BVHS Weekender: Female Athlete Triad

For female athletes training at any level of play and age, one of the challenges they may face is how to properly fuel with food……

Female Athlete Triad,by Rachel Niermann, RDN, LD
Armes Family Cancer Care Center, Blanchard Valley Health System

Rachel Niermann, RDN, LD

For female athletes training at any level of play and age, one of the challenges they may face is how to properly fuel with food. Nutrition is a vital piece in performing and competing well. If done incorrectly, performance is not the only impacted factor. With time, a female may experience the “female athlete triad,” which is defined as a medical condition involving three interrelated components. These include long-term calorie or energy deficiency with or without disordered eating, menstrual dysfunction, and diminished bone mineral density.

Energy or calorie deficiency is the main cause of the female athlete triad. A deficiency occurs when the number of calories consumed is less than the number of calories exerted during physical activity. This may occur from the desire to achieve leanness, a conscious avoidance of food groups, and problems with body image. These types of thoughts and practices may lead to eating disorders. Among top athletes, studies show that 13.5 percent deal with an eating disorder, far higher than figures reported for the general population. Eating disorders bring athletes down the path of calorie deficits and mental health concerns. On the other hand, sometimes lacking knowledge around the importance of fueling properly when undergoing activity leads females to simply under-eat and inadequately sustain the demands of their training. Either way, when a deficit occurs over an extended period, normal bodily functions begin to be impacted.

When the body is not receiving enough calories, it will adjust by shutting down nonessential functions within the body including menstrual function, a part of reproductive health. Other psychological changes that may occur with time are changes in metabolic rate, bone health, immunity, protein synthesis, cardiovascular health and psychological health. Athletes will most likely notice their overall performance begin to change before they see clinical symptoms. Not eating enough can quickly lead to dehydration, electrolyte imbalances and feelings of fatigue, anxiety and irritation. They may find it hard to concentrate and less motivated to do the activities they enjoy.

The second component of the triad is menstrual dysfunction or amenorrhea (lack of menstrual cycle for three months or more). Women’s bodies require enough calories to sustain adequate estrogen production to induce normal menstruation. With extended calorie deficits, hormonal imbalances occur resulting in either irregular cycles or amenorrhea. There are numerous reasons why a female may experience irregular cycles or amenorrhea besides low energy intake. It is important to ask questions about dietary intakes and menstrual cycles to recognize the symptoms of female athlete triad to get the individual the help they need. When a female is experiencing irregular cycles or amenorrhea, they may be prescribed hormonal contraceptives to prevent or slow bone loss. However, this does not solve the underlying problem. Due to inadequate energy or calorie intake being the main cause of the triad, it is important that athletes are still counseled on how and why they need to increase energy intakes.

The third component of the triad is bone loss or, in the severe form, osteoporosis. As hormonal changes occur due to a prolonged calorie deficit, less estrogen is produced. This is important in maintaining bone health. Calcium and vitamin D are two nutrients vital for bone health as well. Deficiency of calcium and vitamin D intakes may occur due to poor dietary intakes. These risk factors put female athletes at increased risk for stress fractures. From puberty to early twenties, is a vital time for bone-building in females. It is important to recognize and treat symptoms of the female athlete triad to prevent bone loss during a vital period in female lives.

It is not common for a female to experience all three symptoms at the same time, and severities of the components may vary. The triad can be thought of as a spectrum of symptoms with the most severe cases including all three components. Studies have shown awareness and knowledge of the triad and its health implications among female high school athletes and coaches is limited.

Prevention begins with awareness of risks, signs and symptoms of the triad. Begin educating females about nutrition and the importance of practicing a healthy relationship with food at a young age. This can lead to discussion about the triad and why nutrition is vital for safe participation in physical activity.

Chowline: Never a Good Idea to Wash Raw Poultry

Practicing sound, safe food handling is important…..

I saw a discussion on social media this week that said not to wash raw chicken before cooking it. But I always rinse mine with a mixture of lime or lemon juice and vinegar, which my mother, grandmother, and great-grandmother did as well. Why should I stop doing that now?

