Sunday, December 21, 2008
Wednesday, December 17, 2008
Sunday, December 14, 2008
Wednesday, December 10, 2008
Sunday, December 7, 2008
Thursday, December 4, 2008
Monday, December 1, 2008
Wednesday, November 26, 2008
Monday, November 24, 2008
Friday, November 21, 2008
Monday, November 17, 2008
Friday, November 14, 2008
Thursday, November 13, 2008
Monday, November 10, 2008
Friday, November 7, 2008
Wednesday, November 5, 2008
A Different Kind of Success Story
106-Year-Old Voter’s Cheerful Longevity Secret
Tara Parker-Pope
Published: November 5, 2008
The New York Times
Tara Parker-Pope
Published: November 5, 2008
The New York Times
In his victory speech, President-elect Barack Obama framed the remarkable events of America’s recent past through the life of 106-year-old voter Ann Nixon Cooper.
She was “born just a generation past slavery” he noted in the stirring speech . “And this year, in this election, she touched her finger to a screen and cast her vote, because after 106 years in America, through the best of times and the darkest of hours, she knows how America can change.”
CNN’s Web site profiled Ms. Cooper last month during early voting in Georgia. In a wheelchair and with the help of two caretakers, Ms. Cooper bypassed the long lines of early voters and headed right to the voting machine, CNN reported.
Ms. Cooper danced the electric slide up until the age of 103, but she has recently slowed down after suffering several heart attacks and a fractured hip. Three of her four children have died, and her surviving daughter is 83. She has 14 grandchildren living and many great-grandchildren and even great-great-grandchildren, according to CNN.
The cable network asked her about the secret to her longevity.
“I ain’t got time to die,” she said. “I don’t know how it happened, but being cheerful had a lot to do with it. I’ve always been a happy person, a giggling person — a wide-mouthed person!”Sunday, November 2, 2008
The New York City Marathon
Congratulations to all of you who ran in today's New York City Marathon.
Your desire, your determination, your triumph and your spirit are an inspiration to us all....
DATE: Sunday, November 2, 2008
LOCATION: The Five Boroughs of New York City
START: Verrazano-Narrows Bridge, Staten Island
FINISH: Tavern on the Green, Central Park
The Marathon
39,000 runners from more than 100 countries and all 50 states are expected to participate in this year's 39th running of the ING New York City Marathon. This famous race will feature many of running's premier athletes including Olympian Kara Goucher who will make her marathon debut after representing the USA in the 5,000 and 10,000-meter events in Beijing. The ING New York City Marathon offers a prize purse of more than $700,000 with the men's and women's open division champions taking home $130,000 each.
New in 2008, there will be three wave starts to alleviate congestion on the course and enhance the overall race experience for runners. The Professional Women's field will start at 9:10am while the Professional Men will head the Wave 1 start at 9:40am.
The ING NYC Marathon will be the last event in the World Marathon Majors Series which kicked off in April with the running of the Boston Marathon and also includes Flora London, real,- BERLIN and Bank of America Chicago. The series showcases the sport's top athletes and awards a prize purse of $1 million to be divided between the male and female point leaders at the end of the series (determined by finishing times at each of the five races).
The ING New York City Marathon will officially begin at 7:30am with the Early Start for Athletes with Disabilities, followed by the 8:35am start for the Wheelchair Division and the 8:55am start for the Handcycle Division.
Paralympic gold medalists and defending wheelchair champions Kurt Fearnley of Australia and Edith Hunkeler of Switzerland will return to headline a loaded Wheelchair Division that is expected to include all of the past ING New York City Marathon male and female winners since the first official race in 2000. The wheelchair division prize money purse totals $40,000 plus time bonuses, with the male and female winners taking home $7,500 apiece.
An estimated two million spectators will watch the event from the streets of New York City, while a worldwide audience of over 315 million is expected to watch the televised broadcast.
The first marathon was held in 1970 with only a few hundred runners participating in the 26.2-mile competition in Central Park. Slowly expanding in size and scope, the 1976 marathon saw 2,090 racers complete a race that encompassed all five boroughs. Runners now enjoy a scenic course that stretches across the Verrazano Bridge from Staten Island to Brooklyn, north through Queens and the Bronx, and concludes in Manhattan for a spectacular finish in Central Park.
To learn more about the New York City Marathon and view the winners from each year, please visit our Marathon History Page.
For detailed information on participating and
viewing the race, please visit the ING NYC Marathon Website.
Saturday, November 1, 2008
Thursday, October 30, 2008
Calories Do Count
By KIM SEVERSON
Published: October 28, 2008
The New York Times
This is a follow-up post to: "Read 'em Before you Eat 'em"
WHEN you’re young and tap dance for a living, you don’t have to think much about the caloric impact of your next meal. But when three performers who spent the day rehearsing for “Shrek the Musical” walked into a restaurant on 42nd Street recently, they saw on the menu that a Japanese-style beef bowl had 1,090 calories. They decided to head down the street for a salad.
"If Americans cut all processed food from their diet ... and focused on fresh, high-quality food in smaller portions, then that would be a real step in the right direction."
“Counting calories is so 1980s,” said Rachel Stern, one of the dancers. “But when it’s right there, it’s kind of hard to ignore.”
For the last few decades, the most popular diets were complex formulas that promised abundant eating with just the right combinations of fat, protein and carbohydrates. Now those regimens are starting to look like exotic mortgages and other risky financing instruments. And just like a reliable savings account, good old calorie counting is coming back into fashion.
“More and more, people are looking at calories in, and calories out,” said Dr. Terry Eagan, a Los Angeles psychiatrist, who for 16 years has helped people with eating disorders and other addictions. “I know some people want something that’s sexy and different and new, but there really isn’t anything new about weight loss.”
Evidence of the calorie’s resurgence is everywhere. The makers of Coca-Cola and M&Ms will soon print calories on the front of packages. Consumers, too, are paying more attention, like the diners who discovered that some meals at Applebee’s had more calories than advertised and filed a class-action suit this fall.
New Yorkers got a harsh dose of calorie reality this summer when restaurants with 15 or more outlets were forced to post the calorie content of food next to the price. The resulting sticker shock has brought parts of a great city to its knees, often to do push-ups.
The campaign has inspired lawmakers around the country to follow New York’s lead.
Restaurants and food companies are lightening recipes and portion sizes. Starbucks, for example, claims to have saved the nation 17 billion calories since last October by swapping 2 percent milk for whole. The 100-calorie snack is this decade’s answer to the fat-free SnackWell cookie, as more brands introduce tiny portions of things like Cool Ranch Doritos and Clif bars.
Dunkin’ Donuts recently added a low-calorie egg white breakfast sandwich, Così is using low-fat mayonnaise and McDonald’s large French fries have dropped to 500 calories this year from 570 last year. Quiznos is testing smaller sizes and less-caloric sandwich fillings in its New York stores. Cathy Nonas of the New York City health department said this is all a reaction to public-health pressure.
Restaurant corporations say consumer demand, not the threat of legislation, made them change. That’s why Yum Brands, which owns KFC, Taco Bell, Pizza Hut and other fast-food restaurants, will start voluntarily posting calorie counts for individual servings in its restaurants nationwide later this year, said Jonathan Blum, a company spokesman.
At Starbucks, a new set of “nutritional guardrails” were put in place over the last year not because of legal mandates but because customers wanted it, said Katie Thomson, the company’s nutritionist.
Products were reviewed for calorie and fat content. Bakers were encouraged to substitute healthier ingredients or, if that would compromise taste, to reduce portions, as the company did with its butter croissant. Starbucks also considered how much satiety items would provide, something increasingly important as people cut back on calories, she said.
For some establishments, having their menus exposed by the New York law forced some caloric housecleaning. At Le Pain Quotidien, which has 17 outlets in New York, several items were changed or taken off the menu, said Jack Moran, a vice president.
The popular quiche Lorraine was trimmed to 6 ounces from 11, with extra salad filling out the plate. Sweets like brownies may shrink, too.
But consumers who think smaller portions will mean smaller prices are likely out of luck. The prices on some of the chain’s newly slimmed down items haven’t dropped, but that doesn’t seem to be affecting sales.
“Everything we consider to have a good caloric rating is marching up the charts,” Mr. Moran said.
The Atlantic smoked salmon tartine, with 350 calories, was always a good middle-of-the-pack seller among the 15 open-face sandwiches that are a specialty at the chain. After the calorie counts were posted, it became a top seller, edging out the longstanding favorite, the grilled chicken and smoked mozzarella tartine, which has 690 calories and costs about $3 less.
Reducing calories is now a company-wide quest, and the chain is posting calorie counts in its restaurants in Washington and Los Angeles.
If reduced portion sizes remain popular with customers, it could help restaurant operators who have been bearing big jumps in food costs this year, Mr. Moran and other restaurateurs said.
Public health officials acknowledge that people rarely change their eating habits overnight, and that there is a lot more to good nutrition than simply counting calories. Still, they are trying to make sure consumers stay calorie conscious. Just to hammer the point home, the New York City health department earlier this month put signs inside subway cars pointing out that most people need only about 2,000 calories a day.
The number of calories in food shocked most New Yorkers, according to a September survey by the health department. A Starbucks blueberry scone delivers 480 calories. A Quiznos regular tuna melt is 1,270 calories. Wraps, the refuge for low-carb sandwich lovers, can top 800 calories. Bagels pack more calories than doughnuts. A large bucket of buttered movie popcorn has more than half the calories anyone should eat in a day.
Even people for whom nutrition is a way of life had no idea how many calories they were eating. Kate Adamick, a consultant who helps corporations and school districts improve their food, took a hard look at her Starbucks habit, which included bran muffins and chocolate cookies.
“Just because I work in the food world, I am not immune from this human tendency to self-delude,” she said. “I can look at a cookie that is the size of a man’s hand and think it’s only twice as big as a regular cookie, but it actually has the caloric content of four or five cookies.”
Posting calories on menus is a kind of Hail Mary pass for health officials trying to slow rates of diabetes and obesity. But it is catching on fast. California last month became the first state to require calorie counts, although that law is less restrictive than New York’s.
In all, nearly three dozen states, cities and counties have passed or introduced laws that would require calorie posting in some form. More are in the works, said Margo Wootan, director of nutrition policy for the Center for Science in the Public Interest, which frequently criticizes the food industry.
Two proposals moving through Congress would make calorie postings uniform nationwide. One, the Labeling Education and Nutrition Act, is backed by the restaurant industry and would give restaurants and grocery stores selling prepared foods a choice of labeling formats, including posters near the cash register or disclosures on the back of the menu. It would pre-empt tougher laws, like New York’s.
A second proposal, the Menu Education and Labeling Act, is supported by public health advocates and more closely mirrors New York’s law. It would not pre-empt more stringent local laws.
Of course, for the calorie’s comeback to be sustained, people who are not already focused on a healthy diet will have to begin paying attention.
