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Time to make your new school year resolutions

Today is the first day of school for my kids and the first official day back for me and my colleagues at USC Aiken. So, it seems like a perfect time to make and plan for New School Year resolutions. It’s also a good time to assess your progress on your New Year’s resolutions and restart (or finally get started) on your goals. This is the topic of my Health & Fitness column in the Aiken Standard this week.


It’s hard to believe, but summer is winding down and the start of a new school year is upon us. As teachers, students, and parents know, this is the real beginning of the new year. For those of us involved in education, the first day of school is a perfect time to make new goals for the upcoming year, whether they are related to school or not.

This is a lot like making New Year’s resolutions on January first. Hopefully, you are still on track with your resolution. Sadly, research suggests that only 8% of people actually achieve their goal (more data here).

There are a host of reasons for this. Some of the most common resolutions—quitting smoking, losing weight, and getting in shape—are also some of the most difficult behaviors to change because they require making significant lifestyle modifications. To make things worse, many people set unrealistic goals or try to take on too much at once.

Many people who fail to keep their New Year’s resolutions this year will recycle them next year and try again. In fact, most people who manage to successfully quit smoking or lose weight have tried many times in the past. Sometimes experience, even a bad experience, is the best way to learn what does and doesn’t work.

But there is no need to wait until 2015 to restart your stalled New Year’s resolution or finally get around to doing what you planned months ago. Setting a date to begin a behavior change is an important step in the process so, why not make a New School Year resolution and try again now?

Here is some advice to help make this second chance to start or restart your New Year’s resolutions successful.

Be realistic. Many people fail to keep their resolutions simply because they don’t set realistic goals or aren’t realistic about what it will take to meet those goals. For example, running a marathon is an ambitious goal for almost everyone, especially someone who doesn’t exercise at all. A resolution to work up to jogging five days per week, with a goal of completing a 5k run is more realistic and achievable.

Focus on learning. Making most health behavior changes involves learning as much as doing. Something as simple as eating a healthier meals requires learning about the nutrients that make some foods healthier than others, learning to read food labels to select healthy foods, and learning how to cook and prepare healthy meals. If your resolution is to learn about healthy meals you will be able to achieve that goal and be well on your way to eating a healthier diet.

Manage your time. Most health improvement projects require taking time to learn about, implement, and maintain those healthy behaviors. If you resolve to manage your time to include exercise or meal preparation in your daily schedule you will be much more likely to meet your goals. Trying to add these new activities as “extras” to your already busy day will inevitably lead to them getting squeezed out.

Plan ahead. Most people already know that changing health behaviors can be challenging, even under the best circumstances. It’s no wonder that holidays, travel, and other life events can complicate or even derail an otherwise successful diet or exercise program. Make it your resolution to think about what you can do before, during, and after these (and other) disruptions occur to keep yourself on track.

Hopefully these steps will help you keep your resolutions, achieve your goals, and make this a happy, healthy year. As a bonus, you can take January 1 off!

Don’t go into (health) debt!

We are all aware of the hazards of being in debt. Too many individuals and families have gotten themselves in a poor financial situation by spending too much and not saving enough. For most, this debt has developed over several years and will have an impact lasting years into the future.

Unfortunately, this is not the only debt we face. Many of us are also in a health debt crisis. This is the topic of my Health & Fitness column in the Aiken Standard this week.

Poor eating habits and increasingly sedentary lifestyles have led to an obesity epidemic. This is important since the three leading causes of death among adults (heart disease, stroke, and cancer) are directly linked to poor diet, inactivity, and obesity.

Obesity, diabetes, heart disease, and cancer are among the conditions that make up our health debt. Even if we have not been diagnosed with these or other health conditions, our lifestyle has put us on that path.

Whether our doctors have told us or not, many of us are in poor health. And our overall health and potential complications get worse each year, so the longer we are overweight and inactive, the worse our health is likely to be in the future. That is our health debt crisis.

