Launching Soon: Navy’s Behavioral Health Quick Poll

12974428_10154199220138304_5042117144387297996_n

Let Your Voice Be Heard

Day-to-day Navy life can be stressful, and the 21st Century Sailor Office’s Operational Stress Control program wants to hear about it from YOU.

This month, 42,000 Sailors will have the opportunity to participate in the Navy’s Behavioral Health Quick Poll (BHQP). Insights and feedback provided will help to shape tools that the Navy develops to promote healthy stress navigation and resilience-building.

The poll—which is approved by the Chief of Naval Operations—examines the amount and sources of stress Sailors are experiencing, how Sailors react to stress and its impacts, as well as knowledge, attitudes and beliefs about available resources.

Participation in the BHQP takes less than ten minutes. The poll consists of 17 multiple choice questions that are completed and submitted online. Sailors will be invited to participate at random using a computer-generated “token” and will be notified of their selection via email. Participation is anonymous and responses cannot be traced back to an individual.

What is OSC?

The Navy Operational Stress Control (OSC) Program seeks to create an environment where Sailors, commands and families can thrive in the midst of stressful operations. The OSC Program is governed by OPNAVINST 6520.1A and offers courses for deckplate supervisors and unit leaders to better enable them to build trusting relationships with their Sailors, identify and manage stress, build resilience and strengthen their commitment to Every Sailor, Every Day.

In addition to these courses – which are delivered via mobile training teams (MTT) at no cost to the command – the OSC Program conducts research on several key issues impacting Sailors in their personal and operational environments, such as sleep deficits and the benefits of circadian watch bills.

Know Your Zone

April is National Stress Awareness Month, and there’s no better time to check in with ourselves and each other. Adopting and incorporating ways to navigate life’s challenges in a healthy manner is a shared responsibility between Sailors, leaders and families. Participating in this year’s Behavioral Health Quick Poll is a great way to help the Navy become more aware of the stress issues that Sailors are currently facing in order to better support you, your command and your family. Together we can Be There for Every Sailor, Every Day.

For more information on the Navy OSC Program, including training and additional resources, visit http://www.public.navy.mil/bupers-npc/support/21st_Century_Sailor/osc/Pages/default.aspx.

Learn more about the Behavioral Health Quick Poll and get tips to help you and your family navigate stress by liking Navy Operational Stress Control on Facebook (www.facebook.com/navstress) and following on Twitter (www.twitter.com/navstress).

How a $20 Bar Tab can Turn into a Million Dollars-Worth of Financial Stress

Alcohol Awareness Month Financial Stress Blog Image

Imagine you went to close out your bar tab before heading home on a Saturday night and the bartender said, “That’ll be $10,000.” You stare at the bartender, stunned. As he starts to correct his statement, you let out a sigh of relief, assured that there is no way that’s your tab. The bartender continues: “I meant $1 million.”

Research shows that the initial cost of driving under the influence (DUI) can average $10,000 – and that’s just within six months of the incident. That money may be spent on initial fees which include bail, car towing, DUI classes, court-imposed fines, attorney fees, ignition interlock devices and more. But the financial stress doesn’t stop there.

When the fictitious bartender corrects himself to say $1 million, he’s referring to the bigger picture. After receiving a DUI, depending on the state, annual auto insurance rates increase significantly. In California, for example, the average Good Driver insurance discount is $1,307. After receiving a DUI, the same driver might pay up to $4,001 more. That is an annual increase of $2,694, which would likely total tens of thousands of dollars over your lifetime.  And that’s just the tip of the iceberg. Say you’re planning to retire from the Navy as an E-7 at age 39. Your military retirement pension of one-half of your base pay will amount to $996,000 over 40 years. Your commissary and exchange privileges will save you an estimated $52,000 and medical insurance savings will equate to about $61,000 over that time period. That totals a real loss of $1 million over your lifetime if you are separated from the Navy for a DUI.

Knowing the financial burdens – in addition to the health, career and safety risks – would you still drink and drive? Or would you remember how hard you’ve worked to earn your living and your rank? Plan for a safe ride home before you go out for the night—and stick to it. The Keep What You’ve Earned campaign’s Pier Pressure mobile application has the tools you need to drink responsibly, including a blood alcohol content estimator, calorie calculator (which tells you how many pushups it will take to burn off those beers) and one-click access to Uber and Lyft ride-sharing apps. Pier Pressure is available on the Apple App Store and Google Play.

Drink responsibly and keep what you’ve earned. Don’t let a $20 tab turn into a $10,000 (or $1,000,000) budget-buster. Even driving minimally buzzed can increase your risk for a car accident by 46 percent. Know your limit before you get there, don’t try to “keep up” with others and plan in advance for a safe ride home.  You’ve earned it, don’t waste it.

