Health Fitness

FALL 2012

Special Section to: Greenwich Post

The Darien Times

New Canaan Advertiser

The Ridgeeld Press

The Wilton Bulletin

HERSAM ACORN NEWSPAPERS

The Redding Pilot

The Weston Forum

The Lewisboro Ledger

Smart-training
at Koko Fit
Koko FitClub offers the benets of a 60-90 minute personal training workout in just 30 minutes.

oko FitClub, with a new location in Darien, is a fully automated personal training studio,
that allows for personal training without less hassle.
Koko Fits patented Smartraining
System technology analyzes each members fitness level, designs a program
based on the members goals, and guides
the member through each customized workout using an interactive touch
screen. Members work out on proprietary
strength and cardio equipment, packing
the benefits of a 60-90 minute personal
training workout into just 30 minutes.
The computer becomes a personal trainer,
motivating and guiding members while
they work to reach their fitness goals.
Every exercise and workout is tracked and
reported on a personal webpage, so members know how well they are progressing.
It is safe, effective and time efficient.
Koko FitClub of Darien is owned by
local businessman Steve Powell, who
has lived and worked in Darien and
New Canaan for 23 years. Powell, who

has competed in Ironman competitions,

including the world championships
in Hawaii, and who has run countless
marathons, takes his passion for fitness to
heart.
I know a lot of people, including me,
who struggle to find viable ways to get
and stay fit. Thats why Im really excited
about bringing Koko to Darien, Powell
said. Kokos Smartrainers guide members
through every rep of exercise of every
workout, provide ongoing feedback that
constantly adapts to each members progress and does so in a time and cost efficient manner.
Koko FitClub opened its Darien location in May and have since opened up a
club in Westport and will be opening up
in November in Ridgefield. Plans to open
in other area towns over the next two
years are in the works.
The Darien location is at Goodwives
Shopping Center at 25 Old Kings
Highway North. You can follow Koko Fit
at twitter.com/kokofitclubct or visit darien.
kokofitclub.com for more information.

A staff member with a Koko FitClub T-shirt.

 Health & Fitness Hersam Acorn Newspapers

September 27, 2012

Last years Heart Walk event at Sherwood Island State Park. The Faireld American Heart Association is holding the walk this year on Oct. 13.

Get outside and walk for a cause

Its a beautiful time of year to be
outside, enjoying the cool breezes and
bright colors that fall has to offer. So,
why not get outside and walk to support a good cause? Here are a few events
coming up that offer a chance to get
some exercise and fresh air and support
a worthy cause.

Heart Walk at Sherwood Island

The Fairfield American Heart

Association (AHA) has announced the

2012 Heart Walk event is set for Oct.
13 at Sherwood Island State Park in
Westport. Teams and individual walkers are encouraged to sign up online at
www.fairfieldcountyheartwalk.org.
The Heart Walk promotes physical activity and heart-healthy living in
a fun, family environment and is the
organizations largest annual fund-raiser.
The non-competitive walk raises funds

to support heart disease and stroke

research, as well as educational and
advocacy programs in the Westchester
area.
Last years event attracted nearly
1,000 participants. This years goal is to
raise $265,000 to support the mission
of the American Heart Association of
building healthier lives, free of cardiovascular diseases and stroke.
Company teams, community groups,

families even pets are encouraged

to walk for heart health.
Cardiovascular diseases and stroke
are the leading causes of death among
men and women. Events like the Heart
Walk help promote our message of
healthy lifestyles through exercise, and
help raise important funding for programs and research, said Gregory Plage,
Walks for a cause continued on page 6

 Health & Fitness Hersam Acorn Newspapers

September 27, 2012

Left: Laura Palo, before her weight-loss transformation. Right: Laura and personal trainer Annie
Belardinelli of Results Personal Training and Fitness.
Michele Roman photo

