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Posts Tagged ‘dieting’

Technology for Weight Loss: Check Out These New Devices!

Friday, January 8th, 2010

Remember when weight loss was simply about eating less and exercising more?  These days, dieting is getting high tech.  Every day, studies are released about the benefits of new electronic weight loss gadgets.  But are they really necessary and will they actually help with weight loss?

A recent study from the British Medical Journal promotes the use of a small computer-linked food scale (called a Mandometer) to help with weight loss.  The Mandometer was developed by researchers from Sweden’s Karolinska Institute.  Dieters put their plates on this scale which weighs the remaining food as the meal is eaten.  There is also a small screen which shows dieters the rate at which they are eating their food and the ideal rate at which they should be eating their food.  When food is eaten too quickly, the computer tells the dieter to slow down.

The goal is to teach dieters to eat more slowly.  As we have all heard time and again, it takes twenty minutes for the brain to tell the belly that it is full.  Many overweight people eat too quickly; by the time the “fullness” signal gets to them, they have already eaten more food than necessary.  Studies have shown that when you eat food more slowly, you feel full after fewer calories.

So does this new scale work?  Doctors in England studied its use in obese children age nine to 17 years over an 18 month period. The study group was trained on using the Mandometer while the control group was not.  Both groups were counseled to exercise one hour a day and follow a healthy diet.

After one year, the study group’s BMI had fallen an average of 2.1 points, around three times more thank the control group.  Even better, this weight loss was maintained when measured 18 months later.  At the end of the study, Mandometer patients were eating smaller servings at each meal and snack.  They also ate their food more slowly than dieters in the control group.

I think the Mandometer sounds great.  I constantly counsel my patients to eat more slowly.  But it is not always easy; people don’t realize how quickly they are eating.  A device that helps dieters eat more slowly can only help!

And the Mandometer is not the only new high-tech weight loss device.  Other groups of doctors are developing wearable wireless sensors to monitor the overweight as they go about their daily lives.  These sensors document how often the wearer exercises, how much food he eats, and the location in which he eats his food.

Why is it so important to have this information clearly delineated?  Studies show that when dieters “self-report” what they have eaten and how much they have exercised, the data is usually not accurate.  Dieters often underestimate portion sizes, forget some of the “little bites” they have eaten during the day, and exaggerate the calorie burn of their exercise.  By using this sensor, the information becomes more accurate and more reliable.

Many of these devices are currently in development.  Some of them contain video cameras or Bluetooth-enabled cell phones so users can take pictures of their meals, thereby documenting portion sizes.  Dieters take pictures of their food before and after eating.  The information can then be sent to a lab where a calorie count can be determined.  In some instances, dieters can get immediate feedback about their calorie intake!

These devices also contain accelerometers that can measure the length and intensity of a workout.  If the device senses a prolonged period of inactivity, the wearer can receive a text message telling them to get moving!

But do these devices actually lead to weight loss?  It seems logical that they would but studies are still ongoing.  I know that I would LOVE to try one of these sensors.  I imagine that the cost of the device and the data interpretation would be high but I think the results would be invaluable.

The bottom line is that most dieters underestimate the number of calories they eat each day and overestimate the calorie burn of their exercise sessions.  A gadget to accurately gauge this information should help set the record straight.  I believe that if these sensors become widely available, weight loss would become that much easier.

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Normal-Weight Moms Who Diet Are Hurting Their Daughters

Friday, May 1st, 2009

In the quest for an ‘ideal body’, mothers are putting their daughters’ self-images at risk.  Dieting in normal-weight women is rampant in our culture.  It seems that everybody wants to be supermodel thin.  But at what cost?  Women need to understand that in their own pursuit of perfection, they are teaching their daughters that ‘good’ is not ‘good enough’.

I have yet to meet a woman who is completely happy with her body.  My friends are beautiful, intelligent, successful women who spend a large amount of time talking about dieting and complaining about their bodies.  What messages are their daughters picking up?

It is one thing for an overweight mother to go on a diet to prevent future health risks.  It is another thing for a size eight mom to diet down to a size four.  Body size has a strong genetic component.  It is very likely that a size eight mom will have a size eight daughter.  And don’t we want our daughters to feel great about themselves?  If they see us dissatisfied with our bodies, they will be dissatisfied with their own bodies.  All this diet talk from normal-weight women is not healthy.

When a normal-weight woman tries to diet down to an unrealistic size, she normally winds up gaining weight.  Weight regain rates in adults are extremely high, often approaching 80%.  Maybe not immediately, but within a year or so, the weight usually returns.  Weight regain is even more likely when the dieter starts out within the normal weight range.  Not all bodies are meant to have such low levels of body fat.  We can’t fight our own body physiology.  It is a losing battle.  Yet thin women continue to engage in it day after day.

I was at an eight year old’s birthday party recently with a group of beautiful, thin (but not super-skinny) mothers.  I listened to them talk about dieting, unaware that their children were in earshot.  One little girl asked her mom (a size six at most) why she didn’t eat any birthday cake.  The mom nonchalantly replied, “Ugh.  I am trying to resist it because I have to lose some weight.”  I am sure that little girl looked at her slim mother and then down at herself and thought, “Do I need to lose weight?”  And if she didn’t think it now, she will surely think it before long.

Women have to give up this futile fight for their daughters’ sakes.  Dieting in normal-weight women will not result in long-lasting weight loss and is extremely detrimental to their daughters.  Moms need to think about how their negative body talk and constant conversations about dieting sound to their little girls.  We need to do all we can to support positive self images in our daughters.  Berating our own normal bodies is not helpful.  Instead, we should focus on teaching our children to make healthy food choices from an early age.  We should model healthy exercise behaviors from the beginning.  And we should keep the focus on heart health, not the size of our thighs.  We need to celebrate all the different shapes that women come in.  The best way to teach your daughter to love her body is by showing her that you appreciate your own.

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