Columns

Michael French in front of a mobile radar antenna.

By Daniel Dunaief

Michael French

 

When he was in elementary school in Hamden, Connecticut, Michael French was several miles away from an event that would shape his life. A tornado touched down, causing extensive damage, knocking out power lines and injuring 40 people. The violent storm was traumatizing, causing him to hide in the closet during routine summer storms.

By the time French attended college at Cornell University, these powerful and potentially devastating storms had become an “interest and fascination,” he said, leading him to major in atmospheric sciences.

After graduating from college, he received an offer from Professor Howard Bluestein at the University of Oklahoma (OU) for a master’s program. A consultant for the movie Twister starring Helen Hunt and Bill Paxton, Bluestein was one of the first to put a weather radar on the back of a truck to collect data in severe storms and tornadoes. French also earned his PhD at OU.

These days, French, who is an Associate Professor in the School of Marine and Atmospheric Sciences at Stony Brook University, spends parts of his time traveling to places in the southeast in trucks with unique and emerging instrumentation, typically Doppler weather radar, gathering data about severe thunderstorms and tornadoes.

French has seen about 25 tornadoes. The closest he’s come to these violent storms is about a kilometer away, which occurred in 2004. When he’s conducting research, he is more concerned about lightning, which frequently occurs around thunderstorms that produce tornadoes.

When he’s collecting data, French has to get out of the truck to stow the antenna among other tasks. “Automatically, that means you’re in danger,” French said. “There’s nothing you can do about it, except try to minimize your time” outside. Two or three times when he was earning his PhD, lightning struck within a quarter of a mile of his location.

Better sampling

In his research, French described himself as a “pure observationalist.”

A main theme of his research is whether the nationwide network of fixed-site radar can be used by forecasters to predict whether a thunderstorm will produce a tornado and, if it does, how likely it is to be a significant or violent storm. 

French is also interested in exploring what leads to tornado dissipation and whether forecasters can use radar analysis to make dissipation predictions.

Looking at time scales of 30 seconds or fewer, he studies how tornadoes evolve, including how they tilt, how their intensity changes with height, and their motion. He can estimate these characteristics with phased-array radar technology, in which the beam of the radar is steered electronically.

Scientists like French can tap into archived data from a network of 160 radars stationed throughout the country. He would like to use information from the past 10 to 15 years to analyze hundreds of supercell thunderstorms to find commonalities among those that produce tornadoes and those that don’t.

“Ideally, in the future, such information, to the extent it exists, can be leveraged by forecasters to better assess the likelihood of a storm producing a tornado,” French explained.

Many of his ideas for research projects come from reading the results of papers from colleagues who use computer models to simulate storms and tornadoes. In a model, the scientists can control conditions like temperature and humidity. French thinks about ways to verify the findings using observational data.

Funded by the National Oceanic and Atmospheric Administration, French participates in the Propagation, Evolution and Rotation in Linear Storms field experiment (called PERiLS). 

Running from February through May in the southeast, the experiment studies tornadoes within a different type of storm, referred to as squall lines. The tornadoes that form in these storms persist or form overnight, often hitting while people are sleeping and are unprepared to protect themselves.

He is working with Stony Brook Professor Pavlos Kollias in using mobile phased array radar to collect data over short time scales of these squall lines when they’re producing tornadoes.

In areas where people live in mobile homes, these squall line tornadoes can lift the home, damaging homes and threatening the lives of people as they sleep.

Exciting findings

French uses a radar called dual polarization, which provides information about the size, shape, orientation and type of precipitation. He is interested in whether this technology can identify differences in storms to predict the formation of tornadoes.

In dual polarization, there are a few signatures of storms that hold some promise of differentiating between those that produce tornadoes and those that don’t.

Working with an algorithm to identify the ZDR column, which is a proxy for the size of the updraft, developed by Darrel Kingfield at the National Center for Atmospheric Research, French analyzed 200 supercell storms and found that the ZDR column was larger in storms that produce stronger tornadoes and was smaller or nonexistent in storms that did not.

Forecasters don’t have a way yet to automate the size of the ZDR column in real time.

