Tag Archives: Weight control

Easy Weight Loss or Maintenance

Mediterranean 5/2 Eating Plan

The Five/Two Diet
Vegetable heartAs a method of weight loss and weight control, this easy solution of five/two pertains to a 7 day eating plan. Once you have reached your ideal weight, you transition to healthy baseline calorie intake every day. If you gain a pound, then you can transition back to the 5/2 plan. This is how it works:

• For 5 days a week, you eat a healthy diet based primarily on fruits, vegetables, a few nuts, a little olive oil, limiting pasta or rice to twice a week. Add limited whole grains to the mix, with low-fat meat, including salmon or other similar fish. Mirror your food selections with the Mediterranean diet like people who live along the southern Italian coast and Greek islands. Eating primarily fresh fruits, vegetables, and little saturated fat, they tend to live longer, in better health and with lower heart disease.

• For two days a week, eat very few calories, only 500-600. The two days must not be consecutive. Instead separate them such as Monday and Thursday.

Why not do the low calorie days together? Harsh calorie restriction can trigger what researchers call the starvation response. With starvation, the body revs up to store calories by lowering the metabolic rate and packing on calories when food becomes available. It is a natural process to maintain life.

Even though the two low calorie days are not true fasting, if they are consecutive such as Monday and Tuesday, your metabolic rate may be affected. Separating the days, combined with daily exercise such as walking is known to increase metabolic rate andkabob veg calorie burn. — And, with exercise, you are unlikely to stimulate a starvation response. In fact, with a marked reduction in calorie intake and consistent exercise, you will lose weight.

British physician Michael Mosley, described the 5/2 diet in his book FastDiet in 2012. In a follow up study done at the Aston University in the UK, they found intermittent fasting (very low calorie days) more effective than daily calorie restriction and calorie counting.

Favorable findings included:
• Reduced weight
• Reduced inflammation
• Reduced blood glucose
• Reduced lipids (cholesterol)
• Reduced blood pressure

True fasting (consuming no nutrition) has been shown to lower weight, prolong life, lower blood glucose and lower cholesterol levels. However, fasting also lowers metabolic rate, something you do not want, because your body becomes very efficient at storing excess calories and weight returns.

Eating two low calorie days per week is usually safe for Type 2 diabetics. Those taking medications and insulin must consult their medical provider for advice and to help manage medication dosages when reducing calorie intake. In the end, with weight loss, some Type 2 diabetics can reduce or stop some of their medications. Or, for those with borderline glucose elevations, weight loss and the drug Metformin, may help ward off the development of full-blown Type 2 diabetes. Without interventions, most people with borderline elevation of blood glucose will evolve to Type 2 diabetes within ten years.

Pay special attention to your daily intake:
• Choose fruits over sweets for desserts.
• Exercise portion control. Avoid second helpings. Wait 30 minutes and see if you are really still hungry.
• Do your best to prepare low calorie meals such as turkey breast instead of hot wings or steak.
• Forget potatoes, pasta, gravy, cheese sauce and fattening salad dressing.
• If you are preparing meals, serve light calorie recipes and fruit for dessert.
• Take time to exercise

Note: If you are, pregnant, breast feeding or a Type 1 diabetic, following a Mediterranean-type cuisine is healthy but do not follow the very low calorie day recommendations. However, this is a heart-healthy approach for those with high blood pressure and heart disease, even those who have had bypass and stent procedures.
Betty Kuffel, MD & Bev Erickson

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Improve Your Health

Springtime Weight Loss & Health Goals

KONICA MINOLTA DIGITAL CAMERAThe doldrums of winter have passed. With shorter nights and warmer days, the grass is greener, flowers are blooming and the birds are singing. It’s spring!

If you are an outdoor winter sports enthusiast, you may be fit and at your ideal weight. But, if icy weather kept you indoors and sedentary, you may have added a pound or two. If so, this is the time to get started on a healthy routine. Forget spring cleaning, instead, dust off your shoes and take a walk.

Before you begin, hop on the scale and record your weight. Use the baseline to track your progress to better health. According to the National Institutes of Health, excess weight can put you at risk for a multitude of health problems. Cardiovascular problems are at the top of the list, including heart attacks, strokes and high blood pressure. Close behind are: Type 2 diabetes, unhealthy pregnancies, sleep apnea and even some types of cancer.

