Fiber for Weight Loss

Chances are you are missing out on a great (and easy) way to lose weight or maintain your healthy weight. On average, women only get about 50% of their recommended fiber intake (25 grams a day). We just do not eat enough fiber-rich foods on a daily basis. While many think of fiber in terms of digestive health or cholesterol reduction, fiber is also a great weight loss and healthy weight maintenance aid. In one study, researchers found that not only were fiber-rich whole grain foods related to a lower weight in women, but that the women who ate higher fiber diets gained half the weight of those eating mostly refined carbs over a 12 year period. Also, overweight and obese women benefited the most from eating fiber-rich whole grains. Fiber increases satiety, so you stay satisfied longer and it decreases the amount of sugar and insulin released into the blood stream. This helps decrease fat storage in your body. Here is the good news, it is easy to eat more fiber. A new study shows just how easy it is to increase your daily fiber significantly by eating a couple bowls of cereal. In the study they used All Bran as one of the test cereals, just 1/2 cup has 10 grams of fiber. Here are some recommendations for starting off the day in a fiber-rich way:
-Try eating a high fiber cereal like All Bran with low-fat (or non-fat) milk -- you may like it.
-If high fiber (at least 5 grams) cereals are not your style, pick a whole grain cereal and sprinkle in a higher fiber cereal such as All Bran Bran Buds (1/3 cup has 13 g fiber) with low-fat milk.
- Now add an apple (3 more grams of fiber) and you are now almost half way there (depending on which cereal you picked, you may be over half way to meeting your goal of 25 g of fiber).
Let's complete the day to get you to your fiber goal. After having your fiber-rich breakfast, eating the following foods throughout the day will help you reach 25 g.
- eat a medium sized pear with lunch for 5 grams and a slice of whole wheat bread 2 grams
- eat 1/2 cup beans or lentils with dinner for another 5-10 grams depending on the bean or lentil
- eat another high fiber bowl of cereal with low-fat milk as a snack if you are hungry after dinner for another 5 grams.
Total fiber -- 25 grams or more

Tactics to keep the weight off

While losing weight is certainly a feat, keeping the pounds off seems to be a bigger challenge for most people. Why? As you lose weight your calorie needs decrease because you're carrying around less mass and therefore, to keep losing weight or even to just stay at your present weight, you have to take in less and less calories over time or increase the number of calories you're burning. Here are some proven tactics to keep those lost pounds, lost:

• Exercise. A new study found that exercise and not the type of diet you follow is the real key to keeping off the weight. Researchers found that regardless of which diet was followed, low-fat or moderate fat, some weight regain was inevitable; they say increasing exercise is a more effective approach.
• Eat breakfast. One study found that women who eat breakfast have lower BMIs, a measure of overweight, than women who skip breakfast. And you should include some milk or yogurt in that breakfast, too.
• Drink milk. A new study found that eating three servings of dairy each day helped people maintain weight loss while eating more calories than the people that only had one serving of dairy each day. Both groups successfully kept off the 10 percent of body weight they'd lost (for the 6 months of the study) however the 3-a-day dairy eaters had about 150 more calories each day than the 1-a-day. This suggests drinking milk or eating yogurt may allow someone trying to maintain weight loss to eat a little more and still keep all the weight off.

Eating high protein breakfast sustains your diet

A new study out of Purdue University finds that eating a high protein breakfast - participants had eggs and Canadian bacon - leads to a sustained feeling of fullness throughout the day. Feeling satiated can lead to eating less at subsequent meals or going for a longer time without getting hungry again, making weight loss easier. Another study found that having two eggs for breakfast helped overweight adults lose more weight than those who ate a bagel with the same number of calories. Again, it's likely due to that feeling of satiety. Fiber and protein, because they take longer to digest, are the two nutrients that promote longer lasting feelings of fullness.
While having an egg or lean meat at breakfast can be a good high protein choice, low fat dairy can serve the same purpose. A high fiber cereal or oatmeal with skim milk or yogurt are also satiating breakfasts.
While I'm on this topic, I came across a new product, called Lightfull, which promotes itself as a satiating snack. It's a yogurt-like drink that has 5 grams of fiber and 5 grams of protein for only 90 calories. The company sent me some samples so I gave it a try and you know what, it was pretty true to its claims. I had one for breakfast with half an English muffin and really didn't feel hungry again until after noon. Normally, I need a mid-morning snack to tide me over til lunch. I'm going to give some samples to my weight loss patients and see how it works for them too. Check it out and see if it works for you.

