Category Archives: Uncategorized

Go Nuts!

A new study suggests that going nuts is good for your health. Published in the New England Journal of Medicine this week, the study shows that regular nut consumption is associated with a lower risk of death from many leading causes of death, including heart disease and cancer. (If you aren’t motivated to read a journal article, this video will give you the key points from the study.)

The reduction of risk was greater with more frequent nut consumption. For example, the risk of death from all causes was 11% lower among men and women who consumed nuts once per week and 20% lower among those who consumed nuts seven or more times per week. 

This is level of nut consumption could be met by a common recommendation to consume 1–1.5 ounces of nuts as a snack every day.

One thing to keep in mind is that the health benefits of nut consumption might be due to other positive lifestyle factors that go along with greater nut consumption. Indeed, the authors noted that, “As compared with participants who consumed nuts less frequently, those who consumed nuts more frequently were leaner, less likely to smoke, more likely to exercise, and more likely to use multi-vitamin supplements; they also consumed more fruits and vegetables and drank more alcohol.” Although these other factors were controlled for in the study, common sense suggests that the reduction in risk is due to a combination of beneficial health behaviors.

This is an important point. A person who eats in unhealthy diet, is sedentary, and smokes is unlikely to realize the  health benefits of increasing nut consumption. Achieving the full benefits of nut consumption also certainly means adopting other healthy behaviors.

This is good news! Eating more nuts is a relatively easy dietary change to make. And as this study shows, it can lead to a reduced risk of death from some common diseases. So…go nuts!

Weight loss and exercise project management

Almost everyone who starts a weight loss of exercise program does so with good intentions. Many get off to a good start and see beneficial results, at least initially. Unfortunately, long-term success is uncommon.

There are myriad reasons for this, but the way people manage their weight loss and exercise efforts is certainly among them. Think about it: when someone takes on a new diet or exercise program it is usually added to their typical routine. The problem with this approach  is that most people are busy, and there is little extra time in their day. As a consequence, the diet and exercise doesn’t get the time or attention is needs in order for people to be successful.

This is where the lessons of good project management can be helpful. In the workplace a major project is usually accomplished though defining the scope to the project, appropriate goal setting, allocation of resources (including time), and a mechanism to assess progress.

But many people who approach projects this way at work tend not to apply this process to health improvement projects at home. The result is poor planning, setting unrealistic goals, and failure to allocate appropriate resources, including time.

Especially time. Time to set goals, time to plan and prepare meals,  time to exercise, and, perhaps most important, time to assess and adjust the plan along the way.

Many of these problems could be avoided through the same good project management techniques that would be used at work. The idea of treating weight loss, exercise, and other health improvements as a project is the topic of my Health & Fitness column in the Aiken Standard this week.

Friday afternoon seems like a perfect time for a movie. A Food MythBusters movie, of course!

You really should see this great video from Food Myth Busters about the advertising of fast food and “junk” food to kids. It is an excellent look at the consequences of food marketing to children, including the many forms this marketing can take.

I think that the message that parents (among others, like school administrators) need to take responsibility for limiting children’s exposure to these marketing efforts and –more importantly — set a good example is important.

It’s only about 6 minutes long, so you will have plenty of time to check out the excellent information on the rest of the site.

In case you were expecting some thing from the other MythBusters, they have videos about food, too.

My Friend Shannon update: The problem with her new pants (but in a good way)

I haven’t given an update for some time, but My Friend Shannon is still going strong on her remodeling project.
I received an email from her recently with the intriguing subject, “Women’s clothes are liars!”  I thought it was worth sharing:
I have a hard time finding jeans that fit me properly.  A few years ago, I discovered that Old Navy jeans are the best fit for my body.  They have 3 different styles, The Sweetheart, The Flirt, The Diva.  The Flirt fit me the best because it was a low waist, fuller thigh, straight leg.  Hate the name, love the fit.  
At the time I think I was a size 10 in most all pants.  But, of course, in Old Navy jeans, I was a size 8.  What really made me mad was that I knew they did it on purpose so women would feel good about being a “smaller size” in their jeans and would keep buying jeans from them.  But even knowing that, I still felt good about being in a size 8.  UGH!
Fast forward to present day.  I went shopping on Labor Day to get some new jeans since my old ones are too big now (Yay!).  I now wear a size 2 Diva.  Divas are narrower in the hips than The Flirts.
Have I lost weight? Yes.  Do I really think I’ve lost enough weight to go from a size 8 Flirt with roomier hip to a size 2 Diva with a narrower hip? Of course not! Women’s clothes lie!!!   But I still felt good so I apparently don’t care if they lie to me as long as they tell me what I want to hear.
Despite appearances to the contrary, this is not a conspiracy on the part of Old Navy to deceive customers into thinking they are a smaller size than they really are. It is actually a conspiracy on the part of most women’s clothing manufacturers to deceive customers into thinking they are a smaller size than they really are. It is called “vanity sizing.” But what seems like a harmless marketing ploy may actually be contributing to weight gain and obesity.
[Proof that vanity sizing has gotten out of control: Some women’s clothing comes in a size 0 or 00. What’s next, negative sizes?]
Imagine that Shannon wears a size 6 jeans. The changes in sizing mean that she could actually gain weight, requiring a larger size (say, an 8). But when she goes to buy new jeans she finds that the old size 8 is now called size 6. Of course Shannon is thrilled that she still wears the same size jeans and her fears of gaining weight were unfounded! In this case, Shannon has lost an important cue—needing to buy larger jeans—that she has gained weight. And missing cues like these allow people to gain weight over time without noticing it.
It could be worse. Some pants can make you fat! Many men’s pants include an expandable waist that allow up to 2 inches (or more, in some cases) of  “stretch.” It is possible that a man could gain several inches around his waist but still wear the same pants size.