Now that you have your weight, you need see where you are based on accepted parameters using the Body Mass Index (BMI) categories of weight:
• Normal = 18.5-24.9Scale, Tennis Shoes, Calculator
• Overweight = 25-29.9
• Obesity = 30 or higher

So, how do we measure BMI? The easiest way is to go to: BMI Calculator
Input your numbers and the internet program will give you the value.

If you like math and you’d rather calculate your BMI, you need your weight, height, a metric conversion multiplier and a calculator to square your answer and divide. It’s Easy – follow the steps below:

1. Multiply your weight in pounds by 0.45. Ex: 125 pounds x .45 = 56.25 kg

2. Multiply your height in inches by 0.025. Ex: 63” x .025 = 1.575 m

3. Square the answer from step 2. Example: 1.575 x 1.575 = 2.4806

4. Divide Step 1 answer by Step 3 answer. Example:56.25 divided by 2.480625 = 22.7 BMI

• If your BMI is normal, exercise is still important.
• If the BMI is elevated, get started on the Mediterranean 5/2 eating plan combined with walking at least 30 minutes a day plan to drop the unwanted pounds.

Go to: Your Heart, our other blog, to find details regarding both Mediterranean food choices and guideline for the plan of eating two low calorie days per week – allowing easy weight reduction.
Losing just 5 to 10 percent of your body weight may lower your chances of developing heart disease? If you weigh 200 pounds, this means losing as little as 10 pounds could prolong your life. Weight loss benefits include:
• Improved energy, sleep, sex life and self-image
• Lower blood pressure, lower cholesterol and lowered risk of heart attack
• Reduced cancer risk
• Fewer aches and pains
• Reduced risk of dementia
Spring Forward. Put on your tennis shoes and start walking. Listen for the sweet sounds of returning birds. Watch for spring flowers and pussy willow buds. Take a dog for a walk. Ask a friend to join you.

Lift your spirits and improve your health.

Betty Kuffel MD and Bev EricksonTall Grass

Lipstick Logic

Your Heart Book Cover- Final FINALMore information about heart health and losing weight can be found in our book: YOUR HEART

The Benefits of Daily Exercise after Menopause

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Women experience menopause with lost ovarian function due to aging or surgical removal. Loss of estrogen in the postmenopausal state affects the body in both obvious and subtle ways. Obvious effects are hot flushes, thinning hair and skin wrinkling, but there are many more silent harmful effects.

Early menopause contributes to osteoporosis. Gradual weakening of bones occurs without the estrogen stimulus to calcium metabolism and bone strength. Further bone loss may evolve to fractures and disability.

We also know the effectiveness of high-density-lipoprotein (HDL), the “good” blood fat, is reduced without estrogen effect. This transporter molecule is responsible for removing cholesterol buildup in arteries. HDL particles without the effect of estrogen are less efficient and the risk for heart attacks increases in women following menopause. Postmenopausal women can offset some of this effect by eating healthy and staying active. Statin medication to modify abnormal blood lipids may also be needed.

A study reported at the North American Menopause Society stated women after menopausal tend to weigh more, have larger waist lines, and a higher percentage of body fat than younger more active premenopausal women. Sedentary behavior correlated with a larger waist size – no surprise. But their findings showed regular exercise brought benefit to both pre- and post-menopausal women. When women increased their daily exercise – energy, mobility, and bone density all improved, along with reduction in waist size. Increased activity and weight control can also reduce the risk of developing Type 2 diabetes.

Last year, a journal of the American Association for Cancer Research reported a four year study examining women who walked the equivalent of thirty minutes per day had a lower risk of invasive breast cancer. The exact mechanism is unknown, but we do know exercise carries many positive benefits. Researchers stressed the benefit of lowered risk of invasive breast cancer was lost when exercise stopped — so daily exercise is key.

Walking daily can become a positive routine and is as important to overall health as brushing your teeth. Dogs love to walk. Our dogs provide encouragement to take a hike even in the rain. If you don’t have a dog, find a friend to join you. Exercise and social relationships correlate with happiness and longer life. Find a route that makes you smile and take a daily walk.

