5 Ways to Set and Keep Your New Year’s Resolution

Many of us start the year by setting New Year’s resolutions or making plans for what we want to accomplish over the coming months. Here are five tips for setting New Year’s resolutions that will stick.

Determine resolutions you really want

Ask “do I really want this?” and “why have I not done this yet?” When I got married, I worked hard to get into the shape I wanted to be in. I had a strict exercise routine and an extremely healthy diet. I was in the best shape of my life for my wedding. In the five years since then, I slipped back into old habits but I keep resolving to do it again. I finally had to realize the truth is – I know how to do it; I just don’t want to. While I eat healthy most of the time and work out regularly, I also enjoy cake and nachos and I don’t want to give them up! Realizing that I am happier as I am, I have shifted my goals to maintaining a healthy lifestyle and not worrying as much about the number on the scale.

Set realistic resolutions

If what you want to do feels too overwhelming, you probably won’t do it at all. For example, maybe this year you want to finally clean and organize that cluttered basement storage area. If your basement looks anything like mine, that may feel like a very overwhelming task. So instead of looking at the whole room and not knowing where to even begin, break it down. Make your resolution small, for example pledge to spend one hour every Saturday cleaning the basement or going through one storage bin each week to find items to donate. Small actions feel doable and will be more likely kept.

Do not set too many resolutions

If you set too many resolutions, it is unlikely you will keep any of them, therefore, focus on one or two at a time and build in more later. If you want to organize that basement, start a new fitness regimen, learn to cook, and paint three rooms in your home – you are either going to need a lot of free time or just focus on one to start. In the same way, one resolution can feel too large, having too many can result in doing none!

Make changes

These are YOUR goals. If what you are trying is not working, adjust it instead of quitting. When I set out to run a 5K, I found I was terrible at running and did not enjoy it. Instead of quitting, I started walking instead. I shifted the goal to walking each day, until I got up to five miles a day and then got myself to start running. The shift let me still keep the main point (physical activity) and kept me from quitting when it was initially too hard.

Find ways to hold yourself accountable

Share your resolutions with friends and family or share it on social media. Talk about what you are doing and find people who will cheer you on as you get to your goal. It may sound simple, but it works! When I was learning to run a 5K, every time I went out to run, I came home and told my husband how far I had made it that day. He was thrilled and proud (or at least he said he was) every time I hit a new longest run or best time. Every run when I felt I had given it my all and was ready to stop, I would think, “If I can go just 5 more minutes, it will be my longest run yet and I can go home and share the good news.” It kept me pushing harder every time!

What are your resolutions this year? Share with us in the comments section below.

Your Questions About Medication Adherence Answered

The following article was written by Excellus BlueCross BlueShield SafetyNet Medical Directors Sudha Bakshi, MD, and Saba Abaci, MD

Often when patients are given a new prescription medication, they wonder why it’s being prescribed, how often they should take it, and what side effects to expect. Taking a medication as prescribed, also known as medication adherence, is especially important for prescription medications designed to treat mood disorders such as depression or anxiety. Questions about these medications are common, and it’s important for you, if you do have questions, to get the answers you need.

Start the Conversation

If you have questions about prescription medications for mood disorders, having a conversation with your health care provider is the right place to start. Your provider knows you and your medical history best and can determine if any symptoms you are experiencing are indicative of a mood disorder. Common symptoms of mood disorders include extreme sadness, loss of enjoyment, changes in sleep, changes in appetite, and difficulties with motivation and attention. Often, these symptoms are severe enough that they impact a person’s ability to function effectively in their daily lives. The goal of mood disorder treatment is to help improve those symptoms and, sometimes, that treatment involves prescription medications.

Being on a prescription medication, and for how long, depends on the condition you are experiencing. There are different medications for different diagnoses. Your provider will work with you to develop the course of treatment that is right for you. For example, the typical recommendation for depression is to take the prescription medication for nine months to a year. Some individuals may need to take medication longer.

Ask Questions and Speak Up About Side Effects

It is very important to take medications for a mood disorder exactly as prescribed. Before leaving your provider’s office, make sure you know how to take the medication safely, including the correct dosage (how much) and frequency (how often). It is also important to ask about potential side effects you may experience while taking the medication.