Another example of a health debt is smoking, the cause of nearly 90% of lung cancer cases. Lung cancer doesn’t develop after the first cigarette; it takes years of smoking to cause cancer. One estimate suggests that there is a 20 year time lag between smoking and lung cancer diagnosis.

During this time smoking is causing damage to the lungs that leads to cancer, but it is usually undetectable. The cancer process is underway long before it causes symptoms, and since smokers are unaware of it, they continue to smoke. Quitting smoking begins to erase this debt but former smokers suffer poor health even after they quit. In some cases, the debt can’t be completely paid back.

Aside from poor health and reduced quality of life, health debt carries a financial cost. The medical costs attributed to obesity alone are estimated to be $147 billion per year, and a typical obese patient spends over $1,000 more per year on their own medical care than someone at a healthy body weight. The financial burden is both collective and individual, meaning we all pay for it.

Just as financial debt is due to an difference between the money we save and what we spend, much of our health debt is due to an imbalance between the energy (calories) we save and spend.

We have been spending too little energy through activity and saving too much of the energy we eat in the form of fat. Each day we consume more calories than we burn, we store that extra energy as fat. Even a small difference each day adds up over time.

Putting it in these terms, the pathway out of health debt is clear—spend more energy by being more active and cutting back on the calories we eat. Like a financial debt, even though the solution is easy to identify, putting it into place requires making some difficult choices.

But it doesn’t have to be a painful process. Even small changes in activity and diet can lead to weight loss and improved health over time. Make it a priority to be active every day and try to spend less time sitting. Pass on second servings at meals and skip desert once in a while.

Remember, the health debt wasn’t created overnight. It was the result of small changes over time, some of which we may not have noticed. Fixing it will take time, too.

Are fat-free and sugar-free foods healthy? Maybe not!

Have you ever felt confused by the health claims made about some foods? If so, you are not alone. Nutrition is isn’t always easy to understand and, unfortunately, misleading information on food labels only makes it worse.

There are a great many foods that seem as though they would be healthy choices for weight loss or good health in general. Surprisingly, some of these low-fat and low-sugar alternatives aren’t as healthy as you might think.

This is because, in many cases, the claims on the label only tell part of the story. This isn’t to say that the information is false, but it does require some interpretation to understand whether these foods are really a healthy choice.

My Health & Fitness column in the Aiken Standard this week includes two examples of label language that seems to indicate a healthier option, but may not necessarily be the case:

1. Fat-free

Cutting back on fat intake is a good way to reduce calories and is typically recommended for weight loss. It is also a major part of traditional recommendations to lower cholesterol and prevent heart disease, although recent research suggests this may not be so important.

In order to meet a demand for lower fat and lower calorie foods, manufacturers have long offered fat-free versions of popular items. Cookies, snack foods, and salad dressings are among the most popular fat-free foods, especially for people who are trying to lose weight.

However, the number of calories in the fat-free foods may be the same as the full-fat versions because manufacturers often add sugar to make these lower fat foods taste as good. This is often the case for cookies, cakes, and other fat-free baked goods.

In the end, these fat-free foods may not really be lower in calories. And common sense tells us that the best way to reduce calories is to eat fewer of these snack foods and dressings in the first place.

 2. Sugar-free

Reducing sugar intake is also a popular way to limit calories in many foods and beverages. Currently, sugar is viewed as a major contributor to obesity and poor health in general, so this also makes some foods appear to be healthier than they really are.

While it is true that sugar-free versions of desserts and snack foods do usually contain fewer calories, the alternative sweeteners used instead raise some concerns. While there is no good evidence that these sweeteners are harmful, they certainly don’t make these foods any healthier.

It is important to note that the concern is with foods that have added sugar, such as packaged or prepared desserts, baked goods, and snacks. Foods with naturally occurring sugars like fruits, fruit juices, milk, and some vegetables are not worth worrying about.

