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Posts Tagged ‘overweight kids’

Is Your Child a “Carb-etarian”?

Friday, February 26th, 2010

It is commonly believed that a vegetarian diet is a healthy diet.  And that is usually true, but not always.  Consider the mother who recently told me that her child had decided to become a vegetarian.  As she described his diet, I realized that he did not eat a single fruit or vegetable!  Isn’t that a fundamental part of being a vegetarian?  More and more, however, young vegetarians are turning into “carb-etarians”, eating few fruits and vegetables and opting for starches, such as pasta, pizza, and French fries.  Clearly, this sort of diet is in no way healthy.

There are many ways in which eating a true vegetarian diet (complete with fruits, vegetables, and plant-based proteins) can benefit your health.  Dairy foods and certain animal products, like beef, tend to be high in saturated fat and cholesterol; limiting or eliminating these foods from your diet is a great way to cut back on these “bad” fats.  However, people who choose to adopt a vegetarian way of life tend to make up these calories by eating more carbohydrates like breads, rice, pastas and other starches.  While your LDL cholesterol (“bad” cholesterol) can be greatly reduced from switching to vegetarianism, a diet too high in carbohydrates can actually result in elevated triglyceride levels.  Triglycerides contribute to total cholesterol levels, both of which are risk factors for heart disease.

The foundation of any healthy diet is one with balance, variety and moderation.  Eating a wide range of foods ensures that you will get all of the nutrients your body requires.  So while adopting vegetarianism can be part of a healthy lifestyle, it is important to choose your foods carefully.  Relying solely on carbohydrates for nourishment is not healthy.  Dietary protein is important for maintaining your immune system and for building and repairing your body tissues.  Vegetarians need to eat the proper amount of plant-based protein each day.

Meats, fish, eggs and poultry are the most “complete” sources of essential amino acids, the protein building blocks that the body can’t make on its own.  Other  foods do contain protein but are usually “incomplete” sources of amino acids, meaning they have some, but not all, of the amino acids needed to make proteins.  Vegetarians can ensure that they are getting all of the essential amino acids by combining foods, such as whole grains with nuts or legumes.  For example, whole wheat bread with peanut butter, or rice and beans.  These foods don’t necessarily have to be eaten at the same meal; as long as you are having these foods throughout the day, the body is able to “pool” amino acids and save them to form body protein later on.

It is very possible to consume a vegetarian diet that has only plant-based proteins and is still nutritionally balanced.  In fact, this type of diet can greatly reduce your risk for heart disease, stroke and certain cancers.  Diets rich in fresh fruits and vegetables, whole grains, nuts, beans, peas and lentils are full of fiber and antioxidants, which decrease your risk for certain cancers and heart disease.   In addition to making you feel full and satisfied, dietary fiber can lower serum cholesterol levels and improve colon health.

The heart-healthy benefits that can be gained from switching to vegetarianism are not solely dependent on the foods you eliminate from your diet.  What you include in your diet is also important.  The bottom line is that vegetarians must eat fruit, vegetables, and plant-based proteins.

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Foods To Help Beat The Winter Blues

Friday, January 29th, 2010

In the winter when the cold weather blows in, you might find it hard to motivate yourself to get out of bed or even leave the house.  Shorter winter days also mean less sunlight every day and sunlight helps us feel wide-awake.  You might be experiencing a winter slump and a drop-off in energy levels like many other people.  And when lacking in energy, many people look towards food for an extra boost.  Make sure you’re choosing the right foods year-round and follow these tips for beating your winter blues!

Folate

Mood, sleep and appetite are regulated by serotonin, dopamine and norepinephrine.  Folic Acid, or folate, helps your body to process and lower homocysteine levels.  High levels of homocysteine are associated with damage to blood vessels, in addition to interfering with the flow of blood and nutrients to the brain.  Impaired blood flow may leave you feeling sluggish or slow to process or recall information.

Good sources of folic acid are green leafy vegetables (spinach, broccoli, kale, Brussels sprouts), potatoes, fortified breads and cereals, beans, peas and mushrooms.

Omega-3 fatty acids

Omega-3 fatty acids have hormone-like effects and anti-inflammatory properties in the body.   People who experience seasonal depression during fall and winter have been found to have lower levels of omega-3s. They have also been found to experience an improvement in mood with supplementation of this nutrient.

Omega-3s are found in fatty fish like salmon and tuna, some plant oils (flaxseed, canola), and walnuts.

Vitamin D
The body normally makes Vitamin D from sunlight.  This nutrient has many different roles in the body, one of which is to help in the production of serotonin.  Serotonin is a neurotransmitter that helps you to feel calm, relaxed and happy. Many people are lacking in Vitamin D in the winter because of fewer daylight hours and exposure to sunlight.  Currently, Vitamin D is being investigated for its ability to decrease depressive symptoms.  Eat foods that are a good source of this vitamin.

Low fat milk is fortified with Vitamin D, in addition to many cereals and some orange juices (check the labels).  One important thing to note is that food sources of Vitamin D are limited, and many people are deficient in this nutrient without even realizing it.  Depending on your diet, you may need to take a Calcium + Vitamin D supplement.

Protein

Known for their ability to relax and calm your mood, carbohydrates can contribute to sleepiness.  A diet high in protein and lower in carbohydrates may help to improve mood, stimulate energy and chase away feelings of sluggishness. Protein foods made from amino acids help to stimulate the production of tyrosine, which is responsible for the synthesis of neurotransmitters like dopamine and norepinephrine. These are chemicals in your brain that promote feeling alert and that enhance energy.

