Wednesday, March 5, 2008

Does Caffeine Cause Dehydration?

A review of the research by scientists at the University of Connecticut, and others, does not confirm that long-held belief.

They found, that caffeine consumed in moderate amounts had only a mild diuretic effect on the body. And that there was no significant difference in the amount of urine, and the levels of electrolytes lost by the body, after ingesting caffeinated beverages.

So, does that mean that we can drink as much caffeine as we want?

Absolutely Not!

Caffeine is absorbed through the lining of the stomach, which increases your stomach acid production and may put you at greater risk for developing a stomach ulcer. Caffeine acts as a stimulant for the central nervous system, which can make you hyperactive and restless, alter your heart rate, and may interrupt your sleeping patterns leading to an increase in insomnia. And too much caffeine may increase a pregnant woman’s risk of miscarriage.

Most of us don’t know how much caffeine we consume on a daily basis. Did you know that many over-the-counter medications contain caffeine? Caffeine can also be found in chocolate. And, ever wonder why those very popular “energy” drinks make you feel so good? You guessed it! They are loaded with caffeine and lots and lots of sugar.

So, enjoy a cup or two of coffee with your breakfast in the morning. But, think twice before having another one, or an energy drink before your workout, and try not to eat too much chocolate right before bedtime-try a warm glass of mik instead.

Tuesday, March 4, 2008

Working More, Sleeping Less


The Centers for Disease Control (CDC) and The National Sleep Foundation (NSF) are reporting, that new data shows many adults living in the U.S. are sleeping less today than they did two decades ago. The average number of hours most adults spend sleeping is about six, according to the CDC and the NSF. They report that many Americans are sleeping less, in order to accomplish more, during their waking hours. And that finding the balance in-between work, family and leisure time activities seems to escape many people.

The National Sleep Foundation recommends that adults get seven to nine hours of sleep a night, and that children need even more.

So why are we depriving ourselves of sleep?

The main reason: work

According to the new data, most of us are working longer hours, and many of us are bringing our unfinished work home. We spend on average-in addition to our normal work schedule-four and a half hours per week, working from home.

So, what does that make us?

Tired…

What can we do about it?

Well, we can try and get more sleep. But, if you find that sleeping more is almost impossible,
here are some techniques you can use to insure a good nights sleep:
  • Go to sleep at around the same time every night.
  • Make sure your bedroom is dark, well ventilated, and at a comfortable temperature.
  • Avoid stimulants (TV, caffeine, nicotine) right before bedtime.
  • Use a noise machine to drown-out outside noises, like traffic.
  • Use visualization and/or meditation to help you fall asleep.
  • And most importantly… EXERCISE!
Research has shown, that regular, low-intensity exercise helps people who are suffering from fatigue (not associated with a serious medical condition) boost their energy levels.

So, for those of us who are overworked and aren’t getting enough sleep… GET MOVING!

Visit: The Sleep Foundation to learn how you can improve the quality of your sleep.


Friday, February 29, 2008

Does Weight Lifting Make a Better Athlete? Maybe...


By GINA KOLATA

Published: February 28, 2008
The New York Times

MIKE PERRY, a 31-year-old rower, trained by himself in Ann Arbor, Mich., for six years while his wife attended medical school. Now he is a member of the United States rowing team and hopes to be selected in a couple of months to compete in the Summer Olympic Games.

These days, he works with a coach and a team, and for the first time he is also going to a gym twice a week and lifting free weights for his upper and lower body, and doing a lot of core exercises, he said. His coach insists upon it. Mr. Perry, though, said he cannot tell whether weight lifting is helping his performance.

His 29-year-old teammate, Mark Flickinger, thinks weight lifting has helped him. He said it is difficult to distinguish between the effects of training by rowing on the water and weight lifting at the gym.

But, he added, after three years of working with weights — including lifting to failure, the point at which he cannot do another repetition — he has become a better athlete. The training “improved my P.B.’s by a substantial margin,” he said, referring to personal bests, his best performances.

As it turns out, the question of whether weight training matters to serious endurance athletes is a matter of debate.

Researchers who study weight lifting, or resistance training as it often is called, are adamant. It definitely helps, they say. But other experts in the field are not so sure.

Gary R. Hunter, a professor of exercise physiology at the University of Alabama at Birmingham, is a believer. He cites, for example, a recent study involving middle-distance runners. Three months of resistance training, he said, improved their leg strength and running efficiency, a measure of how much effort it took to run.

