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Feb 17

Why is it so hard for kids to lose weight?

Childhood obesity isn't just a cosmetic issue, although studies show overweight children are often isolated and bullied.

STORY HIGHLIGHTS

Using junk food as a reward for good behavior derails healthy eating efforts Environment is constantly pushing children in the wrong direction, pediatrician says Obese youth more likely to suffer from cardiovascular disease, diabetes Stress damages a child's ability for self-control, which leads to a higher body mass index

Editor's note: This is the fourth story in CNN's series exploring the issues surrounding childhood obesity.

(CNN) -- Lyn McDonald is doing everything right.

After losing more than 80 pounds, she taught her kids how to control their portion sizes, shop at the farmers market, eat vegetables with every meal and avoid a lot of sugar.

Her efforts are working. At a time when approximately one-third of American children are overweight or obese, McDonald's kids are at healthy weights.

So why is every day still a struggle for the blogger and mother of five?

"I have had to deal with teachers who hand out Skittles, candy bars, lollipops and giant frosted sugar cookies to the children in class ... before 10 a.m.," McDonald says. "I think this is setting kids up for failure and un-teaching the healthy habits I have instilled."

The fact that doughnuts and cupcakes are given out as a reward after soccer practice or dance class is a paradoxical hurdle in the fight against childhood obesity. As doctors and parents struggle to encourage healthy behaviors, our sugar-filled, sedentary surroundings resist every step.

Think about it, says Dr. Stephen Daniels, chief pediatrician at Children's Hospital Colorado. Every day kids are exposed to advertising about fast food instead of home-cooked meals. They're surrounded by vending and soda machines at school. They have hundreds of channels on TV, own three video game systems and live in neighborhoods that were built without sidewalks.

"Our environment is constantly pushing kids in the wrong direction."

Childhood obesity isn't just a cosmetic issue, although studies have shown overweight children are often isolated and bullied by their peers.

This is setting kids up for failure and un-teaching the healthy habits I have instilled.
Lyn McDonald

Obese youth are more likely to suffer from cardiovascular disease, diabetes, sleep apnea, liver disease and bone and joint problems, according to the Centers for Disease Control and Prevention. Excess fat has also been linked to many types of cancer. About two-thirds of obese children grow up to be obese adults.

Gary Evans is an environmental and developmental psychologist at Cornell University. His latest study, published this year in the journal Pediatrics, analyzed the effects of stress on weight gain in children and adolescents.

Researchers know that both adults and children seek higher fat foods in response to stress. Evans and his team found that stress also damages a child's ability for self-control, which leads to a higher body mass index as a teen.

Evans examined children who were dealing with stressful situations, such as poverty, single parenthood, housing problems and domestic violence. In the study, stress hormones hurt the brain's pre-frontal cortex -- the one responsible for our ability to plan and avoid temptations -- at the cellular level.

See also: How to stop your kids from stressing

It's kind of a quadruple whammy, Evans notes. Lower income children have less healthy food stores nearby, more junk food available because it's cheap, fewer places to play outdoors and, as his team found out, a harder time curbing bad impulses.

"If you are born poor, your life expectancy is less," Evans wrote in an e-mail. "Perhaps even more striking ... upward mobility does not remove the ill effects of early childhood poverty on subsequent health and well-being."

For parents trying to raise healthy kids, this is all kind of depressing.

"What we need to do as a society is work to make the healthier choice the easier choice," says Daniels.

There has been movement in that direction. Policymakers are issuing new rules for healthier food in schools and local programs are encouraging more activity. But realistically, an environmental overhaul could take years.

There's a danger in being too pessimistic about the influence we have on the ways our kids live, Daniels says. Research shows that children who lose weight are less likely to gain it back than teenagers or adults.

As hard as it is to make a change at age 10, it's that much easier than at 30 or 40.
Dr. Stephen Daniels

"As hard as it is to make a change at age 10, it's that much easier than at 30 or 40."

Twins Molly and Chris McGann, 15, are perfect examples of this. In third grade, Molly was bullied for being overweight. The McGanns started attending the Shape Down program at Children's Hospital Colorado.

Shape Down's instructors taught the whole family how to measure their food, cook with different colors -- broccoli, red peppers, carrots -- and include exercise in their daily lives. Molly dropped the extra pounds and is still at a healthy weight.

Her twin Chris hit a tough spot in middle school when undiagnosed sleep apnea caused his weight to creep up. As a teenager he is finding it more difficult to stay on track because of peer pressure. His school cafeteria, for instance, has a pizza buffet and a long line of desserts available every day.