The fact is that you shouldn’t wash or rinse raw chicken or any other raw poultry before cooking it.


Don’t wash raw poultry. Photo Getty Images

This is because rinsing or washing raw chicken doesn’t kill any bacterial pathogens such as campylobacter, salmonella, or other bacteria that might be on the inside and outside of raw chicken. But when you wash or rinse raw chicken, you are likely splashing chicken juices that can spread those pathogens in the kitchen and contaminate other foods, utensils, and countertops, according to the Centers for Disease Control and Prevention.

In fact, some estimates say the splatter can spread out and land on surfaces up to 3 feet away.

That’s a problem because pathogens such as campylobacter and salmonella can survive on surfaces such as countertops for up to 32 hours, according to the U.S. Department of Agriculture’s Food Safety and Inspection Service.

The only way to kill these potentially dangerous bacteria is to cook the chicken to an internal temperature of 165 degrees Fahrenheit.

You likely saw the social media discussion the CDC had on Twitter this week, after the government agency sent a tweet advising consumers not to wash raw chicken before cooking it. That tweet was met with more than 1,000 responding comments debating the merits of whether or not to follow the CDC’s advice. 

Although many consumers responded that they’ve always rinsed raw chicken before eating it—with many saying it’s a cultural custom for them to do so—it’s never a good idea to rinse raw poultry if you want to lessen your chance of developing a foodborne illness.

Practicing sound, safe food handling is important, considering that 48 million Americans get sick with a foodborne illness every year, 128,000 are hospitalized, and 3,000 die, according to the CDC.

Additionally, after handling raw poultry or any other raw meat, it’s important to wash your hands with soap for at least 20 seconds, rinse them under warm running water, and dry them with a clean cloth or paper towel.

You should also wash any surfaces that might have come into contact with the raw chicken or its juices. Use hot, soapy water to rinse off the surfaces, let them dry, and then use a kitchen sanitizer on them.

Lastly, be sure to cook your chicken to an internal temperature of 165 degrees Fahrenheit, using a food thermometer to measure the temperature, the CDC advises.

Chow Line is a service of The Ohio State University College of Food, Agricultural, and Environmental Sciences (CFAES) and its outreach and research arms, Ohio State University Extension and the Ohio Agricultural Research and Development Center (OARDC). Send questions to Chow Line, c/o Tracy Turner, 364 W. Lane Ave., Suite B120, Columbus, OH 43201, or

Public Invited to NAMI FaithNet Presentation

NAMI (National Alliance on Mental Illness) Wood County invites the public to participate in our FaithNet presentation called Bridges of Hope

NAMI (National Alliance on Mental Illness) Wood County invites the public to participate in our FaithNet presentation called Bridges of Hope on May 23rd.

The presentation will be held at the Wood County Library from 1:30-2:30 pm. NAMI FaithNet is not a religious network but rather an outreach to all religious organizations. It has had significant success in doing so because all the major religions have the basic tenets of giving care and showing compassion to those in need.

NAMI FaithNet respects all religious beliefs. It also recognizes the expression by the majority of those affected by mental illness of the importance of the role of their spirituality in their ability to cope with having one of these illnesses themselves or in caring for an ill friend or family member. NAMI FaithNet encourages all those who are affected by a mental illness, who are also members of a faith community, to talk to their clergy person about mental illness and the role their faith is playing in their lives.

Please call NAMI Wood County at 419-352-0626 or go on-line at to RSVP.

Since 1987 NAMI Wood County has offered free classes and support groups to all community members who live with or care about someone dealing with mental illness. It is one of over 1,200 affiliates across the nation that offer support, education, and advocacy for the mentally ill and their loved ones. NAMI’s mission is to provide help and hope, and to replace myths and fears about biological brain disorders with facts.

 NAMI and its many state and local affiliates have supported legislative change and insurance parity reform. NAMI Wood County has trained police officers and first responders to intervene appropriately with individuals in a mental health crisis. It is fortunate to have support from the Wood County Alcohol, Drug Addiction and Mental Health Services Board. For more information on NAMI Wood County and its programs, call the office at 419-352-0626, go on-line at, or visit the organization’s website at

WC Parks: Plant Sale, Trail Tram Tours

Some cool and unique events over the next week in Wood County!

