Posts Tagged ‘Exercise’

Not One ‘Plus Size’ Fits All

April 23rd, 2015 at 1:20 pm by timigustafson

When it comes to treating weight problems, even experts believe that similar methods can be applied almost universally: Put your patients on a diet, have them engage in regular exercise, and, if all else fails, recommend some surgical procedure. What gets rarely looked at are the differences between overweight individuals that may have led to their unhealthy weight gain in the first place. Only one such study has recently been published, and the results are eye-opening.

For the study, scientists from the universities of Sheffield, England, Harvard, United States, and Toronto, Canada, analyzed medical data of over 4,000 overweight or obese men and women in terms of common and distinguishing characteristics. In the end, they came up with six ‘categories’ or ‘types’ that helped them better understand their subjects’ eating behaviors and lifestyle choices.

The first group was identified as “heavy drinking males” whose excessively high alcohol intake resulted in weight problems. Getting members of this category to limit their consumption of alcoholic beverages would obviously be an important step toward successful weight control.

The second group, named “younger healthy females,” consisted of women who were generally healthy except for their weight issues. Eating patterns and exercise levels were viewed as largely acceptable but were interspersed with bouts of binge eating and occasional heavy drinking, which, again, contributed to weight gain. Remedies hereto would be similar to their male counterparts.

A third type was called “the affluent and healthy elderly,” seniors who enjoyed retirement life a bit too much and paid the price with an unhealthily expanding waistline. Tuning it down a little would be the appropriate strategy.

Another group of older individuals was diagnosed with one or more chronic health conditions like diabetes and high blood pressure, in addition to being overweight. Those “physically sick but otherwise happy” people were often unaware of how their weight aggravated their other ills. Counseling with the aim of diet and lifestyle changes could lead to major improvements in such cases.

Mental dysfunctions like anxiety and depression were also found to be increasingly damaging to people as they grew older. The “unhappy, anxious middle-aged,” as the researchers named this group, often showed a close connection between their inner feelings and their outer appearance, especially in terms of weight. As psychological disorders oftentimes manifest themselves physically, equal attention must be paid to both the roots and symptoms before any progress can be hoped for.

Lastly, the research team focused on those whom they found in the “poorest health.” The prevalence of weight problems and chronic illnesses was especially high in this group, and eating and lifestyle patterns were predictably dismal. Overweight and obese patients of this type require intensive care and should be treated with the most effective methods. Because of the severity of the health conditions typically found in this category, the researchers saw here justification for the clinical weight loss approaches now widely in use.

Obviously, attempts like these to find patterns in complex phenomena have their limits. There might be numerous additional factors leading to weight gain that have not received enough attention in this particular study. But its central take-away is that the overweight and obese are not a homogenous part of the population with the same health needs, says Dr. Mark Green of Sheffield University, the lead author of the study report, in a press release about his findings. If we don’t come up with better solutions and more customized, or as he calls it “bespoke,” forms of treatment, we will continue to fail serving those who need our help most.

As a dietitian and health counselor, I couldn’t agree more. After all, that is what one-on-one counseling entails. But, unfortunately, the system is not set up for this sort of effort. For instance, health insurance companies favor short-term treatments like weight loss surgery over open-ended approaches, including diet and lifestyle coaching. We can only hope that studies like this will eventually bring a different view to the agenda.

Connect with us on FacebookTwitter and Google+

Timi Gustafson R.D. is a registered dietitian, newspaper columnist, blogger and author of the book “The Healthy Diner – How to Eat Right and Still Have Fun”®, which is available on her blog and at amazon.com.  For more articles on nutrition, health and lifestyle, visit her blog, “Food and Health with Timi Gustafson R.D.” (www.timigustafson.com).

-->

Getting Back in Shape After the Holidays – Don’t Rush It!

December 27th, 2014 at 5:02 pm by timigustafson

Now that the holidays are behind us, the damage inflicted on waistlines and other body parts bearing the marks of every dietary misdeed, no matter how harmless and forgivable it seemed at the time, will be lamented by millions. But I say, no need for self-flagellation. What’s done is done. Let bygones be bygones, we’ll do better from hereon in.

My regular readers know that I am no friend of New Year’s resolutions because they only lead to greater pain and frustration and, for most people, don’t produce lasting results anyway.

