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Apr 18

Kelly Ripa in Swimsuit Throwback Reminds Us She’s Fearless | Eat This Not That – Eat This, Not That

Kelly Ripa joined in on this week's "Throwback Thursday" on social media, sharing a photo of herself rocking a swimsuit in 2018, under the darkest of dark clouds. "#tbt 2018 ignores approaching storm #bahamas," she captioned the photo, tagging her husband, Riverdale actor Mark Consuelos (@instasuelos). ("Of course you did. You are a storm yourself," joked Dondre T. Whitfield in the comments.) While a lot has changed in the last three years, the 50-year-old host of Live with Kelly and Ryan still looks just as amazing as she did in the photo taken in the tropics. So how does she manage to remain one of the fittest females on television? Here are 5 of the workout and diet secrets she's told others, and the photos that prove they work.

Ripa claims that the alkaline dietabout balancing the pH levels in your body"changed her life," but she isn't exactly strict with it. "I like to drink coffee. I occasionally will have fish. The alkaline diet is primarily a vegan diet, but I like cream in my coffee," Ripa told People. "So I don't adhere to it strictly, but when I do a cleanse, it will be seven days, and then I go back to my normal life. But my normal life is not that different than the alkaline cleanse." During an interview with Good Housekeeping she revealed that she eats "a ton of vegetables" at dinner paired with a salad, soup, or a light piece of fish. "I try not to have too much cheese or too many high-fat foods, even though I love them," she added. "I would love nothing more than to have pizza and french fries every day, but I try to limit those treats to once a week."

Ripa told Bon Apptit that she puts off her first meal of the day until after work. "I never eat breakfast until after the show. I can't seem to focus my mind if my stomach is digesting," she said. "At the host chat desk, I'll have a triple shot skim latte I find that if I eat beforehand, I'm just making digesting sounds."

In January 2020, Ripa revealed during an episode of Live With Kelly and Ryan that she quit drinking in 2017. "They're saying that Americans bought less wine last year. It's the first drop in a quarter of a century. Now, I believe this is because I quit drinking, that I caused this dip. I have influenced the market," she joked.

Ripa refuses to skip a workout. "I work out seven days a week," she told In the Know. "And I try to workout an hour and a half a day, no matter what whether I'm working or not. If I'm working, maybe I'll start it a little bit later or a little bit earlier, depending on what day of the week it is. But I am very religious about my fitness."

Ripa has been working out with celebrity trainer Anna Kaiser for several years, using her AKT method which combines toning, interval, circuit and dance-based workouts. "You light the world up around you and make everyone who is lucky enough to know you a better version of him/herself," Kaiser wrote to Ripa for her birthday last year, captioning this Instagram photo. "You are kind, passionate, and generous BEYOND words no one knows how much you give back, anonymously, to make this world a better place. Everyday is better with you in it and I am so excited to enter another decade of adventures with you!!!"

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Kelly Ripa in Swimsuit Throwback Reminds Us She's Fearless | Eat This Not That - Eat This, Not That

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Apr 18

How stress impacts women’s heart health – Medical News Today

The relationship between psychosocial stress and CHD seems to be stronger in women than in men. It may also vary depending on the type of stress or stressor.

However, it is unclear how different types of psychosocial stress impact womens risk of developing CHD.

For this reason, a research team from Drexel University Dornsife School of Public Health in Philadelphia, PA, decided to investigate the association of psychosocial stressors including job strain, stressful life events, and social strain with the incidence of CHD in women.

They combed through the data collected as part of the Womens Health Initiative Observational Study (WHIOS), to assess the independent and combined impact of stressful life events, social relationships, and paid work.

Their findings, which appear in the Journal of the American Heart Association, indicate that work and social strain seem to pack a double punch, increasing womens risk of developing CHD by 21%.

Stressful life events and social strain, that is, the negative aspects of social interactions or relationships, also increased womens risk of developing CHD by 12% and 9%, respectively.

Our findings are a critical reminder to women, and those who care about them, that the threat of stress to human health should not go ignored, says Dr. Conglong Wang, the studys lead author. This is particularly pertinent during the stressors caused by a pandemic.

If true, these findings could shift the focus of preventing CHD in women from managing current stress to finding ways to prevent stress at the source.

It would also serve as a serious reminder that stress is a major threat to human beings, women in particular, and that this threat must be addressed promptly and properly.

Over the past few years, several major studies have established that psychosocial stress from different aspects of life may impact the risk of developing CHD.

This is likely because psychosocial stress can disrupt homeostasis the optimal internal functioning of organs and their systems which can lead to an illness.

As a result, stress can intensify cardiovascular inflammation and reactivity, resulting in metabolic changes that increase the risk of developing CHD.

Psychosocial stress is also linked with behavioral patterns such as alcohol consumption, smoking, or being physically inactive. Certain medical conditions, including diabetes and hypertension, affect the risk of CHD as well.

Stress may impact men and women differently. The findings from a few studies indicate that the link between psychosocial stress and CHD may be stronger in women than in men.

In one study, women were more likely than men to document high average stress levels and associated emotional and physical symptoms, including exhaustion and depression.

Another study found that women may be exposed to psychological stressors that men experience less commonly.

However, scientists still do not know how different stressors influence womens risk of having CHD. It is therefore unclear which stressors affect the risk of developing this condition the most.

This makes it difficult for healthcare professionals to advise women on the best ways to reduce their likelihood of developing CHD. It also means women cannot be sure which stressors are most important to address to keep CHD at bay.

In the new study, the research team analyzed data collected as part of the WHIOS, an initiative aimed at finding better ways to prevent heart disease, cancer, and osteoporosis in women.

The scientists analyzed data from 80,825 women living in a diverse array of states across the United States that had experienced menopause.

Participants were aged 5079 when the WHIOS started tracking them, and the average time women were tracked was 14 years and 7 months. Women assessed stressors in the WHIOS using self-reporting questionnaires.

After adjusting for variables such as job tenure, socioeconomic factors, age, and additional stressors, the researchers found a high stressful life events score increased the risk of developing CHD by 12%, and high social strain by 9%.

