Written by on 12/6/2013 9:00:00 AM
Cynthia Sass, registered dietitian, reminds us of six big diet myths. First, not all calories are created equal. “When I hear people repeat notions like “a calorie is a calorie” I like to reply: “That’s like saying a cubic zirconia is the same as a sparkling diamond,” said Sass.
Here are six common diet and weight-loss myths according to Sass.
Myth: Calories, not quality, impact weight
A University of Florida study reports individuals consuming foods with more antioxidants maintain lower BMIs, smaller waistlines, and lower body-fat percentages than those with lower antioxidant intakes. In this study, both groups consumed approximately the same number of daily calories. FACT: Eating 500 calories of processed or fast food does not have the same impact on the body as eating a 500-calorie meal composed of fruits, veggies, whole grain and lean protein. continue reading ...
Written by on 12/5/2013 9:00:00 AM
(Medscape Medical News -- Nov. 14, 2013) At the recent Obesity Week scientific meeting, University of Pennsylvania researcher David B Sarwer, PhD, reported sexual dysfunction is a common issue among severely obese women. In their study, two years after bariatric surgery, 75 percent of those with this issue significantly improved their levels of reproductive hormones and overall sexual satisfaction. Of the 108 patients, 85 women had Roux-en-Y gastric bypass, and 21 women had laparoscopic adjustable gastric band surgery. The average age was 41 years with an average BMI of 44.5 kg/m2. excess weight. "It's encouraging to see that the patients report improvements in these domains after they lose the large amounts of weight with bariatric surgery," said Dr. Sarwer. "I do think this is a reminder to all of us who work in healthcare that sexual behavior is part of quality of life for individuals and that we should be asking our patients questions about their sexual behavior." This study evaluated both sexual health and reproductive hormones of the bariatric patient.
(Source: JAMA Surgery (online) Nov. 4, 2013)
Written by on 12/4/2013 9:00:00 AM
By Keith McEwen, MD, bariatric surgeon, Community Health Network
With the holidays - and all the food that comes with them - in full swing, it's a good time to talk about metabolism and how the body processes all those calories. In the September issue of Good Housekeeping magazine, there was an interesting article about metabolism myths. Sometimes we generalize too much. I’ve added my thoughts in blue about each myth.
“5 Metabolism Myths that Are Destroying Your Diet,” Good Housekeeping Healthy Living, Sept. 13, 2013
Myth #1. Eating after 7 P.M. slows your metabolism.
Calories consumed after dark are no more sinister than any others. But at nighttime, we're often exhausted, starving, or bored, so it's much easier to overdo it.
Dr. McEwen’s tip: If you are eating small portions and keeping your calories in check, then the lap band system will be a helpful tool, but the calories that pass the band are yours to keep no matter the hour. continue reading ...
Written by on 12/3/2013 9:00:00 AM
(Reuters Health – October 30, 2013) Men and women having bariatric surgery showed long-term cognitive improvements in their attention span, memory and brain functions, says a Kent State University study. Psychologists evaluated 50 patients with an average BMI of 46 pre-surgery with a low-average rating of their cognitive abilities. For up to four years after surgery, these patients were evaluated using cognitive tests. Their average BMI dropped to a BMI of 32 and overall memory was stronger, attention span much improved, and the brain’s executive functions were rated as average-high. Some patients experienced moderate weight gain (1.27 BMI points) after three years and their attention span was also negatively impacted. None of these patients had a previous history of head injury or mental disorder. Physicians commented that this study links the benefits of bariatric surgery to improved attention span and losing weight may be linked to improved sleep generating a positive impact on the brain and body functions over time.
(Source: Gunstad J. et al. American Journal of Surgery, (online) October 10, 2013)
Written by on 12/2/2013 10:01:00 AM
At Community’s Hamilton Bariatric Services center, journals for the LAP BAND® journey are given to new patients. “That journal is not just for recording meals and calories,” says Cheryl Conwell, program manager. She’s seen firsthand the transformation that comes from this type of weight loss surgery. “Unhealthy weight drags down our physical and emotional well-being. Journaling helps document the ups and down, set goals and achieve progress.”
Although November, the month of Thanksgiving, has passed, it's not too late to add a section to your journal labeled “Journal of Gratitude.” Michael Losier, host of the popular Oprah Radio XM Channel, says take five minutes a day to show and write down your gratitude—those small things that support your journey to a healthier you. Losier wrote on the Oprah website, “By acknowledging what you are grateful for in your journal, you'll become a deliberate attractor of positive vibrations. Decide today that you are going to reduce negativity in your life by getting rid of the 'don'ts,' 'not’s' and 'no's'—negative thoughts." continue reading ...