Don’t go on a guilt trip
The last thing you want to do is blame yourself for lack of willpower and discipline. Unless you avoided all the holiday cheer by hiding in a place with no contact to the outside world, there is little chance you could stay on the straight and narrow of a perfect diet regimen. It’s just the nature of the beast. So don’t beat yourself up over the inevitable.

Don’t diet right away
If you have been overeating on numerous occasions or for extended periods of time, your body has become used to the higher food intake and will want to continue on that level as the new normal. If you cut back too quickly and/or too substantially, as panicked dieters tend to do, you will feel deprived, and your body will protest with all the hunger pangs it can muster. It’s not a good recipe for successful weight loss.

Take small steps
A better approach would be to wean yourself gradually from your lately acquired eating habits by reducing portion sizes, avoiding sugary snack foods and soda drinks, and decreasing or eliminating alcohol consumption. Remember, you only have to lower your calorie intake by approximately 500 calories per day in order to shed one pound per week. Losing weight at a slower pace also makes it more likely that you can keep it off long-term, which, of course, should be the ultimate goal.

Stay away from crash diets
Because of their initial effectiveness, so-called crash diets are very popular, but they can do more harm than good. Don’t engage in what is known as “yo-yo dieting,” meaning that you slim down real fast but gain everything back – and oftentimes more – soon thereafter. Such weight fluctuations can damage your metabolism and make it even harder to control your weight later on.

Eat more healthy foods
If you decide to cut back on your food intake, you should not only consider the amount of calories you are planning to reduce but also important nutrients you might be missing on a weight loss diet. In fact, it is recommended that you actually increase your consumption of highly nutritious foods like fruit and vegetables, while excluding others of lesser nutritional value such as processed and refined items, to provide your body with the necessary fuel to function properly and to avoid the risk of malnutrition.

Keep stress in check
It’s easy to forget how stressful the holidays can be. You may have enjoyed yourself, but all the preparations and gatherings with colleagues, family and friends can take a toll, whether you are aware of it or not. So, when things start slowing down again, it might be a good idea to pause and take stock. Perhaps it’s time to put your own needs first for a while and be kind to yourself by taking a break. Yoga, meditation, massage, or simply taking long walks – whatever lets you calm down and become yourself again – can be helpful. Also, don’t get too stressed out right after returning to your workplace. This may be easier said than done, but you have to be aware that leftover stress from the holidays plus new stress from the workload you’re resuming can quickly burn you out before the new year has even started.

Get more sleep
Chances are the holidays have left you sleep-deprived, perhaps even more than usual. So you may want to go to bed a little earlier or sleep in for a few days, if you can. There are plenty of things you can do to readjust your sleep pattern, so you wake up refreshed instead of hung over.

Exercise
It is still the best measure you can take to get back in shape. The weather may be less than inviting to go outside, but give yourself that proverbial kick in the butt and put on your running or hiking shoes, then deeply inhale some much-needed fresh air. The gyms may be extra full in early January, but resolution season is notoriously short, and within a few days you’ll be able to find plenty of vacant treadmills and stairmasters again.

Unlike the rest of the crowd, you’ll stick with your program, and all will be well in almost no time. Happy New Year!

Connect with us on FacebookTwitter and Google+

Timi Gustafson R.D. is a registered dietitian, newspaper columnist, blogger and author of the book “The Healthy Diner – How to Eat Right and Still Have Fun”®, which is available on her blog and at amazon.com.  For more articles on nutrition, health and lifestyle, visit her blog, “Food and Health with Timi Gustafson R.D.” (www.timigustafson.com).

-->

Why It’s Important to Keep Up Your Exercise Routine in Bad Weather

November 26th, 2014 at 6:01 pm by timigustafson

Too dark, too rainy, too cold – there are countless obstacles to outdoor exercising in the winter months. It’s also a time for easy excuses. But what a shame to see that hard work you’ve put in all year go to waste because it’s less pleasant outside. It shouldn’t be this way, it doesn’t have to.

Admittedly, walking or running in foul weather is not everyone’s cup of tea. The temptation to remain sedentary is extra persuasive then, but the effects become evident all too soon, especially when you add in the extra food intake that seems unavoidable during the holidays.

So keeping an eye on your fitness routine is even more important. Not only does regular exercise benefit the body all year round but the mind as well and can keep the notorious “winter blues,” a.k.a. “Seasonal Affective Disorder” (SAD), at bay.