And, he said, it is not just runners who become more efficient.

“There is no doubt that an appropriate weight-training program would improve efficiency in pretty much any athlete,” Dr. Hunter said.

William J. Kraemer, a kinesiology professor at the University of Connecticut in Storrs, said lifting weights also can increase endurance and reduce the risk of injury, especially to connective tissue.

And don’t worry about becoming too muscular, Dr. Kraemer said.

“The fear of getting really big is not plausible for most people,” he said. Competitive distance runners and cyclists, who are naturally slender and light, “don’t have the muscle fiber number to get really big,” Dr. Kraemer said. “I can train them until the cows come home and they are not going to have big muscles.”

But other researchers, like Patrick O’Connor, an exercise scientist at the University of Georgia, are not convinced.

Dr. O’Connor points out that the weight-lifting studies, as is typical in exercise science, are small. And each seems to examine a different regimen, to measure outcome differently and to study different subjects — trained athletes, sedentary people, recreational athletes. It becomes almost impossible to draw conclusions, he said.

That may be one reason why different athletes end up doing different weight-lifting exercises. Chris Martin, a 31-year-old chemical engineer who has an elite racing license from USA Triathlon, the governing body for the sport, works on his entire body. But for his legs, he does exercises like leg extensions using one leg at a time, to correct any muscle imbalances or weaknesses. Mr. Martin, who lives in Lawrenceville, N.J., said he got the idea from coaches and from his own reading.

“Cycling and running are one-leg-at-a-time activities,” he explained. And one-legged exercises “recruit more muscles that help the hips.”

Steve Spence, who won a bronze medal in the marathon at the 1991 track and field world championships in Tokyo, is also a proponent of one-legged exercises. Now 45 years old and the head cross-country coach at Shippensburg University in Pennsylvania, Mr. Spence enters local 5-kilometer races and typically finishes in about 15 minutes.

“I feel that every major breakthrough with my running has come after a period of strength training,” he said. He attributes this to the emphasis he puts on leg exercises, but he also believes that working his upper body and abdomen helped.

Other athletes concentrate on exercises that require them to jump or leap to develop explosive power.

And many top athletes spend lots of time in gyms lifting weights, and many trainers and coaches swear by it.

For example, the distance runners who are part of Team Running USA do resistance training for 30 to 60 minutes six days a week, said Terrence Mahon, a coach for the team. This group includes marathon stars Deena Kastor and Ryan Hall, the winner of the Olympic marathon trials last November.

“We do it all,” Mr. Mahon said. “We do upper body, core and lower body. The stronger the athlete is in a total body perspective, the more efficient they become as a runner.”

The Team USA runners do five to six exercises per session, he said. For example, upper body exercises may include pull-ups, the overhead press, bench press, rowing and exercises for the biceps and triceps. Lower body exercises include step-ups, squats, single leg squats, snatches and the leg press.

The main problem with weight lifting is that many people do it all wrong, said Kent Adams, the director of the exercise physiology laboratory at California State University at Monterey Bay. They don’t have a program or a goal. Technique may be sloppy. Or, Dr. Adams said, they use weights that are too light. Muscles need to be stressed if they are to respond, he said.

Dr. Kraemer is on the same page. One study, he said, found that women tend to lift half or less of what they could lift. And this happened even when women were working with personal trainers, he said.

“There is so much misinformation,” Dr. Kraemer said. “It’s a quagmire out there.” He recommends trainers certified by the National Strength and Conditioning Association, which also supplies educational information. Dr. Kraemer is a past president of the organization.

The right trainer, these researchers say, can be helpful when people are learning to lift weights. Not only can trainers teach proper technique, but they also can help people develop programs that meet their goals.

“I hate to say that a trainer is required for everybody,” Dr. Adams said. “But I think it is an excellent way to learn.”

That said, though, the evidence that weight lifting can improve performance is equivocal enough to leave plenty of room for the skeptics. And not every successful athlete spends serious time lifting weights.

DR. O’CONNOR, for example, lifts weights for health, for enjoyment and for vanity’s sake (he does not want an emaciated upper body, he said), but stops lifting when he is training to run a marathon. Those muscles, he said, “are just dead weight you have to carry around.” He adds that a sport like rowing, swimming or running requires specific muscles and nerve-firing patterns that may best be developed by actually doing the sport.