In an email, Bluestein suggested that French’s studies, including on how tornadoes dissipate, can “contribute to improved short term forecasting.”

Bluestein, who has seen over 100 tornadoes, also suggested that two papers from French that related drop size distributions estimated from polarimetric radar data in supercells were “original and rather novel. This work has implications for estimating the intensity of pools of cool air in storms, which can be related to tornado formation.”

Dinner table conversations

A resident of Stony Brook, French lives with his wife Jennifer, who is a hydrometeorologist at Vieux & Co. The couple met when they were at the University of Oklahoma. 

French said his wife, who storm chased when she was in Oklahoma, knows the safety measures he uses to mitigate the risks. 

While French studies these storms because of their destructive power and the need to understand more about how and where they will form, he also has an appreciation for them.

At a distance, when these storms aren’t impacting people and when he can’t hear the roar of the wind, French describes tornadoes as a “wonder of nature” that have an “aesthetic element to them that is really astounding.”

As for his childhood concern about these storms, French feels that he “ultimately channeled [his fear] in a positive way.”

Barn owls can catch their prey in complete darkness due to their acute sense of hearing. Pixabay photo

By John L. Turner

John Turner

As you begin to read this article please pause for a moment and take stock of your immediate surroundings. What do you feel? Your fingertips feel the largely smooth texture of the surface of the newspaper (perhaps using Meissner corpuscles as I have since learned) and your legs and back feel the chair you’re sitting in. What do you see? Obvious is the fine print of this article and other articles and different shades of color contained in this  edition. Lift your gaze to look around a palette of several dozen colors. As for smell? Maybe the aroma of your morning coffee or tea accompanying this reading experience. 

Maybe your dog is curled up nearby. While you’d have no reason at this moment to think about it, the worlds you and your dog are currently experiencing are very different. Our entire set of sensory skills — which allows us to perceive and react to the world, varies markedly from a dog’s.  We see color while dogs experience a more limited palette. We can detect many scents and odors but is far surpassed by the capability of dogs. 

Some research papers indicate their ability to detect smells — “their sense to detect scents” — is 100,000 times more sensitive than ours. And as far as hearing goes, your furry pet far surpasses your ability in what it can hear, especially noises at higher ranges (remember a dog whistle which, when blown, cannot be heard by the person blowing it but is definitely heard by the dog?)    

Now, let’s expand this idea outward to capture, say, some animal groups that might inhabit your backyard, such as birds, bats and insects. These groups perceive a very different world than we do. It is well known that some bird and insect species, for example, perceive ultraviolet or UV light, which humans, with rare exceptions, cannot (UV is the light spectrum below a wavelength of 380 nanometers). And a UV illuminated world for them is very different than the world illuminated for us. Certain floral patterns which we can’t see stand out as runways on flower petals for UV capable insects. Birds that have, to our eye, plumage that looks drab, actually have feather coats that radiate under UV light. 

As for bats, their famous ability to echolocate — emitting high pitch sounds (too high for us to hear) to locate prey with a high degree of accuracy — is a sense and capability so far outside the realm of human experience as to seem “other worldly.” Several bird species also are capable of echolocation. In the Western Hemisphere that includes the oilbirds of northern South America. 

Numerous marine mammal species also are known to echolocate — dolphins, as but one example. And unlike bats whose echolocation skills enable them to “only” detect the outer contours of their prey, dolphins can “see” inside their targets to perceive their organs and skeleton.    

Another hard to grasp sense of birds is their ability to detect and utilize the Earth’s magnetic fields which they use to migrate effectively. Researchers aren’t fully sure of the mechanism allowing them to achieve this, but it appears to involve proteins in a bird’s retina. 

‘An Immense World’

And I do mean hard to grasp — I’ve read, several times, the same explanatory article in Scientific American on the details of the current hypothesis regarding magnetic field perception in birds and how it aids their migration and I don’t fully understand what’s going on — involving stuff like cytochrome proteins in a bird’s retina, a blue photon hitting the cytochrome causing an electron to jump from an amino acid to a dinucleotide molecule which create a certain spinning of electrons that are, in turn, influenced by the Earth’s magnetic fields which the bird is able to utilize in determining direction. And I’ve left off the last most complicated steps…call me stupid but amazed!  