Scientists at Queen’s University in Kingston, Ontario, Canada, in cooperation with colleagues from the Witten/Herdecke University in Witten, Germany, have found that when people move less, their mood also changes, and not for the better.

Worse yet, prolonged lack of physical activity can lead to occurrences of negative emotions, including bouts of depression, according to their study results.

If that is not damaging enough, the researchers also detected connections between insufficient exercise and deficiencies in memory.

It’s as simple as observing someone’s gait that can tell a lot about whether that person is depressed or cheerful and energetic. Also, in memory tests that required recalling strings of words, participants who felt downbeat remembered predominantly negative adjectives like “boring” or “stupid,” in contrast to their counterparts with a more positive outlook who focused on descriptions like “courageous” or “attractive.”

The tests confirm what prior research has abundantly shown, namely that the way and the intensity by which we move affects our mental capacity as well.

Obviously, there is a correlation between body and mind when it comes to remembering information, Dr. Johannes Michalak, a professor of psychology at Witten/Herdecke University and lead researcher, concluded in the study report.

Besides the positive effects on the mind, there is also much to be said for the benefits of winter activities for the body.

The best defense against catching a cold or worse is to strengthen the immune system. This can be done by eating a diet full of immune system-boosting foods, getting sufficient amounts of sleep, managing stress and, of course, exercising.

Fresh air is especially helpful, says Achim Achilles, a long distance runner and health and fitness columnist for the German newsmagazine Der Spiegel.

Cold temperatures and precipitation don’t have to keep you inside. But there are some caveats, he says, that should be considered. For one, it takes longer for the muscles to warm up. In order to avoid injuries, it is important to stretch and increase intensity gradually. Also staying dry as much as possible by wearing protective gear and getting out of wet clothes quickly is a must. Other than that, there is no reason why anybody should forego their favorite outdoor activities, come rain or shine.

Connect with us on FacebookTwitter and Google+

Timi Gustafson R.D. is a registered dietitian, newspaper columnist, blogger and author of the book “The Healthy Diner – How to Eat Right and Still Have Fun”®, which is available on her blog and at amazon.com.  For more articles on nutrition, health and lifestyle, visit her blog, “Food and Health with Timi Gustafson R.D.” (www.timigustafson.com).

-->

Exercise Can Make You See the World in a Different Light

August 2nd, 2014 at 8:44 am by timigustafson

Being physically active has countless health benefits. It helps prevent weight problems and reduces the risk of serious illnesses like heart disease, diabetes, and cancer. But according to a recent study from Canada, regular exercise can also improve how people perceive the world around them. Especially those suffering from anxiety or depression can profit from workouts or even just short brisk walks, researchers found.

Exercising and relaxation techniques like Yoga have long been successfully utilized in the treatment of patients with mood and anxiety disorders, said Adam Heenan, a researcher and PhD candidate in clinical psychology at Queen’s University, Ontario, and co-author of the study in a news release by the university. What sets this study apart is that it was able to demonstrate how participants perceived ambiguous events like being approached by an unknown figure. It found that those who had previously exercised, for example by walking or running on a treadmill, felt less apprehensive about the encounter than others who had remained sedentary. The results were similar for those who engaged in relaxation exercises.

Their findings could be useful in the treatment of overly anxious or depressed individuals, the researchers concluded. If physical exercise can indeed manipulate how such persons feel about their surroundings, following an appropriate regimen may have significant therapeutic advantages, they suggested.

Earlier studies have shown that exercising does not only stimulate the brain but, at the same time, can also induce calmness and reduce the effects of stress. Rigorous physical activity increases the secretion of endorphins, chemicals in the brain that can induce a sense of relaxation and wellbeing.

While being exposed to a certain amount of stress is unavoidable and may even be beneficial in some situations, chronic stress can lead to multiple damaging effects, including psychological dysfunctions. Stress-related anxiety disorders rank among the most common psychiatric illnesses, according to the Anxiety and Depression Association of America (ADAA).

Some studies found that people who maintained a regular exercise routine were up to 25 percent less likely to develop depression and/or anxiety disorders than those who did not.

Other research showed that habitual exercisers have on average more self-esteem, are less prone to mood swings, sleep more soundly, are better equipped to deal with life’s challenges, and run a lower risk of succumbing to age-related cognitive decline, including Alzheimer’s disease.