April is both Alcohol Awareness Month and Stress Awareness Month. For more tips on responsible drinking brought to you by Navy Alcohol and Drug Abuse Prevention’s Keep What You’ve Earned campaign, click here. If you think you may be struggling with alcohol, contact your local Drug and Alcohol Program Advisor (DAPA).

References:

Cost of a DUI. (n.d.). Retrieved from http://www2.courtinfo.ca.gov/stopteendui/parents/cost/how-much-does-a-dui-cost.cfm

Devine, R. & Garske, M. (2014, January 16). Study: “Minimally Buzzed” Drivers Often Cause Fatal Crashes. Retrieved from http://www.nbcsandiego.com/news/local/UCSD-Study-Minimally-Buzzed-Drivers-and-Car-Crashes-240673261.html
Marquand, B. (2016, February 3). How Much Does a DUI Cost. Retrieved from https://www.nerdwallet.com/blog/insurance/cost-of-a-dui/

The Costs of Hidden Sugar

Soda_Cans

The average American eats about 5,000 tablespoons of sugar per year, amounting to roughly 152 pounds (or the weight of one person)[i].  That’s three pounds or six cups of sugar per week! Many of today’s health disparities are related to the increased consumption of added sugar and refined fats, including the rise of diabetes, hypertension and childhood obesity[ii].

Unlike naturally occurring sugar – such as the sugar found in milk or fresh fruit – added sugars are those that do not naturally occur in the food themselves. Rather, these sugars are added to a food or beverage during processing or preparation before packaging. Added sugars appear in many forms and often crop up unexpectedly, along with added fats and other harmful ingredients. We consume them so frequently that our bodies begin to crave them, deteriorating our health while boosting the packaged and fast food industry’s profit margins.

You may have experienced the power of a sugar craving and chalked the urge up to your “sweet tooth.” But you may not be aware of how addictive these sugars actually are. Studies have shown that Oreo cookies are more addictive than heroin[iii].  The brain views sugar as a reward, so the more we eat it, the more we want. Since the 1970s, added sugar intake in the United States has risen dramatically. The increased consumption of High Fructose Corn Syrup (HFCS) – the prevailing sweetener used to flavor popular beverages in the United States – has been found to mirror the growth of the obesity epidemic.

Finding ways to cut down or eliminate added sugar from your diet can be tricky if you don’t know what to look for (not all sources are as obvious as Oreos). Here are a few facts and FAQs to help you uncover hidden sugars and make more informed decisions.

Added sugars hiding out on your food labels go by different names. Here are just a few to look out for (there are more!):

Anhydrous Dextrose Molasses
Brown Sugar Nectars (e.g., Peach Nectar, Pear Nectar)
Confectioner’s Powdered Sugar Pancake Syrup
Corn Syrup Raw Sugar
Corn Syrup Solids Sucrose
Dextrose Sugar
Fructose White Granulated Sugar
High-Fructose Corn Syrup (HFCS) Cane Juice
Honey Evaporated Corn Sweetener
Invert Sugar Crystal Dextrose
Lactose Glucose
Malt Syrup Liquid Fructose
Maltose Sugar Cane Juice
Maple Syrup Fruit Nectar
Agave Allulose

Know the foods that often have sugars added to them. Again, there are more! Be sure to read the labels to look for the aliases above.

Peanut Butter Ketchup
Salad Dressing Yogurt
Granola Bars Frozen Meals
Spaghetti Sauce Dried Fruit
Fruit Juice BBQ, Sauces and Marinades
White Wine Canned Fruit and Vegetables
Applesauce Breakfast Cereal
Protein Drinks (including Ensure or Boost) Soups
Breads & Crackers Baked Beans
Pastries (Cake, Pies, Cookies, Muffins) Energy Drinks (Monster, Red Bull)
Candy and Ice Cream Electrolyte Drinks (Gatorade, Powerade)
Beverages (Soda/Coffee/Vitamin Water) Flavored Potato Chips


Know how much sugar is recommended and safe to consume.
Dietitians and other health experts recommend getting ten percent or less of your daily calories from sugar. This equals 13.3 teaspoons of sugar per day if you’re consuming 2,000 calories. Beware, the average 12-ounce soda contains 16 teaspoons of sugar! Just one soda per day could lead to a weight gain of 15 pounds in a year.

