivalent of 30 minutes of br isk walking six days a week and getting less than 7% of total c alories from saturated fat.

Just 4% of the par ticipants, ages 50 to 79, fell into the optimal-r isk category.

Nearly three quarters of the women f ell into the “at-risk” category, many with risk factors that could be modified by making lif estyle changes.

“We kno w that if y ou r emedy these things, you c an not onl y pr event hear t attacks but can actually reverse some of the abnormalities that may have taken place,” says Stuart Seides, associate director of cardiology at Washington Hospital Center. “So it ’s neither e ver too ear ly nor e ver too late to focus on and attend to these risk factors.” achieve magazine

health kids’ health: treating adhd naturally My 8-year old son was just diag nosed with ADHD. My husband and I can’t decide if we should give him medication or pursue alternative treatments.

What are your recommendations?

This is a dilemma for many parents. Studies show commonly medications like Ritalin and A dderall are helpful for 60 - 75% of childr en properly diagnosed with ADHD: ability to focus incr eases, grades improve, and they feel better about themsel ves. However, these meds ar e psy chostimulants with potential side effects: insomnia, headaches, abdominal pain, weight loss, and depression.

Research on the long-term effects is insufficient.In 2007, the U.S. FDA issued warnings about side effects such as stunted gr owth and psychiatric problems.

From a holistic view point, chemical overstimulation isn’t healthy. Fortunately, there are natural tr eatments that ar e effective alone and in conjunction with drug therapy. My answers here are framed by the case of a child, they are applicable to teens and adults as well.

In ayur veda, ADHD is c lassified as a vata imbalance. Vata is “wind energ y”: light, changeable, dry and mobile. It go verns body mo vement and thoughts.

Everyone has some vata in their constitution, but those with a pr edominance of this light, expansive energy tend to have sensitive ner vous systems, so they experience the world with a heightened intensit y. As a result, they’re prone to anxiety, inattention, restlessness, and sleep problems. Ironically, these children will often seek out sensory-stimulating activities (such as action movies or sugar foods), creating a vicious cycle that agitates their overactive nervous systems.

Commonly prescribed ADHD drugs stimulate the brain cells to release more of the neur otransmitters c alled dopamine and nor epinephrine, which generall y enhance a child ’s abilit y to contr ol impulsive behaviors and concentrate–but also cause increased activity in the central ner vous system (CNS). I’d venture to say these drugs perpetuate the underlying cause of ADHD, overstimulation of a sensitive CNS, throwing your child’s vata energy out of balance.According to ayurveda, adopting a vata-pacifying lifestyle is the best option for y our son.

1. Create a Routine—Children with ADHD ar e drawn to ne w activities, adventure, and change. Yet they ’re balanced by the opposite: activities that ar e calming, relaxing, and nur turing. Your son needs r egularity and str ucture to counter his natural tendency toward chaos: a regular time to do his homework, exercise, relax, eat, go to bed and wake to begin a new day.

2. Relaxation—Do a 5- to 10-minute r elaxation with your son at least once a day. Lie down on the floor or in bed in shavasana (cor pse pose), supporting y our heads with a pillow and covering up with a blanket to stay warm. Then ask y our child to feel his body from head to toe. The idea is to get y our child to r elax and deepen his br eathing, helping his CNS switch fr om a sympathetic mode , “fight-or-flight” state, to a parasy mpathetic mode , nourishing, restorative state.

Try this when y our child returns fr om sc hool or before supper or bed.

spring ‘10

3. Bedtime Massage—Oil is the quintessential vata balancer; bedtime massage is par ticularly c alming for childr en with ADHD . If y our child has tr ouble falling asleep, this bedtime activity will help.

4. Diet and N utrition—Despite many studies in the last 20 years suggesting that diet and food additives c an exacerbate hyperactivity, the current medical stance is that ther e is no c ausal link between food and ADHD . In my o wn practice, parents who’ve reduced their child’s intake of sugar, refined foods, and foods with additives (food dyes, preservatives, MSG, etc.) report improvement in behavior over four to eight weeks. The children are less disr uptive and mor e focused when they eat cooked vegetables, whole grains, and moderate amounts of protein and organic unr efined oils. Also, B-complex vitamins and fish oils geared for c hildren c an help. These supplements nour ish and stabiliz e CNS while improving mood stability, mental focus, and brain function.

5. Natural Rx —Herbs that c alm, soothe, and nour ish the ner vous sy stem include lemon balm, chamomile, passion flower, skullcap, brahmi, valerian, and St. John’s Wort. They can be taken safel y as teas or tinctur es–just follow the instructions. (Dosing for children is 1/4th to 1/2 the adult dose based on weight.)

6. Technology Time-Out—Most kids ar e per petually plugged in–texting on their phones, playing computer games, watching TV for hours. This constant electronic stimulation fragments attention and exposes them to electr omagnetic radiation (EMR) at potentiall y harmful levels. When a child is sensitive , this exposure agitates his ner vous sy stem. Sleep distur bances, chronic fatigue , headaches, dizziness, memory and attention problems, and distorted vision are possible side effects of EMR. Try to limit daily screen time to an hour or less.

7. Minimal Medication—If you decide to give y our child medic ation, find a doctor willing to work with you to find the minimal dose that is effective. Ask your doctor to allo w your child to take “holidays” from the medic ation when intense concentration and focus ar en’t necessary (weekends, summer break, etc.).

By carefully monitoring your child, you can help y our doctor find the dosage and schedule that allow him to succeed in school, while decreasing side effects.

8. Last, But N ot L east…Remember, the pur pose of these alternative tr eatments is to make your child feel loved, grounded, and nourished. Tell him that his new routine is an experiment to improve his mental focus–and let him play a role in how the changes are implemented. That means that you might compromise on a few things, but it also means more cooperation. Find alternatives that he will enjo y (for example , substituting a wholesome natural tr eat for a sugary one, or playing with a remote-control car rather than a video game), so that y ou don’t make his life miserable in y our attempt to quell his ADHD symptoms. Together, you’ll find cr eative ways to graduall y move in a positive direction. Your child will be happier—and so will y ou.

Article by Carrie Demers, MD, Yoga+ Magazine.

Board-certified in internal medicine, Dr. Demers is the director of the Himalayan Institute Total Health Center.

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health planet health: april is earth month Article provided by Douglas Blackwood of Tantra Studio / tantrastudio.com / 252-757-3684

Each year dur ing the month of Apr il, Aveda salon and spa pr ofessionals, employees and guests work together to raise funds for grassroots organizations that protect biodiversit y and addr ess environmental issues ar ound the wor ld. The Earth Month c ampaign focuses on a specified envir onmental topic each year , helping to raise awar eness around the issue , cultivate and educ ate supporters, and contribute funds to dedicated non-profit conservation organizations.

What started out as a day of awar eness in 1990 has gr own into a month-long international effor t to invol ve the entir e networ k in Ear th Month activities.

Salons, institutes, experience centers and offices ar e free to tailor their Ear th Month effort according to their own strengths and creativity. Some contribute a por tion of all sales that month, or wor k dur ing a “Day of Beaut y” when they’re not normally open and contr ibute all sales from that day. Others partner with loc al envir onmental groups to hold silent auctions, online auctions and fashion shows.

Each year , the pr oceeds benefit var ious envir onmentally-focused nonpr ofit groups, such as Greenhouse Network, Clean Air-Cool Planet, Global Greengrants F und, Chicago Wilderness, Potomac Conser vancy, the G ulf Coast Restoration N etwork and many mor e. Since 1999, Aveda has raised o ver $14.2 million for over 70 Earth Month Partner organizations worldwide.

Aveda has been making products with certified organic ingredients since 1994.

They are now one of the largest pur chasers of organics in the personal c are industry, setting an example for others to follow: 90% of their essential oils and 89% of their raw her bal ingredients, by tonnage, are certified organic.

The company par tners with farmers all ar ound the globe , supporting their conversion from conventional to organic farming—and in the pr ocess helping create a sus tainable f uture. Now, when you buy A veda’s Light the Way™ Candle, made with cer tified organic French lavender, 100% of the pr oceeds go to support Global Greengrants Fund’s (GGF) water-related projects.

The Story of Bulgarian Rose and Lavender If you were to follo w the mesmer izing scents of A veda’s rose and lavender to their source, they would lead you over Bulgaria’s soaring Balkan Mountains to a hidden, protected valley spec kled with br eathtaking flowers. Walk through these fields and y ou’ll see people cutting the flo wers with their shar p, moonshaped sickles. Donkey carts bring you through fields to the near by village of Tarmichene, home of the Bonchev rose and lavender essential oil distiller y.

A hundred years ago, in the “Valley of Roses” protected by mountains, laid vast fields of rare, undiscovered roses. In this hidden valley, rainstorms wash thousands of botanic als do wn fr om the mountains and into the soil, making its flower extra sweet, the most pr ecious of which is the wor ld-renowned white rose. In 1909, a man by the name of Enio Bonchev discovered this treasure and built a small,local distillery to make essential oil from the land’s precious petals.

