'Weight Management'

Weight Loss – Diet Doesn’t Matter it’s Eating Fewer Calories

A new study came out this week in the New England Journal of Medicine demonstrating what many of us have been saying for years. With dieting, it doesn’t matter what diet you are on, what matters is that you are eating less (or taking in fewer calories) than you are expending.Balanced Scales

Calories In = Calories Out

If you eat more than you burn up for the day, you will gain weight.

If you eat less than you burn up for the day, you will loose weight.

Or in more technical terms, the conclusions of the published study:

Reduced-calorie diets result in clinically meaningful weight loss regardless of which macronutrients they emphasize.

The Study

In the study 811 overweight adults were randomly assigned to one of four diets with varying percentages of energy derived from fat, protein and carbs. Each of the diets consisted of similar foods and all met guidelines for cardiovascular health.

Participants were followed for a period of 2 years. They were also offered group and individual instruction sessions during this time.

The main outcome measured at the end of 2 years was the change in body weight. Among the 80% of participants who completed the study, the average weight loss was 4 kg (8.8 lbs.). A smaller percentage 14 – 15% experienced a reduction of at least 10% of their initial body weight. This study also found that attendance at group sessions was strongly associated with weight loss.

Resources:

Sacks FM, Bray GA. Feburary 26, 2009. Comparison of Weight-Loss Diets with Different Compositions of Fat, Protein, and Carbohydrates. New England Journal of Medicine. 360:859-873

Parker-Pope T. February 25, 2009. Study Zeroes In on Calories, Not Diet, for Loss: Fewer Calories (Carbs, Protein or Fat ) Are Called Weight Loss Key. New York Times.

Image: Modified Microsoft Clipart.

1 comment February 27th, 2009

Weight Management, Stereotypes and Perception of Beauty Posts

I’ve pulled together links to prior entries that are dealing with Weight Managment, Weight Stereotypes and Weight Management Plans.

These prior posts look at many of the issues regarding our perceptions of beauty and weight as well as the impact of these images on our children.

Add comment February 26th, 2009

Supersize Me Now on Google Video

Supersize Me is available for you to watch on Google Video. If the video is not showing up below, click on the Supersize Me link or Google for it on Google Videos.

SuperSize Me Video on Google Videos

This is particularly an eyeopening film when viewed at the end of a nutrition course.

Add comment November 30th, 2008

Television Ads are Contributing to Childhood Obesity

Boys Watching TelevisionA study published in the The Journal of Law and Economics by researchers at the City University of New York is showing what many parents and teachers already knew to be true, that television ads are contributing to childhood obesity.

In a research study supported by the National Institute of Diabetes and Digestive and Kidney Diseases researchers Chou, Rashad and Grossman estimated that the effects of television fast-food restaurant advertising on children and adolescents are playing a role with children being overweight.

These researches predict that a ban on fast-food restaurant advertising would reduce the number of overweight children ages 3–11 in a fixed population by 18 percent and would reduce the number of overweight adolescents ages 12–18 by 14 percent.

In addition, eliminating the tax deductibility of junk food advertising would produce more declines of between 5 and 7 percent in these outcomes.

With estimates that children see over 30,000 television commercials a year and a third of them are for junk food, it is likely that eliminating junk food ads would go a long way in helping manage the advertising world’s contribution to promoting childhood obesity.

These findings go along with earlier ones conducted by the Kaiser Family Foundation which found that “The vast majority of the foods that kids see advertised on television today are for products that nutritionists would tell us they need to be eating less of, not more of, if we’re going to get a handle on childhood obesity.”

Sources:

Rabin R. November 20, 2008. TV Ads Contribute to Childhood Obesity, Economists Say. New York Times.
Chou S, Rashad U, Grossman M. Fast-Food Restaurant Advertising on Television and Its Influence on Childhood Obesity. The Journal of Law and Economics. November 2008, Vol. 51, No. 4: pp. 599-618,
(doi: 10.1086/590132).
Associated Press. March 28, 2007. Children’s TV ads loaded with junk food. MSNBC.

Image Source: Game boy. Royalty Free Use.

Add comment November 22nd, 2008

Terms to use with Children – Overweight or Obese

Augustus GloopThere has been some debate going on in regards to the terms that should be used to indicate a child’s weight status.

For adults the categories are Underweight, Overweight and Obese, but these terms have been avoided in children.

Some doctors have avoided the blunt terms in particular “obese.” Instead, they refer to children many would consider too fat as being “at risk for overweight,” and “overweight” for those others would consider obese. These fuzzier labels let pediatricians “off the hook” when counseling patients who  need to lose weight.

Dr. Reginald Washington, a committee spokesman and member of the American Academy of Pediatrics stated that the reason for not using the actual terms has been of “fear that we’re going to stigmatize children, we’re going to take away their self-esteem, we’re going to label them.”

Recommendations

A committee of medical experts American Medical Association and funded by federal health officials including the Centers for Disease Control and Prevention recommended that the terms overweight or obese be applied to children.

The recommended terms are more accurate, but don’t mean that doctors need to be insensitive about using the terms.

The recommendations were endorsed by most of the organizations on the committee, including the American Academy of Pediatrics, the American Dietetic Association, the American Academy of Child and Adolescent Psychiatry and the American College of Preventive Medicine.

The CDC will consider whether to adopt the recommendations.

Reason for Concern – More Obese and Overweight Children

About 17% of U.S. children are obese and one-third are overweight, using the committee’s recommended definitions. Those numbers are rising, putting children at risk for diabetes, high blood pressure, cholesterol problems and other ailments more commonly found in adults.

Source:

Associated Press. June 12, 2007. Expert panel says to call kids ‘obese.’ USA Today.

Add comment November 10th, 2008

Queen Latifah – My Weight is “Healthy”

I like the Queen Latifah ads because the focus isn’t so much on the numbers as it is losing weight to get to a healthy weight.

I’ve lost 20 pounds and my cholesterol is down 20 points.

I joined Jenny Craig to learn hot to make healthier choices and I’ve never felt better.

According to Jenny Craig’s vice president of marketing Scott Parker “Queen Latifah joins forces with Jenny Craig to communicate the importance of how small lifestyle changes, in the areas of diet and exercise, can have positive effects on overall health.” These are the messages that need to be getting across to people.

In a separate section of the Jenny Craig site, Queen Latifah, her friends and family talk about what is working for them on their journey to an “ideal size.”

Add comment October 4th, 2008

Tyra Banks Retort on “Fat” Comments

Tyra addresses rather effectively the unflattering bathing suit photos that were plastered across every tabloid and gossip website in 2007, claiming that she had gained 40 lbs.

In calculating Tyra’s BMI, at 5′10″ and 161 lbs, she ends up right in the healthy range with a BMI of 23.1

You can read an interview with her at People Magazine online.

Calculating BMI (Body Mass Index)

BMI Formula BMI = [ Weight in Pounds / ( Height in inches ) x ( Height in inches ) ] x 703

BMI = ( kg/m² )
(weight in pounds * 703 )
height in inches²

Metric BMI Formula

BMI = [ Weight in Kilograms / ( Height in Meters ) x ( Height in Meters ) ]

BMI = ( kg/m² )
weight in kilograms
height in meters²

Add comment October 3rd, 2008

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