"My friends eat the pizza and the Little Debbie cakes and they're all as thin as rails," he says. "It's really hard to walk by that stuff because it looks so good. I just think I want to be healthy, I want to lose weight and I know if I eat those things it's not going to happen."

Daniels doesn't talk about dieting or weight loss with his patients. He talks about getting the entire family on board to eat healthier and be more active.

"You have to understand what kinds of behaviors are leading to the problem and the changes to take," he says. "It's helpful to go slow. It's about simple goals. You don't have to get to a perfect weight in order to have the health benefits."

For more help conquering your environment, the Mayo Clinic has suggestions on making weight loss a family affair.

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Why is it so hard for kids to lose weight?


Feb 17

New Book, "Lose Weight Without Dieting or Working Out", Soars to Number 1 on the Amazon Bestseller Charts

New Book, "Lose Weight Without Dieting or Working Out", Soars to Number 1 on the Amazon Bestseller Charts

Bookcover

Nationwide (February 16, 2012) -- After appearing on the Steve Harvey Morning Show last week, nutritionist JJ Smith's new book, Lose Weight Without Dieting or Working Out was the #1 Health, Fitness and Dieting book, and #4 in overall books, on the Amazon.com bestseller charts.

The book offers a breakthrough solution that "helps you lose weight without counting calories, starving yourself, or eating bland packaged foods. You will see results even if you don't maintain an exercise regimen."

"I can recall two times in my life, in my twenties and again in my thirties, that I was very committed to losing weight so I followed all the typical advice to 'eat less and exercise more' but it just didn't work for me. So, being a nutritionist, I designed a weight-loss system, the Detox-Eat-Move (DEM) System, that has helped me and my clients shed pounds fast. The results in just a few short weeks are remarkable," says Smith.

According to Smith, "the DEM System is NOT a diet, but a lifestyle of healthy living! The DEM System is a three-phase system that allows you to get rid of stubborn body fat and reverse some of your health issues and ailments, restoring your body to optimal health." Interested ones can learn more about the book at http://www.jjsmithonline.com/products/lose-weight.html

The nutritionist-designed program provides easy-to-follow guidelines for eating "clean and balanced" foods that not only helps readers lose weight, but cause them to look and feel younger and healthier than they have in years. The DEM System features methods to detoxify the body, balance hormones, and speed up metabolism. Readers will learn how to eat foods that help them stay slim and avoid foods that cause them to get fat.

Smith comments, "I realized there were a lot of hard-working people like me who didn't always have time to diet or exercise, but still wanted to lose weight and stay slim; And now, this program is designed just for them."

In the book, readers will learn to:

* Detoxify the body for fast weight loss.
* Drop pounds and inches fast, without grueling workouts or starvation.
* Lose up to 15 pounds in the first three weeks.
* Shed unwanted fat by eating foods you love, including carbs.
* Get rid of stubborn belly fat.
* Trigger your 6 fat-burning hormones to lose weight effortlessly.
* Eat foods that give you glowing, radiant skin.
* Eat so you feel energetic and alive every day.

JJ Smith's revolutionary DEM system teaches proven methods for permanent weight loss that anyone can follow, no matter their size, income level, or educational level. And the end result is a healthy, sexy, slim body. For more details about the book, visit http://www.jjsmithonline.com/products/lose-weight.html

About the Author:
JJ Smith (www.JJSmithOnline.com) is a nutritionist and certified weight-loss expert who has been featured on The Steve Harvey Morning Show, The Montel Williams Show, The Jamie Foxx Show and on the NBC, FOX, CBS and CW networks. Her advice has also been featured in the pages of Glamour, Essence, Heart and Soul and Ladies Home Journal. Since reclaiming her health, losing weight, and discovering a "second youth" in her forties, bestselling author JJ Smith has become the voice of inspiration to those who want to lose weight, be healthy, and get their sexy back! JJ may be contacted by email at info@jjsmithonline.com and on Twitter: jjsmithonline and Facebook Page: RealTalkJJ

PRESS CONTACT:
JJ Smith
info@jjsmithonline.com
202-230-7195

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New Book, "Lose Weight Without Dieting or Working Out", Soars to Number 1 on the Amazon Bestseller Charts


Feb 17

New Program Could Pay You To Lose Weight

PITTSBURGH (KDKA) – You’ve heard of bowling for dollars, but what about dieting for dollars?

A new weight loss program is offering big cash rewards if you can shed some pounds.

It’s weight loss with a twist where you gamble on yourself.

