The Encore Fitness Blog Resources and information from top Las Vegas personal trainers, fitness and dietary experts. Carol Strom.

November 30, 2010

Diabetes or prediabetes predicted for half of Americans by 2020

image courtesy from CNN Health

More than half of all Americans will have diabetes or prediabetes by the year 2020, at a cumulative cost of $3.35 trillion unless something drastically changes with U.S. health trends, according to a new analysis conducted by UnitedHealth Group’s Center for Health Reform and Modernization.

Study investigators say diabetes and prediabetes will also account for an estimated 10 percent of total health care spending by the end of the decade at an annual cost of almost $500 billion. That’s up from an estimated $194 billion in 2010.

The report, “The United States of Diabetes: Challenges and Opportunities in the Decade Ahead,” was unveiled this week, because November is National Diabetes Prevention month. The study offers solutions designed to improve health and life expectancy, while also saving up to $250 billion over the next 10 years.

Personalized tips for managing diabetes: Take a health test

Approximately 26 million Americans have diabetes. Diabetes is one of the fastest growing diseases in the country, according to the American Diabetes Association. Experts predict that one out of three children born in the year 2000 will develop diabetes in their lifetimes, which will raise their risks for heart and kidney disease, nerve damage, blindness and limb amputation.

An additional 67 million Americans are estimated to have prediabetes. In prediabetes, there are often no symptoms. In fact, the ADA notes more than 60 million Americans do not know they are on the verge of developing this dangerous illness.

Just last month, the Centers for Disease Control and Prevention released a report projecting that one in three Americans would have diabetes by 2050. The CDC noted the main contributing factors for the increase were an aging population, with diabetics living longer, an increase in the number of at-risk minorities, and an increase in the number of obese people in the U.S.

“Obesity is a significant contributor to the new cases of diabetes. It is certainly a factor,” Ann Albright, director of the CDC’s Division of Diabetes Translation tells CNN.

The most recent report by UnitedHealth addressed a number of strategies to combat diabetes over the next 10 years, focusing primarily on obesity, creating early intervention program to prevent prediabetes, instituting stronger medication programs and educating Americans on lifestyle changes they can make to combat or control their diabetes.

“There is nothing inevitable about these trends,” said Simon Stevens, executive vice president, UnitedHealth Group, and chairman of the UnitedHealth Center for Health Reform and Modernization. “What is now needed is concerted, national, multi-stakeholder action.”

“Making a major impact on the prediabetes and diabetes epidemic will require health plans to engage consumers in new ways, while working to scale nationally some of the most promising preventive care models. Done right, the human and economic benefits for the nation could be substantial.”

article courtesy from CNN Health

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November 18, 2010

November is Diabetes Awareness Month

Filed under: Uncategorized — Encore Personal Training @ 5:45 pm

When we think of November, Thanksgiving dinners, pumpkins, and fall foliage immediately come to mind. November is also National Diabetes Awareness Month, a time dedicated to educating Americans about a disease that affects 1 in 10 adults in the United States — and whose prevalence is projected to to climb to a frightening 1 in 3 US adults by 2050, according to the Centers for Disease Control and Prevention.

Diabetes Awareness Month

Diabetes is a metabolic disease that involves abnormalities in insulin production and/or sensitivity to the effects of insulin.  Insulin is a hormone produced by the pancreas that’s required for cells throughout the body to be able to take up sugar from the blood stream to use for their own energy needs.

DID YOU KNOW

Currently, Diabetes is the leading cause of blindness in the U.S., accounting for 12,000-24,000 new cases per year
Diabetes is the 7th leading cause of death
Diabetes is the foremost cause of kidney failure, accounting for 44% of new cases in 2005.
In number terms, it affects 23.6 million children and adults which is 7.8% of the total population.
57 million Americans have a condition called “pre-diabetes” that can develop into full-fledged Diabetes unless diet and exercise-related lifestyle changes are made.
Because obesity is a risk factor for developing Diabetes, as our nation’s collective weight continues to increase, so do incidence rates of Diabetes. Other complications associated with diabetes include visual impairment, nerve damage, poor circulation in the hands and feet that may lead to amputations, sexual dysfunction and skin issues.  Diabetes can also put you at a higher risk for heart disease and bone and joint disorders.

