Showing posts with label weight loss. Show all posts
Showing posts with label weight loss. Show all posts

Wednesday, August 13, 2008

Weight Loss With A Painless Twist

My experience has been that I didn't start to lose weight until I started feeding myself regularly. My aim was to eat just enough every three to four hours that I did not feel any hunger before my next meal three to four hours later. I did not consciously deny myself any food. I did consciously limit how much I ate at any sitting and paid close attention to making sure that, if I ate things that I knew would leave me feeling hungy an hour later - i.e., fruit, grains, deserts - that I would also eat at those meals some protein and oil that would dampen the glycemic effects and not leave me with false hunger an hour later. It worked. Sachi of Big Lizards has adopted a somewhat similar approach - for which she was kicked off of a Japanese weight loss bulletin board.

This from Sachi:

People as a rule tend to think that in order to gain something, they need to give up something. This concept is ancient and universal: "No pain, no gain;" "there ain't no such thing as a free lunch;" "good medicine tastes bitter." Such proverbs exit in every culture, and they reflect a common belief: If a story sounds too good to be true, it probably is.

A healthy suspicion is a good thing. We don’t want to be gullible, do we? However, some stories really are as good as they sound.

Who says losing weight has to be an act of self-flagellation? Why can't there be a way to eat anything you want and still lose weight? Plenty of people do; we all know someone who eats anything he wants but never gains an ounce. What's his secret? (Trick question; there isn't one.)

But what if someone invented a magical diet pill that would solve all your weight problems; would you take it? I suspect that an awful lot of people would not, even if believed it would really work. In fact, some of them would become violently angry: The very concept of easy and craving-free weight loss offends them, just as some people are outraged by the idea that we might somebody be able to solve our energy needs without any conservation ("making do with less") at all, or cure smoking-related diseases without forcing the entire country to quit smoking.

There is no such magic diet pill (yet!) But there really is a weight-loss system that works remarkably well for most people who try it; and it doesn't require buying special food, attending support groups, embarassing yourself on national TV, or spending any money at all. I made the mistake of alluding to it in the Yahoo topic -- and the reaction of the other posters was exactly as I said above; they were irate.

Recently, Dafydd and I both lost a lot of weight using a system promoted by British motivational speaker and hypnotherapist Paul McKenna. We first saw his four lectures on the Learning Channel (for free); we were skeptical, but we tried it... and without depriving ourselves or having any "forbidden foods," we lost a lot of weight.

For serious food lovers like us, this was an incredible solution. But McKenna didn't invent the program; all he did was observe the eating habits of NTPs and generalize to four basic rules. His real talent is actually getting people enthusiastic enough to give it an honest try.

I'm not an agent of McKenna, paid or volunteer; forgive me if I don't go into the details. If you're interested, I recommend you go to his web site and investigate it yourself. If you want to buy the book or DVD set, buy it. If not, then don't. (We bought a copy of the latter just to lend to friends and family who noticed we were suddenly much thinner and wanted to know how.)

But let me at least explain the four basic rules of McKenna system:

-- When you are hungry, eat.

-- Eat what you want, not what you think you should eat.

-- Eat consciously, savoring every bite.

-- When you even think you might be full, stop eating.

That's it. Too simple to work, right?

There are reasons why each rule supports the others; you need to practice them all, but that shouldn't be too hard. Anyway, since we weren't risking anything, we gave it a shot; and for us, the results were both quick and dramatic.

All right, enough about the program. Here's the point that leads to the story of the diet topic: The most refreshing thing about McKenna's program is that you don't have to suffer. You never go hungry; in fact, if you let yourself get too hungry, you're violating rule number one.

Since you know you can eat when you feel hungry and you're not stuck eating nothing but celery sticks and seaweed, you're under no pressure. You can easily do this for rest of your life; and that's the key.

For the past ten or fifteen years, I'd been battling ever-increasing body weight. I tried the Atkins diet, the 1000-calorie-a-day diet, the Slim Fast diet; you name it, I tried it. I always lost some weight, a few pounds, while I was dieting; once I even lost 25 pounds. But as soon as I went off the diet, the weight came back and then some. That's typical of most people's experience, as anyone who has ever dieted can tell you.

