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Walk, don't sit

Written by Community Bariatric Services on 7/31/2014 10:13:00 AM

Sitting for two hours wipes out the benefit of 20 minutes of aerobic exercise. This report came from the NHANES survey looking at 2,223 participants and their daily sitting and fitness levels and how that impacts cardiorespiratory fitness. 

Sedentary actions include TV watching, driving, sitting and reading, among others. Other studies have previously reported the connection between a sedentary lifestyle and a critical heart disease event. All of the adults in the study had no known heart disease. 

The UT Southwestern researchers also found, "when we sit for prolonged periods of times, any movement is good movement." At lunch take a short walk and use a pedometer to track steps. Take the stairs instead of the elevator. Request a walking meeting with a colleague. They may appreciate the invitation too.

Tags: walking | Posted in: Bariatric Medical News

Get up and move; physical activity matters

Written by Community Bariatric Services on 7/29/2014 8:00:00 AM

Currently, more than 50% of men and women report no leisure time physical activity. Researchers says the lack of physical activity is more predictive of becoming obese than caloric intake. Stanford University scientists looked at the NHANES data in terms of exercise and daily calorie intake during a 20-year period. They also tracked abdominal obesity measuring waist circumference. Overall, more women experienced a growing waist line than men in this study. Of all groups, 70% of Mexican-American and Black-American women reported they do not engage in leisure physical activities compared to than any other sex or ethnic group. White men reported the highest levels of physical activity overall of all groups.

Source: NHANES data; Ladabaum et al. The American Journal of Medicine, 2014


Weight loss to manage menopause

Written by Community Bariatric Services on 7/24/2014 8:00:00 AM

A new pilot study found losing weight can help manage hot flashes due to menopause. It's estimated that 70% of menopausal women experience hot flashes. 

In this study, 40 white and black women all experiencing hot flashes - all either overweight or obese - were surveyed before, during and after weight loss. The greater the weight loss, the fewer the hot flashes. A majority of the participants said reducing hot flashes was a major motivator for losing weight. (North American Menopause Society, Menopause 2014)


Obesity and higher levels of fat in blood

Written by Community Bariatric Services on 7/22/2014 8:00:00 AM

Men and women who are obese but not diabetic tend to have higher levels of fat in the blood after meals, negatively impacting heart health

Recent medical studies found meals that include whey protein from milk and cheese can lower the amount of fatty acids in the blood and increase insulin. Not all types of protein produce this same effect. In a study of obese non-diabetic adults, each ate the same meal of soup and bread, plus one kind of protein-whey, gluten, casein (a type of milk protein), or cod. 

The participants who had whey protein had lower levels of fatty acids in their blood and higher levels of amino acids to boost insulin levels. Their stomachs also emptied slower than the other participants. (ACS' Journal of Proteome Research, 2014)


Lower sodium and increased potassium – a double benefit

Written by Community Bariatric Services on 7/15/2014 8:00:00 AM

According to the CDC, 90% of Americans consume excess sodium and inadequate potassium (CDC, MMMR, 2011). Have you seen this claim on foods you buy? "Diets containing foods that are good sources of potassium and low in sodium may reduce the risk of high blood pressure and stroke." Did you know that foods that bear this claim have to list potassium content on the food label? Good sources of potassium are bananas, no- fat yogurt, dried apricots, spinach, potatoes, sweet potatoes, and no-salt-added/low sodium canned beans (but not green beans). Look for this food claim on the box next time you're at the grocery store. 

If you are already battling diabetes and/or hypertension, most likely you have a higher daily sodium intake than normal. An increase in daily sodium and decrease in potassium significantly impacts blood pressure. The hidden sodium in processed foods is a big culprit. A 2012 International Food Information Council survey of Americans found 6 out of 10 adults do or would reduce sodium in their diet, but most do it by shaking the salt shaker less frequently. For more information, read about the DASH eating plan, which is focused on a lower sodium diet. For more about DASH and nutrition information, visit www.choosemyplate.gov (JAND, 2014).

Tags: potassium , sodium | Posted in: Bariatric Medical News

How to stretch your food dollar

Written by Community Bariatric Services on 7/10/2014 8:00:00 AM

The USDA has some helpful resources for eating healthy on a budget. Various news sources report that the costs are too high to eat healthy choice foods. Dietitians disagree. At www.choosemyplate.gov, "Healthy Eating on a Budget" gives consumers interactive tips on how to plan, purchase and prepare foods on a budget. Pay close attention to SNAP – the supplemental nutrition assistance program. In December 2013, the USDA reported that SNAP participants demonstrated that they are now eating healthier food choices than before starting the program.

Make smart choices at the grocery store

According to nutrition specialists, it's not enough to be given a plan. You have to learn and educate yourself about healthy food choices.

