Archive for March, 2010

doctors and weight

Tuesday, March 23rd, 2010

Interesting article here in the New York Times about doctors not talking to their patients about their weight.

A new report released on Tuesday by the STOP Obesity Alliance, a collaboration of consumer, provider, government, labor and business groups, suggests both doctors and patients are frustrated with the conversations they’re having about weight.

The results of two surveys, one of primary care physicians and the other of patients, found that while most doctors want to help patients lose weight and think it is their responsibility to do so, they often don’t know what to say. The vast majority of doctors have little or no training in weight management and nutrition and, they say, they’re not likely to have anyone else in their practice who can be of help.

The article continues:

Dr. William Bestermann Jr., medical director of Holston Medical Group, in Kingsport, Tenn., which ranks 10th in obesity among metropolitan areas in the United States, said the dialogue had to be an ongoing one and could not be dropped after just one mention of the problem. “If you’re going to be successful with helping your patients lose weight, you’re going to have to talk to them at virtually every visit about their progress, and find something to encourage them about, find progress in some aspect of their care and coach them,” he said.

This is basic, but very important: who is supporting you in your effort to lose weight? If you really want to lose weight, start by finding a supportive environment.

remember that post about the FDA and cheerios?

Tuesday, March 16th, 2010

Well, maybe it is time to revisit this post. If you recall, General Mills said that eating Cheerio’s might be beneficial to your heart, since it is a whole grain cereal in soluble fiber, etc…   And the FDA said something to the effect of if you’re going to make that claim, your product must be a drug. And therefore we must regulate you, so cease and desist.

If you’ve been watching the news, you might have heard that the FDA went after about 10 more companies that were making health claims about their products.

Now, we’re not talking about the health claims on a bag of Cheetos. We’re talking about things that might be good for you.

In the WSJ here (subscription), Dr. Scott Gottlieb from the American Enterprise Institute and former deputy commissioner of the FDA argues that maybe the government should encourage companies to compete in heath claims.

[S]cience is giving us unique opportunities to leverage diet in health. For example, the emerging science of “nutrigenomics” seeks to combine insights from genome research with our understanding of how diet choices affect health. By adjusting food nutrients, the diet choices we make could play a prominent role in mitigating disease by identifying people at risk for certain conditions like cancer…

The best course would be for the FDA to allow qualifited health claims on food products as it did after 2003. The agency also could go a step further and create a new section on labels to highlight evidence linking food to better health.  Consumer would pay more notice to product with health benefits, especially foods that help prevent the causes of and consequence from obesity, as much as the junky foods that didn’t have any of these advantages.

And I have to agree. Let’s highlight a food’s healthy attributes on labels. And stop laughing at the Cheerios and FDA.

make small nutrition changes for weight loss?

Wednesday, March 10th, 2010

Does cutting a 100 calories here and there really help?

Yes and no, but mainly no.

Yes in that it can get you moving toward your goal. But no, it won’t help you lose significant weight.

Numerous scientific studies show that small caloric changes have almost no long-term effect on weight. When we skip a cookie or exercise a little more, the body’s biological and behavioral adaptations kick in, significantly reducing the caloric benefits of our effort.

As a recent commentary in The Journal of the American Medical Association noted, the “small changes” theory fails to take the body’s adaptive mechanisms into account. The rise in children’s obesity over the past few decades can’t be explained by an extra 100-calorie soda each day, or fewer physical education classes. Skipping a cookie or walking to school would barely make a dent in a calorie imbalance that goes “far beyond the ability of most individuals to address on a personal level,” the authors wrote — on the order of walking 5 to 10 miles a day for 10 years.

As a trainer, this is significant scientific research that everyone must be aware of.  I often see clients who want to lose, say 25 pounds.  It is not done by just skipping dessert or switching from regular Coke to Diet Coke. It is done by knowing how may calories you eat every day and reducing that amount significantly (e.g. 15% to 30%, depending on the person).  Don’t get lured into thinking that “eating healthy” is the same as reducing calories.

Dr James O. Hill, director of the Center for Human Nutrition at the University of Colorado Denver, says that while weight loss requires significant lifestyle changes, taking away extra calories through small steps can help slow and prevent weight gain.

“Once you’re trying for weight loss, you’re out of the small-change realm,” Dr Hill said. “But the small-steps approach can stop weight gain.”

I highly recommend reading the full article here.

 
FOLLOW US BECOME A FAN

SIGNUP FOR THE MOTIV HEALTH & FITNESS NEWSLETTER