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Dr. Brian Kelly

By Dr. Brian Kelly

In the United States, 30 million adults ages 18 and older are living with diabetes and 84 million contend with prediabetes. And the numbers are growing. That makes this an important public health problem. As such, there are suitable screening tests, which are important as an early asymptomatic stage exists. Early treatment during the asymptomatic stage improves the long-term outcome.

Diabetes is actually a vascular disease that causes buildup of plaque in the blood vessels which is known as atherosclerosis. This process is caused by irritation and inflammation in the vascular beds (or blood vessel systems). This can result in heart attack, stroke or infection/inflammation of the lower extremities due to plaquing in the small arteries of the lower legs, depending on which vascular bed is affected. It also causes retinopathy, which is a disease of the eyes due to clogged blood vessels in the retina as well as neuropathy due to problems with the blood vessels involved with nerves.

In light of the relatively long asymptomatic period that exists, screening tests are very important. These tests include glycated hemoglobin (hemoglobin A1 C) which is a buildup of glucose on the red blood cell. We can also use fasting glucose and the oral glucose tolerance test (OGTT) which is a two-hour test following administration of 75 grams of sugar water. These tests are all available at Powell Valley Healthcare. Early identification of diabetes allows interventions to prevent or limit cardiovascular disease.

Other factors which may amplify the risk of diabetes mellitus include family history of diabetes as well as hypertension and high cholesterol. There are scoring systems for risk factor assessment that have been established by the CDC and the American Diabetes Association.

Lifestyle intervention programs aimed at weight loss and increased activity levels, and medications such as metformin, reduce the risk of type 2 diabetes in high risk individuals. Here at PVHC we have providers who can screen for diabetes as well as treat diabetes and we have diabetes education, which is very important to prevent the complications associated with the disease.

Our diabetes educators are hosting their second Prevent T2 program beginning in March 2021. If you have prediabetes, this program can help you reverse the full onset of diabetes and ultimately prevent cardiovascular health problems in the future.

For more information on the Prevent T2 program, please call Tina Braet-Thomas at 307-754-2267, extension 3604.

(Dr. Brian Kelly is a cardiologist at Powell Valley Healthcare.)

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Healthy heart: Diabetes and cardiovascular diseases - Powell Tribune

You may be used to drizzling honey over oatmeal or in your tea. However, the trend today is to slather it on your face. Really.

People are searching for ways to use honey for face wash, and you can find how-to videos for honey face masks on TikTok and Instagram.

It may seem odd at first. You may be wondering why you would put something super sticky and full of sugar on your skin. Wouldnt that lead to breakouts (and a mess in your bathroom)?

Well, according to some, using honey on your face may lead to smooth, moisturized, blemish-free skin.

We dove into the research and talked to expert dermatologists to find out: Should everyone start using honey for face wash?

Whether its a tried-and-true skin care regimen, how often you wash your hair, or the cosmetics youre curious about, beauty is personal.

Thats why we rely on a diverse group of writers, educators, and other experts to share their tips on everything from the way product application varies to the best sheet mask for your individual needs.

We only recommend something we genuinely love, so if you see a shop link to a specific product or brand, know that its been thoroughly researched by our team.

Using honey as face wash isnt something beauty bloggers invented. People have used honey for its skin benefits for ages.

Legend has it, Cleopatra used a mask made of milk and honey on her face. Indigenous tribes in Burkina Faso also use honey to clean their skin.

Many other cultures use honey topically to treat wounds, eczema, and other skin conditions. This includes Ayurvedic medicine, Persian traditional medicine and Quranic medicine.

All of these people were and are on to something. Honey has many powerful properties, says New York City-based cosmetic dermatologist Michele Green, MD. According to research, honey has antibacterial, anti-inflammatory and humectant (moisturizing) properties.

The antibacterial properties make it good as both treatment and prevention for acne, Green explains. This is credited to the hydrogen peroxide in honey, although the amount varies among honey types.

Honeys anti-inflammatory powers come from antioxidants that help calm irritated skin, says Konstantin Vasyukevich, MD, a facial plastic surgeon and rejuvenation expert based in New York City.

And since honey has humectant effects, it may help keep skin looking younger, or at least smoother.

Lastly, honey contains natural enzymes that help remove dead skin cells and reduce redness, Green says.

Its important to note that most cosmetic products contain only up to 10 percent honey.