TYPES OF DIABETES Though Diabetes Mellitus is the general name for the disease, there are actually three different types of this metabolic disorder. 

Diabetes Type 1, formerly called “juvenile diabetes” or “insulin dependent diabetes,” is usually diagnosed in children, teenagers or young adults, but can also occur later in life. Diabetes Type 1 only accounts for about 5% of all Diabetes cases.  This type of Diabetes is an autoimmune disease of the pancreas, where the body’s immune system attacks and destroys the cells responsible for making insulin. People with Type 1 Diabetes must take insulin shots or wear an insulin pump to substitute for the missing insulin from their pancreas.

Diabetes Type 2, the most common form among Americans, is also referred to as “noninsulin dependent diabetes,” or “adult onset” Diabetes, though the latter term is misleading since its prevalence is on the rise among children. In this form, the pancreas still produces insulin, however insulin resistance occurs causing glucose to accumulate in the blood rather than get taken up by the cells. People at risk for type 2 diabetes include those who are overweight or obese, inactive, people with family history, low HDL, high blood pressure, high triglycerides, women who had Gestational Diabetes during pregnancy, or who had a baby weighing 9 lbs or more at birth, and certain racial and ethnic groups.

Gestational Diabetes occurs in women who are pregnant. About 3 – 10% of pregnant women develop gestational diabetes. It usually only spans the length of pregnancy, though can put women at risk for developing diabetes later in life.

SYMPTOMS OF DIABETES

Frequent urination
Blurred vision
Unusual thirst
Involuntary weight loss
Recurring skin, gum, or bladder infection
Tingling or numbness in hands and feet.

Be aware that people living with diabetes can also be asymptomatic, so routine doctor visits are important to screen your blood and be evaluated for risk factors.
DIABETES PREVENTION: All of us can lower our risk of developing Type 2 Diabetes by:
Maintaining a healthy weight and waist circumference (<40″ for men and <35″ for women) Eating a healthy balanced diet full of fiber-rich and magnesium-rich foods like whole grains, lean proteins, nuts, beans, fruits and vegetables (especially the leafy green kind). Minimizing intake of trans and saturated fats such as those found in cheese, whole milk, red meat, fast foods, margarine and commercially-baked goods Exercising Not smoking And some preliminary research suggests that breastfeeding children for at least one month may reduce a woman’s risk of developing Diabetes later in life. To learn more about diabetes, please visit the American Diabetes Association website.

November 17, 2010

The Sugary Truth Between Sports Drinks and Teens

Filed under: Uncategorized — Encore Personal Training @ 2:25 pm

Think sports drinks are healthier than soda? You’re not alone. New research shows sports drinks are associated with some healthy diet and lifestyle behaviors among teens… but that does not mean these beverages are healthy.

Certain sports drinks can have the same or even more sugar as soda!

From 1977 to 1998, adolescents increased threefold their consumption of sugar-sweetened beverages, which include sodas, and non-carbonated flavored and sports beverages. Previous research shows that up to 15% of adolescents’ daily calorie intakes come from these beverages, and these increases mirror the growing obesity epidemic in this age group.

A large cross-sectional study, recently published in the journal Pediatrics, analyzed dietary and lifestyle data from 15,283 8th and 11th graders in Texas. Past studies have shown that sugary beverage consumption is associated with weight gain and decreased milk consumption. The authors of this study, however, wanted to determine if drinking sugar-sweetened liquids varied with diet and exercise behaviors and gender.

The teens were given questionnaires that asked how many sugary beverages they drink daily, and about their intakes of healthier foods (fruits, vegetables, and milk) and unhealthier foods (hamburgers, fries, chips, candy). Participation in physical activities (sports teams and gym class) and sedentary activities (watching TV, playing video games on the computer) was also assessed. The researchers found that soda consumption was higher in the 11th grade boys than for the 8th grade boys. The same shift was not seen in girls, although the 11th grade girls drank considerably fewer sports drinks than the 8th grade girls. Overall, the questionnaire showed that both boys and girls drank between one and two sweetened drinks the previous day, and over one-third of the boys and nearly one-quarter of the girls drank at least three every day.