Results helps client make

a healthy transformation
By Laura Palo
About 11 months ago I set out on a
journey that would change my life completely.
Motivation and passion, a desire to
be a better person, led me to the point
I am at today and I feel inner strength
that is intangible.
I work at Shine Salon in Ridgefield.
Myself and my boss, Erin Simmons,
took on a total mind/body transformation challenge from Jean-Pierre Mikhael
and Salim Mikhael of Results Personal
Training and Fitness in Ridgefield.
In retrospect, at 27 years old, I was
at an unhealthy crossroads. My relationship with food was not upstanding and
exercise was not a part of my daily routine. That needed to change not only
for me, but for my daughter.
Change is what happened. By drastically improving my eating habits and
incorporating strength training and
increased cardiovascular activity at

the very least three times a week I

transformed.
I began the journey at 195 pounds. I
am now 174. I have lost 37 total inches
from my entire body. Remarkably, in
my waist and bust, the total loss was 11
inches each. My body fat has decreased
by five percent and thanks to Annie
Belardinelli, a new trainer at the gym,
I can now do 10 push-ups off the floor
a milestone!
Erin remains very active in maintaining her original weight loss and will
continue her regimen until her final
goal is attained.
Today I am living by the motto: if
you set your mind toward achieving
a goal fitness or not you can.
Healthy living is an attainable goal and
I think I have proven that. If you would
like to transform your life for the better
contact Results at 203-438-8771 or visit
Resultspt.com

 Health & Fitness Hersam Acorn Newspapers

September 27, 2012

EXPERT ADVICE:

Just the facts on knee replacement

By Dr. Michael M. Lynch, MD
Coastal Orthopaedics LLP

During knee replacement surgery

an orthopaedic surgeon will replace
damaged knee surfaces with artificial
implants.
Most of the time, all of the surfaces
are replaced, but in some instances,
only part of the total bearing surface of
the knee warrants replacing this is
known as a partial knee replacement.
This can be either the inner or outer
half of the knee (unicondylar replacement), or isolated to the knee cap and
its bearing surface on the femur (patellofemoral replacement).
Most commonly, implants are made

of metal alloys covering the femur and

tibia bone with a plastic insert placed
between them. A small patella button,
usually made of plastic, is used to resurface the contacting part of the kneecap.
Alternatively, some devices are made of
ceramic in lieu of metal.
There are many manufacturers of
total knee implants and up to 150
designs on the market today. While
there is general agreement among surgeons, engineers and researchers on
the basics of implant design, there are
many variables within these parameters.
The variables include: Materials for

metal, ceramic and plastic components;

whether the plastic insert is fixed to
the tibia, or rotates freely between the
components and which ligaments are
sacrificed and which remain. Another
variable is the use of acrylic cement to
aid in implant fixation versus the use of
in-growth technology where the bone
is encouraged to grow into the metal
implant and size variation and gender
specific implants are also a consideration.
The materials used for implants must
meet certain criteria. Implants must be
biocompatible, which means it exists in
the body without an adverse reaction.
It must be strong enough to withstand
large loads without breaking, like a fall
or a twist, but also have durability over
the long term from the repetitive cyclical
loading to which they are subject. For
instance, while titanium is a tremendous
material for making golf clubs, in knee
implant design it proves too soft over
the long term, leading to deformity and
wear. Polished cobalt chrome metal
against high molecular weight plastic
is a very smooth interaction, yet over
time, there still can be significant wear
of the plastic. Industrial ceramics are
very hard and strong, and can be polished to an even smoother surface than
metal. However its mechanics also mean
that when it fails, it shatters rather than
locally failing, so this must be considered. The good news is recent advancements have led to even smoother metals
and more durable plastics.
One cannot leave the discussion of
knee implant design without talking
about gender specific implants. Early
knee designs came in three or four sizes

small, medium, large and extra-large.

Sizing a knee to match the patient's
anatomy avoids over- or under-filling
the knee and is important to restore
proper ligament balance around the new
implant. There are some consistent variables between female and male knees
that led to the design of gender specific
models. Many manufacturers incorporated these differences in their designs,
making a unisex blend. Most designs
now come with seven or eight sizes to
choose from.
There is no data to support that a
gender specific knee performs any better
than a blend. Interestingly, some surgeons that use the gender specific knees
have indicated that at times they have
found that the female knee fits better
in a particular male patient.
This leads to the discussion of what
is the right implant for a particular
individual. Some of these concepts are
fiery points of discussion among worldrenowned experts in joint replacement,
so it doesnt seem logical that a patient
can have the knowledge base to make a
firm decision about what implant is best
for them. Age, weight, level of activity, metal allergy, degree of arthritis and
degree of deformity are the factors you
and your surgeon should contemplate
when selecting prosthesis. Questions
should be asked on all of these topics so
an informed decision can be made.
For more information about total
joint replacements, contact Coastal
Orthopaedics at 203-845-2985. Offices
are located in Norwalk, Darien and
Westport.