“If your goal is to improve running performance, then weight training should probably mimic the running pattern,” he said. “If you do leg extensions, you can get stronger, but people don’t run like that.”

That’s pretty much what Cathy O’Brien, a 40-year-old distance runner, thinks. She started racing when she was 12 and ran the marathon in the 1988 and 1992 Olympic Games.

“As far as resistance training, I have always been a minimalist,” she said. She does push-ups, pull-ups and dips for her upper body, and abdominal exercises, but does not work her legs.

“I think that running is the best thing for running results, ” Ms. O’Brien said.

Kevin Hanson, a coach for the Hansons-Brooks team of distance runners, is of like mind.

“We do some weight training,” he said. But other than some abdominal exercises, “everything we do is for the upper body.”

He has a ready answer for runners who ask about doing exercises for their legs.

“You let me know if you think we are not working your legs enough,” Mr. Hanson said. “There’s a lot more we can do to beat you up. But you don’t have to lift weights.”

Thursday, February 28, 2008

Is Your Dedication to Exercise Making You Less Fit?


Activity Disorder:
Too Much/Little Of A Good Thing

From "The Eating Disorders Source Book"

WebMD

Accompanying the steady increase in the number of people with eating disorders has been a rise in the number of people with exercise disorders: people who are controlling their bodies, altering their moods, and defining themselves through their over-involvement in exercise activity, to the point where instead of choosing to participate in their activity, they have become "addicted" to it, continuing to engage in it despite adverse consequences. If dieting taken to the extreme becomes an eating disorder, exercise activity taken to the same extreme may be viewed as an activity disorder, a term used by Alayne Yates in her book Compulsive Exercise and the Eating Disorders (1991).

In our society, exercise is increasingly being sought, less for the pursuit of fitness or pleasure and more for the means to a thinner body or sense of control and accomplishment. Female exercisers are particularly vulnerable to problems arising when restriction of food intake is combined with intense physical activity. A female who loses too much weight or body fat will stop menstruating and ovulating and will become increasingly susceptible to stress fractures and osteoporosis. Yet, similar to individuals with eating disorders, those with an activity disorder are not deterred from their behaviors by medical complications and consequences.

People who continue to overexercise in spite of medical and/or other consequences feel as if they can't stop and that participating in their activity is no longer an option. These people have been referred to as obligatory or compulsive exercisers because they seem unable to "not exercise," even when injured, exhausted, and begged or threatened by others to stop. The terms pathogenic exercise and exercise addiction have been used to describe individuals who are consumed by the need for physical activity to the exclusion of everything else and to the point of damage or danger to their lives.

The term anorexia athletica has been used to describe a sub-clinical eating disorder for athletes who engage in at least one unhealthy method of weight control, including fasting, vomiting, diet pills, laxatives, or diuretics. For the rest of this chapter, the term activity disorder will be used to describe the overexercising syndrome as this term seems most appropriate for comparison with the more traditional eating disorders.

SIGNS AND SYMPTOMS OF ACTIVITY DISORDER

The signs and symptoms of activity disorder often, but not always, include those seen in anorexia nervosa and bulimia nervosa. Obsessive concerns about being fat, body dissatisfaction, binge eating, and a whole variety of dieting and purging behaviors are often present in activity disordered individuals. Furthermore, it is well established that obsessive exercise is a common feature seen in anorexics and bulimics; in fact, some studies have reported that as many as 75 percent use excessive exercise as a method of purging and/or reducing anxiety. Therefore, activity disorder can be found as a component of anorexia nervosa or bulimia nervosa or, although there is yet no DSM diagnosis for it, as a separate disorder altogether.

There are many individuals with the salient features of an activity disorder who do not meet the diagnostic criteria for anorexia nervosa or bulimia nervosa. The overriding feature of an activity disorder is the presence of excessive, purposeless, physical activity that goes beyond any usual training regimen and ends up being a detriment rather than an asset to the individual's health and well-being.

Monday, February 25, 2008

Recall -- U.S. Food and Drug Administration Press Release

As a trainer who regularly recommends Hot & Cold therapies to his clients to combat muscle soreness and joint pain, I wanted to alert my readers to the recall of ICY HOT HEAT THERAPY products. I have used ICY HOT and other over the counter pain relievers, and I'm sure, some of you have too... so, ''buyer beware."