That doesnt seem like much, but it may still have an effect. As a natural remedy, honey is certainly not as effective in the treatment of medical skin conditions as a prescription medicine would be. However, it can be an effective remedy for someone with a mild skin condition or as a preventative treatment, Vasyukevich says.

It is generally safe to use honey on your skin, since it is great for people with acne [or] eczema. It is even safe for patients with sensitive skin, Green says.

However, consider testing the honey or product on a small area of your skin before applying it all over your face.

If you notice any redness, itching, or swelling when testing it, wash the honey or product off with soap and water. Then, Green recommends applying a topical hydrocortisone cream. Do not continue using the honey or product.

You may be having an irritant or allergic reaction to the honey itself or another ingredient. Consider contacting the manufacturer of the product to learn exactly what it contains. This can help you identify the culprit.

If you are curious about using honey on your face, you have options. Some users swear by applying raw honey directly to their skin and letting it sit for 510 minutes before washing it off.

Others prefer to create a face mask by mixing the honey with other ingredients, such as yogurt, matcha tea powder, or oats. Green shares this honey face mask recipe:

Finally, you can find a variety of skin care products (such as those below) that contain honey. The concentration of honey in these may be very low. So, it may be hard to tell if any benefits you experience are due to the honey or other ingredients.

If you wish to DIY your skin care, keep in mind that each variety of honey has different levels of antioxidants and other beneficial compounds. So, you may see different results depending on which honey youre using.

That said, many recommend Manuka honey, which has been shown to have higher antibacterial activity compared to other types of honey. Many brands add cane sugar or corn syrup to their honey. In a 2018 study of 118 honey samples, 27 percent were of questionable authenticity.

Consider buying local honey. Or use the True Source Honey tool to look up the UPC of a product and verify if its certified as pure.

Not interested in a DIY project? Consider these skin care products that contain honey. Each has at least a 4.5-star rating on Amazon.

Price: $

Appropriate for use on your face, chest, neck, and hands, this moisturizer with Manuka honey and beeswax is super silky not sticky. Its made to absorb well without leaving you greasy.

Buy the LOreal Age Perfect Hydra-Nutrition All-Over Honey Balm online.

Price: $

Peanuts and honey arent only good ingredients for making a sandwich. The two pack antioxidants and moisturizing benefits into this lotion.

Buy the Mario Badescu Honey Moisturizer online.

Price: $$

The charcoal in this mask is said to help relieve clogged pores while the honey moisturizes. The formula contains no parabens, phthalates, sodium lauryl sulfate, propylene glycol, mineral oil, DEA, petrolatum, paraffin, polyethylene beads, or formaldehyde.

Buy the Origins Clear Improvement Charcoal Honey Mask to Purify & Nourish online.

Price: $$

Farmacy uses a blend of honey, propolis, and royal jelly (all compounds made by bees) in this mask. However, if you have sensitive skin, the company warns that the warming sensation may cause irritation.

Buy the Farmacy Honey Potion Renewing Antioxidant Hydration Mask online.

Using honey for face wash or as a face mask is not only popular. It may also benefit your skin. Thanks to honeys antibacterial, anti-inflammatory, and humectant properties, it may help prevent acne, calm irritation, and maintain hydration.

If used properly, washing [your] face with honey can help keep the skin looking younger, improve radiance and smoothness, and mitigate irritation and acne flare-ups, Vasyukevich says.

However, be mindful to use pure honey if you are going to DIY a treatment.

As with any skin care regimen, if you notice irritation, stop using the product or honey. If your skin seems fine, be patient and try your honey routine for at least a week to see if you notice any difference.

Brittany Risher is a writer, editor, and digital strategist specializing in health and lifestyle content. Shes written for publications including Elemental, Mens Health, Womens Health, and Yoga Journal.

See the article here:
Honey for Face Wash: Should You Use It? - Healthline

Dr. David Arterburn discusses how bariatric surgery can be safe and effective in improving health for people who have obesity and type 2 diabetes.

Using medical records data, researchers with the National Patient-Centered Clinical Research Network (PCORnet) Bariatric Study analyzed the five-year outcomes for more than 46,000 adults who underwent bariatric surgery (also called metabolic or weight-loss surgery). A subset of these adults had type 2 diabetes, and a separate analysis was conducted to determine the effectiveness of two types of surgery, sleeve gastrectomy and gastric bypass, for this group. Here, David Arterburn, MD, MPH, describes the study findings and discusses bariatric surgery guidelines for patients with type 2 diabetes.