Holidays and weekends could be sabotaging your weight loss

Came across a great article that hit home. It's about a new study that found that dieters regularly comsume more calories on the weekends than during the weekdays and those extra calories were making weight loss impossible. The reason it hit home for me is that one of my patients is having that exact issue. The scale won't budge, yet Monday through Friday his diet is pristine. The weekends are sabotaging all of his great eating during the week. Alcohol, eating out and less physical activity are all culprits. Interestingly, according to the study people who are extremely strict about their diet and do not give themselves breaks to cheat - like weekends or holidays - are 1 1/2 times more likely to keep off the pounds.
So, as we go into this Labor Day holiday weekend - keep your diet on track and do not allow those extra calories to sneak in. Here are some tips to help you:

• Eat a high-fiber breakfast with some protein (eg. oatmeal w/skim milk, egg whites and whole wheat toast + a piece of fruit) --make sure to eat enough to keep yourself satisfied, skimping on breakfast can backfire; I find about 400 calories at breakfast is right for most women
• At BBQs fill up your plate with salad, veggies, whole grains if there are any, and a small piece of lean protein; skip anything with mayonnaise
• If you want a drink, have one and make it a glass of wine or light beer; those fruity cocktails are really high in calories
• Exercise, at least 30 minutes each and every day - even holidays and weekends
• Keep a food journal and write down what you eat each day of the weekend; it holds you accountable
• Weigh yourself on Monday mornings; knowing you'll have to face the scale may help you to stay on track

Look for many more great tips to help you lose the baby weight and keep your diet on track in our new book The Baby Fat Diet -- available for preorder and on bookshelves this December.

Smell the coffee to melt away stress

A brand new study in lab rats shows that coffee may help relieve stress from not sleeping. After inhaling the aroma of coffee, more than a dozen stress-relieving genes turned on in the brains of sleep deprived rats. What is interesting, is that the smell of something can have such an effect on our brains, well in this case, rats. These types of studies are useful to set up human studies, but are not necessarily appropriate for making human recommendations. But, for now, it would not hurt to to inhale deeply while enjoying your cup of Java after a rough-night's sleep. Or, for those of you that do not drink coffee, breath deeply while purchasing your yogurt parfaits at Starbucks.

Are diet drinks making you fat?

A study out of the University of Texas Health Science Center, San Antonio found a positive relationship between diet drinks and weight gain. After following 1550 residents of San Antonio for 8 years, they found that for every can (12oz) of diet soda consumed a day a person's risk of becoming obese went up by 41%. Now, this does not mean that diet soda causes obesity, but there does seem to be a link. Some believe that the sweetness in diet soda causes a person to crave more sweet foods. Or, it could be that someone switching to diet soda is already gaining weight and is trying to balance the calories by drinking no calorie drinks. Whatever the answer may be, the best drink to quench your thirst is still water (if you must drink diet soda, try to keep it to no more than one a day). Or, as I just posted, try iced green tea, but brew your own and stay away from the green tea drinks that are full of sugar.

Drink Your Tea

A new study out of Athens Greece shows that drinking 3-4 cups of green tea a day will keep your vascular system healthy. This is extremely important as your vessels impact almost all aspects of your health. Now, I have heard it before -- you do not like green tea. Fortunately, there are flavored green teas that are great for brewing. (Or if you prefer it cold, brew it then add some ice and cool it down). I personally do not like regular green tea, but have found one that I have been able to get used to and now enjoy -- Republic of China Pomegranate Green Tea. I had to try several before I found one that I liked. By the way, there are also studies that show green tea to have a weight loss benefit -- although, the jury is still out on this one. So, schedule in some tea breaks throughout the day, and better yet, add a piece of fruit or some nuts to your tea break.

Find the fiber to take off the weight

I've been noticing a significant lack of fiber in client's diets lately, which surprises me because of the prevalence of so many new products that have fiber and whole grains added to them. (Fiber One seems to come out with a new product every week - have you tried the yogurt?) Fiber is a very important part of weight control and overall health since it makes you feel full and keeps things moving nicely through the digestive system. The problem is with all the great new products out there, restaurants haven't been as quick to get on board. Eating out or taking in too often leaves a significant shortfall in the fiber arena. If you can find these choices at your local eateries, take advantage:
- whole grain pizza crust
- whole wheat buns or sub rolls
- whole wheat pasta
- spinach and other dark green leafy veggies (iceberg lettuce has very little fiber)
- brown rice or beans
I ran across this article that has some other good suggestions.
In the meanwhile, when you're at the store here are some of our high fiber favorites:
- Plumsweet cherry essence dried plums (store in the fridge, they taste much better cold)
- All Bran multigrain crackers
- Fiber One granola bars
- Roman Meal cereal bars
- Kashi Good Friends cereal
- Kashi GoLean frozen waffles
- Martin's whole wheat potato bread

