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webmd.com the Magazine May 2012 $4.95 9 sex BalanceD new pap test guidelines 10 cancer beam hairdresser as lifesaver? Anna kendrick has a lot to 19 fit kids 30 Parents, skip the food rewards smile about 20 sleep Is your teen Sleep-texting? sun day 23 recipe pineapple shrimp kebabs best 26 beauty beauty picks tips for a healthy smile for your 16 beach bag 38 allergies allergy-proof your home 39 mind Do you have the baby blues?

Learn more about WebMD smash the Magazine for iPad! Uma Thurman puts motherhood center stage Hit 32 NEW! May 2012 The app that keeps everything in one place. contents ® Except for dinner. features webmd.com the Magazine

wellness spotlight Smash Hit 32 Best known for her roles in the films Kill Bill skin care and Pulp Fiction, actor Uma Thurman hits the 14 Screen Test small screen in a big way in her first TV role on NBC’s Smash. But motherhood is still, Wondering and always has been, center stage whether last • Access hundreds of for the mom of two, who’s year’s bottle articles and videos got baby No. 3 on the way. of sunscreen developed and approved WebMD contributing is still OK to use? by WebMD doctors. writer Gina Shaw We debunk four of talks to Thurman the most common • Manage schedules for about her work with SPF myths. sleeping, feeding, diaper Room to Grow, an changes, and growth. organization that • Create a digital baby helps low-income book and share photos parents get their and videos, plus tag babies off to a them with milestones. healthy start. PLUS: Busy moms, take note: Experts explain our doctor’s office tYourhe Waitingnewborn and Room infant Companion care WAITING CreatedROOM COMPANION for y why “balancing it all” May 2012

is a myth. WebMDSmile webmd.com Great

eiGht ExpErt tips r for a hEalthiE p. 26 The Great Eight mouth Shape

ShifthangE Expert tips to keep your Can you C of thE shapE your tEEth? MouthS mouth in tiptop shape. eS of Ba rightB What’s thE agE for a first p. 29 Tiny Teeth dEntal visit? What’s the right age for Balanced your child’s first visit BeaM

Actor Anna Kendrick opens up about to the dentist? finding success p. 30 Balanced Beam Actor Anna Kendrick opens up about finding comfort in her success.

It does more than keep your family informed. It keeps you informed. Download WebMD the Magazine for FREE! Get your FREE iPad subscription To keep your baby healthy. in the App Store.

Cover photo By James White/Corbis Outline Go to webmd.com/babyapp for your free download. May 2012 | WebMD the Magazine 1 ® departments editor’s note from the executive editor May 2012 webmd.com the Magazine

May just naturally seems to belong to mothers. It must be all that budding and hatching and growing going on (though I have to point out that certain fruit trees outside my office 13 Editor’s Note window burst into full bloom several weeks ahead of schedule. Show-offs!). take the test you can take This month is all about moving into warmth and light, to better things and our better Healthy Start to your doctor selves. And that’s what moms do best. They’re the ones who nudged us along, the ones who Mom’s the word this month! got us up and moving every morning and eventually out on the road to 16 assessments, quizzes, and reference Celebrate women and healthy living with our own lives. information on every page our four quick tips. At the moment, I’m watching my mother move, or trying to move. She’s taking her first tentative steps after knee-replacement surgery a few allergies weeks ago. As she gingerly picks up a foot and places it back down, testing WebMD Wire 38 Allergy-proof your home 9 How to make sure Little Leaguers her weight and adjusting her balance, I hold my breath and focus on her play it safe, why berries are good for your mind with the same rapt attention she must have had watching my first steps as a brain, what you need to know about the 39 Do you have the “baby blues”? baby. “Be careful, Mom.” I can hear her voice, saying the same thing to my new Pap test guidelines, and how your 10-month-old self. hairdresser just might save your life. Our cover mom this issue, Uma Thurman, watches the very tiniest of Health Highlights WebMD Checkup beings make their first moves into life. She’s a founding board member of 12 May is Better Sleep Month. Rest 40 Actor Vanessa Williams dishes Room to Grow, a nonprofit that provides goods and services to low-income easy with expert shut-eye tips. on her eating habits, her personal health families who might otherwise go without supplies, clothing, and toys for philosophy, and why she wrote a book with their newborns. The group also helps parents find housing, work, and edu- Medical File her role model: her mother. cation. Learning about the pervasive lack of services for children in poverty 13 Actor Jennifer Esposito helps from birth to age 3, Thurman says, “brought it so close to home, to imagine others with celiac disease. PLUS: TV what it would be like to face [becoming a parent] without a job, without host Amanda de Cadenet’s new show resources, without support.” celebrates the health benefits of girl talk Vanessa Williams is another mom in this issue who pays tribute to and female friendship. the support we all need in our early years. She authored a book with her “no-nonsense” mom to record the life they’ve shared. Did they endure some rocky times? Indeed—Williams includes words like “survived” and 16Living Well “loss” in the book’s title, along with “love”—but she tells us that “writing a book with my mom allowed me to reflect on what made me me.” 16 You Asked What’s in your beach bag? Mothers do help make us, but like May itself, the process continually unfolds and evolves. Get ready for summer with our expert My mom and I joke that her baby steps today will be running leaps in a few months, and beauty product picks. Learn more she’ll challenge me to a half-marathon. Maybe, maybe not. I’m pretty sure we’ll settle for a about brisk stroll around the neighborhood. We’ll be moving. That’s the most important thing. Health Matters WebMD For all your healthy moves this month, visit WebMD.com for answers, support, and trusted Click Here 19 the Magazine healthy living information. for iPad! What’s new and most viewed 19 fit kids 11 Sweet Rewards? on WebMD.com right now. Praising children with Enjoy, food can send the wrong health message. Our expert explains why. Download 20 sleep WebMD Night Moves First there was sleep-eating, the Magazine now there’s sleep-texting. That’s right—and Colleen Paretty Executive Editor, WebMD the Magazine for FREE! your kids are probably doing it. Get your FREE iPad

subscription in the 23Healthy Eats App Store. 23 Anatomy of a Pineapple Say aloha

to the health benefits of this golden fruit. H ouser R o b ert

2 WebMD the Magazine | May 2012 May 2012 | WebMD the Magazine 3 ®

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and giant sausages that are calorie-, sodium-, and fat- To find an event in your area, go to womenshealth.gov/whw/events Vision/ G etty I mages D igital I mages; jirkaejc/Veer; G etty I mages; Blend mages/ low Brian H agiwara/ from top right: clockwise bombs,” but many parks are and search by state. FOR MORE INFORMATION, PLEASE GO TO stepping up to the plate with healthier options, healthy eats WWW.TUNEINTOHEPC.COM such as lettuce wraps at L.A.’s Dodger Stadium. For more back traditional ballpark give snacks, munch on soft pretzels with mustard, whole peanuts, and plain popcorn.

The opinions expressed in this section are of the experts and are not the opinions of WebMD. WebMD does not endorse any specific product, service, or treatment.

6 WebMD the Magazine | May 2012 Copyright © 2011 Schering Corporation, a subsidiary of Merck & Co, Inc. All rights reserved. INFC-1008703-0001 09/11 S:7.875”

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wirethe health news beat at WebMD.com

According to new guidelines, many women no longer need Pap tests to screen for cervical cancer Eye every three years, and women younger than age 21 don’t need them at all. As long as they get tested for Test human papillomavirus (HPV) at the same time—and if their last Pap and HPV tests were negative—women ages 30 to 65 can go five years between Pap tests, according to the U.S. Preventive Services Task Force. Case (Chronic HPV infection can cause cervical cancer.) Earlier guidelines from the task force recom- mended screening start at age 21 or within three years of becoming sexually active, whichever came first. The harm of more frequent screening, such as a greater chance of abnormal results that may lead to invasive testing, outweighs the benefits of early Forget detection of slow-growing cervical cancer, the task force says. This doesn’t mean women should skip People who have even minor regular checkups, the group adds. Check with your damage to blood vessels of the doctor to see how often you need a Pap test. retina that can lead to a con- Source: Annals of Internal Medicine dition called retinopathy are at higher risk of developing S:10.5” memory and thinking prob- If you’re trying to get pregnant, an easy bike ride could help—but you might want to hold off training lems as they age, research sug- for a triathlon. A Boston University School of Public Health study finds that moderate exercise, done for gests. In fact, retinopathy may any length of time, slightly reduced time to pregnancy for women of all body types. Intense exercise, be an important clue that blood on the other hand, appeared to increase time to conception for normal weight women. vessels in the brain aren’t work- Experts know that excessive, strenuous exercise can disrupt a woman’s ovulation cycle, but ing properly, researchers say. researchers say they were surprised to find that even relatively small amounts of intense exercise Researchers from the seemed to affect fertility. Normal-weight women in the study who said they exercised vigorously University of California, San five or more hours a week were 42% less likely to get pregnant in any given month than women Francisco, examined data from who did not exercise at all. The harder they worked out, the lower their probability of conceiving. the Women’s Health Initiative, Vigorous exercise did not delay conception in overweight women. a study with more than 500 About 3,000 women who were trying to conceive but were not getting infertility treatment older women. For up to 10 answered questions about their activity level. Running, aerobics, gymnastics, swimming, and intense years, the women underwent bicycling were considered vigorous exercise, while brisk walking, leisurely cycling, golfing, and annual evaluations of memory gardening were considered moderate exercise. and thinking skills. They also Source: Fertility and Sterility had an eye exam about four years after the study began and a brain scan at about eight years. About 7.6% of the women had retinopathy, though their vision wasn’t measurably worse than that of women without the condition. Photo by Jade Albert However, they scored lower on memory and thinking tests, Learn more at and scans found more evi- Baby Steps dence of blood vessel damage autismspeaks.org/signs in their brains.