The team also noted that the impact of work and social strain seem to work synergistically, increasing womens CHD risk by 21%. Job strain alone was not linked with a higher CHD risk.

These findings could have important implications for how healthcare professionals and women themselves decide to best tackle stress to reduce their CHD risk.

It is of note that a disproportionately large number of participants in the study were white and held more than a high school diploma. The teams findings may also be impacted by the healthy worker bias, according to which people who are less healthy are more likely to be unemployed.

Moreover, the team did not take into account other important compounding factors, such as working hours and social support systems, which are associated with CHD.

Also, the scientists only focused on the impact of stress related to a persons most recent or current job, ignoring the change of jobs throughout life.

The researchers write that more studies are necessary to determine the impact of job demands as they align with sex.

A persons sex and socioeconomic status may also affect their ability to manage stress. That is why future studies will also have to identify subgroups of people that are more likely to benefit from preventative stress interventions than others.

However, these new findings help fuel the need for more advanced, diverse research exploring the link between stress, heart disease, and sex or gender.

They may also encourage healthcare professionals and women alike to reconsider their best options for reducing their CHD risk and improving overall health.

The COVID-19 pandemic has highlighted ongoing stresses for women in balancing paid work and social stressors. We know from other studies that work strain may play a role in developing CHD, but now, we can better pinpoint the combined impact of stress at work and at home on these poor health outcomes.

Dr. Yvonne Michael, senior author and associate professor in the Dornsife School of Public Health

My hope is that these findings are a call for better methods of monitoring stress in the workplace and remind us of the dual burden working women face as a result of their unpaid work as caregivers at home.

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How stress impacts women's heart health - Medical News Today

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Apr 18

What is the link between kidney disease and potassium? – Medical News Today

Potassium is a mineral and an electrolyte that the body requires to support key processes. It is one of the seven essential macrominerals and plays a role in the function of the kidneys. Having too much or too little potassium can result in complications that affect the kidneys.

Potassium plays a key role in a number of bodily processes, including nerve transmission, heart contractility, cellular transport, and normal kidney function. It is important that people get sufficient potassium from the diet, as an imbalance can cause problems in the body.

In this article, we look at the association between potassium and kidney health. We also explain how people with chronic kidney disease (CKD) can manage their dietary needs for better health.

The kidneys are bean shaped organs that are extremely important in removing waste and maintaining a healthy balance of water, salts, and minerals, such as potassium, in the blood. Without this balance, nerves, muscles, and other tissues in the body may not work normally.

CKD is a condition that causes the loss of normal kidney function. People with diabetes or high blood pressure have a higher risk of CKD. The Centers for Disease Control and Prevention (CDC) estimate that this condition affects 15% of adults in the United States.

CKD can get worse over time, but people may be able to manage it by adhering to a healthy lifestyle and getting proper treatment for any underlying conditions.

If CKD does not improve, it can result in kidney damage, which can affect how well the kidneys manage potassium. People with very severe CKD may require a kidney transplant or dialysis.

Under normal conditions, the kidneys respond to hormones in the body to maintain a normal amount of potassium in the body. The National Institutes of Health (NIH) state that the standard amount of potassium in the blood typically ranges from 3.6 to 5.0 millimoles per liter.

In people with CKD, the improperly functioning kidneys lose the ability to filter fluids and electrolytes in the body, which can lead to dangerously high levels of potassium in the blood. Hyperkalemia is the medical term for excessively high levels of potassium.

A doctor can diagnose hyperkalemia with a blood test, and they may also order an electrocardiogram to make sure that the heart is working properly.

Hyperkalemia may not produce symptoms for some people. However, potassium levels of 6.57.0 milliequivalents per liter or higher can cause serious symptoms, including:

Other possible causes of hyperkalemia besides CKD include diabetes, trauma, rhabdomyolysis, medication use, and excessive potassium intake.

To treat hyperkalemia, a doctor may recommend eating a diet with lower potassium levels or changing medications. In cases of severe hyperkalemia, they might prescribe medication to treat it.

Just as potassium levels in the body can get too high, they can also drop too low, which doctors refer to as hypokalemia. Hypokalemia is typically due to another underlying medical illness that a doctor must diagnose.

Possible causes of hypokalemia include:

Symptoms of hypokalemia may include:

A doctor can diagnose hypokalemia using blood and urine tests. They will treat it by addressing the underlying cause, as well as replenishing potassium and fluids.

For adults, the World Health Organization (WHO) recommends a potassium intake of at least 3,510 milligrams (mg) per day, while the NIH suggests a daily intake of 2,600 mg for females and 3,400 mg for males.

In people with moderate-to-severe CKD, doctors may recommend a potassium-restricted diet of roughly 2,000 mg per day. A dietitian can advise on the specific level of restriction. People with CKD may wish to consider avoiding or limiting the consumption of high potassium foods.

Other ways to manage dietary potassium include:

When dining out, people can take steps to avoid eating too much potassium. For instance, they can choose restaurants with suitable options on the menus and even call ahead to request special dietary alterations to their preferred meal option. They can also pay close attention to their diet throughout the rest of the day.

Some examples of low potassium foods include:

High potassium foods include:

Some individuals with CKD may find it challenging to plan meals because so many foods have high levels of potassium. However, there is a method called leaching that can lower the amount of potassium in some foods.

People can leach vegetables by cutting them and soaking them for a few hours in warm unsalted water. They can then drain the water and wash the vegetables using warm water. If they wish to cook the vegetables, they should use unsalted water.

If a person with CKD does decide to consume a meal high in potassium, it is important to try to cut down on the serving size.

Limiting potassium intake helps people with CKD lower their risk of worsening disease.

A person with CKD may be less tolerant of high sodium levels in their body. A high sodium diet can cause a large amount of fluid in the body, which can result in symptoms of swelling or shortness of breath. Doctors typically use drugs called diuretics to treat these symptoms.

People with CKD also tend to retain more hydrogen in their body.

In the body, hydrogen ions act as acids. If the kidneys are not working properly, there will be higher levels of hydrogen ions in the body. Doctors refer to this as metabolic acidosis. Individuals with metabolic acidosis may require bicarbonate supplements.