Q: What were the PCORnet Bariatric Studys findings for people who have type 2 diabetes?

A: The good news is that the cumulative rates of diabetes remission during the five years after surgery are quite similar between the two procedures. The difference was 86.1 percent of patients achieving remission within 5 years of gastric bypass, compared with 83.5 percent for sleeve gastrectomy. We define diabetes remission as hemoglobin A1C that is less than 6.5 percent, the standard cut point for diagnosing diabetes, after being off diabetes medications for at least three months.

The not-so-good news is that the rate of relapse from diabetes remission within five years for patients who received sleeve gastrectomy was higher, at 41.6 percent, compared with the rate of relapse for gastric bypass patients, at 33.1 percent. If patients either restart their medication or have a hemoglobin A1C over 6.5, we say theyve relapsed.

Also, at five years, the hemoglobin A1C levels were lower in the gastric bypass patients, suggesting better glycemic control, than in the sleeve gastrectomy patients. It was half a percentage point difference, which is pretty large on the hemoglobin A1C scale. We know that good glycemic control is associated with reduced risk of having microvascular disease events and may also prevent macrovascular disease events. And so, it may be that the gastric bypass patients in the long term have fewer of those events than the sleeve gastrectomy patients. This study didnt look at that question, but it suggests that there is an advantage for patients with type 2 diabetes to have the gastric bypass procedure.

Weight loss may factor into the equation for some patients. In the full study, at five years, gastric bypass was associated with a greater average weight loss (56 pounds) than sleeve gastrectomy (41 pounds).

Q: How do the two procedures compare for safety?

A: We published a paper that finds clear differences on the safety side, but in the opposite direction. Patients who underwent a sleeve gastrectomy had fewer return visits to the hospital for reoperation or any hospitalization through five years of follow-up. The rate of reoperation or intervention that happens after the first procedure was 8.9 percent for sleeve gastrectomy patients and 12.3 percent for gastric bypass patients. The margin of difference in the rate of hospitalizations was even larger. At five years, it was 32.8 percent for the sleeve gastrectomy patients and 38.3 percent for the gastric bypass patients.

In terms of the risk of dying from the procedure, bariatric surgery is extremely safe, akin to having gallbladder surgery, which is a very commonly performed procedure. In our study, the 30-day risk of dying from the procedure was 0.2 percent for gastric bypass and 0.1 percent for sleeve gastrectomy. Over the last 20 to 30 years, the techniques for doing bariatric surgery have advanced greatly. In addition, were doing a better job of selecting patients for these kinds of procedures who can do well with them.

Q: How do patients with type 2 diabetes who are considering bariatric surgery decide between these two procedures?

A: Weve done some work to translate these findings into patient decision aids, which are educational tools to help patients talk about benefits and risks with their surgeon and come to an informed choice. Theres no one right choice for every patient. It really comes down to whats most important to the patient. [Note: Dr. Arterburn reviews benefits and risks in the short video,Helping Patients Choose between Weight Loss Surgery Options.]

Q: For which category of patients with type 2 diabetes is bariatric surgery recommended?

A: The current, most widely used guidelines say if you have type 2 diabetes thats not well-controlled on medical therapy, and you have a body mass index (BMI) thats greater than or equal to 35, you are eligible for bariatric surgery.

Randomized studies have compared gastric bypass or sleeve gastrectomy against best available medical care, including diet and exercise, intensive lifestyle treatment, and medical therapy. They have found that patients do better when they get bariatric surgery. Their glycemic control is better and their chance of remission from diabetes is quite a bit better, and thats even in the group of patients whose BMI is between 30 and 35.

The American Diabetes Association, the American Society for Metabolic and Bariatric Surgery, and other international organizations support recommendations suggesting that the criteria for bariatric surgery be expanded to include patients who have diabetes with a BMI as low as 30. It may actually be even safer for these patients, because they dont have quite as severe obesity, and therefore their risk of complications from the procedure appears to be at least as good or better as for people with greater obesity. It also may be that patients do better, in terms of a more durable remission of their diabetes and a lower risk of micro- and macrovascular disease, if we intervene earlier in terms of their obesity and diabetes. Insurance hasnt quite caught up yet, but Im hoping that as the evidence continues to mount, that we'll see an expansion in the eligibility for these procedures.

Q: What age range is suitable for bariatric surgery?