Side effects have been cited as a reason people stop taking their prescribed medications. Depending on the medication, side effects may include changes in sleep, appetite, mood, anxiety, energy, and sexual function. Talk with your provider about any changes in behavior or physical symptoms that are new and/or difficult to manage while taking a medication. It is also important to be aware of the Food and Drug Administration (FDA) warning of a new and sudden onset of negative or self-harming thoughts. These can be addressed by your provider and may require changes in the medication or dosage.

Keep the Conversation Going

After starting a medication for a mood disorder, you may not feel better right away. Mood disorders impact the neurochemical nature of the brain over time. Therefore, typically, you’ll need to take your medication for four to six weeks before your provider can assess your true response to it. However, for some, there can be a reduction in symptoms within the first two weeks. Taking your medication as prescribed can help you better manage your condition.

As your treatment continues, your provider will continually monitor and evaluate your progress. If you have additional questions or concerns related to prescription medications, talk with your health care provider.

For more help with taking medications, visit ExcellusBCBS.com and click on the “health and wellness” tab in the menu.

Gym Closed? Build Your Own – It’s Easier Than You Think!

The COVID-19 pandemic has changed many things in our lives, and many activities that directly contribute to our personal mental and physical health have not been exempt. One activity in particular –going to one’s favorite gym or fitness club – has been particularly hard-hit by the demands to stop the spread. But, with a little ingenuity and persistence, you’ll find you have all you need to build a little gym of your own at home.

You may not have needed to think about it before, but you can build your own home gym out of many things you already have at home, and you can make it as basic or as ambitious as you desire.

There are many options for building a home gym that meets your specific needs. According to Excellus BlueCross BlueShield Wellness Specialist Sharon Field, your home gym plan should have three main considerations: space, technology, and equipment.

Space

“When setting up your home gym, you have to consider what you want to do in that space,” says Sharon. “You need space to move. Whether its yoga, resistance training, indoor cycling, jumping jacks or any combination of those and more, you’ll need to plan accordingly.”

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Things to consider:

Flooring: Cement and wood floors are unforgiving and can contribute to injury. Look into having at least a yoga mat, or cover your floor in rubber matting or Styrofoam padding to save your knees, joints, feet, etc.
Storage: Seems like a minor concern, but in order for your home gym to be a safe and inviting environment that you feel good about, you’ll need a place for things such as resistance bands, jump ropes, hand & ankle weights, equipment/stack pins, etc. A cluttered gym, or not being able to find what you need for your next exercise, can be the difference between a workout and workout-killing frustration.
Mirrors: No one is going to stop you from using a mirror for a selfie after a satisfying go in your own home gym. But far more importantly, mirrors are in fact a very important workout tool. Use a large wall-mounted mirror (preferably large, but a small mirror will suffice in a pinch) to ensure that you are using proper form during your exercises. You’d be surprised at the difference between what you think you are doing and what the mirror tells you. Improper form can cause of injury and ineffective exercises.

Technology

We’ve entered the third decade of the 21^st century and, while flying cars still seem to be at least a light year away, technology in the home gym has become a near-necessity.

According to Sharon, here are the things to consider:

Mobile device/laptop: This can serve as your hub – whether to catch a workout video on YouTube or live stream online or simply to listen to some inspirational music, you’ll want a laptop, iPad, or mobile phone.
Tripod/Stand: To go along with #1 above, a convenient accoutrement for your viewing device is a suitable tripod, stand, or small table on which to prop/place your device in a manner so that you can watch the workout and simultaneously perform the exercises comfortably.
Online videos: In addition to YouTube, do some online searching for workouts that appeal to you. Yoga, bodyweight, dumbbell, Tabata, kickboxing, and much, much more are all available online.
Smart TV/monitor/DVD player: An upgrade to #1, but not a necessity; if you have a treadmill or stationary bike in your gym, you may want a smart TV or monitor with a DVD player or Apple TV, etc. (or the capability to mirror one of your devices) so that you can play your own workout DVDs or catch your favorite show while reaping the benefits of exercise and without squinting.