Some signs to look for: G etty I mage s ; Jo eph C lark/ G etty I mage s d Burton/ s 10/ G etty I mage ; Davi ta s e from top right: clockwi Source: Neurology No big smiles or other joyful No babbling by No words by expressions by 6 months 12 months 16 months May 2012 | WebMD the Magazine 9 © 2012 Autism Speaks Inc. "Autism Speaks" and "It's time to listen" & design are trademarks owned by Autism Speaks Inc. All rights reserved. The person depicted is a model and is used for illustrative purposes only.

This advertisement was prepared by BBDO New York Filename: P16451_BBD_GEN_V18.indd CLIENT: BBDO Internal Proof #: 16 Path: Macintosh HD:Users:blane robis...V18 Created: 1-6-2012 4:09 PM PRODUCT: Tommy Magazine FP Folder:P16451_BBD_GEN_V18.indd Saved: 1-6-2012 4:13 PM JOB#: P16451 Operators: Robison, Blane / Young, Michael Printed: 12-16-2011 12:42 PM SPACE: Full Page: 4C Print Scale: 100% BLEED: None TRIM: 7.875” x 10.5” Fonts Ink Names SAFETY: None Arial Black (Regular), Helvetica (Regular, Bold), TheSansLight (Plain) Cyan GUTTER: None Graphic Name Color Space Eff. Res. 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OFF is one of the most to get your free popular youth sports in subscription today, the United States, with and access bonus THE more than 8.6 million extras and the children ages 6 to 17 latest tools from playing each year. While WebMD.com. it has a low rate of injury Eating breakfast, smart carbs, compared with other and lean meats can boost your BAT sports, researchers say the injuries tend to be worse, with proportionally more broken bones. mood and your energy level The new guidelines suggest that pitchers stop throwing immediately if they feel arm fatigue or pain, and that all players wear appropriate protective gear, including rubber- for your workouts as well as spiked shoes, batting helmets with face protection, and athletic cups. Coaches should have BRAIN everyday performance. Get the access to an automated external defi brillator in case of a cardiac emergency, and offi cials should postpone games if players are at risk because of extreme weather conditions, such skinny in WebMD’s Energy as lightning or excessive heat. Parents and coaches should recognize that not all children FRUIT Foods slideshow. mature at the same rate, and that repeated instruction and practice are essential. Here’s some berry good news Source: Pediatrics for your brain: Topping your teen boys center SEARCH daily breakfast cereal with a handful of berries can help stall brain disorders such as Alzheim- Top Searches er’s disease and other types of Here’s what’s hot on Plantar Fasciitis symptomchecker CHAIR TALK dementia. WebMD.com right now! A study by researchers from top symptoms include Your hairdresser understands your style, your job the U.S. Department of Agricul- 1. Contraception 101 woes, and the ups and downs of your relation-  Pain in the bottom of the heel ture/Agricultural Research Ser- ship, right? She may also be able to tell something 2. 10 flat-belly tips Stiffness in the bottom of the foot vice Human Nutrition Research  else about you: changes on your scalp, face, or 3. Embarrassing pregnancy Swelling or redness on the foot SEARCH Center on Aging found evidence  neck that could indicate skin cancer. symptoms that fruits such as blueberries, Plantar fasciitis develops when the thick tissue that connects In a study of 203 hairdressers from 17 salons blackberries, cranberries, and 4. Anti-aging skin care the heel bone to the toes (and creates the foot’s arch) in the Houston area, researchers led by a doctor at strawberries benefi t brain- becomes inflamed from overuse or stretching. Flat feet or high Brigham and Women’s Hospital in Boston found 5. Is your dog normal? signaling pathways involved in arches increase your risk of plantar fasciitis. So does obesity, that 37% reported looking at most of their cli- 6. Help for poor activities that involve running, dancing, or jumping, and SEARCH infl ammation and cell death. ents’ scalps for suspicious skin changes. Also, 29% sleep wearing shoes that provide poor arch support. Pain in the foot It also showed that berries checked most clients’ necks, and 15% looked for can be dull, sharp, aching, or burning and is usually worse help aging brains in several 7. Cold sores skin changes on most clients’ faces. Almost 60% first thing in the morning. A doctor uses a physical exam and ways: by protecting cells against 8. When your cat of the hairdressers said they have recommended a sometimes an X-ray to diagnose the condition. Treatment damage from harmful molecules is a picky eater includes non-steroidal anti-inflammatory medications, client get a suspicious mole checked out. GO called free radicals, by changing heel-stretching exercises, ice, rest, shoe inserts, prescription Nearly three-quarters of the hairdressers said they hadn’t received any formal training 9. The truth WATCH VIDEO the way neurons in the brain steroids, and shoes with more support. In rare cases, a doctor about skin cancer. But many expressed an interest in learning more about it and educat- about Key in your symptoms communicate with each other, may recommend surgery. While plantar fasciitis can last as ing clients. detox diets and by preventing infl ammation long as 18 months, prompt diagnosis and sticking with a Researchers recommend that future research focus on how to set up programs to 10. Spot reduction: FIND THE ANSWER that can lead to cell damage. treatment plan helps ease symptoms faster. teach stylists more about skin cancer and health communication. myth or fact

Source: Journal of Agricultural and Food Chemistry Janssen/ G etty I mages G etty I mages; Valerie C omstock I mages/ G etty mages; S iri tafford/ from top right: clockwise Source: Archives of Dermatology *as of 4/1/2012 CLOCKWISE FROM TOP RIGHT: JONATHAN KANTOR/GETTY IMAGES; GARRY WADE/GETTY IMAGES; ANDREW RICH/GETTY IMAGES KANTOR/GETTY IMAGES; GARRY WADE/GETTY JONATHAN FROM TOP RIGHT: CLOCKWISE

10 WebMD the Magazine | May 2012 May 2012 | WebMD the Magazine 11 health highlights mark your calendar medical file people and pages

G-Free to Be Actor Jennifer Esposito helps others with celiac disease Better A month of tips When Jennifer Esposito was finally diagnosed with celiac dis- to boost your ease three years ago, the actor was both shocked and relieved. “It was sleep smarts hard, but it was also the day I realized the person I once knew as ‘me’ May was gone,” says Esposito, 39, who plays detective Jackie Curatola on SLEEP the CBS hit police drama Blue Bloods. Misleading advice and a delayed diagnosis cost Esposito pre- Sunday Monday Tuesday Wednesday Thursday Friday Saturday cious “life” time as she searched for the reasons behind a litany of 3 4 Time out 5 unexplained ailments, she says. Now she’s determined to save others Sleep Trouble? You need to from the same pain and frustration by raising awareness of celiac Identify your problem and get cool down disease—also the goal during May, National Celiac Disease Aware- On her show, de Cadenet (right) gets up close expert tips for restful nights at before you lie ness Month. and personal with celebs like Gwyneth Paltrow. WebMD.com’s Sleep Disorders down, so finish Shortly afte learning she had celiac disease, Esposito launched your workout Health Center. at least three Jennifer’s Way, a website and blog (www.jennifersway.org) to help 1 National hours before others “learn to live again, gluten-free.” She has nearly 6,500 fol- Woman to Woman 8 Hours in Bed day calling it lowers on Twitter (@JennifersWayJE), and a cookbook, food product Amanda de Cadenet’s The 6 Nod Sense 7 Don’t doze on the couch. 10 a night. line, and bakery in New York City in the works. “This is so reward- Curl up in bed for a proper Conversation celebrates girl talk If you regularly night’s sleep. Then, share ing, the second chapter of my life,” she says. “I’m grateful to be able shortchange how refreshed you are to give something back.” How’s this for a Mother’s Day treat? Lifetime Network’s yourself on with the Better Sleep sleep, you can’t Two million people in the United States have celiac disease. new series The Conversation with Amanda de Cadenet debuted April Council at facebook.com/ The condition isn’t a food allergy; eating gluten causes the body’s 26, with alpha females Gwyneth Paltrow, Jane Fonda, Portia fully catch up. stopsleepingaround. Try to get enough immune system to damage the fingerlike villi lining the small intes- de Rossi, and Lady Gaga (to name a few) discussing things each night. ovekin/Ge tt y Im a g e s ; S t even P erilloux tine that allow nutrients from food to be absorbed into the blood- women gab about with their closest girlfriends. stream. As a result, the body is not able to take in nutrients effectively. Hosted by former British TV presenter and current Los 14 Out With the Old 16 17 Cool it 19 unplug : S t ephen L