Some good advice from Dr. Seuss:
You have brains in your head.
You have feet in your shoes.
You can steer yourself in any direction you choose.

20151018_142608Betty and Bev

LINKS TO LIVING LONGER

DON’T WAIT–DROP THE WEIGHT

Coronary artery disease (CAD) kills more men and women than any other disease including cancer. Being overweight increases your chance of heart attack. With 68% of adults in the US now being overweight or obese, weight loss is key in reducing heart disease and sudden death risks. Reduce your risk for dying from this silently progressive disease by taking control of your life. The most important step to reduce your risks for Type 2 diabetes and heart disease is to obtain a normal weight. Weight loss is difficult, possibly more difficult than quitting smoking, but if you do smoke, it is killing you. You need to stop. Smoking is the number one risk for heart disease. To reduce your weight, you can’t  just stop eating. Instead, you must make choices, change your eating habits and begin following a path to health.

This is the first LINK TO LIVING LONGER blog. Regular postings will follow. Many will be excerpts from our book Your Heart that will be available this month. Your Heart is a handbook for heart health and the road to longevity. All of the information is science-based. No gimmicks. All the facts are there, from normal heart function to what happens at the cellular level when cholesterol starts clogging your arteries.

We won’t try to turn you into doctors, but all the facts will be there to help you make informed decisions related to your health and the health of your family. You will be able to understand cholesterol, dietary fats, sugar, high fructose sugar and how obesity is killing us. The book is not a diet book but does provide factual information on food choices.

You may want to try the “5:2” diet popularized by Dr. Michael J. Mosley. See the link below. In the 5:2 diet, you eat normally for five days, then you eat only 500 calories for 2 days.  Many people are finding this “intermittent fasting” diet a way to jump-start their weight loss program. You might call it a gimmick, but it is a way for you to begin losing weight while  learning to change what you eat. If you are diabetic, you should do this only under the care of your physician. However, as a Type 2 diabetic, weight loss does reduce insulin resistance and may actually get you off your medications. Weight loss also lowers blood pressure and reduces your risk of cardiovascular disease, heart attacks and stroke.

On the days your calorie intake is down, your body will thank you. Soon, you will be patting yourself on the back. Feeling better and lowering heart risks is your present to yourself. http://en.wikipedia.org/wiki/5:2_diet

Betty Kuffel, MD

ARE COFFEE AND TEA HEALTHY?

Cup of coffee in a sea of coffee beans Cup green tea 2

HEALTHY CHOICES

If you are a confirmed coffee drinker like I am, it may be hard to convince you to buy a few green tea bags and join tea drinkers around the world. Below is an excerpt from our first volume of Lipstick Logic Health Series which will become an e-book available in February. As I am sure you know, heart disease in women is different in some aspects and can be more difficult to diagnose.

Volume One, Your Heart, covers the latest information on heart disease, interventions and lifestyle changes to improve health.

February is not only Valentines day, the first Friday, February 1st, is also the annual Go Red For Women Heart Association alert to educate yourself and live healthier and longer. If you would like to know when the book becomes available, please sign onto our website readership.

Coffee

Coffee is good for you, but like everything else you do, use moderation. Numerous studies show a reduction in Type II diabetes in those who drink either caffeinated or decaffeinated coffee. In one study of about 193,000 people, those who drank 6-7 cups a day were 35% less likely to develop Type II diabetes than those who drank less than two cups a day. Even drinking 4-6 cups per day lowers the risk.

Freshly brewed coffee contains antioxidants. Minerals including magnesium and chromium in coffee are involved in insulin function. Lowering risk for diabetes reduces the risks for both heart attack and stroke.

One would think the stimulant effect of coffee would be detrimental because caffeine can stimulate epinephrine and raise blood pressure. Studies show an actual reduction in heart rhythm disturbances.

Two studies showing favorable effects from coffee consumption are the long-term study on 83,700 nurses enrolled in the Nurses’ Health Study which showed a 20% lower risk of stroke in those who drank 2 or more cups per day over non-coffee drinkers. In another study on 130,000 people who drank 1-3 cups per day, they were 20% less likely to be hospitalized for heart rhythm issues than nondrinkers.