Great Grandfather Bonche v ran his r ose distiller y for 37 years until it was stolen fr om him by Bulgar ia’s comm unist r egime. Distillation stopped, loyal workers were without work, and the land’s flower blossomed unseen for almost 50 years. To the complete de vastation of the comm unities, the comm unist regime turned the thriving business into a museum and a site for par ties.

The communist regime tr ied to hold onto the distiller y, but destiny had far greater plans. In 1992, Dimitryi Lissicharov, Enio Bonche’s son-in-law, purchased the distillery with his son,Filipe. With the business back in their hands, Dimitryi and Filipe created economic independence and sustainability for their local communities. In 1997, they expanded and began wor king with the r ich and fragrant lavender that had been gr owing alongside the farms’ roses.

“This is our land. We will lo ve it and cher ish it, feed it, nurture it bec ause it feeds and nurtures us—it is our freedom, our home, our health. It is everything we need in this life,” said Filip Lissicharov of the Enio Bonche v Distillery.

You can do your part! Clean water makes a differ ence. Conservation is one of the easiest, least expensive ways to prevent shortages. Simply become aware.

• Use less water in your home and yard to pr event wastewater and pollution from runoff. Sweep driveways and sidewalks, rather than hosing them down.

• Use pesticides sparingly—if at all—and compost leaves and yard c lippings for use as natural fer tilizer in your garden or yard.

• Pick up—and properly dispose of—pet waste, trash and other debris in your neighborhood; street gutters and storm drains of ten run directly into lakes, streams, rivers and wetlands.

• Keep your car clean and green: choose a professional car wash that recycles its water; promptly repair auto leaks; and recycle used motor oil—a single quart seeping into groundwater can pollute 250,000 gallons of water*.

• Properly recycle electronics, appliances, compact fluorescent light bulbs (CFLs), silver batteries and paint to keep toxic pollutants out of your water.

For more information, please visit www.aveda.com. * Source: National Resources Defense Council, "How to Clean Up Our Water," 2001

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achieve magazine

health heart health: heart attack signs Article by By Madeline Vann, MPH for www.everydayhealth.com. Reviewed by Lindsey Marcellin, MD,.

Heart attacks are scary. Everyone fears them. Do you know the signs? Knowing how to respond can reduce the risk that the person having one wil l die.

“A heart attack is the sudden onset of bloc kage of an artery in the heart, usually resulting from the formation of a blood c lot,” says cardiologist Kunjan Bhatt.

A clot is a mass of blood cells that stick together. Blood clots that cause heart attacks begin inside your coronary arteries, the blood vessels that supply your heart m uscle with fr esh, oxygenated blood. As a c lot gr ows, it “results in diminished or absent blood flow to the heart muscle and, consequently, death of the muscle,” Dr. Bhatt says. This is why even a non-fatal heart attack can damage your heart, leading it to function poorly and causing congestive heart failure or irregular heartbeats. Heart attack symptoms include: • Chest pain or discomfort — which Bhatt describes as “classically left-sided and pressure-like, that is, the feeling that an elephant is sitting on y our chest.” Another term people use to descr ibe this feeling is “squeezing.”

• Pain moving down left arm and/or Pain moving up to the lef t side of jaw • Pain or discomfort in your back or stomach • Sweating, Nausea and/or or throwing up • Shortness of breath, dizziness and/or fainting Bhatt emphasizes that not all patients have these c lassic symptoms.

“Elderly patients, diabetics, and women may sometimes have at ypical symptoms such as a shar p pain in the chest,” he says. Others complain of a feeling of indigestion. Since time is of the essence , it is better to seek medic al help if you suspect a heart attack than to wait and see if y our symptoms get better.

If you strongly suspect that you are having a heart attack, take these steps: Chew aspirin. “Chew a 325-milligram tablet of aspirin,” advises Bhatt.

Chewing the aspirin gets it into your system faster than just swallowing it.

Even if symptoms ease up, go to an emergency room.

Take nitroglycerin. If your doctor has prescribed a nitroglycerin medication, it should be taken now. Do not take someone else ’s nitro, however.

Call 911 immediately. Treatment for heart attack works best within one hour, and the clock starts ticking with the first symptoms. Since paramedics can usually begin treatment, you should take al ways take an ambulance to the hospital. RTell the 911 operator where you are — and stay on the line.

If someone appears to be having a hear t attack, in addition to aspir in, nitroglycerin and calling 911, you may also need to: Start CPR. If a person with symptoms of a heart attack stops breathing and loses consciousness, his heart may have stopped beating. If this happens, you will not be able to feel a pulse, and CPR needs to be star ted immediately. Shout for someone to c all 911, if you haven’t already, and then: Do hands-only CPR: Using both hands placed over one another, rapidly and evenly push up and down on the center of the person’s chest. Aim for 100 pushes a minute.

Starting CPR doubles the c hance that a person in c ardiac arrest will survive — and recent studies show that the more compressions, or pushes, you do on the chest of someone whose heart has stopped, the greater the likelihood they will survive. Don’t worry about or do mouth-to-mouth r esuscitation. If you don’t know how to do CPR , ask for help fr om others around you. To find a CPR class near y ou, contact a loc al hospital, visit the Amer ican Red Cr oss, or search for a class at the American Heart Association Web site. spring ‘10

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wellness nutrition: waging war on sweetened tea Article By: Kathryn M. Kolasa, PhD, RD, LDN, Professor, ECU Family Medicine and Pediatrics, UHS Nutrition Initiative Consultant 252.744.5462 / kolasaka@mail.ecu.edu / http://personal.ecu.edu/kolasaka/

I don’t like the “good food”—“bad food” concept. I tell people if y ou learn about nutr ition and the food y ou eat, you have lots of choices. You can eat healthy and yet eat some foods and enjo y beverages that some might consider to be “bad”-- without guilt. But my le vel of fr ustration is getting pretty high and I may have to change my tune.

Over the last se veral months I have counseled many women and men who have told me they are serious about losing weight and getting healthy. I review their curr ent Body Mass Index (BMI) and their dr eam weight goals with them. We settle on a reasonable and safe target of a 10% weight loss to occur over 24 weeks. Then I wor k with them to make smal l changes within their current dietary intake and ph ysical activity. We look for small changes in life style that will create the calorie deficit needed for 1-2 pounds safe weight loss per week. I look for the change that will give the biggest impact.

For most people I counsel, reducing the amount of sweet tea, sodas, meat or candy they consume can create that calorie deficit. But I am flabbergasted by the number of patients who tel l me they just c annot give up their sweet tea.

Some tell me they ar e “addicted” and have to have se veral large cups a day .

Changing the sweet tea drinking behavior would make both losing the weight or avoiding weight gain easy. But I guess that’s not a small change in their life.

There ar e 26 teaspoons of sugar in McDonald ’s $1.00 sweet tea... or 230

vegetarian life: vegetarians have lower cancer risk than meat eaters

calories in that 32 ounce cup . Chick-fil-A say s their 22 ounce cup has 220 calories. Try as we might, we couldn ’t find a c alorie value for Bojangles sweet tea. The Bojangles web site br ags about their tea. They say “making sweet tea” in an art form.

They don ’t post the c alories for sweet tea on their website. I emailed Bojangles from their web site. I got an email reply: “I don’t know but will try to find out.”

After a few days I emailed again and was told to look at the web site under nutr ition. I had alr eady been there. The calories for sweet tea ar e not listed. I gave up tr ying to get an answer fr om Bojangles. I found a different site (not Bojangle ’s) that r eports Bojangles tea has 320 c alories in 32 ounces. I don ’t kno w the source of their infor mation but it does seem like a reasonable estimate.

A t ypical adult woman tr ying to lose weight c an eat around 1,200-1,500 c alories in a day (a guy c loser to 1,800). The sweet tea obviously gives some pleasure, but no nutrition, no satiety and at least a third of your day’s calories! I ask patients to get the tea unsweetened and use an alter native sweetener. They tell me it ’s not the same. I have r ecently challenged a fe w to tr y the ne w stevia product called Truvia™ and a fe w of have told me that 1 pac kage of that sweeter put in 10 ounces of tea makes pr etty good sweet tea.

I heard a r eport stating that scientists have learned ther e is a limit on ho w much the r ational br ain c an hand le and with al l the str ess in our lives, the rational part of our brain is easil y overcome by the lur e of sweets. Maybe we need to hold sweet tea c aptive so my patients wil l have an oppor tunity to break their sugar sweetened tea habit and ac hieve a healthy weight.

Article By David Gutierrez, staff writer for www.naturalnews.com

The protective effect was greatest for stomac h cancer, bladder cancer, NonHodgkin’s l ymphoma, and blood c ancers. Vegetarians wer e less than 50% as likel y to de velop l ymph and blood c ancers as nonr estricted eaters, while their r isk of a r are bone marr ow c ancer known as m ultiple myeloma was 75% lower.

