Written by on 3/7/2014 7:30:00 AM
Spring is just weeks away and spring fever is in the air. It’s already been a long frosty winter. Try these tips and keep MARCHing towards a healthier, happier you.
Do something relaxing
On the Lap Band® journey, you are already doing something special for yourself—focusing on better health. But some days are like a slippery slope and food triggers are all around us. Look for activities that don’t involve food, but are relaxing.
One suggestion is to go have a pedicure. Find a color that brightens your day. Plus, the chair usually includes relaxing massage control to help wipe away the winter blues.
Right: New York Fashion week introduced some new nail color trends: orange, blue, white and half moon.
Curb the carbs
Our comfort foods are usually carbs but it’s the protein that will leave you feeling more satisfied and less irritable. Try some new foods this month. Sometimes just a marinade of lime/cilantro, or peanut butter/soy will give meat or fish a bit of pizzazz. Skewer it with pineapple, mango and pepper and broil until done and you’ve made yourself a Caribbean inspired meal.
Discover seasonal produce
During the winter season, kale, beets, kiwi and oranges are plentiful (not to mention super foods). Mix all four ingredients into a beautiful salad to beat the blahs.
Try this recipe: Festive Beet, Citrus Kale Salad with Pistachios.
Image from: http://www.simplyrecipes.com/recipes/festive_beet_citrus_salad_with_kale_and_pistachios/
Written by on 3/6/2014 8:00:00 AM
Currently, 15% of Roux-en-Y gastric bypass (RYGB) patients fail to achieve 50% weight loss at two years. A U.S. study recommends gastric bypass patients who do not achieve this level of weight loss should consider salvage laparoscopic adjustable gastric banding (LAGB).
Dr. John Loy, NYU Langone Medical Center, NY, presented the study saying, “Patients with weight loss failure after Roux-en-Y gastric bypass (RYGB) have limited options...salvage laparoscopic adjustable gastric banding provides good further weight loss, although the higher rate of re-operation for band-related complication merits appropriate patient counseling and close follow-up.”
The NY researchers did a retrospective review on 125 patients (102 female, 23 male) with a mean BMI of 51.2 before RYGB and an average BMI of 43 at two years. These patients all had salvage LAGB and their average BMI dropped to 35.9 after one year and to 33.8 after two years. Fifteen percent (19 of the 125 patients) did have a band complication ranging from port or tubing revisions and band erosion to band slippage, and one patient had a port infection.
Source: Annual Scientific Meeting of the British Obesity and Metabolic Surgery Society, January 22-24, 2014
Written by on 3/5/2014 7:30:00 PM
By Dr. Keith McEwen, MD, Community Health Network bariatric surgeon
What’s with the chocolate-flavored calcium supplements? Perplexed a few patients look at the foil covered cubes in the candy dish – is it chocolate? It’s a calcium supplement sample (Calcet brand, chocolate fudge flavor). I remember (back in the day) when the doctor’s office had dum-dum suckers as the treat. Now I think it’s stickers. Still remembering the good old days when we had a glass of milk and cookies after school. Do kids still do that?
It’s not a bad concept because as adults we simply do not get enough calcium in our daily diet. Remember Vitamin D improves calcium absorption and milk contains both calcium and vitamin D. Having low-fat, skimmed milk is definitely on the lap band diet. Yet for some of us, we’re not milk drinkers for many reasons, including indigestion. So supplementing the diet with other high-calcium foods and vitamins is necessary.
With calcium, it’s really about absorption. As infants we absorb 60 percent of the calcium from the milk etc. As older adults that absorption rate drops to 15-20 percent. Calcium may be the most abundant nutrient in the body but when the food portions are smaller, the amount of available calcium that can be absorbed decreases.
So how much do we need? According to the National Institute of Health men and women 19-50 years of age need 1000 mg of calcium daily. After age 50 that number goes up to 1200 milligrams daily. For lap band patients, the requirement may be as much as 1500 mg. As you can see from the list below, getting that from a daily diet can be challenging even when you are making healthy choices. continue reading ...