FDA posts press releases and other notices of recalls and market withdrawals from the firms involved as a service to consumers, the media, and other interested parties. FDA does not endorse either the product or the company.

Chattem Issues URGENT Voluntary Nationwide Recall of Icy Hot® Heat Therapy™ Products

Contact: Chattem, Inc.
1-888-442-4464

FOR IMMEDIATE RELEASE -- Chattanooga, TN -- February 8, 2008 -- Chattem, Inc. announced today that it is initiating a voluntary Nationwide recall of its Icy Hot Heat Therapy products, including consumer "samples" that were included on a limited promotional basis in cartons of its 3 oz. Aspercreme® product. This recall is being conducted to the consumer level.

Chattem is recalling these products because it has received some consumer reports of first, second and third degree burns as well as skin irritation resulting from consumer use or possible misuse of these products.

All lots and all sizes of the following Icy Hot Heat Therapy products are affected by this recall:
1 Icy Hot Heat Therapy Air Activated Heat- Back
2 Icy Hot Heat Therapy Air Activated Heat- Arm, Neck, and Leg
3 Icy Hot Heat Therapy Air Activated Heat- Arm, Neck, and Leg single consumer use "samples" included on a limited promotional basis in cartons of 3 oz. Aspercreme Pain Relieving Crème.

NOTE: if products have been removed from their holding cartons the recalled products are packaged in a red colored plastic pouch which states Icy Hot Heat Therapy and either Back or Arm/Neck and Leg.

Single consumer use "samples" of Icy Hot Heat Therapy- Arm, Neck and Leg were included on a limited promotional basis in yellow and red cartons of 3 oz. Aspercreme Pain Relieving Crème. The samples were distinct and stand-alone products, clearly labeled as "Icy Hot Heat Therapy Air Activated Heat," with their own internal labeling.

These products are sold over the counter through food, drug and mass merchandisers.

Consumers who have the Icy Hot Heat Therapy products under recall should immediately stop using the products, discard them, and/or return them to Chattem, Inc.

Product may be returned for a full refund (average retail price) by calling Chattem’s Consumer Affairs Department at 1-877-742-6275 (M-F from 8am to 4pm EST) or via our website at www.Chattem.com.

Any adverse reactions experienced with the use of the Icy Hot Heat Therapy products should also be reported the FDA Adverse Event Reporting Program, either online at www.fda.gov/medwatch/report.htm, or by fax at 800-FDA-0178, and to Chattem at the above toll-free number.

Chattem is notifying its customers, including distributors and retailers, about this recall, and is arranging for immediate return of all recalled products to Chattem.

This recall only involves the above listed Icy Hot Heat Therapy products including single consumer use "samples" that were included in cartons of 3 oz. Aspercreme Pain Relieving Crème and does not involve any other Icy Hot or Aspercreme products.

Chattem is committed to the integrity and safety of its products and is undertaking this voluntary recall with the full knowledge of the Food and Drug Administration.

Consumers with questions or concerns about this product may contact Chattem’s Consumer Affairs Department at 1-888-442-4464 (M-F 8am to 4pm EST).

Sunday, February 24, 2008

Moderate Fitness Also Cuts Women's Stroke Risk

A new study finds that being moderately fit can lower the risk of stroke significantly in both men and women. With as little as 30 minutes of brisk walking a day, five times a week, most people can attain this level of fitness. Fitness is "a strong predictor of stroke risk all by itself,'' says Steven Hooker, head of the University of South Carolina's Prevention Research Center who also led the study.

To read more go to: www.msnbc.msn.com/id/23291877/women and stroke risk

And to learn more about stroke prevention, visit: www.strokeassociation.org/

Thursday, February 7, 2008

Weight Training and Metabolism


By Miranda Hitti

WebMD Health News
Reviewed by Louise Chang, MD

Feb. 5, 2008 -- Weight training may be a health boon for overweight people, new research shows.

Boston University scientists report that "strength training, in addition to ... endurance training, may be of particular benefit to overweight individuals."

The researchers aren't talking about fitting into a smaller-sized pair of jeans or shrinking the numbers on the scale. Instead, they're focused on the metabolism benefits of getting stronger at any size.

Here's their key finding from lab tests on mice: Stronger muscles means more fat burned and a perkier metabolism, even with less-than-stellar diet and exercise habits.

But there's a catch. Muscles don't stay that way without work, so you've got to be in it for the long haul to keep reaping the benefits.