le ft Growing up, Esposito recalls telltale signs as a youngster and a Angeles-based photographer Amanda de Cadenet and The comfort and support A slightly cool room Clear out of a good mattress are key mimics your body’s computers, life regularly interrupted by illness, even as ­executive-produced by actor Demi Moore, the show explores to good sleep. If yours is 8 drop in temperature TVs, and other she tried to lead a healthy lifestyle. She says women’s health and well-being, tackling topics like body image, to 10 years old, shop for a during the night and attention- she learned to map out the closest bath- pregnancy, work/family balance, aging, and grief. It celebrates new one. helps you sleep. grabbing room; celiac can bring on symptoms women’s penchant for emotional intimacy, underscoring research gizmos from your bedroom. like queasy stomach, gas, and diar- that links female friendships with longevity and good health. rhea. Celiac disease also tends to “Creating a community of girlfriends is one of the most 20 21 22 23 2424 TsacredK space25 TK run in families. Esposito’s older important things we can do,” says de Cadenet, 40, who wants Your bed is meant sister, Suzanne, was eventually to inspire honest dialogue. “My girlfriends have carried me only for sleeping diagnosed. through everything—the show role-models those conversations.” (and sex). You’ll Gluten shows up in products A mother of three and onetime tabloid fixture, de Cadenet sleep better if you respect that rule. containing wheat, barley, and is the ex-wife of Duran Duran’s John Taylor and current spouse rye. And it can “hide” in soy and of The Strokes guitarist Nick Valensi—and the first to say she’s other sauces, processed foods, learned every lesson the hard way. and medicines and vitamins. Her guests are equally frank. In an age of publicist-­controlled 27 lose the booze 29 30 sleep tech “Now I’m a food detec- sound bites, it’s unusual to hear Paltrow describe her difficulty A few drinks might Your smartphone can ease you into sleep tive—food gives me life, connecting with her second baby, Fonda admitting she’s only help you relax, but (just don’t use it for any other purpose while alcohol disrupts you’re in bed). Try a meditation app but I know it could also recently begun to feel fulfilled, de Rossi discussing the eating sleep, leaving you like “Simply Being” (for iPhone harm me,” Esposito says. disorder that shrunk her frame to a skeletal 82 pounds, and unrefreshed the and Android). “Listen, for your body will Gaga insisting she wouldn’t dare undo her teenage mistakes. morning after. tell you what it wants and For a who’s who of guests who have signed up to dissect

c o m c o m ; w hi t e beddin g : K ara Miri/iS kpho o. c o m ; an re st in g : Ju H orro k s /iS t kpho o. g irl in bed: Chri s B ernard/iS t o c kpho o. needs.”—Stephanie Stephens womanhood, go to www.theconversation.tv.—Lauren Paige Kennedy

Get more tips for your best sleep. WebMD.com

12 WebMD the Magazine | May 2012 May 2012 | WebMD the Magazine 13 ◗ this content is selected and controlled by WebMD’s editorial staff and is brought to you by jane iredale. ◗ What will help you lose weight? spotlight Think your naturally dark skin doesn’t need sunscreen? Think again. “People with Introducing the skin care darker skin are definitely less likely to burn, but they can still burn and should wear some form of sunscreen that protects against WebMD Food & Fitness Planner UVA and UVB,” Stein says. If you skip sunscreen because you don’t like how it feels on your skin, shop around. In just a few clicks, customize a plan to help you reach your “There are so many on the market,” says weight and fitness goals. Studies have shown that people who James Spencer, MD, a doctor in St. Petersburg, Fla., and a member of the American Academy keep a food journal lose twice the weight than those who rely of Dermatology. “Don’t give up.” on diet and exercise alone.*

Myth 2: All sunscreens are the same. Not so. Sunscreens’ protective effects differ. Backed by the world’s leading health experts and dietitians. While some use physical barriers such as zinc oxide and titanium dioxide to deflect UV radiation and stop it from reaching the Screen skin, others use chemicals such as avoben- zone, ecamsule, and oxybenzone to absorb UV radiation. Which product offers the best protec- tion? Look for a sunscreen that offers a Test sun protection factor (SPF) of 30 or higher Four common myths and provides “broad-spectrum” coverage about sunscreen debunked (against both UVA and UVB light). Myth 3: A little sunscreen will see me through the day. The opposite is true. By Katrina Woznicki, WebMD Contributing Writer You’ll need to reapply, every two hours or so, because sunscreen fades away with time. UVA, UVB, SPF…Confused about sunscreen? Summer’s just And don’t be stingy. “To cover your whole body, you would have to fill a shot glass,” around the corner, so now’s the time to set the record straight. Stein says. Here’s why: Being outdoors without proper protection from ultraviolet light increases If you’re swimming or sweating, you your risk for sunburn, wrinkles, and skin cancer, the most common type of cancer in the may need to reapply moreNew often. The FDA United States. More than 3.5 million cases of non-melanoma skin cancers are diagnosed doesn’t allow sunscreen makers to claim each year, and the American Cancer Society projects 76,250 new cases of melanoma will products are waterproof or sweatproof, be diagnosed this year. but they can say water-resistant if the label Two types of ultraviolet light affect the skin: UVB, which mainly causes sunburn, and specifies a time range, generally either 40 UVA, which penetrates the skin more deeply and can lead to wrinkles. Both UVA and UVB minutes or 80 minutes while swimming can cause skin cancer. Despite the dangers, myths about sunscreen and how to protect your or sweating. skin persist. Here are four of the most common: Myth 4: Last year’s bottle is still OK. Myth 1: I can skip it. Sunscreen is not just for sun worshippers. “If you’re going to be “You should use enough so that you’re not outdoors, you should wear sunscreen, even when it’s cloudy outside. You can still get sun- using the same bottle summer after sum- burn through cloud cover,” says Jennifer Stein, MD, PhD, assistant professor of dermatology mer. If you’re doing it right, you’re not at NYU Langone Medical Center. going to have leftovers next year,” Stein says. Best of all, it’s free. Check the expiration date. “Some sun-

screens break down quickly, especially those y/ G etty I mage s So start planning today. Reviewed by that give you UVA protection. So it shouldn’t Louise Chang, MD sit in your bathroom cabinet for too long,”

WebMD SENIOR MEDICAL EDITOR she adds. Kraig Scarbin sk

Get more coverage with sunscreen do’s and don’ts. WebMD.com *American Journal of Preventive Medicine, August 2008

14 WebMD the Magazine | May 2012 livingwell expert a’s to your beauty q’s

A. No beach bag is complete without a UVA/UVB-blocking sunscreen. Neutrogena Face the Day Ultra Sheer Dry-Touch Sunblock SPF 55 Dry Idea Start your morning ($9.50) is great for people who don’t like Get grease-free with sun protection the feel of a greasy sunscreen. While most sun protection with from CeraVe Facial Neutrogena Ultra Moisturizing Lotion Bag Check sunscreens focus on protecting against UVB Sheer Dry-Touch AM SPF 30. Q. What are the (the sun rays that can burn skin), those that Sunblock SPF 55. Getting ready for beach season? Make sure your tote beauty must-haves for contain helioplex (like this one) also protect includes these expert product picks my summer beach bag? against UVA (the aging rays that, like UVB, have been linked to melanoma). Jamie Pearlman, 27, human resources analyst, Howard Beach, N.Y. The best way to wear sunscreen is to Chill Out apply it first thing in the morning, and Soothe sunburned skin with Radical Idea Crabtree & Evelyn Aloe Vera then wait 15 to 20 minutes before heading Block Buster The vitamin C Hydrating Body Lotion. Start your summer beauty kit off right outdoors so it absorbs completely. Dur- Keep harmful A. in SkinCeuticals rays away with with sunscreens for face and body. For the face, ing a sunup-to-sundown beach day, come Serum 10 AOX+ Banana Boat Sport try Neutrogena Sport Face SPF 70+ ($9.99). indoors for a lunch break from 11 a.m. to 3 helps neutralize Performance Active It’s noncomedogenic, which means it won’t p.m., when the sun is at its peak, and reap- free radicals. Dry Protect SPF 50. Oil Change clog pores or worsen acne. ply before going back outside. Rub a bit of J.F. Lazartigue For the body, I recommend Banana Boat If you’re prone to dryness, try CeraVe Sun Protection Oil on your Sport Performance Active Dry Protect SPF Facial Moisturizing Lotion AM SPF 30 hair to protect it. 50 ($8.99), which is super-moisturizing and ($13.99). It’s great for everyday use and is doesn’t leave a pasty film on the skin. Remem- infused with hyaluronic acid, a humectant ber that even water-resistant sunscreen won’t that sits on top of the skin and attracts water last more than two hours when you’re sweat- from the air. Don’t forget to coat your neck, ing and swimming, so reapply often. chest, and the tops of your ears. Skin cancer often occurs on the lips, so If you do accidentally burn, take down toss an SPF-infused lip balm like Banana the inflammation fast with a thin layer of