Many other species, such as sea turtles and spiny lobsters, but not us humans, also are known to navigate by using the planet’s magnetic fields but the mechanisms they employ are less well understood. These “other worldly” abilities, and so many more which are so different from ours, are richly revealed in a wonderful, recently published book, An Immense World: How Animal Senses Reveal the Hidden Realms Around Us, by Ed Yong. As the subtitle suggests, Yong takes the reader through dozens of examples of how animals perceive the world in a very different way than we do, using senses we either don’t have or that are far more sensitive or acute. The book is 355 pages of profound discovery and a most worthwhile read. 

As an example of the first are animals that can hear or transmit infrasound (below 20Hz), like whales and elephants. Humans can hear sounds as low as about 20 Hz, sounds lower than that are imperceptible to us unless extremely loud, so infrasound is outside our normal perceptive world. Not so with elephants who regularly communicate with infrasound, often involving elephant herds separated by impressive distances such as several miles. 

Whales, using the medium of water, easily make sounds that easily exceed this distance, with the blue whale, the largest animal on the planet, generating sounds that can carry many hundreds, if not thousands of miles, in the ocean. When first suggested the idea was thought implausible even ridiculed; it is now widely accepted.  

Ed Yong, author of An Immense World
Photo by Urzula Soltys

Or how about being able to feel the warmth of another person’s body that is not close to you but rather is several feet away? 

Well, you’ve entered the realm of rattlesnakes which can detect the infrared radiation given off by a mouse from several feet away. And their ability to strike prey just by heat detection is so accurate that blindfolded rattlesnakes can successfully hunt.     

As for senses more acute than ours we turn to the hearing of a barn owl. In well-known (and well designed) experiments, barn owls were capable of routinely seizing prey in complete and utter darkness and they have a special feature we lack. Their ear openings are asymmetrically placed, positioned at slightly different heights on the side of the head. So not only can they accurately determine if a sound is coming from their left or right, in the vertical plane (something we do well), they can also tell where the maker of the sound is in the horizontal plane, since if the sound is coming from below, sound waves will reach the lower ear milliseconds before they reach the higher ear, the bird’s brain can process this information and pinpoint its prey.   

And then there’s electricity generation. Electricity runs through the human body and is vital to human life. Elements like sodium, magnesium, calcium, and potassium, which we ingest through food and supplements, have electrical charge and enable us to perform basic tasks like nerve generation and transmission and the creation of a heartbeat through muscular contraction. It is reported that the energy output of a resting human adult is equivalent to powering a 100 watt light bulb. 

Some animals take electricity, though, to a new level. The best example involves electric eels. By discharging ions within electrocytes, which are specialized cells in specialized organs, the world champion eel has the ability to generate 860 volts of electricity — that’s nearly eight times the strength of the electricity available from your home’s wall outlet and is enough to debilitate and perhaps kill you. While we have little to worry about, not so for the fish and other aquatic animals that share the eel’s domain.    

As Yong’s impressively detailed book repeatedly illustrates, the animals that share our planet display a mind-bogglingly rich suite of survival skills for which one article cannot begin to do justice. Let me prove it by one tiny slice of life — a single shorebird species — the Red Knot, a medium sized bird with a robin red colored breast and a spangled pattern of gold, buff, tan, and black on its back.  Overwintering in the southern part of South America, flocks of Red Knots move north on the continent in April, launching in mid-May from the beaches of northern Brazil, driven by invisible impulses which we cannot understand, flying unerringly north toward the East Coast of the United States. 

Shaming human triathletes by their efforts, they will fly nonstop for several days as they traverse the waters of the western Atlantic, using the Earth’s magnetic fields, perhaps also using the Sun’s polarized light, propelled by breathing in a way so much more efficient than the human respiratory system. Their heart will have beaten perhaps a million beats and their wings flapped several hundred thousand times during this leg. 

