{"id":14278,"date":"2018-01-26T10:14:07","date_gmt":"2018-01-26T17:14:07","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=14278"},"modified":"2023-06-23T10:58:29","modified_gmt":"2023-06-23T16:58:29","slug":"winter-health","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/winter-health\/","title":{"rendered":"How to stay healthy when Old Man Winter sets in"},"content":{"rendered":"
<\/div>

\"TwoWinter\u2019s cold can bring with it more than just some discomfort and the urge to snuggle up before a warm fire. It also can bring\u00a0erious health concerns, especially for those who want to or have to be outdoors.<\/p>\n

So says Dr. Christopher Moore<\/a>, a clinical pediatrician at UCHealth Pediatric Care Clinic –\u00a0<\/a>Greeley. He also rotates as a\u00a0pediatric hospitalist at UCHealth Medical Center of the Rockies<\/a>.<\/p>\n

Moore understands cold.<\/p>\n

\u201cI grew up in Maine and winters tended to be colder than they are here, or maybe that\u2019s just me getting older and telling tales,\u201d he said.\u00a0\u201cI can tell you that it regularly got cold enough to ice skate outside for much of the winter.\u201d<\/p>\n

For some folks winter weather just means their arthritis hurts a little more, but there are real health risks to watch out for. Like frostbite.<\/p>\n

\u201cDefinitely frostbite is the main worry with extremely cold weather,\u201d he said. \u201cExposed skin on the face will always be vulnerable. Fingers and toes, because of their end circulation distance from the body\u2019s core \u2026 are particularly susceptible to frostbite and tissue death, even when adequately covered.\u201d<\/p>\n

Anyone who needs or wants to stay outside for prolonged periods of time in extremely cold conditions should have someone periodically inspect their face, \u201cor check a mirror to look for white or paler areas of skin that warn of decreased circulation and freezing.\u00a0 Digits that are numb, have reduced mobility, and are waxy or that feel hard when palpated are likely frostbitten.\u201d<\/p>\n

Treatment consists of immediate rewarming \u201cprovided that the injured areas can be kept warm, because refreezing can exacerbate the damage, as can walking with frozen toes. \u00a0Heat provided through warm, body-temperature water is more effective and safer that dry heat.<\/p>\n

Also, \u201cthe arm pits are a very convenient source of heat. Folk wisdom of not rubbing frozen extremities to warm them is in fact true, because the friction can cause further tissue injury,\u201d he added.<\/p>\n

To avoid frostbite, he suggested that you \u201cmake sure that you stay hydrated to assure adequate circulation.<\/p>\n

\u201cWhile a St. Bernard with a cask of brandy hanging from its collar is a staple of comics and movies, alcohol is a risk factor for frostbite and hypothermia.\u00a0 Ethanol causes heat loss through vasodilation and dehydration trough diuresis. Think: a flushed face and trips to the bathroom.\u201d<\/p>\n

Proper clothing is the key element to avoiding frostbite, he said.\u00a0\u201cGloves and footwear should provide enough insulation for both the cold and wind, but not so constraining that they reduce circulation.\u201d<\/p>\n

People who need to be outdoors for long periods of time also need to be concerned about hypothermia, he said.<\/p>\n

\u201cHypothermia, or dangerous lowering of the core temperature, is a serious condition,\u201d Moore said. Hypothermia can occur at even moderately low temperatures, facilitated by wind and wet clothing, he added.<\/p>\n

\u201cHypothermia is the one true life-threatening condition associated with cold weather,\u201d he said.\u00a0\u201cIt is insidious, occurring at even moderate temperatures and causing clouded and confused thinking that keeps you from seeking or even accepting care. \u00a0Don\u2019t assume that altitude is causing your buddy to behave stupidly, especially if they are shivering or at all wet.\u201d<\/p>\n

Hydration, and more importantly, energy intake is crucial to avoiding hypothermia, he added.<\/p>\n

\u201cRemembering what I said about vasodilation with alcohol. It should be apparent that booze is the last thing you want to give to your pal.\u00a0 It is probably a bad idea to make drinking alcohol part of your cold weather outdoor activity, even if you are not shivering,\u201d he said.\"A<\/p>\n

Again clothing is crucial to staying safe.<\/p>\n

\u201cAssuming that it is cold enough to not be raining, the value of the outer layer is to provide wind protection and shed snow before it melts, \u201c Moore said.\u00a0\u201cIf you are exerting yourself, the number of layers you are wearing underneath should not be so many or so thick that you are sweating profusely.\u201d<\/p>\n

A good rule of thumb, he said, \u201cis that you should put on enough extra layers to be warm when resting, and take off enough layers that you are a little chilled as you start moving.<\/p>\n

\u201cEven with modern artificial fabrics, any water leaving your body is taking heat \u2013 a great deal of heat \u2013 with it.\u00a0 There are many new fabrics on the market that retain their insulating ability when wet. I personally rely on wool and polypropylene.\u00a0 Whatever you choose, avoid cotton clothing. It is less than worthless once wet.\u00a0 A proper wool hat will reduce heat loss, and I always pack one when hiking at altitude, regardless of the season.\u201d<\/p>\n

To treat hypothermia, he suggested removing all wet clothing, then \u201cget your friend out of the elements if possible and begin rewarming.\u00a0 Warm air does not contain much heat, but warm water, warm packs applied especially to the groin and axillae (armpits) and neck will be most effective means of rewarming.\u201d<\/p>\n

If the situation is dire, \u201canother undressed non hypothermic body and a sleeping bag is a very convenient and effective heat source.\u201d<\/p>\n