Boat Aloe Vera with Vitamin E ($1.97) aloe vera gel. It’s more than 90% H2O, so Burn Out into your bag. It has SPF 45, and you can it has an instant cooling effect, rather like Tr y Cortizone 10 Creme with apply underneath lip gloss or lipstick. a blanket of water. Top that with a coat of Aloe to relieve sunburn pain. Don’t forget to pack a big, floppy hat to 1% hydrocortisone cream like Cortizone protect your scalp from UV rays. But a hat 10 Creme with Aloe ($5.99) a couple Block Party’s Over Sun- against early skin won’t guard against indirect sun exposure, times a day. screens can no longer aging.” so play it safe by wearing a sun-protective The one beach-bag product to splurge Message be labeled “sunblock” Broad Way Sunscreens topper (look for the “UPF” label) and sun- on is a topical antioxidant, which can because the FDA says must protect equally screen for your hair. I like J.F. Lazartigue neutralize harmful molecules called free in a Bottle the claim is false. “Sun- New regulations against UVB (burning) and Sun Protection Oil ($48). Rub a bit of the radicals and defend against environmen- block implies the prod- developed by the FDA UVA (aging) rays to be oil on your part to protect the scalp there tal damage. Vitamin C in the form of uct ‘blocks’ 100% of labeled “broad spectrum.” for sunscreens sold the sun’s rays, which is as well. L-absorbic acid is one of my favorites, and H O No Sunscreens over the counter in untrue,” Kauvar says. 2 If you do burn, first apply cold com- it’s abundant in SkinCeuticals Serum 10 can no longer be “Sunscreens will absorb, presses or take a cool bath to relieve the AOX+ ($86). Use it under your sunscreen the United States labeled “waterproof” or scatter, or reflect vary- sting. Take an anti-inflammatory medication, for an additional layer of protection against will take effect this “sweatproof.” “Sunscreens ing amounts of UVB and will either have no water- such as ibuprofen, to reduce the pain and summer’s harsh outdoor elements.—Ayren summer, says Arielle UVA, depending on their resistance label or will be swelling, and apply a light aloe lotion like Jackson-Cannady Kauvar, MD, founder of composition.” Crabtree & Evelyn Aloe Vera Hydrating New York Laser & Skin labeled resistant for 40 or High and Mighty Only a 80 minutes,” says Kauvar. Body Lotion ($22) to help soothe skin. Lisa Ginn, MD, Care. She highlights sunscreen with an SPF Save Face Lip Service Skin@LRG, Because moisturizers Noncomedogenic Neutrogena Sport Face Protect your pucker with some changes you of 15 or higher can be with SPF rub off easily, Arielle Kauvar, MD, Chevy Chase, Md. SPF 70+ guards against damaging rays. Banana Boat Aloe Vera with labeled to say things like founder, New York might notice. especially if you’re Vitamin E lip balm. “reduces skin cancer Laser & Skin Care, The opinions expressed in this section are of the experts sweating, most won’t be risk” and “protects New York City and are not the opinions of WebMD. WebMD does not water-resistant. Chung Lee Chung Lee endorse any specific product, service, or treatment.

Headed to the beach? Head to the Healthy Beauty center. WebMD.com

16 WebMD the Magazine | May 2012 May 2012 | WebMD the Magazine 17 Getting your child parenting matters By Hansa Bhargava, MD WebMD MEDICAL EDITOR ready for camp? expert advice for kids’ sake Protect Sweet Rewards? Praising kids with food can send the wrong Road Map them first. Point your kids in the health message. Here’s why right direction with these healthy eating strategies. Have you ever been tempted to use food to You enable emotional eating. Food given as a What’s cooking? Get your reward your children? I can tell you honestly I have, reward can lead to an unhealthy emotional connec- kids involved in grocery even though I’m a pediatrician. Sometimes when my tion between eating certain foods and feeling shopping and 6-year-old twins refuse to eat their vegetables, the good. According to the American Academy preparing meals. words almost fall out of my mouth: “You’ll get dessert of Pediatrics, kids may use food to avoid Encourage if you finish.” feelings or situations that are difficult for them to try So what’s the big deal? Here’s what tends to happen: them to handle. Eating because they’re different foods. You offer sugar but little or no nutrition. Reward bored or stressed can cause children to Involve the foods aren’t broccoli or carrots. They’re usually cook- feel guilty or remorseful. family. Establish healthy behaviors for the ies, candy, or similar treats high in sugar and empty You encourage a desire for sweets and poor entire family so children eating habits. Giving know they are not alone in children food for good their goal to be healthier. behavior teaches them by Switch it off. Turn off the to eat whether or not rewarding TV and mobile devices they are actually hungry, kids with at the table so family the Connecticut State members can share what’s sweets, Department of Educa- going on in their lives. you’re tion reports. And, by Master moods. Help your sending the rewarding kids with child learn that food can’t sweets, you’re sending solve problems. Teach message the message that these him how to deal with his that these are more valuable than feelings instead. are more other foods. Get moving. Children valuable You sabotage your need 60 minutes of best intentions. If you physical activity each day. than other reward your child with a Help your children set up foods. cupcake, he’ll be less keen an obstacle course. Take a to eat his peas, not more. walk or ride bikes together. calories. For everyone, but especially growing children, “It’s like teaching children a lesson on the importance Sleep well. Make sure too much sugar and too many low-nutrient foods can of not smoking and then handing out ashtrays and your children get the sleep lead to health problems, including weight gain, cavi- lighters to the kids who did the best job listening,” says they need each night. ties, and a higher risk of type 2 diabetes. According to Marlene Schwartz, PhD, of the Rudd Center for Food They will be better learners Vaccine Tracker the CDC, a third of children between ages 2 and 19 are Policy & Obesity. in school and have more energy to run, ride bikes, overweight or obese and may face adult health prob- Next time, for good behavior, say, “Let’s go to the and play. An easy-to-use tool that can help you: lems such as high blood pressure and high cholesterol. park since you did a good job!” • Prepare for camp and school admissions forms New • Track vaccinations for your entire family • Stay up-to-date with email reminders It can take eight to nine times trying

M ichael K elle y/G ett y I mage s a new food before a child learns to like it.

Challenge your children to become fit kids. WebMD.com

May 2012 | WebMD the Magazine 19 sleep matters By Michael J. Breus, phd, absm WebMD Sleep expert for the rest of the story Night Moves First there was sleep-eating, and now there’s sleep-texting? Tech Detox Here’s how parents can That’s right—and your teens are probably doing it help keep teenagers from overusing technology: their lifestyles—increased Set limits. Self-discipline academic and social pressure, and time management U.S. teens send late nights, and sleep-in Saturday are hard enough for an average of 100 mornings—also make it harder adults, much less for them to maintain regular teenagers, but you can texts per day. sleep schedules. establish boundaries. The Unhealthy sleep habits can Kaiser Family Foundation lead to serious sleep depriva- reports that only three in tion, posing a threat to teens’ 10 teens have rules at academic success and also home about electronic to their physical and mental media use. It also says that such rules do help health. Sleep problems among decrease teens’ overall this age group are linked to tech time. obesity, high blood pressure, Get them outside. depression, behavioral prob- Whether it’s organized lems, and drug abuse. sports or regular family Some evidence suggests that hikes, physical activity sleep problems during adoles- has many benefits, cence can affect health well including time away from Here’s a decidedly 21st-century sleep into adulthood. Research already shows that online distractions. issue: “Sleep-texting” is apparently a growing phe- social media can interfere with teens’ sleep Regular exercise nomenon among teens. That’s right: Teens are reaching habits. Teens spend 53 hours per week and exposure to for their phones during the night, firing off messages, engaged with some form of electronic sunlight also help and waking up with no recollection of their actions. media, according to a large-scale study by improve sleep Social media and technology are part of daily life the Kaiser Family Foundation. That’s more quality. for everyone today, but especially for young people. than seven hours per day. The study also found Keep the bedroom One study suggests that U.S. teens send an average of that teens’ daily consumption of social media is on tech-free. This one’s 100 texts per day! If that activity extends to their sleep the rise, with their use of mobile media increasing a no-brainer. The easiest way to prevent time, we’ve got a serious health issue on our hands. at the fastest rate. Another study indicates that teens technology from Even without sleep-texting, teens have their own who text and use the Internet are more likely to have interfering with your particular set of shut-eye needs and challenges. For trouble getting to sleep and staying asleep. teenager’s sleep is one, teens generally need at least nine hours of Let’s not forget that texting during sleep is dis- to keep cellphones, sleep per night. Unfortunately, most don’t get it. ruptive not only to the texting teen, but also to the computers, and other Biological changes associated with puberty make it teen who receives a message—a beeping cellphone electronic devices out of harder for teens to fall asleep and stay asleep. And in the middle of the night is not exactly restful. the bedroom.