Naturally, different people respond differently to exercising, and not all activities produce the same results. What experts say they know for certain, however, is that sedentary behavior is harmful in many ways, and is considered a “silent killer” that contributes not only to diseases but also shortens people’s life span. For this reason alone, it would be worthwhile to start moving, wouldn’t it?

Connect with us on FacebookTwitter and Google+

Timi Gustafson R.D. is a registered dietitian, newspaper columnist, blogger and author of the book “The Healthy Diner – How to Eat Right and Still Have Fun”®, which is available on her blog and at amazon.com.  For more articles on nutrition, health and lifestyle, visit her blog, “Food and Health with Timi Gustafson R.D.” (www.timigustafson.com).

-->

Americans Still Eat Too Much and Pick the Wrong Foods, Latest Survey Finds

September 25th, 2013 at 7:36 am by timigustafson

On average, Americans have become more health-conscious in recent year. Fewer of us smoke and more engage in regular exercise, although perhaps still not enough. But when it comes to our eating habits, unfortunately not much has changed, despite enormous efforts to raise greater awareness of the obesity crisis and its dismal effects on people’s health.

While the overall health status has not dramatically deteriorated – in 2010, 65 percent of Americans reported being in good or excellent health, compared to 68.5 percent in 1997 – the number of those struggling with weight problems remains at an all-time high.

In its annual “report card” on the state of America’s physical health, the Centers for Science in the Public Interest (CSPI), a nonprofit consumer advocacy group, found that most Americans are still a far cry from the path to healthy living.

“This isn’t a report card you’d want to post on the fridge,” writes Bonnie Liebman, a nutritionist working at the CSPI and author of the report.

She especially laments the fact that fruits and vegetables still don’t fill American lunch- and dinner plates in quantities recommended by the government. Instead, highly caloric and fatty items like processed foods, meats and dairy products still dominate our meals, both when eating out and at home. More importantly, portion sizes, although well known as a leading factor in our national weight-gain malaise, don’t budge, and we are consuming on average 450 calories more per day than we did in 1970, according to the report.

“One way to see the bigger picture is to look at where our calories come from,” Liebman writes. Americans have gone from eating an estimated 2,075 calories a day in 1970 to scarfing down 2,535 calories in 2010. From 2000 to 2007 we were as high as 2,600 calories a day.”

The increasing quantities, however, are not the only problem. We are also eating the wrong kind of foods, like dairy and refined grains. Cheese, in particular, is nearly ubiquitous in many families’ meal plans, including popular items like pizza, burritos, nachos, quesadillas, and on burgers.

Even supposedly healthy choices like salads are routinely laden with dressings, toppings and add-ons that quickly undo the best of intentions to slim things down.

A food group that hasn’t received enough attention so far is grains. Baked goods like breads, pastries and cookies, but also cereal, pasta, rice, crackers, granola bars, pizza, burritos and wraps are all “going gangbusters,” says Liebman. The average American consumes well over 100 pounds of flour every year – and it shows up in people’s ever-expanding waistlines.

Switching from refined grains to whole grains, as recommended by the U.S. Department of Agriculture (USDA), can have some positive effects, but the bottom line is that we need to get everyone to eat less grains, period, says Liebman.

The by far worst grade (D+) on the “report card” was given to sugar and high-fructose corn syrup, well-known culprits in the battles of the bulges. While there has been a slight decrease in sugar consumption in recent years, the overall use in processed foods and sweetened beverages is still so high that most Americans end up with nearly 80 pounds sugar intake per year.

What should we make of these many bad news? Well, the same thing we did as kids when our grades were disappointing: Try harder. Perhaps next time, we’ll do better.

Connect with us on FacebookTwitterGoogle+ and Pinterest

Timi Gustafson R.D. is a registered dietitian, newspaper columnist, blogger and author of the book “The Healthy Diner – How to Eat Right and Still Have Fun”®, which is available on her blog and at amazon.com.  For more articles on nutrition, health and lifestyle, visit her blog, “Food and Health with Timi Gustafson R.D.” (www.timigustafson.com).