Equipment

The pandemic has created some shortages in the home fitness equipment world as more people than ever have flocked online to buy what they need to get their fitness on at home. So, whether you want to save money or your favorite equipment is out of stock, here’s where your ingenuity can really shine. Some of you may already have some hand weights, dumbbells, a treadmill or stationary bike, while others may be thinking they have no gym equipment at all. Not true. You can outfit a gym with many things you already have at home. And, that’s in addition to the fact that simple bodyweight exercises, using no equipment at all, can provide a very challenging full body workout for even the most experienced fitness enthusiast. Here are some of Sharon’s recommendations:

No handweights? No problem! Use (filled) water bottles or unopened 16 oz. food cans.
- 10 Alternatives to Dumbbells
No kettlebells? Use laundry detergent containers with handles
- Kettlebell Shortage Solutions
No ankleweights? Put dry beans in a Ziplock bag, put the bag into a sock, and tie it around your ankle.
- If you’re a real Do-It-Yourselfer, try this: Wrist and Ankle Weight Sewing Pattern
No resistance bands? Use a towel! In fact, a towel can fuel a full body workout:
- A Full Body Workout You Can Do With A Towel
- Full Body Towel Workout
No time to even prep household items? No problem. Try these bodyweight workouts:
- 25-Minute Bodyweight Workout
- 30 Minute Bodyweight Workout
Surprisingly, you can work out with nothing but a simple chair. Try it!
- 10-Minute Chair Workout
- 8 Exercises You Can Do With Just a Chair

Other considerations

Fitness can be a family affair. It’s much more difficult to shrug off a workout when your loved one(s) are putting on their sneakers and getting ready to go. And don’t forget your pets. A dog can make a great workout buddy. Let him or her take you for a walk. “A home gym is a place where you can feel completely at ease doing as much, or as little, as you want, however you want to do it—as long as you use proper form,” Sharon concludes. “With no one else watching, it’s a judgement-free zone!”

Now build that gym! No excuses!

Picture of a hand reaching toward the sun

(VIDEO) Why We Need Resilience and How to Build It

“Resilience is knowing that you are the only one that has the power and responsibility to pick yourself up.” – Mary Holloway

2020 has been unlike any other year.

Carlette Bradley, from Erie County, knows that all too well. Earlier this year, her life was turned upside down. Back in June, Carlette suddenly lost her husband, Antwain, to a heart attack. Her birthday was a few days later.

While grieving, Carlette, an ordained minister at Edison Street Community Church in Buffalo, N.Y., manages to continue to encourage, uplift and inspire others through her social media pages.

Recently, Kandis Fuller, communications manager at Excellus BlueCross BlueShield, interviewed Carlette on how to overcome adversity during tough times. Watch the video to learn more.

Carlette’s Tips for Building Resilience

Connect between being productive and your well-being
Live a life of gratitude
Emotional intelligence – develop a high sense of self-awareness
Know your triggers
Practice your new behaviors

Resilience Resources

To learn more about resiliency, check out a few of Carlette’s book suggestions:

“The Purpose Driven Life” by Rick Warren
“Mindset: Changing the Way You Think To Fulfil Your Potential” by Dr. Carol S. Dweck
“Until Today!: Daily Devotions for Spiritual Growth and Peace of Mind” by Iyanla Vanzant
Any book by John Maxwell

Surviving The Annual Holiday Food Fest

Holidays and food go hand in hand, or more accurately, hand to mouth. This time of year can present a challenge to even the most disciplined among us to stick to a healthy diet and enjoy the treats of the season in moderation.

On average, Americans gain one to two pounds during the holidays, and research shows these pounds tend to stick, accumulating year after year. This year, our new normal of COVID-19, shutdowns, and social distancing, add stress eating to the mix to make keeping to a healthy diet an even greater challenge. Here are some tips to make it through the holiday season with your waistline intact, and to jump start resolutions to eat better in the new year.

Tips for the holiday food fest

Focus on portion size and be aware of what you are eating. Stick to healthy eating habits such as filling half your plate with fruits and veggies and making half of the grains you consume whole grains.
Keep to a consistent sleep schedule, and avoid large meals, caffeine and alcohol before bed.
Make it a habit to go for an after-dinner walk, whatever the weather. It’ll get you away from the table and the temptation to keep picking at the food.
With social distancing, there’ll likely be fewer mouths to feed, so cook what you need, and nothing more. Sending doggy bags home with guests is not an option this year.
And, when it comes to holiday gift giving, Salzer suggests subscriptions to healthy eating or healthy cooking magazines. They serve as a fun monthly reminder to stay focused on healthy eating and portion control. It’s a gift that’ll be enjoyed throughout the year.