At a Chipotle near Brooklyn Borough Hall, Daniela Castillo, 18, dishes up carnitas between classes at Brooklyn College. The customers talking calories, she said, are mostly women, and mostly slimmer older women. Men, especially the younger ones, just ask for everything, and often ask her to double the portions.
“I think it’s kind of a middle-age thing, counting calories,” she said.
People might be changing their eating habits, but some restaurant owners remain skeptical — especially those who have already offered lower calorie food only to see those items languish.
“We talk skinny and eat fat,” said Tim Ryan, president of the Culinary Institute of America.
And it has been that way for a century.
The first calorie-centric weight-loss guide, “Diet and Health, With a Key to the Calories” by Dr. Lulu Hunt Peters, was published in 1918 to great acclaim. Her weight-loss formula? Eat in 100-calorie portions, and no more than 1,200 a day.
Published: October 28, 2008
The New York Times
This is a follow-up post to: "Read 'em Before you Eat 'em"
WHEN you’re young and tap dance for a living, you don’t have to think much about the caloric impact of your next meal. But when three performers who spent the day rehearsing for “Shrek the Musical” walked into a restaurant on 42nd Street recently, they saw on the menu that a Japanese-style beef bowl had 1,090 calories. They decided to head down the street for a salad.
"If Americans cut all processed food from their diet ... and focused on fresh, high-quality food in smaller portions, then that would be a real step in the right direction."
“Counting calories is so 1980s,” said Rachel Stern, one of the dancers. “But when it’s right there, it’s kind of hard to ignore.”
For the last few decades, the most popular diets were complex formulas that promised abundant eating with just the right combinations of fat, protein and carbohydrates. Now those regimens are starting to look like exotic mortgages and other risky financing instruments. And just like a reliable savings account, good old calorie counting is coming back into fashion.
“More and more, people are looking at calories in, and calories out,” said Dr. Terry Eagan, a Los Angeles psychiatrist, who for 16 years has helped people with eating disorders and other addictions. “I know some people want something that’s sexy and different and new, but there really isn’t anything new about weight loss.”
Evidence of the calorie’s resurgence is everywhere. The makers of Coca-Cola and M&Ms will soon print calories on the front of packages. Consumers, too, are paying more attention, like the diners who discovered that some meals at Applebee’s had more calories than advertised and filed a class-action suit this fall.
New Yorkers got a harsh dose of calorie reality this summer when restaurants with 15 or more outlets were forced to post the calorie content of food next to the price. The resulting sticker shock has brought parts of a great city to its knees, often to do push-ups.
The campaign has inspired lawmakers around the country to follow New York’s lead.
Restaurants and food companies are lightening recipes and portion sizes. Starbucks, for example, claims to have saved the nation 17 billion calories since last October by swapping 2 percent milk for whole. The 100-calorie snack is this decade’s answer to the fat-free SnackWell cookie, as more brands introduce tiny portions of things like Cool Ranch Doritos and Clif bars.
Dunkin’ Donuts recently added a low-calorie egg white breakfast sandwich, Così is using low-fat mayonnaise and McDonald’s large French fries have dropped to 500 calories this year from 570 last year. Quiznos is testing smaller sizes and less-caloric sandwich fillings in its New York stores. Cathy Nonas of the New York City health department said this is all a reaction to public-health pressure.
Restaurant corporations say consumer demand, not the threat of legislation, made them change. That’s why Yum Brands, which owns KFC, Taco Bell, Pizza Hut and other fast-food restaurants, will start voluntarily posting calorie counts for individual servings in its restaurants nationwide later this year, said Jonathan Blum, a company spokesman.
At Starbucks, a new set of “nutritional guardrails” were put in place over the last year not because of legal mandates but because customers wanted it, said Katie Thomson, the company’s nutritionist.
Products were reviewed for calorie and fat content. Bakers were encouraged to substitute healthier ingredients or, if that would compromise taste, to reduce portions, as the company did with its butter croissant. Starbucks also considered how much satiety items would provide, something increasingly important as people cut back on calories, she said.
For some establishments, having their menus exposed by the New York law forced some caloric housecleaning. At Le Pain Quotidien, which has 17 outlets in New York, several items were changed or taken off the menu, said Jack Moran, a vice president.
The popular quiche Lorraine was trimmed to 6 ounces from 11, with extra salad filling out the plate. Sweets like brownies may shrink, too.
But consumers who think smaller portions will mean smaller prices are likely out of luck. The prices on some of the chain’s newly slimmed down items haven’t dropped, but that doesn’t seem to be affecting sales.
“Everything we consider to have a good caloric rating is marching up the charts,” Mr. Moran said.
The Atlantic smoked salmon tartine, with 350 calories, was always a good middle-of-the-pack seller among the 15 open-face sandwiches that are a specialty at the chain. After the calorie counts were posted, it became a top seller, edging out the longstanding favorite, the grilled chicken and smoked mozzarella tartine, which has 690 calories and costs about $3 less.
Reducing calories is now a company-wide quest, and the chain is posting calorie counts in its restaurants in Washington and Los Angeles.
If reduced portion sizes remain popular with customers, it could help restaurant operators who have been bearing big jumps in food costs this year, Mr. Moran and other restaurateurs said.
Public health officials acknowledge that people rarely change their eating habits overnight, and that there is a lot more to good nutrition than simply counting calories. Still, they are trying to make sure consumers stay calorie conscious. Just to hammer the point home, the New York City health department earlier this month put signs inside subway cars pointing out that most people need only about 2,000 calories a day.
The number of calories in food shocked most New Yorkers, according to a September survey by the health department. A Starbucks blueberry scone delivers 480 calories. A Quiznos regular tuna melt is 1,270 calories. Wraps, the refuge for low-carb sandwich lovers, can top 800 calories. Bagels pack more calories than doughnuts. A large bucket of buttered movie popcorn has more than half the calories anyone should eat in a day.
Even people for whom nutrition is a way of life had no idea how many calories they were eating. Kate Adamick, a consultant who helps corporations and school districts improve their food, took a hard look at her Starbucks habit, which included bran muffins and chocolate cookies.
“Just because I work in the food world, I am not immune from this human tendency to self-delude,” she said. “I can look at a cookie that is the size of a man’s hand and think it’s only twice as big as a regular cookie, but it actually has the caloric content of four or five cookies.”
Posting calories on menus is a kind of Hail Mary pass for health officials trying to slow rates of diabetes and obesity. But it is catching on fast. California last month became the first state to require calorie counts, although that law is less restrictive than New York’s.
In all, nearly three dozen states, cities and counties have passed or introduced laws that would require calorie posting in some form. More are in the works, said Margo Wootan, director of nutrition policy for the Center for Science in the Public Interest, which frequently criticizes the food industry.
Two proposals moving through Congress would make calorie postings uniform nationwide. One, the Labeling Education and Nutrition Act, is backed by the restaurant industry and would give restaurants and grocery stores selling prepared foods a choice of labeling formats, including posters near the cash register or disclosures on the back of the menu. It would pre-empt tougher laws, like New York’s.
A second proposal, the Menu Education and Labeling Act, is supported by public health advocates and more closely mirrors New York’s law. It would not pre-empt more stringent local laws.
Of course, for the calorie’s comeback to be sustained, people who are not already focused on a healthy diet will have to begin paying attention.
At a Chipotle near Brooklyn Borough Hall, Daniela Castillo, 18, dishes up carnitas between classes at Brooklyn College. The customers talking calories, she said, are mostly women, and mostly slimmer older women. Men, especially the younger ones, just ask for everything, and often ask her to double the portions.
“I think it’s kind of a middle-age thing, counting calories,” she said.
People might be changing their eating habits, but some restaurant owners remain skeptical — especially those who have already offered lower calorie food only to see those items languish.
“We talk skinny and eat fat,” said Tim Ryan, president of the Culinary Institute of America.
And it has been that way for a century.
The first calorie-centric weight-loss guide, “Diet and Health, With a Key to the Calories” by Dr. Lulu Hunt Peters, was published in 1918 to great acclaim. Her weight-loss formula? Eat in 100-calorie portions, and no more than 1,200 a day.
Monday, October 27, 2008
Friday, October 24, 2008
Monday, October 20, 2008
Thursday, October 16, 2008
Tuesday, October 14, 2008
Sunday, October 12, 2008
One Healthy Team
Husband and wife achieve weight-loss goals together
By Steve Palisin
Published: October 08, 2008
The Sun News - Myrtle Beach, Fl
Tonya and Newt Merrick of Longs tag team not only as teachers at North Myrtle Beach Elementary School: They've made getting into shape by their 50th birthdays next year their goal together this year.
After each day at work, where Tonya teaches second- and third-graders art and he teaches physical education, they hit the gym together to work out.
Sharing home-made pasta salad during a lunch break last week, the Merricks talked about their exercise routines. In a T-shirt and knit shorts, he already looked dressed for an after-school workout because of the gym classes he leads all day long.
Tonya Merrick likes to turn her workouts into combinations of activities. She uses free weights, elliptical machines and various classes, such as Pilates, her favorite.
Running is Newt Merrick's choice activity. It's how he got into regular exercise. He would run as far as he could, then walk, then run again, and so on. He said his latest run covered 4½ miles in 36 minutes.
Besides coaching boys' soccer at North Myrtle Beach High School, Newt Merrick plays soccer in an adult league he started, the Fat Man League.
"He used to be the 'fat man,' before he lost 60 pounds," Tonya Merrick said.
Her husband weighs himself daily, she weekly. He is down to 208 pounds and wants to get to 203.
The Merricks, married for 16 years, also play golf and tennis with their two children.
The couple find their energy level higher after a day in classes and the gym.
"It's a different lifestyle," Newt Merrick said. "You have to change everything."
Falling out of his running routine is out of the question, because weight gains would result.
"It's simple to put it on," he said. "It's almost impossible to take it off."
Tonya Merrick gets creative with exercise at school. She said because the students already might have spent time mostly sitting down in other classes or before recess, she gets them on their feet, using jumping jacks to spell out colors for instance.
"I talk about muscles, which are used for cutting and sketching," she said.
The children flex their limbs when looking for objects hidden around the room for a Picasso project, for example.
"I just try to intersperse movement in my lessons in some way," Tonya Merrick said.
The pair use their willpower with food; that's why they bring their own lunch.
"We still eat three meals a day," Tonya Merrick said, but in smaller portions. They try to avoid breads and sweets.
The cook between the two, Tonya Merrick grills and sautes a lot of vegetables, with only a little red meat and lots of salads.
Fruit serves as their snacks, and water their main beverage.
Even when they dine out, they usually share one entree.
"It's plenty," Newt Merrick said.
Sharing the lunch table with the Merricks, Megan Magnotta, the school's other physical education teacher, remarked on the couple's good influence for fitness and diet.
Magnotta munched on a salad and some warmed-up sliced potatoes brought from home.
She and the Merricks said in their efforts to be good role models for children and parents, they resist the temptation to overindulge in candy or other goodies.