Interestingly, unhealthy food intake was associated with greater sugary beverage intakes and healthy foods were associated with greater intakes of non-carbonated flavored drinks, such as sports drinks. Furthermore, increased flavored sports drink consumption was linked with greater fruit and vegetable intakes among the girls, and with greater participation in physical activities among the boys. Sedentary behavior was associated somewhat with increased intakes of flavored sports drinks, but was much more closely linked to increased soda intakes.

As the research team points out, marketers advertise sports drinks as part of a healthy lifestyle, which may explain why flavored sports drink intake seems to be associated with healthier diet and lifestyle behaviors, while sodas are more strongly associated with unhealthy diet and lifestyle habits. But they also stressed that sports drinks – like sodas – are sugar-sweetened and can just as easily contribute to the rising obesity epidemic in adolescents as can soda.

original article here from fyiliving.com

November 16, 2010

Are you NUTS?!

Filed under: Uncategorized — Encore Personal Training @ 2:45 pm

Well, ummmmm  YES!
If you love nuts, then you are in luck. Almonds are delicious and make a great snack food.

Munch in moderation

The small sized Almond comes packed with sizeable amount of health benefits. It lowers the risk of gallstones, high blood pressure, cardiovascular disease, and diabetes, and helps with weight loss. It reduces blood sugar levels, weight and LDL, or bad cholesterol. Including almonds in your diet, keeps your heart and blood healthy.

 Almonds are a great source of vitamin E and also have good amounts of magnesium, potassium, zinc, iron, and fiber.  And just in case you’ve not been converted to the almond-as-snack yet, consider this little tidbit:  they contain more calcium than any other nut which makes them great for people who do not like or eat any dairy products.

Almonds and almond oil are used extensively in ancient medical techniques like Ayurveda and Unani medicines. Despite being a seed, it boasts of being counted in the premium health food category because of the presence of high amounts nutrients which produce energy.

The next time you need something crunchy, reach for a small handful (about 10) of almonds. Of course like with everything, you should munch in moderation.  Almonds have a large calorie content, being 575.0 per 100 gm  

November 10, 2010

San Francisco bans the Happy Meal

Filed under: Uncategorized — Encore Personal Training @ 10:00 pm

San Francisco’s Board of Supervisors voted yesterday to make SF the first major city to outlaw McDonald’s Happy Meal.

Under the ordinance, McDonald's could keep Happy Meals on the menu if they get rid of the toy.

The 8 to 3 vote means that the board has the votes to override Mayor Gavin Newsom’s expected veto of the measure. The board had already approved the banin a preliminary vote last week .

Under the ordinance, McDonald’s could keep Happy Meals on the menu if they simply jettison the toy or add some fruit and vegetables—but would that really still be a Happy Meal? It would also need to come in under 600 calories, with less than 35 percent of those calories coming from fat.

Yale study released Monday, which says it’s “the most comprehensive study of fast-food nutrition and marketing ever conducted,” found children as young as two are seeing more fast-food ads than ever and restaurants rarely offer parents healthy alternatives.

Here’s a few unpleasant nuggets from the study:

• Out of 3,039 possible kids’ meal combinations, only 12 meet the researchers’ nutrition criteria for preschoolers. Only 15 meet nutrition criteria for older children.

• The average fast-food meal purchased by teens contains 800 to 1,100 calories, roughly half of their recommended total daily calories.

• At least 30 percent of the calories in menu items purchased by children and teens are from sugar and saturated fat.

• At most fast-food restaurants, a single meal contains at least half of young people’s daily recommended sodium.

According to the study, in 2009 children 6 to 11 saw 26 percent percent more ads for McDonald’s and 10 percent more ads for Burger King than they did in 2007. Of course, parents have to actually pay for the Happy Meal. According to CNN, a McDonald’s spokesperson told them in a statement that “Parents tell us it’s their right and responsibility—not the government’s—to make their own decisions and to choose what’s right for their children.”

Maybe the end of the Happy Meal wouldn’t be a huge loss—McDonald’s finished dead last for tastiest burger award in Consumer Reports’ 28,000 person reader survey comparing 18 fast food chains in our October issue. (Though none of the readers surveyed were children.) The Happy Meal still has until December 2011 to reform itself. If not, the return of the 500-calorie no-rib McRib may fill the vaccuum in children’s bellies.