The inability of the kidneys to filter blood effectively can result in higher levels of phosphate and lower levels of calcium. This imbalance can cause bone weakness and increase the risk of heart disease and stroke.

Chronic kidney disease makes it difficult for the kidneys to function properly, and this can cause problems in the levels of nutrients, such as potassium, in the body. An imbalance of potassium in the body can cause complications relating to the muscles and the heart.

It is important for people with CKD to have regular checkups with their doctor and a dietitian to manage their potassium levels and appropriately take care of their health.

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What is the link between kidney disease and potassium? - Medical News Today

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Apr 18

500 years after Luther and the Diet of Worms the ecumenical movement is strong – DW (English)

Martin Luther was a "pioneering figure," says 58-year-old clergywoman Jutta Herbert, pointing to his theology, his focus on the Bible, his steadfastness, the emphasis on education. All of this, she tells DW, has had a huge influence on who she is.

Jutta Herbert encounters the reformer most days. This is hardly surprising: After all, she is the dean of Germany's Protestant Protestant church in the south-western region off Worms-Wonnegau.

And the city of Worms provides the backdrop for one of the biggest Luther monuments in the world.

Clergywoman Jutta Herbert in Worms sees Martin Luther as a pioneer

That, too, is no coincidence because it was in here in Worms that, 500 years ago, Luther who had as a monk long been fiercelycritical of the Catholic church's leadership in Rome went head-to-head with Emperor Charles V.

Their showdown in April 1521would later be seen as one of the decisive steps in what became known as the Protestant reformation.

Three and a half years earlier, Luther had shaken the Christian world when he published his famous Ninety-five Theses in the town of Wittenberg.

Already a well-known figure in the German-speaking world, he met with jubilation as he made his way from Wittenberg to Worms, further south. Contemporary sources report that he was accompanied by "a cheering crowd."

Now, once again,there is a celebration in the city of Worms as it marks the 500th anniversary and this very special weekend. However, in the treacherous times of COVID-19, little remains of a commemorative program that had so meticulously been put together.

On Friday, a special digital ceremony was held and attended via videolink by Germany's PresidentFrank-Walter Steinmeier, himself a committed Protestant. And on Sunday a church service will be streamed live from Worms. Also, a multimedia show, "The Luther Moment," will be broadcast on German TV from the central market square, projecting the dramatic events of five centuries ago onto a church wall. There will, however, be no live audience of thousands as had been eagerly anticipated.

Jutta Herbert is dismayed by how things have turned out. But she hopes that some of the commemorative events and encounters will still take place later in the year.

The Romanesque St Peter cathedral in Worms

The theologian has been based in Worms for decades and is well aware of the great significance of the Diet of Worms: "Even in ordinary years, we're regularly approached by groups and individuals from outside Germany." Many of them, she adds, had especially been looking forward to this historic 500th anniversary.

A major exhibition called "Here I stand. Conscience and Protest 1521 to 2021" has been postponed for three months and is now set to open its doors in July.

The motto of the show clearly illustrates what it was all about 500 years ago. Luther (37) was determined to defend his new theology in the presence of the Catholic Emperor Charles V (21).

Luther, who had been excommunicated by the Church in the spring of 1521 for his theses, insisted that he could not go against his conscience and recant his views. His actual words were "God help me, Amen!" In the days that followed, Luther went into hiding in the legendary Wartburg castle in Thuringia.

From here on, the Reformation the division between Luther and his supporters on the one side and the Catholic Church on the other could not be stopped.

And now, 500 years on? How successful is the ecumenical movement that aims to build bridges between the two main branches of the Christian church in today's Germany?

Taking Worms as an example, the latest figures from March this year show that the city has a population of just under 85,000. Of that number, 28.3% are Lutheran Protestants, while 23.4% are Catholics. Jutta Herbert insists that Worms is not only a Luther city but also a cathedral city. That is: it is both Protest and Catholic.

"Here in Worms, Catholics and Lutherans work very closely together," says Herbert, who speaks of "tried-and-tested cooperation." Never before have ecumenical considerations been so central to commemorative events marking the historic days of 1521. Among the speakers during the main ceremony, Steinmeier will also be joined by the head of Germany's Lutheran Protestant church, Heinrich Bedford-Strohm alongside the Catholic Bishop of Mainz, Peter Kohlgraf.

The famous Luther Monument (Lutherdenkmal) was erected in Worms in 1968

Jutta Herbert points out that in the summer months a midday ecumenical service takes place in the cathedral every Saturday. What is more, local charities like the hospice movement and groupshelpingthe homeless are coordinated ecumenically between the two churches.

Herbert is convinced that grass-roots Christians are happy to work together: "We've made a lot of progress. And we should avoid focusing too much on what divides us." Sunday will see a special ecumenical service in the cathedral.

Jutta Herbert's Catholic counterpart, Dean Tobias Schfer, believes that the city has a specific ecumenical character: "Because of its history, the city of Worms has an ecumenical obligation," Schfer told DW. He also remembers the same ceremony back in 1971 as being the first to have an ecumenical character. A special initiative was launched jointly by Protestants and Catholics," he reports: The "Worms Memorandum" called for Luther's excommunication to be rescinded. It was sent as a letter to Pope Paul VI. But just a short while later, the proposal was dismissed in a firm but friendly response from a senior cardinal.

The Catholic clergyman Tobias Schfer says that since 1971 the ecumenical movement has had a growing impact in the city. Jutta Herbert agrees, noting that, "fifty or sixty years ago, an image of Luther in the cathedral would have been unthinkable." For more than three decades now, a window in the cathedral's St. Anne's Chapel that depicts key episodes in the history of Worms has also included a depiction of Luther's appearance before Charles V. "In the past 500 years," says Jutta Herbert, "a lot has happened." Especially, she adds, "in the last fifty."

This article has been translated from German.

While you're here: Every Tuesday, DW editors round up what is happening in German politics and society, with an eye toward understanding this year's elections and beyond. You can sign up here for the weekly email newsletter Berlin Briefing, to stay on top of developments asGermany enters the post-Merkel era.