"You just eat one of something instead of the whole bag," Magnotta said.
Friday, October 10, 2008
Protecting Your Most Valuable Asset
When you think about your "most valuable asset" what comes to mind?
Is it your Job?
Is it your house?
Is it your stock portfolio?
How about the people who love you?
All of those things are valuable (some, more than others - I hope!) but are they the most valuable?
Well, let me put it another way... if you ceased to exist, would any of these assets have any value to you at all?
Think about it - you, are your most valuable asset, because without you none of it matters.
So, how do you protect you, and prevent your most valuable asset from depreciating?
To read my previous post on dealing with stress -
Go To:motivatedandfit.blogspot.com/2008/03/as-fitness-professional-i-deal-with.html
To learn more about stress, visit: The National Institutes of Health, The Centers for Disease Control and Prevention and The American Institute of Stress
Related Articles:
How to Quell Financial Anxiety
By PHYLLIS KORKKI
Published: October 18, 2008
The New York Times
Q. Day after day of economic turmoil is making it hard for you to concentrate on your work. You can’t stop worrying about your job security, your retirement portfolio and your whole future. Is this normal?
A. It’s only natural to feel anxious during a financial crisis. But understand that anxiety can distort reality, disrupt thinking and erode performance — unless you take steps to manage it.
“Our minds are trying to protect us by bringing up things we should worry about,” said Margaret Wehrenberg, a clinical psychologist in Naperville, Ill., and co-author of “The Anxious Brain.” Too easily, though, these negative thoughts can crowd out all others as they replay in an endless loop inside the brain.
“Right now, the whole United States is a little uptight,” Dr. Wehrenberg said. But the feeling is worse for people “who tend to ruminate a lot anyway and have a hard time turning off those worried thoughts,” she said.
Psychologists distinguish between fear, which has a specific cause, and anxiety, which may not. “One of the things that makes anxiety so debilitating is that you can’t entirely put your finger on it,” said Sigal G. Barsade, associate management professor at the Wharton School of the University of Pennsylvania and an expert on group psychology.
Q. How can anxiety affect people’s work?
A. Anxiety creates cognitive distortion and can make it harder for people to concentrate and to process information, said Myra S. White, a clinical instructor at Harvard Medical School who focuses on workplace performance. Their decision-making is impaired, and they are more likely to make mistakes, she said. Because they can’t listen as well, they may need to have instructions repeated to them several times. They may also have shorter fuses and become more impatient.
“Anxiety is living in the past or the future; it’s not living in the moment,” Dr. Wehrenberg said, so the work in front of you is bound to suffer.
Q. Can your co-workers have an effect on your anxiety level?
A. It is very easy to “catch” anxiety through a process known as emotional contagion, Professor Barsade said. Densely populated workplaces, she said, are particularly vulnerable to this phenomenon.
So if one of your colleagues is moaning that her portfolio has fallen 40 percent and that she will never be able to retire, or another is ranting that your company is sure to go under, be aware that you could “catch” their emotions almost as if they were colds.
“Stay open to both positive and negative emotion,” Professor Barsade said. The key to absorbing negative emotions is “to take them in but not let them take over,” she said.
Professor Barsade said anxiety might be worsening the financial crisis. A kind of collective anxiety — in part emerging in the workplace — could cause people to take overly drastic actions with their money, which could hurt the economy, she said.
Managers need to be aware that their employees are feeling anxious now, Professor Barsade said. They should let employees express their anxiety — and should discuss and clarify the company’s situation honestly.
Q. Are there physical aspects to anxiety?
A. “Anxiety can wreak havoc on the body,” said Dr. White, who has a doctorate in psychology. Physical symptoms, she said, can include a pounding heart, sweaty hands, headaches and indigestion. Anxious people tend to hold their breath and take shallow breaths, she said, so work on taking deep breaths, especially when you exhale.
Yoga, meditation, exercising or simply taking a walk can help dispel symptoms, Dr. White said.
“Any time you’re really stuck in your mind, moving your body helps shift it,” Dr. Wehrenberg said.
Q. What else can you do to tame anxiety?
A. Ms. Wehrenberg recommends this strategy: worry once and do it well.
In other words, if you’re going to fret, be systematic about it and get it over with. If you’re concerned about your finances, for example, meet with a financial planner and decide what steps to take to protect assets as best you can. If you’re worried about losing a job, update your résumé and lay all the other initial groundwork for a job search. Then focus on the job you still have; that is something you can control, as opposed to some horrific future scenario that may never occur.
If you start to feel anxious about your job or your finances, remind yourself that you have a plan and that you have done everything you can do at this time, Dr. Wehrenberg said. Say to yourself, “Stop, I already worried,” then pull yourself back to your work, she said.
“Think about what you’ve got in the now. Today you’re O.K.,” she said. “Focus on what you have instead of what you don’t have.”
She says she has patients who feel that they aren’t allowed to enjoy themselves because of the economy. “It’s not going to ruin your portfolio if you play or go out with friends,” she said.
But if you feel overwhelmed by anxiety to the point that you can’t finish your tasks or are having destructive thoughts or abusing drugs or alcohol, you should seek professional help, she said.
Women's Heart Symptoms Often Blamed on Stress
By Tara Parker-Pope
Is it your Job?
Is it your house?
Is it your stock portfolio?
How about the people who love you?
All of those things are valuable (some, more than others - I hope!) but are they the most valuable?
Well, let me put it another way... if you ceased to exist, would any of these assets have any value to you at all?
Think about it - you, are your most valuable asset, because without you none of it matters.
So, how do you protect you, and prevent your most valuable asset from depreciating?
- Practice stress reduction techniques, and try to tame your anxiety and its effects on you and your body.
- Make sure you're getting enough rest, and that you're making time for leasure activities with family and friends.
- Exercise, Exercise, Exercise and make sure that you're feeding your metabolism delicious and nutritious meals full of macro and micro nutrients so that your energized all day long.
To read my previous post on dealing with stress -
Go To:motivatedandfit.blogspot.com/2008/03/as-fitness-professional-i-deal-with.html
To learn more about stress, visit: The National Institutes of Health, The Centers for Disease Control and Prevention and The American Institute of Stress
Related Articles:
How to Quell Financial Anxiety
By PHYLLIS KORKKI
Published: October 18, 2008
The New York Times
Q. Day after day of economic turmoil is making it hard for you to concentrate on your work. You can’t stop worrying about your job security, your retirement portfolio and your whole future. Is this normal?
A. It’s only natural to feel anxious during a financial crisis. But understand that anxiety can distort reality, disrupt thinking and erode performance — unless you take steps to manage it.
“Our minds are trying to protect us by bringing up things we should worry about,” said Margaret Wehrenberg, a clinical psychologist in Naperville, Ill., and co-author of “The Anxious Brain.” Too easily, though, these negative thoughts can crowd out all others as they replay in an endless loop inside the brain.
“Right now, the whole United States is a little uptight,” Dr. Wehrenberg said. But the feeling is worse for people “who tend to ruminate a lot anyway and have a hard time turning off those worried thoughts,” she said.
Psychologists distinguish between fear, which has a specific cause, and anxiety, which may not. “One of the things that makes anxiety so debilitating is that you can’t entirely put your finger on it,” said Sigal G. Barsade, associate management professor at the Wharton School of the University of Pennsylvania and an expert on group psychology.
Q. How can anxiety affect people’s work?
A. Anxiety creates cognitive distortion and can make it harder for people to concentrate and to process information, said Myra S. White, a clinical instructor at Harvard Medical School who focuses on workplace performance. Their decision-making is impaired, and they are more likely to make mistakes, she said. Because they can’t listen as well, they may need to have instructions repeated to them several times. They may also have shorter fuses and become more impatient.
“Anxiety is living in the past or the future; it’s not living in the moment,” Dr. Wehrenberg said, so the work in front of you is bound to suffer.
Q. Can your co-workers have an effect on your anxiety level?
A. It is very easy to “catch” anxiety through a process known as emotional contagion, Professor Barsade said. Densely populated workplaces, she said, are particularly vulnerable to this phenomenon.
So if one of your colleagues is moaning that her portfolio has fallen 40 percent and that she will never be able to retire, or another is ranting that your company is sure to go under, be aware that you could “catch” their emotions almost as if they were colds.
“Stay open to both positive and negative emotion,” Professor Barsade said. The key to absorbing negative emotions is “to take them in but not let them take over,” she said.
Professor Barsade said anxiety might be worsening the financial crisis. A kind of collective anxiety — in part emerging in the workplace — could cause people to take overly drastic actions with their money, which could hurt the economy, she said.
Managers need to be aware that their employees are feeling anxious now, Professor Barsade said. They should let employees express their anxiety — and should discuss and clarify the company’s situation honestly.
Q. Are there physical aspects to anxiety?
A. “Anxiety can wreak havoc on the body,” said Dr. White, who has a doctorate in psychology. Physical symptoms, she said, can include a pounding heart, sweaty hands, headaches and indigestion. Anxious people tend to hold their breath and take shallow breaths, she said, so work on taking deep breaths, especially when you exhale.
Yoga, meditation, exercising or simply taking a walk can help dispel symptoms, Dr. White said.
“Any time you’re really stuck in your mind, moving your body helps shift it,” Dr. Wehrenberg said.
Q. What else can you do to tame anxiety?
A. Ms. Wehrenberg recommends this strategy: worry once and do it well.
In other words, if you’re going to fret, be systematic about it and get it over with. If you’re concerned about your finances, for example, meet with a financial planner and decide what steps to take to protect assets as best you can. If you’re worried about losing a job, update your résumé and lay all the other initial groundwork for a job search. Then focus on the job you still have; that is something you can control, as opposed to some horrific future scenario that may never occur.
If you start to feel anxious about your job or your finances, remind yourself that you have a plan and that you have done everything you can do at this time, Dr. Wehrenberg said. Say to yourself, “Stop, I already worried,” then pull yourself back to your work, she said.
“Think about what you’ve got in the now. Today you’re O.K.,” she said. “Focus on what you have instead of what you don’t have.”
She says she has patients who feel that they aren’t allowed to enjoy themselves because of the economy. “It’s not going to ruin your portfolio if you play or go out with friends,” she said.
But if you feel overwhelmed by anxiety to the point that you can’t finish your tasks or are having destructive thoughts or abusing drugs or alcohol, you should seek professional help, she said.
Women's Heart Symptoms Often Blamed on Stress
By Tara Parker-Pope
Published: October 13, 2008
The New York Times
Signs of heart disease are more likely to be blamed on stress when the patient is a woman, new research shows.
In two studies, 230 family doctors and internists were shown sample cases of a 47-year-old man and a 56-year-old woman. The ages of the patients reflect an equal risk for heart disease. Half the vignettes included sentences indicating the patient had recently experienced a stressful life event or appeared anxious. The doctors read the case and offered a diagnosis and treatment recommendations.
