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Ask Dr. K

Anthony Komaroff

Q) My 15-year-old daughter wants to go on a diet. How can I make sure she stays healthy while losing weight?

A) My first question is whether your daughter really needs to go on a diet. Before your teen starts any weight-loss program, talk with her pediatrician, who can help determine an ideal weight for your teen and give her guidance about dieting. Many people (teens and adults) view themselves as overweight when, by medical standards, they are not. They will not get any health benefits from losing weight -- though they may think they will look better.

If your pediatrician determines that your daughter does need to lose weight, remember that it matters how she does it. As nearly everyone knows, you lose weight by burning off more calories by your physical and mental activity than the calories you consume in your diet.

But what many people don't know is that reduced-calorie diets are not necessarily healthy just because they have fewer calories. For example, there are healthy and unhealthy fats and carbohydrates. If your daughter's low-calorie diet contains mainly unhealthy fats and carbs, that's not good -- even if she loses weight.

Let your teen know that weight management is about long-term success. People who lose weight quickly by crash dieting almost always gain the weight back. The best weight-loss strategy is one that your teen can maintain for a lifetime.

Here are some simple guidelines to help you and your daughter to get things started:

- Eat a healthy breakfast every day. People who eat breakfast actually eat fewer calories during the day.

- Drink four to eight, 8-ounce glasses of water each day.

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Dr. K: Make sure your daughter really needs to lose weight

DEAR DOCTOR K: My 15-year-old daughter wants to go on a diet. How can I make sure she stays healthy while losing weight?

DEAR READER: My first question is whether your daughter really needs to go on a diet. Before your teen starts any weight-loss program, talk with her pediatrician, who can help determine an ideal weight for your teen and give her guidance about dieting. Many people (teens and adults) view themselves as overweight when, by medical standards, they are not. They will not get any health benefits from losing weight.

If your pediatrician determines that your daughter does need to lose weight, remember that it matters how she does it. As nearly everyone knows, you lose weight by burning off more calories by your physical and mental activity than the calories you consume in your diet.

But what many people don't know is that reduced-calorie diets are not necessarily healthy just because they have fewer calories.

Let your teen know that weight management is about long-term success. People who lose weight quickly by crash dieting almost always gain the weight back. The best weight-loss strategy is one that your teen can maintain for a lifetime.

Here are some simple guidelines to help you and your daughter to get things started:

Eat a healthy breakfast every day. People who eat breakfast actually eat fewer calories during the day.

See original here:
Make sure your teen needs to lose weight before dieting starts

The tumultuous relationship between Quinton "Rampage" Jackson and the UFC is quickly turning a once beloved champion into an eyesore for the MMA community.

Since losing to Ryan Bader at UFC 144, Jackson has been in a back-and-forth contractual dispute with the UFC regarding financial figures.

According to Jackson, the promotion believes he has lost his appeal, and he isn't worth the same numbers he was making when he first came in.

"After [my last bout] I was like, 'I'm not putting my life on the line for these guys no more.' They know what's going on, but they're still trying to make me look bad," Jackson told Bas Rutten in an interview on HDNET. "They're trying to make me lose my fan base. I don't want to be part of the UFC."

"If Dana doesn't want me to be bigger than the UFC, then let me go. If they feel like I lost my appeal, then let me go. The UFC talks about how they're in a billion homes and they're making all this money, and yet, I'm making less money than I used to make with the UFC."

Is the UFC trying to make Jackson "lose his fan base," or are fans just witnessing another episode of sour grapes from a former champion coming off a major upset loss?

While the vast majority will likely pick a side to defend, the line between right and wrong may be more blurred than initially perceived.

Obviously, the UFC isn't trying to kill Jackson's fan base, but the disgruntled star does have his reasons for being upset with the promotion.

Most fans are oblivious to the strenuous training regimens and dieting a fighter has to undergo to compete at an elite level. It can be draining physically and mentally on a person. To fans, a fighter is only as good as his last fight.

Unfortunately for Jackson, he is coming off two consecutive losses, and in his most recent bout, he came in six pounds overweight.