KDKA-TV’s Susan Koeppen met up with five co-workers who decided to give the weight loss gamble a try.

They call themselves the “skinny-dippers.”

“We are excited, it’s awesome, it’s a great incentive,” the group said.

The fab five are in a competition with teams across the country. If you lose the most weight, your team wins $10,000.

“I think working as a team is the best part because we can check on each other. We are enjoying it and hoping to bring home that $10,000,” Julia Burkhart said.

Lose weight, gain money is the brainchild of HealthyWage CEO David Roddenberry. His company’s concept is simple in that gambling on losing weight works.

“You’re putting up some money to win money. It’s making weight loss fun, more achievable and more successful,” Roddenberry said.

The company offers three different programs:

The BMI challenge: Wager $300 to win $1,000 if you lower your BMI from obese to normal in one year.

The 10 percent challenge: Wager: $100 to win $200 if you lose 10 percent of your body weight in six months.

Then, there’s the team challenge.

That’s what the “skinny-dippers” are doing. They gamble $60 dollars each and their team has three months to lose the most weight to win $10,000.

Amy Goodman, a team member, said thinking about the money helps.

“The $10,000 is a real good motivation,” Goodman said.

The team started back in November of 2011, and three months later they were lighter, healthier, but unfortunately not $10,000 richer.

“We didn’t win the money, but we certainly lost the weight,” Nancy Mallinder said.

They lost a combined 93 pounds, shed seven percent of their body weight and they came in 23rd out of 205 teams.

“We feel really good. I mean it’s a pretty big accomplishment. We wanted to be one, but 23 I think is pretty good,” Burkhart said.

The “skinny-dippers” aren’t ready to give up either. They’re already gambling again. They have until April 20, 2012, to lose the weight.

HealthyWage said it handed out $500,000 in winnings to participants in 2011.

For more information visit the HealthyWage website here.

RELATED LINKS

More Local News
More Health News
More Reports From Susan Koeppen

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New Program Could Pay You To Lose Weight


Feb 17

Lose more weight by making it a team effort: study

Maybe it's the spirit of competition. Maybe it's the peer pressure. But a new study suggests partnering up with a buddy to shed some extra pounds after researchers found that people who stay together lose together.

Not unlike the US reality TV show Big Fat Loser, which follows teams of overweight Americans as they shed pounds, a team of US researchers says that weight loss can be "contagious" when undertaken in a competitive, social environment.

Previous studies have also found the opposite can be true: that obesity can likewise be contagious.

The study, published online last week in the journal Obesity, was based on data from a 2009 online weight loss competition in Rhode Island that spanned 12 weeks. About 3,330 overweight and obese participants represented 987 teams averaging 5 to 11 members.

Researchers found that those who lost significant amounts of weight -- defined as at least five percent of their initial body weight -- tended to be on the same teams, while being on a team with more people was also associated with greater weight loss.

Those who reported higher levels of social influence among teammates also increased their odds of achieving increased weight loss by 20 percent.

A 2010 study out of Harvard suggested that having obese friends also increases a person's chance of becoming obese.

Meanwhile, Weightlossbuddy.com was created specifically to help people find a support system in their weight loss endeavor and matches people up online by sex, age, location, interests and the number of pounds to lose.

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Lose more weight by making it a team effort: study


Feb 15

Looking To Lose Weight? Try Eating With Someone Else

(RTTNews.com) - Researchers from Radboud University Nijmegen, in the Netherlands, have found that women who dine with other women whom they have not previously met are likely to consume only as much food as their dining partner.

This phenomenon, known as mimicry, has previously been documented by researchers who are attempting to discover its causes and effects.

"The aim of our study was to gain insight into one of the possible underlying mechanisms of this modeling effect, namely behavioral mimicry," said researcher R.C.J. Hermans.

"We did not test whether people deliberately or unwittingly mimicked the other's intake. Based on previous research on behavioral mimicry, however, I am likely to say that this is an unconscious process. This assumption is underscored by previous findings of our lab, in which we found that people are generally unaware of the social influences that might affect their food intake," Hermans adds.

For comments and feedback: contact editorial@rttnews.com

http://www.rttnews.com

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Feb 15

Teenage girls skip breakfast in order to lose weight

By Laura Clark

Last updated at 2:03 AM on 15th February 2012

Teenage girls are regularly skipping breakfast and lunch because they want to lose weight, a major survey of children’s lifestyles has revealed.

Nearly a third of 14 and 15-year-olds often miss breakfast, one in five skip lunch and up to one in 12 routinely goes without either.