Native Plant Sale
Saturday, May 11th; 9:00 am – 2:00 pm
Wood County Park District Headquarters
18729 Mercer Road, Bowling Green
Purchase Native Plants that are good for pollinators, sequestering carbon, and creating drought and flood resistant raingarden areas. 
Cash and credit are accepted. Proceeds support the Native Plant Program.
Plants are $4 each.
For more information about the Friends of the Parks, visit their website.


Self-Care Saturdays
Saturday, May 11th; 12:00 pm – 1:30 pm
W.W. Knight Nature Preserve
29530 White Road, Perrysburg
Forest therapy is practicing the connection with yourself and the Earth. By practicing this connection, you reduce stress, depression, anxiety, blood pressure and heart rate, symptoms of OCD and ADHD and increase your sense of well-being, immunity, mental clarity, creativity & concentration. Please dress for the weather, all weather event. Questions? Email


Spatterwork Nature Prints
Saturday, May 11th; 1:00 pm – 4:00 pm
Carter Historic Farm
18331 Carter Road, Bowling Green
Take a stroll along the woodlot path gathering leaves, then create spatterwork leaf print art to take home. Clothes and shoes that can get dirty recommended. Please REGISTER ATTENDING CHILD ONLY.


Friends’ Migration Fieldtrip
Monday, May 13th; 9:00 am – 2:00 pm
Park District Headquarters
18729 Mercer Road, Bowling Green
Join the Friends of the Parks on a tour of the parks in search of migrating songbirds. A light lunch will be provided. Space is limited on the park bus however participants may follow behind.


Spring Nature Tram Tours
Tuesday, May 14th; 11:00 am – 12:30 pm and 1:30 pm- 3:00 pm
Black Swamp Preserve:
Slippery Elm Trail
1014 S. Maple Street, Bowling Green
Take a leisurely ride down the Slippery Elm Trail to Rudolph, Ohio to enjoy the springtime sights and sounds. Tram is open sided so dress appropriately. Two sessions available.


Intro to Nature Photography
Tuesday, May 14th; 6:00 pm – 8:00 pm
Bradner Preserve
11491 Fostoria Road, Bradner
Interested in capturing the wonders of the outdoors in photographs, but unsure of how to use those camera settings to your advantage? Bring your camera and practice honing your skills. This session will focus on how to take the best


Archery Skills: Rainbow and Arrow
Wednesday, May 15th;
6:30 pm – 8:00 pm
Arrowwood Archery Range
11126 Linwood Road, Bowling Green
Improve your archery skills through this short, beginner-friendly instructional program, focusing on the steps of shooting and consistency. Make progress you can see, as we create some archery-art using our newfound skills. Bring a small canvas, shirt, poster, or anything you’d like splatter-painted! All archery equipment provided, personal gear welcome (inspected at program). Must be 10 or older to attend. Minors must be accompanied by legal guardian. Please register attending archer only.

“BOIL Advisory” Lifted!

Water Boil Advisory EXPLAINED…

The North Baltimore Water Department has LIFTED the water “BOIL ADVISORY”. The area affected was 500 – 700 East Water – 100 block of South Bates and 100 & 200 blocks of South Taylor Street.

The advisory was needed due to a water main break repair.

For future reference…

From Village Administrator Michael Brillhart:

The Village of North Baltimore Water Department has issued a
“ Water Boil Advisory” for the following locations:


Under this advisory, tap water must be boiled for at least one
minute prior to any consumption. Otherwise, use bottled water
for drinking, making ice, brushing teeth, and food preparation.

The tap water is safe for bathing.

This Advisory is in effect until notified by the Village.

NB Village Reminders:

…about golf cars & grass clippings.

Here are a couple of reminders from North Baltimore Mayor Janet Goldner about golf cars & grass clippings.

PLEASE do not blow your cut grass into streets, road or alleys!