They land, perhaps along Long Island’s South Shore or southern New Jersey, and begin to feed voraciously, sustained by tiny packets of protein in the form of horseshoe crab eggs — the perfect snack food. They feed so effectively that in a week to ten days they can add 50% more weight onto the weight they had upon arrival; in some cases they may double their weight in the form of subcutaneous fat. 

Gaining enough stored energy they head further north for the last leg of their improbable flight, landing in the High Arctic, perhaps guided by those magnetic fields to the same hummock of dwarf tundra plants where, the year before, they established a breeding territory. They have finished their almost impossible to comprehend 9,000 mile long journey. Just one remarkable story illustrating the unique senses and abilities of species, in a global tapestry of species’ stories that collectively form the planet’s book of life. 

A resident of Setauket, John Turner is conservation chair of the Four Harbors Audubon Society, author of “Exploring the Other Island: A Seasonal Nature Guide to Long Island” and president of Alula Birding & Natural History Tours.

Pixabay photo

By Daniel Dunaief

Daniel Dunaief

An indulgence is like a gift we give ourselves.

No, it’s not always healthy, which is why we sometimes limit our indulgences.

These indulgences, however, can go a long way to restoring our equanimity.

In a nonscientific survey of people of different ages who were willing to respond to a question about their indulgences, I received a range of interesting responses. Sharing them, I hope, gives you a chance to consider what indulgence could improve your morning, afternoon, day or week.

Several people suggested that desserts were an indulgence. Maybe that’s because so many restaurants market their marquee confection as a “warm indulgence” or a “decadent indulgence.”

Not everyone enjoys the same sugary treat. Alex appreciates a warm chocolate chip cookie, while his wife Michelle suggested that any dessert would do for her and that she doesn’t discriminate, which, I suppose makes her sugar sensitive.

Chocolate made several people’s lists, although, given the size of the market for chocolate, consumption of this sweet is likely more of a routine than a periodic indulgence.

A close friend suggested that gelato was one of his favorite indulgences. He also shared a list of other pleasures, which includes skiing in fresh powder and sailing in Port Jefferson harbor.

Sticking to the food realm for a moment, a mother and her son both considered pizza an indulgence.

A friend in his mid-20s enjoys jalapeno kettle brand potato chips dipped in sour cream, while his longtime girlfriend partakes in a matcha latte.

In the frozen food section, a friend seeks out Italian ices.

A neighbor with four young kids enjoys shopping and jewelry, although some of the joy of those moments may come from getting out of the house and spending time on her own.

Another neighbor whom I’ve seen running regularly didn’t hesitate to add alcohol to the list of indulgences. His drink of choice, which he shared instantly after getting the question, is bourbon.

Apart from food and drinks, a host of activities made the list.

A man in his mid-80s who leads an active life appreciates the opportunity to swim as often as possible.

For several people, reading a book without interruption is a welcome indulgence, breaks up the routine and transports them to other places, other times and other thoughts.

Julie, a friend whose company we like to keep regularly, enjoys siting on a beautiful, breezy beach with a book.

Kim, a friend I’ve had for well over a decade when our children started going to birthday parties together, shared a list that includes facials, a spa day, travel and chocolate eclairs. 

Noelle, who savors the chance to read a good book as well, loves foot massages, floating in a pool with her eyes closed and breathing underwater. Noelle is a scuba diver who hasn’t breathed underwater in a while, but is building up the momentum to return to the depths to search for some of her favorite aquatic friends.

Several close friends immediately highlighted the joy of a massage. That one resonates for me, as I accumulate stress in my upper back and neck and I can feel myself relaxing the moment someone works out the knots.

Another close friend loves spending time with her mother in a garden, listening to the origin story of flowers that came from the gardens of other relatives.

After listening to all these indulgences, I felt transported into the peace in other people’s lives. Asking about indulgences is a pleasant social icebreaker. To borrow from “Saturday Night Live”: indulgences, talk amongst yourselves.