Healthy snacking idea for you and the kids

I love my pediatrician! He was mine as a child and now he takes care of my children. The other day we were discussing healthy snacking for the kids and he had a great idea -- put several healthy snacks in a plastic container with each child's name on it and after school let them go and choose their snack from their container. I love it! My kids are always trying to be more independent (they are 7 and 4), so this is right up their alley. Now, I have taken this a step further -- in an effort to increase my (and my husband's) fruit and nut consumption, we now also have a container in the fridge. Believe it or not, this little trick has increased my fruit consumption by two fruits a day. By the way, here is what is currently in our containers - it changes each week.
Baggies of pistachios, almonds with semi-sweet chocolate chips, apple slices, strawberries, cherries, and whole wheat crackers with all natural peanut butter.
Next week I will probably include, pretzels with hummus, banana slices with choco syrup, high fiber cereal trail mix (I just mix all bran with low fat granola, honey roasted sunflower seeds and dried cranberries or raisins), watermelon slices and (for the kids) whole wheat crackers with cheese slices.
Try it and let me know how it goes.

The psychology of weight loss: Finding the middle ground

I was recently talking to a patient who needs to take off a significant amount of weight. He was contemplating having the LapBand surgery but wanted to give good old fashioned diet and exercise one more try first. He's yo-yoed for years, trying various diets that have worked for short periods of time but always regained the weight and more. Each time, his efforts involved a weight loss program where you have to buy prepackaged meals or cut out whole food groups and he said it just got boring after a while so he always went back to old eating habits. Once we started delving into why he gravitated toward those programs and talked about why they haven't worked over the long haul, it became clear that his underlying state of mind plays a huge role in his weight. While it wasn't that surprising to me, as psychology plays a huge role in just about anyone's weight problem, it was certainly an aha moment for him. Talking it out for over an hour and half I came to understand what might be going on and how we might start to address his issues. He's very much an all or nothing kind of dieter. He either eats bacon double cheeseburgers with fries or he has a salad with no dressing. There's really no middle ground in his eating habits. And over the past several years, he has just decided, consciously or subconsciously, that he'll eat what he wants and worry about it another day. But the added pounds have been weighing on his mind and he's starting to physically feel the effects of the weight. So, we started talking about finding that middle ground -- you know, the place where you can be comfortable eating for the long haul and take care of your health without feeling deprived. After a number of suggestions, such as ordering the grilled chicken sandwich with barbecue sauce rather than the one with melted cheese and bacon, he seemed confident that he could make some healthy changes that he could live with for the long term. I'm anxious to see his food diary next week. Hopefully we've taken a baby step toward the middle ground. I'll keep you posted.

Get your partner on board to take off pounds

If you want to successfully take off the baby fat, you've got to get your hubby on board. We know that it's easier to lose weight when you have support for your efforts and you make healthy lifestyle changes for the entire household. In other words, clean out your cupboards of the junk and stock up on fruits and veggies (that means for everyone)!
Interestingly, a new study finds that the amount of support a significant other provides when the partner is trying to lose weight may be a reflection of the strength of the relationship. Researchers from Ryerson University in Toronto asked couples whether their non-dieting spouse was supportive of their efforts to follow a healthy diet and not surprisingly, those who described their relationship as supportive felt that the spouse was, in fact, helpful. Supporting a healthy lifestyle change isn't just about encouragement but really needs to include sharing in changes in shopping and eating habits. The researchers found that partners who put up obstacles - eating junk foods or making negative comments - for the well-intentioned healthy eater were often unaware that they were doing so.
Bottomline: Speak up and get your spouse on board with making changes toward a healthy lifestyle. Chances are, he could stand to take off a few too!

Sleep to lose weight

Are you getting at least 8 hours of sleep a night? If not, here is your excuse to get more zzz's. Studies show that people who sleep at least 8 hours tend to weigh less. Why? Because, sleeping actually helps your body produce less of the hunger hormone ghrelin and produce more of the fullness hormone leptin. Also, not sleeping enough may cause cortisol levels to go up which increase appetite and may even help add belly fat. In fact, a study from the University of Chicago showed that it only took a few sleepless nights to drop leptin levels by 18% and increase ghrelin by 28% causing cravings for starchy foods and sweets to jump by as much as 45%. So, mom's, for the sake of your figure...go to sleep.