Article originally from Consumer Reports

November 9, 2010

Did You Flush?

Filed under: Uncategorized — Encore Personal Training @ 2:30 pm

Got your attention didn’t I? 
That’s because this is important stuff and you have to read this!!
Drinking water is excellent for the body and really important for your good health. Water helps flush out toxins and other unwanted things that may be lingering in the body.

Don't just drink water because you're thirsty!

Water also replenishes fluids that help lubricate the internal body, keeps you hydrated, reduces hunger, which helps with weight loss, and helps to make skin look smooth and young. If you are not used to drinking water, it may seem hard at first, but very quickly, you will enjoy the clean, refreshed way it makes you feel.

Experts suggest that you should drink 64-ounces of water a day and more if you can. A good way to make this happen is to fill at least three 20 ounce bottles every morning and make sure that they are empty by the end of your day.
 

November 8, 2010

The food-mood Connection

You’ve heard the claims: Chocolate evokes that loving feeling. Eating fish makes you smarter. Pure carbs calm you down. If you are what you eat, as they say, then it certainly stands to reason that food can influence mood and brain power.

How does food influence mood and brain power?

The theory behind these supposed connections seems plausible. Certain neurotransmitters do affect the brain and, consequently, our dispositions in measurable ways. For instance, high levels of serotonin are associated with being calm, happy and relaxed, while low levels are linked to depression and aggression. Dopamine and norepinephrene are reward chemicals released by the brain in response to pleasure.

Particular foods have been shown to boost the production of these neurotransmitters but usually not by enough to make a perceptible difference in the brain. In fact, science has shot down most of the food-mood links accepted as conventional wisdom and perpetuated by self-proclaimed nutrition experts.

Which is a good thing. If you think about it, it’s heartening to realize that you can’t easily influence your mood by a bagel or banana.

“If food were designed to take mood way up or way down, we’d be in big trouble,” says John Fernstrom, a professor of psychiatry and pharmacology at the University of Pittsburgh School of Medicine.

Still, people have an insatiable craving to believe that eating certain things will boost mental focus, attitude or energy. And believing may just be the best shot at a food-mood connection.

“Our perceptions about food and what it will do for us are very strong and can create a self-fulfilling prophecy, even if no physiological evidence exists,” says psychologist Robin Kanarek, who directs the nutrition and behavior laboratory at Tufts University in Medford, Mass.

Although much remains to be studied, here’s what scientists currently believe to be true and false with regard to the relationship between the belly and the brain:

Sugar makes kids hyperactive.

False

We’ve heard for years that sugar gets kids all wound up at birthday parties or on Halloween, but it’s really just the excitement and unstructured environment surrounding the festivities, Kanarek says. She cites an authoritative analysis published in the Journal of the American Medical Assn. in 1995 that examined the effect of sugar on the behavior or cognition of children. Researchers crunched through the data from 16 published studies in which neither kids nor their adult observers knew who got real sugar and who got an artificial sweetener. The surprising result was that sugar had nothing to do with how the children behaved.

The fact that parents expect their kids to bounce off the walls after they eat sweets is what perpetuates the behavior, Kanarek says. Moreover, many parents don’t realize that the body can’t tell the difference between the sugar in a glass of apple juice or the sugar in a large cookie.

Coffee improves energy and mental performance.

True

This claim has been supported in numerous studies which have consistently shown that caffeine — the ingredient that gives coffee its kick — improves focus, attention, mood and energy, says psychiatrist Joseph Hibbeln, acting chief for the Section on Nutritional Neurosciences at the National Institute on Alcohol Abuse and Alcoholism. “Caffeine creates a more perfect association of ideas,” he says.

An irrational fear of caffeine addiction turns some people against coffee, says Marcia Pelchat, a food researcher at Monell Chemical Senses Center in Philadelphia. “It’s harmless because the amount people use is self limiting,” she says. “People back off when they feel jittery.”

Carbohydrate snacks make you feel calmer and happier.