  • The first tip is to "create a grocery game plan," not just a list. Think about what you have on hand in your pantry or refrigerator, or foods at the back of your freezer that should be used. Then think about the meals for the upcoming days. The website has downloadable worksheets that help you organize your list for the grocery store.
  • The next tip is to read the labels to make smarter choices. Select foods that are less in saturated fat, added sugar and sodium.
  • Then take a look at the 10 Tips Nutrition Education Series that help your stretch your food dollar. These printable sheets include low-cost food options divided by food group. Hang them on your fridge or download the $.99 app.
  • According to USDA nutritionists, the biggest myplate.gov myth is that only fresh fruits and vegetables count in the fruits and veggie group. Fruits can be canned, frozen, dried, 100% juice or fresh. The same is true for vegetables or 100% vegetable juice. Vegetables, however, are subdivided into dark green, starchy vegetables, red/orange vegetables, peas and beans.

Source: Journal of the Academy of Nutrition and Dietetics, June 2014


Excess food consumption linked to addictive behavior

Written by Community Bariatric Services on 6/17/2014 3:24:00 PM

Recent evidence suggests a link between excess food consumption and addictive behaviors. Behavioral markers of addiction, such as continued use despite negative consequences and unsuccessful attempts to cut down, are evident in problematic eating patterns. Additionally, neurobiological research has identified similarities in the way the brain responds to drugs and highly palatable foods. Finally, animal models have identified marked similarities between sugar consumption and drug addiction. These findings have led to the hypothesis that certain foods may be capable of triggering an addictive process in susceptible individuals. 

An important first step in exploring this hypothesis further is the ability to reliably and validly identify people who may be exhibiting signs of addiction toward certain foods. The Rudd Center was involved in creating and publishing the Yale Food Addiction Scale (Gearhardt, Corbin, & Brownell, 2009). The scale is currently being used in projects around the country and the world. 

Did you know?

  • 25 percent of the obese are diagnosed with a food addiction.
  • 11 percent of normal weight young adults are diagnosed with a food addiction.

If certain foods are addictive, practices such as advertising unhealthy foods to children and the quality of the school lunch programs may come under even greater scrutiny. Further, "food addiction" may speak to the difficulty that some people experience when they try to reduce their consumption of unhealthy foods. Before action can be taken, it will be necessary to continue to scientifically explore the concept of "food addiction."


Co-worker relationships predict BMI

Written by Community Bariatric Services on 6/10/2014 7:30:00 AM

The relationship between co-workers is predictive of one's body mass index (BMI). 

A study looked at the influence of the workplace social network on an individual worker's health behavior. “Social influence in the workplace profoundly affects many aspects of our lives, including our health,” says Nicholas Christakis, MD, Harvard University, and the study's co-author. 

“We have found that social influence is one of the powerful factors, if not the most powerful measurable factor, affecting such health behaviors as weight gain, weight loss, smoking cessation, exercise, mood and even altruism. This study contributes importantly to our understanding of the power of social networks at work, and it does so by tracing the email communications among people.” 

(Published in the journal PLOS ONE, N Christakis et al. 2014)

Tags: BMI | Posted in: Bariatric Medical News

World's biggest exercise class

Written by Community Bariatric Services on 6/5/2014 8:00:00 AM

30-Day Ab Challenge on Facebook

Facebook unites and supports. A woman from Montana, a mom with eight children, wanted a little friendly support in her quest to flatten her tummy. To date, Robyn Mendenhall Gardner has motivated 2.6 million others to become her Facebook guests and maybe even join her on a 30-day Ab Challenge—making this the world's biggest exercise class. 

She posted YouTube videos showing different ab exercises on different days and in return got positive, motivational comments from her closest friends and now millions of others. Within a week, nearly one million people were on board with the program. Now the "likes" are up to 2.6 million and still climbing.

Join the challenge!

“I can't come to everyone's home or place of work and make you do these so we all are going to have to work together to try and complete this entire challenge,” Gardner writes in somewhat of an understatement on her Facebook page. continue reading ...

Tags: exercise | Posted in: Bariatric Medical News

STAMPEDE trial confirms bariatric surgery benefits diabetics

Written by Community Bariatric Services on 5/27/2014 2:30:00 PM

The STAMPEDE clinical trial confirms long-term benefits of bariatric surgery to control diabetes according to an article published in the New England Journal of Medicine (May 22, 2014).

150 patients with type 2 diabetes all having intensive medication therapy were followed for three years. Those who had Roux-en-Y gastric bypass surgery or sleeve gastrectomy improved significantly; 38% who had gastric bypass and 24% who had gastric sleeve surgery improved glycemic control. In contrast, only 5% of the non-surgery patient group improved. 

Some of the bariatric patients completely reversed their disease and many were able to lower their bad cholesterol and improve their high blood pressure. None of the bariatric surgery patients experienced any major later surgical complications.

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