Again, the most reasonable approach to creating a healthy diet is to eat fewer foods with added sugar, not looking for foods that replace added sugar with artificial sweeteners.

The Bottom Line

The problem for most people isn’t that they are eating cookies with too much sugar or salad dressing with too much fat, it’s that they are eating too many cookies and using too much dressing in the first place. Lowering fat or sugar in these foods does little to make people healthier.

The only way to do that would be to limit the intake of these processed foods in favor of more “real” food. Indeed, fruits, vegetables, nuts, and natural oils (like olive oil) are widely thought to be healthful, certainly better than processed and modified alternatives.

Exercise makes you healthy–and happy!

By this time, everyone knows (or should know) that regular exercise is good for them. A lower risk of weight gain, diabetes, heart disease, and some cancers are among a long list of positive health effects of physical activity.

The benefits of exercise are not limited to physical health. Additional benefits include improved mental health, cognitive function, and greater feelings of wellbeing. Being physically active can even help you feel better about yourself, too.

This is the topic of my Health & Fitness column in the Aiken Standard this week.

These positive effects of exercise have been demonstrated in clinical research as well as in surveys. Controlled studies are considered the standard for understanding the beneficial effects of exercise, but population-based surveys are also important.

This is because large surveys help us understand what “real people” experience in the “real world,” while research studies frequently involve small numbers of subjects in controlled settings.

Consider the results of several large surveys conducted over the past few years that examined the relationships between exercise and happiness, stress, feelings of energy, and satisfaction with appearance.

In one survey, people who exercised at least 30 minutes on more days per week reported greater levels of happiness and lower levels of stress than those who exercised on fewer days. The same trend was seen when people were asked about having enough energy and feeling well-rested. Exercise, especially done regularly, makes people feel good!

A more recent survey looked at how exercise relates to how people feel about themselves, specifically their appearance. The results showed that more days per week of exercise led to people reporting a greater satisfaction with the way they look.

While the study didn’t delve into why this is true, several factors are likely. Most obviously, exercise helps with losing fat and building muscle, both of which would certainly improve appearance. But exercise also improves feelings of wellbeing, health, and confidence, all factors that might relate to how satisfied people feel with themselves.

It is worth mentioning that you don’t have to do extreme amounts of exercise to achieve these benefits. The surveys of exercise and happiness and stress, for example, found that the biggest difference came between people who exercised 0–1 days and those who were active on at least two days per week. The benefits increased with more days of exercise, but the differences were smaller.

This is consistent with research showing that the biggest health benefits are realized by people who do not exercise, then start a moderate exercise program. There are additional health improvements with longer or more intense exercise, but the differences are smaller.

This fits with the current U.S. Physical Activity Guidelines which call for 150 minutes of moderate-intensity activity or 75 minutes of vigorous exercise per week. Practically, this can be met by walking for 30 minutes on five days or by running for 25–35 minutes, 2–3 days per week.

This dose of exercise is consistent with improving both physical and mental health in controlled studies. According to the surveys mentioned here, it is also in line with people feeling happier, less stress, more energy, and a greater satisfaction with their appearance.

The bottom line is that exercise can make you feel better and feel better about yourself. And that seems like a perfect reason to make activity part of your daily routine!

Pass your vacation fitness test this summer

Going on vacation can be relaxing for you and your family. But depending on what you do, it can also involve lots of activity. Hiking, watersports, even a long day at a theme park can be a good test of your fitness.  My Health & Fitness column in the Aiken Standard this week is about how an upcoming vacation is a good reason to get in shape.


Vacations are a great chance to get away, relax, and recuperate. They also present an opportunity to be active through hiking, cycling and many other pursuits. But even sightseeing and visiting theme parks can require far more activity than many people are accustomed to. In fact, many vacation activities are a good test of your fitness.