BrightStar is a family-oriented
agency that provides high quality
personal and daily living care for
clients from kids to seniors. Our
trained and experienced caregivers provide affordable care
at residences, hospitals, nursing
homes or assisted living facilities.

 Health & Fitness Hersam Acorn Newspapers

September 27, 2012

Avoiding the
Freshmen 15
By Karen Kovacs Dydzuhn

Given the increase of obesity and

juvenile diabetes in young people, most
parents strive to feed children nutritious meals and make sure they exercise
regularly.
However, what happens when they
go off to college and are able to make
their own lifestyle choices?
Does every freshman student have to
pack on extra pounds dubbed the
freshman 15 by some by snacking
at vending machines and eating fastfood pizza and sugary sodas in between
classes?
Mari Jackson, a registered dietitian
and consultant in Fairfield County,
offered healthy eating tips at an informational seminar in Monroe.
The talk was geared toward incoming college students and other young
people.

Choices
Its always possible to make healthy
choices no matter where you are,
Jackson said.
For example, if friends are getting
take-out from Burger King, Jackson
pointed out that a Whopper Jr. hamburger has fewer calories than a fried
fish filet sandwich.
Additionally, eating pretzels is a
healthier option for late-night snacking
than Sun Chips, which she described as
a glorified potato chip.
And, to wake up for those early 8
a.m. classes, Jackson advises young
people to order a regular coffee with a
splash of skim milk and sugar rather
than high-fat lattes, frappacinos and
other specialty caffeinated beverages.

Beverages are the leading cause of

excess calories, besides fast food and the
size of portions, she said.

All-you-can-eat
Jackson recalled hanging out with
her friends for more than an hour in the
schools cafeteria when younger because
no one wanted to go back to their dorm
room or to the library to study.
The abundance of unlimited foods
available lured students to continue to
eat, even when they were full.
Just because its all-you-can-eat
doesnt mean eat all you can! Jackson
said.
She recommended waiting 15 minutes before getting up from the table for
a second helping.
This is how long it takes for your
body to digest what it has just consumed, she noted. Slow down. Take
10 to 20 bites before swallowing.
Eating with chopsticks will also help
you to slow down and eat less.
Overall, consuming less fried food
and to choosing low-fat condiments will
keep calorie counts low, according to
Jackson.
She noted, though, that eating from
a salad bar doesnt necessarily guarantee
students are eating healthy.
Choose the vegetables and fruits and
forgo the cheeses, dressings and nuts,
Jackson said.
For late night snacks, Jackson suggested taking an apple or banana back
to their room. Chew gum, drink water
and get plenty of sleep, Jackson continued. Overeating is usually linked to not
getting enough sleep.

 Health & Fitness Hersam Acorn Newspapers

Walks for a cause continued from page 2

AHA Executive Director.
Walking is something that most
everyone can do and this event reminds
us that walking can be a fun and healthy
part of everyones daily routine, he said.
Funds raised by Heart Walk participants and sponsors support heart and
stroke research and public and professional education programs. American
Heart Association-funded research has
yielded important discoveries such
as the heart-lung machine, CPR, lifeextending drugs, pacemakers, bypass
surgery and surgical techniques to repair
heart defects.
The Fairfield Heart Walk is sponsored
nationally by Subway and Jenny Craig
and presented locally by Cause Sponsor,
Stamford Hospital. Additional sponsors
include Norwalk Hospital, First Niagara
Bank, and media sponsors Hearst Media
Services, The Hour newspaper and Fox
Radio.

For more information about the Heart

Walk or to start a team, email anna.
guercio or call 914-640-3273. To sign
up your team online, visit www.fairfieldcountyheartwalk.org.