Blow the cut grass back into your lawn.

Bicycle and motorcycle rider safety can depend on your cooperation. AND it IS the “law”!

ALSO – Keep the cut grass out of our storm sewers. This will save on costs and prolong the life of our storm sewer system.

Thanks for your assistance and cooperation! 

GOLF CARTS on Village Streets –

Police pulled over a pink golf cart on Flaxmere Ave, Flaxmere, Hastings, for being unregistered and being used on a public road. They subsequently found out it had been stolen two weeks ago from the Maraenui Golf Course, Napier. 29 September 2015 NEWS Hawke’s Bay Today Photograph by Duncan Brown.

Only street legal and properly licensed golf carts are allowed on the streets here in town.

Golf carts must obey all traffic laws, traffic signals and rules of the road!

Please visit the NB Police Dept. on North Main to have your cart inspected. Also, you must be a licensed driver to drive on village streets in your carts.

Planning for the Future

Taking inventory of your financial health…

(Family Features) Only 28% of Americans are financially healthy, according to the U.S. Financial Health Pulse. Most others will have difficulty reaching long-term financial goals and are more vulnerable to the threat of financial shocks, such as car trouble, unforeseen medical bills or job loss.

Regardless of income or wealth, the road to financial health – how you are able to manage your day-to-day financial life while building for the future – can be a lifelong journey. What you do today can build toward or detract from your long-term resilience and ability to pursue opportunities. Whether you want to take that dream vacation, prepare for retirement or save for college, financial health takes effort to build.

“An overwhelming majority of the country is experiencing financial challenges that have lasting effects on people’s lives, on their ability to weather the inevitable ups and downs and on their chances to pursue their dreams,” said Jennifer Tescher, CEO of the Center for Financial Services Innovation (CFSI), the nation’s authority on consumer financial health. “Each year, CFSI and MetLife Foundation join forces on #FinHealthMatters Day to highlight the importance of financial health, especially for the 180 million people who are financially vulnerable.”

These questions can serve as a starting point to take inventory of your financial health:

  1. Are you spending less than you make? Regardless of your income level, it can be difficult to get ahead if you’re among the 47% of Americans that are spending more than or equal to what they earn, according to the U.S. Financial Health Pulse. The ability to manage cash flow directly affects your ability to build savings and deal with unexpected expenses.
  2. Do you pay your bills on time and in full? Falling behind on bills, including credit card payments, can be a significant hindrance to improving your financial health. If all your bills seem to come due at the same time each month or don’t appropriately align with paydays, consider staggering bills based on their priority level with rent and utilities taking precedence over any less necessary items like cable television or subscription services, which could even be eliminated altogether. The ability to keep up with payments shows how well you’re able to manage cash flow and daily financial obligations.
  3. Do you have sufficient liquid, short-term savings? The ability to draw on savings is important for coping with unexpected expenses such as car repairs or medical bills or a setback such as being laid off from a job. Having six or more months of living expenses in savings is considered financially healthy, but 45% of Americans don’t have enough savings to cover even three months, according to the U.S. Financial Health Pulse. Try setting aside 5-10% of your monthly income to build up both your emergency fund and long-term savings account.
  4. Do you have appropriate insurance coverage? Along with sufficient liquid savings, having appropriate insurance can help you withstand an unexpected expense, such as the death of a loved one or a medical emergency. Shop around for the best rates and coverage on everything from homeowners and car insurance to life and disability policies.
  5. Do you plan ahead for expenses? Planning ahead shows you are future-oriented and proactively managing your financial situation, a behavior that is strongly correlated with financial health. Proper future planning behaviors include using a budget, coding expenses, setting up automatic savings transfers and using financial management apps, among other habits.

For more tips to focus on your future financial health, follow #FinHealthMatters on social media or visit

Photo courtesy of Getty Images

Center for Financial Services Innovation

‘Reinvesting in Life’ Presentation Scheduled

Part of the ‘Living Through Loss’ Series at Blanchard Valley Hospital…

The final presentation of the “Living through Loss” series will be held on Monday, May 20 from 7 to 8:30 p.m. and titled “Reinvesting in Life: Discussing Growth, Reconciliation and Renewal.” This presentation will take place in the Marathon Auditorium at Blanchard Valley Hospital located at 1900 South Main Street in Findlay.