In addition to the above benefits, there are clear links to decreased risk of Parkinson’s disease and Alzheimer’s dementia in coffee drinkers.

The downside is the things you add to coffee. Plain black coffee has fewer than ten calories. Add a teaspoon of sugar and you have added 23 calories. Adding half and half or liquid non-dairy creamer increases the calorie content by 50. Check the calories of what you add and see if you want to spend daily calories that way or learn to drink it black. Some coffee specialty drinks contain as much as 500 calories, a meal in itself. Also, if you are having daily barista coffee drinks, these hidden calories can jeopardize weight control goals and are expensive. Second only to crude oil, coffee is big business.

If you look around, may find a “new” coffee drink to interest you-tea made from coffee plant leaves. This drink was popular for a while in the 1800s but didn’t catch on in England. A recent article in the Canberra Times reports an Annals of Botany publication stated “Coffea arabica leaves have higher levels of antioxidants, which is thought to be beneficial in combating heart disease, diabetes and even cancer, than tea or coffee.” Coffee plant leaf tea is currently available in some health food stores.Coffee beans and hands

Green Tea

Benefits of drinking green tea have been touted your years. Does this mean a confirmed coffee drinker should acquire a taste for tea? Maybe. It sounds bland, uninteresting and if it is calorie-free, how good can it be?

Green tea contains micronutrients called catchins. These are antioxidants which scavenge the free radicals we want gone. An animal study at McGill University in Montreal on one component of the catchins found it effective in treating prostate tumors. Human studies are hopeful. In the lab, the green tea substance inhibits cancer growth and kills abnormal cells. In a study involving 500 Japanese women with breast cancer, those who drank increased amounts of tea before and after surgery had lower cancer recurrence. Another cancer that may be suppressed is lung cancer. Twenty-two studies analyzed showed drinking two cups of green tea (not black) resulted in an 18% decreased in developing lung cancer. If you are already a tea drinker, but it isn’t green, give it a try.

Another healthy aspect of green tea and others from the Carnellia sinensis plant (Black and Oolong) is the content of bronchodilators. If you know someone with asthma, you’ll know what we mean. Theophylline and theobromine in tea both act on the lungs by relaxing tight airways allowing better airflow. Tea can help calm cough in mild lung conditions.

Some studies show green tea aids weight loss, reduces LDL cholesterol, lowers blood pressure and relaxes blood vessels improving heart health.

If all these positive aspects of tea haven’t convinced you to drink a couple of cups a day, maybe this will: Green tea suppresses bacteria in the mouth and GI tract and may not only combat tooth decay, it might help infectious diarrhea. Because of its medicinal effects, lotions, bath salts and even a prescripted green tea ointment clears warts!

I’ll drink to that!

Betty Kuffel, MD

CUTTING HOLIDAY CALORIES LOGICALLY

Calories in/Calories out Weight control scale and tape

Each pound of body weight equals 3500 kcal (calories). To gain a pound, you simply eat 3500 calories more than you burn. To lose a pound, it’s the opposite and much more difficult to accomplish—you must eat less or burn more, to equal a deficit of 3500 calories.

For example, if you eat one banana per day (100 calories) more than you have burned, in one week you will have stored 700 extra calories. That makes 2800 calories in a month and in one year, about ten pounds of excess weight. One hundred calories doesn’t seem like much, but it adds up. It is just: one tablespoon of butter, a slice of bread (with a teaspoon of butter), an apple. It’s in the numbers.

Gelato DessertIf you are in the habit of eating ice cream at bedtime, one scoop contains about 400 calories. That adds up even faster. If you eat a scoop of ice cream even three nights a week without earning it by exercising 400 calories, in a year, you will be fifteen pounds heavier. But do you only eat one scoop, or do you eat more and with chocolate syrup?

So, what do you have to do to earn a 400 calorie treat? A 120 pound person jumping rope burns about 9 calories per minute. That means you have to jump rope for 43 minutes. Not many of us will do that even for ice cream. Hiking for 1.5 hours, the same weight person would burn off 400 calories. Or just walk 4 miles per day and you have earned your 400 calorie snack and won’t gain weight.