Vegetarians are significantly less likel y to de velop cancer than non-vegetarians, according to a study conducted by r esearchers fr om universities in New Zealand and the United Kingdom, and published in the British Journal of Cancer.

Fish-eaters had a lo wer risk of blood and l ymph cancers than nonr estricted eaters, but their r isk was stil l higher than that of vegetar ians. It is the first study specifically showing a link bet ween a vegetar ian diet and a lo wer risk of bone marrow cancer.

“These interesting results add to the e vidence that what we eat aff ects our chances of de veloping c ancer,” said a spokesperson for Cancer Resear ch U.K. “We kno w that eating a lot of r ed and pr ocessed meat incr eases the risk of stomach cancer.”

“Dietary advice to myeloma patients remains aligned with national guidance — that the y should eat a health y, balanced diet high in fiber , fruit and vegetables and lo w in satur ated fat, salt and r ed and pr ocessed meat,” Myeloma U.K. said.

Researchers followed 61,566 British adults and compared cancer rates among vegetarians, those who ate fish but not other kinds of meat, and those with no dietary restrictions.

They found that the lif etime risk of developing cancer was 14% lower in vegetarians than in the general population.

Red and pr ocessed meats have pr eviously been linked to ele vated r ates of stomach cancer. Processed meat is believed to be particularly dangerous, due to the N-nitroso compound used to preserve them and the high temperatures they are cooked at.

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The researchers found that vegetarians and fish eaters had r oughly the same risk of stomac h c ancer, about one-third less than the r isk exper ienced by unrestricted eaters. This adds e vidence to the theor y that red and processed meats are particular risk factors for this kind of c ancer.

Sources for this story include: news.bbc.co.uk.

achieve magazine

wehealth llness live healthy greenville: update Nearly 1,400 P itt County citizens, forming 207 teams, are competing in the 2010 Live Health y Gr eenville 100-Day Challenge pr esented by the Greenville-Pitt Count y Chamber of Commer ce, Physicians East and University Health S ystems of Eastern Car olina/Pitt Count y Memor ial Hospital. Since the star t of the pr ogram on Januar y 14, Greenville and P itt County is more than 4,000 pounds lighter and 32,000 hours mor e active.

The Chamber’s focus is to help the Gr eenville and Pitt Community create a healthier life st yle. “Part of our mission is to enhance the qualit y of life in our community,” said Chamber President Susanne Sartelle. “After seeing our community lose more than 4,000 pounds thr ough the first par t of this year ’s program, I think the par ticipants are becoming conscious of the impor tance of maintaining a healthy life style.”

The Live Healthy Greenville 100-Day Challenge was born from Live Healthy America, a nationwide, Web-based, and teamwork-driven program that serves to motivate and teac h individuals ho w to make positive and lasting changes

spring ‘10

through increased physical activity, improved diet and weight loss o ver a 100day period. The program uses two key factors that ar e often overlooked when individuals decide to live healthier , team-work and accountability. Teams were formed among co-wor kers, friends, husbands and wives, brothers and sisters and people fr om all other walks of life. These teams compete to log the most physical activity hours and track the most weight loss through the Live Healthy Greenville Web site, keeping themselves accountable through their weekly logs and r eceiving encouragement and motivation fr om their teammates as they worked together to live healthy. Questions? Call Scott Senatore at 752-4101.

Results as of March 23, 2010 1,395 Total participants • 207 Total teams • 4,193 Total pounds lost 32,309 hours & 45 minutes Total activity • 129,239 Total miles Sponsors—Physicians East, University Health Systems of Eastern Carolina/ Pitt County Memorial Hospital Live Healthy Greenville 5K Run/Walk Sponsor—Attends Healthcare Products Partners—Core Fitness and Wellness,Greenville Aquatics and Fitness, Snap Fitness 24/7, Viquest Center & Achieve Magazine

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wellness comprehensive breast cancer care from the multi-disciplinary expert team of the carolina breast cancer center Currently, the incidence of br east c ancer in women in the United S tates is 1 in 8, or r oughly 13%, with o ver 200,000 ne w c ases diagnosed annuall y.

Receiving a diagnosis of breast cancer can be frightening.

Most people go thr ough stages of fear when they ar e first diagnosed. The stages and order are very similar in most people: — You can’t believe what you’ve heard and completely deny it.

— You get angry at the doctor and any one else, such as a lab technician or nurse, who read a result to you.

— You appeal to a higher po wer and ask r epeatedly, “Why did this happen to me?”

— You feel resigned, as if there’s nothing you can do to help yourself.

— Finally, you accept the tr uth, hard as it may be , and decide to fight with everything you’ve got.

A big par t of the fear of diagnosis is al l the uncer tainty and the feeling that you’ve lost control of your life — swept away on an uncharted journey that you don’t want to take. It’s hard to imagine ho w anything good could happen on this particular trip.

However, it turns out that this isn ’t necessarily so. While no one wants to be diagnosed with br east cancer, many in tr eatment or finished with tr eatment say the experience made them stronger and helped them to become c loser to family and friends and learn more about themselves.

Being diagnosed is ne ver easy, but once y ou star t the pr ocess of getting the best available doctors, the best information, and the best support you can from those who love you, you are in good hands.

In Gr eenville, those good hands inc lude the members of the nationall yaccredited Carolina Breast Cancer Center (CBCC). The CBCC is a group of expert ph ysicians specializ ed in surgic al, medical and radiation oncolog y, radiology and pathology who focus on the diagnosis,evaluation and treatment of br east diseases in a unified wor king r elationship. The CBC C ph ysicians have been ser ving the comm unity for years and have de veloped a r eputation for excellent patient c are. The center is the first of its kind in easter n North Carolina. It receives referrals from all the surrounding counties.

According to D r. Habal, “Carolina Br east & Oncologic S urgery is committed to pr oviding unparalleled surgical care to patients with benign and malignant breast diseases in a private, caring, compassionate and professional manner.”

Nizar “Nick” Habal, MD, FACS, a surgeon with Carolina Breast & Oncologic Surgery in Greenville.

Dr. Habal received his Bachelor ’s from Cornell Universit y and his Master ’s from Columbia University, nationally-recognized Ivy League institutions. He obtained his M.D . from New York Medical College wher e he was awarded the school ’s Trustee Scholarship . Dr. Habal completed his general surger y training at The New York and Presbyterian Hospital/Cornell University. His cancer sub-specialization was accomplished at the Memorial/Sloan Kettering Cancer Center in N ew York and The John Wayne Cancer Institute in S anta Monica, CA, both regarded as leading U .S. cancer treatment and educ ation centers. Dr. Habal is board cer tified by the Amer ican Board of S urgery and the Society of Surgical Oncology.

The Car olina R adiation Medicine/21st Centur y Oncolog y (CRM) team features board certified attending physicians with decades of experience providing national ly-accredited state-of-the-ar t c ancer ser vices, including: patient navigation, peer-reviewed m ulti-disciplinary c are, CT sc an-based image-guided radiation therapy (IGRT), intensity-modulated radiation therapy (IMR T), Gamma Knife radiosurger y, cranial and body r adiosurgery, prostate seed brach ytherapy, high dose rate brach ytherapy, partial br east radiation and expert second opinions.

The practice is dedicated to treating Greenville and surrounding area patients.

They combine leading edge technolog y with home to wn personaliz ed c are.

One suc h treatment is the SA VI™ applic ator, designed to deliver r adiation through individual catheters. This enables the physician to precisely target radiation doses. It also allows physicians to treat patients who other wise would have been eliminated as c andidates for accelerated partial breast irradiation.

SAVI’s unique design may extend benefits of br east brachytherapy to mor e women. The tr eatment is normally delivered in just five days. SAVI offers many advantages, particularly treatment in onl y one week and reduced risk of damage to healthy tissue. CRM was r ecently named a SA VI Center of Excellence.

The CBCC is primarily composed of four medic al practices: Carolina Breast & Oncologic Surgery, Carolina Radiation Medicine/21st Century Oncology, Physicians East (Hematolog y/Oncology & Radiology) and Greenville Pathology. This m ulti-disciplinary gr oup meets weekl y to discuss and optimiz e each individual breast cancer patient’s care from diagnosis through treatment and follow up.

The CBC C featur es the exper tise of N ick Habal, M.D. and the staff of Carolina Breast & Oncologic Surgery (CBOS).

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He added, “The practice gives special attention to the needs of their patients afflicted with the overwhelming disease of c ancer, including timely diagnosis, treatment, referral to dedicated oncology specialists and long-term follo w-up.

The CBOS specialists offer a compr ehensive approach with a var iety of tr eatment options, in order to achieve the best possible outcome.”

The SAVI™ for 5-day brachytherapy.

