Friday, March 25, 2011

Making Diet a Way of Life

The desire for weight loss has spawned innumerable diets. Most gain popularity for one or two years only to be discarded as they are abandoned. You may have heard of "The Zone Diet," "The Cabbage Diet," and even the "Atkin's Diet." The "yo-yo" effect of going on a diet only to revert to old ways and regain all the weight, is well documented and is dangerous to one's health. If a dietary change for weight loss is not permanent it will always fail. The newest fad is the "HCG Diet." I feel this is one that is particularly dangerous. It calls on taking the pregnancy hormone HCG (human chorionic gonadotropin) and limiting daily calories to 500 a day. Of course this is not sustainable and it will fail. I have repeatedly seen people regain weight after stopping this diet.  Let me discuss several programs or ideas that can be sustained life long and thus have merit.  There are links to their respective websites by clicking on the highlighted titles.


The evolution of Weight Watchers through the years has been interesting to follow. In its current form, I feel that it is a great way to learn how to eat. It is a "points" system. An individual is given so many points per day. One can choose any food that they want but the least healthy foods are awarded more points. Most fruits and vegetables are "free." You can get more points through exercise. The program works because it is sensible, but it must be followed and all the "points" must be counted. There are new smart phone aps which make keeping track of everything so much easier. I highly recommend it.  It is a great way to learn how to eat healthy for the rest of your life.


The low carb craze heralded in by the Atkin's diet (see below) got smarter with the South Beach Diet. I especially think that the maintenance phase of the diet is quite healthy and is a great way to make good food choices. It is especially beneficial for people who have elevated triglyceride levels, have diabetes or are borderline for such. First, a few facts about carbohydrates (carbs). This is prevalent in much of the processed food discussed previously. It is converted into blood sugar quite readily by our digestive tract and will raise blood sugar if we are prone to such. It is also what is the common denominator for "comfort food." If we are feeling lonely, angry, down or blue carbs will give us momentary pleasure. Our bodies acquire a physical dependence to them. Cutting back on them is hard since there will be actual withdrawal symptoms when one cuts back. They can also be eaten in large quantities before our hunger center tells us that we are full. This makes it much easier to over eat. Foods high in fiber are filling. Greasy foods, though not healthy, are harder to indulge on in large quantities. Most people need to get control of their carbs and the South Beach Diet helps do just that.

Lastly, the South Beach Diet allows for the ingestion of "healthy carbs." These are the ones found naturally in fruits and vegetables. There are three reasons why they are healthy. First, natural sugar comes in a compound that is just half of the glucose of table sugar. Secondly, fruits and vegetables have that filling fiber making them harder to be over eaten. Thirdly, fruits and veggies contain the essential vitamins necessary for basic bodily functions.



This has been studied fairly extensively and has been found to significantly lower one's risk for heart disease. It is not as popular here as it is in Europe, though there are many more people learning of its benefit. . Similar to what has been stated above, it is a diet high in fruits and vegetables. Meat is limited and most all fats are converted to olive oil.



This is an acronym which stands for "Dietary Advise to Stop Hypertension." This is a specific diet for high blood pressure but it is quite healthy for anyone. Again, focusing on fruits and vegetables is essential. There is also a strong focus on limiting salt intake, which is very important for lowering blood pressure. There will be more about that later.





I include this diet as it has remained popular for many years. It has shown to be effective in modest weight loss, however, recent research has shown that the risk of heart disease is unchanged and may be slightly higher. In the immortal words spoken at Curley's funeral in the movie, City Slickers: "He ate bacon for breakfast every day....You just can't do that!"

Saturday, March 12, 2011

Watching What We Eat

Of all the things we can do to stay healthy, putting in the right nutrients will always be front and center. I remember well working at the football stadium concession stand in college, taking an order for bratwurst, nacho's and "a diet soda." It is almost as oxymoronic as the label on marshmallows that reads, "a non fat food." Who is kidding who here? I think we all have a good understanding of how to eat healthy but many of us lack the will power to do it. It is not necessary to go to extreme's. Beware of the latest fad diet. By definition it will not last. What we need is a way of life that includes healthy food. I often refer to this as "God's food." I like to tell my patients, "If it grows on a tree, a bush or is dug out of the ground, it is better than if it is in a wrapper, can or a box." The less "Man's food," or processed food, we eat, the better we will be. Fruits and vegetables are the perfect fast food. They come with their own wrapper and can be eaten anywhere. They are full of nutrients, vitamins and fiber. They are more filling than processed carbohydrates and will make it less likely that we will over eat. We should eat four to five servings a day.

God's Food

Man's Food

Meats should be eaten sparingly remembering that fish is the best followed by chicken and turkey. Some pork is not bad but bacon and sausage are very fatty and should be avoided. Red meat should be saved for a special occasion.

Friday, March 11, 2011

Simple Health

I am often asked by my patients, "Doc, what do I need to do to be healthy?" Our world is full of the latest fad diets, supplements, tests and programs that are all suppossed to make us live longer, healthier lives. More often than not we learn two years or so down the road that it actually may have been harmful. What is one to do? The volume of material can be quite overwhelming. The quest for health in some may produce anxiety and others a resigned apathy.I have found that keeping a simple approach to health brings the greatest rewards. It is the simple daily habits that we make that make the biggest difference.Here are my four basic components to maintaining health:

Watch What Goes In
Keep Moving
Maintain Balance
Listen to Your Doctor

Sound too simple? Tune in and I'll discuss each of these in more detail in the weeks to come.