Losing weight is more difficult than quitting smoking because you must make thoughtful food choices everyday, many times a day, for life. Quitting smoking is quitting, no more choices. You don’t need tobacco to live but you do need food.

Motivation to lose weight must come from within. It takes dedication and a change in eating patterns.  It is life-changing and you can do it!  To be successful, some people need to change friends. Friends who tempt you with high calorie meals and don’t assist you in your plan are not friends. They are like people who offer liquor to alcoholics who have quit drinking.

There are no excuses. Being overweight and unhealthy is not purely genetic. It is about fifty percent environmental. Yes, body type such as the “apple shape,” those with a round belly and skinny legs, are familial and at high risk for heart disease and diabetes. But weight control, food choices and exercise, are healthy choices that can change all that. Identical twin studies show the twin adopted into a family of healthy-eating exercisers attains a thin body shape. The twin adopted into a family of snackers who are couch potatoes ends up overweight like the adoptive family.

Unfortunately, there is no magic to weight loss. Effective weight control or weight loss plans all include exercise. Exercise increases metabolism, improves fitness, burns calories, decreases depression, prolongs life—and it goes on and on. Try to make exercise a part of your day and your healthy weight plan. If you walk for thirty minutes, climb stairs for fifteen minutes or do general housework for twenty-five minutes, you will burn one hundred calories.

Eliminating excess fat intake is the easiest way to cut calories. You would hardly miss a tablespoon of butter that contains one hundred calories. One tablespoon of oil is found in many creamy salad dressings, mayo and most gravy. Envision how much a tablespoon contains. It is a small amount, much less than the usual ladle commonly used to serve salad dressing. You can still use salad dressing; just don’t sabotage your plan. Or better yet, use low-calorie vinegar dressing instead.

Weight Watchers teaches people how to eat.  Healthy food choices become a part of every meal. They use a point system instead of calorie counting to make it simple and with this method you will learn how to eat. If you are not inclined to attend meetings you can join online or find a friend who has similar interests, learn to count calories, eat healthy and walk every day. If you have trouble walking, find an activity such as stationary bicycling or swimming that you and your physician believe is safe for you.

Set a goal. If you lose one pound a week, that is 52 pounds in a year. If you are significantly overweight and would like to lose that much, it is best to do it gradually with healthy choices and exercise. That way you are much more likely to keep it off and improve your health for life. The Mediterranean diet which consists primarily of fresh fruits, vegetables, nuts, and lean meat and fish, provides easy healthful food choices. You omit fried foods, caloric pastries and use mono-unsaturated fats such as olive oil sparingly.Vegetables

Some holiday thoughts regarding food choices:

  • Serve healthy low-calorie food options to your family and guests.
  • Keep candy and sweets out of view. Lower temptations to snack.
  • Don’t buy unhealthy snacks. Consider chips poison due to calories, fat and excess salt content.
  • Keep apples in view. It is a low calorie healthful snack.
  • Forget pies and ice cream. A slice of pie is about 400 calories a slice.
  • Go very light on pasta, gravies, creamy salad dressings, mayo and nuts.

Overview of a few calorie counts on common food choices:

  • 1 cup of oil roasted peanuts~900 calories
  • 20 almonds~150 calories
  • 1 cup plain pasta or 1 cup white rice or 1 cup mashed potatoes~ 220 calories
  • 2 slices white meat turkey~45 calories
  • 3 slices cooked bacon, fat drained~100 calories
  • 1 boiled egg~ 80 calories
  • 1 egg white~ 15 calories
  • 1 slice bread~70 calories
  • 1 peanut butter/butter/2 slices of bread sandwich~400 calories
  • 1 cup cooked green beans~45 calories
  • 1 medium apple~ 90 calories

ApplesCheck out www.WebMD.com (Living Healthy) for some heart healthy recipes, and www.Realage.com (and take the RealAge Test).

Make 2013 a healthier year for you and your family. In this chaotic world, there are many things out of our control, but inside your world, examine what you can control. Small changes in the right direction can make a huge difference in your health.