-->

Act Your Age When Exercising

June 23rd, 2013 at 8:22 am by timigustafson

A few years ago, I had the opportunity to visit China and spend some time in Beijing. One of my favorite morning activities was to go to a public park close to my hotel. Initially, I just went for walks on my own, but soon I was invited by a small group of local seniors to join in their Tai Chi exercise. It was a first for me, so I had some learning to do, but everyone was extremely helpful and showed me the ropes. Although I didn’t continue practicing regularly after returning home, the message I received from the encounter stuck.

Tai chi ch’uan, as the exercise was originally called in China, is in fact a form of martial arts. However, unlike aerobic and weight training, its primary purpose is not to increase athletic ability but rather promote harmony between the physical and mental aspects of our being.

It’s not about being able to run marathons or lift hundreds of pounds. It’s not about winning in competition, says Arthur Rosenfeld, a tai chi master and author of “Tai Chi – The Perfect Exercise: Finding Health, Happiness, Balance and Strength.” It’s a more mature way of accepting one’s body, how it works and how it looks, and also about aging gracefully and with acceptance of one’s inevitable decline.

Much is being talked about the new way of aging as the Baby Boomer generation approaches retirement. Unlike their parents and grandparents, today’s retirees are not ready to spend their twilight years quietly. Those who have worked hard and played hard all their lives, we are told, will continue to do so – and many actually try. But that doesn’t mean we can defy the laws of nature forever. The fact that there are many more senior athletes who can run a marathon in their 70s and 80s doesn’t make aging a thing of the past. The fact that modern medical technology can treat most ailments and control symptoms nearly indefinitely doesn’t make us immune to disease. On the contrary, some studies have found that Boomers are aging worse than past generations in a number of respects.

Of course, staying physically active at any age is an important ingredient for good health. Exercising regularly can prevent many age- and lifestyle-related ills, including diabetes, heart disease, and also help reduce stress, anxiety and depression, according to the National Institute of Health (NIH).

Endurance and strength training continue to be important as the body ages, perhaps increasingly so. Stretching for flexibility and balance exercises to prevent falls should be added. The Centers for Disease Control and Prevention (CDC) recommend for older adults to spend at least 150 minutes on moderately intense aerobics and 60 minutes on resistance training per week.

Naturally, more time in the gym or on the bike path can yield higher benefits. But equally crucial is acting age-appropriately, knowing one’s limitations, avoiding injuries, and accepting (grudgingly) that things are not the same as they used to be. There is no point in denying nature taking its course.

What I learned from my brief encounter with the Chinese Tai Chi practitioners was that there can be joy in doing less and achieving little – such as finding pleasure in simply moving one’s body with grace and gratitude. Realizing that didn’t make me feel old, it made me feel rich.

If you liked this article, you may also enjoy reading “Healthy Aging: Exercising the Body Benefits the Mind, Too” and “Adjusting Diet and Exercise to a Slowing Metabolism.”

Connect with us on FacebookTwitterGoogle+ and Pinterest

Timi Gustafson R.D. is a registered dietitian, newspaper columnist, blogger and author of the book “The Healthy Diner – How to Eat Right and Still Have Fun”®, which is available on her blog and at amazon.com.  For more articles on nutrition, health and lifestyle, visit her blog, “Food and Health with Timi Gustafson R.D.” (www.timigustafson.com).

-->

The Healthiest Places to Live in the U.S.

June 8th, 2013 at 5:17 pm by timigustafson

How healthy you are depends largely on the diet and lifestyle choices you make. It also matters how educated and financially secure you are. And where you live – not only in what kind of neighborhood but also in which part of the country – plays a role as well.

If you are looking for the most health-promoting environment in America today, Minneapolis, Minnesota, is the place to be, according to a survey conducted by the American College of Sports Medicine (ACSM), titled the American Fitness Index™ (AFI).

The report, which has been issued annually since 2007, measures the state of health and fitness at the community level throughout the U.S. Among the considered factors are opportunities to exercise and be physically active, including access to safe sidewalks and bike paths, athletic facilities, playgrounds, public parks and so on.

“What Minneapolis does so well – they are firm believers in the ‘if you build it, they will come’ attitude,” said Dr. Walter Thompson, a professor at Georgia State University and chair of the AFI advisory board in an interview with NBC. “They spend a lot of money on their parks. They spend $227 per capita on their parks. […] So you can see they put their money where it needs to be to create a healthy environment,” he added.