A: The PCORnet Bariatric Study included patients up to age 80, and the over-65 population seem to do just as well in terms of weight loss, diabetes outcomes, and risk of complications. They lost slightly less weight overall, but gastric bypass and sleeve gastrectomy performed the same in that regard. The older population has more general operative risk, but they arent at substantially greater risk from gastric bypass or sleeve gastrectomy than the younger-aged population.

We dont have as many studies in adolescents but, given the chronic progressive nature of type 2 diabetes, lifetime risk of developing complications from type 2 diabetes is pretty great. If youre an adolescent who already has severe obesity and youre developing diabetes, it seems like a very reasonable thing for you and your doctor and parents to discuss bariatric surgery.

Q: How challenging are the lifestyle changes required after bariatric surgery?

A: A good part of the decision aid tool we developed focuses on life after surgery in terms of diet, exercise, and life-long follow-up requirements. Many patients report that within one to two years after their procedure, some of the same food-related issues they had before surgery begin to emerge again, in terms of cravings or emotionally related eating. Having good psychological support can be very helpful to patients in the long term.

Q: How much weight do patients lose through bariatric surgery?

A: Most patients are maintaining the weight theyve lost. The average weight loss at five years was 25.5 percent of their weight at surgery for gastric bypass patients and 18.8 percent for sleeve gastrectomy patients. Average weight loss at five years is slightly lower for patients who have type 2 diabetes, 24.1 percent, and 16.1 percent, respectively.

We did a separate study of teens, age 12 to 18 years, who had severe obesity. It wasnt focused just on patients with type 2 diabetes, but we saw that patients in this study had similar weight loss as the adults. In fact, in the adolescents, sleeve gastrectomy seemed to do even better than it did with the adults. It was closer to gastric bypass in terms of its effect on weight loss at least through three years of follow-up.

We hear anecdotal stories about patients who regain all their weight, but its actually relatively uncommon for this to happen. Within five years, less than 5 percent of gastric bypass patients and less than 12 percent of sleeve gastrectomy patients regain weight to within 5 percent of where they started. The average patient maintains a substantial weight loss, which of course is whats responsible in large part to the improvement in their diabetes.

Q: The PCORnet Bariatric Study was observational and not a clinical trial. Why is this important?

A: The cohort for our study was drawn from medical records databases, so the data is from patients and providers going about their usual care. There could be differences between patients who choose gastric bypass and patients who choose sleeve gastrectomy. Thats why randomized trials are generally considered the gold standard. Although we used advanced statistical techniques to try to balance all the measurable factors between the two groupslike age, sex, race, ethnicity, hemoglobin A1C at the time of surgery, and severity of diabetestheres still the potential that there are other reasons why patients were having differences in their outcomes that arent related to the procedure itself.

The randomized trials generally show that when you take patients with diabetes and you randomly assign them to either gastric bypass or sleeve gastrectomy, the differences in the rates of remission and hemoglobin A1C improvement are smaller than what we found in the PCORnet Study. But whats interesting about our real-world data, is it shows that the gastric bypass patients do better in routine clinical practice. We dont exactly know why that is.

Our next line of research is to begin to develop better, individualized prediction models and incorporate that information into those decision aids that I was talking about. The individualized model would provide patients with specific predictions, based on their personal characteristics, about their chance of durable remission or relapse of their diabetes, developing micro- or macrovascular disease from their diabetes, dying over time, expected weight loss, and risk of having a reoperation or a rehospitalization.

How do you present information on weight-loss surgery to your patients with type 2 diabetes? Tell us below in the comments.

View original post here:
Bariatric (Weight-Loss) Surgery to Treat Type 2 Diabetes | NIDDK - National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

A common stereotype is for retirees to seek leisure and relaxation, but the sedentary lifestyle was not on Paul Rauschs radar when he stepped down from his 33-year career as the choral director at Woodstock High School in 2017. Instead, he got right to work getting in shape.

After losing nearly 50 pounds and rebuilding muscle through disciplined weightlifting, he has rediscovered his love of running and said, Im in better shape now then when I was in my 20s.

Cameras dont lie

Always an active person, Rausch said energy was never a problem. But something was holding him back. A sobering look at his image in current photos revealed the truth.

I was overweight, he said. It was not the mental image I had of myself.