Most of the time, a diet fails because you think of it as a diet, something you're going to do until you get down to your "target weight;" and then you'll stop. It's too hard to maintain a diet forever; you're depriving yourself of everything you like to eat. So your diet is always temporary; when you lose X pounds (or get tired of dieting), you start eating like a ravenous wolverine again... and it starts all over.

But the problem isn't what you eat, it's how much you eat. There are no foods that are inherently bad; there are only bad eating habits. In fact, we eat the same food we always used to eat -- Chinese, Italian, sushi, pork chops, steak, pasta, tiramisu -- but we eat a whole lot less of it... literally half to a third of what we used to eat. What McKenna's program does is teach you how to eat what you want without eating more of it than you really need.

It worked amazingly well (along with exercising, which was never our problem; we always exercised). As my weight loss progressed, as I lost ten, twenty, thirty, forty pounds, I naturally wanted to talk about it with other people. But I understood that nothing is more boring than listening to someone else's weight loss story, unless you're also trying to lose weight. So I figured the best place to talk to others would be a (Japanese language) weight loss bulletin board. There, I figured, I could discuss various weight loss experiences with like-minded people, without boring everybody else.

There are many such boards. I tried a couple and immediately ran into a problem: Nobody had any interest in hearing about my experience. As soon as I said, "You can eat anything you want...” they tuned out. If they said anything at all, it was, “There's no such thing” or “It never works.” The fact I lost over 40 pounds didn't seem to impress them; some even called me a liar.

After b-board hopping for a while, I finally settled in a topic run by a woman who lost over 100 lbs in one year. Her handle name translated to “Three Digit,” because she used to weigh over 100 kilograms (220 pounds).

3D runs a blog called "Stoic Diet;" her method is the polar opposite of McKenna's.

. . . The fit hit the shan a few days ago, when another poster complained about not being able to control her appetite; her post sounded like she was in tears when she wrote it. Although I'd been careful not to discuss the McKenna system in any detail, I couldn't let this woman just suffer: I made the mistake of giving her few possible solutions from McKenna's lectures; in particular, I told her to try close her eyes while she ate.

(Medical dietary researchers have found that if you eat while blindfolded, you feel full after eating significantly less food than if you can see your food while you eat. The visual stimulus of food makes you feel hungrier and overwhelms your stomach's signal that it's full. McKenna suggests trying it a few times if you're having trouble stopping, until you learn to detect your stomach's "full" signal.)

That advice set off one of the other posters -- not even the person I was talking to, but a different woman. She told me my "stupid advice" to the other woman was a distraction, like an annoying noise. Also, she told me that she had been really irritated by my food list. She was especially ticked off by my lox and bagel with cream cheese breakfast. "This is too much!" She said. "How can you eat such a high fat, high calorie, and high carbohydrate food combination when you're trying to lose weight? Your posts create a hostile environment, and you make me sick!"

Her violent reaction shocked me; but I was even more astonished when 3D, the moderator, sided with the complainer and handed me a "red card" for violating one of her topic rules: I had dared to mention a different weight-loss method than her “stoic diet.” I was never even aware of such a rule, which was not written down anywhere.

When I told Dafydd about this, he immediately said, "With that absolute passion for freedom of speech, she must a liberal."

I told 3D I was merely conveying a simple trick to supplement her method. She tells people to eat less; if there's a simple, easy way to control appetite, why shouldn't people discuss it? Our mutual goal is to lose weight and keep it off, so what difference does it make how we achieve that goal?

"No!" she wrote; "that's not my goal. That's not this topic's objective at all. I am not simply trying to lose weight and maintain it: The goal is to change one's lifestyle forever. Your goal and my goal are completely incompatible. Don't think even for a second that we're heading toward the same place." (I'm translating from Japanese, obviously.)

What does she mean by “changing one’s life style?” Obviously not simply maintaining ideal weight and staying healthy; she can only mean something simultaneously more spiritual and more ominous.

. . . She seems to have taken a single quotation from the Stoic philosopher Epictetus and turned it into a dieting program:

“Freedom is secured not by the fulfilling of one's desires, but by the removal of desire.”

Of course, she hasn't removed desire... she just denies herself any food she desires. I don't think she really understands the point of Stoicism. Instead, 3D is like a Buddhist monk who deprives himself of every earthly desire in order to achieve spiritual "nothingness" (what a goal!) For her, the hardship of dieting is more important than losing weight. . . .