By contrast, the least proactive places in terms of fitness promotion on the AFI list spend about $62 per capita on parks and other recreational facilities.

Runner-ups were Washington D.C., Portland, Oregon, and San Francisco, California. Seattle, Washington, came in eighth.

The existence of public parks is an especially important indicator because it provides people with the lowest hurdle preventing them from exercising. Unlike many sports facilities such as gymnasiums, swimming pools, basketball courts, running tracks or golf courses, parks don’t require memberships or have limited opening hours.

When you provide the environment for people to exercise, there is no excuse to be a couch potato, said Thompson. And that translates to lower personal health indicators such as obesity and diabetes as well as poor lifestyle choices like smoking.

Minneapolis was also found to be especially conducive for the health of seniors. According to the United Health Foundation’s America’s Health Ranking Senior Report, more older people report being in very good to excellent health in Minnesota than in all other states. Also, the poverty rate among the elderly is lower here than elsewhere.

The aspect of senior health in our communities is of growing importance because the baby boomer generation, a large segment of the population, is about to retire. It is also a group of people plagued by considerable health problems, many due to less-than-perfect lifestyle habits. Creating environments that allow for the betterment of their health status is in all our interest and should be given much attention.

If you liked this article, you may also enjoy reading “How Healthy You Are Also Depends on Where You Live.”

Connect with us on FacebookTwitterGoogle+ and Pinterest

Timi Gustafson R.D. is a registered dietitian, newspaper columnist, blogger and author of the book “The Healthy Diner – How to Eat Right and Still Have Fun”®, which is available on her blog and at amazon.com.  For more articles on nutrition, health and lifestyle, visit her blog, “Food and Health with Timi Gustafson R.D.” (www.timigustafson.com).

-->

Most Americans Don’t Exercise Enough – But Who Can Blame Them?

May 8th, 2013 at 1:01 pm by timigustafson

Despite plenty of encouragement from the government and health experts to move more, Americans still find it hard to adopt a less sedentary lifestyle. Merely 20 percent are in compliance with the government’s recommendations for physical activity, which advise getting at least two and a half hours per week of moderately intense aerobic exercise like brisk walking as well as some strength training such as lifting weights or doing pushups.

The Physical Activity Guidelines for Americans, issued by the U.S. Department of Health and Human Services (HHS), call being physically active “one of the most important steps that Americans of all ages can take to improve their health.”

The Physical Activity Guidelines are meant to complement the Dietary Guidelines for Americans, a joint effort of the HHS and the U.S. Department of Agriculture (USDA). They are directed towards policy makers and health care professionals as well as the public at large.

According to a recent survey conducted by the Centers for Disease Control and Prevention (CDC) and published in the May 2013 issue of the journal Morbidity and Mortality Weekly Report, 52 percent of respondents to phone interviews reported meeting the recommended guidelines for aerobics, and 29 percent said they did with muscle-strength training.

The survey also came up with some other noticeable statistics. Less than a third of 18 to 24 year-olds met both aerobic and strength-training recommendations. Only 16 percent of over 65 year-olds came close. Hispanics did worse than other ethnicities. Education also seemed a contributing factor. Those with college degrees did on average better than those without. Normal-weight persons were more active than the overweight and obese. Americans living in the Northeast and the West outperformed Southerners. Colorado beat all other states. West Virginia and Tennessee came in last.

Similarly to the Dietary Guidelines, the Physical Activity Guidelines have been criticized as unrealistic and unattainable for many Americans, especially for low-income earners and those living in unwalkable and unsafe neighborhoods.

Multiple studies have shown that walkability in residential areas has a significant impact on people’s health. One study found that residents of neighborhoods with sidewalks, bike paths and public parks had a much lower risk of becoming overweight or obese than those who lived in areas without such amenities.

But unfortunately, issues of walkability and bikeability are still not included in the planning processes of many cities around the country. Walk Score, a Seattle-based company that evaluates major cities and midsized towns in the U.S., releases annual rankings of the most, and least, walkable places and rates them on a scale from 0 (= “car-dependent”) to 100 (= “walker’s paradise”). While New York City and San Francisco routinely qualify as most pedestrian-friendly and are lauded for their extensive public transportation system, smaller towns, especially in rural areas, still make it hard to get around other than by driving your own vehicle.