Accepting that realization, Rausch committed to getting back in shape, starting by attacking weight loss. He reached out to an acquaintance who he recalled had achieved significant weight loss. He learned it involved the Optavia Diet, a plan that combines prepackaged food, meal logs, recipes, and coaching to target and reduce fat.

He chose Ash Wednesday, Feb. 26, 2020, as his start date, and by June he had achieved his weight loss goals. Weighing 208 at his heaviest, he dropped to 161, a weight he has maintained for about five months now.

Thats almost a block of salt or six gallons of milk that Im not schlepping around, said Rausch.

Hes seen direct health benefits, including improved cholesterol numbers, reduction in blood pressure, and elimination of reliance on a sleep apnea machine.

Finding the positive in a negative situation, he said the limitations of the pandemic were actually beneficial by eliminating the temptation of dining out.

Return to running

Rauschs affinity for running began back in high school. An accomplished track and field athlete, he was the first in his school to qualify for state in all three relay events (100-, 400- and 800-yard relays) as well as the 300-yard hurdles.

He continued with rigorous workouts into his 20s and, in retrospect, he realized that soldiering through calf pain caused by jumping rope created a long-term problem. Scar tissue caused his calves to seize up with vigorous work such as running. The weight hed added over the years caused additional stress and pain, so he gave up his first love.

His recent weight loss, as well as learning to listen to his body and not push through pain, has allowed him to successfully add running back into his fitness regime. On Nov. 21, he posted his accomplishment to Facebook:

Excited to hit a milestone today that I never thought Id be able to get to. I ran 5K in under 30 minutes, actually 29:35, then continued and ran a total of 5 miles in 49:47.

Driven by his recent success, Rausch has committed to do the Lands End to John OGroats Virtual Run/Walk, which entails logging 874 miles of running/walking in a year. With the support and encouragement from a couple of friends who joined him to participate as a team, he has already logged more than 50 miles since the Nov. 24 start date.

The power within

Always a very positive person, Rausch has a mantra for success, something he often told his students, advice that was pertinent whether they had a bad semester grade or found themselves going down the wrong path in life.

Every day you can start again, he said. You do not have to be defined by what you did in the past. Every new day you have the opportunity to change.

The attitude lends itself well to health and fitness goals. Bit by bit, start the journey, he said. When theres a time you stop, tomorrow get back on. Its never too late to make a change.

He also found inspiration in a book, Younger Next Year, by Chris Crowley which talks about healthy habits.

I plan to be active into my 80s, said Rausch, who admits that retirement has afforded him more time to pursue his goals.

Good health is paramount to his retirement goals as he said there are a lot of things he wants to do that require activity from ambitious hikes to enjoying his grandchildren.

Referring to the photo of him holding grandson Callihan, he said: That little sweetheart is a big reason I want to be around for a long time.

See the article here:
'Every new day you have the opportunity to change' - Woodstock Independent

IndustryGrowthInsights, one of the worlds leading market research firms has rolled out a new report on Weight Loss Therapeutics market. The report is integrated with crucial insights on the market which will support the clients to make the right business decisions. This research will help both existing and new aspirants for Global Weight Loss Therapeutics Market to figure out and study market needs, market size, and competition. The report provides information about the supply and demand situation, the competitive scenario, and the challenges for market growth, market opportunities, and the threats faced by key players.

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Appetite SuppressionIncreasing Body MetabolismInterfering with the Digestion Absorption Patterns

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Weight Loss Therapeutics Market Research Report Analysis And Forecasts To 2026 - The Market Feed

While many adolescents and teenagers consider going for weight-loss surgeries, researchers have found that one such operation that is common among them has harmful effects on bones. According to the team from Harvard Medical School, Boston, the surgery called sleeve gastrectomy weakens the bones.

In a sleeve gastrectomy, approximately 75% of the stomach is removed to restrict food intake and induce weight loss. It results in a typically round stomach taking on the shape of a tube or sleeve. The analysis suggests that adolescents who underwent sleeve gastrectomy had bone loss and an increase in bone marrow fat, despite the marked loss of body fat. The number of sleeve gastrectomy procedures performed on adolescents increased 100-fold from 2005 to 2014, according to the authors. The American Society for Metabolic & Bariatric Surgery (ASMBS) estimates that overall, among weight loss procedures in the US, sleeve gastrectomy has gone up from 17.8% in 2011 to 61.4%.