Find information on nutrition, healthy cooking, and more, online at the Health & Wellness page at ExcellusBCBS.com.

Maintain, Don’t Gain: Take Charge of Your Weight this Holiday Season

Did you know that the average American gains 1-2 pounds between Thanksgiving and New Year’s? “While this may not sound like a lot, most people never lose it, so that weight accumulates over the years,” said Amanda Shanahan, RD, Employee Wellbeing Manager, Excellus BlueCross BlueShield. “By controlling holiday weight gain and adopting a healthier lifestyle, risk for cardiovascular disease, stroke and lifestyle-related illnesses can be decreased. This holiday season, make a pledge to Maintain, Don’t Gain!”

Amanda suggests these tips to avoid those extra holiday pounds:

Keep Moving

Exercise can help you beat stress, boost energy and burn off all those homemade cookies. Aim for at least 30 minutes a day of exercise. If you currently aren’t active, start with 5-10 minutes and build up to 30. Any exercise is better than none. One way to make sure you are getting the exercise you need is to track it. You can use the American Heart Association’s free Activity Tracker to track your activity. Pick an activity that you enjoy, make a plan and stick to it.

Add Lots of Color

Eating lots of colorful fruits and vegetables can help with weight management. They are low in calories and loaded with vitamins, minerals, and fiber, which helps you feel full. Try to make half of each meal vegetables and fruits.

Go Low

Swap low- or nonfat Greek yogurt for sour cream in dips, appetizers and casseroles. Instead of full-fat cheese, choose low-fat cheese. For dishes that call for lots of butter, like stuffing or sweet potatoes, use half or two-thirds the butter called for – you will cut calories without affecting the taste.

Know When to Stop

Still hungry? Remember, it takes 20 minutes for your stomach to signal your brain that you’re full. So if you think you want second helpings, take a break for 20 minutes, then ask yourself if you’re still hungry.

Set a Goal and Celebrate Your Successes

Making exercise and healthy eating a regular habit takes commitment and planning. Set an achievable goal and then celebrate your success. Then set a new goal, and soon you will have lots of new healthy habits!

For more information on weight management, check out the CDC’s Healthy Weight website.

Good Health Begins with Good Food

When the pandemic forced Karen Goossen to close the doors of her business this spring, she knew her income was at risk. She didn’t realize the economic fallout would also put her health at risk.

Goossen, of Monroe County, had been following her doctor’s advice to add more fresh fruits and vegetables to her diet to help manage her heart health. However, with her income limited, those healthier choices became luxuries.

“I had to find a way to stretch my dollars,” she said, “so sometimes I had to do without fresh fruits and vegetables.”

Food Insecurity

The ability to earn a paycheck and feed a family are at risk for many people because of the pandemic and this is leading to a growing number of people experiencing food insecurity.

A recent study by Feeding America, the nation’s largest domestic hunger-relief organization, showed food insecurity in the 10-county area including Monroe County is expected to rise 45 percent this year due to the pandemic.

Loss of income, poverty, a person’s environment, education levels, and discrimination can all contribute to health risks. Known as social determinants of health, these factors can have significant impact on a person’s quality of life and well-being.

“I had been working hard, trying to eat healthier to improve my health and when I had to close the doors of my business, I had to limit the types of food I could buy,” she said. “I never thought I would be in this position at this point in my life. It’s an unusual and challenging time.”

Healthier Diet = Health Care Goals

This summer, Goossen’s nurse care manager contacted her about a new pilot program designed to help her and others who have health care needs and are at risk of food insecurity. The “Fresh Account at Curbside Market” program provides monthly vouchers to purchase fresh fruits and vegetables.

The program was developed in partnership with her health insurer, Excellus BlueCross BlueShield and local food bank, Foodlink. The Curbside Market is Foodlink’s mobile farmers market, which provides affordable and convenient access to healthy foods in underserved communities.

Foodlink Curbside Market Truck

“You need a healthy diet to improve and maintain good health,” said Dr. Brian Steele, vice president medical affairs, clinical services at Excellus BlueCross BlueShield. This seemed to be an area where we could intervene.”

“The Fresh Account program helps people access healthier foods and celebrates making the healthy choice the easy choice,” said Julia Tedesco, President & CEO of Foodlink.