When the case study involved standard heart symptoms like chest pain, shortness of breath and irregular heart beat, there was no difference in the doctor’s advice for the man or the woman. However, when stress was included as a symptom, gender differences emerged. The presence of stress changed the way doctors interpreted a woman’s symptoms, prompting them to suggest psychological factors rather than physical causes. But the presence of stress didn’t change the way men were assessed.
When stress was listed as a symptom, only 15 of the doctors diagnosed heart disease in women, compared to 56 percent for men. Only 30 percent of the doctors referred the women to a cardiologist, compared to 62 percent for men, and 13 percent suggested medication for women, compared to 47 percent for men.
The findings, presented at the Transcatheter Cardiovascular Therapeutics scientific symposium, could help explain why there is often a delay in the assessment of women with heart disease, said Dr. Alexandra J. Lansky, a cardiologist at NewYork-Presbyterian Hospital/Columbia University Medical Center.
Upgrading the Stress Levels
By PAUL BURNHAM FINNEY
Published: October 13, 2008
The New York Times
As if the shoes-off routine, charges for checked bags and missed flight connections were not enough, business travelers now have to cope with a global financial crisis that is diverting their attention as well as rattling their contacts here and abroad.
It all adds up to a spike in the unusual stresses that plague business travel, from unfamiliar hotels to sudden switches in travel plans. Experts at the Mayo Clinic and Harvard Medical School along with independent psychologists agree that road life now is more stressful than in the past.
“Back in the 1980s, you could drive to the airport and walk to the gate without thinking of terrorist threats or banks collapsing,” said Rex P. Gatto, a business psychologist based in Pittsburgh. “Now there’s only anxiety.”
In its latest annual “Stress in America” survey, based on 2,507 online interviews in September, the American Psychological Association found that the crisis on Wall Street was the No. 1 cause of anxiety. And participants in the survey said the places where they felt most vulnerable to stress were in the office and on a business trip.
Researchers have uncovered links between the stress experienced by frequent business travelers and dozens of physical ailments, including some cancers and heart disease. A landmark study of some 10,800 employees at the World Bank in 1997 found that those who traveled accounted for 80 percent more medical claims than nontravelers.
In the current economic turmoil, Nancy Molitor, a psychologist in Wilmette, Ill., an affluent Chicago suburb, said that many more of her clients had problems related to stress. “In my 20 years of practice I’ve never seen such anxiety among my banking and business patients,” she said.
The globalization of business had already added to the stresses of business travel.
“When you travel in another country with another culture and try to get multitask projects done to meet deadlines, you can feel overwhelmed,” said Dr. Abinash Virk, director of the Mayo Clinic’s travel program.
Several of the experts said technological advances might be adding to the troubles. “Technology is not the best friend of business travelers,” Mr. Gatto said. “Getting e-mails all day. Doing a deal on your cellphone while trying to beat the long lines at an airport. Frequent fliers just take on too much.”
Dr. Mary FitzPatrick, associate professor at Weill Cornell Medical College in New York, said she believed “the Internet keeps people in touch more than they should,” adding: “And there’s the CNN phenomenon — a constant, 24-hour barrage of disturbing news.”
Of course, stress is not all bad. It can make workers more productive and resourceful. The physiologist Hans Selye, called the father of stress research, identified “good” stress — the adrenaline rush that helps people overcome obstacles — and “chronic” stress, which may easily turn into distress.
Some travelers are better able to deal with the travails of business trips than others. Take a flight delay of several hours, for example.
“When the word comes over the loudspeaker, some passengers take it in stride — watching TV, browsing the shops — while others can’t stop running up to the counter for the latest update,” said Howard Glazer, associate attending psychologist at New York Presbyterian Hospital. “There you have it — two personality types dealing with the same event. One takes it as a small bump in the road while the other considers it exasperating.”
Stress, he added, “clearly is in the eye of the beholder.”
Backstopped by many medical studies, cognitive behavior therapists are generally confident that there are effective ways for business travelers to handle stress.
One of the most popular treatments is the stress management system developed in the 1970s by Dr. Herbert Benson, director emeritus of the Benson-Henry Institute for Mind Body Medicine in Boston. His techniques for easing stress range from “meditation on the go” to deep breathing and massages, all described in the book “The Relaxation Response.”
Dr. Virk, of the Mayo Clinic, said she favored taking time out each day to relax. “Go for a walk,” she said. “Think about something unrelated to what you’re doing on your business trip. Wherever you are — here or in Cambodia — exercise.”
“There are executives who travel a lot and can sleep four hours and still be calm,” she said. “Discipline is the key to coping with stress. Veteran travelers know how to break the daily mental process and look at things with a different perspective.”
Are some business travelers getting better at handling stress?
“You have to be,” Dr. Virk replied. “The world now is not how it was. Everything happens at a faster pace.”
Uncle Sam's Fitness Recommendations for all Americans
The Federal Government, for the first time, has issued Physical Activity Guidelines for all Americans.
No "News" Here: Exercise, Exercise More, Exercise Forever...
I highly recommend these Guidelines because they're full of useful information and practical tips that anyone and everyone can use, and can implement into their daily lives to improve their overall health, and well-being.
So, Download Them Now!
To download your Free copy of the Physical Activity Guidelines for Americans, go to: www.health.gov/paguidelines
Tuesday, October 7, 2008
"Read 'em Before you Eat 'em"
NYC Health Department Launches Calorie Education Campaign
October 6, 2008 – “Read ’em before you eat ’em,” the Health Department advises in a new campaign launched today to help New Yorkers make the most of the city’s calorie-posting rules. Under the New York City Health Code, chain restaurants are now required to post calorie counts for food items on menus and menu boards. The rule took effect this summer, after a federal court upheld it and an appellate court refused to delay enforcement while the industry tries again to overturn it. The new campaign – five ads appearing in 1,000 New York City Subway cars for the next three months – is designed to help New Yorkers see how quickly fast-food calories add up. Many are unaware that a typical adult needs only 2,000 calories a day to maintain a steady weight. Even fewer know how easy it is to overshoot that goal while eating on the go.
The campaign shows how deceptive appearances can be. One poster shows an apple raisin muffin that looks harmless but carries a stout 470 calories – nearly a quarter of an adult’s daily allowance. “If you’re eating it as a snack,” said Cathy Nonas, director of the Health Department’s Physical Activity and Nutrition program, “you may want to split it with a friend.” Nonas, a registered dietician, will host a blog on calorie counting later this week at nyc.gov/health.
“Many people end up overweight just by going with the flow,” said Nonas. “Now that this information is available in chain restaurants, it’s easy to make healthier choices. Once you set a daily calorie budget, there are lots of ways to live within it.”
As the new ads make clear, you don’t have to give up all indulgences to eat fewer calories. By ordering a diet soda and a small order of fries with your cheeseburger, for example, you can cut the caloric impact by half – from 1,250 to 670.
The Health Impact of Calorie Listing in Chain Restaurants
Obesity is a leading cause of preventable death in NYC. Eating too many calories causes weight gain – which can lead to diabetes, heart disease, and other serious health problems.
New Yorkers eat more than a third of their calories away from home. To help them make healthier choices in restaurants, the New York City Board of Health passed a regulation requiring chains to post calorie information on their menus and menu boards.
When people have access to calorie information, they use it. Health Department surveys have shown that when restaurant patrons use calorie information in deciding what to order, they average nearly 100 fewer calories in each meal purchased. The Health Department estimates that posting calories on menu boards and menus will reduce the number of people who suffer from obesity by 150,000 over the next five years, preventing more than 30,000 cases of diabetes.
nyc.gov/health
Sunday, October 5, 2008
Reading and Weight loss
Researchers at Duke University, working with preteen overweight girls who were enrolled in the Healthy Lifestyles Program at Duke's Children's Hospital, have just completed a study that shows that reading books with likable characters that preteen overweight girls can relate to, and can emulate, may help them lose weight.
The evidence is clear, that young girls who have self-esteem and body image issues, are more vulnerable, and may engage in unhealthy and addictive behavior as adults.
To read the article go to: www.time.com/time/health/article/0,8599,1847340,00.html
To read a more comprehensive piece about this study, go to: www.nytimes.com/2008/10/14/health/14well.html
Related Articles:
Girls' Self-Image May Affect Future Weight
(AP) - Where a teenage girl sees herself on her school's social ladder may sway her future weight, a study of more than 4,000 girls finds.
Those who believed they were unpopular gained more weight over a two-year period than girls who viewed themselves as more popular. Researchers said the study showed how a girl's view of her social status has broader health consequences.
The girls in the study were still growing -- their average age was 15 -- and all of them gained some weight. However, those who rated themselves low in popularity were 69 percent more likely than other girls to increase their body mass index by two units, the equivalent of gaining about 11 excess pounds. (The body mass index, or BMI, is a calculation based on height and weight.)
Girls who put themselves on the higher rungs of popularity also gained some excess weight, but less -- about 6 pounds.
Both groups, on average, fell within ranges considered normal. But a gain of two BMI units over two years is more than the typical weight gain for adolescent girls, the researchers said.
"How girls feel about themselves should be part of all obesity-prevention strategies," said the study's lead author, Adina Lemeshow, who began the study as a Harvard School of Public Health graduate student. She now works at the New York City Department of Health and Mental Hygiene.
The research, appearing in January's Archives of Pediatrics & Adolescent Medicine, used data from an ongoing study used frequently by scientists studying childhood obesity.
Weight and height data were reported by the girls themselves rather than getting weighed and measured by doctors; that's a weakness in the study that the researchers acknowledged.
The researchers took into account the girls' weight and BMI at the start of the study, along with their diet, household income, race/ethnicity and whether they'd reached puberty -- and still found the link.
In the study, perceived popularity was measured in 1999 by how the girls reacted to a question next to a picture of a 10-rung ladder: "At the top of the ladder are the people in your school with the most respect and the highest standing. At the bottom are the people who no one respects and no one wants to hang around with. Where would you place yourself on the ladder?"
The researchers put the girls into two groups: the 4,264 who said they were on rung 5 or above, and the 182 who said they were on rung 4 or below. The weight gain link was based on those two groups.
Clea McNeely of Johns Hopkins Bloomberg School of Public Health called the study strong. She said she wanted to know more about the 4 percent of girls who rated themselves below average in popularity, particularly whether they already were gaining weight faster before they rated themselves as unpopular.
"The reason this paper is so important is it has broader implications beyond weight gain," said McNeely, who was not involved in the research but wrote an accompanying editorial. "Subjective social status is not just an uncomfortable experience you grow out of, but can have important health consequences."
Experts know little about how to intervene in teenagers' peer groups to improve health, McNeely said, but when adults set standards in schools, students treat one another with more respect.
Teenagers may give grown-ups "bored looks," she said, but "adults are still the most important influential figures in their lives."
The study was supported by a grant from the National Institutes of Health.
Starving Themselves, Cocktail in Hand
By SARAH KERSHAW
Published: March 2, 2008
The New York Times
Manorexia, Orthorexia, Diabulimia, Binge Eating Disorder.