False

Some nutrition experts still perpetuate the outdated theory that a high-carb snack will boost mood. The reasoning went like this: Carbohydrates boost serotonin, which makes you feel calm and relaxed, so eating carbohydrates also makes you feel calm and relaxed. The problem is that a lot happens between the mouth and the brain. For instance, if you have any protein within 12 hours of a carb snack, the protein will block the brain’s uptake of serotonin and the snack will have no effect on your mood, Fernstrom says.

In an experiment with lab rats, researchers found that for the animals to experience any serotonin boost from carbs, they had to put two to four hours between the all-carb snack and a protein meal — and their metabolism rates are about five times higher than those of humans. So if you had one slice of bacon at 8 a.m., then nothing but pure carbohydrates all day, at 8 p.m. you might feel a little boost.

Ironically, preliminary research suggests that some dietary protein — such as that from eggs — may have a bigger effect on mood than carbohydrates, Fernstrom says.

Sugar takes the edge off pain.

True (maybe)

This old wives’ tale does get some support from science, Pelchat says. Studies have shown sugar to relieve pain in infants, which is why nurses give newborns sugar water before performing a heel stick, and rabbis give baby boys sweet wine before their bris. A meta-analysis published this year in the Archives of Disease in Childhood found that just a few drops to half a teaspoon of sugar takes the sting out of immunizations for babies up to the age of 12 months.

However, a study published in September in the journal Lancet cast doubt on this widespread belief. British researchers concluded that sugar merely inhibits babies’ ability to register pain in their facial expressions; the brain activity of newborns as their heels were pricked was actually the same whether they were given sweetened or sterile water.

Any pain-relieving effect of sugar is difficult to demonstrate in adults because they have more complex palates, Pelchat says.

Chocolate brings good feelings.

False (almost)

Whatever mood boost chocolate gives you is all in your head, and that’s OK, says Pelchat, who has been researching the relationship between chocolate and mood for nearly 20 years.

Chocolate contains many components with the potential to enhance mood, but the chemical effect of each of them is small. “It does have low levels of stimulants, but you can get a lot more from other substances,” she says. “The caffeine content is very low, so coffee is better for that kind of kick. The sugar might give a temporary lift, but it’s subtle. And the phenylethylamine that people say is supposed to make you feel in love — well, many foods, including salami, are much higher in phenylethylamine.”

In North America and parts of Europe, women tend to crave chocolate around their menstrual periods, but in other countries, women crave black licorice. To Pelchat, that suggests that “chocolate is more of a cultural phenomenon than a physical one.”

The other reason it may lift mood is because it’s really delicious. “Anything we find delicious is part of a system that triggers the reward cascade in our brains,” she says. “But what causes that cascade for one person doesn’t necessarily do it for another.”

Turkey makes you sleepy

False

People have often heard that foods rich in tryptophan — an amino acid plentiful in turkey and milk — will make them sleepy because it has a calming effect on the brain. But each molecule of tryptophan has to compete with many other amino acids to get into the brain, says Elizabeth Somer, a registered dietitian and author of “Eat Your Way to Happiness.” A Thanksgiving feast will make you groggy, but tryptophan isn’t the reason.

“Eating any big meal, especially if you also drink alcohol, is likely to make you feel sleepy,” Kanarek says.

Omega 3 fatty acids found in fish help depression.

True

At the NIH, Hibbeln has spent two decades studying the effects of omega-3 fatty acids on depression and other mood disorders. The evidence that eating fish high in omega-3s can help is strong, he says.

“These nutrients are as effective as antidepressants in treating people with clinical depression,” Hibbeln says. In fact, the American Psychiatric Assn. recommends that people with major depression consume a daily omega-3 supplement.

However, some nutritionists have gotten carried away by assuming that omega-3s can boost the spirits of people who are feeling just a little down. “When we give antidepressants to people who are a little blue, we see that placebos have an almost equal response,” Hibbeln says.

For those with clinical depression, the recommended dose is three 6-ounce servings of salmon, tuna, herring or sardines each week. Mussels and trout are also good, but less so. If you can’t stomach that much fish, take the equivalent in pure fish oil that contains DHA and EPA. Expect effects within a month, Hibbeln says.

Conversely, eating foods that inhibit omega-3s can make people feel worse. These include alcohol and foods high in omega-6 fatty acids, such as corn, vegetable and soy bean oils as well as the hydrogenated fats found in processed foods. Olive oil and saturated fats, such as butter, are considered neutral.