Tofu

By Leah S. Dunaief

Leah Dunaief

In the middle of the last century, which is when I was growing up, no one I knew had ever heard of tofu. In fact, restaurants where we might have encountered tofu were few and limited to university campus neighborhoods like the sole Japanese restaurant near Columbia University on the City’s upper west side.

But of course, in addition to all the other revolutions in the intervening years, we have eateries offering unending ethnic foods. Dining out has become a gastronomic visit to every corner of the globe. And I, and my family, have discovered tofu.

I love tofu.

Now for a long while, tofu got a bad rap. Tofu is, of course, soy, and soy has relatively high levels of isoflavones, which are similar to the hormone estrogen. This hormone has been linked to cancer, and further there was the concern that soy might affect fertility and even cause men to develop feminine characteristics.

In fact, after many years of trials and study, soy has not only been declared safe but also to be of possible benefit to good heart and metabolic health. Tofu offers considerable protein and all nine essential amino acids, B vitamins, healthy unsaturated fatty acids and assorted minerals, including calcium, magnesium, zinc and iron. And according to a recent article in The New York Times, while isoflavones can “weakly mimic estrogens, they also seem to have anticancer, anti-inflammatory and antioxidant properties.”

Not only does soy seem not to promote breast cancer, studies have shown it may even lower such risk for women compared to those who ate little or no soy. It may even protect against prostate and lung cancers. Further studies have largely disproven any association of soy with diminished fertility or sperm count. And in a more than 30-year study of nearly 120,000 health care professionals in the United States, “those who consumed at least one serving of tofu or soy milk per week were 15 to 16% less likely to die than those who ate less than one serving per month.” There you have it, encouragement to eat tofu for our health.

What about taste?

Tofu is definitely more than a blob in a square package. It can be smoked, made into noodles, baked, shredded and flavored in unlimited ways. Tofu was invented some 2000 years ago in China and consumed throughout Asia. So now that 9% of United States households use tofu in multiple ways, we can helpfully categorize it as presented in three types: basic, chewy and intensely flavored. Like eggs and chicken, basic tofu’s flavor is neutral, which allows it to incorporate profitably any additional ingredients. It can serve in stir-fries or even crisped in an air fryer and presented with a dipping sauce, for example.

To prepare tofu, “high-protein food grade soybeans are soaked, made into soy milk and coagulated with a salt or edible organic acid or both. The resulting semisolid curds and clear whey are manipulated for different kinds of tofu,” according to The New York Times.”Texture is determined by whether and how the curds are pressed. Basic tofu options include silken, medium, medium-firm, firm, extra-firm and superfirm. Many dishes involve slicing, cubing and mashing tofu, but depending on its density, it can be scooped, crumbled and even grated.” 

You may have to visit Chinese or Vietnamese markets  to go beyond silken and firm. Pressed (baked) tofu, tofu sheets and fried tofu are all made with chewy tofu. They can look like pasta if cut up into thin strips for a salad. White and red fermented  tofu are deeply flavored and sold in jars at Asian markets in the condiments section. They can be fragrant, rich from sesame oil or spicy from chile.

Tofu can be used in place of animal protein, as a substitute for ricotta in lasagna or mozzarella in a caprese, or as a replacement for high carbs. Since it is already cooked, tofu can go anywhere without fuss.

See why I like it?

MEET RATATOUILLE!

This week’s featured shelter pet is Ratatouille, a five year-old female domestic shorthair mix up for adoption at the Smithtown Animal Shelter. 

A total cuddle bug, Ratatouille loves people, and is a big fan of getting her head scratched. She is super sweet, affectionate, and friendly. She has a reactive skin condition called Eosinophilic Granuloma that causes her to have some itchy and discomforting lesions on her lip and her side. Fortunately, these lesions are not contagious to other animals, but they do require steroid treatment from time to time. 

Ratatouille is ready for her new home, and we know that perfect home is out there somewhere for her.

If you would like to meet Ratatouille, please call ahead to schedule an hour to properly interact with her in a domestic setting.

The Smithtown Animal & Adoption Shelter is located at 410 Middle Country Road, Smithtown. Visitor hours are currently Monday to Saturday from 10 a.m. to 3 p.m. (Sundays and Wednesday evenings by appointment only). For  more information, call 631-360-7575 or visit www.townofsmithtownanimalshelter.com.