Yasuhiro Izumiya, MD, PhD, and colleagues used genetic engineering to turn a certain muscle gene off and on in mice.

When the gene was on, the mice got a lot more muscular and stronger, mimicking the effects of weight training.

But when the gene was switched off, the mice lost their buff physiques, as if they'd slacked off a strength-training program.

Those mice shed more fat, had livelier metabolisms, and responded better to insulin (a hormone made by their bodies to control blood sugar) when they were muscular.

That pattern held even when the mice ate fatty, sugary chow and didn't get much exercise. However, those mice did wind up fatter than active mice on a healthier diet.

The mice's metabolic benefits stemmed from their type 2 muscle fibers, which are strengthened by weight training, Izumiya's team notes in Cell Metabolism.

But strength training is just one part of fitness. In Izumiya's study, when the mice got very muscular, their grips became stronger, but they didn't fare too well on a treadmill test. So while weight training may help with weight loss, endurance training is still important.

Friday, February 1, 2008

Physically Active People May, Biologically, Be a Decade Younger

By Miranda Hitti

WebMD Health News
Reviewed by Louise Chang, MD

Jan. 29, 2008 -- Being physically active may shave 10 years off your biological age, a new study shows.

The finding "provides a powerful message" about the potential antiaging effects of regular exercise, write the researchers, who support the following CDC guidelines:
Get at least 30 minutes of moderate-intensity physical activity (such as brisk walking) at least five days per week or get at least 20 minutes of vigorous-intensity physical activity (such as jogging) at least three days a week.








The researchers -- who included Lynn Cherkas, PhD, of Kings College London -- report their findings in the Archives of Internal Medicine.

Cherkas and colleagues studied some 2,400 adult British twins who provided blood samples and completed surveys about their physical activity, smoking, and health history.

The researchers used the blood samples to measure the length of telomeres -- chromosome tips -- on the participants' white blood cells.

Telomeres shorten a bit each time a cell divides, making them a possible marker of aging.

The study shows that physically active people had longer telomeres than sedentary people, regardless of age, sex, smoking, BMI (body mass index), or socioeconomic status.
10 Years Younger?

The telomere length difference "suggests that inactive subjects may be biologically older by 10 years compared with more active subjects," the researchers write.

But the study doesn't prove that. Participants weren't followed over time, so it's not clear who lived longest.

"Persons who exercise are different from sedentary persons in many ways," writes Jack Guralnik, MD, PhD, of the National Institute on Aging, in an editorial published with the study.

The importance of telomere length is controversial and may prove valuable, but it isn't "the sought-after Holy Grail that measures in a single number exactly where any individual is in relation to eventual life span," Guralnik writes.

Telomeres aside, plenty of studies have linked physical activity to better health. For instance, physical activity was recently named one of four steps to living 14 years longer. If you're ready to become more active, check in with your doctor first. But, remember, there is no better time than the present to become more active - so, get moving....

Monday, January 7, 2008

Putting Very Little Weight in Calorie Counting Methods

By GINA KOLATA

Published: December 20, 2007
The New York Times

THE Spinning class at our local gym was winding down. People were wiping off their bikes, gathering their towels and water bottles, and walking out the door when a woman shouted to the instructor, “How many calories did we burn?”

“About 900,” the instructor replied.

My husband and I rolled our eyes. We looked around the room. Most people had hardly broken a sweat. I did a quick calculation in my head.

We were cycling for 45 minutes. Suppose someone was running and that the rule of thumb, 100 calories a mile, was correct.

To burn 900 calories, we would have had to work as hard as someone who ran a five-minute mile for the entire distance of nine miles.

Exercise physiologists say there is little in the world of exercise as wildly exaggerated as people’s estimates of the number of calories they burn.

Despite the displays on machines at gyms, with their precise-looking calorie counts, and despite the official-looking published charts of exercise and calories, it can be all but impossible to accurately estimate of the number of calories you burn.

You can use your heart rate to gauge your effort, and from that you can plan routines that are as challenging as you want. But, researchers say, heart rate does not translate easily into calories. And you may be in for a rude surprise if you try to count the calories you think you used during exercise and then reward yourself with extra food.

One reason for the calorie-count skepticism is that two individuals of the same age, gender, height, weight and even the same level of fitness can burn a different amount of calories at the same level of exertion.