All are dangerous variations on the eating disorders anorexia and bulimia, and have become buzzwords that are popping up on Web sites and blogs, on television and in newspaper articles. As celebrity magazines chronicle the glamorous and the suffering, therapists and a growing number of researchers are trying to treat and understand the conditions.
The latest entry in the lexicon of food-related ills is drunkorexia, shorthand for a disturbing blend of behaviors: self-imposed starvation or bingeing and purging, combined with alcohol abuse.
Drunkorexia is not an official medical term. But it hints at a troubling phenomenon in addiction and eating disorders. Among those who are described as drunkorexics are college-age binge drinkers, typically women, who starve all day to offset the calories in the alcohol they consume. The term is also associated with serious eating disorders, particularly bulimia, which often involve behavior like bingeing on food — and alcohol — and then purging.
Anorexics, because they severely restrict their calorie intake, tend to avoid alcohol. But some drink to calm down before eating or to ease the anxiety of having indulged in a meal. Others consume alcohol as their only sustenance. Still others use drugs like cocaine and methamphetamine to suppress their appetites.
“There are women who are afraid to put a grape in their mouth but have no problem drinking a beer,” said Douglas Bunnell, the director of outpatient clinical services for the Renfrew Center, based in Philadelphia.
The center, like a small but growing number of eating-disorder and addiction-treatment facilities, most on the West Coast, offers a dual focus on substance abuse and eating disorders.
Dr. Bunnell, the past president of the National Eating Disorders Association, said the obsession with being skinny and the social acceptance of drinking and using drugs — along with the sense, lately, that among celebrities, checking into rehab is almost a given, if not downright chic — are partly to blame.
“Both disorders are behaviors that are glorified and reinforced,” Dr. Bunnell said. “Binge drinking is almost cool and hip, and losing weight and being thin is a cultural imperative for young women in America. Mixing both is not surprising, and it has reached a tipping point in terms of public awareness.”
Psychologists say that eating disorders, like other addictions, are often rooted in the need to numb emotional pain with substances or the rush provided by bingeing and purging. The disorders are often driven by childhood trauma like sexual abuse, neglect and other sources of mental anguish.
Manorexia is the male version of anorexia. Orthorexia is an obsession with what is perceived as healthy food — eliminating fats and preservatives, for example. But people with this condition can dangerously deprive themselves of needed nutrients.
Diabulimia refers to diabetics who avoid taking insulin, which can cause weight gain, in order to control their weight. Despite the name, the disorder does not typically involve purging.
Binge Eating Disorder refers to obsessive overeating, especially of foods high in salt and sugar, that does not involve excessive exercise or purging to compensate for the high caloric intake.
Judy Van De Veen, 36, who lives in Gillette, N.J., became anorexic at 24. She said she starved herself, meting out small bites of low-calorie food for two months. Then she began bingeing and purging, throwing up entire boxes of cereal, whole pizzas and fast food from drive-throughs that sometimes cost her $80 a day.
She went into treatment, both inpatient and outpatient, for her eating disorder for several years in the late 1990s, with mixed results. In 2001, still struggling with bulimia, she took up drinking. If she ate while drinking, she said, she would purge, but then consume more alcohol to make up for the loss, because she wanted to remain drunk.
Many bulimics who drink use alcohol to vomit, experts on eating disorders say, because liquid is easier to purge. They also tend to vomit because they often drink on empty stomachs.
“In the beginning of my eating disorder I wouldn’t touch alcohol because it is so high in calories,” said Ms. Van De Veen, who later found herself regularly hospitalized for dehydration. “But I have the disease of more: I just want more no matter what it is.”
Two years into her drinking problem, she joined a 12-step program. She spent the next two years in and out of six residential rehab programs, spending about $25,000 of her own money because she didn’t have health insurance. But none of the programs were equipped to address eating disorders, so she binged and purged and her eating disorder raged.
Ms. Van De Veen said she has been sober for three years, but is still struggling with bulimia. She now has a 14-month-old daughter, Cheyenne, and she said that her pregnancy and support groups had helped her make progress on her eating disorder.
“I had an excuse to eat,” she said of being pregnant. “I didn’t care and I loved it.”
But she said the temptation to binge and purge is haunting her again.
Trish, 27, who has had an eating disorder for the last 10 years, recently checked into Renfrew, her fifth stint in a treatment center or hospital.
Like Ms. Van De Veen, Trish, who agreed to be interviewed on the condition that only her first name be used to protect her privacy, struggled with anorexia first and then found alcohol. Before she was admitted to Renfrew, she said she was blacking out from lack of food and suffering from excruciating stomach pain.
Trish, a nurse who lives in Ohio and works with cardiac patients, said she would starve herself through her 8- or 12-hour shifts, staring at the clock and fixating on when she could have her first drink. Drinking, she said, relaxed her when she had to eat in front of other people, a huge source of stress.
“Drinking helped me be less anxious,” she said. “It helped me be more of Trish. The two go together: If I drink more, I’m more into my eating disorder and vice versa.”
Studies show that binge drinking and alcohol abuse are on the rise among women, who are also more prone than men to eating disorders.
About 25 to 33 percent of bulimics also struggle with alcohol or drugs, according to a study published last year in the journal Biological Psychiatry. Between 20 and 25 percent of anorexics have substance abuse problems, the study found.
A growing number of researchers are examining the psychological and neurological links between eating disorders and substance abuse: Does eating a chocolate bar, or bingeing and purging, stimulate the same pleasure centers in the brain as drugs or alcohol?
Suzette M. Evans, a professor of clinical neuroscience at Columbia, recently began a study of the connection between bulimia and substance abuse, a field she said has been neglected.
“People are finally beginning to realize that food can function in the same way as drugs and alcohol,” Dr. Evans said.
As more patients seek treatment for both eating disorders and substance abuse, a complicated set of mixed messages can arise. The response to addiction is abstinence; but quitting food is not an option.
“We’re trying to get our patients to find effective behaviors and life skills,” said Dr. Kevin Wandler, the vice president for medical services at Remuda Ranch, which addresses both eating disorders and addiction at its facilities in Arizona and Virginia.
"Eating normally would be an effective behavior, but it’s easier to give up alcohol and drugs because you never need it again,” Dr. Wandler said. “If your drug is food, that’s a challenge.”
Trish left Renfrew on Feb. 22, after her second time in treatment there. She was determined, she said, to break her obsessions with weight, food and alcohol. Before she checked in, “I didn’t even have the energy to laugh,” she said. But as she prepared to go home, she had more hope than she has had in years.
“I will not live my life like this,” she said. “I’ve learned this time not to be ashamed. I want to love myself and I want to forgive myself.”
www.nationaleatingdisorders.org
And their faces
The evidence is clear, that young girls who have self-esteem and body image issues, are more vulnerable, and may engage in unhealthy and addictive behavior as adults.
To read the article go to: www.time.com/time/health/article/0,8599,1847340,00.html
To read a more comprehensive piece about this study, go to: www.nytimes.com/2008/10/14/health/14well.html
Related Articles:
Girls' Self-Image May Affect Future Weight
(AP) - Where a teenage girl sees herself on her school's social ladder may sway her future weight, a study of more than 4,000 girls finds.
Those who believed they were unpopular gained more weight over a two-year period than girls who viewed themselves as more popular. Researchers said the study showed how a girl's view of her social status has broader health consequences.
The girls in the study were still growing -- their average age was 15 -- and all of them gained some weight. However, those who rated themselves low in popularity were 69 percent more likely than other girls to increase their body mass index by two units, the equivalent of gaining about 11 excess pounds. (The body mass index, or BMI, is a calculation based on height and weight.)
Girls who put themselves on the higher rungs of popularity also gained some excess weight, but less -- about 6 pounds.
Both groups, on average, fell within ranges considered normal. But a gain of two BMI units over two years is more than the typical weight gain for adolescent girls, the researchers said.
"How girls feel about themselves should be part of all obesity-prevention strategies," said the study's lead author, Adina Lemeshow, who began the study as a Harvard School of Public Health graduate student. She now works at the New York City Department of Health and Mental Hygiene.
The research, appearing in January's Archives of Pediatrics & Adolescent Medicine, used data from an ongoing study used frequently by scientists studying childhood obesity.
Weight and height data were reported by the girls themselves rather than getting weighed and measured by doctors; that's a weakness in the study that the researchers acknowledged.
The researchers took into account the girls' weight and BMI at the start of the study, along with their diet, household income, race/ethnicity and whether they'd reached puberty -- and still found the link.
In the study, perceived popularity was measured in 1999 by how the girls reacted to a question next to a picture of a 10-rung ladder: "At the top of the ladder are the people in your school with the most respect and the highest standing. At the bottom are the people who no one respects and no one wants to hang around with. Where would you place yourself on the ladder?"
The researchers put the girls into two groups: the 4,264 who said they were on rung 5 or above, and the 182 who said they were on rung 4 or below. The weight gain link was based on those two groups.
Clea McNeely of Johns Hopkins Bloomberg School of Public Health called the study strong. She said she wanted to know more about the 4 percent of girls who rated themselves below average in popularity, particularly whether they already were gaining weight faster before they rated themselves as unpopular.
"The reason this paper is so important is it has broader implications beyond weight gain," said McNeely, who was not involved in the research but wrote an accompanying editorial. "Subjective social status is not just an uncomfortable experience you grow out of, but can have important health consequences."
Experts know little about how to intervene in teenagers' peer groups to improve health, McNeely said, but when adults set standards in schools, students treat one another with more respect.
Teenagers may give grown-ups "bored looks," she said, but "adults are still the most important influential figures in their lives."
The study was supported by a grant from the National Institutes of Health.
Starving Themselves, Cocktail in Hand
By SARAH KERSHAW
Published: March 2, 2008
The New York Times
Manorexia, Orthorexia, Diabulimia, Binge Eating Disorder.
All are dangerous variations on the eating disorders anorexia and bulimia, and have become buzzwords that are popping up on Web sites and blogs, on television and in newspaper articles. As celebrity magazines chronicle the glamorous and the suffering, therapists and a growing number of researchers are trying to treat and understand the conditions.
The latest entry in the lexicon of food-related ills is drunkorexia, shorthand for a disturbing blend of behaviors: self-imposed starvation or bingeing and purging, combined with alcohol abuse.
Drunkorexia is not an official medical term. But it hints at a troubling phenomenon in addiction and eating disorders. Among those who are described as drunkorexics are college-age binge drinkers, typically women, who starve all day to offset the calories in the alcohol they consume. The term is also associated with serious eating disorders, particularly bulimia, which often involve behavior like bingeing on food — and alcohol — and then purging.
Anorexics, because they severely restrict their calorie intake, tend to avoid alcohol. But some drink to calm down before eating or to ease the anxiety of having indulged in a meal. Others consume alcohol as their only sustenance. Still others use drugs like cocaine and methamphetamine to suppress their appetites.