AS YOU WISH Catch a screening of 'The Princess Bride' at the Cinema Arts Centre on April 30.
PROGRAMS

Spring Festival at the Hatchery – This event has been postponed to May 6.

Join Cold Spring Harbor Fish Hatchery, 1660 Route 25A, Cold Spring Harbor for a Spring Festival fundraiser on April 29 from 10 a.m. to 4 p.m. (rain date May 6) Enjoy music, games, kid’s fishing, food, environmental exhibitors and live animal encounters. Admission is $7 adults, $6 seniors, $5 children ages 3 to 12. Call 516-692-6768 for more information.

Spring Fishing at Caleb Smith

Caleb Smith State Park Preserve, 581 W. Jericho Turnpike, Smithtown presents Spring Fishing 101 on April 29 from 10:30 a.m. to noon. Join the staff at scenic Willow Pond for a children’s introduction to catch and release fishing. Discover more about the different types of fishing poles, tackle, and bait, and which is best to use in a fresh water pond. View casting demonstrations and a lesson on the different types of fish that make Willow Pond their home. Then stay for some catch and release fishing. Poles, tackle, and bait will be provided. For children under age 15. $4 per child, $8 parking fee. Reservations are required by calling 631-265–1054.

Hands-on Art 

Registration now underway! The Long Island Museum, 1200 Route 25A, Stony Brook presents an after-school program for grades K-4 titled Hands-On Art on Tuesdays, May 2, 9, 16, 23 and 30 from 4:30 to 6 p.m. Inspiration is all around us! Explore artworks at the museum and experiment with a variety of  media and techniques to create your own masterpieces. Fee is $100 per child. To register, visit www.longislandmuseum.org and click Learn and Explore. For more information, call 631-751-0066, ext. 214.

Rocket Through the Solar System

Sunken Meadow State Park, Sunken Meadow Parkway, Kings Park presents a Tiny Tots program for ages 3 to 5, Rocket Through the Solar System, on May 4 from 10:30 to 11:30 a.m. This program will connect children and their parents with nature through short walks, animal visitors, and crafts. $4 per child. To register, visit Eventbrite.com and search #NatureEdventure. Questions? Call 631-269-4333.

THEATER

‘Seussical the Musical’

The John W. Engeman Theater, 250 Main St., Northport presents Seussical the Musical on Saturdays at 11 a.m. and Sundays at 10:30 a.m. through April 30. “Oh the Thinks You Can Think!” Dive into the colorful world of Dr. Seuss as The Cat in the Hat tells the story of Horton, an elephant who sets off to save a speck of dust containing The Whos from destruction. All seats are $20. To order, call 631-261-2900 or visit www.engemantheater.com.

‘The Adventures of Peter Rabbit’

Theatre Three, 412 Main St., Port Jefferson kicks off spring with The Adventures of Peter Rabbit from April 5 to 29. Join Peter Rabbit, Flopsy, Mopsy, Cotton-Tail, Mrs. Rabbit, Benjamin Bunny and the McGregors in this delightful adaption suggested by the characters created by Beatrix Potter. All seats are $10. To order, call 631-928-9100 or visit www.theatrethree.com. 

FILM

‘The Princess Bride’

The Cinema Arts Centre, 423 Park Ave., Huntington continues its Cinema for Kids! series with a screening of The Princess Bride, a fairy tale adventure about a beautiful young woman and her one true love who must scale the Cliffs of Insanity, battle Rodents of Unusual Size and face torture in the Pit of Despair to save her from the evils of the mythical kingdom of Florin, on April 30 at noon. Rated PG. Tickets are $12, $5 children 12 and under. Visit www.cinemaartscentre.org.

Stock photo
A Column Promoting a More Earth-friendly Lifestyle

By John L. Turner

John Turner

You’ve just boiled some potatoes, eggs, or maybe rice. Or perhaps it was pasta. If you are like most people the leftover water quickly finds its way down the kitchen sink drain. 