Read the entire post. There is much more. I am not familiar with Mr. McKenna's program, but I am quite familiar with most of the techniques articulated by Sachi and can speak to their effectiveness when accompanied by exercise. The one that I did not know about was closing one's eyes while eating.


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Mayo Clinic Recommends Slow Speed of Weight Loss

As a general rule, I have heard that those wanting to lose weight should aim for 3 to 4 pounds per week - no more. The Mayo Clinic is recommending 1 to 2 pounds per week to preserve lean muscle tissue.

This from the Mayo Clinic:

When it comes to weight loss, slow and steady wins the race. Fast weight loss is usually followed shortly by rapid weight gain. Besides, 1 pound of fat contains 3,500 calories, so you need to burn 500 more calories than you eat each day to lose just 1 pound a week (500 calories x 7 days). If you're losing more than 1 to 2 pounds a week, it's either water weight or lean tissue you're losing, not fat. Weight loss of 1 to 2 pounds a week may seem like an agonizingly slow pace, but if improving your health is a long-term goal, the speed of your weight loss isn't important.

There is also countless other reasons to aim for a low speed of weight loss. Besides being the healthiest way to go about it, it also seems correlated with maintaining weightloss. At the extreme, there is also the concern with losing weight slow enough to allow your skin a chance to retract - a concern mostly associated with weight loss surgery.

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Sunday, August 10, 2008

Scotland's NHS: 90 Minutes Of Vigirous Exercise A Day Needed For Weight Loss


Based on guidelines from the American College of Sports Medicine in Indianapolis, Scotland's National Health Service is calling for 90 minutes of vigirous exercise per day to lose weight and sustain the loss.
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This from the Scotsman:

IT has been revered as the perfect way to keep healthy and stay in shape.

But the traditional 30-minute-a-day exercise target is insufficient and overweight Scots will need a daily 90-minute workout to stand any chance of fighting the flab, according to new public health guidance.

The advice, which GPs and nurses are to pass on to NHS patients, also warns that light housework such as cleaning or dusting, or strolling round the supermarket, must not be counted in the daily exercise regime.

Instead, only "moderate" or "vigorous" activity such as brisk walking, running, swimming and heavy domestic chores like vacuuming, mowing the lawn or painting and decorating count.

And as part of their weekly regime all adults should perform two sessions of weight training exercises.

The updated guidance on exercise targets has been published by the Scottish Government's public health advisory body NHS Health Scotland. The recommended levels of physical activity have been renewed with ambitious new targets following a recent change in international guidelines.

The guidance is being sent out to GPs, practice nurses, health visitors and pharmacists so they can advise members of the public on how to incorporate exercise into their daily lives as part of the NHS drive to reduce the nation's soaring obesity problem.

. . . The guidance document, 'Energising Lives', states that NHS staff must make physical activity a "higher priority", with 60% of men and 70% of women not thought to be taking enough exercise.

It sets out a number of tips that staff can offer to patients. It adds: "You should do at least 30 minutes of moderate-intensity physical activity, above usual activity at work or home, on at least five days of the week. If you are already overweight or obese, then you should aim to do between 60 and 90 minutes on five days of the week."

Approved activities according to the guidance include brisk walking, running, badminton and cycling as well as heavier household and gardening chores such as mowing the lawn and vacuuming.

However, many ordinary activities of "light intensity" such as office work, shopping or cooking do not count towards the daily target. Nor does anything that takes less than 10 minutes, such as taking out the rubbish.

It adds that weight training or stair climbing should be included twice a week and that a range of activities should be aimed for to improve stamina, strength, flexibility and balance.

Last night a spokeswoman for NHS Health Scotland said the document was based on recently updated, internationally recognised guidelines produced by the American College of Sports Medicine in Indianapolis.

She added: "NHS primary care staff felt there was a need for a guide that had appropriate advice for patients. This really spells out what type of exercise to do and making it relate to people's lives. People can interpret it in different ways so this gives examples of what staff can tell patients to do. This is about how to put it into practice.

"It's up to the discretion of the GP or nurse how they use this information. It's not about going to the gym but doing things like gardening to benefit health."

A spokeswoman for the British Medical Association said: "This has to operate in tandem with advice, support and education on healthy eating and making sensible lifestyle choices. In order to make a significant impact on the weight of individuals there has to be a commitment to do as much exercise as possible.