Claude Bouchard, an obesity and exercise researcher who directs the Pennington Biomedical Research Center in Baton Rouge, La., found that if, for example, the average number of calories burned with an exercise is 100, individuals will burn anywhere from 70 to 130 calories.

Part of that is genetic and part is familiarity with the exercise. The more familiar you are with an exercise, the fewer calories you use at the same level of effort, he found in a research study. Subjects rode stationary bicycles six days a week for 12 weeks. They ended up burning 10 percent fewer calories at a given level of effort after their training. The reason, he said, is that people perform an exercise more efficiently as they become more accustomed to it.

There also is a seldom mentioned complication in calculating calories burned during exercise: you should subtract off the number of calories you would be using if you did nothing. Almost no one does that, Dr. Bouchard said. But for moderate exercise, the type most people do, subtracting the resting metabolic rate can eliminate as much as 30 percent of the calories you think you used, he added.

Resting metabolic rates, though, differ from individual to individual and also differ depending on age, gender, body mass, body composition and level of fitness, so guessing at your resting rate also is fraught with error.

Even if you wanted to get a rough estimate of the calories an average person your size might burn at the gym, you might not want to trust the displays on cardio machines, with the possible exception of treadmills, said William Haskell, an exercise physiologist at Stanford. And with treadmills, the calories are not accurate if you hang on the bars.

Dr. Haskell once studied people using treadmills. Hanging onto the rails reduced the number of calories burned by 40 to 50 percent. The same thing happened with stair-climbing machines.

“I’ve seen people hanging on stair climbers who think they are doing 1,200 calories an hour,” Dr. Haskell said. “They probably are doing 600 calories an hour.”

As for the calorie counts on machines like stationary bicycles and elliptical cross trainers and stair climbers, all bets are off, researchers said.

A major problem is that the machines get out of calibration. “They drift in speed and grade,” Dr. Haskell said. “If you go from one machine to another, it is obvious that at the same setting you are working much harder on one and much less on the next.”

Another is that the companies use their own formulas to calculate what an average person of a given size will burn at a given level of intensity. And those formulas may vary by company as well as by machine.
Jim Zahniser, a spokesman for Precor, cautions that the company’s machines are not supposed to give the exact number of calories for you. Instead, they are estimates of the calories an average person would burn at that work level. And, the company explains on its Web site, there is no easy way to know whether you are that average person.

“Unfortunately, there are as many answers to that question as there are people,” Precor said on its Web site. As for calorie charts, which tell how many calories a person burns when running a distance at a rate of a 10-minute mile, for example, or walking at a rate of a 15-minute mile or riding a bike at 15 miles an hour, the same difficulties apply.

“If any company told you the calorie counts on their machines would be dead on, they’re lying to you,” said Mike Armstrong, a spokesman for Nautilus. “There is some error, there is some play,” Mr. Armstrong said. He advises that when you look at the calorie count, “take it with a grain of salt.”

Christa Dickey, a spokeswoman for the American College of Sports Medicine, which publishes such a chart, cautions that figuring out calories “is always a bit of a challenge since you can really only assign estimates.”

Some say to just forget estimating calories and focus on why you exercise in the first place.

Philip Clifford, a physiologist at the Medical College of Wisconsin in Milwaukee, learned that lesson a decade ago.

In a study published in the Journal of the American Medical Association, he asked whether people’s estimates of how hard they were working were related to how hard they actually worked on a stationary bike, a rowing machine and a treadmill. He discovered that people who said they were putting out the same effort on the rowing machines and bikes as on the treadmill actually were burning many fewer calories.

But for most people, calories burned should not matter, Dr. Clifford said.

“It all depends on what your goals are,” he said. His aim is to get some exercise, preferably outdoors. Calorie counts are beside the point, he said, and he would not believe them anyway.

Yet it is almost too tempting to assume that the calorie counts on machines and in charts are correct.

One of my running partners, Jennifer Davis, took the charts a little too literally when she was in college. She decided to try eating the exact number of calories she calculated she should require according to her activities — she ran and was on the Dartmouth crew. She ended up losing so much weight so fast she was alarmed. She halted her experiment.

It’s more common, though, to make the opposite mistake, exercise physiologists say, greatly overestimating the number of calories you used.

My husband and I will never forget a mathematician at a meeting we attended when we were graduate students. He proudly announced that he could eat a piece of pie because he had just run a quarter-mile on the track. (At 100 calories a mile, he might have burned 25 calories running. A piece of pie could easily contain 400 calories.)