Easy and Healthy Snack for you (and the kids)

On August 7th of last year, I shared with you a healthy and fun snack that my daughter and I discovered (see that post for the recipe). Well, we have added onto the original idea and thought I would share the enhanced version with you. What is great about this snack -- is that it's great for moms and dads! (As well as the kids).
1. Slice some fruit, any kind will do -- apples, strawberries, bananas, pineapples, cantaloupes, grapes (no slicing necessary), etc
2. In separate bowls put yogurt and all natural peanut butter -- this could get messy, but it is fun.
3. In a few more bowls add colored sprinkles, semisweet choco chips, granola, chopped nuts (find in baking section or chop yourself), colored sugar, etc.
4. Now, dip, dip and dip away. You may have to use a spoon or finger to smear the peanut butter if it does not stick.
5. Make sure to leave some for the kids.
I usually have everything sitting out and ready to eat and share when the kiddos get home from school. Try it!

Easy and Healthy Meal

I made a spaghetti meal the other night that my children loved and was very healthy for them -- I want to share it with you.
Add mashed or pureed sweet potatoes (microwave on high for 10-12 minutes) to ground beef with some crushed garlic. Make whole wheat spaghetti and serve with the cooked sweet potato ground beef mixture.
The sweet potato made the ground beef sweet -- one child ate it with tomato sauce and my other child ate it alone without the sauce. Try it -- it is a great way to add nutrition to a kid's favorite meal. By the way, the sweet potato has been ranked as a highly nutritious food. See the stats for yourself below --
Sweet Potato Nutrition Facts
(for one medium size sweet potato)
Calories 130
Fat 0 g
Protein 2.15 g
Net Carbs 31.56 g
Dietary Fiber 3.9 g
Calcium 28.6 mg
Sodium 16.9 mg
Potassium 265.2 mg
Folate 18.2 mcg
Vitamin C 29.51 mg
Vitamin A 26081.9 IU
Source: US Department of Agriculture

Vitamin D and your health

I just recently returned from a trip to Boston where I heard a lecture by Dr. Michael Hollick, MD, PhD (means he is both a clinical doctor and a scientist) from the Boston University Medical Center. He is world-renown for his research in vit D. Click here to see his website as well as his latest review in the New England Journal of Medicine. He not only sees patients but he also conducts research on vitamin D status and health. In his studies, he has found that low levels of vit D may be partly responsible for many of the illnesses we suffer from today. Aside from bone problems, other health problems such as arthritis, autoimmune disorders, heart disease, unexplained bone and muscle pain as well as certain cancers may be affected by not getting enough vit D. Given our aversion to the sun because of the risk of cancer and the increase use of sunblock, he argues that most people are probably either vit D deficient or insufficient. Here are some recommendations to make sure you are getting enough vit D --
-- get your and your family's blood levels checked next time you get lab work done, ask for your 25 (OH) D levels to be checked as this is the major circulating form of the vitamin. You want your level to be above 30 ng/ml.
-- next, make sure and allow your legs and arms to receive 10-15 minutes of sunlight a day. Sunblock blocks the vit D producing rays, so do not add the sunblock to your arms and legs until they have been exposed to the sun for 10-15 minutes.
-- take a vit D supplement with 400-1000IU of vit D -- depending on your lab results your doctor may want to increase the amount of your supplement.
-- enough vit D is hard to get from foods alone --

• Cod Liver Oil, 1 Tbs: 1,360 IU
• Salmon, cooked, 3 1/2 oz: 360 IU
• Mackerel, cooked, 3 1/2 oz: 345 IU
• Sardines, canned in oil, drained, 3 1/2 oz: 270 IU
• Milk, nonfat, reduced fat, and whole, vitamin D fortified, 1 c: 98 IU
• Margarine, fortified, 1 Tbs: 60 IU
• Pudding, 1/2 c prepared from mix and made with vitamin D fortified milk: 50 IU
• Dry cereal, Vitamin D fortified w/10% of the recommended daily value, 3/4 c: 40-50 IU (other cereals may be fortified with more or less vitamin D)
• Liver, beef, cooked, 3 1/2 oz: 30 IU
• Egg, 1 whole (vitamin D is present in the yolk): 25 IU

Source: National Institute of Health
For example, one cup of milk supplies half of your daily need (200 IU adults, 400 IU pregnant or lactating). However, we are finding that our daily need may be higher than originally thought. So, although, I do not normally recommend supplements, in this case, a supplement may be necessary -- make sure and talk to your doctor first.