The numbers missing meals has nearly doubled in a generation, according to the survey which was first conducted in the 1980s.

Teenage girls, image on left posed by model, are shunning protein and dairy foods in an apparent effort to keep as thin as celebrity role models, such as Kate Moss

The findings suggest that Jamie Oliver’s healthy school meals drive is having little impact on young girls whose desire to be thin puts them off lunches altogether.

But the study, from a respected research body, also suggests that children’s eating habits generally are becoming healthier.

 

Youngsters are less likely to eat crisps, sweets, chocolate, sugar-coated cereals and chips and more likely to eat vegetables than they were just 10 years ago, it emerged.

For the study, the Exeter-based Schools Health Education Unit surveyed 83,000 10 to 15-year-olds about their lifestyles in 2010.

Body image: Teenage girls can be obsessed with their weight

The findings were compared with results from as early as 1983, giving a database of answers from 750,000 young people.

Asked about their breakfast on the day of the poll, 31 per cent of girls in year 10 - aged 14 and 15 - admitted eating nothing at all.

Twenty-four per cent of 12 and 13-year-old girls had skipped it while 12 per cent of 10 and 11-year-olds had also gone without.

At the same time, 18 per cent of older girls and 14 per cent of 12 and 13-year-olds skipped lunch the day before.

Some eight per cent had eaten neither breakfast nor lunch the previous day.

The proportion claiming to have missed lunch had nearly doubled since 1986.

Just 10 per cent of year 10 girls skipped lunch 25 years ago.

Meanwhile figures dating back to 1991 show how increasing numbers of youngsters want to lose weight.

Sixty per cent of older girls wanted to lose weight in 2010, against 50 per cent 20 years ago.

Claire Rick, a spokesman for the School Food Trust, said skipping lunch had an impact on how pupils perform in lessons.

‘Skipping lunch doesn’t just leave pupils feeling hungry and tired - it really does affect their performance in the classroom,’ she said.

‘Our research shows that children are far more able to concentrate and focus with their teachers after a healthy meal at lunchtime, and we hear from schools all the time about the impact of better food for children’s behaviour at school.

‘That’s why it’s so important that the school dining room is a place where pupils want to spend their lunchtimes, and that we continue working on all of the factors that will encourage more pupils to opt for a healthy school lunch.’

 

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Teenage girls skip breakfast in order to lose weight


Feb 15

Yes, you can eat out and lose weight

If you’re trying to control your weight, frequent restaurant meals are usually the first to be banished. A wise decision, since many restaurants serve up high-calorie foods in large portions. Consider that a typical steak dinner – with the works – has 1,000-plus calories and a plate of seafood pasta can deliver as many as 1,200 calories (before the bread!). Even an entrée salad with chicken can have 800 calories or more.

More related to this story

Indeed, many studies have shown that people who eat out often consume more calories and fat and carry more body fat than folks who routinely eat meals prepared at home.

But according to a recent study published in the Journal of Nutrition Education and Behavior, frequent restaurant eating doesn’t have to make you gain weight. The results suggest it’s possible to eat out and, believe it or not, even lose a few pounds.

For the study, researchers from the University of Texas at Austin enrolled 35 healthy perimenopausal women, aged 40 to 59, who ate out at least three times a week. Nineteen were placed in a six-week program called Mindful Restaurant Eating that helps develop skills to reduce calorie and fat intake when dining out. The remaining 16 women did not participate in the program and served as the control group.

Women in the prevention group attended six weekly, two-hour sessions. Each session included discussions on managing weight, weekly goals, eating-out strategies and mindful eating meditation. That mediation involved exercises aimed at becoming aware of hunger and satiety and helping appreciate the sight, smell and texture of food in order to increase satisfaction with smaller portions.

The focus was not on losing weight but rather preventing weight gain, an important goal for women during the perimenopausal years when extra weight tends to accumulate around the abdomen, increasing the risk of heart disease and Type 2 diabetes.

That said, women enrolled in the Mindful Restaurant Eating program lost an average of 3.7 pounds and 1.2 inches from their waists after six weeks. There was no change in body weight or waist circumference among women in the control group.

The number of times each week women ate out in restaurants did not change, indicating they were successfully able to manage their weight while continuing their usual, frequent eating-out patterns. Women who completed the program reduced their daily intake by 297 calories, about half accounted for during eating out. Fewer calories were also eaten at home.

The bottom line: With a series of strategies, it is possible to control and manage what and how much you eat in restaurants. But without a game plan, it’s easy to eat more – and gain weight – without intending to.