Unfortunately, many people find out the hard way—sore feet and achy legs, for example—that they weren’t prepared for this level of activity. The good news is that regular exercise can prepare you for your next vacation so you can focus on having fun, not your tired body.

There is good reason to choose an active vacation. Spending time outdoors can reduce stress and walking on the beach or snorkeling in the ocean seems like fun, not exercise. The end result is that being active on your vacation adds to the restorative effect of taking time away from your usual routine.

In one study people who had a physically active vacation reported that they felt mentally and physically fitter, felt more balanced and relaxed, could concentrate better during work, were in a better mood, and felt more recuperated than those who took it easy.

Even if you don’t choose a vacation to participate in a specific exercise you will likely spend time being active. Most vacation destinations are selected in part because there are interesting sights to see or are easy to get around without a car. This means you will be on your feet a lot more than usual.

Think about a family trip to Disney World. It is not uncommon for people to be on their feet for 12 hours and walk 10–15 miles in a single day. Most people don’t do that much walking in a typical week! This can lead to blisters, muscle soreness, and fatigue, limiting what you can do and, at the very least, making your time less enjoyable.

Since regular exercise promotes endurance and strength, being fit can make it easier to get through long days on vacation. If you spend much of your time sitting at work and home, visiting a museum or standing in long lines at a theme park can be daunting.

But if you spend more of your day up and moving you will have an easier time in these situations. A whole day walking around sightseeing can be exhausting, but less so if you are accustomed to taking long walks. That isn’t to say that you should walk for 10 hours each day, but regularly walking or do other activity for over an hour will help.

Here are some tips to help you prepare for your next active vacation. You should limit sitting and spend more time standing and moving around at work and at home. This will help you get ready for long days on your feet.

Dedicating 30 minutes each day to being active will build endurance, and you can get bigger benefits from doing more. If your vacation will include vigorous exercise, building strength through resistance training and flexibility through stretching or yoga can help you avoid injury.

Your goal should be enjoy your vacation and the extra activity it will likely include. In addition to the numerous other health benefits, improving your fitness through regular physical activity will help you appreciate your vacation time more with less stress, meaning you can return home relaxed and ready to take on your usual routine.

Time to be active.

Regular physical activity is essential for good health and wellbeing. Despite the clear benefits of being active, less than half of Americans meet even minimum recommendations for exercise and other activity.

As a way to get people moving, they are encouraged to incorporate physical activity into their daily routine. This includes taking the stairs instead of the elevator or parking further away and walking to their destination.

However, the perception that these “steps” take longer than the less active alternative may serve as a disincentive for many people. This is the topic of my Health & Fitness column in the Aiken Standard this week.

However, research suggests that this is not true. Studies conducted by my students at USC Aiken show that these more active forms of transportation do not necessarily take longer than the less active alternatives. In fact, in most cases the active way is quicker!

In one study, we examined the time required to ascend and descend one floor using either the stairs or elevator in a building on the USC Aiken campus. The results showed that the time required to take the elevator was about twice that to use the stairs (36 vs. 16 seconds). The increased time on the elevator was due to waiting, in some cases almost one minute, for it to arrive.

It is worth mentioning that this study was conducted in a building with two floors. To be sure, the elevator would be quicker if you were going up or down several floors. But let’s be honest, not many buildings in our area have enough floors for this to be relevant. For most of us, the stairs will be quicker most places we go.

In another study we compared the time required to park in the first convenient parking space in the parking lot as opposed to driving around searching for a space closer to the destination. We asked several people to record the time required to enter their destination after either parking in the first convenient space compared to searching for a parking space closer to the destination on campus and at businesses in the community.

The time required to search for a parking space closer to the destination was significantly greater than the time required to park in the first convenient parking space on campus and at stores. Driving around looking for a closer spot meant that it took an average of three minutes to enter the destination building. It took people about half that long if they parked further away and walked.

These studies show that taking a few extra steps in the parking lot or on the stairs is actually quicker than driving around and parking closer or using the elevator. This information might help people decide to be more active. And these small changes may lead to further healthy choices.