Sugar does not provide any additional vitamins or minerals that assist the body in its daily functions to promote energy and a healthy lifestyle.  For example, a two-ounce chocolate bar has 30 grams of sugar and the same calories as three medium bananas. Bananas are low in fat and high in vitamins, minerals and fiber. Despite containing natural sugar, bananas will satisfy your sweet craving while helping you feel fuller longer. Natural sugars found in whole fruit don’t affect the body the same way due to their naturally occurring fiber.

So, are artificial sweeteners a better swap?
Artificial sweeteners may seem like an appealing substitute for the taste of sugar without the calories, but they come with some not-so-sweet trade-offs. Per the Food and Drug Administration (FDA), artificial sweeteners that have been approved for use and are Generally Recognized as Safe (GRAS) include sucralose, saccharin, acesulfame, aspartame and neotame. However, studies have shown that frequent consumption of artificial sweeteners may lead to increased weight gain and overall increase in body mass index (BMI)[iv] . The perception of saving calories from artificially sweetened snacks or sodas may lead to replacing those calories through other sources. In other words, you may give a slice of cake the greenlight because you feel like you’ve made a healthy choice by drinking a diet soda with your lunch. Additionally, artificial sweeteners may alter the way we taste food due to their intensity, which can make less sweet foods – such as fruits and vegetables – undesirable[v].

Are fat-free snacks better?
No. Typically foods are flavored three ways: with fat, sugar and sodium. So, if one of the item is removed then other two are likely increased. Fat-free cakes, cookies and ice cream can have up to twice as much sugar than the regular serving.  Looking at the food label ingredient can help determine if that food item is a smart choice.

How to read the ingredients list.
Names of ingredients are listed in the order of the amount that the food contains, from the most to the least. For example, the Kellogg’s Raisin Bran Crunch ingredients list begins with whole grain wheat, sugar, raisins, and rice. The most abundant item found is whole grain wheat, the second most abundant is sugar, then raisins and so forth. Brown sugar syrup, glycerin, corn syrup, molasses and honey are also on the list (sources of added sugar). This one cereal contains five different types of sugar or sugar-like substance. Not quite as healthy as you may have thought.

So, what can I eat?
Practice small swaps to help you see progress, such as exchanging your lunchtime soda for twelve ounces of water (sparkling water is a healthy bubbly alternative), or packing fresh fruit and nuts rather than heading to the vending machine during your mid-day slump. Weaning yourself off of sugar isn’t easy, but you can find balance by integrating more complex carbohydrates (such as whole grains) into your diet and allowing yourself a small portion of a sweet treat every once in a while rather than quitting “cold turkey.”

Sugar takes a toll on the body and mind, with the slump following a sugar rush possibly accelerating mood disorder symptoms. It’s also been shown to negatively impact memory. With excess sugar leading to short-term impacts, such as weight gain, and long-term impacts that can shorten your lifespan, such as diabetes, it’s increasingly important to pay closer attention to what you eat. For more information, check out the healthy eating resources at Navy & Marine Corps Public Health Center, NOFFS Fueling Series and eatright.org.

LT Pamela Gregory, OPNAV N17 Nutrition Program Manager, is a Registered Dietitian with nine years’ experience in counseling a wide variety of clientele on nutrition and health-related diseases/ topics. LT Gregory uses a functional nutrition approach to assist clients in their treatment phase.

 

[i] http://www.dhhs.nh.gov/dphs/nhp/documents/sugar.pdf

[ii] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2892765/

[iii] http://www.sugarscience.org/the-growing-concern-of-overconsumption/#.WJit4Gq7pIB

[iv] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3210834

[v] http://www.health.harvard.edu/blog/artificial-sweeteners-sugar-free-but-at-what-cost-201207165030

Don’t Give Up, Get SMART

Sun up to sun up, NMCB 3 demonstrates commitment to preventing sexual assault

The holiday season and the first month of 2017 are behind us, and store shelves are now overflowing with heart shaped chocolates and cards. This may put you in a frame of mind to think about the relationships in your life, but what about your relationship with yourself? By this time your New Year’s resolutions may be starting to give way to work or family demands (or both), draining your motivation and dampening your outlook. Rather than shrugging it off and disappointedly telling yourself that you can try again next year for the umpteenth year in a row, put a little thought into how you can get back on track. Ask yourself not only what you want to accomplish, but by when, how you’ll do it and how you’ll track it, and why you’re doing it. In other words, it’s time to get SMART:

Specific: Getting specific with your goals can help motivate action, upping your chances of success. For example, if your original New Year’s resolution was to read more—one of this year’s most popular resolutions[1]—optimize that goal by defining exactly what you’re working toward. “I will read one book per month” is a specific goal (and one that can help you strengthen your self-care routine too).