Breathe Deep Westport

A 5k walk, organized by Breathe
Deep Wesport, will be held Oct. 14 at
Sherwood Island State Park, starting
at 10 a.m. The proceeds of the event
benefit the LUNGevity Foundation, the
nations leading private supporter of
lung cancer research.
Last year, lung cancer survivors,
Marta Unker and Barbara Kotler,
launched the first annual Breathe Deep
Westport. This year, they are joined by
another lung cancer survivor, Cathy
Parese. The three of them discovered
after their diagnoses that there are many
stigmas attached to this disease that
affect research and fundraising efforts.

September 27, 2012

Barbara, Cathy, and Marta are presenting this LUNGevity event in their community to educate the public about lung
cancer and to raise funds for research
into early detection and targeted therapeutics.
This years featured speaker is Dr.
Joshua Sonett, Chief of General Thoracic
Surgery, Surgical Director of the Lung
Transplant Program, and Attending
Surgeon at New York-Presbyterian
Hospital/Columbia University Medical
Center. Dr. Sonett was recently featured
on ABCs NYC Med and he is instrumental in making the thoracic surgery
program at Columbia University one of
the best in the U.S. Dr. Sonett will discuss trends in the care and cure of lung
cancer.
Registration is at 10 a.m. All walkers
will receive refreshments, a T-shirt and
gift bag. The event includes a raffle for a
diamond necklace and other prizes and
kids activities To register, visit www.lungevity.org/westport

Diabetes Walk in Ridgefield

The Juvenile Diabetes Research
Foundation (JDRF), Fairfield County
Chapter is organizing a Walk to Cure
Diabetes, Oct. 21, in Ridgefield. The
walk starts at the Ridgefield Recreation
Center, 195 Danbury Road. This event,
along with the annual Norwalk walk,
will raise money to help fund research
toward preventing, better treating and
curing type 1 Diabetes (T1D) and its
complications.
I am excited about the addition of
a new walk location and a new tradition for JDRF, Executive Director
Rebecca Santoli said. We have always
had overwhelming support at our walk
in Norwalk, and we know that adding
this new location will allow us to reach
an even greater number of supporters
and develop a presence in the northern
Connecticut region.
Last year, the annual Norwalk Walk
raised more than $400,000. JDRF
projects that this year, with the new
Ridgefield walk, the organization will

Connecticut Neurosurgical Specialists, P.C. (CNS) announces

introduction of the Stealth O-Arm Navigation System.
Aug. 22, 2012 - The team at CNS has been a leader in treating all neck
and back spinal diseases for over 30 years. Drs. Lipow, Zimmerman
and PA-C Dall are proud to introduce the extreme precision and safety
of O-arm computerized spinal and brain surgery. This technology
confirms an optimal surgical result before the patient is awakened
and allows previously inoperable conditions of the spine to be treated
effectively and often cured.
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Bridgeport, CT 06610

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9:30a.m. - Arc Barrel Class
6:30p.m. - TRX Training
Wednesday
6:00a.m. - TRX Training
9:30a.m. - Bootcamp

Thursday
8:30a.m. - TRX Bodyblast
9:30a.m. - Barre/Sculpt/Mat
10:30a.m. - Core/Flexibility
Friday
8:30a.m. - Rebound Interval
9:30a.m. - Mat Class
9:30a.m. - TRX Challenge
Saturday
9:00a.m. - TRX Training
10:00a.m. - Barre/Sculpt/Mat

Offering 10% off for all new customers!

 Health & Fitness Hersam Acorn Newspapers

September 27, 2012

raise close to $450,000. JDRF walks

are held in more than 200 cities
worldwide. Nearly 900,000 people
nationally walked last year and raised
$86 million for research.
What truly draws people to this
event is the atmosphere, Associate
Executive Director Meredith McCaslin
said. The event is for everyone
families, friends, neighbors, and
co-workers. Its a day where children
and grandparents and everyone in
between can gather to support one
goal: Curing, treating and preventing
T1D and its complications.
The day includes a two-mile walk
around the Ridgefield Recreation
Centers grounds, food, entertainment,
a kids fun zone, and give-away items.
Registration is open online by visiting
walk.jdrf.org and will be available at
the event. To register for this walk or
to learn more about how you can get
involved, contact Meredith McCaslin
at mmccaslin@jdrf.org or visit walk.
jdrf.org.