Low fat dairy products like milk, cheese, cottage cheese and yogurt are good sources of protein, in addition to lean meats, poultry and eggs.  Aim to have some protein on your plate at every meal to keep feeling lively and active all year round!

Rosemary

Many herbs and spices are notorious for their beneficial effects on health in addition to adding flavor to dishes.  Rosemary has been shown to increase blood flow to your brain and improve mood. Like Omega-3 fatty acids, this herb also has anti-inflammatory properties and may even benefit the immune system.  Responsible for fighting infection and warding off winter colds and flu, keeping your immune system strong will keep you on your feet and feeling great.

Use Rosemary to season your meals and bolster your immunity this winter season!

Just because the sky is gray and the temperature is low, doesn’t mean your mood has to be!  Choosing the correct foods (in the appropriate portions) can give you more energy and help you handle those winter doldrums.

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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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The Truth About Food Addiction: Could You Be A Cupcake Addict?

Tuesday, April 21st, 2009

We are hard-wired to eat high-fat, high-sugar foods.  Studies show that these unhealthy treats activate our brains’ pleasure zones, prompting us to continue to seek them out.  Could fatty, sugary foods be as addictive as drugs and alcohol?

Brain studies prove that it is harder for some people to resist these unhealthy treats.  Dopamine, a neurotransmitter in the brain associated with pleasure and reward, seems to be the main culprit.  If the brain dopamine system is not functioning properly, people could be more at risk for overeating.  Subtle variations in the function of these paths may explain why some people are better able to resist unhealthy food.

How could dopamine cause food addiction?  When you eat a food that contains fat and sugar, your brain’s dopamine path is activated, causing you to feel pleasure.  You begin to associate these foods with pleasure, prompting you to crave them, whether consciously or subconsciously.   You may not even realize that is why you are grabbing a certain snack!

This explains why we automatically reach for ‘comfort food’ when we are upset.  Our bodies innately know that it will make us feel better.  Break up with your boyfriend?  Eat a doughnut.  Lose your job?  Go for a hot fudge sundae.  Science can now explain why we tend to use food as an emotional crutch.

Some compulsive eaters experience such a strong urge to eat that it begins to overshadow their desire to do anything else; it simply gets harder and harder to stay in control.  In many senses, this is what drug and alcohol addicts experience.  They know that they should stop but are unable to.  And like a drug or alcohol addict, a compulsive eater puts his life at risk!

While it is unlikely that differing dopamine sensitivity is the entire cause of the obesity epidemic, it does give us all something to think about.  Are we eating because we are hungry or because it makes us feel good?  If we are eating because it makes us feel good, perhaps we can turn to other activities that also make us feel good, like exercise or playing with our children.  Simply identifying the reasons we eat certain foods can help us to make smarter choices.  In a sense, we need to retrain our brains; we need to disrupt the connection between eating fatty, sugary foods and pleasure and reestablish the connection between healthier activities and pleasure.  So go for a bicycle ride- it will make you feel better!

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The Devastating Psychological Effects of Child Obesity

Friday, April 17th, 2009

The psychological effects of being an overweight child are severe.  Overweight children tend to suffer from low self-esteem, depression and loneliness.  These children also face discrimination beginning at a very young age and are more likely to become suicidal.

Obesity and Self-Identity/Depression

Children get a sense of their own identity by monitoring how others perceive them.  A child’s self-esteem is greatly influenced by how others respond to them.  Since our culture looks down on the overweight, overweight kids tend to develop a low sense of self-esteem.

Depression is also common in overweight children.  These kids often feel insecure and inferior to others.  While some obese kids become ‘the life of the party’ to compensate, others become reclusive.  An overweight child’s social life may suffer if she is uncomfortable interacting with other kids.

Overweight children and teens who are depressed tend to remain depressed throughout adulthood.  Being overweight affects every aspect of one’s life.  Overweight adults tend to have fewer years of advanced education, lower family income, higher poverty rates and lower marriage rates compared to non-obese adults.

Obesity and Discrimination

Children understand that being overweight is socially undesirable from a very young age.  In studies, young children shown pictures of overweight kids describe the children in the pictures as ‘lazy’ and state that they would not want to be friends with them.  These children would rather be friends with somebody with a visible handicap (i.e. missing an extremity) than with somebody who is overweight.  Interestingly, even overweight children show the same bias in these studies!  They themselves state that they do not want to be friends with the kids in the overweight pictures.

The situation only gets worse as the child grows up.  Overweight teens are often teased, ridiculed and shunned, leading to social isolation and depression. In addition, chronic obesity often leads to an increase in high-risk behaviors and oppositional-defiant disorders, since the overweight youngster must work harder than others to fit in with the social crowd.

Even teachers tend to discriminate against overweight children.  These kids are more likely to be labeled as ‘immature’ or ‘disruptive’ when they are behaving normally for their age because they often look older and are therefore held to the standards set for older children.

The obese individual encounters discrimination all over.  It is not uncommon for an obese person to get disapproving stares from others.  Discrimination against the obese is so rampant that normal-weight individuals will often let an obese person know that he or she is taking up more space than he or she should.  In most cases, the effects of these incidents make an obese person feel more self-conscious and depressed than ever.

Studies show that overweight individuals are less likely to be hired for a job than normal-weight individuals.  Wages of the overweight, particularly overweight women, are much lower than wages of normal-weight workers.  Some overweight individuals are even denied health insurance due to their weight!

It is not just a child’s medical health that suffers from obesity.  The psychological effects of being overweight are just as devastating.  For all of these reasons, it is crucial to address a child’s weight issue as soon as possible!

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