If there is a serious change in the mental status of the patient, \u201cremember that this is a life-threatening condition and summoning emergency medical services is warranted.\u201d<\/p>\n

Another winter weather danger in Colorado is sunburn. Really?<\/p>\n

Yes, sunburn.<\/p>\n

\u201cI learned the hard way that sunburn is much more of an issue here at altitude than it was growing up at sea level.\u00a0 The thinner atmosphere, in addition to the reflection of sunlight from large areas of snow-covered terrain above tree line, can result in brutal sunburns, especially when the colder weather has you forgetting to put on sunscreen (and it is very unpleasant to put on cold sunscreen when you finally remember to do so later in the day).\u201d<\/p>\n

Sunburn in the winter is best addressed with sunscreen, SPF 15 or higher, applied liberally to exposed skin, Moore said.<\/p>\n

\u201cThere is a lot less of (exposed skin) in cold weather, so no excuse for skimping!\u00a0 Lip balm with UV protection is essential as well.\u00a0 Wear polarized sunglasses to avoid snow blindness \u2013 burning of the surface on the corneas that can result in several days of blurred vision, light sensitivity and severe pain.<\/p>\n

\u201cLastly remember that you are being exposed to sunlight from above, as well as below, from light reflected off snow and ice.\u201d<\/p>\n

Hikers and skiers need to be especially aware of this.<\/p>\n

\u201cIf you plan on spending time above tree line, exerting yourself and breathing with your mouth open (which tends to happen at altitude), use a bandana over your mouth and lower face and smear sunscreen on the underside of your nose and in your nostrils.<\/p>\n

\u201cTrust me, sunburn to the roof of the mouth and the nostrils, though not life threatening, is very unpleasant.\u00a0 At the very least it interferes with enjoying a beer at the end of the trip.\u201d<\/p>\n

Treatment of sunburn is done by applying\u00a0aloe or similar creams and debridement of blisters.\u00a0 More important, he added, is avoiding<\/em> sunburn to avoid the risk of skin cancer.<\/p>\n

If you\u2019re not a skier or outdoorsman, but a home owner who\u00a0clears the walkways after a storm, there are other risks to consider.<\/p>\n

\u201cShoveling snow is hard work, even in Colorado, where the white stuff tends to be a good deal fluffier and lighter than the wet sludge we had to deal with back in New England,\u201d he said.\u00a0\u201cBack and other orthopedic injuries are always a risk when shoveling, (which is) swinging a weight at the end of a lever.<\/p>\n

\u201cIn cold weather, any exertion could be exacerbated by the body\u2019s vasoconstriction, a natural response to the cold.\u00a0 The resulting rise in blood pressure, for an unconditioned person with a heart that is otherwise hanging in the balance. could result in an ER visit, hospitalization, or worse.\u201d<\/p>\n

None of this means you have to stay housebound when it\u2019s cold outside.<\/p>\n

\u201cDress right, in layers, drink lots of water, save the toddy for when you are finished for the day and safely inside a warm shelter, and have fun outside,\u201d he advised.<\/p>\n","protected":false},"excerpt":{"rendered":"

Winter\u2019s cold can bring with it more than just some discomfort and the urge to snuggle up before a warm fire. It also can bring\u00a0erious health concerns, especially for those who want to or have to be outdoors. So says Dr. Christopher Moore, a clinical pediatrician at UCHealth Pediatric Care Clinic –\u00a0Greeley. He also rotates […]<\/p>\n","protected":false},"author":18,"featured_media":14284,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[6],"tags":[245,9187,2640,4293,1789],"class_list":["post-14278","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthy-living","tag-burn-care","tag-readysetco","tag-skiing","tag-uchealth-burn-and-frostbite-center","tag-uchealth-medical-center-of-the-rockies"],"acf":[],"yoast_head":"\nHow to stay healthy when Old Man Winter sets in - UCHealth Today<\/title>\n<meta name=\"description\" content=\"Stay healthy in the winter with tips from this UCHealth pediatrician, Dr. Christopher Moore, who explains how cold weather can bring more than a little discomfort.\" \/>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to stay healthy when Old Man Winter sets in\" \/>\n<meta property=\"og:description\" content=\"Stay healthy in the winter with tips from this UCHealth pediatrician, Dr. Christopher Moore, who explains how cold weather can bring more than a little discomfort.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.uchealth.org\/today\/winter-health\/\" \/>\n<meta property=\"og:site_name\" content=\"UCHealth Today\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/uchealthorg\/\" \/>\n<meta property=\"article:published_time\" content=\"2018-01-26T17:14:07+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-23T16:58:29+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/01\/26025851\/GettyImages-495910012_super.jpg\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Linda DuVal, for UCHealth\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@uchealth\" \/>\n<meta name=\"twitter:site\" content=\"@uchealth\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Linda DuVal, for UCHealth\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/winter-health\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/winter-health\\\/\"},\"author\":{\"name\":\"Linda DuVal, for UCHealth\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#\\\/schema\\\/person\\\/4f8630d1a32bfa51d40bf26aa4896808\"},\"headline\":\"How to stay healthy when Old Man Winter sets in\",\"datePublished\":\"2018-01-26T17:14:07+00:00\",\"dateModified\":\"2023-06-23T16:58:29+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/winter-health\\\/\"},\"wordCount\":1361,\"publisher\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/winter-health\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/uchealth-wp-uploads.s3.amazonaws.com\\\/wp-content\\\/uploads\\\/sites\\\/6\\\/2018\\\/01\\\/26025851\\\/GettyImages-495910012_super.webp\",\"keywords\":[\"Burn care\",\"Ready. 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