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500 years after Luther and the Diet of Worms the ecumenical movement is strong - DW (English)

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Apr 18

Dietary cocoa improves health of obese mice; likely has implications for humans | Penn State University – Penn State News

UNIVERSITY PARK, Pa. Supplementation of cocoa powder in the diet of high-fat-fed mice with liver disease markedly reduced the severity of their condition, according to a new study by Penn State researchers, who suggest the results have implications for people.

Cocoa powder, a popular food ingredient most commonly used in the production of chocolate, is rich in fiber, iron and phytochemicals reported to have positive health benefits, including antioxidant polyphenols and methylxanthines, noted study leader Joshua Lambert, professor of food science in the College of Agricultural Sciences.

While it is typically considered an indulgence food because of its high sugar and fat content, epidemiological and human-intervention studies have suggested that chocolate consumption is associated with reduced risk of cardio-metabolic diseases including stroke, coronary heart disease and Type 2 diabetes, Lambert said. So, it made sense to investigate whether cocoa consumption had an effect on non-alcohol-related fatty liver disease, which is commonly associated with human obesity.

This study has several strengths, Lambert explained. It used a commercially available cocoa product at a physiologically achievable dose meaning its equivalent could be duplicated by humans. Doing the calculations, for people it works out to about 10 tablespoons of cocoa powder a day, he said. Or, if you follow the directions on the Hersheys box of cocoa powder, thats about five cups of hot cocoa a day.

This photo shows three forms of cocoa beans, cocoa powder and chocolate.Cocoa powder, a popular food ingredient most commonly used in the production of chocolate, is rich in fiber, iron and phytochemicals reported to have positive health benefits, including antioxidant polyphenols and methylxanthines.

The high-fat-fed mouse is a well-established, diet-induced model of obesity, Lambert added. By waiting until mice were already obese before beginning cocoa treatment, researchers were able to test the protective effects of cocoa in a model that better simulates the current public health situation related to non-alcohol-related fatty liver disease.

Thats important, Lambert pointed out, because a significant proportion of the worlds population has preexisting obesity and non-alcohol-related fatty liver disease. Given the high proportion of people in the United States and other parts of the world with obesity, there is a need to develop potentially effective dietary interventions rather than just preventive agents, he said.

For this study, researchers examined changes in fatty liver disease, markers of oxidative stress, antioxidant response and cell damage in high-fat-fed obese mice treated with a diet supplemented with 80 mg cocoa powder per gram of food roughly a pinch per quarter teaspoon for eight weeks.

In findings recently published in The Journal of Nutritional Biochemistry, the researchers reported that cocoa-treated mice gained weight at a 21% lower rate and had smaller spleen weights indicating less inflammation than the high-fat-fed control mice. At the end of the study, mice fed the cocoa-powder-supplemented diet had 28% less fat in their livers than the control mice. Cocoa-treated mice also had 56% lower levels of oxidative stress and 75% lower levels of DNA damage in the liver compared to high-fat-fed control mice.

The mechanisms by which cocoa imparts health benefits are not well understood, but previous studies in Lamberts lab showed that extracts from cocoa and some of the chemicals in cocoa powder can inhibit the enzymes that are responsible for digesting dietary fat and carbohydrate.

The mice in the study consumed cocoa powder and not chocolate like this rat; however, according to lead researcher Joshua Lambert, epidemiological and human-intervention studies have suggested that chocolate consumption is associated with reduced risk of cardio-metabolic diseases including stroke, coronary heart disease and Type 2 diabetes.

The result, he proposes, is that when mice get cocoa as part of their diet, these compounds in the cocoa powder prevent the digestion of dietary fat. When it cant be absorbed, the fat passes through their digestive systems. A similar process may occur with cocoa in humans, he hypothesizes.

In view of this new information about cocoa powder, Lambert is not recommending that obese people or anyone simply add five cups of hot cocoa to their daily routine and change nothing else in their diet. But he does advise, based on what he has learned in this study, to consider substituting cocoa for other foods, particularly high-calorie snack foods.

This exchange is potentially beneficial, especially in combination with a healthy overall diet and increased physical activity, he said. If you go to the gym and work out, and your reward is you go home and have a cup of cocoa, that may be something that helps get you off the couch and moving around.

Also involved in the research were Mingyao Sun, Yeyi Gu and Shannon Glisan, former graduate students in the Department of Food Science.

The research received technical support from the Penn State Genomics Core Facility and the Penn State Laboratory Animal Program. The National Institutes of Health, the U.S. Department of Agriculture and the Silvio and Edith Crespo Faculty Award partially funded this research. Blommer Chocolate Co., East Greenville, Pennsylvania, provided a gift of cocoa powder for the research.

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Dietary cocoa improves health of obese mice; likely has implications for humans | Penn State University - Penn State News

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Apr 18

7 Things We Can Keep Doing for the Climate After the Pandemic – medium.com

Weve all been engaging in a global CO2 emissions experiment. It doesnt have to endSean Gallup/Getty Images

Are we done with being at home?

Weve explored every cranny and mended every drape in our houses and apartments. And now with a few more degrees of warmth in the air and the rising possibility of a shot or two in our arms, many of us are thinking about the open road.

But before your finger actually hits the buy button on that online reservation, it might be worth taking a pause and considering what staying home has done for the planet. In spite of all of its miseries 2020 was the year our country finally went on a climate diet, cutting its CO2 emissions by a significant ten percent. Of course, no one would want to repeat this harrowing experiment. But we cant deny that climate-impactful behavior changes took place in 2020.

And the world desperately needs the US to continue that diet. Every year the average American puts five times the greenhouse gasses into the atmosphere as a citizen of slim, trim France, and more than ten times the amount as a resident of India. And so, as a kind of normal returns, its worthwhile to look back at the most powerful changes we made; changes that could be maintained without derailing the things we like best about our lives and our country.

Its worthwhile to look back at the most powerful changes we made; changes that could be maintained without derailing the things we like best about our lives and our country.

