Tag Archives: diet

The mystery of how you can feel hungry shortly after eating breakfast explained.

Have you ever noticed that sometimes you can feel hungry—really hungry—midway through the morning, even after eating breakfast? Isn’t eating breakfast supposed to get you through the morning without feeling hungry?

The answer to these questions gets into why we eat and what regulates feelings of hunger. This is the topic of my Health & Fitness column in the Aiken Standard this week.

First of all, much of the time we want to eat we really aren’t hungry. Hunger is a physiological drive to seek food and is generally experienced as a negative sensation. It is a survival stimulus that got our caveman ancestors out of the cave to seek food, despite the threat of saber-tooth tigers. Hunger is a signal that energy and nutrients are needed and nearly any food will meet this need. In our world now, we rarely need such a powerful stimulus for us to seek food, and most people eat even though they aren’t truly hungry.

What we experience more often is appetite, a psychological sensation that motivates us to eat, usually in response to some sensory input. For example, the smell of fresh-baked cookies makes most people want to eat, even after a meal. In this case, it is the idea of food that triggers the sensation, not a physiological need for nutrients. Additionally, appetite is usually specific to a certain food we crave, like cookies.

One of the problems we face is that we often confuse appetite (wanting something to eat) with hunger (needing something to eat). This can lead to overeating.

It turns out that the foods we eat help determine how much we will eat in a meal and  contribute to our feelings of hunger later. A meal that contains a combination of foods providing carbohydrates, protein, fat, and fiber tend to make us feel full sooner, so we may eat less in that meal. By contrast, eating foods that contain primarily carbohydrates, especially refined grains and sugar, don’t have the same effect, and we can take in more calories before our brain gets the signal that we are full. This is called satiation.

That isn’t all. What you eat for one meal can influence how quickly you will feel ready to eat again later. This effect is called satiety. A meal that contains mostly refined carbohydrates can lead to feelings of hunger shortly after a meal. This why you can feel hungry midway through the morning after a breakfast consisting of a donut and juice.

One recommendation to help people eat less to lose weight is to eat foods that are high in fiber such as whole grains, fruits, and vegetables, since these foods tend to make us feel full sooner. Meals that contain a combination of nutrients, especially protein, can also help us go longer between meals.

So instead of a donut and juice for breakfast, try a piece of fruit (fiber!) and something containing protein, like an egg or yogurt.

Realistic advice for a healthy Thanksgiving.

Let’s face it…Thanksgiving isn’t the healthiest of holidays. It usually involves some combination of food, relaxing, watching the parade or a football game, and more food. Then it’s time for leftover turkey sandwiches and more pie.

I’m sure you have seen the  recommendations about how to make Thanksgiving a bit more healthy which usually include avoiding high-fat and high-calorie foods, limiting your portion sizes, and skipping dessert. While this is good advice, it isn’t realistic. After all, Thanksgiving is a day for food and family, not counting calories.

I think a better approach is to accept that you will overeat on Thanksgiving and not worry about the food so much. Instead, focus on including activity in your day. Going for a walk before dinner can help reduce the effect the meal has on your blood lipids and going for a walk after dinner gets you out of the house and away from the food.

The end result is that a little activity can make your Thanksgiving a bit healthier. And if you make going for a walk (or two) every day a habit, the health benefits will extend into the New Year.

This is the topic of my Health & Fitness column in the Aiken Standard this week. Go ahead, check it out.

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.

Could you be The Biggest Loser?

My Health & Fitness column in the Aiken Standard this week is about the popular television show The Biggest Loser. In the column I address the question, could a viewer at home duplicate the weight loss results of the contestants on the show?

In my column I include data on average weight loss of the winners of the past 14 season, which I found here.

I also cited the results of a  study examining the contributions to weight loss experienced by Biggest Loser contestants. It is interesting reading.

 

From awareness to action: Steps to prevent breast cancer.

This is the last week of Breast Cancer Awareness Month. Through national and local education efforts we should be aware of the impact that breast cancer has on women and their families as well as steps to diagnose and treat this serious condition. We may also have contributed to events from bake sales to road races to support programs that aim to enhance research and treatment for women (and a few men, too) who are dealing with breast cancer.

Now that the pink ribbons are coming down and the NFL players are taking off their pink socks, it is time to focus on something that didn’t get as much attention over the past month: the prevention of breast cancer. This  is the topic of my Health & Fitness column in the Aiken Standard this week.

It turns out that there is a lot that women, especially young women, can do to prevent breast cancer. The good news is that these steps, including not smoking, eating a healthy diet, and getting regular exercise, can also reduce the risk of many other types of cancer as well as other serious health problems such as diabetes and heart disease.

The even better news is that these health behaviors can reduce the risk of breast cancer even in women who have a strong family history or other genetic predictors. Furthermore, these lifestyle factors, especially regular exercise, can help women better tolerate treatment and reduce the chance for cancer recurrence.