"If somebody is suffering from the medical consequences of being obese or overweight, they may be at risk of chronic heart disease, stroke or have high blood pressure but if they lose weight they are more likely to reduce their health risks. So it may be appropriate to raise the potential for exercise with the patient. That's a discussion that has to take place between the GP and the patient."

Margaret Watt, chairwoman of the Scotland Patients' Association, described the move as "a step in the right direction". However, she warned it would not work unless people were sufficiently motivated. She added: "It's a personal responsibility and people will not be helped unless they want to help themselves."

But Edinburgh-based personal trainer Tracy Griffen said most members of the public would find it far too difficult to meet the targets. She said: "Most people who have not exercised before would struggle even to walk for 90 minutes a day, let alone do weight training.

Read the article.

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Monday, August 4, 2008

The Relationship Between Exercise & Sustaining Weight Loss


It would seem that sustaining weight loss requires approximately an hour of exercise per day, at least 5 days a week. That is the conclusion of a recent long term study reported in the Archives of Internal Medicene, a subsidiary publication of the Journal of American Medicine. It comports with the observation of the National Weight Loss Registry, that of those who have lost significant amounts of weight and kept it off, 90% of them exercise over one hour per day.
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It would seem that in the world of weight loss, the importance of daily exercise in sufficient quantity and vigor cannot be overemphasized. This from the Archives of Internal Medicine:

In addition to limiting calories, overweight and obese women may need to exercise 55 minutes a day for five days per week to sustain a weight loss of 10 percent over two years, according to a report in the July 28 issue of Archives of Internal Medicine . . .

More than 65 percent of U.S. adults are overweight, a public health concern, according to background information in the article. "Among obese adults, long-term weight loss and prevention of weight regain have been less than desired," the authors write. "Therefore, there is a need for more effective interventions." Current recommendations prescribe 30 minutes of moderate physical activity on most days of the week, for a total of 150 minutes per week. However, a growing consensus suggests that more exercise may be needed to enhance long-term weight loss.

To calculate the amount of exercise needed, John M. Jakicic, Ph.D., of the University of Pittsburgh, and colleagues enrolled 201 overweight and obese women in a weight loss intervention between 1999 and 2003. All the women were told to eat between 1,200 and 1,500 calories per day. They were then assigned to one of four groups based on physical activity amount (burning 1,000 calories vs. 2,000 calories per week) and intensity (moderate vs. vigorous). Group meetings focusing on strategies for modifying eating and exercise habits, as well telephone calls with the intervention team, also were conducted over the two-year period.

After six months, women in all four groups had lost an average of 8 percent to 10 percent of their initial body weight. However, most were not able to sustain this weight loss. After two years the women's weight was an average of 5 percent lower than their initial weight, with no difference between groups.

The 24.6 percent of individuals who did maintain a loss of 10 percent or more over two years reported performing more physical activity (an average of 1,835 calories per week, or 275 minutes per week over the baseline level of activity) than those who lost less weight. They also completed more telephone calls with the intervention team, engaged in more eating behaviors recommended for weight control and had a lower intake of dietary fat.

"This clarifies the amount of physical activity that should be targeted for achieving and sustaining this magnitude of weight loss, but also demonstrates the difficulty of sustaining this level of physical activity," the authors write. "Research is needed to improve long-term compliance with this targeted level of physical activity. Moreover, continued contact with the intervention staff and the ability to sustain recommended eating behaviors also may be important contributing factors to maintaining a significant weight loss that exceeds 10 percent of initial body weight, which suggests that physical activity does not function independently of these other behaviors."

Read the entire article.

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Monday, July 28, 2008

Weight Loss: "A $44 Billion Dollar Industry With A 99% Failure Rate"


A fitness coach ponders the weight loss industry and the promise of quick losses with minimal work.

This from Newton Daily News:

She’s fed up with being overweight! It’s time for a change. The ad says lose 20 pounds and drop two dress sizes (just like the celebrity). She walks through the door of the weight loss center and is greeted by the diet counselor. The counselor weighs her, discusses current nutrition habits and puts her on the 1,000 calorie per day plan and tells her to walk/jog everyday. She is informed that her food intake will come from the packaged foods and delicious shakes sold by the center, and she will lose weight.

A week later the woman returns to the diet center after following “the program” and the first thing they do is direct her to the scale. She lost five pounds! In a week! She buys more packaged food. The second week, two more pounds! The third week,the scale doesn’t move. But the counselor is ready for this and explains she has hit the dreaded plateau. The counselor cuts her back to the center’s 800 calorie plan.