Physical fitness – like weight control – is considered by many as a matter of personal choice and responsibility. And to a certain extent that is true. However, other factors such as income, residence, access to grocery outlets and opportunities to be physically active within reasonable distance have all been shown to be decisive. If too many of these elements are missing, no appeal to behavioral change will suffice.

Connect with us on FacebookTwitterGoogle+ and Pinterest

Timi Gustafson R.D. is a registered dietitian, newspaper columnist, blogger and author of the book “The Healthy Diner – How to Eat Right and Still Have Fun”®, which is available on her blog and at amazon.com.  For more articles on nutrition, health and lifestyle, visit her blog, “Food and Health with Timi Gustafson R.D.” (www.timigustafson.com).

-->

It’s a proven fact that most people change their eating habits and lifestyle choices only after a serious health scare such as a heart attack or a diabetes diagnosis. Still, in many cases that may not be enough. Old habits tend to die hard, but often there are also not many alternatives to what they’ve been doing in terms of eating right and taking care of themselves.

A recent study found that most consumers after being confronted with a major health crisis were still influenced in their choices by factors other than what’s good for their health. For example, people can find it difficult to change their long established eating habits, says Dr. Yu Ma, an economics professor at Alberta School of Business and author of the study. Another highly influential factor is price, he says. If they get a good deal on a particular item, they will go for it, and if it’s too expensive, they will stay away, no matter how much they would benefit healthwise.

Another issue is what he calls the “health halo effect.” Most people divide foods simply into two categories: healthy and unhealthy, he says. If something is considered healthful, e.g. a salad or a breakfast cereal, as opposed to a cheeseburger or a sugar-laden donut, people tend to overindulge in the “healthy” stuff without much further thought. We have seen that phenomenon when, for example, fat-free cookies came on the market and many believed they could consume those in almost unlimited quantities because of the absence of fat. Of course, eliminating the fat did not make those cookies less caloric, and the results became apparent soon thereafter.

Another study, this one on heart attack and stroke patients, showed that nearly 15 percent did not alter their eating and lifestyle habits after the incident, including poor diet choices, lack of exercise and smoking. Less than half of all participants in the study reported having made at least one change, and less than a third said they made several improvements. Only 4 percent claimed they did everything that was recommended to them to prevent further deterioration of their health.

Much of the unwillingness or inability to make healthier diet and lifestyle choices can be blamed on the widespread confusion among the public due to the ceaseless onslaught of sometimes contradictory messages in the media about health matters. In addition, many of the warnings issued by experts are hard to heed by consumers who are oftentimes ignorant, if not intentionally kept in the dark, about the nutritional quality of their food supply. For instance, recommendations to avoid high fat, salt and sugar content may be well-meaning, but they are by and large useless when ingredients lists are hard to decipher or when restaurants aren’t required to follow any dietary guidelines or to post nutritional information on their menus.

“I think people are interested in making changes and they are heeding the warnings,” said Dr. Sara Bleich, an associate professor of health policy at the John Hopkins School of Public Health to NBCNews. “But when it comes to food, it’s much more complicated. Cereal, for example, has a tremendous amount of added sugar. And not everyone understands that breakfast foods like muffins and pastry, things that people don’t consider to be a dessert or an indulgence, pack a lot of sugar.” Similar concerns apply to salt in countless processed foods, many of which don’t even taste salty, and certain types of fats, some of which are obscured by arbitrary serving descriptions on food labels.

Undoubtedly, more and more people want to be better informed about nutritional health and be empowered to make the right choices. With growing consumer demand for further regulation and protection, that may be feasible over time. But for now, it’s an ongoing uphill battle, and most of us have to fend for ourselves as well as we can.

Connect with us on FacebookTwitterGoogle+ and Pinterest

Timi Gustafson R.D. is a registered dietitian, newspaper columnist, blogger and author of the book “The Healthy Diner – How to Eat Right and Still Have Fun”®, which is available on her blog and at amazon.com.  For more articles on nutrition, health and lifestyle, visit her blog, “Food and Health with Timi Gustafson R.D.” (www.timigustafson.com).

-->

Lifestyle-Related Ills Tend to Multiply with Age, Study Finds

April 24th, 2013 at 7:13 am by timigustafson

Seniors who suffer from chronic health conditions like high blood pressure or heart disease often develop a host of other, seemingly unrelated health problems, including cognitive impairment like memory loss and dementia, according to a new study based on data collected by the National Center for Health Statistics.