We stayed off of airplanes and this was certainly a factor in tamping down our emissions. Just one roundtrip from New York to London results in at least a ton of CO2 per person per flight. Thats the emissions equivalent of an individual in much of the developing world for an entire year. All that flying adds up. A 2018 study in the journal Nature reported that pre-pandemic tourism accounted for about 8 percent of global greenhouse gas emissions. A family of four could, for the same price as flying roundtrip abroad, swap out two of the biggest carbon offenders in their home (gas ranges and clothes dryers) for hyper efficient smart electric models. Skip a few more international trips and that same family could replace their carbon-belching fossil fuel heating system with a vastly more efficient heat pump.

Americans made fewer trips to the supermarket buying more food per trip and more frozen food than ever before. This was a significant climate savings not only because of the decreased driving to and from the store but also because frozen food costs the planet much less than fresh. Fast-spoiling fresh food can be extremely carbon costly because it often travels to us by airplane. One study in the UK found that while only 1.5% of fruit and vegetables in that country were carried by air flying food accounted for 40% of the total CO2 emitted during the transport of produce for the entire nation. Frozen food meanwhile is almost never flown. Usually its sent via ship a transport method that is orders of magnitude more carbon efficient.

Not only did we make fewer trips to the grocery store, we made fewer trips to our jobs. This was key because the space between home and work is the hole into which we pour the greatest portion of our fossil fuels. According to the Brookings Institution, pre-pandemic, 76% of Americans drove to work alone every working day, and, indeed, commuting is the main reason most of us own a car in the first place. But as were now well aware, working from home is fully possible and, in fact, can lead to marked improvements in productivity. That said, as the digital life critic Brian Solis put it working remotely during a crisis is not the same as working from home. . .This is a herculean endeavor, often without a dedicated support network. If the Biden administration does indeed push through a massive infrastructure package, we need to rebuild with this idea in mind. Smaller office spaces, fewer days at work, fewer miles burned on our crumbling highways should be the norm going forward. But so should a childcare benefit for those who choose to skip the commute.

Applications for marriage licenses in the New York area alone fell 60 percent during the pandemic and the couples that did marry tended to have what the matrimony industry is now calling cozy weddings fewer attendees and hardly any out-of-town guests. This couldnt have come a moment too soon. Pre-pandemic there were around 2 million weddings every year in the United States and fed by Instagram bridezillas and groomensteins the average carbon cost of those ever-expanding weddings ballooned to more than 62 tons of emissions per event. Surely when embarking on an institution that thrives on selflessness a little bit of that same sentiment, directed to the planet is a good idea.

If you thought a wedding was bad for a climate diet, try a conference. Though its hard to put a hard number on it all the industry tracker ConferenceHound.com estimates 40 million Americans attended conferences in 2019 with a per person emissions cost of more than 400 pounds of CO2 per person per day. Change that all to virtual as we did in 2020 and around 90% of those emissions go away according to green events consultant Shawna McKinley. Undoubtedly, there are benefits to human-to-human contact, but maybe the in-person conference should be the exception and not the rule?

The one point of exuberance for many Americans in their locked down year was the stock market. Not only did the overall value of the market improbably rise, some of us began to deliberately play with it (c.f. GameStop). But the stock market can and should be much more than a game. It should be a real tool for focusing the attention of the country on the prospects for our future. In this we need to be deadly serious. Turning to mutual funds and ETFs that specifically focus on low and zero emissions infrastructure would send a positive signal to investors everywhere. And, if the online pranksters want to monkey around with stock prices, perhaps they should consider the fact that as solar and wind costs continue to dip below the production cost of fossil fuels, Americas top five investment banks which today have put more money into the expansion of oil and gas than any other industry on the planet, are in serious risk of stranding their assets. Anybody on Reddit game for shorting J.P. Morgan Chase?

For much of the pandemical year the rallying call for climate action was that change could only be achieved at the ballot box. In this respect 2020 was a resounding success with a climate-forward agenda now sitting squarely on the Resolute Desk. But climate change is as much a local issue as it is a national one. Local municipalities cant regulate the fuel efficiency of cars, make treaties or borrow money the way governments needed to build massive green infrastructures. But they can decide how streets are used or what energy efficiency standards buildings will have. This is particularly consequential in a place like New York where 70% of emissions come from buildings. We need to continue to apply pressure at the ballot box and bring our climate-forward enthusiasm to state, city, town and even school board elections.

Will all of this add up to a nation that chooses to stay in voluntarily? Will we actually maintain our climate diet? We dont know yet. Diets have a way of failing. But if were looking for a place where we can live well for ourselves and live well for the planet, theres no place like home.

Find more tips in my new book The Climate Diet.

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7 Things We Can Keep Doing for the Climate After the Pandemic - medium.com

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Apr 18

The Egg Diet Plan – Weight Loss, Dangers, and Effectiveness – menshealth.com

EGGS ARE a power food for any meal of the day, especially for breakfast.

That's largely because they're high in protein, but also choline, a brain-aiding nutrient found in the yolk (you are eating the whole egg, right?).

Eggs are so beloved that theres a whole diet centered around eating them in order to help you lose weightor at least that's what the (not-that-creatively named) The Egg Diet promises.

Men's Health

What, exactly, does that entail? The Egg Diet is a low-calorie, low-carb, high-protein eating plan that leads to rapid weight loss without losing muscle mass, which often happens when you drop pounds too quickly. Again, that's the promise.

The reality: "This fad diet is based around the idea that eggs are a nutrient-dense, inexpensive, and complete protein source, but rather than eating highly processed, packaged, and artificial foods, The Egg Diet is centered around a whole-food approach, says Ilyse Schapiro R.D.

To further complicate matters, there are also different variations of The Egg Diet. Some are egg-only diets or revolve around eating only hard-boiled eggs (!), but all types require three meals per day without any snacks.

These meals tend to include lean proteins, 1 to 2 servings of fruit per day, dark leafy greens, and non-starchy vegetables. Adequate water intake is also encouraged along with any zero-calorie beverage of your choice (think black coffee and unsweetened teas).