Apparently, this is for real: Shaq Soda. Also for real: It’s not healthy.

So, Shaq has a new soda. I’m sure you won’t be surprised to learn that it has been criticized for both the flavor and the fact that it is loaded with sugar (each can contains 72 grams, equivalent to 17 teaspoons), just what we want a “role model” promoting to our kids. This is a departure from his previous efforts to reduce obesity among children.

I bet he got paid more for the soda.

 

The best answer I have seen to questions about dietary supplements

I get a lot of questions about nutritional supplements. Should I take (fill in the blank)? Will it help me lose weight? What would I recommend? Most of the time, my answers are disappointing.

Since there is very little research to support big benefits of taking supplements, I tend to respond with something like this: “There is no good reason* why you should take supplements so it probably won’t help much. I  probably won’t hurt you either, so if you have the extra money, go ahead.”

*Unless your physician tells you to. And tell your physician about supplements you do take.

I recently read a much better response. It’s from Marion Nestle, a professor, writer, and all-around expert about all things nutrition. It’s from a Q&A on her blog, Food Politics. You should make it part of your regular reading.

Q: Why are you so hard on nutritional supplements? You must be one of those people who thinks they kill people.

A: Don’t get me wrong. Nutrient supplements are great for people who have nutrient deficiencies. Whether they make people worse is arguable, but study after study shows that nutrient supplements do not make healthy people healthier. If you like to take supplements, I’m guessing you don’t care much about what the science says. Supplements aren’t about evidence-based medicine. They are about deep distrust of modern diets, science and the health care system. If nothing else, supplements are powerful placebos, and I’m not at all convinced they are seriously harmful. My advice: Supplements, like everything else about nutrition, should be taken in moderation.

Good, right? Why didn’t I think of that?

Just do it…together!

Having someone to exercise with can provide motivation and accountability, both of which are important for getting you moving, especially when you don’t want to. I learned this from my son recently, which I wrote about in my Health & Fitness column in the Aiken Standard this week.

The effect of involving others in your behavior change process is also helpful for losing weight and quitting smoking. This is true even if the other person (or people) aren’t participating  with you—simply telling others about your plans to change can help make you more accountable and improve your chances for success.

I mentioned some research about exercising with a partner in my column. The links to the articles are below, in case you want to learn more:

Irwin BC, Scorniaenchi J, Kerr NL, Eisenmann JC, Feltz DL. Aerobic exercise is promoted when individual performance affects the group: a test of the Kohler motivation gain effect. Ann Behav Med. 2012 Oct;44(2):151-9.

Plante, T.G., M. Madden, S. Mann and G. Lee, 2010. Effects of Perceived Fitness Level of Exercise Partner on Intensity of Exertion. J. Soc. Sci., 6: 50-54.

Johnson, R. A., & Meadows, R. L. (2010). Dog-Walking: Motivation for adherence to a walking program. Clinical Nursing Research. 19(4), 387-402.

Your schedule for staying active at work, from Lifehacker (and me).

The negative health effects of sitting all day at work are well established, and incorporating activity into your day isn’t as difficult as it might seem. But it is easy to get busy and forget to take even a few minutes to be active.

Problem solved! The good people at Lifehacker have come up with a schedule to help you remember to stretch and strengthen throughout the day at work. And I got to help!

My Friend Shannon’s remodeling project update: Lose weight, win jeans!

My Friend Shannon won a pair of jeans recently!
“Today, I am wearing a pair of jeans that I forgot about.  When I bought them, I could barely squeeze into them and get them fastened and then they were so tight, I was horribly uncomfortable.  For the record, they fit much better in the fitting room a couple of years ago, when I was sucking in my stomach for the 30 seconds it took to put the jeans on and look in the mirror and determine that I thought they looked good.
I found out over the weekend that they fit just fine now! YAY”
Okay, so she didn’t exactly win them, but unexpected clothing finds like these are a nice reward.
 

Eating healthy and saving money–it can be done! And your family should try it.

I read this interesting article in USA Today about a family who is working together to lose weight by eating healthy and exercising more. The family is participating the USA Today’s Family Fitness Challenge, which provides them with expert advice.

Predictably, their fitness is improving and they are losing weight (over 100 pounds total so far). One family member even quit smoking!

What may be surprising is that they are saving money following their new healthier diet. By preparing most meals at home they are saving about $300 per week on food!

Another happy consequence is that they are spending more time together as a family by eating meals  and exercising together. No doubt this is good support for them as they try to improve their health.

They are doing this as part of  a TV show (The Doctors) and they have an exercise physiologist and a nutritionist working with them, so it would be easy to think that a typical family without this support wouldn’t be successful. I disagree.

I think that if most families started preparing dinners at home, eating as a family, and going for a walk (or doing some other activity) together after dinner they would get in better shape, lose weight, and benefit from more time together.