Written by on 11/29/2013 9:00:00 AM
When unhealthy weight complicates your health with rising cholesterol levels, having bariatric surgery such as gastric band surgery (the LAP BAND® system) can help reverse those numbers. “Lap band patients after several months to a year on the program often experience positive changes in their cholesterol and blood pressure rates,” said Dr. Keith McEwen, Community bariatric surgeon, at last month’s weight management workshop in Noblesville. “If you are one of the patients with type 2 diabetes, high cholesterol is often a secondary problem. The good news is that adjustable gastric band surgery supports a healthier lifestyle and in turn, a good number of my patients have reversed their type 2 diabetes and heart disease risk factors.” continue reading ...
Written by on 11/27/2013 10:06:00 AM
Tomorrow, our national day of thanks, is often a day for family and friends to gather, enjoying a meal together with all the trimmings. If you recently had LAP BAND® surgery, you may be apprehensive about how to approach the upcoming holidays. First, give thanks that you are moving towards a healthier lifestyle. Then share gratitude and thanks with your support team. Then look at ways to trim the fat on some favorite side dishes. Turkey is an excellent meat choice. SparkRecipes has a three-course meal (dessert not included) that comes in at under 500 calories. See the chart below.
According to the Calorie Control Council, a typical holiday meal can have more than 4,500 calories and 229 grams of fat. This SparkRecipe feast compares calories and fat grams to a traditional Thanksgiving meal. Note the portion sizes: 3 ounces of white turkey meat and 1/ 2 cup servings of the side dishes. Anyone on the LAP BAND journey recognizes the benefits of small portion sizes. If you are at a Thanksgiving feast that is a buffet, you may find it easier to control portion sizes and food choices. Consider sharing a dish that fits in your plan. continue reading ...
Written by on 11/22/2013 9:57:00 AM
By Keith McEwen, MD, bariatric surgeon, Community Health Network
Stress and aimless eating seem to go hand in hand. That’s why part of the behavioral modification program at our bariatric service office focuses on how to combat stress and manage the highs and lows of the weight loss journey.
Have you ever thought, “Oh, that food tastes so good, it makes me feel good.” We have a lot of emotional ties to comfort foods. Having lap band surgery doesn’t mean you have to give up foods that taste good or make you feel good, but the portion sizes will be smaller.
If you are eating to fill emotional needs, we call that stress eating or emotional eating. It’s very common to eat high-calorie foods during times of stress, even when you're not hungry. The lap band is one tool to help you get control over your portion sizes and hunger. As weight loss occurs you’ll feel less stressed because the momentum of eating healthy and exercising becomes part of your daily routine. continue reading ...
Written by on 11/19/2013 9:00:00 AM
By Keith McEwen, MD, Community bariatric surgeon, Hamilton/Noblesville
Flu season is approaching fast. According to the CDC, sporadic influenza has already been reported throughout Indiana. If you have heart disease like a majority of our lap band patients do, you are at higher risk for getting an influenza strain A, B or C. Now is the time to get your flu shot. The flu season doesn't typically peak until January, February or even March. Of all the states, Alabama and Puerto Rico already report regional influenza outbreaks. After getting the flu vaccine, it takes approximately one week to become protective.
So plan ahead for sick days. Talk to us the next time you are in the office. Call Gina Goodwin,RD, our dietitian about what and when to eat as the flu symptoms persist. When we get sick, everything changes – especially one’s appetite and energy level. From sore throats to stomach viruses, all can be especially challenging when you are focused on making your goals and not sliding backward. It’s more important to regain your health following the flu. There will always be peaks and valleys on the lap band journey and we are here to help you through the entire experience. continue reading ...
Written by on 11/18/2013 3:47:00 PM
Accredited bariatric surgery centers deliver significantly safer care according to a new study from the University of California Irvine School of Medicine. This report was given at the Obesity Week Conference and American Society of Metabolic and Bariatric Surgery (ASMBS) annual meeting on November 13. The same week, Community Health Network’s Hamilton Bariatric Center and outpatient surgery center in Noblesville was named the 31st outpatient bariatric surgery center in the United States.
There are roughly 99 Bariatric Centers of Excellence® within the United States, the majority of which are hospital-based facilities. Outpatient bariatric surgery centers focus on less invasive procedures such as the Lap-Band® System, which offers patients a shorter recovery period. Community Health Network is fortunate to have two accredited bariatric surgery facilities in Indiana. continue reading ...