Like Schapiro says, The Egg Diet is a fad diet, though, so we have to wonder if it works and if its healthy for short- and long-term weight loss.

Let's take a closer look.

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In terms of immediate results for weight loss, yes, The Egg Diet works. But there's a catch (of course).

"Given that all versions of The Egg Diet result in eating fewer calories, it is likely that you will achieve short-term weight loss, says Schapiro. Any time you eat fewer calories than your body requires, youll lose weight. If youre able to maintain the strict diet long-term, you will be able to maintain the weight loss.

A Man, A Pan, A Plan: 100 Delicious & Nutritious One-Pan Recipes You Can Make Right Now!

"However, this plan is too restrictive and regimented to be considered a well-balanced, sustainable way of eating," Schapiro says. So, you wouldnt want to consider this a type of eating plan as sustainable or beneficial long-term.

"The problem comes in when it comes to real-life and not wanting to feel so limited and follow such a strict diet all of the time," adds Lyssie Lakatos, R.D.N. When you go back to eating normally, its likely you will gain the weight back.

"Also, if you were to continue on the diet long-term, youd miss out on a lot of important vitamins and minerals that you need to keep you healthy, Lakatos says.

Many versions of these egg-based diets are too low in calories to be healthy long-term, and can ultimately also slow metabolism. There are healthier and more sustainable ways to seek weight lossa loss that you can also maintain without jeopardizing your metabolism or mental and physical health.

Theres one extreme version of an egg-based diet that may be.

It's known as the egg fast diet, and is sometimes connected to ketogenic diets. Take note: the keto egg diet is only meant to last for a few days and involves eating six whole eggs per day along with sources of fat, such as butter, cheese, or oil.

This egg fast can induce ketosis, which is a metabolic process that occurs when your body runs out of enough carbohydrates to burn for energy, so instead, the body burns stored fat and creates ketones for a source of fuel, says Schapiro.

This type of eating strategy is extremeand a crash diet worth avoiding.

While there is currently no consistent answer, The American Heart Association generally recommends one egg, or two egg whites, per day as part of a healthy diet. But that recommendation might be based off old science.

Recent research has found that the dietary cholesterol in egg yolks has little effect on raising total and bad LDL cholesterol levels, says Schapiro.

So, youre safe to enjoy a higher number of eggs than you may have previously thought were allowed.

Plus, the yolk is rich in nutrition. The egg center is ... high in protein, fat soluble vitamins, folate, and vitamin B12, so, its both delicious and nutritious, says Schapiro.

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Apr 18

How Dare There Be Effective Drugs for Obesity? – Medscape

Recent studies published in JAMA and the New England Journal of Medicine highlighted the remarkable efficacy of once-weekly injections of semaglutide for long-term weight loss, with average losses of 16% and 14.9% over 68 weeks, respectively. Given the challenges of maintaining weight loss and the benefits of weight loss for many weight-responsive diseases, quality of life, mobility, and reduction of risk for chronic noncommunicable diseases, you might expect such a drug to be released to uniform cheer.

You'd be wrong, though, because when it comes to obesity, many would seemingly prefer there to be no effective pharmaceutical treatments. The loudest voices opposing medications for obesity, though they often share talking points, usually fall into one or more of these four categories:

The food-is-medicine proponents

The lifestyle-is-medicine proponents

The weight-biased

The obesity denialists

The first two groups' arguments are the most obvious and generally involve some riff on, "Why would anyone take medication for obesity? They just need to go on the diet," or "Whatever happened to eat less, move more?"

The weight-biased, of course, tend to perseverate around what they perceive to be the moral failings of people with obesity and frame medications as a reflection of their purported weaknesses, while the obesity denialists frame everything as a medico-pharma conspiracy for a disease that they believe doesn't exist and therefore requires no treatment.

Of the four groups, I'd venture that the most prevalent are the weight-biased. And here I'm not speaking of explicit bias but rather implicit bias which, when it comes to healthcare professionals having negative feelings toward those with obesity, is well documented and has been shown to affect care.

In the discourse that followed the release of these two recent studies, there were disparaging remarks about the cost of medications, frequent suggestions that the drug's primary mechanism of action is nausea (rather than what is for most a transient or minor side effect), and complaints about the drug's requirement for long-term use. Also apparently problematic was the fact that for many people, the 15% weight loss achievable from a single medication will still have them weighing more than some table says they ought to.

Notable too was that the majority of these doctors weighing in on what they perceived as the drug's shortcomings were physicians who don't practice obesity medicine and who had probably never prescribed a glucagon-like peptide 1 analogue or followed and counseled a patient in the context of weight management. Perhaps I'm old-fashioned, but I would never presume expertise in a field where I didn't practice. But of course, everybody eats, and consequently everybody is an expert, it would seem.

All this is to say, obesity is a chronic noncommunicable disease that medicine treats like no other. With all other chronic noncommunicable diseases, when indicated and when lifestyle means are insufficient or undesired, physicians rightly and readily recommend and prescribe long-term medication or combinations of medications.

Take hypertension. Our patients can in theory choose to go on low-sodium diets, lose weight, increase their exercise levels, improve their sleep hygiene, treat their sleep apnea, and focus on mindfulness. Doing so would in many cases lead to marked improvement and in some, remission of their disease. But if their efforts fail, stall, or are found to be insufficient, or if they simply state that they're unlikely to find the time, energy, or interest to make such lifestyle changes, we invariably and unhesitatingly free from judgment about their character prescribe them antihypertensives with the understanding that they are likely to be long-term medications, barring any major lifestyle changes.

Yet with obesity, which too is in theory modifiable through lifestyle means, many physicians are not only hesitant but plainly opposed to prescribing medications in the first place, let alone for long-term use. And those who do will often demand patients "try" to lose weight first before they are given the prescription (as if they haven't probably been trying their whole lives already, and as if there isn't a tremendous amount of privilege involved in perpetual intentional behaviour change in the name of health).