Natural healing at Ridgeeld center

The Osteopathic Wellness Center in
Ridgefield offers a natural approach to
addressing pain and illness.
One of the issues addressed at
the center is metabolic syndrome,
which affects more than 100 million
Americans, according to Dr. David
Johnston, an osteopathic physician.
Sedentary, high-stress lifestyles coupled with poor diets of high glycemic,
low fiber and low nutrient foods has
contributed to a metabolic syndrome
health crisis that is only worsening,
Johnston said. Metabolic Syndrome,
also known as syndrome X or insulin
resistance syndrome, is used to define
a constellation of abnormalities that are
associated with an increased risk for
developing Type 2 diabetes and atherosclerotic vascular disease (e.g. heart
disease and stroke). While the exact

mechanisms are not yet fully known,

Johnston said, most who develop metabolic syndrome are older, obese, sedentary, have a degree of insulin resistance
and have a genetic predisposition.
The Osteopathic Wellness Center
offers a number of services that can help
treat metabolic syndrome, including
nutritional guidance and supplements,
detoxfication, cranial osteopathy and
more.
The wellness center offers gentle,
non-invasive, drug-free hands-on treatments for overcoming acute and chronic
conditions. Under the supervision of Dr.
Johnston, each individual is provided
with a customized treatment plan that
may include osteopathic manual treatment, cranial osteopathy, integrated
manual therapy, nutritional counseling
and conventional medical testing. It also

DR. DAVID DAVIS

CHIROPRACTOR

The Quality of Life Evaluation

Examination, X-Rays and First Chiropractic Adjustment

Special Oer: $125 (Reg Price: $275)
Oer Expires: October 15, 2012

offers many educational workshops to

help individuals empower themselves
on their own healing journeys.
Focusing on the root cause of stress,
disease and discomfort in the body, Dr.
Johnston helps each patient achieve
health and balance by helping them
use their bodys best medicine the
immune system. As a licensed osteopathic physician, Dr. Johnston can
incorporate conventional diagnostic
testing and treatment if necessary.
To learn more about metabolic syndrome and other healing services, visit
osteopathicwellness.net.
The center, located at 158 Danbury
Road, Suite 6, is holding a Reiki level
1 and 2 class on Saturday, Sept. 29 and
Sunday, Sept. 30. For more information,
call the office at 203-438-9915 or visit
the website.

 Health & Fitness Hersam Acorn Newspapers

September 27, 2012

Saying good-bye to reux through surgery

By Kate Czaplinski
For many, surgery sounds like a last
resort, to be avoided at all costs.
But for some of the many who suffer
from acid reflux when preventive measures and medications dont work surgery is a long-term, effective solution,
according to Dr. Neil Floch, M.D.
Floch a surgeon with Fairfield County
Bariatrics and Surgical Specialists, P.C.
has performed acid reflux surgeries for
about 14 years and is one of the pioneers
in the field.
As a surgeon, you dont like to do
surgery if you dont have too, Floch said.
But the long-terms effects of medications
can be problematic.
Surgery becomes more of a viable and

desirable option to permanently get rid of

the problem.
The option is growing in popularity
with many patients.
The amount of surgery Ive done in
past year or two has at least doubled, Dr.
Floch said.
Floch says acid reflux is an overwhelming problem that affects many
Americans. A Gallup poll shows that
more than 44 percent of adults suffer
from severe acid reflux at least once a
month.
The stomach produces acid for the
digestion of food and, when working
properly, a muscular valve between the
esophagus and stomach, called the lower

esophageal sphincter, opens to allow food

to pass after swallowing. When not working properly, the valve allows acid and
bile to escape the stomach and leak back
into the esophagus. Gastroesophageal
reflux disease (GERD) is caused by stomach acid and often leads to heartburn
and regurgitation. Other problems can
contribute to reflux, like the presence of
a hiatus hernia, which is a sliding of the
upper stomach into the chest, or overproduction of stomach acid.