At Carolina Radiation Medicine / 21st Century Oncology, our treatment foundation is based on multi-disciplinary cancer care combined with stateof-the-art therapy, said Ron Allison, M.D., medical director and radiation oncologist at the practice.

achieve magazine

wellness Dr. Allison graduated P hi Beta K appa with a B.S. from Br ooklyn College in 1983. In 1987, he r eceived his M.D . from S tate Universit y of New York (SUNY ) Downstate Medical School.

Dr. Allison completed his internship at Kings County Hospital Center and r esidency at SUNY Health Science Center , where he was chief resident.

He joined SUNY -Buffalo and the NCI designated Roswel l P ark Cancer Institute as an attending ph ysician and Associate P rofessor.

Ron R. Allison, MD, medical director and board certified In 2000, Dr. Allison joined the ECU Br ody radiation oncologist with School of Medicine as P rofessor and Chair of Carolina Radiation Medicine Radiation Oncology and also ser ved as director / 21st Century Oncology in Greenville. of the L eo W. Jenkins Cancer Center . He is a board cer tified r adiation oncologist by the American Board of R adiology and a Diplomate of the N ational Board of Medical Examiners. Dr. Allison has authored over 100 oncology publications and has deliver ed over 200 pr esentations at oncolog y meetings and for ums worldwide.

“Every patient with br east c ancer has their c ase discussed in our weekl y CBCC nationall y-certified br east confer ence, attended by board cer tified experts in br east surger y, medical oncolog y, radiation oncolog y, as wel l as pathology and radiology,” he added. “With the help of the CBCC, treatment is individuall y planned for each patient. We also help each patient navigate their way thr ough their options, which may inc lude no fur ther treatment at all,” said Dr. Allison.

According to Cynthia A. Ballenger, M.D., board certified radiation oncologist with CRM, “The team appr oach we take with eac h of our patients helps assure quality treatment, and more importantly — c are, we eac h str ive to pr ovide.

The dedic ation of the ph ysicians invol ved with CBCC is mirr ored in the exceptional c are provided by the support staff in each office.”

Dr. Ballenger r eceived her B .S. from N orth Carolina S tate Universit y, graduating S umma Cynthia A. Ballenger, MD, Cum L aude. She r eceived her M.D . in 1995 board certified radiation from UNC-Chapel Hil l, with honors, and oncologist with Carolina completed her resiRadiation Medicine / 21st dency in r adiation Century Oncology. oncology in 2000.

Dr. Ballenger is board certified by the American Board of Radiology.

Andrej V. Hnatov, M.D., board certified radiation oncologist with CRM said, “Radiation therapy gives patients a chance to keep their breast intact and pr eserve an excellent cosmesis lef t by our surgeon. Also, radiation c an be completed in a week safely and effectively for select patients.”

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Andrej Hnatov, MD, FRCPC board certified radiation oncologist with Carolina Radiation Medicine / 21st Century Oncology.

Dr. Hnatov completed r esidency training at the Universit y of Manitoba in Canada, where he served as chief resident. He received his M.D. with honors in 1998 fr om the Universit y of S askatchewan. He also completed his B .S. with honors at the Universit y of Saskatchewan.

Physicians East, division of Hematolog y / Oncology and R adiology offers the exper tise of Thomas L ee, M.D., board certified in hematology / oncology; Heather W hite, M.D.; Neeraj Mahajan, M.D., board cer tified in medic al oncology, internal medicine , geriatrics, hospice and palliative care; and Floriece Blackmon, M.D.

Thomas Lee, MD, of Physicians East, P.A.

Dr. Lee of P hysicians East said, “With the ne w targeted agents we are able to employ, therapy has become both more successful and less toxic. This has a gr eat positive impact on patients and their loved ones.”

“Our goal in the consor tium is to deliver stateof-the-art treatment and fol low up c are close to home in a ver y personaliz ed setting . Returning our patients to health is what we str ive for ,” added Heather White, M.D., also of P hysicians East.

The C AP-accredited Gr eenville P athology, specializes in surgic al and molecular patholog y and c ytopathology. Board cer tified ph ysician, William A. Ballance, Jr. M.D., of the pr actice also works with the CBCC.

Heather White, MD, of Physicians East, P.A.

“The most important aspect of the CBCC is that we’re all working as a team to help the individual with cancer and their loved ones to obtain the very best care possible, every step of the way,” said Dr. Allison.

For more information on the physicians or the medical practices in the Carolina Breast Cancer Center please cal l: Carolina Breast & Oncologic Surgery at 2 52-413-0036 Carolina Radiation Medicine / 21st Century Oncology at 252-329-0025 Physicians East at 2 52-752-6101 Greenville Pathology at 888-708-PATH extension 236 Or visit their websites: Carolina Breast & Oncologic Surgery at www.carolinabreast.com Carolina Radiation Medicine / 21st Century Oncology at www.21stcenturyoncology.com Physicians East www.physicianseast.com Cianna Medical and SAVI are trademarks of Cianna Medical, Inc.

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wellness fiscal fitness: plan carefully when making a career move Article written by Wells Fargo Advisors and provided courtesy of L. Mitchell Jones, III, First Vice President - Investments of The Jones Investment Group of Wells Fargo Advisors in Greenville, NC at 252-765-6900.

The days when an emplo yee would spend his or her entir e career with the same company appear to be all but gone. Nowadays, beyond simply changing jobs o ver the course of a c areer, many workers even take o n an entir ely new career before they finall y reach retirement.

When you make a job c hange, one of the biggest c hallenges you may face could be deciding what to do with the assets y ou’ve built up in your former employer’s retirement plan.

Unfortunately, many people look at these funds as a fr ee gif t when they change employers, and they choose to take a c ash payment and spend it. Keep in mind one of the most important sources of your retirement income is the payments you receive from company retirement plans. By taking the money out in cash, you eat away at this valuable source of retirement income.

Instead of taking the cash, you may want to consider rolling the money from your company-sponsored plan into an IR A. A direct rollover, where the funds fr om your company plan go dir ectly into an IR A, is a simple way to allo w these assets the oppor tunity to continue to gr ow tax-deferr ed, and will help y ou avoid the temptation to spend these impor tant funds on other things.

Moving fr om job to job may not be the onl y change y ou’re consider ing. IRA rollovers can also prove useful if you decide that instead of just changing jobs,you want to retire. If you’re younger than 59 1/2 and would like to take withdr awals from a r etirement account, you may be able to avoid the IR S 10% ear ly withdrawal penalt y as long as the withdrawals qualify for cer tain exceptions. Let’s take a look at an example to help il lustrate the options.

John is 58 years old and would like to r etire early to join his wife Carol, 57, who retired two years ago . Currently, their modified adjusted gr oss income (MAGI) is $98,000, but if John r etires that figure will dr op to $48,000. This should still be enough to cover all their expenses, except their mortgage payments. John has a 401(k) balance of $300,000 and an investment por tfolio wor th another $125,000, while Carol has an IRA with a current value of $25,000. They are considering taking $100,000 out of their r etirement nest egg to pay off their mor tgage, but if they ’re not c areful, doing so could r equire them to pay both income taxes and the IRS 10% early withdrawal penalty on the amount they withdraw.

One option that may help would be to take a $100,000 withdr awal from John’s 401(k) to pay off the mor tgage. This would r esult in taxable income , but since he would be older than age 55 at retirement, John would qualify for a special “55 or over” exception, meaning he would not face the early withdrawal penalty. The remainder of his 401(k) balance could stil l be rolled into an IRA. As another alternative , John could r oll the money fr om his 401(k) into an IR A first. He could then use one of thr ee IRS-approved withdrawal methods to take “substantially equal periodic payments” from the IRA without an IRS penalty, and use that money to make their monthl y mor tgage pay ments. While these withdrawals would be taxable , this strateg y could still allo w for gr eater tax deferral because the entire 401(k) distribution could be rolled over.

As you can see from these examples, it’s important to know what your options are and you may need to consult with financial pr ofessionals — inc luding your tax advisor — to sort them all out. Whether it’s your first job change or your last, your retirement nest egg needs to be hand led with c are. Consider your alternatives so you can make good decisions to keep y our savings in line to meet y our needs.

Wells Fargo Advisors does not giv e tax or leg al advice. Investments in secur ities and insur ance products are: NOT FDIC-INSURED/NOT BANK-GUARANTEED/MAY LOSE VALUE. Wells Fargo Advisors, LLC, Member SIPC, is a registered broker-dealer and a separate non-bank affiliate of Wells Fargo & Company.

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corporate wellness: reducing workforce obesity trims the fat from operating costs Article By Robin Rager, PhD, Optimum Health Management / 252.353.6155 / optimumhm.net

If your company is like most in the U .S., during this past year its management has had to take a very close look to see how the business can be operated more efficiently, with less money , and sometimes fe wer emplo yees. Faced with a struggling economy, some employers have had to cut budgets, lay off workers, and in many cases reduce the health care benefits for those still on board.