Farmers Market on Wheels

Participation in the program helps Goossen extend her food budget and meet her health care goals. “My first visit to Curbside Market I purchased peaches, nectarines, corn, celery, cherry tomatoes, grapes, onions, white and sweet potatoes – they had more than I anticipated!”

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The wide variety gave her the opportunity to try some new foods. “I love to cook, so I’m finding new recipes and making creative meals. It’s been helpful to me. I’m learning more about the nutritional value of fruits and vegetables I normally wouldn’t purchase.”

The best part?

“I’ve already lost 20 pounds!” She gained 50 pounds during the pandemic and credits her healthier diet for her weight loss. “Now I’m grabbing more fresh fruits and vegetables for a snack instead of something that will put weight back on and negatively affect my health.”

Staying Positive

Goossen says she’s concentrating on staying positive.

Karen Goossen

“In the early ‘90’s, when my children were little, I benefitted from the WIC program and food pantries. I know what it’s like to have family go without,” she said. “When I was able, I gave back, volunteering to help others and providing Thanksgiving dinners for those in need – it’s nice to give back.”

Although she didn’t expect to be on the receiving end again, she’s grateful to have this resource. “It’s a great idea. There’s a need and people are benefitting and appreciative.”

She calls the program “a blessing. The timing was perfect. I really needed it. And when I’m able, I’ll give back again.”

Get Moving With Your Family

Engaging your kids in a health-promoting lifestyle can be a fun way to enjoy time with your family!

The more you move, the better off you are! It doesn’t matter how wacky your antics, if you are moving and having fun, you’re getting in shape. It’s that simple.

Go on a treasure hunt

Here’s a great way to keep the family fit and teach your kids about trust, teamwork, and problem solving at the same time. Take them to a local park and set an expedition course on a map, circling various “checkpoints.” Take turns navigating to each point on the map and leading the team to each destination. Sound too complicated? Then merely go hunting for bugs, animals, or flowers. You can’t entertain a young kid much better than finding a colorful salamander under a log or rock.

Plan 10-minute spurts of activity

Follow spurts of activity with 5-minute rest periods. Don’t force your adult exercise program on your children. That’s a recipe for disaster. Instead, take advantage of their natural tendency to participate in intermittent and sporadic play and exercise bouts. A game of tag is a perfect example. Children’s bodies are designed to sprint and rest, sprint and rest. Because they are easily distracted and incapable of long periods of focused activity, they will resist long exercise sessions that don’t include rest periods.

Train for school fitness tests as a family

Learn which fitness tests or activities your child is doing in physical education class and train for them as a family. Set goals, such as running a quarter-mile and then a half and then a full mile in a certain amount of time — and reward each family member for meeting each goal.

Play follow the leader with one or more children

Line up single file and weave your way through the house or backyard. Every few steps, hop, skip, do the grapevine or some other movement that your followers must imitate. Once the kids get the hang of the game, let them take turns as leader. Their naturally creative minds will come up with all sorts of fun movements for the followers to imitate. You’ll be out of breath before you know it.

Give your child a head start — and race around the house

You can do the same with calisthenics. You do 10 crunches, and your child does 5. See who can complete them first.

Spend an hour doing yard work together

Raking leaves, pulling weeds, shoveling snow, and spreading out mulch all help to build strength and endurance. Plus, when your kids help, it doesn’t take as long or seem as much of a chore (depending on the age of the child, of course). There are numerous ways to make yard work more fun for kids. For instance, when you finish raking a pile of leaves, you get to jump in them.

Wash the car together

The scrubbing is good exercise, but everyone getting wet and soapy is just plain fun for kids.

Give your kids a list of indoor chores — then join them

Younger children often like to feel helpful and will enjoy helping you with household chores. Ask them to help you make the beds, fold the laundry and put it away, set the table, and put dishes in the dishwasher — all physical activities that can help get your heart rate up, stretch your body, and build your muscles.

Take a hike

Grab a backpack, plenty of water, and a light lunch and head to a local trail for a hiking expedition. Wear hiking boots for rocky terrain or sneakers for smoother trails, and pack sunscreen and insect repellent. To make this more fun for kids, make it about something else, such as looking for a particular animal or bird, climbing to see a lake or pond, or seeing how many rocks you can scamper over without touching the ground. Kids like hiking much better when they don’t realize it’s about hiking! Bring a picnic; of course, this is a great opportunity to share a delicious but healthful meal and cultivate good family eating habits.