What you eat for lunch causes that 3 o’clock slump.

False

People often blame their lunch for making them feel lethargic in the afternoon. However, your reduced performance probably has more to do with your circadian rhythm than your diet, Kanarek says. A small snack at 3 p.m. can help get you through, but it’s best to avoid simple carbs and sugar; Kanarek recommends an apple and some cheese.

If you’re feeling cranky, drink water.

True

One of the first signs of dehydration is fatigue, which goes along with depression, Somer says. So tank up before you get dry.

Kristen E. D’Anci, a researcher specializing in nutrition and behavior at Tufts, found that even low levels of dehydration consistently had a negative effect on mood. “Not enough water made people feel irritable, less energetic and often brought on a mild headache,” she says. She and her colleagues recommend people drink 2 liters of liquids per day — or more for those who engage in vigorous exercise or live in hot climates. Water is good, but almost any liquid, including caffeinated beverages, will do. Alcohol doesn’t count.

Nevertheless, remember that proper nutrition, not what foods can lift your spirits or energy, is what is truly important for a healthy living, which, in the long run, will be responsible for overall increased self-esteem and happiness. A custom meal plan made to reach your specific fitness goals is a good way to start!

November 5, 2010

10 Minute Yoga Stretch

Filed under: Uncategorized — Encore Personal Training @ 4:01 pm

If you have tight hamstrings (and what runner doesn’t?), the problem may have as much to do with the front of your legs as the back. Tight hip flexors can pull your pelvis forward, putting stress on the hamstrings and lower back. These muscles, which connect your back and hip to your femur bone, become especially inflexible after long periods of sitting. So if you have a desk job or a long commute, you’ll find this series of stretches—which targets the hip flexors and the hamstrings—especially beneficial. Do this routine after a run once your muscles are warm. Hold each pose for at least 30 seconds.

1. Dancer

The Dancer

Start in a classic quad stretch. Then, hinge forward, kicking your right foot back. Extend your left arm for balance.

Learn the 10 rules of injury prevention, and spend more time running and not in rehab.

2. Downward-Facing Dog with Leg Lift

Downward facing dog with leg lift

From downward-facing dog, lift one leg. Lower. Repeat on the other side.

3. Flipped Dog

Flipped dog

From downward dog, lift your right leg, and rotate upside down. Reach your right arm out. Flip back. Repeat lifting left leg.

Iron Yoga: For increased flexibility and strength, try weight training with your yoga routine.

4. Lunge with Side Stretch

Lunge with side stretch

From downward dog, bring your right foot between your hands and come to a lunge. Reach your left arm overhead.

5. Lunge with Quad Stretch

From a low lunge position (right knee on the ground), reach your right hand back and hold your foot.

Running on softer surfaces like grass and trails might help protect your body. Here are 5 safety tips for trail running.

6. Bow Pose

Lie face down. Bend your knees and bring your feet toward your glutes. Reach both arms back and grab hold of your feet.

November 4, 2010

Diabetes Rates To Soar Unless Americans Get Weight Under Control

Without more trips to the gym or a serious shedding of those extra pounds, up to one-third of American adults are on the way to becoming diabetic by 2050.

The number of people with diabetes has soared in the past 10 years

That’s according to a new projection out today from the Centers for Disease Control and Prevention.

One in 10 American adults already have Type-2 diabetes — that’s 24 million people whose bodies don’t process insulin – the blood sugar regulator- very well. That in turn can lead to other, more serious health problems, like heart disease and stroke.

 
Most at risk are the obese, those who don’t exercise or have poor diets, those with a family history of the disease, and racial minorities. Also, the risks increase as we age.

The treatment for this kind of diabetes is bringing weight down, and eating a better diet, in many cases. And health apps can help, although we’re not really using them much.

As we now know, there’s no quick fix. Some pills boost our risk of more health problems.

The projected jump in diabetes cases has health officials worried about the country’s bottom line — and an already stressed health care system.

“Diabetes, costing the United States more than $174 billion per year in 2007, is expected to take an increasingly large financial toll in subsequent years,” the report says.

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