Dr. Bouchard said he regularly sees people at his gym who boast about fantastic numbers of calories they believe they burned. Usually, he just bites his tongue.

“I don’t want to discourage them,” he said.

Sometimes, though, with people he knows well, he tries to tell them that the counts are way too high, and why.

“They look at me in disbelief,” Dr. Bouchard said.


No Gimmicks: Eat Less and Exercise More

By JANE E. BRODY

Published: January 1, 2008
The New York Times

A desire to turn over a new, more healthful leaf typically accompanies the start of a new year. My mail, for example, has been inundated with diet books, most of which offer yet another gimmick aimed ultimately at getting the gullible reader to eat less and exercise more.

Publishers assume, correctly, that the shock of the scale after nearly six weeks of overindulging on food and drink will prompt the purchase of one or more books on dieting by people who are desperate to return to their pre-Thanksgiving shape.

And really, it doesn’t matter whether you choose a diet based on your genotype or the phases of the moon, or whether you cut down on sugars and starches or fats. If you consume fewer calories than you need to maintain your current weight, you will lose.

My advice here is to save your money, toss out (or donate to a soup kitchen) the leftover high-calorie holiday fare, gradually reduce your portion sizes and return to your exercise routine (or adopt one if you spent too much of ’07 on your sofa).

Slowly but surely the pounds will come off. And as Aesop said, slow and steady does indeed win the race. Gradual weight loss, achieved on an eating-and-exercise regimen that you can sustain indefinitely, is most likely to be permanent weight loss.

If you’ve been reading this column for years, no doubt you already know that. But I believe it bears repeating at least once a year, not because I want to further depress the booksellers’ market, but because I’d rather you spend your hard-earned money on foods that can really help you achieve and maintain a healthy weight and good health.

The basics of good nutrition have not changed.

Meals replete with vegetables, fruits and whole grains and a small serving of a protein-rich food remain the gold standard of a wholesome diet. Still, at both ends of the age spectrum as well as in between, recent months have held some new findings — and some surprises — that are worth noting.

Perhaps most distressing to a chocoholic like me was a report in the Nov. 20 issue of the journal Circulation that while dark chocolate can indeed improve coronary circulation and decrease the risk of heart-damaging clots, most dark chocolate on the market is all but stripped of the bitter-tasting flavanols that convey this health benefit.

The color, in other words, tells you nothing. Now it’s up to manufacturers to label the flavanol content — not just the percentage of cocoa, which may have no flavanol at all.

Focus on Brain Food

As the population ages and the prevalence of dementia rises, increased attention has focused on how diet may help keep cognitive decline at bay. A heart-healthy diet that keeps clogged arteries from limiting the brain’s supply of oxygen and nutrients has been linked to a lower risk of dementia.

Likewise, omega-3 fatty acids in fish and fish oil, which counter inflammation, appear to protect the brain as well as the heart and joints. A recent analysis of 17 studies in the journal Pain found that daily supplements of these fatty acids significantly reduced inflammatory joint pain.

But now there may be a new kid on the block: vitamin B12. A 10-year study with 1,648 participants in Oxford, England, found an increased risk of cognitive decline in older adults who had low blood levels of vitamin B12. This vitamin is found only in foods from animals, yet it is common for older people, especially those on limited budgets, to cut back on foods like meats and fish.

Strict vegetarians, who have long been cautioned to take B12 as a supplement to prevent a deficiency, can add brain protection to the list of potential benefits. The rest of us should feel comfortable about eating red meat and poultry as long as it is lean and consumed in reasonable amounts. A serving of cooked meat, fish or poultry is only three to four ounces.

The British researchers noted that high blood levels of homocysteine had previously been linked to an increased risk of Alzheimer’s disease, and that B12 is one of the vitamins, along with folate and B6, that lower homocysteine levels. However, the researchers found no benefit to cognitive function from folate.

Foods to Fight Cancer

Here we come full circle. A decade after the American Institute for Cancer Research issued its first major report on diet and cancer, a new magnum opus in concert with the World Cancer Research Fund was published late last year. Based on 7,000 studies of 17 kinds of cancer, it concluded that being overweight now ranks second only to smoking as a preventable cause of cancer. “Convincing evidence” of an increased risk resulting from body fatness was found for cancers of the kidney, endometrium, breast, colon and rectum, pancreas and esophagus.