“There are women who are afraid to put a grape in their mouth but have no problem drinking a beer,” said Douglas Bunnell, the director of outpatient clinical services for the Renfrew Center, based in Philadelphia.
The center, like a small but growing number of eating-disorder and addiction-treatment facilities, most on the West Coast, offers a dual focus on substance abuse and eating disorders.
Dr. Bunnell, the past president of the National Eating Disorders Association, said the obsession with being skinny and the social acceptance of drinking and using drugs — along with the sense, lately, that among celebrities, checking into rehab is almost a given, if not downright chic — are partly to blame.
“Both disorders are behaviors that are glorified and reinforced,” Dr. Bunnell said. “Binge drinking is almost cool and hip, and losing weight and being thin is a cultural imperative for young women in America. Mixing both is not surprising, and it has reached a tipping point in terms of public awareness.”
Psychologists say that eating disorders, like other addictions, are often rooted in the need to numb emotional pain with substances or the rush provided by bingeing and purging. The disorders are often driven by childhood trauma like sexual abuse, neglect and other sources of mental anguish.
Manorexia is the male version of anorexia. Orthorexia is an obsession with what is perceived as healthy food — eliminating fats and preservatives, for example. But people with this condition can dangerously deprive themselves of needed nutrients.
Diabulimia refers to diabetics who avoid taking insulin, which can cause weight gain, in order to control their weight. Despite the name, the disorder does not typically involve purging.
Binge Eating Disorder refers to obsessive overeating, especially of foods high in salt and sugar, that does not involve excessive exercise or purging to compensate for the high caloric intake.
Judy Van De Veen, 36, who lives in Gillette, N.J., became anorexic at 24. She said she starved herself, meting out small bites of low-calorie food for two months. Then she began bingeing and purging, throwing up entire boxes of cereal, whole pizzas and fast food from drive-throughs that sometimes cost her $80 a day.
She went into treatment, both inpatient and outpatient, for her eating disorder for several years in the late 1990s, with mixed results. In 2001, still struggling with bulimia, she took up drinking. If she ate while drinking, she said, she would purge, but then consume more alcohol to make up for the loss, because she wanted to remain drunk.
Many bulimics who drink use alcohol to vomit, experts on eating disorders say, because liquid is easier to purge. They also tend to vomit because they often drink on empty stomachs.
“In the beginning of my eating disorder I wouldn’t touch alcohol because it is so high in calories,” said Ms. Van De Veen, who later found herself regularly hospitalized for dehydration. “But I have the disease of more: I just want more no matter what it is.”
Two years into her drinking problem, she joined a 12-step program. She spent the next two years in and out of six residential rehab programs, spending about $25,000 of her own money because she didn’t have health insurance. But none of the programs were equipped to address eating disorders, so she binged and purged and her eating disorder raged.
Ms. Van De Veen said she has been sober for three years, but is still struggling with bulimia. She now has a 14-month-old daughter, Cheyenne, and she said that her pregnancy and support groups had helped her make progress on her eating disorder.
“I had an excuse to eat,” she said of being pregnant. “I didn’t care and I loved it.”
But she said the temptation to binge and purge is haunting her again.
Trish, 27, who has had an eating disorder for the last 10 years, recently checked into Renfrew, her fifth stint in a treatment center or hospital.
Like Ms. Van De Veen, Trish, who agreed to be interviewed on the condition that only her first name be used to protect her privacy, struggled with anorexia first and then found alcohol. Before she was admitted to Renfrew, she said she was blacking out from lack of food and suffering from excruciating stomach pain.
Trish, a nurse who lives in Ohio and works with cardiac patients, said she would starve herself through her 8- or 12-hour shifts, staring at the clock and fixating on when she could have her first drink. Drinking, she said, relaxed her when she had to eat in front of other people, a huge source of stress.
“Drinking helped me be less anxious,” she said. “It helped me be more of Trish. The two go together: If I drink more, I’m more into my eating disorder and vice versa.”
Studies show that binge drinking and alcohol abuse are on the rise among women, who are also more prone than men to eating disorders.
About 25 to 33 percent of bulimics also struggle with alcohol or drugs, according to a study published last year in the journal Biological Psychiatry. Between 20 and 25 percent of anorexics have substance abuse problems, the study found.
A growing number of researchers are examining the psychological and neurological links between eating disorders and substance abuse: Does eating a chocolate bar, or bingeing and purging, stimulate the same pleasure centers in the brain as drugs or alcohol?
Suzette M. Evans, a professor of clinical neuroscience at Columbia, recently began a study of the connection between bulimia and substance abuse, a field she said has been neglected.
“People are finally beginning to realize that food can function in the same way as drugs and alcohol,” Dr. Evans said.
As more patients seek treatment for both eating disorders and substance abuse, a complicated set of mixed messages can arise. The response to addiction is abstinence; but quitting food is not an option.
“We’re trying to get our patients to find effective behaviors and life skills,” said Dr. Kevin Wandler, the vice president for medical services at Remuda Ranch, which addresses both eating disorders and addiction at its facilities in Arizona and Virginia.
"Eating normally would be an effective behavior, but it’s easier to give up alcohol and drugs because you never need it again,” Dr. Wandler said. “If your drug is food, that’s a challenge.”
Trish left Renfrew on Feb. 22, after her second time in treatment there. She was determined, she said, to break her obsessions with weight, food and alcohol. Before she checked in, “I didn’t even have the energy to laugh,” she said. But as she prepared to go home, she had more hope than she has had in years.
“I will not live my life like this,” she said. “I’ve learned this time not to be ashamed. I want to love myself and I want to forgive myself.”
www.nationaleatingdisorders.org
The Voices of Eating Disorders
By Tara Parker-PopeAnd their faces
In a country where many people struggle with eating too much, it can be hard to understand a disorder in which people basically starve themselves. In the latest Patient Voices, my colleague Karen Barrow explores the daily challenges of men and women battling anorexia, bulimia and other eating disorders.
You’ll meet Gillian Craig, a 17-year-old from Shaker Heights, Ohio, who still struggles with anorexia.
“People so don’t understand this disease,” she said. “As much as it seems like a choice, it’s not conscious. This is not something I’ve chosen. This is something I’ve been dealt.”
Her mother, Lauren Craig, also talks about the challenges of mothering an anorexic.
“It has been totally devastating,” she said. “It’s all consuming. Even when things are going well, you’re really concerned. When things are bad, everything revolves around it.’
Click here to listen to the voices of eight men and women struggling with eating disorders, including Kirsten Haglund, 19, who was named Miss America for 2008 and hopes to use her position to raise awareness of the problem.
Pictures by: Barney Taxel for The New York Times, Darren Hauck/New York Times, Jeremy M. Lange for The New York Times, Ruth Fremson/The New York Times, Stuart Isett for The New York Times, Brendan Smialowski for The New York TimesWednesday, October 1, 2008
If I Can Do It...
Local Woman Loses Half of Her Body Weight Without Surgery
By Kay Quinn
Weight loss may sometimes seem like an unattainable goal. But a local woman has lost half her body weight!
Here's how she shed the pounds...
When Karen Ebbesmeyer turned 40, she decided to get a check-up that she'd been putting off for years. During that physical, Karen's doctor told her if she didn't lose weight, she wouldn't live to see her youngest daughter graduate from high school.
"The doctor told me that I was basically a walking time bomb," says Ebbesmeyer. "I just went home and cried and cried because I had been on diets, I tried many diets."
She'd tried low-carb and diet meals. Two years ago, Karen weighed 275 pounds. "I've even tried diet pills and knowing the affect that they could have to your heart and nothing worked."
Then, this working mother of four started walking on a treadmill, she immediately felt better and now walks at least three miles a day. She also realized that if she was going to be successful her next step was to start eating healthier.
Her biggest challenge? Giving up soda.
"Yes, it was diet, but I was drinking two to three two liters a day by myself trying to compensate for not eating," says Ebbesmeyer.
Now she drinks only water and eats a lot more vegetables.
"If we opened one can of vegetables a week we were doing good."
In February, she reached her goal weight of 148 pounds. Karen went from a size 24 to a size 6.
"I look at my old clothing, and at old pictures of myself and I think oh my goodness, how did I let myself get to that point. But, it happens it happens to a lot of people."
She also never wants to go back...
But she believes with portion control, losing half your body weight is not an impossible dream. And, she hasn't given up all of her favorite foods. Ebbesmeyer still enjoys pizza and Mexican food. And she still cheats from time to time.
"Nobody's perfect!" says Ebbesmeyer. "We're all going to cheat."
But she sticks to the plan, and to her portion control.
"Now I don't even want to call it a diet," says Ebbesmeyer. "It's just a new lifestyle."
And she hopes to inspire others.
"If I can do it anybody can do it!"
ksdk.com
Sunday, September 28, 2008
Thursday, September 25, 2008
In the new Cohen Brothers movie, Burn After Reading, Brad Pitt plays a personal trainer (not a very good one I might add...) who gets himself into a little trouble.
I found it to be a cynical, but very funny comedy which I thoroughly enjoyed. Two Thumbs UP!
The rest of the cast includes Francis McDormand, George Clooney, Tilda Swinton & John Malcovich.
Go see it and let me know what you thought about the movie and the personal trainers...
And then ask yourself this question: If Brad Pitt were your personal trainer, would that in and of itself be enough to motivate you?
Go to: http://www.burnafterreading.com--live.com
Saturday, September 20, 2008
Exercise vs. Diet
Study Shows Older Exercisers Burn More Fat Than Those Who Only Diet
By Caroline Wilbert
WebMD Health News
Reviewed by Louise Chang, MD
Sept. 19, 2008 -- There's even more evidence that it is never too late to start exercising.
When overweight older people start walking or riding a stationary bike, they are able to improve their exercise efficiency, according to a new study. Exercise efficiency refers to using fewer calories to perform a physical activity.
"The take-home message is that, even among older people and during a fairly short period of time, exercise produces metabolic changes that require the expenditure of fewer calories during physical activity. Exercise also allowed older people to more preferentially burn fat, which may be healthier metabolically," says researcher Bret Goodpaster, PhD, of the University of Pittsburgh, in a news release.
The study is published in the Journal of Applied Physiology. University of Pittsburgh researchers divided 64 sedentary participants, all between the ages of 60 and 75 and all either overweight or obese, into three groups. There were the dieters, the exercisers, and a group that both dieted and exercised for four months.
Dieters reduced their caloric intake enough to achieve a 10% weight loss by the end of the four-month study period. Exercisers could either walk, bike, or row three to five times a week for four months. Most of the exercisers chose to walk.
The exercise-only group increased efficiency compared to the diet-only group. The diet-and-exercise group also increased efficiency compared to the diet-only group.
As for burning fat, the exercisers again came out ahead. All three groups lost weight; the diet-only and diet-and-exercise groups lost more weight than the exercise-only group. The diet-only group lost more lean muscle and fat. The exercise-only and diet-and-exercise groups drew more on fat stores as an energy source.