Surgery?
A number of medications on the market treat GERD symptoms but research is
finding that patients who take it for take

long periods of time 10 to 15 years

can experience side-effects, like nutrient deficiencies or polyps or growths in
the stomach.
If medication controls the symptoms
and patients dont have any other problems they can remain on it, Floch said.
Then there are those people who are on
medication but get still get symptoms or
other patients who take medication but
have a bad response it.
Some people may have other issues
that would make surgery a better fit. For
example, If someone suffers a hiatal hernia, surgery is the only way to get rid of
it and medication will only cover up the
problem.

Health
&
Fitness

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Registered Diean and Cered Nutrionist Servicing Children, Teens and Adults
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New York Telephone (914) 935-0123

21 Craig Court
Stamford, CT 06903
Conneccut Telephone (203) 321-8454

Visit www.lifefocusnutrion.com for great resources

Dr Leah A. Sterry, who graduated from

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Medical
Degree
from The
New
York

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of Osteopathic
Medicine.

She

completed her internship and residency

in pediatrics
Maria
Fareri
Childrens

at

Hospital
at Westchester
Medical
Center

 Health & Fitness Hersam Acorn Newspapers

September 27, 2012

Schools adopt nutrition standards

Options
Several surgeries are available,
Floch said. Think of them as less invasive and more invasive.
The more invasive and specialized
surgery is called Laparoscopic Nissen
Fundoplication. Dr. Floch is one of the
most prominent surgeons in the country who performs the surgery.
The purpose of the surgery is to
strengthen the valve between the stomach and esophagus. It is also used for
patients who need hiatal hernia repair.
Studies show it cures the reflux in
90 to 95 percent of patients, Floch
said. Its the most invasive but also the
most successful.
Recently, because many patients
want to avoid surgery, there is an incision-less procedure called, Esophyx.
Its done with a scope in the
mouth, Floch said.
The procedure reconstructs a durable anti-reflux valve and tightens the
lower esophageal sphincter.

The School Nutrition Association

of Connecticut (SNACT) reminded
residents about new changes that will
be made to school lunches beginning
this school year as part of the United
States Department of Agricultures
(USDA) January 2012 final rule that
establishes standards for improvements to nationwide child nutrition programs. This revision to The
Healthy, Hunger-Free Kids Act of
2010 is the first in more than 15
years.
While school districts across
Connecticut have been a leader and
advocate for offering quality, healthy
school meals, beginning this fall they
will now be required to meet additional federal nutrition standards.
This will provide students with
the ability to make even healthier
choices.
Currently school meals offer milk,
fruits and vegetables, proteins and
grains, and they must meet strict limits for saturated fat and portion size.
Many school districts in Connecticut
already voluntarily meet a majority of
these new federal standards.
The new requirements are:
Age-appropriate calorie limits
and portion sizes;
Larger servings of vegetables and
fruits (students must take at least one
serving of produce);
A wider variety of vegetables,
including dark green and red/orange

Learning more
Dr. Floch is giving a free seminar on
surgical options for patients who suffer from GERD on Oct. 10 at Norwalk
Hospital. He is also holding free
seminars monthly at Fairfield County
Bariatrics, to learn more call the office
at 203-899-0744 or visit antireflux.
com. Fairfield County Bariatrics has
offices throughout the area, including
Fairfield, Norwalk and Stamford.
We want to educate patients on
their options, Floch said. Many people think they need to take medication
for the rest of their lives, which can be
costly and have side-effects.

vegetables and legumes;

Fat-free or 1% milk (flavored milk must be
fat-free);
Reduced sodium content.
We are proud to be a leader in offering
Connecticut students healthier choices, said
Susan Maffe, President of SNACT. While these
standards will be seen in schools nationwide for the first time this fall, many
Connecticut school districts have
already begun these efforts.
We continue to proactively
work to offer additional
opportunities for
healthier and nutritious lunches and are
committed to ensuring a higher quality of
nutritional standards
than ever before as well
as empowering students to
make a healthier change.

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 10

Health & Fitness Hersam Acorn Newspapers

September 27, 2012