Want a better use for that water? After cooling it (a nice bonus in the winter to let the heat from the water move into the kitchen), use it for making soup, thinning sauces or watering indoor or outdoor plants. Regarding this last use, boiling these and other foods (couscous anyone?) results in water containing minerals and carbohydrates; this enhanced water thus has become a form of liquid fertilizer that can benefit your plants. 

There is one caveat to keep in mind when using the previously used water for your plants — if you salt the water while cooking pasta or other foods do not use it on your plants as it can either damage or kill them; it is fine, though, to use it for making other foods.  

Reusing your cooking water not only captures these minerals and nutrients for the benefit of your plants, it means water used in a more efficient manner — a key element of sustainability.   

A resident of Setauket, John Turner is conservation chair of the Four Harbors Audubon Society, author of “Exploring the Other Island: A Seasonal Nature Guide to Long Island” and president of Alula Birding & Natural History Tours.

Kidney health. METRO photo
Walking routinely can reduce your risk of dialysis

By David Dunaief, M.D.

Dr. David Dunaief

Last week, I wrote that 37 million U.S. adults have chronic kidney disease (CKD) and that roughly 90 percent of them don’t know they have it (1).

This seems like a ridiculous number. How can this happen? It’s because CKD tends to be asymptomatic, initially. Only in the advanced stages do symptoms become evident, although there can be vague symptoms in moderate stages such as fatigue, malaise and loss of appetite. Those at highest risk for CKD include patients with diabetes, high blood pressure and those with first-degree relatives who have advanced disease. But those are only the ones at highest risk.

Why is CKD a concern?

Your kidneys function as efficient little blood filters. As I mentioned last week, they remove wastes, toxins and excess fluid from the body. In addition, they play roles in controlling blood pressure, producing red blood cells, maintaining bone health, and regulating natural chemicals in the blood.  

When they’re not operating at full capacity, the consequences can be heart disease, stroke, anemia, infection and depression, among others.

According to the U.S. Preventive Services Task Force and the American College of Physicians, those who are at highest risk should be screened regularly, including patients with diabetes or hypertension (2)(3). 

Fortunately, there are several options available, ranging from preventing CKD with specific exercise to slowing the progression with lifestyle changes and medications.

Does basic exercise help?

The results of a study show that walking reduces the risk of death by 33 percent and the need for dialysis by 21 percent (4).

Those who walked more often saw greater results. So, the participants who walked one-to-two times a week had a 17 percent reduction in death and a 19 percent reduction in kidney replacement therapy, while those who walked at least seven times per week experienced a more impressive 59 percent reduction in death and a 44 percent reduction in the risk of dialysis. There were 6,363 participants with an average age of 70, who were followed for an average of 1.3 years.

How does protein intake affect CKD?

With CKD, more protein is not necessarily better, and it may even be harmful. In a meta-analysis of 17 Cochrane database studies of non-diabetic CKD patients who were not on dialysis, results showed that the risk of progression to end-stage kidney disease, including the need for dialysis or a kidney transplant, was reduced 36 percent in those who consumed a very low-protein diet, rather than a low-protein or a normal protein diet (5).

Should you limit sodium consumption?

Good news! In a study, results showed that a modest sodium reduction in our diet may be sufficient to help prevent proteinuria (protein in the urine) (6). Here, less than 2000 mg per day was shown to be beneficial, something all of us can achieve.

Are some high blood pressure medications better than others?

We routinely give certain medications, ACE inhibitors or ARBs, to patients who have diabetes to protect their kidneys. What about patients who do not have diabetes? ACEs and ARBs are two classes of anti-hypertensives — high blood pressure medications — that work on the kidney systems responsible for blood pressure and water balance (7). Results of a study show that these medications reduced the risk of death significantly in patients with moderate CKD. Most of the patients were considered hypertensive.

However, there was a high discontinuation rate among those taking the medications. If you include the discontinuations and regard them as failures, then all who participated showed a 19 percent reduction in risk of death, which was significant. However, if you exclude discontinuations, the results are much more robust with a 63 percent reduction. To get a more realistic picture, this result, including both participants and dropouts, is probably close to what will occur in clinical practice unless patients are highly motivated.