Of course, simply using the stairs instead of the elevator or talking the first available parking spot isn’t going to replace regular exercise. But making activity a part of your everyday routine is an important part of developing a healthy lifestyle.

Now that you know that active choices won’t necessarily slow you down, what ways will you save time by being active?

Calories Still Count!

The debate about whether diet and exercise are the cause of or good treatments for obesity has been going for some time. A familiar point of argument is the role of total calories vs. the source of those calories.A new model of how obesity illustrates how calories in, calories out may not be the initial step in the cascade of physiological and behavioral factors that lead to significant fat gain. But this doesn’t change the fact modifying eating and activity behaviors are a key step in the development of obesity—and the key to weight loss.This is the topic of my Health & Fitness column in the Aiken Standard this week.


Eat less, exercise more. Calories in, calories out.

These phrases are probably familiar to you if you have tried to lose weight. This is because these concepts make up the traditional explanation for why people gain weight and the most common method of losing weight.

More and more research suggests that gaining and losing weight might involve more that the simple math of counting calories. It may be that the source of the calories matters as much as the total amount that you eat.

However, this doesn’t mean that you can ignore the calories you eat and expend through exercise and other activity. While it may be true that the quality of the food we eat is important, calories still count.

A recent article in the Journal of the American Medical Association proposes an alternative to the classic model of how weight gain occurs. Traditionally, an imbalance between calories in and calories out causes obesity. According to this model, eating too much and not being active enough results in increased fat storage.

The new model suggests that diet quality, especially the type and amount of carbohydrates, combined with genetics and lifestyle factors including getting enough sleep and excessive stress leads to fat accumulation. The excess fat alters levels of hormones and other factors that stimulate hunger and inhibit energy expenditure, including physical activity.

In the new model, increasing fat mass comes first and excessive food intake and inadequate activity follows. The end result is the same, though: a small increase in body fat turns into obesity.

This seems to suggest that carbohydrate intake, especially from refined grains and sugars, is the main culprit. This is good news for people who follow and promote low-carb diets! It also gives the impression that exercise isn’t as important as previously believed.

But a closer look at the new model shows that obesity—storage of excessive body fat—really is the result of too many calories in and too few calories out. The difference is that the eating and activity behaviors is driven by other factors.

The fact of the matter is that diet quality, genetics, and factors such as stress and sleep do play a role weight gain. Changes in hormones, sugars, and fats in the blood are real and powerful physiological signals that certainly contribute to obesity.

But so do changes in how much we eat and how active we are. It would be wrong to disregard these behavioral factors and the important role they play not only in body weight regulation, but in health in general.

Furthermore, the traditional calories in, calories out model of weight gain leads to a sensible treatment for obesity: Eat less, exercise more. Even though these simple recommendations can be challenging to implement, certainly in the long term, people who follow this advice do lose weight.

Even in the new model, calories in must be greater than calories out to lead to the significant fat gain that characterizes obesity. Additionally, the focus on the food quality is also consistent with this idea. People who get more of their calories from refined grains and sugars tend to consume more total calories.

As of now, the only treatments we have for obesity focus on changing energy intake and energy expenditure. This almost always involves altering eating and activity behaviors and frequently includes other lifestyle changes including stress management and getting enough sleep.

Given this new model of obesity, the best way to lose or maintain weight is not new at all: Eat less, move more, chill out!

When normal isn’t normal.

The typical American is overweight, doesn’t get enough exercise, eats too few vegetables and fruits, too much sugar, and too many calories. Unfortunately, we have come to consider this combination as “normal.” While this situation may be common, it is definitely not normal. This is the topic of my Health & Fitness column in the Aiken Standard this week.

For most measures of health, a normal value is consistent with good health. A “normal” blood pressure is in a range that is associated with a low risk of stroke, for example. Someone with LDL (bad) cholesterol that is considered “above normal” has a greater risk of heart attack than a person with a normal LDL value.