Start by doing your homework. Many restaurants post nutrition numbers and other healthy eating tips on their websites. It’s useful information that can help you decide what to order.

I’m willing to bet if you knew in advance that the Keg’s Crème Brulée packs in 825 calories, you’d resist the temptation. Knowing that Swiss Chalet’s full rack of BBQ ribs has 1,300 calories – and 900 milligrams of sodium – might prompt you to order a half rack.

Be assertive when dining out. If you don’t know what’s in a dish or don’t know the serving size, ask. The following tips will help you make healthier choices in restaurants.

To cut fat, especially saturated fat:

• When ordering grilled meat, fish or chicken, ask that it be grilled without butter or oil.

• Choose tomato-based pasta dishes rather than creamy ones. Alfredo and rosé sauces are made with whipping cream, which delivers a hefty amount of saturated fat.

• Stick with broth-based soups instead of cream-based soups and chowders. To increase your intake of fibre-rich legumes, choose minestrone, lentil and bean soups most often.

• Order sandwiches made with whole grain bread instead of white bread or high-fat croissants.

• Order steamed vegetables, green salad, or steamed brown rice instead of French fries.

• Ask for salsa with a baked potato instead of butter, sour cream, cheese or bacon.

• Watch out for healthy-sounding salads. Entrée salads laden with cheese, bacon and plenty of dressing can have more fat and calories than an all-dressed burger.

• Request lower-fat items even if they’re not on the menu – fat-reduced salad dressings, salsa for a baked potato, or berries for dessert.

To reduce sodium:

• Stay clear of menu items described as pickled, marinated, smoked, barbequed, smothered (in sauce), teriyaki, soy sauce, broth, miso, gravy, bacon, and of course, salted or salty. These words indicate higher sodium meals.

• Order dressings, gravies and condiments on the side. Salad dressings, barbecue sauce, ketchup, mustard and pickles can add considerably to the sodium content of a meal. Request them separate from your meal and use them sparingly. You’ll save calories too.

• If ordering pizza, skip the processed meat toppings and order half the usual amount of cheese.

• Request your meal to be prepared without added salt, MSG or sodium-containing ingredients such as soy sauce and broths.

To slim down portion size

• Ask that half your meal be boxed up “to go” before you start eating. If you leave it sitting on your plate you’ll be more likely to eat it.

• Order two appetizers, or an appetizer and a side salad, instead of a large entrée. Consider sharing an entrée.

• Cut down on starchy side dishes. Skip the bread if the meal comes with rice, potato or pasta. Ask for extra vegetables instead of the potatoes or rice. Order a half-portion of pasta.

• Slow your pace. After every bite, put down your knife and fork and chew your food thoroughly.

• Stop eating when you feel satisfied, not full. It takes 20 minutes for your brain to get the signal that your stomach has had enough food.

Leslie Beck, a Toronto-based dietitian at the Medcan Clinic, is on CTV’s Canada AM every Wednesday. Her website is lesliebeck.com.

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Yes, you can eat out and lose weight


Feb 14

Want to Lose Weight? Try Dessert for Breakfast

By Mimi Nguyen Ly
Epoch Times Staff Created: February 14, 2012 Last Updated: February 14, 2012

Study finds that having a high-calorie breakfast with a dessert may help to lose weight. (Sandra Shields/The Epoch Times)

A new study suggests that having a sweet dessert as part of a full breakfast in the morning helps dieters lose more weight and keep it off.

For 32 weeks, researchers from Tel Aviv University in Israel randomly gave 193 obese, non-diabetic adults one of two diets every day, both of which have an identical calorie-count. Men were given 1,600 calories and women 1,400 calories per day.

However, the first group received a low-carbohydrate diet with a 300-calorie breakfast, while the second group had a 600-calorie breakfast rich in carbohydrates and proteins, which included a dessert item such as chocolate.

Participants in both groups lost about 33 pounds (15 kg) on average per person halfway through the study. But in the second half of the study, participants in the low-carbohydrate group regained an average of 22 pounds (10kg) each, while those in the big-breakfast group lost a further 15 pounds (7 kg) each. At the end of the study, the big-breakfast group lost on average 40 pounds (18 kg) more per person than the low-carbohydrate group.

“The participants in the low carbohydrate diet group had less satisfaction, and felt that they were not full” despite taking in the same amount of calories a day, as they had more intense cravings for sugars and carbohydrates and consequently cheated on their diet plan, which explains the weight gain, researcher Daniela Jakubowicz said in a press release.