By Caroline Wilbert
WebMD Health News
Reviewed by Louise Chang, MD
Sept. 19, 2008 -- There's even more evidence that it is never too late to start exercising.
When overweight older people start walking or riding a stationary bike, they are able to improve their exercise efficiency, according to a new study. Exercise efficiency refers to using fewer calories to perform a physical activity.
"The take-home message is that, even among older people and during a fairly short period of time, exercise produces metabolic changes that require the expenditure of fewer calories during physical activity. Exercise also allowed older people to more preferentially burn fat, which may be healthier metabolically," says researcher Bret Goodpaster, PhD, of the University of Pittsburgh, in a news release.
The study is published in the Journal of Applied Physiology. University of Pittsburgh researchers divided 64 sedentary participants, all between the ages of 60 and 75 and all either overweight or obese, into three groups. There were the dieters, the exercisers, and a group that both dieted and exercised for four months.
Dieters reduced their caloric intake enough to achieve a 10% weight loss by the end of the four-month study period. Exercisers could either walk, bike, or row three to five times a week for four months. Most of the exercisers chose to walk.
The exercise-only group increased efficiency compared to the diet-only group. The diet-and-exercise group also increased efficiency compared to the diet-only group.
As for burning fat, the exercisers again came out ahead. All three groups lost weight; the diet-only and diet-and-exercise groups lost more weight than the exercise-only group. The diet-only group lost more lean muscle and fat. The exercise-only and diet-and-exercise groups drew more on fat stores as an energy source.
Monday, September 15, 2008
Exercise and Your Fat Genes
Losing Weight: Can Exercise Trump Genes?
By ALICE PARK
Published: September 08, 2008
Time.com
Losing weight isn't easy, and it's harder still when your genes are working against you. But a new study by University of Maryland researchers shows that even people with a genetic predisposition to gain weight can exert some control over how big they get.
Led by Dr. Soren Snitker at the University of Maryland and his postdoctoral fellow, Evadnie Rampersaud, who is now at the University of Miami, the team studied 704 Amish men and women. Although the Amish are a genetically homogeneous group, the study of volunteers' genotypes still showed a genetic diversity that reflected the makeup of the general Caucasian population: Specifically, they exhibited a range of variations on the FTO gene, which previous studies have associated with obesity and high body mass index, or BMI. Experts say about half of all people of European descent possess at least one "heavy" variant of the FTO gene. Within the Amish study group, some volunteers had two copies of a fattening variant; these people were 67% more likely to be obese and were on average 7 lbs. heavier than people without any copies of this form of the gene.
But researchers also discovered a subgroup of volunteers who had two copies of the heavy FTO variant, but still managed to avoid being fat. Their simple trick? Exercise. Rampersaud found that the most physically active men and women in the study were able to stay within a normal BMI range, despite their genetic predisposition; other people with the same gene variants, who were relatively inactive, were overweight. "This is the first time that we can show the direct gene-environment interaction for a gene related to obesity," Rampersaud says. "It re-emphasizes the role that physical activity plays in our daily life — it's not just something people preach. There actually is something related to the outcome of exercising, and we showed that in this study."
There's a hitch. The people who successfully overrode their genes were burning a stunning 900 kilocalories more per day than their less active counterparts, which amounted to three to four hours of moderate exercise daily. "That's a lot," acknowledges Rampersaud, who tracked participants' physical activity for seven days using accelerometers. By contrast, the volunteers in the "low" activity group were doing about two to three hours of gardening, housework or brisk walking each day. That's the kind of activity many people in the general American population — which, unlike the Amish, relies on cars and dishwashers and washing machines — would consider a serious workout.
That's not to say the study's lessons aren't useful. In a previous Danish trial that studied a more urban population that was slightly less active than the agrarian Amish, scientists found that those with the obesity-prone copies of FTO did not have to exercise that much to reduce their weight and BMI. Notes Dr. David Katz, director of the Yale-Griffin Prevention Research Center, the current study, which was published in the Archives of Internal Medicine, highlights a critical new understanding in the relationship between genes and our lifestyle. It's long been known that we can compensate for our genetic makeup by our lifestyle choices — by watching what we eat and how much we exercise, for example — but as this study shows, it's now becoming clear that our lifestyle patterns may actually alter our genes and the way they are expressed as well. "We can nurture nature," he says, "and the idea that you can alter genetics through lifestyle is an emerging theme. The power of lifestyle is dramatic."
To what exact degree physical activity can influence the effect of the FTO gene isn't clear yet, but, says Rampersaud, at least we now know that genes — especially the "wrong" genes — don't necessarily spell out destiny when it comes to weight. And that's a useful lesson to keep in mind when making small daily decisions — taking the stairs instead of the elevator, say, or passing up a dessert. Every little bit can make a difference.
By ALICE PARK
Published: September 08, 2008
Time.com
Losing weight isn't easy, and it's harder still when your genes are working against you. But a new study by University of Maryland researchers shows that even people with a genetic predisposition to gain weight can exert some control over how big they get.
Led by Dr. Soren Snitker at the University of Maryland and his postdoctoral fellow, Evadnie Rampersaud, who is now at the University of Miami, the team studied 704 Amish men and women. Although the Amish are a genetically homogeneous group, the study of volunteers' genotypes still showed a genetic diversity that reflected the makeup of the general Caucasian population: Specifically, they exhibited a range of variations on the FTO gene, which previous studies have associated with obesity and high body mass index, or BMI. Experts say about half of all people of European descent possess at least one "heavy" variant of the FTO gene. Within the Amish study group, some volunteers had two copies of a fattening variant; these people were 67% more likely to be obese and were on average 7 lbs. heavier than people without any copies of this form of the gene.
But researchers also discovered a subgroup of volunteers who had two copies of the heavy FTO variant, but still managed to avoid being fat. Their simple trick? Exercise. Rampersaud found that the most physically active men and women in the study were able to stay within a normal BMI range, despite their genetic predisposition; other people with the same gene variants, who were relatively inactive, were overweight. "This is the first time that we can show the direct gene-environment interaction for a gene related to obesity," Rampersaud says. "It re-emphasizes the role that physical activity plays in our daily life — it's not just something people preach. There actually is something related to the outcome of exercising, and we showed that in this study."
There's a hitch. The people who successfully overrode their genes were burning a stunning 900 kilocalories more per day than their less active counterparts, which amounted to three to four hours of moderate exercise daily. "That's a lot," acknowledges Rampersaud, who tracked participants' physical activity for seven days using accelerometers. By contrast, the volunteers in the "low" activity group were doing about two to three hours of gardening, housework or brisk walking each day. That's the kind of activity many people in the general American population — which, unlike the Amish, relies on cars and dishwashers and washing machines — would consider a serious workout.
That's not to say the study's lessons aren't useful. In a previous Danish trial that studied a more urban population that was slightly less active than the agrarian Amish, scientists found that those with the obesity-prone copies of FTO did not have to exercise that much to reduce their weight and BMI. Notes Dr. David Katz, director of the Yale-Griffin Prevention Research Center, the current study, which was published in the Archives of Internal Medicine, highlights a critical new understanding in the relationship between genes and our lifestyle. It's long been known that we can compensate for our genetic makeup by our lifestyle choices — by watching what we eat and how much we exercise, for example — but as this study shows, it's now becoming clear that our lifestyle patterns may actually alter our genes and the way they are expressed as well. "We can nurture nature," he says, "and the idea that you can alter genetics through lifestyle is an emerging theme. The power of lifestyle is dramatic."
To what exact degree physical activity can influence the effect of the FTO gene isn't clear yet, but, says Rampersaud, at least we now know that genes — especially the "wrong" genes — don't necessarily spell out destiny when it comes to weight. And that's a useful lesson to keep in mind when making small daily decisions — taking the stairs instead of the elevator, say, or passing up a dessert. Every little bit can make a difference.
Thursday, September 11, 2008
Sunday, September 7, 2008
Tuesday, September 2, 2008
Sunday, August 31, 2008
More on "Fit & Fat"
Better to Be Fat and Fit Than Skinny and UnfitBy TARA PARKER-POPE
Published: August 18, 2008
The New York Times
Often, a visit to the doctor’s office starts with a weigh-in. But is a person’s weight really a reliable indicator of overall health?
Increasingly, medical research is showing that it isn’t. Despite concerns about an obesity epidemic, there is growing evidence that our obsession about weight as a primary measure of health may be misguided.
Last week a report in The Archives of Internal Medicine compared weight and cardiovascular risk factors among a representative sample of more than 5,400 adults. The data suggest that half of overweight people and one-third of obese people are “metabolically healthy.” That means that despite their excess pounds, many overweight and obese adults have healthy levels of “good” cholesterol, blood pressure, blood glucose and other risks for heart disease.
At the same time, about one out of four slim people — those who fall into the “healthy” weight range — actually have at least two cardiovascular risk factors typically associated with obesity, the study showed.
To be sure, being overweight or obese is linked with numerous health problems, and even in the most recent research, obese people were more likely to have two or more cardiovascular risk factors than slim people. But researchers say it is the proportion of overweight and obese people who are metabolically healthy that is so surprising.
“We use ‘overweight’ almost indiscriminately sometimes,” said MaryFran Sowers, a co-author of the study and professor of epidemiology at the University of Michigan. “But there is lots of individual variation within that, and we need to be cognizant of that as we think about what our health messages should be.”
The data follow a report last fall from researchers at the Centers for Disease Control and Prevention and the National Cancer Institute showing that overweight people appear to have longer life expectancies than so-called normal weight adults.
But many people resist the notion that people who are overweight or obese can be healthy. Several prominent health researchers have criticized the findings from the C.D.C. researchers as misleading, noting that mortality statistics don’t reflect the poor quality of life and suffering obesity can cause. And on the Internet, various blog posters, including readers of the Times’s Well blog, have argued that the data are deceptive, masking the fact that far more overweight and obese people are at higher cardiovascular risk than thin people.
Part of the problem may be our skewed perception of what it means to be overweight. Typically, a person is judged to be of normal weight based on body mass index, or B.M.I., which measures weight relative to height. A normal B.M.I. ranges from 18.5 to 25. Once B.M.I. reaches 25, a person is viewed as overweight. Thirty or higher is considered obese.
“People get confused by the words and the mental image they get,” said Katherine Flegal, senior research scientist at the C.D.C.’s National Center for Health Statistics. “People may think, ‘How could it be that a person who is so huge wouldn’t have health problems?’ But people with B.M.I.’s of 25 are pretty unremarkable.”
Several studies from researchers at the Cooper Institute in Dallas have shown that fitness — determined by how a person performs on a treadmill — is a far better indicator of health than body mass index. In several studies, the researchers have shown that people who are fat but can still keep up on treadmill tests have much lower heart risk than people who are slim and unfit.
In December, a study in The Journal of the American Medical Association looked at death rates among 2,600 adults 60 and older over 12 years. Notably, death rates among the overweight, those with a B.M.I. of 25 to 30, were slightly lower than in normal weight adults. Death rates were highest among those with a B.M.I. of 35 or more.