More than half of kids and teenagers who text or surf the Internet at bedtime have mood,

behavior, and cognitive troubles during the day. Monashee Frantz/Getty I m a g es

Catch up on other common sleep disorders in teens. WebMD.com

20 WebMD the Magazine | May 2012 Reviewed and recipe by Kathleen Zelman, MPH, RD, LD healthyeats WebMD Director of Nutrition Don’t wait for your next nutritious and delicious APPointment Anatomy of a pineapple

Subscribe to WebMD the Magazine for free on your iPad. National Treasure Say Aloha In 1493, explorer Christopher Some of the largest pineapple Columbus found pineapples on crops are in Hawaii, which Guadeloupe Island in the Caribbean. produces 500,000 tons The fruit is also native to southern of the fruit each year. Brazil and Paraguay.

FREE Smell Test subscription! Precious Pick Pass over sour-smelling or American colonists regarded pineapples as a bruised pineapples. Fruit from luxurious treat because of their rarity and cost. Hawaii or Central America tends to be freshest. Come Together A pineapple is the result of many flowers Big Squeeze The Power of WebMD whose fruitlets have joined around the core. To make your pineapple softer Access top resources and juicier, keep it at room temperature for one or two from WebMD, including WebMD Expert Extras days before cutting. the Symptom Checker Exclusive tips and advice Golden Goodness and the Physician Finder. from the WebMD experts Pineapples contain bromelain, an enzyme ...... you trust. that may help arthritis pain by reducing ...... inflammation. They are also a good source Good Cup of vitamin C, which helps strengthen your

: Chr istia n S c h uste r / toc kF oo d ; . to w e ll One cup of pineapple has 70 to

to p immune system. 85 calories.—Ana Ferrer Bonus Celebrity Content Discover digital exclusives You’ve Got Mail from your favorite stars...... Email recipes and expert healthy recipe beauty product picks to yourself and your friends. Hawaiian Grilled Makes 4 servings 1 lb large shrimp, Directions Per serving: ...... Pineapple Shrimp peeled (can 251 calories, substitute top- 1 .  Combine first eight ingredients in zip-top 27 g Kebabs Ingredients protein, 29 g Test Yourself sirloin beef) plastic bag, then add shrimp. Marinate in refrigerator 30 minutes. carbohydrate, Take interactive quizzes on 3 cloves garlic, 2 large sweet red 4 g fat must-know health topics. minced peppers, cut into 2 .  Remove shrimp from marinade. Place (1 g saturated ...... 1 tsp fresh (or bite-sized pieces marinade in a small saucepan, bring to a fat), 170 mg bottled) minced 12 pearl onions, fresh boil, and set aside for basting. cholesterol, 4 g fiber, ginger (or frozen) and Preheat grill to medium high. Spray with peeled 3 .  19 g sugar, 1 tbsp cider or rice cooking spray. Thread vegetables, pine- 311 mg vinegar 1 8-oz package whole apple, and shrimp onto metal skewers. (If sodium. 1 tbsp low-sodium mushrooms, using wooden skewers, soak in water 30 Calories from soy sauce cleaned minutes to prevent burning on the grill.) fat: 13% 2 cups fresh pineapple 1 tsp five-spice 4 .  Place kebabs on grill, covered, over medium- powder (optional) chunks (or canned in fruit juice, no high heat for 3 to 5 minutes per side until 1 tsp dark sesame oil sugar added) done, basting with reserved marinade. 1 tsp honey vegetable cooking 5 .  Drizzle remaining marinade over kebabs. Visit the App Store to get ½ cup pineapple juice spray Serve with brown rice. your free subscription today. Expand your recipe repertoire at the Health & Cooking center. WebMD.com

May 2012 | WebMD the Magazine 23

magazine_app_ad_8_digi.indd 1 4/19/12 4:01 PM TYourhe Waitingnewborn and Room infant Companion care WAITING CreatedROOM COMPANION for Your Doctor’s Office

webmd.com May 2012 Great Eight Expert tips for a healthier mouth Shape Shift Can you change the shape of your teeth? Mouths of Babes What’s the right age for a first dental visit? Balanced Beam Actor Anna Kendrick opens up about finding success your smile 26 WebMD theMagazine |May2012 The Eight 1 2 a dentistby thetimethey’re 1, anduntilthey are coordinated eight oralcare musts for ahealthy mouth. University ofDentalMedicineinBoston, School outlines saying goodbye tocigarettes. technique, thedailytoothbrushing ditching sodahabit, and than squeezingpasteoutofatube—thinkimproving your they’re only thebeginning. A marvelousmouthtakes more Brushing, flossing,rinsing are the and ABCsoforalhealth, but By HeatherHatfield tips shape withourexpert Keep yourmouthintiptop treatable, nottomentionmore affordable totake care of. gum disease, trauma, orcancerat an early stage whenthey’re Association advises), andyou’ll problems asdecay, catch such ity timewithyour dentist(twiceayear, the Dental American phobia, finances, orjustplainneglect. Butspendsomequal- David Leader, DMD, anassistantclinicalprofessor at Tufts States who don’t see a dentist yearly because of dental you’re amongtheroughly 50%ofadultsintheUnited Pay avisit.Ifyou’re thedentist, prone toditching maintenance just like the rest ofus. Children should see fly underthedentalhealthradar, but they needmouth Count theyears. Great W ebMD ORALHELTH EXPERT Toddlers andolderadultstendto , WebMD Contributing Writer Eric Yabu, DDS R eviewed by

on the cover: Art Streiber/AUGUST; left: PhotoNonStop/Glow Images ask the experts Your questions answered DID YOU