“But the group that consumed a bigger breakfast, including dessert, experienced few if any cravings for these foods later during the day,” she added.

Jakubowicz says that having a higher proportion of calories for breakfast works because it alleviates cravings and improves body function.

Having a high-calorie breakfast boosts metabolism, which is important for weight loss and maintenance. Breakfast time is also when metabolism is most active and we can work off the extra calories throughout the day better.

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Want to Lose Weight? Try Dessert for Breakfast


Feb 14

Lose weight by using a fork?

CHARLOTTE, NC (WBTV) - The idea comes straight from France where the waistlines have long been sought-after by Americans.

The Fork It weight loss plan uses the concept of light eating late in the day to melt pounds, or so it says.

The plan suggests eating like a king at breakfast using any utensils you'd like. Lunchtime should be a lighter meal or "eat like a Prince". Dinnertime is where the only real restrictions come in, eat like a pauper and only using a fork.

The idea bans fingers, spoons and knives after 6pm and meals should only be foods naturally eaten with a fork. Fish, whole grains and pastas are suggested under the Fork It plan.

We took the concept to Charlotte nutrition counselor Nettie Reeves. She says it might work, but only if used as a tool to teach, and not as a diet.

"I think they more or less listen to their stomachs, we listen a lot to our heads when it comes to food," Reeves said of the concept that Americans simply eat too much.

For more information on the Fork It plan, check out http://www.forkit.com

Copyright 2012 WBTV. All rights reserved.

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Lose weight by using a fork?


Feb 14

Top Reasons Why People Don't Lose Weight From Loyola Expert

Newswise — It’s been more than one month since the new year and swimsuit season is lurking on the horizon – how are those weight-loss resolutions working out?

“Losing weight is one of the top resolutions made every year, yet only 20 percent of people achieve successful weight-loss and maintenance,” says Jessica Bartfield,MD, internal medicine who specializes in nutrition and weight management at Loyola University Health System’s Gottlieb Memorial Hospital.

Despite that fact that two-thirds of Americans say they are on a diet to improve their health, very few are actually decreasing in size. “Dieting is a skill, much like playing a musical instrument, and requires practice and good instruction, “ says Dr. Bartfield. “You’re going to hit some wrong notes and feel frustrated, but eventually you will succeed and it will get easier.”

Top Four Reasons Why Dieters Don’t Lose Weight

According to Dr. Bartfield, here are the top four reasons why many dieters fail to lose weight.

1. Underestimating Calories Consumed
“Most people (even experts!) underestimate the number of calories they eat per day. Writing down everything that you eat- including drinks and "bites" or "tastes" of food - can help increase self-awareness. Pay attention to serving sizes and use measuring cups and spoons as serving utensils to keep portions reasonable. Food eaten outside of the home tends to be much larger portion sizes and much higher in calories. Try to look up nutrition information of your favorite take-out meal or restaurant and select a healthy meal before picking up the phone or going out to eat.

2. Overstimating Activity and Calories Burned- “Typically you need to cut 500 calories per day to lose 1 lb per week. This is very difficult to achieve through exercise alone, and would require 60 minutes or more of vigorous activity every day. A more attainable goal would be to try to increase activity throughout the day and get a total of 30 minutes of moderate to vigorous exercise most days of the week. Buy a pedometer and track your steps; try to increase to a goal of 10,000 steps per day. But be careful- exercise is not an excuse to eat more!”

3. Poor Timing of Meals - “You need a steady stream of glucose throughout the day to maintain optimal energy and to prevent metabolism from slowing down. Eat breakfast every day within one hour of waking up, then eat a healthy snack or meal every three to four hours. Try not to go longer than 5 hours without eating a healthy snack or meal to keep your metabolism steady.”

4. Inadequate Sleep – “Studies have shown that people who get fewer than six hours of sleep have higher levels of ghrelin, which is a hormone that stimulates appetite, particularly for high- carbohydrate /high- calorie foods. In addition, less sleep raises levels of cortisol, a stress hormone, which can lead to weight gain.”

Dr. Bartfield regularly counsels patients through the Gottlieb Medical Weight Loss Program, an interdisciplinary, non-surgical 12-week program that seeks to establish good health routines. “Just as you rely on an expert to learn a new skill or subject, in the Gottlieb program, a registered dietitian, behavioral psychologist, exercise physiologist and a physician all partner one-on-one with patients,” said Bartfield. “Good health practices are more than just learned, they become a regular habit and a way of life.”

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