With respect to costs, perhaps they'd be lower were more physicians comfortable prescribing these medications. With respect to the nausea, it's minimal or transient for most. But even if it wasn't, if the mechanism of action was nausea, and people in the studies voluntarily stayed on them for 68 weeks despite the nausea, what would that say about the drug's perceived benefits to the individual and the burdens associated with obesity? Finally, with respect to subtotal weight loss, how many chronic noncommunicable diseases are you aware of that are wholly treated with monotherapy?

True physician allies for patients with obesity are those who treat obesity like any other chronic disease, where treatment can of course involve lifestyle counseling, encouragement, and support but which, when appropriate, also includes the option of pharmacotherapy and, regardless of patient behaviour changes, is free from blame.

Yoni Freedhoff, MD, is an associate professor of family medicine at the University of Ottawa and medical director of the Bariatric Medical Institute, a nonsurgical weight management center. He is one of Canada's most outspoken obesity experts and the author of The Diet Fix: Why Diets Fail and How to Make Yours Work.

Follow Yoni Freedhoff on Twitter:@YoniFreedhoff

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Apr 18

A Top Trainer Shared 5 Reasons Why You Might Not Be Losing Weight – menshealth.com

In a new YouTube video, trainer and Athlean-X founder Jeff Cavaliere C.S.C.S. speaks about how losing weight can be as much about finding the right mentality as it is about eating, or exercise. He also lays out the five sayings that he frequently hears from clients which function as "red flags," and let him know that somebody needs to go back to basics in figuring out their weight loss journey.

While there are specific exercises that will help train the muscles in certain parts of your body, when it comes to cutting weight in certain areas, that won't work. "The line of thinking is flawed, and that's what's holding you back," says Cavaliere. "Not only is an exercise not going to be capable of targeting any specific area on your body, but more importantly, it's not about exercise at all, and it never will beit's about nutrition."

"Not only is cardio not the main driver of your results, but fasted cardio is actually no better than cardio itself. Though you might burn a higher percentage of fat within the session, you actually burn a lower percentage of fat after the session vs. a fed cardio session. And when it nets all out, you're actually burning the same... Instead, think of cardio as a way of strengthening your heart, and focus your efforts on the deficit through what you put into your mouth. It's always going to come down to nutrition."

Cavaliere argues that while somebody might be able to truthfully say they only eat chicken, fish, salad and oatmeal, it's important not to generalize. There can be a whole range of difference in the nutritional and caloric value of these foods depending on the source: for instance, skinless chicken breast vs. chicken parm, or steamed salmon vs. sushi. "The differences matter," he says, "especially when you're looking to create long-term weight loss."

Whether it's the Atkins diet, the keto diet, the paleo diet, or the South Beach diet, Cavaliere warns that thinking of your nutrition in terms of being "on" or "off" a diet at all isn't sustainableand this has been true of fads for decades. "If you have a name for how you eat, it's an indicator to me that you've got a short-term solution to your long-term problems," says Cavaliere. "Diet plans are, by nature, short-term fixes... You've got to figure out a way to make this a lifelong lifestyle, if you're looking for that long-term permanent weight loss."

Setting goals can obviously be a hugely helpful and important part of any weight loss and fitness journey, especially in terms of establishing motivation. But similarly to the short-term diet plan problem, having a set deadline or expiration date for your weight loss means you're not thinking about long-term, sustainable change.

"Maybe you talk about a summer cut, but summer's eventually going to turn to fall," says Cavaliere. "Then what happens? Oftentimes, we find ourselves going back to exactly what we did to put ourselves in the situation where we're looking to get in shape again for the next event. You have to look deeper... Find what lies beneath the surfaceliterally."

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Apr 18

Rethinking Fatness: Why Body Weight Doesn’t Represent Overall Health – Prevention.com

Low-fat, low-carb, Paleo, keto, South Beach, intermittent fastingthe list goes on. Given that our culture idealizes thinness and shuns larger bodies, its not surprising that nearly one in five midlife women has dieted in the past few years, according to the Centers for Disease Control and Prevention. And many have regained the weight and see themselves as having failed. Less than 1% of very large people got to a normal weight at all in a study that included almost 100,000 women, and most who did regained the pounds they had lost within five years.

Some medical experts are now saying what many of us have been desperate to hear: Its extremely tough to drop weight long-term, for reasons that have nothing to do with willpowerand it may not even be necessary.

The dominant message people get from government, health organizations, and the media is that weight and health are connected. But really, there is no strong evidence to suggest that higher weight automatically leads to poorer health, says Jeffrey Hunger, Ph.D., an assistant professor of psychology at Miami University of Ohio and a longtime weight-stigma researcher (and yes, thats his real name!).

If youre extremely large-bodied, dropping some pounds can protect your joints from arthritis and make it easier to exercise. But for most women over the ideal weight, focusing on other health measures may be much more important than what the scale says.

So why isnt that a message youre likely to hear from your health care provider? The evidence has been piling up for years, but experts are so stuck in their beliefs, they dont accept anything to the contrary, Hunger says. Add to this all the people and companies with financial interests in pumping out anti-fat messages, from diet purveyors to drug companies to book authors. Plus, the message that body fat is bad and needs to be diminished as much as possible is such gospel in our society that its hard to believe it may not be true.

Here are eight important facts that many are overlooking. These realities may be just what you need to feel better about your body, whatever your weight.

Doctors worry that heavy women are cardiometabolically unhealthy, a shorthand term that encompasses blood pressure; levels of cholesterol, triglycerides, and blood glucose; and other measures of heart and arterial fitness.

But researchers at UCLA and the University of Minnesota evaluated nearly two dozen studies and concluded that there was no clear relationship between weight loss and health outcomes. In other words, shedding pounds didnt meaningfully lower blood pressure, diabetes risk, or cholesterol.

Equating being heavier with having poor cardiometabolic health and being thin with the opposite is way off the mark, researchers at the University of California concluded. They pored over data from more than 40,000 participants in the governments annual National Health and Nutrition Examination Survey and found that nearly half the people classified as overweight (and more than a quarter labeled obese) had perfectly healthy blood levels of lipids and glucose, meaning they were cardiometabolically fine. Meanwhile, a full 30% of the normal-weight participants had unhealthy levels of these markers.