But for many health indicators, having a normal value is not the norm. According to the most recent recommendations, a normal blood pressure is less than 120/80 mmHg. However, nearly 60% of adults have a blood pressure that is above normal, meaning they have hypertension or prehypertension.

A person who has a body mass index (BMI) in the normal range, between 18.5 and 24.9 kg/m2, is considered to be at a healthy body weight. But two-thirds of adults are overweight, with a BMI above the normal range. Similarly, participating in regular exercise should be considered normal. But it’s not, since fewer than half of adults meet minimum recommendations for physical activity.

The problem is that the term “normal” is frequently used to refer to what is typical, rather than what is healthy. Obesity is so common that a person who is at a healthy weight may look out-of-place. So many people look for ways to avoid physical activity that a person who walks instead of drives is considered abnormal. The person who comes away from a buffet with a less-than-full plate or who has a salad for dinner often gets strange looks. One of the reasons that people get noticed for doing these things is because they stand out from the crowd.

In reality, though, many of the health behaviors we consider to be abnormal—regular exercise, a healthy diet, or a lean physique—are, historically, completely normal. Until relatively recently, most everyone was active much of the day and spent little time being sedentary. Likewise, the consumption of the processed foods that are such a big part of our current diet was rare even a few decades ago.

It is likely that, by considering unhealthy behaviors to be normal, we have created a situation that discourages people from adopting a healthy lifestyle. As anyone who has tried to change their health habits knows, it can be a challenge, especially if everyone else maintains their typical eating and activity pattern. It’s not easy to be “the one” who only eats healthy food or who takes time to exercise every day.

Maybe we need to redefine normal health behaviors to reflect what is healthy rather than what is most common. When walking or biking rather than driving becomes the norm there will be greater incentive to provide safe places for pedestrians and cyclists to travel. When a healthy diet is considered normal it is more likely that restaurants will offer more nutritious options.

In the end, we would all benefit from changing our definition of normal. And a normal diet and activity pattern will go a long way to promoting a normal BMI, blood pressure, and cholesterol.

Turning back time with exercise

My Health & Fitness column in the Aiken Standard this week is about the benefits of exercise…again. This time I focus on how exercise can improve strength, endurance, and bone density that tend to decline with age. Best of all, the benefits can be realized at any age—it’s never too late to start!


The benefits of regular exercise for everyone from childhood through old age are well-known. Children who are physically active establish healthy habits and do better in school than their peers who are more sedentary. Young adults who exercise are more likely to be active as they age, reducing their risk of heart disease, cancer, and other chronic diseases.

Older adults can maintain their memory, cognitive function, and ability to complete everyday activities by improving their fitness. At all ages, physical activity helps people maintain a healthy body weight.

Ideally, people would be active throughout their entire lifespan. What is more common, though, is that activity in childhood and young adulthood is replaced by a lifestyle that becomes increasingly sedentary over time. This can lead to a pattern of weight gain and declining fitness.

For many people the consequences may not be immediate, so there is no clear sign that the lack of exercise is having negative effects. But make no mistake, the health effects of inactivity accumulate over time eventually leading to conditions like obesity, heart disease, and osteoporosis.

Aside from the risk of chronic disease, years of inactivity can result in poor strength, endurance, and flexibility. This can lead to increased risk of injury and difficulty completing work and leisure activities. This is particularly true in older adults who are more likely to experience falls, broken bones, and prolonged disability due to poor strength and balance.

It is well-known that strength and endurance decline with age. Fitness decreases about 10% per decade, so that a 70 year-old has lost about half of the exercise capacity they had at 20 years of age. It turns out that this decline in fitness is due more to decreasing activity, not age itself.

Resistance training can lead to improvements in strength at all ages, but the biggest gains occur in the elderly. Beyond the impact on activities of daily living—carrying bags of groceries, for example—strength training can improve bone density. This is of particular concern for women.

