Showing posts with label diet. Show all posts
Showing posts with label diet. Show all posts

Everyday Fitness

Everyday Fitness

with Pamela Peeke, MD, MPH, FACP
pulled from -
http://blogs.webmd.com/pamela-peeke-md/2010/06/the-secret-to-lifelong-weight-maintenance.html?ecd=wnl_lbt_060910_crg_pfx

Living life to the fullest is all about striving for a mind-body balance every day. Achieve a mental, nutritional, and physical transformation for life with tips from wellness expert Pamela Peeke, MD.

Take a look at my Diet Community and you’ll see a discussion group that I entitledI was doing just fine with my weight management program UNTIL___.” This was a real hit, with countless postings ranging from words of wisdom, “Get serious about getting rid of over eating triggers, even if it means your husband!” to pleas for help, “No matter what I do, I only seem to last no more than 2 or 3 months and then I fall apart, once again.”

Based upon this discussion group and my daily interactions with patients who are slugging it out striving to maintain their weight removal achievements, I’ve decided to concentrate on one key element of lifelong weight maintenance – vigilance.

Vigilance is the state of being vigilant, the Latin derivation of which means to keep watch, stay awake and be watchful, especially to avoid danger. It doesn’t mean you have to turn yourself into a crazed obsessed worrier. It simply means be on red alert for those situations when you know you’ll be more vulnerable to self-destructive habits.

For example, let’s say you’ve never had a problem eating a healthy breakfast and lunch. But when 3 PM rolls around, you’re fighting a well-entrenched habit of sauntering over to the vending machines and loading up on candy and cookies. This is when you must be much more vigilant and become acutely aware of your choices and actions. Red alert times are when you tend to a become a food zombie, mindlessly deferring to old habits, and then awakening from a binge coma to realize with shock and horror that you’ve just downed a mountain of food.

In addition to times of day, sometimes we’re hit with one of life’s curve balls and your best healthy lifestyle intentions can easily and mindlessly fall by the wayside. Carole is a 45-year-old mother of 3 with a strong family history of serious obesity. She’d been an athletic woman, giving birth to three fabulous boys, and life was going well until one of her son’s was diagnosed with a medical condition. Being the ultimate caregiver, she dropped her healthy habits and promptly allowed her genes to take over.

Remember my favorite saying: “Genetics may load the gun, but environment pulls the trigger.” She’d kept her genes at bay until she was seriously challenged. The good news is that her son came through with flying colors. The bad news was she gained 130 pounds over the course of 3 years. Talk about a long food coma. Once she was ready to make the change, she reversed her habits and shed the 130 pounds and for three years maintained her newly fit self quite well.

Then, she got hit with another caregiver sledgehammer when her aging mother became demented and unmanageable, draining her mental and physical energy with endless doctor’s visits and terrible temper tantrums. 50 pounds later, Carole awakened from her food trance long enough to realize that instead of donning her nice form fitting clothes, she was back to elastic. She literally had no memory of passing through 4 dress sizes. Such is the power of dissociation. At one point, Carole looked at me and said in a voice of disbelief, “I thought I was there. You know. I’d reached my goal and I was going to stay there for life no matter what stress happened. Boy, was I wrong.

Carole dropped her vigilance and voila, the weight was back.

Thankfully, Carole learned her lesson and so will you. Here are mindfulness tips and tools to keep you vigilant and help you succeed at maintaining your lifelong weight management journey:

1. Once you reach your “there,” you have to work to maintain it. First up, get it out of your mind that some mythical fairy tale easy life “there” exists. You can never achieve a weight goal and just expect to maintain that accomplishment without continuous work. You may have shed 50 pounds and be happy at this moment. But if you let it go, and you don’t continue the very same healthy lifestyle habits that helped you reach your goal, you’ll regain the weight.