Should you take NSAIDs?

Non-steroidal anti-inflammatory drugs (NSAIDs), which include ibuprofen and naproxen, have been associated with CKD progression and with kidney injury in those without CKD (1). NSAIDs can also interfere with the effectiveness of ACE inhibitors or ARBs. Talk to your doctor about your prescription NSAIDs and any other over-the-counter medications you are taking.

What should I remember here?

It’s critical to protect your kidneys, especially if you have hypertension, diabetes, or a family history of kidney disease. Fortunately, basic lifestyle modifications can help; lowering sodium modestly, walking frequently, and lowering your protein consumption may all be viable options. Talk to your physician about your medications — both prescription and over-the-counter — and about whether you need regular screening. High-risk patients with hypertension or diabetes should definitely be screened; however, those with vague symptoms of lethargy, aches and pains might benefit, as well.

References:

(1) cdc.gov. (2) uspreventiveservicestaskforce.org (3) aafp.org. (4) Clin J Am Soc Nephrol. 2014;9(7):1183-9. (5) Cochrane Database Syst Rev. 2020;(10):CD001892. (6) Curr Opin Nephrol Hypertens. 2014;23(6):533-540. (7) J Am Coll Cardiol. 2014;63(7):650-658.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.

METRO photo

We have a hunger problem on Long Island. 

The U.S. Department of Agriculture defines food insecurity as “a household-level economic and social condition of limited or uncertain access to adequate food.” Last year, Long Island Cares published a study that states as many as 230,000 Long Islanders are food insecure, with a staggering 68,000 food insecure children. These estimates come as food prices and inflation continue to climb.

The United States has the largest national economy by GDP on the planet. We lead the world in scientific and technological innovation as well as defense spending. Still, nearly 70,000 children right here on Long Island are food insecure.

In our democracy, citizens finance the government with the understanding that our tax dollars will advance meaningful public ends. In exchange for our votes, we expect government officials to plow our roads, secure our neighborhoods and ameliorate the condition of society in common. 

Unfortunately, politicians don’t always follow these guidelines, instead pursuing the policy preferences of the donor class financing their campaigns. Too often, our elected representatives serve special interest groups over ordinary citizens.

The next national budget asks Congress for $858 billion in defense spending — a figure that dwarfs the $122 billion budget request for the federal Supplemental Nutrition Assistance Program. 

While we certainly acknowledge the necessity of national security, we remind our leaders to balance this priority with the equally significant need of feeding children. The values of providing for the common defense and promoting the general welfare are not mutually exclusive.

For New York state, Gov. Kathy Hochul (D) has proposed cutting funding for the state’s Hunger Prevention and Nutrition Assistance Program — which funds food banks and pantries — from $56 million to some $35 million. 

This proposal comes less than a year after Hochul helped broker a deal to construct a new football stadium for the Buffalo Bills — whose owner is worth $6.7 billion — using $600 million in taxpayer funds.

The governor’s decision to prioritize football over food banks is inexcusable, in part benefiting millionaire athletes and a billionaire owner at the expense of hungry Long Island school children. We encourage Hochul to reconsider her budget request, making the appropriate investment in alleviating hunger in our communities.

As with any complex social issue, we cannot blame any person or group. But we must ask ourselves if our elected leaders can do more to combat food insecurity. Fortunately, we have recourse. 

Organizations such as Agape Meals for Kids and Long Island Cares are contributing valuably, working to address food insecurity on Long Island and eliminate hunger. We should support such organizations by donating money or volunteering our time. 

Childhood hunger should be regarded as a national security risk and a critical societal danger. Children are the next generation of soldiers, workers and leaders in this country. If adequately fed, they will be more competent in school and more successful in life. If not, the entire nation loses.

We must hold our representatives to a higher standard and do our part to support nonprofits making a change. With our aims in focus, let us end childhood hunger on Long Island.

For an Island as rich as ours, to have 68,000 children go hungry every day is more than unconscionable. It’s a sin.