There’s a positive action that your company can take to trim the fat — literally — from its operating costs: reduce overweight and obesity in its workforce.* According to recent studies, the health care costs of Amer icans who are obese are 37% higher than for those at normal weight — this amounts to an additional $732 per person per year. Most of the excess spending is for prescription drugs to treat obesity-related health conditions, including heart disease, Type 2 diabetes, cancer, hypertension, dyslipidemia (high levels of LDL cholesterol or triglycerides), stroke, liver and gallbladder disease, sleep apnea, respiratory problems, and osteoar thritis. That’s quite a list of associated health pr oblems, and the impact increases yearly, as the obesity trend continues upward, with employers paying the lion’s share of the expense through their health plan premiums.

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wehealth llness But medical costs are only part of the financial burden placed on emplo yers as a result of overweight and obesity in their workforce. Be Active North Carolina, a non-profit organization dedicated to increasing physical activity and promoting healthy lifest yles among N orth Car olinians, estimates that an o verweight or obese emplo yee will accr ue $250,000 in lost pr oductivity o ver the course of their c areer, through absenteeism, short-term disabilit y, and pr esenteeism (impaired performance). It also estimates that by promoting physical activity and healthier lifestyles, a company could save up to 115 hours of lost pr oductivity per employee per year. Be Active advises: “Do the math – that ’s big money!”

Since, according to a recent statewide risk factor survey, nearly 2 out of every 3 adults in North Carolina are overweight or obese, the prevalence of this serious health r isk is likel y to be pr etty high in most organiz ations. Some actions employers can take to cr eate a healthier wor k environment to prevent and reduce obesity among employees, include offering low-fat, low-calorie selections in the company cafeteria and vending machines; supporting physical activity by establishing walking clubs and promoting use of the stairs; providing an onsite location for weight management programs to meet; and involving employees in nutrition and ph ysical activity program development and decision-making , so that it’s sure to meet their needs and inter ests – and increase participation.

Employers can consult with their health plans, community health organizations, local colleges and universities, and health/fitness providers for assistance in planning and implementing cost-effective weight management pr ograms. Also, the Centers for Disease Contr ol and P revention offers strategies and tools at its “Lean Works!” workplace obesity prevention site at www.cdc.gov/leanworks. *Overweight is defined as a body mass index (BMI) of 25+; obesity is defined as a BMI of 30+.

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wellness massage: oh my aching neck — no more!

Article by Rosalie Jacobi Hutchens, BFA, LMBT, NC License #5792, Touch Matters Therapeutic Massage & Bodywork, 710-D Cromwell Drive, Greenville, NC, (252) 717-0012, specializing in Therapeutic Massage and Structural Integration.

The nec k ar ea of the spinal column is c alled the cer vical spine. It’s an ar ea where many of us “carry our str ess.” Not only is the nec k region stressed by injury such as whiplash, but also by poor body mechanics and daily habits that are easily correctable with a little bit of mindfulness. Here are a fe w self-care techniques that may allow that aching neck to thank you. Better yet, these tips may prevent neck pain from appearing at all.

Work at eye level Whether y ou ar e wor king on y our cell phone/PD A or r eading a book, you abuse the poster ior neck muscles when y ou drop your head for ward to look down. No wonder your neck hurts! Bring the phone or book up to eye le vel, while keeping your arm relaxed (use a bookstand for heavy books).

Lighten your load How heavy is that suitcase, computer bag, grocery bag, or purse? You are putting excess strain on y our upper trapezius, rhomboid, and le vator sc apulae muscles e ven with moder ate weight. Lighten the load with an ergonomic backpack or a wheeled bag. Or try splitting the load between the two hands.

For purses, try using one with a strap acr oss the opposite shoulder.

Ditch the stomach sleeping Stomach sleeping for ces your nec k to stay r otated all night long . If you c an manage to find a pillo w that suppor ts your neck in neutral postur e in either back- or side-sleeping position, you’ve taken c are of one quar ter to one third of e very 24 hours. I use a Therapeutica sleeping pillo w (www .therapeuticainc.com). Find a pillow that works for you.

Build strong, yet flexible neck and back muscles Healthy muscle balance allo ws easy mo vement and helps the nec k be comfortably aligned over the shoulders. Here are a couple of online cervical alignment exercises. Go to www .youtube.com, search for “PostRehabSpecialist,” then watch the video “Cervical Alignment.” Remember that forcing stretches or overdoing it is ne ver ok. If you have been injur ed, your exercises may need to be supervised by a medical professional trained in rehabilitation.

Any unexplained intense nec k pain or nec k stiffness that comes on abr uptly warrants medical attention. Luckily, most neck pain resolves with conservative self-care measures. Rest, ice or heat, massage, gentle stretches, and a positive mental attitude can work wonders.

Even if a c lient comes in for massage of the legs and feet onl y, I will suggest adding neck work to the massage therapy treatment plan. Posterior, lateral, and anterior nec k tissues ar e addr essed dur ing the massage. Besides t ying the lower extremity bodywork in with the upper body, neck and shoulder massage really feels great.

Reference: Joseph E. Muscolino, Seven Keys to Healthy Neck Posture, in Massage Therapy Journal, Spring 2010, v. 49, no. 1, pp. 93-97.

yoga: what can yoga do for me?

Article by Annie Fitch, from How to Feel Fabulous Today! by Stephanie Tourles (Storey Books, ‘01).

If y ou’ve been appr ehensive about attending a y oga c lass bec ause y ou’re afraid you won’t be able to bend into the shape of a pretzel, never fear! Yoga is a gentle, slow-moving exercise that helps to create awareness necessary to be in tune with y our body. All that matters is that y ou do y our personal best. If y ou c an’t touc h y our knees at first, no pr oblem: Postures c an be modified to accommodate your current level.

And yoga can help us in so many way s. Recently, when Cait was having a mild asthma attack, a friend showed her a special yoga breathing technique that almost mir aculously stopped the attac k in its tr acks. Who knew yoga could be good for asthma? And that ’s just the beginning.

Check out this list of health and other issues that y oga can help with: • Practicing yoga is a perfect way to help deal with Western cultural problems of incorrect posture, aggressive lifestyles, job stress, demanding family lives, overeating and indigestion, and stiff muscles and joints.

• The many benefits of y oga include increased flexibility, profound relaxation, clarity of thought, and improved muscle tone and strength, as well as improved balance, coordination, concentration and oxygen intake.

• Yoga practice can also help manage anxiet y, arthritis, asthma, back pain, blood pressure, carpal tunnel syndrome, chronic fatigue, depression, diabetes, heart disease, menopausal symptoms, migraines, multiple sclerosis, and osteoporosis.

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achieve magazine

wehealth llness back health: early intervention scoliosis

patient’s opportunity for stopping cur ve progression early, while the scoliosis is most manageable. Cases that fall into the obser vation only category, those usually below 25 degrees, are worth visiting the idea of ear ly intervention.

Article by: Dr. Brian M. Kean Kean Chiropractic Center, Greenville / 252-321-3579 KeanChiropractic.com / ScoliosisRehabiliationCenter.com

A child’s posture is a good indicator of underlying spinal problems. A typical scoliosis postur e pattern demonstrates a high r ight shoulder and hip , their head may be too far for ward (the ears should be in line with the shoulders), and in se vere c ases their r ib c age may be r otated c ausing a “rib bump .”

Unfortunately, current screening using the A dam’s Test where a child bends forward at the waist and is obser ved from behind has been ter med the “Too Late Test.” If a r ib hump or bump is obser ved during this procedure, the rib cage has already started to rotate.

Was your child r ecently diagnosed with Scoliosis? Ar e you confused as to what steps y ou should take to help your child? Are you currently in the “just wait and see ” period? Scoliosis c an be a sc ary and confusing disease. Receiving that first diagnosis c hanges your life. We want you to know that you are not alone.

Scoliosis is an abnormal lateral bending of the spine that occurs in roughly 410% of the population. Scoliosis is mor e pr evalent in gir ls and is usuall y detected between 8 and 14 years of age by either a pediatrician or the parents.

It is associated with bac k pain, neck pain, diminished quality of life , limited activity, decreased respiratory function and lo wer self-esteem. This condition affects approximately 7 million people in the United S tates.

So, if your child were diagnosed with scoliosis what would y ou do?

Imagine this scenario: A mother brings her daughter to the pediatr ician who discovers her daughter has scoliosis. The mother is then referred to an orthopedic surgeon who determines that the cur ve(s) are below 25 degrees. At this point, he states there’s nothing to do at this time as she’s not in need of a brace and isn’t a surgical candidate. So, the prescribed approach is to “wait and see”.

Six months later they r eturn to the or thopedic surgeon onl y to find out that her curve(s) got worse, and she has to wear a brace for 23 hours a day or worse yet, she needs surgery. This is usually the moment when panic sets in and the parents wonder what it is they can do to help their child.What would you do?