Childhood obesity is a major public health issue that has increased over the last 10 years. Sleeve gastrectomy is the most common bariatric surgery procedure performed in children and adults. While weight-loss surgery is successful for weight loss and improving metabolic disorders, it has negative effects on bone, explains lead investigator Dr Miriam A Bredella, professor of radiology at Harvard Medical School, and vice-chair of the Department of Radiology at Massachusetts General Hospital in Boston.

The findings are being presented at RSNA (Radiological Society of North America) 2020, the 106th scientific assembly and annual meeting of radiologists, radiation oncologists, medical physicists, and related scientists.

The study examined 52 adolescents with moderate to severe obesity, 26 of whom underwent sleeve gastrectomy. The other 26 were in the control group. The mean age was 17.5 years, and the mean body mass index (BMI) was 45. A BMI of 30 or above is considered obese. Thirty-eight of the study participants were girls. In adults, bariatric surgery can have long-term effects on bone, leading to higher fracture risk. We wanted to determine the effects of sleeve gastrectomy performed on adolescents during the crucial years when bone mass is being accrued, says Dr Bredella.

Before and 12 months after sleeve gastrectomy (or no surgery), the patients underwent quantitative CT of the lumbar spine, to quantify volumetric bone mineral density. Quantitative CT is a highly accurate technique for detecting changes in volumetric bone mineral density after extreme weight loss, say authors. Some studies have shown that bone marrow fat responds to changes in nutrition and may serve as a biomarker for bone quality. Therefore, patients underwent proton MR spectroscopy to quantify bone marrow fat of the lumbar spine, the team adds.

The analysis reveals that a year after the surgery, the adolescents who underwent sleeve gastrectomy lost 34 (+/-13) kg, or 75 (+/-28) pounds, while there was no significant change in weight in the control group. Compared to the controls, sleeve gastrectomy patients had a significant increase in bone marrow fat and a decrease in bone density in the lumbar spine.

According to Dr Bredella, the loss of bone density following sleeve gastrectomy was expected because greater weight-bearing strengthens bones. Besides a loss of bone density, other effects of weight-loss surgery include disruption of hormones and nutrients important for bone health. We need to identify mechanisms that will help prevent bone loss in these patients and to make adolescents with obesity more aware of bone health. Adolescence is the critical time for bone mass accrual, and any process that interferes with bone accrual during this time can have dire consequences later in life, emphasizes Dr Bredella.

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Common surgery to lose weight among teenagers and adolescents could weaken the bones, finds study - MEAWW

Provided by Eat This, Not That! Breakfast bento box high protein with hard boiled eggs fruit nuts cottage cheese cucumber

Obesity has never been a bigger problem in the U.S. than it is right now. At the same time, a recent study indicates thatmore Americans are on dietsthan ever before. Could it be that notwithstanding our best intentions, we've been dieting wrong?

As a matter of fact, that's precisely what a team of scientists out of the Alberta Diabetes Institute at the University of Alberta is suggesting. Their newstudy, publishedin The American Journal of Clinical Nutrition, suggests that while we've been busy struggling to subsist on the high-fat keto diet and shunning meat to go plant-based, what we really need to eat if we want to lose weight is more protein. (Related: 15 Underrated Weight Loss Tips That Actually Work.)

The scientists, led by University of Alberta professor, Carla M. Prado, Ph.D., were aware that "total diet replacements" (short-term diets consisting solely of nutritionally complete meal replacements) can be an effective weight-loss strategy for people with obesity and obesity-related conditions such as type 2 diabetes. They also knew that diets emphasizing protein can support weight management through increased energy and feelings of satiety. What they didn't know was how these two diet concepts might work together for healthy normal-weight adults.

The scientists recruited 44 healthy normal-weight adults between the ages of 18 and 35 (19 females and 24 males) to spend 32 hours in a metabolic chamber (a sealed room that measures oxygen, carbon dioxide, and nitrogen, among other things, to provide a highly detailed look at metabolism). The scientists then randomized the subjects into two groups, and fed them as follows:

Half were fed a high-protein total diet replacement (35 percent carbohydrates, 40 percent protein, and 25 percent fat).

Half were fed a diet meant to approximate what the study authors referred to as the "standard North American dietary pattern" (55 percent carbohydrates, 15 percent protein, and 30 percent fat).

Perhaps most importantly, however, both groups were fed thesame number of calories.