“Reinvesting in Life” will offer individuals the opportunity to hear from current hospice volunteers and engage in a discussion about growth, reconciliation and renewal. Attendees will listen as volunteers describe what their grief was like and what others might expect as they continue their journeys. Volunteers will discuss what worked and did not work in their grief journeys, how to identify healing, what grief triggers are present and new things learned since the loss.

“Living Through Loss” is a nine-month educational series that focuses on the issues surrounding the death of a loved one. Each monthly presentation is open to the public and registration is not required. Presentations provide information related to the grief process, offer opportunities for discussion and are held from 7 to 8:30 p.m. in the Marathon Auditorium at Blanchard Valley Hospital. Although the thought of speaking up in a group can be intimidating, many attendees find the discussion helpful as they discover their questions and concerns are similar to others. A bereavement expert is available to speak with attendees in private following the presentation.

This series is sponsored by Bridge Home Health & Hospice. For questions, to learn upcoming dates or to have a full program brochure sent to you, please contact the Bridge bereavement coordinator at 419.423.5351 or email

BVHS Accredited as a Provider of Continuing Education

Awarded accreditation for four years as a provider of Continuing Medical Education (CME) for physicians….

Blanchard Valley Health System (BVHS) has been resurveyed by the Ohio State Medical Association Focused Task Force on Accreditation and awarded accreditation for four years as a provider of Continuing Medical Education (CME) for physicians.

BVHS has been offering these educational opportunities since 1975, initially only for physicians. However, at BVHS any interested medical professionals such as medical students, nurses, pharmacists, physician assistants and more are invited to attend as well.

“BVHS was one of the first health systems in Ohio to initiate this CME program,” said William Kose, MD, chief medical officer at Blanchard Valley Medical Practices, a division of BVHS. “We are proud to provide the medical community with a method of continuous learning.”

This accreditation assures the medical community and the public that BVHS provides physicians and other medical professionals with relevant, effective, practice-based CME that supports US health care quality improvement. BVHS will be resurveyed in four years after this accreditation expires.

For more information, visit


Blanchard Valley Health System provides a total continuum of care to more than 100,000 households in an eight-county area.

Take Your Workout Outdoors for a Fresh Boost

In warmer weather, your body typically sweats at a higher rate….

(Family Features) As temperatures rise and the sun shines brighter, you might start taking your workouts outside more often. To ensure your body’s comfort and safety, you may need to refresh your fitness regimen.

Photo courtesy of Getty Images

These tips can help you safely enjoy your summer workouts:

Wear sweat-proof sunscreen. Protecting your skin is a year-round endeavor, but when it’s hot outside, you’re more likely to lose the protection of sunscreen faster. Use a sunscreen that is designed to withstand your summer workout, whether it’s a good sweaty run or laps in a refreshing pool. Reapply a broad-spectrum formula with an SPF of 15 or higher regularly and be sure you’re using enough. Most people need a full ounce to cover their entire bodies.

Stay hydrated. In warmer weather, your body typically sweats at a higher rate, causing you to lose key electrolytes, like salt and potassium, that are important to keeping your body properly hydrated. Stay hydrated by drinking fluids before, during and after a workout. To mix up your hydration plan, consider choosing a water formulated for fitness, like Propel Vitamin Boost, which is enhanced with 100% of the recommended daily value of vitamins B3, B5, B6, C and E and electrolytes to help replace what is lost in sweat.

Find a workout buddy. There’s power – and safety – in numbers. Whether you grab a friend, coworker or pet, try exploring new places to work out for a change of scenery. Having a buddy by your side not only offers security, but also a boost of motivation. Together, you can work toward a common goal, keep each other accountable and encourage each other to crank up the intensity.