2. Plan for your red alerts. Take a moment and make a list of the kinds of stresses that have usually kicked you right into self- destruction. Any person, place or thing that triggers you to overeat and abandon your healthy habits needs to be counted and recognized. This include specific times of day when you are more vulnerable to going mindless and knee jerking into an old self-destructive habit. For each item on your list, write down at least 3 strategies for proactively preventing this stress from getting to you. If you’re grabbing junk to eat every mid-afternoon, plan to bring a satisfying snack to curb carb cravings and rein in overeating at dinner.

3.Adapt and adjust to unexpected life events. You never know when a serious stress will occur in your life. This is when you need to understand the golden rule of coping: Under tough stresses, learn to adapt and adjust without self-destruction. If you practice stress management every day, then you’ll have honed your skills enough not to get derailed when you hit the big speed bumps of life. Yoga, meditation, journaling, the outdoors, family and friends are all great resources to draw from when the going gets that tough.

4. Ask for help. Don’t be shy. Be vigilant and aware of the fact that you’re falling off the wagon. Minimize damage control by asking for professional help if you need it. Counselors, nutritionists and fitness professionals are all there to partner with you as you seek to regroup and get back on track.

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Wednesday, June 9, 2010

Nutrigenomics: Where Diet and DNA Meet

Nutrigenomics: Where Diet and DNA Meet
Dr. Duke Johnson, M.D.
Medical Director, Nutrilite Health Institute

In the last decade, scientists have found that the effect of our diet on our bodies is far more complex than we ever imagined. These findings have opened up an exciting new area of science called nutrigenomics – the study of how diet works in our bodies at the molecular level.

In the past, we had a good idea of the ways the food we ate was used by our bodies, but we didn't understand the process completely. For many years, we have known our digestive tract breaks down food to its smallest building blocks, allowing the food to enter the bloodstream. For example, fats are reduced to fatty acids, and carbohydrates become simple sugars. These basic components – along with vitamins, minerals, and phytonutrients – enter the bloodstream from the digestive tract, pass through the liver for processing, and are then transported to every living cell in our body.

Today, we know much more about what happens to those nutritional building blocks once they enter our cells. Not long ago, scientists believed these nutritional components did most of their work in the region of the cell located outside the nucleus called the cytoplasm. We knew these nutritional components were needed to produce energy and help with many other cellular functions. But, we were unaware these basic nutrients actually influenced our genetic code as well.

Recently, a significant amount of research has shown many of the nutrients we eat actually enter the cell nucleus and affect our genetic code, known as DNA. The nucleus is a special compartment inside the cell that holds our DNA. Another term for DNA is genome, and by combining the words "nutrients" and "genome," we get "nutrigenomics," the study of how the nutrients we eat affect our DNA.

The relationship between our diet and our DNA is quite complex. DNA is made up of genes, which are the "blueprints" of proteins responsible for running the reactions in our cells. Some genes make good proteins known as enzymes, and other genes make proteins that can be harmful to our health in large amounts. It is also important to know that all of our genes aren't always turned on. Genes are like a light switch. We turn them "on" or "off" with our lifestyle choices.

Nutrigenomics is helping us understand how nutrition affects our health better than ever before. For example, unhealthy foods may actually switch "on" some of those harmful genes. On the flip side, healthy foods that provide good nutrients can likely switch "off" those bad genes.

Though the science of nutrigenomics is relatively new, it is already allowing us to expand our knowledge of nutrition. As you can see, it is also strengthening the case for healthy eating – showing you that the food you eat has a tremendous effect on your health and disease risk, even at the genetic level.

Special Note: Fad diet promoters often have no knowledge of nutrigenomics and commonly recommend foods that turn on bad genes. Since we work with some of the most knowledgeable people in the field of nutrigenomics, you can feel confident that my recommendations concerning food take this field of science into consideration with your best health in mind.

Dr. Duke Johnson, M.D.
Medical Director, Nutrilite Health Institute

Sunday, November 29, 2009

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