As it turned out, despite having consumed the same number of calories, the two groups differed significantly in terms of how what they consumed impacted their metabolism. The high-protein group's metabolic readings showed higher levels of energy expenditure and fat oxidation (two indicators of weight loss) than the other group. In other words, it appears the high-protein diet was more effective at inducing weight loss.

And so it appears that eating more protein could be the key to unlocking weight loss, at least among healthy, non-obese adults. More research is needed as to the long-term effects of high-protein diets and how these results might translate to adults with obesity, Dr. Prado told Science Daily. However, this study should help scientists to better understand the effects of high-protein diets while adding to the discussion that "a calorie is not just a calorie."

Here are 29 of the best sources of protein for weight loss. In case you've gone plant-based, here are 26 of the best vegetarian sources of protein.

To get all the latest diet and weight loss news delivered directly to your inbox every day, be sure to sign up for our newsletter.

Read the original article on Eat This, Not That!

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This Is What You Need to Eat to Lose Weight, Experts Say - msnNOW

PITTSBURGH, Pa. In the most recent issue of the Annals of Surgery, epidemiologists from the University of Pittsburgh published two separate analyses that could help guide clinicians and policymakers in counseling bariatric surgery patients to improve their quality of life for many years to come.

A study led by Dr. Gretchen White, assistant professor of medicine and clinical and translational science at Pitts Institute for Clinical Research and Education, identified several patient characteristics pre- and post-surgery such as insufficient social support and unrealistic weight loss expectations that can predict not being satisfied long-term with Roux-en-Y gastric bypass surgery.

In a second paper, Whites colleague and collaborator Dr. Wendy King, associate professor of epidemiology at Pitts Graduate School of Public Health, found that higher physical activity levels after bariatric surgery lessen depressive symptoms and improve mental and physical quality of life, irrespective of weight loss.

Every year, tens of thousands of Americans who struggle with obesity undergo gastric bypass surgery to manage their body weight and comorbidities, such as diabetes. Yet, the Pitt scientists found, while most patients are at least somewhat satisfied with their surgery long-term, satisfaction decreased from 85% to 77% three to seven years post-surgery. Most patients also continue to lead sedentary lives, which contributes to weight regain and negatively affects their mental well-being.

Knowing which patients are more likely to be dissatisfied with their surgery can help doctors guide a conversation about expectations and maximize beneficial effects of the procedure, White said. Similarly, providing quantitative data that show being more physically active has positive effects on a persons well-being might help shift a patients perspective on exercise.

Our data support why its important to counsel patients regarding their physical activity behaviors, said King. Although patients in general are not meeting physical activity recommendations post-surgery, we found a dose-response relationship the more active patients were, the better improvement they had in depressive symptoms and health-related quality of life. Every bit matters.

Both studies analyzed data collected from 1,700 adults who underwent Roux-en-Y gastric bypass surgery between March 2006 and April 2009 and were followed for up to seven years.

In a pre-operation assessment, younger age, lower body mass index (BMI), higher percent weight loss needed to reach dream weight, worse physical and mental health status, and less social support all independently predicted higher risk of not being satisfied with surgery. In addition, less weight loss, worsening physical and mental health status, less social support and greater depressive symptomology after the surgery were associated with not being satisfied.

Knowing these characteristics can be useful for clinicians when talking to patients about how realistic their post-surgery expectations are, particularly when having conversations about achieving their dream weight, said White. Modifying expectations early may lead to better satisfaction long-term.

In a separate study, King found that improvements in mental and physical health-related quality of life differed by physical activity level. By analyzing objective measures collected from wearable activity monitors step count, amount of time spent sedentary and amount of time spent doing moderate-to-vigorous activity she found that higher levels of physical activity related to improvements independent of weight loss. In her recent work, also published in the Annals of Surgery, King showed that higher activity level predicted better weight loss and less weight regain but that study didnt look at quality-of-life measures.

Even after the surgery, an average bariatric surgery patient leads a significantly more sedentary lifestyle than recommended by physicians.

King says this may explain why the magnitude of associations between physical activity level and improvement in health-related quality of life and depressive symptoms in their cohort was small. Still, the findings provide support for expanding measures that increase physical activity in bariatric surgery patients to influence mental and physical health outcomes.

Most insurance providers include coverage for dietary counseling but dont reimburse expenses for hiring a health coach or getting a gym membership, said King. There needs to be more systemic support to help patients increase their activity level and maintain an active lifestyle post-surgery.