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Is the UFC Turning Fans Against Rampage Jackson?

Kids are becoming increasingly concerned with weight at a younger age.

STORY HIGHLIGHTS

Editor's note: This is the third part of a six-week Friday series on the perceptions of beauty. Last week we looked at the counter campaigns against society's beauty ideal. Next week we take a look at men who are struggling with body issues.

(CNN) -- Marah Rhoades remembers when her daughter, Emilia Cooper, started to worry about weight. She was 5.

That's when boys at her Brooklyn school started calling her fat. Emilia, now 9, has always been taller and more broadly built than most of the other kids in her class, and she quickly learned her body type made her a target for teasing.

"At that point she became very aware of weight," says Rhoades. "She started coming home and telling her 3-year-old brother, 'If you eat that you're going to get fat.'"

"We all exercise a lot, and it's definitely just her body type," says Rhoades. "We started having a dialogue about it, but it's hard for her to understand that there are different bodies."

Fat is the new ugly on the school playground. Children as young as 3 worry about being fat. Four- and 5-year-olds know "skinny" is good and "fat" is bad. Children in elementary school are calling each other fat as a put-down.

As our country becomes more obsessed with increasingly skinny ideals of beauty at the same time that we're getting more obese, "Fat hatred has become so pervasive that it is part of the fabric of our language and interactions," says Dr. Robyn Silverman, author of "Good Girls Don't Get Fat: How Weight Obsession is Messing Up Our Girls and How We Can Help Them Thrive Despite It." "Fat and thin are no longer simply assessments of size or weight, but rather of character. So you can imagine why adoption of these attitudes, diet talk and disordered behavior is happening earlier as well."

Worrying about weight starts early

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Fat is the new ugly on the playground

As anyone who has ever lost a lot of weight (like 20 pounds or more) will tell you, the first five come off easily and the last five are the toughest! You're still doing all the right things -- eating less and moving more -- but all of a sudden it stops working. The scale won't budge. No matter where you are in the process, hitting a stubborn weight loss plateau is frustrating. But don't let it erode your resolve. Here are three ways to break through the plateau.

Tip#1: Calorie Cycling

In order to lose weight, you need to cut back on your calorie intake. But if you do that for a sustained period of time, your body may play a nasty trick on you: It may start conserving energy by lowering your metabolic rate. The result? You don't burn as many calories and your weight loss slows -- or stops altogether. Although this feels like the worst kind of sabotage, your body is actually trying to look out for you. Your lizard brain has noticed that food supplies seem to have been scarce for an extended period of time. It's trying to increase your chances of survival in case the famine continues. Of course, when you're trying to lose weight, this is not very helpful.

You're stuck between a rock and a hard place: You could try eating even less in order to nudge off more weight, but that just confirms your lizard brain's suspicions about the dwindling food supply. Or, you could eat more in an effort to restore a more robust metabolic rate -- but that's hardly going to help with weight loss. There's a way to outsmart old lizard brain: It's called intermittent fasting, or calorie cycling.

What is Calorie Cycling?

Let's say you've been eating about 1800 calories a day and steadily losing weight. Now suddenly, it's not working anymore. Rather than trying to eat even less every day, try alternating high and low calorie days. For example, you could alternate between 2000-calorie days and 1200-calorie days. Over the course of a week, you'd trim an extra 1400 calories but the higher calorie days should help keep your lizard brain from panicking -- and your willpower from flagging.

See Also: How to Eat Less without Feeling Hungry

What are the Advantages of Calorie Cycling?

First of all, the higher-calorie days keep your metabolism from slowing in response to sustained calorie restriction. Secondly, many people find that intermittent fasting feels easier than constant restriction. Although you may feel hungry on your low-intake day, you'll always have a higher-intake day to look forward to.

In fact, you could even try alternating higher and lower intake days without reducing the total number of calories for the week -- alternating 2000-calorie days with 1600-calorie days, for example. Even without a net reduction in calories, the switch-up might be enough to knock you out of a metabolic slow-down.

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