enough to tie their own shoes, they’ll Tiny Teeth KNOW? need help cleaning their teeth. Older folks have their own oral issues. Arthritis can What’s the right age for a visit to the dentist? make brushing and flossing challenging, WebMD also and as people age, the amount of saliva Q  How old should my child be before provides tips they produce decreases, which means I make his first dental appointment? Can I change the more tooth decay and also discomfort for shape of my teeth? and tools to those who wear dentures. You should take him in by the time he A  Yes. You can choose from ­celebrates his first birthday. among several dental keep your Can the soda. Fizzy is fun but also First visits are mostly about getting kids used to procedures. part of the reason soda is so bad the dentist’s chair and educating parents about how Dental bonding is a pet healthy! 3for your teeth. Two ingredients— to care for baby’s teeth. If your child has transitioned ­procedure in which your phosphoric acid and citric acid—give from the bottle to cup and doesn’t snack or drink in ­dentist applies a tooth- soda its “bite” but also eat away at the the middle of colored resin to the tooth surface of your teeth. While the occasional the night, you surface, which hardens with INSIDE soda won’t hurt, a can or more a day get a one-year a special light that bonds the makes your tooth enamel softer and more pass, until age material to the tooth. Bond- susceptible to cavities. Switch to water 2. That’s when ing can fill gaps between instead, adding flavor with sliced citrus or the standard teeth, repair small chips, and crushed berries or mint leaves. every-six- smooth out rough edges. month dental Dental crowns are tooth- Don’t sugarcoat it. Sugar is a major visit recom- shaped “caps” placed over culprit in tooth decay. It fuels bacte- mendation teeth. Cemented into place, Avoid being among the 20% of people who crowns encase the entire 4ria and acidity in your mouth, caus- kicks into gear. ing plaque to form and eat away at your face tooth decay: Cut down on sugary treats, When your visible portion of a tooth. enamel and gums. Your pearly whites are child is between ages 4 and 6, expect your dentist to Crowns are made of porce- hit with up to 20 minutes of acid produc- and aim to brush and floss after every meal. take a first set of X-rays to check for cavities lurking lain or porcelain fused to tion for every sugar fest you indulge in, between the teeth. metal and restore the tooth’s from sweetened coffee in the morning to Prevention is the name of the game between ages natural shape, contour, and appearance. ice cream at night. To avoid being among teeth an unsightly shade of yellow, they if you’re like most people, you don’t give 6 and 12, when baby teeth give way to permanent Veneers are wafer-thin, the 20% of people in the United States eat away at your gums. Smoking creates a much thought to how to do it. Hold the teeth. Your child’s dentist will probably suggest a custom-made shells of tooth- who face tooth decay every time they look ripe environment for bacteria and plaque toothbrush at a 45-degree angle, pointed sealant, a plastic resin that bonds to teeth’s colored materials, either in the mirror, try to cut down on sugary on your teeth and along the gum line. toward the gum line, and use gentle, chewing surfaces, between ages 7 and 9. porcelain or resin that are treats, and aim to brush and floss after That harms tissue, degrades the bone that short, circular motions. Brush each tooth Cavity-prone molars are the most likely site bonded to the front sur- every meal or snack. supports teeth, and, eventually, increases 10 to 15 times, but don’t overdo it. Overly for treatment. The resin keeps cavity-causing face of teeth. your risk of tooth loss. Even worse, aggressive brushing can damage teeth and bacteria from getting into the grooves and Recontouring or reshap- Pack it in. You’ve heard it before: tobacco chemicals can lead to oral cancer. erode your gum line. valleys of teeth. ing removes small amounts Quit smoking. But this time, it’s Also when your child is around age 7, his dentist of tooth enamel to change 5your dentist talking. The nicotine Use the right toothbrush. You want Finesse flossing. It’s simple: Floss- will likely suggest an orthodontic evaluation. Most a tooth’s length, shape, or and tar in cigarettes not only turn your a brush with soft bristles. With the ing fosters healthier teeth and gums. kids will wait until their early teens for braces, but surface. 6right technique, it should last two 8But like brushing, there’s a right and orthodontics is about modifying jaw growth, so These options differ in to three months. It’s ready to be replaced wrong way because flaws in your flossing identifying skeletal causes of crooked teeth early terms of cost, durability, and when you notice bent bristles, but don’t can cause friction and damage the gum helps ensure a beautiful smile later on. “chair time.” Talk to your smart mouth wait that long. Even a straight bristle tip can line. Wrap about a foot of floss around In the end, it’s the basics—brushing twice a day, dentist to see what’s right What’s gingivitis? Do at-home whit- become blunted instead of rounded and your index fingers, keeping about two flossing daily, and getting regular dental checkups— for you. ening treatments really work? How cause injury to the teeth and gums. inches between your fingers to work with. that have the most impact on a kid’s smile. to cope with your fear of the dentist? Unroll a fresh section of floss for each Gwen Cohen Brown, u n g /Gett y I m ag e s Get the scoop on all this and more at Practice proper technique. While tooth, and keep the floss tight against the DDS, FAAOMP WebMD’s Oral Health center. you probably know you should tooth to break up plaque while leaving as E velei g h/Gett y I m ag e s Eric Yabu, DDS WebMD ORAL N ichol brush your teeth at least twice a day, your gums in good shape. C h a rle s G u ll WebMD ORAL HEALTH EXPERT health EXPERT your your smile 7

Get expert answers to all your oral health questions. WebMD.com

28 WebMD the Magazine | May 2012 Reviewed by Louise Chang, MD WebMD SENIOR MEDICAL EDITOR BALANCED Actor Anna Kendrick used to have a hard time smiling, but now she fi nds it hard not to

By Lauren Paige Kennedy, WebMD ContributingBEAM Writer After the “meet cute,” the fl edgling duo fi nd themselves, to their great shock, pregnant. Anna Kendrick is quick to grin—in fact, her win- How did Kendrick prepare? “I did some research with a chef,” she says, “and cut my some smile just might be her signature feature. fi ngers so many times in the process! But I felt weird about going up to random women Yet just a few years ago, when she fi rst became a and asking if they’d ever had an unexpected household name after a knockout, Academy Award- pregnancy, and what that felt like. For part of the shoot I did wear a pregnancy prosthetic, nominated performance in Up in the Air opposite and I was most surprised about how many people came up and just started poking at my George Clooney, her beam was a bit of an act. stomach. They’d just poke it! And so many “I try so hard to keep smiling, and to deal she says. “I am a lot more comfortable in my women on the set would see me [wearing] it with everything publicly,” she told talk show skin now, mostly because I did six fi lms last and immediately start telling me about their host Ellen DeGeneres in early 2010, right as year, and I spent more of my time doing the own experiences being pregnant. There was her career was hitting hyper-drive. “But my actual work, which is what I really enjoy.” something about the stomach itself that made poor friends and family are dealing with my Kendrick, 26, always wanted to be an actor, women want to talk.” meltdowns on a daily basis.” Kendrick says even as a preteen growing up in Portland, Kendrick says she’s “nowhere close to she felt overwhelmed by the media attention Maine. Her parents helped make that happen, being enough of a grown-up” to consider and the transition from life as a working packing Kendrick and her older brother onto motherhood, although she’s not ruling it out actor who’d labored for years on Broadway a Greyhound bus to New York City so they down the line. She’s glad she’s been able to fi rst and in smaller parts to bona fi de celebrity. could audition for—and win—coveted roles. pursue her dream. In fact, Kendrick’s mother “It feels funny to complain about that end (Her fi rst acting gig was at 12, playing Dinah paved the way by setting a good example. 3 THINGS THAT of it,” she says now. “So I won’t do that. But in the Broadway musical High Society.) “We had “I grew up with a working mom,” Kend- it does put you in a very vulnerable place.” to promise up and down we’d go straight to rick says. “So that was always normal to me. MAKE ANNA SMILE Two years later, after critical praise for her the audition” and then turn around and come But I remember one time a neighbor who “Seeing people’s home renovations in

work in Seth Rogen’s 2011 cancer dramedy straight home, she laughs. was a stay-at-home mom came over and criti- 1Dwell magazine. What they’ve done to smile your 50/50 and with the much-buzzed-about What She’s doing less auditioning nowadays cized my mother for making one big batch their homes, I always think it’s so sweet—and to Expect When You’re Expecting due for delivery in as acting roles continue to roll in. In What of pancakes and then freezing what was left cooler than anything I can manage.” May, Kendrick says her inner and outer selves to Expect—a fi lm co-starring Jennifer Lopez, so we could take them out and eat them all “Dog-sitting! I don’t have one yet, so I will dog-sit have fi nally aligned. But that’s not because the Cameron Diaz, Elizabeth Banks, and Chris week. And my dad overheard her, and he just for basically anybody.” media juggernaut has become any easier. Rock—Kendrick plays a gourmet food truck let her have it! Why do moms do that to each 2 “I enjoy being on set—much more than vendor who hooks up with a fellow rising other? Because you know what? We loved “My mom makes jewelry, and sometimes she

getting caught up in the promotional end,” chef, played by Gossip Girl’s Chace Crawford. those pancakes! We did.” STREIBER/AUGUST ART sends me something in the mail out of nowhere.” your your smile 3

What makes you smile? Share it in our communities. WebMD.com

30 WebMD the Magazine | May 2012 wellness Smash

Motherhood is center stage for Uma Thurman. The actor, with two ma Thurman doesn’t believe in balance. kids and another on You know, that balance we’re told holds the key to a happy, healthy life. That the way, is helping new perfect equilibrium, where we make enough time for our kids, our spouses, our careers, our homes, our friends, and, oh yes, ourselves. Balance is supposed to moms give their babies be the kinder, gentler alternative to “having it all,” but Thurman doesn’t buy it. U“The idea of balance itself is kind of an assault on reason,” says Thurman, 42, best known for a healthy start playing the vengeful, blood-spattered Bride in the Kill Bill films and the slinky gangster’s wife in Pulp Fiction. Now she’s in her first significant TV role as a famous scene-stealing actor who tries her hand at musical theater in the buzziest show of the season, NBC’s Smash. “Both your family and your career require full-time commitments to really do well,” she says. “It’s somewhat impossible to give all your attention to two things or four things.”