Bone density peaks about age 25, so women who exercise achieve greater bone density when they are young. This means they can lose more bone mass as they age before they experience problems. Middle-age and older women can also reduce age-related bone loss by participating in regular exercise. In fact, exercise is essential for the effective treatment for osteoporosis.

There is good news for those who haven’t been exercising. You probably know that people who exercise now are less likely to suffer poor health in the future, provided they stay active. But research also shows that people who are out of shape now but improve their fitness also experience a reduced risk of many common health conditions like diabetes and heart disease.

It doesn’t matter when someone becomes active—the benefits can be realized at any age. In fact, one study showed that older men who begin a vigorous exercise program can improve their fitness to the level they were at 30 years ago. And these changes can occur in as little as six months.

The bottom line is that exercise can turn back time by reversing many effects of aging. Best of all, it is never too late to start. If you have fallen into a pattern of inactivity you can benefit from regular exercise no matter how old you are. So, what are you waiting for?

 

Keep your cool this summer.

It’s that time of year again… time for my annual Health & Fitness column in the Aiken Standard about being active safely in the summer heat.


No doubt about it, summer is here. The kids are out of school, sports camps are underway, the playground is calling, and the lawn needs to be mowed. And it’s hot! But the high temperature and humidity doesn’t have to keep you from taking part in your favorite outdoor activities. By taking a few precautions, outdoor activities in the summer heat can be safe and enjoyable for your entire family.

1. Drink plenty of fluids

When it’s hot you have to sweat to lose heat and maintain your body temperature. High humidity makes sweating less effective, so you sweat even more. Losing lots of water through sweating can lead to dehydration. At the very least, you probably will feel fatigued but in more severe cases dizziness, low blood pressure, and fainting can occur.

For this reason it is important to drink plenty of fluids before, during and after your outdoor activity. As a general rule, a cup (8 oz.) of water every 15 minutes is sufficient for most people. Thirst is a good indicator of fluid needs, but you should take frequent breaks to rehydrate.

Make sure to remind kids to take breaks since they can get so busy playing that they forget. Water, juice, sports drinks, and other soft drinks are equally effective, so pick something you and your kids will drink.

2. Take breaks

The longer you are active the hotter you will get and you may feel more fatigued because of the heat. Taking frequent breaks will give you a chance to rest, cool down, and get something to drink.

3. Seek out shade

Being in the sun means that you will feel even hotter because you gain heat from the sun’s rays. Spending as much time as you can in the shade will help you stay cool. While this isn’t always practical for all activities, look for shady spots to take breaks.

Keep in mind that shady areas at will change throughout the day, so plan your trip to the park accordingly. Also be aware that direct sunlight can make outdoor surfaces like playground equipment very hot. This is another reason to find shady areas to play.

4. Pick cool clothes

Lighter colored clothing will reduce heat gain from the sun. Synthetic fabrics that wick sweat from the skin can help keep you feel cooler, too. And having more skin exposed will allow you to lose more heat.

5. Wear sunscreen

Sun exposure is the leading cause of skin cancer. Always use a broad-spectrum (both UVA and UVB rays) sunscreen and apply—and reapply—it according to the instructions. You should also protect your eyes by wearing a hat or sunglasses.

6. Avoid the hottest times of the day

Try to plan your outdoor activity in the morning or evening to avoid the hottest times of the day. Keep in mind that the highest temperatures often occur in the late afternoon or early evening, so right after work may not be the best time for outdoor activities. Early in the morning is probably the best time since it tends to be cooler and less humid.

You may not be able to plan your activities in the shade or when it is cooler. This is especially true for people who work outdoors. In these cases, drinking plenty of fluids and taking frequent breaks is particularly important.

These tips should help you and your family safely enjoy spending time outdoors this summer. And never underestimate the cooling power of a popsicle on a hot summer day!