Measurable: You can track your progress toward reading because you’ve identified a quantity (in the above case, aiming for one book each month). Measurable goals can help move you in the right direction by keeping you motivated and aware, and helping you define achievement or reassess your approach.

Attainable: Set yourself up for success by making sure you have the right resources in place to achieve your resolution, including the right environment and mindset. If one of your resolutions is to eat two to three more servings of fruits and vegetables a day this year, are you willing to make these foods more accessible than the less healthy options in your kitchen or snack stash at work? Repeat your goal to yourself out loud, starting with “I will….” If you feel more committed to the idea but not the steps that you’ve outlined to get there, reassess. An attainable goal is one that may take some work, but through dedication and accountability can be achieved.

Realistic: It’s good to have high goals, but training for a marathon in one month when you have never run before is unrealistic and may be unhealthy. By taking into account your timeframe, resources, mindset and priorities; you can tweak this goal to work for you, rather than against you. To say “I will run my 1st marathon by December 2017” may be more realistic and attainable. Remember, there’s no benefit in sacrificing one area of your health (mental or physical) for another.

Timely: Anchor your goals within a time frame so that you can define success and stay accountable. Sometimes our best work is completed under a deadline, but remember, the other SMART rules apply (hint: attainable and realistic)!

Setting bite-sized SMART goals can help you achieve your overall resolution by making it easier to see progress and building healthier habits.  Examples may include:

  • I will swap one cup of coffee for eight ounces of water each day for one month.
  • I will walk one mile per day for two weeks and add one-quarter mile every two weeks.
  • I will deposit $25 each week into an Individual Retirement Account (a goal that you can automate for guaranteed success).

For accountability, keep a daily log to track your progress and setbacks (especially helpful if journaling is one of your resolutions). Setbacks are inevitable, so keep them in perspective – some days will be more challenging than others and you’re doing this to better yourself, not belittle yourself. You can also get an accountability partner with similar goals so that you can keep each other motivated and stay strong together. Don’t forget to celebrate successes big or small, but do so in a way that doesn’t conflict with your progress. Rewarding yourself with a chocolate cake for reaching a weight loss milestone won’t help your waistline in the long run and may lead to guilt.

Make 2017 your year to make things happen. Work SMARTer, not harder!

About the Author

LT Pamela Gregory, OPNAV N17 Nutrition Program Manager, is a Registered Dietitian with nine years’ experience in counseling a wide variety of clientele on nutrition and health-related diseases/ topics. LT Gregory uses a functional nutrition approach to assist clients in their treatment phase.

[1] http://www.nbcnews.com/business/consumer/2017-new-year-s-resolutions-most-popular-how-stick-them-n701891

How Stress Impacts Your Heart Health

heart-health-blog-image

Heart disease refers to numerous problems which are often related to plaque build-up in the heart’s arteries (atherosclerosis)[1]. There are a variety of risk factors for heart disease, some of which may be out of your control, such as genetics and age. Other risk factors – such as lack of exercise, an unhealthy diet or unchecked stress – can be minimized through lifestyle changes. That’s good news considering that heart disease is the leading cause of death for men and women in the United States.

Stress is a natural reaction; it is the body’s way of coping with a perceived threat. As part of the ‘fight or flight’ response, stress signals the body to produce more energy by elevating the heart rate, increasing production of LDL cholesterol and blood glucose. This response should subside when the perceived threat (stressor) is no longer present. However, when we’re unable to unwind or are exposed to stress for a prolonged amount of time, the short and long term effects can be damaging. Stress can lead to poor eating choices, missed workouts and a lack of sleep. Without action, this combination of factors may lead to high blood pressure, high cholesterol or diabetes.

According to the 2013 Fleet and Marine Corps Health Risk Assessment, only 12 percent of active duty Navy respondents and 13 percent of active duty Marine respondents indicated that they experienced work stress. However, those numbers increased as time away from home station increased. To help navigate stress, follow these tips:

Not all risk factors can be avoided, but exercising Controllability when it comes to navigating stress and making lifestyle choices can reduce risk. Small acts can help you do your part to protect your heart, improve your health and enhance your military readiness.

February is Heart Health Month. The Every Sailor, Every Day campaign thanks Navy and Marine Corps Public Health Center for providing the above information, which can be found in their fact sheets “Heart Health: Risk Factors and Lifestyle Choices” and “Help your Heart, Help your Life” located in the February HPW Toolbox.

 

[1] What is Cardiovascular Disease? (2017, January 10). Retrieved from http://www.heart.org/HEARTORG/Caregiver/Resources/WhatisCardiovascularDisease/What-is-Cardiovascular-Disease_UCM_301852_Article.jsp#.WJns3dXR_9c