Written by on 3/4/2014 8:00:00 AM
A new study reported in the journal Surgical Endoscopy finds more women are having bariatric surgery than men, who tend to delay it. The University of California researchers analyzed medical records from nearly 1,400 male and female patients, 82% of which were women. By the time the men had bariatric surgery, they were often older (average age 50), more obese and had more than four different obesity-related health conditions than the women. The most common health conditions, in this order, were sleep apnea, high blood pressure and diabetes.
The paper concludes: “Although men typically comprise less than 20% of bariatric surgery patients, they potentially have more to gain from these operations. Men present later in life, with more advanced obesity, and with more complicated comorbidities. Such findings mandate more research and resources to investigate this barrier to treatment and to provide the morbidly obese male with the surgical care he clearly needs.”
Source: BariatricNews.net, Jan. 14, 2014. http://www.bariatricnews.net/?q=news/111293/men-delay-surgery-leads-greater-problems
Written by on 3/3/2014 8:00:00 AM
In honor of Nation Nutrition Month in March, we offer some fun facts about eggs, why they're so good for you, and some easy ways to jazz up your eggs for breakfast—or any time. Enjoy!
A recent United States Department of Agriculture (USDA) study finds one large egg at 70 calories now has 14% less cholesterol and easily meets the daily nutrition guideline to limit cholesterol to 300mg per day. Eggs now have 62% more Vitamin D than a decade ago. Vitamin D is important for calcium absorption, which helps develop and maintain strong bones.
Protein in one large egg — 6 grams or 12 percent of the Recommended Daily Value — is a good start for the morning. This protein source helps you feel energized and satisfied. The nutrients in eggs support not only your weight loss goals, but also muscle strength, healthy brain function and eye health. For those who are pre-diabetic or have type 2 diabetes, eggs provide steady and sustained energy and do not cause a surge in blood sugar or insulin levels.
United States farmers are responsible for 10% of the world’s egg production. At an average cost of $0.20, eggs are an economical and healthy, low-fat choice. Wake up to eggs and try your hand at some egg trivia at http://www.incredibleegg.org/egg-facts/wake-up-to-eggs.
Easy egg dishes with a twist
The egg is the perfect portion for one. Add last night leftovers and whip up breakfast using one skillet, a fork and spatula.
- A new twist on egg salad: Take left over salad vegetables and add scrambled eggs
- Breakfast hash: Take pot roast, add chopped onion, diced potato and top with a soft-cooked egg
- Morning rice bowl: Combine cooked brown rice, scrambled eggs and peppers
- Omelet: Take roasted veggies and add whipped egg
- Breakfast burrito: Take thin slices of ham or turkey, salad and add scrambled egg and soft tortilla
What's your favorite healthy way to serve eggs? Share it with us on our Facebook page!
Image source: http://www.incredibleegg.org/egg-facts/wake-up-to-eggs
Written by on 2/28/2014 7:30:00 AM
My name is Carl and I am a 45-year-old public safety employee. I have worked as a firefighter and law enforcement officer, and I currently work for Homeland Security.
I had my Lap-Band® surgery in August 2013 and am currently down 125 lbs. But my journey to a healthy lifestyle started a year earlier in April of 2012 when I first visited Dr. McEwen and weighed 263 pounds. Before meeting with him and his awesome staff, I was under the impression that this was a quick, easy fix, that I would have this surgery and with little or no effort on my part all the weight would just fall off. However, once I found out that I was actually going to have to put forth the effort and change my current lifestyle I quickly changed my mind and felt like I just couldn't do it. So I went back to my old ways for an entire year. During that time I had two knee surgeries, 27 injections in my back for pain and had the bones in my feet starting to break due to all the weight I was carrying around.
Left: Carl in August 2013 before lapband surgery; Right: Carl on December 9, just four months later!
However, the biggest thing that affected me was during that year my wife gave birth to our first child. It was the happiest I had ever been, but yet the saddest I had ever been. Due to my constant pain I was unable to engage productively in my daughter’s life. I couldn't bend over and pick her up from her crib, couldn't stand up with her in my arms, had no way of getting on the floor and playing with her, and definitely couldn't take her for walks outside. I was so disconnected from her and my wife and I felt like an outsider in my own home.