By Gina Shaw, WebMD Contributing Writer

Reviewed by Louise Chang, MD WebMD senior MEDICAL EDITOR

May 2012 | WebMD the Magazine 33 wellness

“She kept coming into the building Room to Grow, which helps expectant That hit home with Thurman. “It’s lugging giant bags of baby goods up and moms living in poverty. undebatably unjust for children to suf- down the stairs, just huge bags. She was a Burns had decided she needed to inter- fer,” she says. “Going through the process very slender and slim person, and at that vene earlier in children’s lives. “There of becoming a parent, naturally you see point I was not!” Thurman says, laughing. was a profound lack of services for chil- very closely how frightening, how over- “I finally said, ‘I know what I’m doing dren in poverty from birth to age 3,” she whelming, and how important it is to with all these bags of baby things, but says. “These families want the very best you, and how much you want the best for what are you doing?’” for their children, just like parents with your child. It brought it so close to home The neighbor was Julie Burns, a social more resources do. I wanted to create to imagine what it would be like to face worker (and wife of documentary pro- an organization that would provide for all those things without a job, without ducer Ken Burns), who had spent years their material needs, but also help parents resources, without support.” working as a psychotherapist with older navigate all the emotional and practical From that late-pregnancy encounter children with behavioral problems as well challenges that come with raising a young in an apartment hallway came a 14-year as troubles with depression, drug and child, while at the same time facing all partnership. Thurman became one of the alcohol abuse, and violence. She was haul- of the obstacles that poverty injects into founding board members of Room to ing all those supplies for her new charity, your life.” Grow (roomtogrow.org), which now

The Tyranny of Balance s busy actor, mom, and volunteer Uma Thurman right? your life is better today than Are we torturing ourselves with this mythical idea of a it was yesterday. Maybe it Thurman on the set of NBC's Smash with co-stars “balanced” life? was a graduation, a new Christian Borle, left, and Jack Davenport, right. Definitely, says Lana Holstein, MD, a life coach and job offer, an award your the former director of women’s health at Canyon Ranch child received, even just in Tucson, Ariz. “As a physician, mother, wife, and life doing a great workout or coach, I have never lived a life of balance,” she says. receiving a compliment So what do you do? “You have to pick “Most of our lives are not in balance. We emphasize on a job well done. Move- one [commitment] that you know you one area or another for a time—that is just fine in my ment in our lives toward Thurman with her boyfriend, financier I love song and dance and Arpad “Arki” Busson. can’t live with yourself if you screw up,” book.” So what should we strive for instead? goals and improvement Thurman says. “I couldn’t live with myself Nourishment, says creates the excitement and if I screwed up my kids.” Broadway, and I thought Holstein. “We all need adrenaline that we need to nourishment every day— keep going.” Growth Potential it was an exciting, creative and not just food. Are you Realism, says Sara Rosenquist, PhD, a clinical psycholo- That’s why Thurman took a four-year hiatus including things that nour- gist in private practice and former clinical assistant professor in the late 1990s, doing only a few small, idea for a show. ish your life essence? Pay at the University of North Carolina at Chapel Hill. “As long as low-budget projects after giving birth to attention to your exhaus- people have to work for a living, children will come second daughter Maya, who is 14 this July. Son tion/joy ratio. If you are to making money to pay the rent and put food on the table. Levon, now 10, was born the year before nourishing your true self Lose the guilt. Adjust the expectations. Then you will have Kill Bill hit the multiplexes. Fortunately for independent life as a person, too. It’s hard most working moms. Back when she was consistently, you should ‘balance,’ the way a mobile is balanced with some parts Thurman, director Quentin Tarantino had to be a self-sufficient provider and parent pregnant with Maya, she encountered a not be exhausted and short and heavy and other parts long and light, but it will not written the part of The Bride for her and and have a foot in both worlds.” neighbor who forever shaped her percep- chronically vigilant.” be a 50-50 division of time.” refused to recast the role, delaying produc- Another break in the action may be com- tion of just how difficult parenting can be. Movement, advises Blending, says Leigh Steere, co-founder of Managing tion for months while she was pregnant. ing soon—Thurman revealed in February that Living in a small brownstone in Man- Thurman with her time-management con- People Better, a management research firm in Boulder, Colo. “I probably very much shortchanged she is pregnant with her third child, a girl, hattan with actor and then-husband Ethan daughter, Maya. sultant Steve McClatchy, “Balancing makes you think of juggling balls, with fear of my career when I did that, but it was worth due in late summer. Dad is her boyfriend, Hawke, Thurman happily dragged home founder of Alleer Training one dropping,” she says. “Blending brings up the idea of it,” she says. “Still, it’s not easy. I have a financier Arpad “Arki” Busson, who also has the usual array of baby gear that expectant & Consulting, in Malvern, mixing ingredients to make a wonderful dessert or blending Pa. “Think of the last time colors to create a vibrant painting. It also incorporates the wonderful relationship with my children, two children from a previous marriage. parents stock up on: stroller, car seat, crib, / N BC on/T ru n k A rc hive; Wi ll Hart a ge: Jenny Ga ge n d To m Be tt e rt you had the thought that notion that you can change the blend as desired.”—GS and they’re the most important thing to Thurman understands, on a very per- swing. She saw her upstairs neighbor doing c o m spho t o. : Sc o tt Win tr w / G e y Ima ges; K r is t in a B um ph ey/ Startrak r igh t me, but one does wish to have a creative, sonal level, that she has it far easier than the same thing. p r evio u s

34 WebMD the Magazine | May 2012 May 2012 | WebMD the Magazine 35 wellness serves hundreds of families in New York clinicians, who monitor the baby’s the Burnses and fellow actors Liv Tyler, I’m stressed,’ but now I’m going to start it’s important to feel you have a positive City and Boston. Expectant parents are growth, teach families parenting skills, Julianna Margulies, and Mark Ruffalo saying that ‘I’m concerned.’ Maybe that outlet, to know that you’re making some referred to the organization by prenatal and help them navigate problems like and his wife, Sunrise) into her schedule will help.” sort of difference and connecting with programs for low-income families. They’re finding affordable housing, looking for a in February, even though she was almost Her favorite way to ease the pressure? your community and that things can be given all the supplies they need for their new job, and getting a GED. constantly filming for Smash. Getting back to Mother Nature. “When- improved,” she says. “It’s a big relief— new arrivals from among thousands of “It’s about helping people become ever I can, I get out of the urban environ- instead of watching the news and thinking new and gently used baby and toddler successful parents,” says Thurman, who Stress S.O.S. ment as much as possible. My favorite the sky is going to fall.” items donated by area families. But the doesn’t just slap her name on charitable Thurman has a full plate for sure. But spot is the mountains. But even if I’m in Despite her busy schedule, Thurman material side of parenting is only part of solicitations. She devotes days to board appearing in a show about staging a the city, I have Central Park.” still hasn’t been pushing herself quite as the organization’s efforts. meetings and planning retreats for Room Broadway musical was hard to resist. “It’s Another can’t-live-without way to hard as she did before she had kids. “You can’t just drop in and get stuff to Grow, plunging into balance sheets the first time I’ve done something like take care of herself: reading. Thurman “I’ve done things that I’ve chosen. Just and go,” says Burns. From pregnancy and tackling challenging decisions about this, and I thought it would be fun,” she also admits to having a few vices, includ- to enjoy myself. I haven’t done anything through toddlerhood, families meet how to expand the charity’s reach. “How says of her part in the series, which also ing food indulgences (guilty pleasure: really big in a long time. Partly that’s been one-on-one with Room to Grow staff do parents access subsidized child care stars Debra Messing, Megan Hilty, and chocolate), not getting enough sleep, a conscious choice, and partly it’s been Katharine McPhee. “I love song and dance and neglecting exercise. “I don’t do it that I just haven’t found something worth and Broadway, and I thought it was an enough. Guilty!” putting my life aside to do.” Spoken like a exciting, creative idea for a show.” And she says her work with Room to true believer in making choices instead of She also stars in the upcoming release Grow is itself a stress-reliever. “I think trying to have it all. Having the kinds of things that Bel Ami, a period piece she shares with Robert Pattinson and Christina Ricci. She has half a dozen other movies in pre- or parents know their children post-production, including The Savages in Thurman with Julie Burns, founder July, and rumors have it that a Kill Bill 3 of Room to Grow, and her husband, need to grow and develop is in may start filming soon. documentary producer Ken Burns. The Power of Play You might expect Thurman to handle itself a really strong approach to her stressful schedule with Zen aplomb. ne of the strengths of Room to Grow, to which actor Her father, Robert Thurman, is a noted Uma Thurman has devoted time and energy for 14 reducing stress in the family. so they can work? How can they afford Buddhist theologian and the first West- years, is the program’s ability to help parents and chil- dental care for their child? Whatever the erner ordained as a Tibetan Buddhist dren play productively together. issue is, from the medical to the personal, monk. But despite many reports listing “Children develop their ability to learn through explo- Room to Grow is there for people who her among famous Buddhists, Thurman ration with toys,” says early childhood education and might otherwise be overwhelmed.” says she admires the philosophy but development expert Sheila Smith, PhD. “They also The Room to Grow setup is an ideal doesn’t practice it. develop it in play with adults who help them and say, strategy for nurturing learning in kids and She freely admits that she handles ‘Why don’t you try it this way?’ but also sit back and let parents facing poverty, says Sheila Smith, stress “pretty badly!” But she’s trying a them try things on their own. Room to Grow increases the opportunities PhD, director of early childhood at the for parents to motivate their child to learn.” National Center for Children in Poverty at the Mailman School of Public Health, You don’t need fancy, expensive gear to do that, Smith says. The sim- part of Columbia University. “Parents plest toys are often the best. Try Smith’s top three playthings: experience a lot of pressure when they Stuffed animals or small family figures “Anything that represents can’t provide material items for children. a character,” she says, the more general, the better. Don’t tie children Just having the kinds of things that par- down to brand-name princess dolls or action heroes. “They can make ents know their children need to grow up stories and use their imagination, which encourages symbolic think- and develop is, in itself, a really strong ing and language development.” approach to reducing stress in the family. Art supplies and Play-Doh “You can talk about all kinds of wonderful It also helps parents who are struggling things and use great vocabulary with Play-Doh and paint,” Smith says. with economic hardships to build that “Make a pattern with a brush or your finger. Make shapes. Talk about bond with their children, to enjoy time Room to Grow provides toys to moms and kids. stretching, dripping, blending, and colors.” together that’s not just the daily chore of Blocks “Blocks are the ultimate open-ended play material. They’re wonder- getting through the day and making sure new approach. “I was working the other there’s food on the table.” day, and I said to someone, ‘I’m sorry that ful because children can make anything and then remake it,” Smith explains. Thurman is so devoted to Room you’re stressed,’ and the person said very “They’re very good for spatial reasoning, and they also encourage flexible think- to Grow that she wedged a host of calmly, ‘I’m not stressed, I’m concerned.’ ing. Children try an idea, and if it doesn’t look the way they want, they can try A mother and her twins learn by playing at Room to commitments to its winter fundraising I’ve decided to do that. I walk around all something else.”—GS Grow with social worker Rebecca Freedman, left.