Time workouts for cooler periods. Avoid exercising during the heat of the day. Instead, opt for morning or evening workouts and be conscious of high humidity levels, which can adversely affect your respiration and lead to overheating. It’s also a good idea to acclimate to the warmer temperatures by starting with a brief workout and gradually increasing the duration over the span of a week or two.

Wear appropriate clothes. Switching to summer attire isn’t just about wearing less material; you also need to pay attention to the fabric you wear. The appropriate fit may vary depending on your chosen activity, but generally, breathable fabric in lighter colors is ideal.

Visit to learn more about safely hydrating to tackle warm weather workouts.


Ohio PTA Awarded Grant to Empower Parents

…Empower Parents to Read, Interpret and Take Action on Education Data

Ohio PTA Awarded Grant to Empower Parents to Read, Interpret and Take Action on Education Data

Columbus, Ohio April 30, 2019—National PTA has awarded Ohio PTA with a two-year grant to educate parents on school report cards and empower them to advocate to ensure this data is accessible, transparent and actionable. Ohio PTA is one of only five state PTAs nationwide selected to receive a grant.

“The Every Student Succeeds Act requires school districts and states to annually release a school report card, which includes important information about school environment, demographics and performance on the state, local and school level. This data, however, doesn’t always speak for itself,” said Jim Accomando, president of National PTA. “We are pleased to provide Ohio PTA with resources to empower parents to read, interpret and take action to turn school report cards into results for their child’s school.”

With the grant, Ohio PTA will host educational events, trainings, and develop, disseminate materials to educate parents on school reports cards to help them read and interpret the reports. Ohio PTA will also empower parents to advocate to ensure education data is accessible and transparent, and how to use education data to demand improvements that lead to school and student success. Additionally, Ohio PTA will bring together parents and state and local policymakers to elevate the issue of data transparency and utilization and facilitate improvements.

Susan Hans, Ohio PTA President stated, “School report cards contain important information for families. With this grant, Ohio PTA will be able to assist parents in understanding and using that data to further student success in their school districts. Helping families advocate for their students is a key part of Ohio PTA’s family engagement plan.”

The grant program is part of National PTA’s new From Report to Results campaign and the association’s mission to ensure that parents and families are meaningfully supported and engaged in their children’s education.

About PTA

PTA® comprises millions of families, students, teachers, administrators and business and community leaders devoted to the educational success of children and the promotion of family engagement in schools. PTA is a registered 501(c)(3) nonprofit association that prides itself on being a powerful voice for all children, a relevant resource for families and communities, and a strong advocate for public education. Membership in PTA is open to anyone who wants to be involved and make a difference for the education, health and welfare of children and youth. For more information, visit

‘Sprouting Hope’ Grief Support Program for Children

Hosted by Bridge Home Health & Hospice….

Bridge Home Health & Hospice Hosts ‘Sprouting Hope’ Grief Support Program for Children

Bridge Home Health & Hospice, a division of Blanchard Valley Health System, is offering a “Sprouting Hope” grief support program that allows children ages six to 12 to come together with their peers and participate in activities that will help them express their feelings, create lasting memories of their loved ones and have fun. This event will take place on Thursday, May 16 from 5:30 to 7:30 p.m. in the Marathon Auditorium at Blanchard Valley Hospital.

After the death of a loved one, adults often unintentionally neglect to take the thoughts and emotions of the children in their life into consideration. Although children may appear to be less affected, the loss of a loved one can be difficult for children as they attempt to make sense of the loss and deal with the changes it creates. Sprouting Hope, offered through Bridge’s Group S.T.A.R. (Special Times, Always Remembered), aims to guide children through conversation and creating a keepsake to help them grieve in a healthy manner.

Activities and dinner will be provided to the children at no cost. Family members are encouraged to return to the group at 7:15 p.m. to participate in a closing ceremony and butterfly release.

To secure your child’s attendance, please register by May 10 by calling Bridge Hospice at 419.423.5351 or emailing


Bridge Home Health & Hospice is a division of Blanchard Valley Health System, which provides a total continuum of care to more than 100,000 households in an eight-county area. The Bridge Home Health & Hospice mission is to promote optimal quality of life in the environment of the individual’s choice.