Other major findings of increased risk included red and processed meats for colon and rectal cancer, and alcoholic drinks for cancers of the mouth, throat, larynx, esophagus, breast, and colon and rectum.

“Convincing evidence” for cancer protection was found for physical activity against colon and rectal cancers, and for breastfeeding against breast cancer. “Probable” protection against various cancers was also found for dietary fiber; nonstarchy vegetables; fruits; foods rich in folates, beta-carotene, vitamin C and selenium; milk, and calcium supplements.

Thursday, December 6, 2007

From Un-Fit to Fitness Instructor


By Jackie Adams
CNN

Like many young girls, Jennifer Marnell always dreamed that one day she'd become famous.
Jennifer Marnell once maxed out at 300 pounds. She lost 180 pounds and is now a fitness instructor.

Bubbling with personality and quite the ham -- she was no stranger to performing. Marnell loved singing, dancing and acting in local plays while growing up on the outskirts of Atlanta, Georgia.

Even though her family showered her with adoration and unconditional support -- Marnell was hiding something that she was afraid to share with anyone.

Since the age of 8, she struggled with her weight.

"I was the only one in the whole family who was overweight," Marnell recalled. "[They] were always supportive and told me I was beautiful ... I didn't realize how depressed I was because my family loved me no matter what."

But other people weren't so nice. Marnell says classmates and other people teased or ridiculed her about her weight. Instead of talking about her feelings -- she turned to food for comfort.

As she ate to soothe her pain -- Marnell's weight spiraled out of control.

"It got out of control over the years because it became an addiction," said Marnell. "Food didn't talk back to me and didn't tell me no ... I didn't know how to stop and listen to my body."

Working as a nanny at the age of 27, Marnell was 5-foot-tall and weighed 300 pounds.

The wife and mother says a series of embarrassing moments such as not fitting into a restaurant booth, running out of breath while walking and lacking the energy to play ball or skate with her daughter -- took an emotional and physical toll on her health. But the final straw came during a trip to an amusement park with her family.

"We were at Six Flags waiting on a ride and we waited for an hour-and-a-half," said Marnell. "When we got on, I couldn't latch the belts because I was too big and they had to ask me to get off."

Devastated by the incident, Marnell says she broke down in tears and had a heart-to-heart talk with herself. Afraid that she might die before the age of 30, she was tired of being a "fat mom" and wanted to set a good example for her daughter.

After the mental pep-talk, Marnell started her weight loss journey by joining a gym. She started by exercising in the women's-only section and ate a low-fat, low-calorie diet. After a few months, she'd lost 50 pounds. The weight loss boosted her confidence and she decided to try a water aerobics class which was a lot less stressful on her bones and joints.

Over the next two years, Marnell continued taking group fitness classes, hired a personal trainer to get past a plateau and eventually lost 180 pounds.

After reaching her goal weight of 120 pounds, she decided to start a new career. She wanted to use her own weight loss journey as inspiration to help others. So, in October of 2006 she decided she was going to become a fitness instructor. Soon after making her decision, she had her Group Power certification , and shortly thereafter she received her personal training certification from the National Council for Certified Personal Trainers.

One of the most important lessons she's conquered is emotional eating.

"You've got to learn to talk through your problems instead of using food," Marnell says. "An alcoholic can't just have one drink. I will never eat a Snickers bar because that is my one weakness ... the one thing I won't have."

The weight loss has also helped her realize another dream -- being in the limelight.

In January, she was featured on the "Oprah Winfrey Show" and in People Magazine's "Half Their Size" issue and will appear on the game show "Don't Forget the Lyrics" with Wayne Brady. She's also touring the country as a spokesperson for Gold's Gym and has just inked a book deal to tell her weight-loss story.

Marnell says all of the recent attention has been a bit overwhelming but she's enjoying every minute of her new career and life.

"It's made life more exciting," said Marnell. "I still feel like the same person on the inside, I have the same heart. But the outside, it's just enhanced the inside even more."

What advice does she have for other people who want to lose weight?

The toughest part of losing weight, according to Marnell, is staying mentally focused. She recommends taking "baby steps," trying not to do everything at once or focus on how much you have to lose and joining an online support group.

"Learn to accept yourself for who you are," Marnell advises. "It can be done ... it's not going to be easy -- but it can be done."