While r esearchers ar e still wor king to find all the answers to scoliosis, one truth surfaces repeatedly: small curves progress into big, aggressive curves.

0-25 degrees (Mild or Early Stage Scoliosis) has a 14- 22% r isk of progression 26-40 degrees (Moderate Stage Scoliosis) has a 68% risk of progression 40 Plus Degrees (Severe Scoliosis) further progression emanate The current methods of treatment are observation (wait and see) only, bracing and then surgic al inter vention. Looking at each r espectively, observation in and of itself is not technically a treatment, and it allows time for the curvature to get worse , bracing has been sho wn to be emotionall y detr imental with a high non-compliance rate and surgic al inter vention is trading deformit y for dysfunction. Unfortunately, this method of delay ing tr eatment r educes the

spring ‘10

The abilit y for par ents and health pr actitioners to r ecognize these warning signs could set the stage for an ear ly intervention program that may halt the scoliosis from getting worse.

Scoliosis is not only a skeletal problem but also a disease of the neuro-muscularskeletal sy stem. It invol ves postur al disorganiz ation, neuro-musculo-skeletal dysfunction and unsynchronized growth patterns. Re-education of the musculature and associated postural reflexes is a necessity to rehabilitating curvature.

There’s no one easy answer on how to tackle a curvature, but there are factors that appear to be common among childr en with scoliosis. One factor that needs to be addr essed prior to correcting the scoliosis is the side dimensions of the spine, which should have alternating curves. More often than not, there is a loss of the natur al cur vature in the nec k, the mid-bac k or lo w bac k.

Sometimes a loss of cur vature is present in all three areas. These curves seem to be the most over looked and are critical to scoliosis correction. The first goal in early management of these cases is to restore these natural curves to reduce the tension on the spinal cord, which also allo ws the spine to absor b gravity properly. This is accomplished by specific c hiropractic adjustments and through Therapeutic Exercises and Rehabilitation.

Active and Reactive exercises are applied in the office and performed at home by the patient to r e-coordinate the tonal (postural) m uscles helping to improve overall balance and function. If a child has a scoliosis that is c lassified as observation only, this is the per fect time to activel y rehabilitate the neuromuscular system. Early, proactive rehab may be successful in pr eventing the curve from progressing, possibly even reducing it, making a significant impact on the child’s overall health and quality of life.

This article was written in hopes of reaching all those parents whose children are in the “wait and see” category. Do not “just wait and see” any longer.

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wellness mind + body: the mind and the body are the same thing Article by: Leonard Holmes, former About.com Guide

In western cultures we have been taught that the mind is some where in our head and that e verything else is our body .

This dualism can be traced back to Descartes and his writings. This dualism can even be seen in the way health insur ance is treated in the United States.

Most insurance policies provide much better coverage for “physical” disorders than the y do for “mental” disorders. No suc h dualism e ver existed in eastern cultur es, and the mind and body ar e seen as intr icately connected and unified.

Things may be c hanging in the wester n wor ld. The dec ade of the nineties may be looked back upon as the age of holistic medicine or alter native medicine (if it is not seen as the age of managed care). Some have estimated that half of all patients in doctors' offices also seek alter native medical help.

The N ational Institutes of Health has opened an Office of Alter native Medicine to study some of these non-mainstr eam approaches to healthcare.

Are the ter ms “holistic medicine ”, “alternative medicine ”, and mindbody medicine interchangeable? Not exactly. Alternative medicine is usual ly seen as healthc are whic h is outside the mainstr eam. Holistic medicine r efers to treating the whole patient, rather than seeing him or her as simpl y a set of symptoms. Mindbody medicine is a smal ler subset which overlaps both traditional medicine and alternative medicine.

We have cells in our gut that process information. Our brain produces makes messenger molecules and sends them to the imm une sy stem to tel l cer tain genes whether to express themselves or not. Stress hormones such as cortisol help us hand le a str essful situation, but cor tisol also depr esses the imm une system. This is one r eason that we sometimes get sic k when we ar e under stress. There is no way to define wher e the mind ends and the body begins.

Some even add the "spirit" into the picture, studying such things as intuition and the miniscule electrical fields which the body pr oduces.

Recent studies have added mor e evidence to this notion. Here is a sampling of studies that have added to our kno wledge in this area in recent years: Personal Control Can Prevent Premature Death http://mentalhealth.about.com/library/sci/1200/bldeath1200.htm Laughter is Good for Your Heart http://mentalhealth.about.com/library/sci/1100/bllaugh1100.htm Leisure Activity Decreases Risk of Alzheimer's Disease http://mentalhealth.about.com/library/sci/0102/blalz0102.htm

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wehealth llness booking some downtime: bicycle diaries by david byrne Article By: Tony Parker, a 47-year-old, bicycle commuter and runner. He is currently training for a half marathon! Parker works with the Bicycle Friendly Task Force to get Greenville certified as a bicycle fr iendly town.

Although the wind was gusting hard on occ asion, Ken and I decided to go for it and c ycle a few of Pitt County’s back roads. Ken is a ver y experienced rider, and I am new to road biking. My hope was that Ken would share a bit of his experience with me, and turn this commuter biker into a multifaceted cyclist. When I arrived at Ken’s, he explained that he had several routes, and that perhaps an easy ten miler would be in order .

So with blue skies blazing, we headed out to r ide the county.

In his ne w book, Bicycle Diaries, Byrne shares with his r eader observations he has made while biking the wor ld over. Wherever he roams Byrne brings with him his fold-up bike and pedd les through the cities he visits.

His stories are more about a leisur ely ride than the ar t of cycling. He writes about cities and ar chitecture, art and population centers. Although By rne decries the waste found in many cities, he does spr ing forth with an inf ectious dose of youthful optimism.

If you are looking for a book about extreme movement, then Bicycle Diaries may not be for you. Or is it? In Byrne’s world, movement can be equated with a vision of the wor ld in al l its glor y, whether viewed through the glass of a museum, at a concert, or a tour of a pr eviously unvisited city while peddling a bike.

Perhaps not as ex otic as By rne’s Argentina, Pitt Count y none the less has striking scener y most folks ne ver obser ve. How can you when y ou are surrounded by steel and whipping along at 55 miles an hour? As a bicycle commuter I am taking in the whole of my community. With Ken I battled strong head winds and experienced places in my home county in a new way, and am ready to do so again.

Flash back to 1980’s radio and the Talking Heads. Lead by David Byrne, the Head’s music was quite unlike any other at the time.Witty and cerebral, their music set the bar for a new generation. During this time Byrne began biking between gigs and scenes, and fell in love with that form of transportation.

With David By rne, I hopped on my tr usty Trek and r ode with him as he guided me on an explor ation of the world.

sports med: top 5 missed or misdiagnosed sports injuries

strain, this injur y is common in spor ts that r equire abr upt stops and turns, such as soccer , football and basket ball. An A CL tear most of ten r equires surgical repair and extensive rehabilitation, so a visit to a ph ysician is critical.

Article By Elizabeth Quinn, About.com Guide. Updated: October 12, 2009 About.com Health's Disease and Condition content is reviewed by the Medical Revie w Board

Athletes often get used to feeling little aches and pains on occasion, but some minor discomfor t may actuall y be a mor e ser ious injur y. In fact, there ar e several sports injuries that are frequently missed, overlooked or misdiagnosed.

1. Concussion A severe impact or blo w to the head c an result in a jarr ing of the br ain that has both shor t-term and long-term consequences. If lef t untr eated, a concussion c an lead to a slo w br ain bleed. Repeated concussions c an c ause extensive damage and can lead to long-term problems with memory or other brain functions. A head injury should always be checked out by a physician.

2. Achilles Tendon Rupture The Achilles tendon is a large and vulnerably situated tendon. It joins the calf muscle (gastrocnemius) to the foot m uscles (the soleus m uscles). A r upture occurs when the tendon is partially or completely separated. Because a partial rupture can result in ver y little pain, it is of ten misdiagnosed as a c alf strain, or sprain. A classic sign of an A chilles tendon r upture is a “popping” sound and a sharp pain in the back of the lower leg. Because this injury does not heal on its own, it is important to see a physician to confirm the diagnosis.

3. Anterior Cruciate Ligament (ACL) Knee Injuries An ACL injur y t ypically occurs when the ligament is str etched bey ond its limit and tears. Often misdiagnosed as a sprain or a collateral ligament knee

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4. Scaphoid Fractures of the Wrist This w rist injur y of ten occurs fr om a fall on an outstr etched arm. The scaphoid (navicular) is a smal l bone in the w rist that is one of the 8 c arpal bones. This bone sits below the thumb and has a unique blood supply that can be easily disrupted by a fracture. Because the symptoms of a scaphoid fracture are similar to a sprain,it is often overlooked and may be misdiagnosed.Proper diagnosis and treatment is essential for healing.