Unfortunately, breast cancer prevention doesn’t seem to get the same attention as diagnosis and treatment. In fact, a listing of topics on the National Breast Cancer Foundation Breast Cancer Awareness Month web page includes Early Detection, Diagnosis, Stages, Types, Treatment, but not prevention! This isn’t to say that detection and treatment aren’t important, but preventing breast cancer—something that would benefit ALL women—should be part of the conversation.

How will you celebrate Food Day this year?

I wrote about Food Day in my Health & Fitness column in the Aiken Standard this week.

Food Day is an annual event that aims to raise awareness about the food we eat and the impact it has on our health, environment and quality of life. You can learn more about how you can celebrate Food Day on October 24 this year. Then, keep celebrating everyday.

If you aren’t sure where to start, here are some suggestions:

1. Think about what you eat and the impact it has on your health, the environment, and the wellbeing of others. Start by taking this quiz: Food Day | 14 Questions

2. Shop at a farmer’s market to get the freshest, locally grown food. As a bonus you will benefit the local community by supporting local farmers while reducing potential environmental harm from long distance food transportation. You can find a farmer’s market in you area here: Local Harvest | Farmers Markets

I am fortunate because I live near the Aiken County Farmer’s Market, which is an excellent source of local vegetables, fruit, nuts, meat, beans, dairy, honey, flowers, and much more.

3. Watch a movie! While there are many films that are relevant to Food Day, you can’t do much better than Food, Inc.

4. Read a book! Again, lots of good choices. Two of my favorites are In Defense of Food by Michael Pollan and What to Eat by Marion Nestle.

5. Keep up with the latest news and information about food, nutrition, health, and the environment by following some real experts including Marion NestleMichael Pollan, the Center for Science in the Public Interest, and, of course, the people behind Food Day. If you want to learn more about responsible farming,  Polyface Farms is a great example.

Are food additives safe? The answer is…no one really knows!

My Health & Fitness column in the Aiken Standard this week is about the safety of food additives. It was inspired by a recent article and editorial in the journal JAMA Internal Medicine.

Neltner TG, Alger HM, O’Reilly JT, Krimsky S, Bero LA, Maffini MV. Conflicts of Interest in Approvals of Additives to Food Determined to Be Generally Recognized as Safe: Out of Balance. JAMA Intern Med. 2013;():-. doi:10.1001/jamainternmed.2013.10559.
Nestle M. Conflicts of Interest in the Regulation of Food Safety: A Threat to Scientific Integrity. JAMA Intern Med. 2013;():-. doi:10.1001/jamainternmed.2013.9158. http://archinte.jamanetwork.com/article.aspx?articleid=1725122

Basically, many commonly used food additives have not undergone adequate testing for safety and approval by the FDA, mostly because everyone (literally, everyone) who serves on the panels that approve these additives as GRAS (generally recognized as safe) is either directly or indirectly paid by the additive manufacturers. And that just ain’t right!

If you are interested in food additives and other aspects of food safety, nutrition, and health, here are two excellent resources:

The Center for Science in the Public Interest report on food additive safety : http://www.cspinet.com/reports/chemcuisine.htm

Marion Nestle, the author of the editorial mentioned above, has an excellent blog about all aspects of nutrition, including food additives and safety:  http://www.foodpolitics.com/

Just in time for Childhood Obesity Awareness Month: The completely unauthorized and ill-advised childhood obesity experiment

September is Childhood Obesity Awareness Month, which is the topic of my Health & Fitness column in the Aiken Standard today.

Although the causes involve a complex interaction of genetic, biological, behavioral, and environmental factors (as this article explains), most cases likely involve too little activity and too much energy intake, particularly added sugars. It is important to note that both diet and activity play a role, and both a targets for prevention and treatment. The same is true for adults, too.

Obesity among children, both young kids and teenagers, is associated with serious health, social, and psychological problems. In fact, obese children, especially those who are inactive, tend to develop “adult” diseases including high blood pressure and diabetes.

And while we know that obesity and inactivity in kids is a problem, I don’t think we realize how bad it is now or will be in the future. That’s because no one has any idea what will happen to an obese 12-year old who develops type 2 diabetes. Adults who become diabetic are at higher risk for an early heart attack; does this mean that a 12-year old will be on the fast track  toward a heart attack at age 30?

We don’t know. But I think we are going to find out. Unfortunately, it’s as though we are experimenting with a generation of children to find out.

 

Good advice for college students. And everyone else.

This came to my attention recently. It’s an infographic about how college students can stay active, get fit, and avoid the dreaded “Freshman 15.”

This is good advice for the rest of us, too. Replace dorm room with living room and cafeteria with kitchen and you have a simple and effective way to improve your health.

The Best Regimen for College Fitness

[The Best Regimen for College Fitness via The Best Colleges]

By the way, studies of weight gain during college show that it isn’t really the Freshman 15. Research shows it’s more like the Freshman 4.6. But that doesn’t have the same impact, does it?