But the most striking finding was that fitness level, regardless of body mass index, was the strongest predictor of mortality risk. Those with the lowest level of fitness, as measured on treadmill tests, were four times as likely to die during the 12-year study than those with the highest level of fitness. Even those who had just a minimal level of fitness had half the risk of dying compared with those who were least fit.
During the test, the treadmill moved at a brisk walking pace as the grade increased each minute. In the study, it didn’t take much to qualify as fit. For men, it meant staying on the treadmill at least 8 minutes; for women, 5.5 minutes. The people who fell below those levels, whether fat or thin, were at highest risk.
The results were adjusted to control for age, smoking and underlying heart problems and still showed that fitness, not weight, was most important in predicting mortality risk.
Stephen Blair, a co-author of the study and a professor at the Arnold School of Public Health at the University of South Carolina, said the lesson he took from the study was that instead of focusing only on weight loss, doctors should be talking to all patients about the value of physical activity, regardless of body size.
“Why is it such a stretch of the imagination,” he said, “to consider that someone overweight or obese might actually be healthy and fit?”
Friday, August 15, 2008
Sunday, August 10, 2008
I Love My New Body...
By Julie Van Rosendaal
At age 7, I started a cupcake company. At 12, I won a chili competition. After college I launched a low-fat cookie business and wrote a bestselling cookbook, One Smart Cookie. But while I knew how to prepare healthy meals, I seldom followed my own advice.
At 330 lbs., I was making a ritual out of punishing myself with strict diets, my whole life, I would start a new diet every Jan. 1st,” she says. If that didn't work, "I would started a new diet every Monday morning, or after my birthday, or after Christmas.
At a New Year’s Eve party in 1997, I caught a glimpse of myself in a full-length bathroom mirror. Mortified, I locked myself in the bathroom for an hour. The next day, I vowed to lose weight. The difference this time: Was I’d do it on my own terms. I realized that instead of finding a new diet to try, I would have to figure out what worked for me.
Moderation became my mantra. I’d have pizza for dinner, but only one piece. I didn’t eliminate any foods from my diet; I just started eating more fruits and vegetables, whole grains and lean meats.
And of course I exercised regularly.
My first month, I lost 10 lbs. A year and a half later, I had gone from a size 28 to a size 10. I didn’t know what it was like being thin, but now at 165 lbs stretched over a 5’11” frame, I get a thrill every time I board a plane because I no longer need a seat belt extender.
I love my new body and the way I feel, and I'm going to do everything I can to keep it that way.
Julie Van Rosendaal is the author of: One Smart Cookie, Starting Out: The Essential Guide to Cooking on Your Own, and Grazing: Portable Snacks and Finger Foods for Anytime, Anywhere.
Monday, August 4, 2008
The Overflowing American Dinner Plate
The New York Times is reporting, that according to the Department of Agriculture, the average Americans' weekly consumption of food has grown by almost two pounds in the last thirty years - WOW!
Concurrently, according to the Centers for Disease Control, the number of obese adults between the ages of 20 and 74 has more than doubled during the same period.
To read the article go to: The Overflowing American Dinner Plate
Concurrently, according to the Centers for Disease Control, the number of obese adults between the ages of 20 and 74 has more than doubled during the same period.
To read the article go to: The Overflowing American Dinner Plate
Saturday, August 2, 2008
Tuesday, July 29, 2008
Exercise is Key to Keeping Weight Off
Ramp Up Your Workouts to Shed Pounds, Keep Them Off, Study Shows
By Kelley Colihan
WebMD
Reviewed by Louise Chang, MD
July 28, 2008 -- How much do you have to work out in order to lose weight and keep it off? The answer is hotly debated among people who study weight loss.
A new study says that obese and overweight women need to cut calories and exercise 275 minutes a week more than their baseline physical activity -- or at least 55 minutes a day, five days a week to lose weight and keep it off.
The research was led by John M. Jakicic, PhD, of the University of Pittsburgh, and colleagues.
They tracked 201 overweight and obese women over a two-year period; 170 women completed the study.
At the start, all of the participants were sedentary. They were randomly assigned to one of four groups based on how much and how intensely they exercised and how many calories they burned.
The participants were told to eat or drink no more than 1,200 to 1,500 calories a day. Researchers tracked them by talking to them on the phone and having face-to-face talks.
Participants were encouraged to spread the exercise out over five days during a week, done in at least 10-minute chunks. The women were given treadmills to use at home and taught to monitor their own heart rates.
At the end of the two-year study, women who had lost 10% or more of their initial body weight reported that they had done more physical activity compared with those who did not lose as much weight.
After six months, women in all four groups had lost an average of 8% to 10% of their initial body weight. But the hard part was keeping that weight off. Most of them regained the weight.
Nearly 25% of the participants managed to keep 10% or more of their original body weight off over the two years.
But, those women who exercised about 275 minutes a week more over their baseline activity levels were the biggest losers.
They also got the most support, completing the most telephone calls from researchers, and said they participated in more eating behaviors recommended for weight control than those who gained the weight back.
Those who lost and kept off the weight also increased their leisure time physical activity, doing things like taking the stairs and moving about more at home and work.
A couple of limitations the study authors note are that diet alone was not included as one of the options and that the participants themselves reported what physical activity they did and how well they did it.
The study authors conclude that a relatively high level of physical activity is needed to lose weight and keep it off.
These results are likely to add fuel to the debate over how much is needed to lose pounds and keep them from creeping back.
General recommendations are for 30 minutes a day, or 150 minutes a week, of moderately intense activity most days of the week. But the debate rages on over a magic formula for sustaining weight loss.
By Kelley Colihan
WebMD
Reviewed by Louise Chang, MD
July 28, 2008 -- How much do you have to work out in order to lose weight and keep it off? The answer is hotly debated among people who study weight loss.
A new study says that obese and overweight women need to cut calories and exercise 275 minutes a week more than their baseline physical activity -- or at least 55 minutes a day, five days a week to lose weight and keep it off.
The research was led by John M. Jakicic, PhD, of the University of Pittsburgh, and colleagues.
They tracked 201 overweight and obese women over a two-year period; 170 women completed the study.
At the start, all of the participants were sedentary. They were randomly assigned to one of four groups based on how much and how intensely they exercised and how many calories they burned.
The participants were told to eat or drink no more than 1,200 to 1,500 calories a day. Researchers tracked them by talking to them on the phone and having face-to-face talks.
Participants were encouraged to spread the exercise out over five days during a week, done in at least 10-minute chunks. The women were given treadmills to use at home and taught to monitor their own heart rates.
At the end of the two-year study, women who had lost 10% or more of their initial body weight reported that they had done more physical activity compared with those who did not lose as much weight.
After six months, women in all four groups had lost an average of 8% to 10% of their initial body weight. But the hard part was keeping that weight off. Most of them regained the weight.
Nearly 25% of the participants managed to keep 10% or more of their original body weight off over the two years.
But, those women who exercised about 275 minutes a week more over their baseline activity levels were the biggest losers.
They also got the most support, completing the most telephone calls from researchers, and said they participated in more eating behaviors recommended for weight control than those who gained the weight back.
Those who lost and kept off the weight also increased their leisure time physical activity, doing things like taking the stairs and moving about more at home and work.
A couple of limitations the study authors note are that diet alone was not included as one of the options and that the participants themselves reported what physical activity they did and how well they did it.
The study authors conclude that a relatively high level of physical activity is needed to lose weight and keep it off.
These results are likely to add fuel to the debate over how much is needed to lose pounds and keep them from creeping back.
General recommendations are for 30 minutes a day, or 150 minutes a week, of moderately intense activity most days of the week. But the debate rages on over a magic formula for sustaining weight loss.
Sunday, July 27, 2008
Food Safety
Lately, it seems as if every time I turn on the television to listen to the news, or open a newspaper, there's yet another story warning us about contaminated food that has invaded our food supply:
"E. Coli found in frozen food..."
"Drinking water laced with drugs..."
"Tomatoes infected with Salmonella..."
"Tons of beef recalled because of Mad Cow Disease...."
It's as if no matter how many precautions I take, how careful I am in preparing my meals, picking my fruits and vegetables or handling meats and other perishables, I still have doubts about how "safe" our food supplies really are.
So, what am I to do - or someone else who might share my concerns?
Stay informed!
Here are some websites that I recommend for anyone who wants to stay informed:
"E. Coli found in frozen food..."
"Drinking water laced with drugs..."
"Tomatoes infected with Salmonella..."
"Tons of beef recalled because of Mad Cow Disease...."
It's as if no matter how many precautions I take, how careful I am in preparing my meals, picking my fruits and vegetables or handling meats and other perishables, I still have doubts about how "safe" our food supplies really are.
So, what am I to do - or someone else who might share my concerns?
Stay informed!
Here are some websites that I recommend for anyone who wants to stay informed:
Tuesday, July 22, 2008
Success... at Last!
Daily Weigh-Ins Helped Andrew Perry Lose 45 Pounds
Andrew Perry has lost 45 pounds, and with the support and the love of his wife, and his twin nine-year-old daughters, he has been able to keep it off for the past two years. After many failed attemps, Andrew is very proud of his accomplishment, and his family is very happy that Andrew has finally found a formula that works for him.
Andrew's Formula for Success Includes:
Adding Healthy Habits : Running and track. He started out being able to run 100 feet. He's completed two New York City marathons and regularly runs 800 meters in track meets.Limiting Trigger Foods: Chocolate cherry cordials. His kids gave him two boxes, which are now safely tucked out of reach on top of his refrigerator for occasional treats. "Otherwise I'd eat the whole box at once."
His Secret Weapons: Weighing himself daily and monitoring body fat; reading food labels and watching portion control. He still measures out cereal, nuts and any other food with concentrated calories and a small portion size. He always has something slightly sweet, such as a cup of tea with a little honey, before leaving the office so that he's not ravenous when he gets home.
What He Can't Live Without: Physical activity, especially running. and... brownies.
His Favorite Snack: Trail mix.
His Biggest Struggle: "Controlling myself, especially with stress eating." Also, "It's hard to stop thinking of yourself as a fat person. I am a formerly fat person."
Previous Weight Loss Attempts:"I've read practically every diet book available. And I've tried them all, with no long-term success. Any diet plan that's moderately organized just doesn't work for me."
What Worked This Time: Slowly changing his habits. "I decided not to eat anything from a box and nothing frozen. I lost 10 pounds, then plateaued there and had to take it up a notch. I tend to lose weight in clumps."
What Motivated Him to Succeed: A photo of him celebrating after the Yankees won the 1996 World Series. " I was huge!"
Rewards Along the "Weigh": New running shoes, a jacket and starting blocks for meeting running goals.
And Benefits of Weight Loss: "I now eat more fruits and vegetables, and I've been able to stop taking my cholesterol lowering medications."
thewashingtonpost.com
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