5. Stress Fractures Stress fractures are sometimes difficult to diagnose due to the vague discomfort and generalized pain over the bones with the injury (usually the lower leg and foot). They come on slowly over time and are often brought on by cumulative injuries to the m uscles and bones. They are a common t ype of overuse or overtraining injury. Stress fractures occur when muscles become fatigued or overloaded and can no longer absorb the stress or shock and repeated impact.

Fatigued muscles transfer that str ess to the near by bone and the r esult is a small crac k (fractur e) in the bone. They ar e common in r unners who have recently increased the time or intensity of their exercise. It is often diagnosed initially as shin splints,or muscle strain or tendinitis.This injury is only healed by rest. If left untreated, chronic problems can occur. A trip to a ph ysician is essential to diagnose this injur y.

Source: The U.S. Market for First Aid and Sports Medicine Products Report, Mar. 1, 2004

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fitness the basics: general exercise guidelines for beginners & intermediate level participants Just getting star ted with an exer cise pr ogram? F ind belo w an outline for generally r ecommended guidelines for any age or sex. The health r elated benefits to a regular exercise program include: reduced risk for heart disease and chronic disease, lower blood pressure, lower cholesterol, decreased body fat, more energ y and vitalit y, improved emotional health, decreased r isk of musculoskeletal injur y and an o verall improved qualit y of lif e regardless of circumstances.

• always consult with y our physician before beginning any exercise program.

• start slowly and increase intensity and duration as you become more physically fit.

two components to exercise Cardiovascular Conditioning Activities that involve sustained rhythmic movements that elevate and maintain an elevated heart rate to 60% to 80% of y our predicted maximum heart rate (see chart for calculating) and cause you to breathe harder and cause your heart and lungs to wor k harder c arrying blood and o xygen to the m uscles involved. Duration should be 20-60 minutes. Examples of c ardiovascular exercise ar e walking , running, swimming, cycling, hiking, cross countr y skiing and group cardiovascular classes.

Strength Training Resistance tr aining using fr ee-weights or mac hines that incor porate tr aining al l of y our major m uscles gr oups (approx. 12-15 ex ercises). Resistance training should tr ain y our major m uscle gr oups thr oughout a ful l r ange of motion, should push you to a level of muscle failure or fatigue within 12-15 reps. Increase in resistance should be gradual and only after you can perform 12-15 reps in good form and are reaching a point of fatigue.

Include some st retching with wor kouts and r emember to warm-up and cool down before and after exercise. Drink plenty of water before, during and after exercise.

calculate your exercise heart rate range Estimate your maximum heart rate.

Take 220 - age = ____ (this is your maximum); (standard deviation for this equation is 10-12 beats pe r minute) Determine your lower-limit exercise heart rate by multiplying your maximum heart rate by 0.6 Determine your upper-limit exercise rate heart by multiplying your maximum heart rate by 0.8 Your exercise heart rate range is between your upper and lower limits.

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cycling: indoors or out—just ride!

Article By: Missy Fulmer Jacobson, MA / Coordinator of Exercise Programming / ViQuest Wellness Center / 252.847.7899

It seems like spring will never return to eastern NC, with all of the “wintry mix ” and wind we ’ve had latel y, but it will.

Sooner than you can get off your indoor trainer or spinning bike, it’ll be time for your spring “tune-up” on your road bike. If you’re looking for a great, intense indoor/outdoor workout and don’t like running—try cycling.

Everyone loves to c ycle outside in the warmth, and spring is the per fect time of year for riding. BUT with any seasonal rain/windy/cooler conditions comes choices of indoor cycling using a trainer or joining a group in a spinning (indoor cycling) class. There are many benefits of all the choices. The highlight of ALL cycling is its intense lo w-impact cardio exercise…perfect for those who want to cross-train or enjoy a new type of cardiovascular exercise. Also, anyone who can ride a bike can enjoy cycling outside or using an indoor trainer or taking a spinning class. With cycling inside, you can work at your intensity controlling your workout with a manual r esistance knob when spinning or alter ing your bike gears on an indoor trainer.

Benefits of Cycling Outside: • Real practice/good training for racing • Ability to ride with a group or alone (only recommended in your neighborhood) • Improves your balance and coordination • Fresh air and Vitamin D absorption • Regulates your blood pressure and builds stamina • Burn calories->enhanced metabolism->weight loss • Great cardiovascular benefits and improves the minds functionality Benefits of Cycling using an Indoor Trainer: • You can do it any time of day. Can’t sleep? Hop on the trainer.

• No frenzied sale (or holiday) shoppers to shar e the road with.

• Enjoy a controlled climate each time you ride. No wind, ice, rain, heat, etc.

• Progress easily monitored and tracked with repeat workouts. Take notes.

• You can watch your technique in a mirr or or enjoy a movie/game or music.

• Intervals can be done without interr uptions (sprints and climbs — especially since we have no hills in Eastern NC).

• Riding a bike trainer during winter months or bad weather allows each year you ride to be a little less painful and a little more enjoyable, not to mention it makes you more competitive with other c yclists.

Benefits of Spinning Classes: • Burn 500 + calories per class (depending on intensity and body weight).

• Tones muscles & shape up.

• Lose Inches, decrease body fat, and lose weight.

• Relieve stress by meeting new friends and cycling in a class with old ones!

• Spinning is offered year-round in most fitness facilities.

• Increase energy level, improve strength and increase cardio endurance!

• Spinning is low impact cardiovascular exercise and minimizes wear and tear on the joints, so you can do it more frequently.

As you can see, many of the benefits of c ycling are the same whether indoor or out. It’s a matter of pr eference and the weather/temper ature var iable. It doesn’t matter which y ou choose—enjo y the spor t! Cy cling in Gr eenville continues to grow. See you on the roads!

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fitness health active adult: fitness, fun & friends

Research points to the positive impact ph ysical activity can have on the lives of older adults. Staying active as we age c an aid in pr eventing the onset of diseases such as heart disease, and controlling other conditions such as ar thritis and diabetes. To help older adults get the exer cise they need to maintain a healthy lifestyle, there’s a fun solution called the Healthways SilverSneakers® Fitness Program.

SilverSneakers off ers ph ysical activit y, health educ ation, and social e vents.

With the SilverSneakers premier network, you’ll have a complimentary membership with access to a var iety of par ticipating loc ations thr oughout the country. Many sites offer amenities such as fitness equipment, treadmills and free weights, and the signature SilverSneakers classes, designed specifically for older adults and taught by cer tified instructors. Additional signature classes, such as YogaStretch, SilverSplash®, and Cardio Cir cuit may be available at select locations. A designated staff member wil l help you along the way.

“It’s never too late to begin an exercise program. Staying physically active and exercising regularly can help prevent or delay many diseases and disabilities— at any age,” says Rene Ellington, Healthways’ leader for SilverSneakers client management. “And in addition to helping older adults stay physically healthy, SilverSneakers offers a great way for them to socializ e, meet new friends and have fun,” Ellington added.

To find out if y ou are eligible for the S ilverSneakers Fitness Program, please contact your health plan. For more information on the program, call toll-free 1.888.423.4632 or visit www.silversneakers.com.

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fitness personal training: a return to functional training Article By: Brandon Johnson: NCSF-CPT, Certified CrossFit Level 1 Coach, Certified CrossFit Kettlebell Instructor, Tier 1 Fitness

At some time in all of our lives we’ve watched the functional decline of a loved one, friend or colleague. There are many reasons that could institute or accelerate this decline, but the one factor that we can influence for ourselves (and as a trainer and coach for others) is the level of functional physical fitness that we maintain. As a society, compared to our ancestors we have access to better food, medical care and living conditions, but we’ve become sedentary and dependent upon technology to maintain our more comfortable and stable existence.

Functional training seeks to r estore the str ength, speed, and po wer, among other things, which used to be necessar y to sur vive and thr ive; by doing so , we become healthier and mor e pr oductive, increasing our qualit y of lif e.

Functional movements are by their very nature unavoidable – pushing, lifting, pulling, squatting, jumping, running, climbing and throwing to name a f ew.

Whether y ou ar e dead lif ting 600 pounds, climbing a ladder , engaging in hand-to-hand combat, or carrying a child in y our arms — y ou are engaging in functional mo vements. Have y ou e ver wonder ed wh y g ymnasts ar e so strong at their own body weight? Why special operations soldiers can accomplish amazing feats of str ength and endurance? These individuals per form

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functional training that is, by its very design, not specialized too heavily in any one area or segmented in way s that don’t mimic daily life.

Coach Gr eg Glassman, creator of Cr ossFit, defines fitness as a balance of ten physical c apacities, originally outlined by J im Cawley, without a ser ious deficiency in any one—c ardiovascular/respiratory endur ance, stamina, strength, power, speed, flexibility, agility, accuracy, balance, and coordination.