The bottom line: Weight alone is not indicative of health, so nobody can tell whether or not a person is healthy based on their weight.

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In a paper published in Social Issues and Policy Review, Hunger and colleagues reviewed many studies on weight and health and discovered that healthful behaviors, not fitting into our skinny jeans, are what make us healthyand help us live longer. Heavy people who do healthy things are as likely to thrive as anyone else. On the list: being physically active, eating nutritious foods, and quitting smoking, of coursebut also socializing enough to avoid isolation, minimizing stress, and managing depression.

Your attention should be not on a target weight, but on how many days you intend to exercise this week and how much produce youll be eating, says Mary S. Himmelstein, Ph.D., an assistant professor of psychological sciences at Kent State University in Ohio. Then dial a girlfriend, schedule some yoga, and find a good therapist if you need one.

Our culture regularly equates carrying extra body fat with being out of shape, but plenty of large-bodied women can easily run laps around their thinner counterparts at the gym. Thats because in reality fitness and weight have little to do with each other, Himmelstein says.

A team of international researchers proved this when they followed 43,000 (mostly white) participants across the weight spectrum. At the outset, they measured blood pressure, cholesterol, glucose, and the like, then tested the participants fitness levels using a treadmill. Those who were metabolically sound and also fit had the same mortality rates during the next decade regardless of their weight. Those who were considered obese and unfit, however, were more likely to die.

If low weight equaled good health, dropping pounds would automatically make people healthierbut thats not what happens. Hunger points to a meta-analysis that found that even after dieters lost weight, their blood pressure, glucose, and other blood markers werent significantly better when they were reevaluated two years later. Heavy people may make health gains when they are put on a weight-reduction plan, as in the famous Diabetes Prevention Program in 2002, which cut peoples risk of developing the disease. But as the studys UCLA and University of Minnesota scientists point out, participants in it, as in other weight-loss trials, were urged to exercisewhich the scientists suggest was likely more of a health driver than the loss of pounds.

So many things go into the weight you are, Himmelstein says. Genes, ethnicity, medicines you take, where you live, what your income is, and how much you sleep all play a role, even if most doctors focus only on calories. Weight is so complex that even longtime researchers dont yet understand all the variables involved. People might be heavier because these days food is so easily available. Or maybe its the crazily larger portions restaurants serve compared with 35 years ago.

Barbara Corkey, Ph.D., professor emeritus of medicine and biochemistry at Boston University School of Medicine and director of the Obesity Research Center, is intrigued by the notion that chemicals used in farming, additives in processed foods, and/or other toxins that make their way onto our plates may cause our bodies to erroneously release too much insulin, a hormone that makes us want to eat more. Corkey suggests that it may be not that obesity brings on problems like insulin resistance, as many doctors believe, but that unnaturally high insulin levels lead to obesity and insulin resistance.

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There may be no upper limit to how rich youd like to be, but theres definitely a floor for how thin you should be. Having a body mass index (BMI) below 23 (less than about 130 pounds for a 5 3 woman) is linked to greater mortality than being a few pounds heavier, a team of international researchers discovered when they examined hundreds of studies with over 30 million participants. This was true even when they excluded people who might have been thin because they were already sick.

Plus, sinking to a too-low BMI can make you feel awful. When Oprah Winfrey dropped to a low weight for her (remember the jiggling fat she wheelbarrowed onto her show?), she was constantly frazzled and exhausted, she told crowds at her wellness events in 2019. Only when she put some pounds back on and reached the right weight for her did she feel better. (Its important to note that BMI itself has come under fire as a flawed measurement, because, among other issues, it doesnt differentiate between fat and muscle, categorizing athletes and others with a lot of muscle as overweight, and it doesnt consider ethnic differences in body type.)

Most people with high body weight have a story about how their doctors judged or blamed them or didnt listen, Himmelstein says. This is true with all types of providerseven ones who specialize in weight management! It can lead to a vicious cycle in which women avoid going to the doctor because they dont want to be fat-shamed, then miss out on treatment or early detection, Himmelstein says. In other cases, health complaints that have nothing to do with weight are inaccurately blamed on a persons size, so patients miss out on the correct treatment.

In this way, among others, doctors bias can make people sickerwhich might then add to the perception that all who are large-bodied are unhealthy. When a study assessing the 2009 H1N1 flu pandemic confirmed that obese people suffered more complications and death from the disease, the authors pointed out that this might have been because those patients werent given critical antiviral medicines as early in their disease as others. (Its unclear whether they didnt seek out treatment as soon or it wasnt offered to them by medical professionals.)

Problems like diabetes, cancer, and autoimmune conditions are especially important to identify early, when they are more easily treated, and health professionals putting too much emphasis on body weight seems to be keeping people from getting the best care.

Dieting can help you trim pounds, but keeping them off is another story. The low nutrition levels and excessive exercise of many weight-loss plans arent sustainable, Hunger says. Plus, when you cut back on calories, your metabolism slows to a crawl. Our bodys biological architecture doesnt understand what the thin ideal isits doing all it can to protect us from what it perceives as famine, he notes.

Because of these factors, a European analysis of large-bodied women calculated the chances of their reaching a normal BMI as less than 1 in 100! Rather than make a drastic temporary change for a short-term goal like how youll look at a class reunion, focus on small, sustained changes, like eating more whole grains and plant-based foods and less red meat and processed fare so healthy eating becomes your new lifestyle to set you up for long-term health, advises Ruwanthi Titano, M.D., an assistant professor of cardiology at the Icahn School of Medicine at Mount Sinai in New York City.

Even thin people benefit from ditching the focus on weight, Himmelstein says. A lot of brainpower goes into monitoring calories or carbs, she notestime and energy wed all be better off spending elsewhere. Instead of trying to shrink your body, start to appreciate everything it does for you, Hunger suggests. Youll be healthy and feel goodthe things that matterno matter what your dress size.

This article originally appeared in the May 2021 issue of Prevention.

Go here to join Prevention Premium (our best value, all-access plan), subscribe to the magazine, or get digital-only access.

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