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PT blog: The doctor weighs in

Overweight/obesity (RSS)


It is important to diagnose and treat GDM as it can have serious short and long term health consequences for both you and your baby. Don’t worry needlessly, however, if you have been told you have gestational diabetes. There are a lot of things you and your doctor and/or health team can do to keep you and your baby healthy both during the pregnancy and afterwards. Read More

posted by: Pat, Wednesday, October 11, 2006 3:09 PM   230 Comments
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So you can see that ingestion of certain foodstuffs, such as glucose-containing carbohydrates, trigger a number of responses that help to balance food seeking behaviors with whether an individual is fed or fasting. These complex processes interact to help us maintain weight over both the short and the long run. Fructose, unlike glucose, does not turn on these regulatory mechanisms, leaving individuals with high fructose ingestion vulnerable to overeating and weight gain. Read More

posted by: Pat, Wednesday, October 04, 2006 12:00 AM   203 Comments
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Chris was outraged. But he is turning his outrage into action. He has founded a non-profit, “Parents Against Junk Food.” This is a good old-fashioned call-to-action website that aims to get parents riled up about this issue. Chris writes in his editorial: ““One day, mothers and fathers across America are going to wake up, throw open the window, and yell, “We’re mad, and we’re not going to take it anymore!”” Way to go, Chris! Yes, parents need to be responsible for their kids’ health and well-being, but we need to ask for, no demand, that the public institutions that we pay for with our hard-earned tax dollars, support us in our efforts keep our kids healthy and safe. Read More

posted by: Pat, Thursday, September 21, 2006 5:57 PM   200 Comments
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You don't have to go hungry anymore; we can fill you with fats and carbs more cheaply than ever. You don't have to chase your food; we can bring it to you. You don't have to cook it; we can deliver it ready to eat. You don't have to eat it before it spoils; we can pump it full of preservatives so it lasts forever. You don't even have to stop when you're full. We've got so much food to sell, we want you to keep eating. Read More

posted by: Pat, Sunday, September 17, 2006 10:32 PM   216 Comments
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While I agree, parents need to be good role models and set limits, I also believe that there are so many influences in kids lives today, ranging from TV, to the internet, to peers in play groups and day care, that placing all of the responsibility and blame on parents seems naive to me. Read More

posted by: Pat, Wednesday, September 13, 2006 5:35 PM   201 Comments
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In fact, at that time, King Taufa'ahau Tupou IV was listed in the Guiness Book of Records as "The Fattest Monarch in the World." He weighted 209.5 kilograms (462 pounds). But. to his royal credit, he decided to make a change and eventually was able to lose 70 kilograms (154 pounds) to end up at about 130 kilograms (or 286 pounds). Quite a credible weight loss. Read More

posted by: Pat, Monday, September 11, 2006 5:26 AM   200 Comments
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Have you noticed that you are ravenously hungry an hour or two after certain meals? Or that you stay fuller, longer after others? Many people have learned that adding protein to their breakfast meal is the best insurance against the mid-morning munchies. And a bit of chicken in your lunchtime salad may help you make it to dinner without a trip to the vending machines. Protein, it turns out, enhances satiety (the feeling of fullness) and helps you lose weight. Read More

posted by: Pat, Thursday, September 07, 2006 1:15 AM   2 Comments
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Now here is the punch line: Although normal and overweight individuals were similar in their ability to estimate the number of calories in food, the overweight individuals in Study 1, who had eaten a fast food meal, ate larger meals. Because everyone significantly underestimates the number of calories in large meals, these overweight people actually ate many more calories than they thought they had. Read More

posted by: Pat, Tuesday, September 05, 2006 11:47 PM   202 Comments
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They also found that men’s BMI was an independent risk factor for fertility in both older and younger men. Even after adjustment for other factors that could affect fertility (high BMI of the woman, age, cigarette smoking, alcohol intake, and solvent and pesticide exposure) the researchers found that there was a general increase in infertility with increased BMI, reaching a nearly 2-fold increase among obese men. "The data suggest that a 20-pound increase in men's weight may increase the chance of infertility by about 10 percent," says Markku Sallmen, lead author on the paper who is now at the Finnish Institute of Occupational Health. Read More

posted by: Pat, Saturday, September 02, 2006 7:47 PM   199 Comments
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Vince and Rob’s research indicates that the ACE Score likely captures the cumulative biologic consequences of these exposures. Multiple, well done analyses of the ACE data have been published in good medical journals. They demonstrate that the ACE score has a strong graded relationship to: Obesity, diabetes, cardiovascular disease, liver disease and other leading causes of death in the United States Smoking, alcohol use and abuse, as well as illicit and IV drug use Early initiation of sexual intercourse, promiscuity, and sexually transmitted disease (STDs) Teen and unintended pregnancy, stillbirths, and spontaneous abortion Suicide attempts, depression and poor health-related quality of life Read More

posted by: Pat, Thursday, August 31, 2006 11:16 PM   206 Comments
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Every morning, he has the same cereal for breakfast. It is also a Kellogg’s All-Bran, but it is their “Bran Buds” product. He thought it was lower in calories than the Yogurt Bites version. But when he looked at the serving sizes of the two cereals, he was in for a surprise. Bran Buds lists a serving size of 1/3 cup. That barely covers the bottom of the cereal bowl. The serving size of Yogurt Bites is 1-1/4 cup—a decent amount. Read More

posted by: Pat, Monday, August 28, 2006 7:23 PM   3 Comments
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Instead of continuing to argue that "all obesity is bad" or "obesity is not all that bad," we should look more closely at the data to determine if there are some easily identifiable subsets of the population who will have devastating health consequences when they gain weight. Let's take this debate to the next level so we can get on with the serious business of promoting health in this country. Read More

posted by: Pat, Wednesday, August 23, 2006 10:43 PM   1 Comments
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Successful strategies for getting it off and keeping it off included Self monitoring (weigh oneself, planning meals, tracking fat and calories) Exercising 30 or more minutes daily Adding physical activity to the daily routine. The odds of being a successful weight loser were 48% - 76% lower for those reporting that aspects of exercise behavior were influencing factors (no time to exercise, too tired to exercise, no one to exercise with, too hard to maintain exercise routine) compared to those who reported little or no barriers to exercise as a weight control measure. Read More

posted by: Pat, Tuesday, August 22, 2006 11:45 PM   2 Comments
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That being said, what is so exciting about this line of research is not only the potential for new therapies, but also how it adds to our understanding of body’s complex control of appetite and body weight. There are a lot of folks who want to believe that obesity is purely a “personal responsibility” issue. But the more we learn about hormones, like ghrelin, the more we understand that weight gain is more than a personal choice. Rather, it is also the result of humans evolving to survive in a world where food was scarce and hard to come by, but now living in a world where energy dense food is always at our fingertips. Read More

posted by: Pat, Thursday, August 17, 2006 2:00 AM   3 Comments
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It is fascinating to learn from this document that retailers are now selling significantly larger apples than those represented by serving sizes on the old nutrition labels. Apples are 57% bigger now than in 1975 when the serving size of 154 g rams was established. Large apples today have a serving size of 264 g of which 242 grams are edible. Read More

posted by: Pat, Friday, August 11, 2006 10:17 PM   1 Comments
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