For the study, the researchers analyzed the medical records of hundreds of thousands of seniors residing in assisted-living facilities and found that most had at least one chronic health condition. What was more alarming, however, was that many had overlapping ailments. While high blood pressure and heart disease were most common, nearly half of the assisted-living residents showed signs of dementia.

“These findings suggest a vulnerable population with a high burden of functional and cognitive impairment,” the authors of the study report wrote.

Many studies have suggested a link between vascular disease and dementia, particularly Alzheimer’s, said Dr. P. Murali Doraiswamy, a professor for psychiatry and behavioral sciences at Duke University’s Institute for Brain Sciences (DIBS). Therefore it may not be possible to treat dementia without treating vascular problems, he added.

But that may be easier said than done. “We don’t universally do a great job of how we treat conditions that overlap, for example Alzheimer’s and high blood pressure,” said Dr. Cythia M. Boyd, an associate professor of geriatric medicine at the John Hopkins University Center on Aging and Health, to the New York Times. “Much of the way we practice medicine is looking at disease by disease. We aren’t doing enough thinking about how to add them together and really integrate care.”

What makes things more complicated is that most doctors are not sufficiently trained in preventing or reducing lifestyle-related illnesses – not in the general public and certainly not in older patients – other than through medicating. For instance, the importance of nutrition as a part of preventive care is rarely ever mentioned in medical schools. The approximate time devoted to nutrition science over the first two years of medical education is six hours, which is clearly inadequate, according to the National Academy of Sciences. The same goes for other health-promoting measures such as exercise, especially for the aging population.

Yet many studies have provided compelling evidence that diet and exercise play a significant role for physical and mental health at any time in life but increasingly so as we age.

For example, a more recent study from Britain concluded that the so-called “Western diet,” which typically includes fried, sweet and processed foods, red meat, refined grains and high-fat dairy products, increases the risk of chronic diseases, which in turn can adversely affect both physical and mental health in later years. Eating a Western diet makes it less likely to have an ideal aging process, says Dr. Tasnime Akbaraly, a researcher at the University College of London and lead author of the study report. Conversely, making dietary improvements can yield multiple benefits in this regard.

There is also further evidence that exercise can give a boost to the aging brain. Scientists at the University of British Columbia found that older women who suffered from mild cognitive impairment could improve their memory through weight training and brisk walking.

The connections between physical and mental decline may not yet be completely understood, but it seems clear that chronic diseases play a major role in the process. While these are widespread, the encouraging news is that many, if not all, are preventable by healthier lifestyle choices.

Share and enjoy on FacebookTwitter and Pinterest

Timi Gustafson R.D. is a registered dietitian, newspaper columnist, blogger and author of the book “The Healthy Diner – How to Eat Right and Still Have Fun”®, which is available on her blog and at amazon.com.  For more articles on nutrition, health and lifestyle, visit her blog, “Food and Health with Timi Gustafson R.D.” (www.timigustafson.com).

-->
Write your own blog

Do you have something to say? Are you passionate about a particular topic and can write regularly and coherently? We'd love to talk with you. Contact us today about blogging on this site.

Blog Search
About timigustafson

Timi Gustafson, RD, LDN, FAND is a registered dietitian, health counselor, book author, syndicated newspaper columnist and blogger. She lectures on nutrition and healthy living to audiences worldwide. She is the founder and president of Solstice Publications LLC, a publishing company specializing in health and lifestyle education. Timi completed her Clinical Dietetic Internship at the University of California Medical Center, San Francisco. She is a Fellow of the Academy of Nutrition and Dietetics, an active member of the Washington State Dietetic Association, a member of the Diabetes Care and Education, Healthy Aging, Vegetarian Nutrition and the Sports, Cardiovascular and Wellness Nutrition practice groups. For more information, please visit http://www.timigustafson.com

*About Community Blogs

Community blogs are written by volunteers. They are members of our community but not employees of this site or newspaper. They have applied or were invited to blog here but their words are their own and are not edited by the editor or staff of this site, and have agreed to abide by our Terms of Use. The authors are solely responsible for their content. If you have concerns about something you read on a community blog, please contact the author directly or email us.

Would you like to have your own blog on our site? Contact us today.

Archive
Categories