Then one day--20 pounds heavier and a year after my first visit in April 2012--I received a call from Barb Ingram, Dr. McEwen’s receptionist. She just wanted me to know that I was still technically enrolled in the program and that she would really like to see me back. That call couldn't have come at a better time for me and I made the decision at that moment I was done living that way and wanted more for me and more for my wife and daughter. Barb saved my life and I will forever be grateful for her taking the time to make that “simple” call. continue reading ...
Written by on 2/27/2014 8:00:00 AM
CNN Money reporter and bariatric patient Gary Weiss talks about how the cost and benefits of his bariatric surgery and his is not just talking financial.
“My eating habits, and subsequently food costs, are now totally different. I've gone from spending up to $1,000 a month on food to $300, netting $8,400 a year.”
“I said goodbye to high blood pressure, but my blood sugar levels are pristine, so the threat of diabetes is greatly reduced. Who knows what other health conditions -- and inevitable bills -- I'd be dealing with had my weight continued to rise?”
“There are also the psychological benefits. A year after the surgery, I went to a professional function and was greeted by blank stares from people who didn't recognize me anymore. I couldn't find a word in the dictionary to describe how that felt. The closest I could find was "priceless."
The price of my new life
Being healthier saves Gary money, but also comes with some costs of its own.
- Supplements $40/month - Because surgery changed how my body absorbed nutrients.
- Water bottles $20/each - I must drink 80 ounces a day to fight dehydration.
- Gym membership $90/month - My doctor prescribed exercise. I took up jogging.
- Sneakers $70
- Smoked fish $20/month - Keeps my blood pressure from going too low. absorbed nutrients.
Read the full article at http://money.cnn.com/2014/01/01/pf/weight-loss-surgery.moneymag
Written by on 2/26/2014 7:30:00 AM
An interview with Dr. Keith McEwen, bariatric surgeon, Community Bariatric Services - Hamilton, Noblesville, Indiana
The NHANES study reports a 30 percent increased risk for heart disease for American adults who drink one 12-ounce soda a day. The culprit is added sugar and sodas represents more than a third of the sugar calories we consume daily. Researchers find the greatest risk to our heart health comes when our daily diet includes 15 % of added sugar calories, and that is very likely in a typical American diet1.
Keith McEwen, MD, a bariatric surgeon at Community Health Network, told men and women at a recent weight loss management workshop that if they were considering bariatric surgery to push aside the sugary sodas before starting the journey. That step helps drop the weight.
“In Indiana, we have a growing number of adults who are pre-diabetic and overweight or obese. We know that health consequences to the heart, kidneys and brain come from eating excessive amounts of sugar. Even if you are not having bariatric surgery, be kind to your heart and consume less sugar. continue reading ...
Written by on 2/25/2014 7:00:00 PM
Falls can be a life-changer for older adults, from head traumas to broken hips.
An Australian study of men and women 65 years and older shows the risk of falling is much greater for older obese adults than for healthy weight adults. Working on quadriceps leg muscle strength and balance may counter the risk of falling. This study included 5,681 men and women and each was interviewed for history of falling, perceptions about one’s risk for falling, general health status and medications, as well as activity level.
Overall, falls are very common in older adults. Among the healthy weight adults in this study, during one year’s time, 57% had fallen one or more times. But among the obese group, 75% had fallen one or more times, a 31% increased risk of falling.
The severity of the injuries from the falls was not notably different in the two groups. Yet, the obese adults were more likely to be sedentary for eight or more hours a day, and they walked less.
(Results were published in the Australian and New Zealand Journal of Public Health, Volume 38, Issue 1, pages 13–18, February 2014.)
Written by on 2/25/2014 7:30:00 AM
It might be coming to a fitness center near you: rowing studios. Most of us have seen or heard of spinning classes, with rows of stationary bicycles. Now rowing machines are all the rage according to fitness gurus in NYC.
It’s not unusual to want to mix up our activities. So are you looking for a different form of cardio? Rowing machines may be the answer, especially when many of us are sitting bent over our computers pecking away. Rowing starts in the same ergonomic position, but within seconds you are opening up your body as you pull the rowing bar back towards you. This exercise works dormant back muscles. It’s also a total body workout because you are engaging your core, arms and legs while seated.
Before you try it, ask your physician and work with the fitness trainer at the gym to get proper instructions on how to set the intervals of the rowing machine.