Dance during commercial breaks

Make it a family rule that whenever you watch television, you have to stand up and dance around during the commercials. This goes for everyone! Whoever gets caught sitting on the couch during a commercial break must perform his or her least-liked household chore for one week.

How do you get moving with your family? Share your ideas in the comments.

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Celebrating National Gratitude Month with a New Habit

According to Greater Good Science Center at University of California, Berkeley, gratitude’s amazing powers can shift us from focusing on the negative to appreciating what is positive in our lives. People who practice gratitude daily tend to have:

Fewer feelings of isolation and loneliness
A stronger immune system
Better sleep
Lowered blood pressure
Reduced anxiety and depression
Reduction in body aches and pains
More forgiveness
Increased satisfaction at work

My New Gratitude Habit

To develop a daily habit of gratitude and fulfill a personal goal to improve my Procreate app skills, I designed this playful graphic and shared to social media (LinkedIn and Facebook) on Nov. 1, which marked the first day of National Gratitude month.

Picture of a list of things to be grateful for.

Roxy’s gratitude graphic. What are you grateful for today?

So far, my experiment has been a success; after the first three days of practice, I was bursting with gratitude! I thanked my husband for the renovations he’s made to our home which we’re now spending most of our time together in and for preparing healthy and delicious meals each night.

Gratitude is Meant to Be Shared

To further hold myself accountable to my daily commitment, I sent the graphic to peers in my workgroup and invited them to participate with me. Using the prompts on corresponding days, I kicked off meetings by asking participants to share what they were grateful for, sharing first what I was grateful for to model the behavior.

What I’ve enjoyed most about this activity was the opportunity to grow relationships and say thank you by sharing stories that might not have come up through our day-to-day discussions.

I’ve seen my graphic shared on social media along with the posters’ personal gratitude reflections. As Thanksgiving approaches, I hope it may inspire creative ways for some to celebrate the holiday virtually as needed.

Comment below what you are grateful for. I promise it will make you feel good.

Maintain Your Summer Weight into The Fall And Beyond

With lawns to cut, golf to play, decks to stain, and sweat to… be sweated, summertime is when many people are at their most fit and trim.

“Now that we’re into the fall season, commit to building on that momentum,” encourages Nicholas Massa, M.D., senior medical director for clinical services at Excellus BlueCross BlueShield. “Come up with a plan to keep feeling the burn throughout the fall and winter months when you might easily lapse.”

Physical Activity: More than A Seasonal Activity

According to the U.S. Centers for Disease Control and Prevention, more than 60 percent of adults do not achieve the recommended amount of regular physical activity. The CDC defines a moderate amount of physical activity as using about 150 calories of energy per day, or 1,000 calories per week.

“Being active shouldn’t be a seasonal thing, and activity doesn’t need to be strenuous to achieve health benefits,” says Massa.

Among the CDC’s suggestions for moderate fall fitness activities are raking leaves for 30 minutes, washing windows for 45 minutes, gardening for 30 minutes, and shoveling snow for 15 minutes.

Health Benefits of Physical Activity

According to the CDC.gov, regular physical activity improves health in the following ways:

Reduces the risk of dying from heart disease.
Reduces the risk of developing diabetes.
Reduces the risk of developing high blood pressure.
Helps reduce blood pressure in people who already have high blood pressure.
Reduces the risk of developing colon cancer.
Helps control weight.
Helps build and maintain healthy bones, muscles, and joints.
Helps older adults become stronger and improves balance.
Promotes psychological well-being.

As we head into the indoor months, Massa recommends adopting a more structured personal fitness plan that utilizes equipment in your home and virtual classes. “You won’t be cutting the lawn every week, so use that time to take a weekly fitness class,” he said.

Most health insurers have a section on their websites with information about rewards and incentives to join a gym or purchase equipment. Massa advises Excellus BlueCross BlueShield members to visit ExcellusBCBS.com and click on the Health and Wellness tab.

“Whatever the season, always keep your fitness goals S.M.A.R.T – specific, measurable, attainable, realistic and timely,” adds Massa. “And remember to have fun!”