Dr. Anita Courcoulas, of Pitt and UPMC, is a coauthor on both studies. Amanda Hinerman, M.P.H., and DrSteven H. Belle, both of Pitt, are coauthors on the depressive symptoms study.

No grant support was provided for the analysis or preparation of both manuscripts.

The Longitudinal Assessment of Bariatric Surgery-2 (LABS-2) study that produced the data used in these analyses was funded by the National Institute of Diabetes and Digestive and Kidney Diseases.

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Weight Loss and Diet Management Industry Market Professional Survey 2020 by Manu - News by aeresearch

The way in which people walk can reveal a lot about their health. A group of Spanish researchers is testing sensors that generate information. This will help diagnose and track the progress of degenerative diseases, all from the way a person walks.

In order to achieve this, these mobile sensors are placed in the footwear of patients. They then register information, such as walking speed, step length, arm swing time, standing time, how high the foot lifts off the ground, gait symmetry, and the variability in any of these parameters. All these movement patterns are used to detect evolving degenerative diseases.

The team of scientists in charge of this project hail from the Spanish National Research Council (CSIC), the Centre for Automation and Robotics (CAR), and the Polytechnic University of Madrid (UPM) in Spain. Although the initiative is also part of the Next Perception EU project. This a larger project whose goal is to develop next-generation smart perception sensors and enhance the distributed intelligence paradigm to build versatile, secure, reliable, and proactive human monitoring solutions for the health, wellbeing, and automotive domains.

Dr. Antonio Jimenz, who heads the team, explained to Innovation Origins how the idea for developing this technology was born. Currently, geriatric hospitals have methods in place to assess frailty and detect risks of falls. However, these methods [Short Physical Performance Test (SPPB) and Timed Up and Go Test] both have a subjective component. They require a lot of consultation time. But when patients are being supervised by a doctor, they tend to try harder and get better results than they would do in their everyday lives. That is why we propose making a light, cheap, and objective system. One that can be used during the patients natural, everyday walk, even at home. This will allow us to obtain more realistic results and reduce consultation times.

Many scientific studies state that walking styles can be indicative of physical, physiological, neurological, and even psychological conditions. Data about walking speed, cadence (steps/minute), and step length already provide plenty of information about a persons frailty, said Jimenz. If on top of this, we add all the other movement patterns as mentioned above, accurate diagnosis rates can be further refined and increased.

Frailty syndrome is a common condition among older adults. It entails a recognizable state of increased vulnerability resulting from an aging-associated decline in faculties and functions across multiple physiological systems to the extent that the ability to cope with everyday or acute stressors is compromised. One of the main health risks associated with frailty are falls. These can cause severe consequences, especially for older adults.

Jimenz said that frailty is a disease that can be diagnosed in the main by looking at the level of physical activity, strength, speed, movement, and other aspects related to low energy or weight loss in older adults. Therefore, this is the core condition that the research team is currently focusing on.

The results will be used to improve the procedures used in evaluating the origins and treatments of degenerative motor diseases. The lead scientist mentioned that they will also help with degenerative mental conditions. That is because there could be a correlation in a multitude of cases.

Additionally, these strategies based on smart shoes can be used to classify any activities carried out by a person in their home. This would be based on their assumed movement and positions. This means that their daily activities can be monitored. Plus, as a preventive measure, they can get advice on how to improve their dynamic movement. Applications exist for other areas too. Such as sports (optimization of jumps, running, etc.), or even for monitoring rescue teams intervening inside buildings (firefighters in burning or semi-collapsed buildings).

The preliminary results for the project are expected in approximately 24 months. However, Jimenz clarified that the research is a medium-long-term task with ongoing improvements and innovations that provide the team with enough work for at least another decade.

Nonetheless, as is the case with a lot of research, money is a determining factor for when results can be produced. The pace of progress depends on the public subsidies we receive, either at a national or a European level. This allows us to hire staff or keep the existing team members. As well as take advantage of the knowledge that is generated. Private financing from companies that may want to exploit the results would accelerate the development. Yet that is somewhat more difficult to get when they dont see any benefits and returns in the short term.

The research is now in its very early stages. However, according to Jimenz, the preliminary results are quite promising. Nevertheless, the size, autonomy, and ease of use of the technology all need to be improved. And of course, the team is planning to experiment with larger groups of patients from referral hospitals in the future.

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Walk around in shoes with sensors to diagnose degenerative diseases - Innovation Origins

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