Sure enough, the woman loses weight again. The only problem is her cravings are getting the best of her. Her body is telling her to eat more; she believes it’s lack of willpower. She gives in and has some ice cream. She gets back on the scale. She’s hit her second plateau. She gives up, she quits and goes on an all out cookie binge. She gains all the weight back! She blames herself! Sound familiar?

. . . We see this same scenario day in and day out. Weight loss is a $44 billion dollar industry with a 99 percent failure rate, and obesity is at an all time high. We are on a mission to get the right information out to maximize people’s lives, not shorten them with fad diets, magic pills, surgeries and infomercials.

The truth is, the above scenario had nothing to do with willpower. The lack of quality nutrients (from processed, packaged food) and calorie deprivation made this a no-win solution. Her body was telling her to eat to survive. Her body doesn't understand she’s trying to lose weight. Protective mechanisms in her body told her she needed the nutrient she can survive off the longest, fat, and the substance that provided the quickest energy, sugar. The binge was caused by the diet.

The counselor failed to tell her the majority of her weight loss came from water and muscle tissue. Losing water means nothing with long-term weight loss, but it’s a great trick for the diet centers. They put her on the scale after a week to prove the diet was working. More significantly, she lost muscle due to such a low calorie intake. Muscle is metabolically active tissue, meaning it burns calories! By sacrificing muscle, she slowed metabolism. Muscle is also the site where fat is burned. Less muscle means reduced ability to burn fat. The result of her diet center choice: a slower metabolism, a hormonally-induced appetite, a reduction in fat burning ability and a guarantee to accumulate fat faster than previous to the diet.

Worst of all, she blames herself and plans to go back to the center and try again. After all, in her mind, it worked until she caved. . . .

Read the entire article. There is no industry more the progeny of the con men of yesteryear than the snake oil salesman who make up today's diet and weight loss industry.


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Saturday, July 19, 2008

Double The Effectiveness Of Your Diet By Keeping A Food Journal

A recent study shows that simply keeping a food diary is an incredibly effective self-management tool that will double the chance of success at weight loss.
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This from the USA Today:

Dieters who write down everything they eat each day lose twice as much weight as those who don't, according to one of the largest weight-loss studies ever conducted.

This confirms the importance of keeping a food diary — advice that nutritionists and weight-loss programs have pushed for years.

Scientists at four clinical research centers recruited 1,685 overweight or obese adults who weighed an average 212 pounds. Forty-four percent were African Americans.

The participants were offered 20 weekly group sessions led by nutritionists and behavior counselors and encouraged to try to lose at least 9 pounds in six months. They were told to consume about 500 fewer calories a day, eat plenty of fruits and vegetables, do about 180 minutes of moderate-intensity physical activity a week, and keep daily food and exercise records.

The findings reported in the August issue of the American Journal of Preventive Medicine:

•Dieters who kept their food diary six or more days a week lost an average of about 18 pounds in six months, compared with about 9 pounds for those who didn't keep food diaries.

•The biggest losers also attended most of the group meetings and did more exercise. Some did 300 minutes or more of physical activity a week, but the average participant in the study did about 117 minutes a week.

•69% of the participants lost 9 pounds or more, which is enough to improve some health measures such as blood pressure, joint pain and pre-diabetes.

. . . "There is a misconception that nobody can lose weight, but in this study, two-thirds of them lost enough weight to make a difference to their health," says Victor Stevens, senior investigator at the Kaiser Permanente Center for Health Research in Portland, Ore. The National Heart, Lung, and Blood Institute sponsored the study.

These weight-loss techniques work well with everybody, . . .

Food diaries are a "powerful self-management technique. They help you figure out where the extra calories are coming from," he says. It works best if someone else looks over your food record. "When you put yourself in a position where you are accountable for your behavior, it changes behavior."

Many people are getting lots of extra calories by eating large portions at restaurants, Stevens says. He is currently working with a client who was consuming 1,500 calories of fast food at lunch. The dieter is now bringing a 500-calorie lunch to work, saving 1,000 calories a day.

Dawn Jackson Blatner, a registered dietitian in Chicago, tells people that a food diary "is the best way to monitor every crumb, morsel, nibble, sip, swallow and bite you take."

Read the entire article.


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