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Hanging in the calorie balance

Alright so now you know I love cookies. But this is just a small part of my culinary
weakness – I actually like all food, and the less healthy it is, the better it
tastes (in my opinion). Of course I try
to eat lots of green leafy veggies, lean meats, and citrus fruits… but how can
one resist hazelnut gelato or Camembert cheese?
Or who would turn up his nose at Kobe
beef with truffle oil-drizzled mashed potatoes and butter? Or what about hot scones and clotted cream
with strawberry jam?

Sigh. I must admit
that my extreme enjoyment of all things gastronomical has landed me in quite a
position on the exercise side of the calorie balance equation. I’ve never been a natural athlete though I do
like getting out into nature.

In fact, I’ve been jogging (one could not describe my
efforts as running) since I was a pre-teen.
I like the minimal hand-eye coordination required for the sport, the
virtual inability to let teammates down (running by yourself has a low risk of
disappointing others), and the freedom of being able to go wherever you like –
breathing in the fresh air, taking in the landscape, and letting the mind
wander.

And so I’ve been trying to get back into jogging as this
winter has been the most sedentary of my life.
I am now experiencing what my profession calls “deconditioning” and have
been in near awe at my body’s ability to lose its capacity to perform something
it’s been doing for decades – all within the span of <6 months.

I was recently amazed by how difficult jogging had
become. My legs felt heavy, my heart was
pounding, everyone was passing me on the trail… I was becoming quite
discouraged, when I suddenly happened upon a brilliant idea: rope someone else
into my suffering!

I approached an unsuspecting friend of mine with a proposal:
“would you like to jog with me 3 times a week in the early mornings?” I tried to make that sound as appealing as
possible, putting on my best hopeful grin while sizing her up and wondering if
she could tolerate my slow pace. Much to
my surprise, she responded with an enthusiastic “yes!” She said that she was “not any good at
running” but was trying to get back in shape and would welcome some
accountability.

And so the two of us have been trundling along a running
trail each Tuesday, Wednesday, and Thursday morning for the past month. We’ve had a lot of fun catching up on each
other’s lives, and somehow the exercise has become less arduous and more
enjoyable.

So what’s the moral of this rambling post? Exercise is hard – it’s not always fun, and
if you haven’t done it in a while, you’re guaranteed to feel fairly embarrassed
by your inabilities at first. But don’t
give up! Find a nice exercise buddy and make
time to do it regularly. That way you’ll
be healthier, happier, and able to eat occasional rich food with less guilt!  Anyone out there been struggling to get more active?

This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.

Good news for celiac disease sufferers – biopsies may not be necessary for diagnosis

In a recent study published in the British Medical Journal, researchers found that blood tests and a history of patient symptoms might be all that’s needed to diagnose the majority of individuals with celiac disease. Until now, a diagnosis required a biopsy of the intestinal wall.

It is estimated that celiac disease (caused by an autoimmune reaction to wheat gluten) remains undiagnosed in a whopping 85% of cases. This may be due to the fact that symptoms are often non-specific (diarrhea and constipation, fatigue, anemia, tooth enamel defects, weight loss, and dry skin are some of the symptoms).

The researchers report:

We devised and evaluated a clinical decision tool that used a combination of pre-endoscopy serological testing (for tissue transglutaminase antibodies) and assessment of symptoms to identify patients with coeliac disease. This decision tool might help increase the detection of coeliac disease in patients attending for gastroscopy without the need to perform routine duodenal biopsy.

As efforts are underway to increase awareness in the primary care community about the disease, it is good to know that diagnosis may no longer require an invasive test!

This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.

Food Labels: Brits Vote to “Keep It Simple”

In a recent poll, 80% of consumers (along with the British Medical Association) preferred a simple “stop light” food label to a long list of percentage figures of recommended daily amounts. The stop light icon simply categorizes food as containing low (green), medium (yellow), or high (red) levels of the following ingredients:

  • Fat
  • Saturated Fats
  • Sugar
  • Salt

The guideline daily amounts (GDA – the rough equivalent of America’s RDA system) supporters argue that the stop light is an oversimplification, and does not effectively convey all the important nutritional value of food.

What do you think? Would you like to see this sort of labeling in the US?

This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.

Kuwait tops USA in percent overweight

I was surprised to find that Kuwait has just edged out the USA in the percent of its population that is reported as “overweight:” 74.2%.  Forbes has an interesting visual flag display of the world’s fattest nations.

So what happened to Kuwait?  One fairly unhelpful press release suggested that the increase in overweight and obesity was due to changes in diet and exercise habits.  Thanks for that insight.

A recent study concluded that the risk of being overweight in Kuwait was positively influenced by income levels and yet the risk of obesity was inversely related to income levels.  So, if you’re wealthy you’re more likely to be chubby, but if you’re poor, you’re at risk for obesity?  Not sure I understand why that’s so.  Maybe everyone has plenty to eat, but only the wealthy can afford gym membership?

Another study correlated increased weight with frequency of dental visits.  Does that mean that the more dental work you need the more likely you are to be overweight/obese?  I guess Kuwaitis don’t brush their teeth.

What really happened to Kuwait?  This happened.This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.

Relationships and weight gain: Valentine’s Day musings

My friends in the Revolution Weight Management Center asked me to blog about weight and relationships… at first I wondered if they were trying to stage an intervention or something: have I gained that much weight since I started working here? Ha ha. No, I haven’t… but maybe that’s because I have such a skinny husband?

As it turns out, research suggests that married couples are influenced by one another’s dietary habits. If you marry a person with poor eating habits, you are much more likely to adopt them yourself. Also, they say that marriage leads to more regular (read frequent), larger meals and increased financial pressures, stress levels and decreased exercise frequency.

Well, I guess choosing the right spouse has never been more important for weight control? Marriage doesn’t automatically lead to weight gain, but you should eye your boyfriend/girlfriend/fiancé(e) with suspicion at the dinner table. When I was dating my husband I noticed that he ate small portions, never finished his plate, and didn’t like dessert. He liked to run, had good sleeping habits, drank in moderation, and wouldn’t notice a super model if she fell in his lap. Sound too good to be true? I still ask myself that every day. They don’t make too many like Steve, I’ll tell you!

Anyway, I must confess that before our wedding I was in the best shape of my life, running about 20-25 miles a week, shunning all products containing high fructose corn syrup, and taking good care of my health. Now I exercise irregularly, sneak in rich dining experiences, and skip meals. I weigh about the same, but have (I’m sure) exchanged fat for muscle.

What do I make of this? Well, I need to force myself to go running again with my husband (he patiently runs at my pace as I lumber along next to his gazelle-like frame) and be more mindful of my eating habits. This is a never-ending battle for me, but it is made so much easier by having a supportive spouse who never deviates from good health practices.

So as Valentine’s Day approaches, observe your loved one’s eating and exercise habits with a critical eye. You are likely to be influenced by them more than you know. And for those of you who have a “Steve” in your life, thank your lucky stars, put down the box of chocolates, and show him how much he’s appreciated!

P.S. Steve would like to tell you that he (thanks to me) now enjoys dessert and craves ice cream from time to time. I guess my influence on him hasn’t been as positive.

This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.

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