The guy with the 1000 pound dead lif t very likely cannot run a mile without stopping; by the same token, a highly specialized marathoner may not be able to dead lift her own bodyweight — both serious deficiencies. This means that if y ou practice functional training — pushups, pull-ups, running, jumping, squatting, functional compound lif ting (snatches, cleans, etc.), kettlebell swings, medicine ball tosses and many others — y ou will become a human being who is fit for almost any situation but the absolute best at none.For 99% of the human race , including soldiers, police, firefighters, athletes, businessmen, children and housewives — this is the t ype of fitness you want to cultivate. Why de-specialize? Because for 99% of us, as Coach Glassman puts so well “you don’t know when game day is”. We don’t know what life is going to throw at us day to day — whether you are fighting on the front lines and have to pull a comrade to safet y, running to c atch the bus, or pic king up y our grandchildren on the playground.

While machines, pin equipment, and cable crossovers may be r ight for body builders and highly specialized athletes, they cannot prepare you for the kind of fitness that lif e demands of us. Be an excellent generalist – be fit and be ready. For more information check out CrossFit.com.

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fitness health group fitness: bodypump!

Article from www.lesmills.com

BODYPUMP™ is the fastest way to shape up and lose body fat. It’s a toning and conditioning c lass with weights and is for just about e verybody who wants to add str ength training into their aer obic workout. The simplicity of the c lass makes BODYPUMP™ a gr eat star ting point to de velop str ength and confidence. Hot sounds and compelling chor eography keep y ou going through each 45-minute or one-hour wor kout. You’ll use a step platform, a bar and a set of weights.

If you’re new to weights-resistance exercise or you’re out of shape, you should start with light weights. After a few classes you’ll recognise the correct weight for you. If you’re unsure, ask your instructor. Benefits: • Burn up to 600 c alories /class for fat loss • Improve strength • Improve your general fitness • Shape & tone muscles • Improve bone density • Sense of achievement The o verall objective is to impr ove str ength and endur ance in the major muscle groups and, in doing so, burn calories. Each of the tracks has a specific training objective and is pur posely sequenced for maxim um effect. The standard length of each c lass is 10 trac ks and 60 minutes. An optional 45minute, eight-track format is available, omitting triceps and biceps tracks.

Track names and training objectives ar e as follows: 1. WARMUP—The opening track is designed to war m up all the major

running: ideal racing weight Most of us kno w that body weight aff ects running performance. The lighter you are, the less weight you have to lift off the ground and the more economically y ou c an r un. It's no accident that the men's mar athon wor ld r ecord holder, Ethiopia's Haile Gebrselassie, weighs 113 pounds!

One study on the effects of weight on r unning performance found that the addition of 5 lbs. of weight to the body reduced running performance in a 12minute time trial by 5%. Runners routinely lose 5 lbs. or more in the process of training and dialing in their nutr ition for races. This makes body weight one of the most influential, controllable factors in running performance.

Each runner has an ideal r acing weight. A runner's optimal racing weight is almost always the lowest weight he or she c an attain without o vertraining or consuming too little energ y to suppor t optimal r unning per formance and recovery. Individual racing weights ar e influenced by var ious factors, i.e. height and frame t ype. Naturally, a r unner who stands 6'1 and has br oad shoulders c annot expect to get as light as a r unner who stands 5'4 and has birdlike bones, as Haile Gebrselassie does.

For runners at their individual racing weights they have low body fat levels. In any single runner, it’s primarily the amount of fat on the body that determines how close he or she is to racing weight. Muscle and bone mass will not change much in training and nutrition for a race, but body fat will probably decrease.

While all r unners ar e ver y lean at racing weight, not all r unners ar e equal.

Body fat le vels are influenced by factors that we have no contr ol over—age, gender, and genes. It’s estimated that the lowest healthy body fat level for each individual is 64% determined by genes.

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muscles and prepare the body for the wor kout ahead.

2. LEGS/SQUATS—The first real working track targets the biggest m uscle groups of quadriceps, gluteals and hamstrings with squats performed at different speeds – slow for strengthening, toning, fast for burning calories.

3. CHEST—The focus changes from legs to the upper body and lighter weights are used as participants lie back on their bench to work the barbell up and down at chest level. This track targets the major muscles of the chest, shoulders and triceps with moves of varying range and intensity.

4. BACK—Participants return to standing set position for the most athletic track of the c lass. A selection of lif ts and deadrows trains postural m uscles of the upper-mid and lo wer back and the c ardiovascular system soars with clean and presses, where the barbell is lifted high above the head.

5. TRICEPS—Time to lie back on the bench again and sculpt and tone the triceps using lighter weights.

6. BICEPS—Similar of slightly lighter weights are used to isolate and tr ain the biceps with a succession of lif ts and curls.

7. LUNGES—Weights are optional in the lunge tr ack, which revisits and trains multiple leg muscles.

8. SHOULDERS—Barbells and single, hand-held plates are used in this track to work all areas of the deltoids in a r ange of different ways.

9. ABDOMINALS—The last wor king trac k is focused on all ar eas of the body’s core, relying heavil y on the use of sit-ups and leg r aises, with bodyweight ‘hovers’ and ‘planks’ also frequently incorporated.

10. COOLDOWN—Soothing music is usually used to accompany a final sequence of stretches.

Some runners are fortunate to be born naturally light with a natural ability to healthily attain a very low body fat percentage. According to a study from the University of Zaragoza, Spain, these lean runners have a performance advantage. In this study, skinfold measurements were used to estimate body fat in 12 elite male and 12 elite female Ethiopian distance runners. These were then compared to the runners' individual race performances. The researchers found an 80% correlation between skinfold measurements and race times in the men and a 78% correspondence in the women. The leanest were the fastest.

However, it’s possible to become too lean—a body fat per centage that ’s too low. Your racing weight must define as the weight associated with the lo west body fat percentage you can attain without overtraining or under-nourishing.

There’s no way to predict your lowest healthy body fat percentage, though it’s likely to fall in the range of 3-9% if you're a male < 40, 5-12% if you're a male > 40, 12 - 17% if you're a female < 40, and 15 - 20% if you're a female > 40.

The surest way to determine racing weight and optimal body fat is to get in your best shape , weigh and measur e. As you train y ou’ll obser ve trends that will enable you to predict your racing weight and optimal body fat percentage.

This method of determining racing weight will protect you against becoming too lean. If body fat percentage falls too low, running performance (and health) will suffer . Almost al ways, running per formance will impr ove as body fat decreases. If running performance gets worse, you may have become too lean.

As you pursue racing weight, remember that anything that aids per formance will also make y ou leaner. Training smar t and pr ogressively will make y ou faster and leaner. Fueling your body well for r unning and recovery will make you faster and leaner. Prioritize performance and the rest will follow.

Article By Matt Fitzgerald for Active.com

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april-june 2010 event calendar Runs, Walks, Races, etc.

Apr 3- Movin for Community Outreach 5K 9:30 AM Tarboro, NC - contact ecrun.org Apr 10- Lace Up 4 a Cure 5K 9:00 AM Greenville, NC - contact ecrun.org Apr 10- Greater Goldsboro Road Race 9:00 AM Goldsboro, NC - contact ecrun.org Apr 17- 3rd Annual Pirate Alumni 5K & Fun Run 9:00 AM Greenville, NC - contact ecrun.org April 17- Roanoke Valley Triathlon Roanoke Rapids, NC - contact www.triroanoke valley.com Apr 18- Fiesta Biathlon 1:00 PM Greenville, NC - contact ecrun.org Apr 24- Race for the River Kayakalon 9:00 AM Washington, NC - contact ecrun.org Apr 25- Live Healthy Greenville 5K Run/Walk 1:30 PM Greenville, NC - contact ecrun.org Apr 25- Love A Sea Turtle 5k & Nature Walk 2:000 PM Ayden, NC - contact l oveaseaturtle@suddenlink.net May 1- 2nd Annual Run the Yellow Brick Road 8:00 AM New Bern, NC - contact ecrun.org May 1- 2nd Annual Run / Walk for Autism 5K 10:00 AM Greenville,NC - contact ecrun.org May 8- Wilson Whirlirun 5K 8:00 AM Wilson, NC - contact ecrun.org May 15- Greenville Rec Run & Kids Dash 8:00 AM Greenville, NC - contact ecrun.org May 22- 3rd Annual Carry Your Cross 5K and Fun Run 8:00 AM Greenville, NC - contact ecrun.org May 22- 3rd Annual Wayne County Young Life 5K 8:00 AM Goldsboro, NC - contact ecrun.org Jun 5- KCC Family Faith Walk Greenville, NC - contact ecrun.org Jun 12- Not 2 Hot 2 Trot 5K and Fun Run Washington, NC - contact ecrun.org Jun 26- Flat Out 5K 8:00 AM Greenville, NC - contact ecrun.org

Also: active.com, runnc.com, ecrun.org & ncroadrunners.org page 20

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