event (she served as co-chair along with s/ G e tt y Ima ges M arc Stama t op: the time saying, ‘I’m stressed, I’m stressed,

Help your kids grow with tips from the parenting community. WebMD.com 36 WebMD the Magazine | May 2012 May 2012 | WebMD the Magazine 37 allergies mind Did you know? Did you know? If you’ve already Besides bedding, had one episode dust mites also of postpartum thrive in plush depression, you animals and face a 50% overstuffed chance of getting Is your home furniture, and on is it More than the it with later allergy-proof ? window blinds. baby blues? pregnancies.

Whether you’re allergic to pollen, dust mites, mold Most pregnant women know they may get the “baby spores, or a combination of these things, you can take blues” when their hormone levels shift a few days steps to reduce your exposure to allergens at home. after giving birth. But some, like sbx123, who posts to “Showering before you get in bed and washing your the WebMD depression community, also worry they’ll bedding in hot water is helpful,” sgb188 tells another get postpartum depression (PPD). “I am a 25-year- member of the WebMD allergies community. “Since uestions old female who has a past with depression starting uestions you do have dust allergies, have you put allergy-proof Q for your doctor when I was about 12,” she writes. “I have managed Q for your doctor covers on your mattress, box springs, and pillows?” pretty well for 2.5 years without medication. I Those are all good tips. Do you know other ways to Should I be tested to find out what’s causing was wondering if anyone knew if there is any link How do I know if I am at risk for postpartum allergy-proof your home? 1my allergies? between having a history of depression and then 1depression (PPD)? having postpartum depression?” It’s a good question. ●1 Do you shut windows and run the air conditioner What steps can I take to reduce my exposure Take this quiz to learn more about PPD risk factors. If I develop PPD, what treatments—medication, when pollen counts are high? to allergens? counseling, or support groups—can help me? 2 ●1 Have you ever had depression unrelated to a pregnancy? 2  Yes  No Should I take allergy medicines? Do I need a  Yes  No What can my partner or family members do to ●2 Do you use a dehumidifier in humid areas? 3prescription or can I use the over-the-counter kind? ●2 Do you have a family history of depression? 3help me?  Yes  No  Yes  No What about allergy shots—how do they work? What are the warning signs that I need 3 Did something stressful happen during your pregnancy, 3 Have you removed wall-to-wall carpeting in 4How often might I need to get them? ● 4immediate medical help? ● such as a death of a friend or relative? Or are you facing your home? stresses now, such as relationship or financial problems?  Yes  No  Yes  No allergies mental health ●4 Do you have washable curtains or drapes? newsletter ●4 Have you felt sad, anxious, or worthless for more than newsletter  Yes  No two weeks? Sign up for the latest news  Yes  No Sign up for the latest news ●5 Do you get help with yard work? and lifestyle management and lifestyle management tips—delivered directly to tips—delivered directly to  Yes  No Answers: 1. Up to 30% of women who have been diagnosed with major de- your email inbox! Go to pression unrelated to pregnancy develop postpartum depression. 2. Women your email inbox! Go to Answers: 1. Use air conditioning and keep windows closed during allergy WebMD.com and search with blood relatives who’ve had depression are more likely to get postpartum WebMD.com and search season to keep pollen out and reduce allergy symptoms. 2. Run a dehumidi- depression. Having a relative who had PPD elevates the risk further. 3. Deal- fier in high-humidity areas, such as basements and bathrooms, to deter for “newsletters.” ing with difficult events during or after your pregnancy can raise your risk of for “newsletters.” mold growth. 3. Hardwood floors (and washable area rugs) are easier to PPD. 4. As your hormones shift after giving birth, it’s normal to feel the baby clean than wall-to-wall carpets. 4. You’re more likely to wash dust-catching blues. But that shouldn’t last more than a week or two. If your symptoms curtains and drapes regularly if you can throw them in the washing machine persist—or you feel they’re getting worse—talk to your doctor. than if they have to be dry cleaned. 5. If grass pollen is your trigger, hire someone to mow the lawn to minimize your exposure. allergy-proof SEARCHRCH postpartum depression SEARCHRCH Source: NIH, American Academy of Family Physicians, and the Depression Source: Allergies Health Center Health Center

38 WebMD the Magazine | May 2012 May 2012 | WebMD the Magazine 39 WebMD checkup 10 questions about your life and well-being Vanessa Williams ACTOR/AUTHOR How did your mom influence your health habits? She was always extremely active. When I was growing up, if she wasn’t taking the dog for a walk, she’d be in town doing an exer- cise class. We would ice-skate together as a family.

Did she teach you things that you’ve passed down to your kids? We always had fresh produce because of my parents’ love for gar- dening. I used to bring my kids over to their house every year to pick pumpkins, so my kids learned to appreciate fresh vegetables.

Do you have a personal health philosophy? I listen to my body. I don’t weigh myself. I’m not obsessed with pounds—if I feel good in my clothes, I feel good. If my clothes start to get tight, I know I’ve got to modify what I’m eating.

What are your best and worst health habits? The worst would be that I’m a baker. That’s my kryptonite. My best is that I like to do something every day, even if it’s just getting on the treadmill for an hour and watching the news. I’ll take a brisk walk, or take a Pilates or yoga class.

What’s your eating style? I enjoy food. I enjoy good wine. I enjoy good, hot, fresh bread if I’m in France, with a nice slab of ridiculously delicious butter. So, especially when I travel, I always try to eat what’s local and what’s good. I try not to overindulge, and if I do, I have enough discipline You’ve been in ABC’s Desperate Housewives, which is ending this to get back on the routine to better health. month, and Ugly Betty before that, as well as a singer, dancer, and model. How do you find time to take care of yourself and stay fit? In your memoir, you talk about times when you should have said I make the time. I’ve got one child in school, so I gear my life around “no” and didn’t. What did you learn from that experience? her schedule. You have to be really organized. I’ve been a mother for I think we all have an internal gauge that warns us about certain 24 years, and before that I went from college to working, so it’s hard situations in life. And it’s up to us to listen and tune in to it, but also for me not to have a schedule. to act upon it. Listen to that voice, because it’s there to protect you.

You and your mother wrote You Have No Idea: Is what you do for a living important to your health? A Famous Daughter, Her No-Nonsense Mother, I think being able to express yourself is the most important thing and How They Survived Pageants, Hollywood, anyone can do in life, so I’m lucky to be able to do what I love. I Love, Loss (and Each Other). How did you think a lot of people have passions and when those are stifled, that’s decide to tell your story with your mom? when depression sets in. Doing what you love—whether it’s num- The older I get, the more I realize how impor- bers or hotel management—is important to feed your soul. tant my parents were in terms of not only creating me but giving me the skills to cope in Is there one health habit you wish you’d started earlier in your life? life. People ask, “How are you so grounded?” It always comes back Sunscreen. I grew up in the ’70s, so it was baby oil and ­reflectors. to being brought up by two parents who were loving and support- Sunscreen would have done me well in my teen years and early ive, but also terrific in terms of setting boundaries. Writing a book 20s. I probably wouldn’t have the majority of the wrinkles I have

with my mom allowed me to reflect on what made me me. now if I had paid attention to that.—Linda Formichelli Ondrea Bar b e/C o r is Outline

Read Vanessa Williams’ full interview. WebMD.com

40 WebMD the Magazine | May 2012