Speed a sluggish metabolism

The term “metabolism,” especially in terms of weight loss and gain, gets kicked around a lot. For many, this is an ambiguous term that is either blamed for weight gain (as in, “I have a slow metabolism”) or blamed for the ability of skinny people to eat all they want and stay skinny (as in they have a “fast metabolism”)! We all have a metabolism and what we want to do is keep it stoked so that it’s using fuel (food) at a good rate. Here are ways to actually “work out” and strengthen your metabolism to aim for the highly coveted “fast metabolism.”
- Eat every 3-4 hours (doesn't have to be a full meal but something)
- Aerobically exercise 30 minutes on most days (high enough intensity to break a sweat) and strength train 2-3 days a week (hard enough so your muscles feel fatigued)
- Increase the amount of protein and fiber in your diet -- beans and other legumes accomplish both
Other foods that may help boost metabolism:
- Green and oolong teas have been found to increase energy burned by about 3% and decrease body fat by 14%. Recommendation: 5 cups a day is the goal and it can be decaf.
- Spicy foods, like cayenne and hot peppers, have capsaicin thought to raise metabolic rate slightly. Recommendation: Whenever you can handle the heat.
- Caffeine in coffee, colas and energy drinks, is a stimulant and may increase metabolism slightly. Recommendation: Don't start downing a lot of caffeine but a cup of joe, especially before a workout, has been shown to increase endurance and make it feel less strenuous.

Race ya!

Think you need to join an expensive gym or buy lots of pricey equipment to get yourself in shape? Not according to a new study from the Journal of the American Medical Association (JAMA). Wearing a pedometer - a basic one usually costs under $10 - may be all you need. In the study, participants increased the amount of physical activity by 27% when they started wearing one and better yet, they experienced significant health gains. They lost body weight and lowered their blood pressure. Setting a goal of 10,000 steps per day was helpful; even if they didn't acheive the goal, they were more likely to increase their activity somewhat.
Try this: Go get a pedometer for everyone in the family. (You can make them your Valentine's Day presents.) Start a contest to see who can get the most steps by the end of each day.
I'm going to try this with my family and I'll keep you posted how we're doing. My four year old is obsessed with races and who can "win" at anything and everything (fastest getting dressed, brushing teeth, etc). He's going to love this challenge!

Support for your New Year Resolutions

Hopefully you are still going strong with your health resolutions. At this point, it may make sense to enlist some help and support. Studies show that snail mail reminders and tips help people reach their health and wellness goals, as well as support from family and friends. So, to help support your goals get a subscription to a good magazine. Some of my favorites are Prevention, Self, Health, and Natural Health. Each month you will get new tips and strategies as well as information that can help support your efforts. Also, tell your family and friends about what you are trying to achieve and ask them to ask you how you are doing. Believe it or not, just knowing that you will be asked about your progress can help. To help spread the word and get additional support -- you can use a new (and free) online program from Wellfolio.com (CarrotMe!). It not only allows you to set goals and track your progress; but you get to share your progress with your supporters while they cheer you on and provide incentives to keep you motivated.

2008 New Year Resolutions

Here is a quick list to add to your 2008 Healthier Eating New Year Resolutions.
-- Eat 1/2 cup serving of beans (eat all kinds including soy beans) and lentils every day - do not add any fat, instead add some garlic or other spices for seasoning.
-- Eat a handful, just a handful (1.5 ounces) of nuts a day. That is about 30 almonds, 21 walnuts, 42 peanuts, 67 pistachios, 27 pecans and 15 macadamias.
-- Eat at least 5 fruits and vegetables a day (or try for 10, which has been shown to decrease the risk for several cancers) -- count at the end of the day to make sure you hit your goal.
-- Drink water instead of calorie-laden drinks or drinks full of artificial sugars and colors. Or, at least swap water for another beverage twice a day.
-- Exercise, do something everyday. Even if it is just jumping in place to your favorite music. You can exercise in spurts - research shows that three 10 minute sessions of exercise a day can provide health benefits (and, not to mention, will help you maintain a healthy weight)!
Cheers to a healthy 2008!

The smell of weight loss?

I ran across a blurb in the latest edition of Health Magazine about a research study that showed participants experienced reduced cravings for sweets and subsequent weight loss by wearing a vanilla-scented arm patch. I looked up the study and while it was done in 2000, it does seem that perhaps there's some validity to the notion that the scent of vanilla may curb cravings for sweets. Here's another article that reported on the study. Lighting up a vanilla-scented candle or wearing a vanilla-scented spray is a pretty low cost way to potentially help you pass up that basket of leftover holiday treats. And even if it doesn't work you and your house will smell really nice.