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

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!

October 12, 2010

Vegetables v.s. Grains

Trying to decide what is the best type of carbohydrates to eat can be confusing. Are you better off eating vegetables or grains? The general consensus is both vegetables and whole grains are healthy but if your goal is to lose some weight, I would choose vegetables.

image courtesy of Eat N Play

Now, I’m not saying that all whole grains are bad for you. If you are an endurance athlete spending hours training every day you might need to eat calorie dense foods like grains to keep you going. But if you are the average person interested in losing some weight or just keeping your weight under control, eating fewer grains and more vegetables could be a good idea for you.

The main problem with grains compared to vegetables is that for the same amount of calories, you get much more nutrition and food volume with vegetables. For example here is a comparison of 140 calories of whole wheat bread vs. 140 calories of broccoli:

Two Slices of Whole Wheat Bread

  • 140 calories
  • 1 gram fat
  • 300 mg sodium
  • 4 grams fiber
  • 6 grams protein
  • 24 grams carbohydrates
  • 2 grams sugar
  • 8% of your daily calcium
  • 8% of your daily iron
  • 12% Thiamin
  • 12% Niacin
  • 12% Folic Acid
  • 4% riboflavin
  • 4.5 Cups of Broccoli:

  • 139 calories
  • 1 gram fat
  • 135 mg sodium
  • 9 grams fiber
  • 27 grams carbohydrates
  • 9 sugars
  • 13.5 grams protein
  • 49.5% of your daily Vitamin A
  • 607% of your daily Vitamin C
  • 18% of your daily calcium
  • 18% of your daily iron
  • 18% Thiamin
  • 13.5% Niacin
  • 27% riboflavin
  • 522% Vitamin K

When you look at the numbers, a vegetable like broccoli is far more superior than whole grain bread in its nutritional content based on calories. In general, vegetables give you the most amount of nutrition for the least amount of calories. In addition, broccoli is even higher in protein and lower in sodium.

When you are looking to eliminate calories from your diet to lose weight, try to pick foods that are calorie dense with the least amount of nutrition. Unfortunately grains can fall into this category. Just think you could eat 4.5 cups of broccoli that is loaded with nutrition or two slices of bread. What you should do is skip the bread and just eat two cups of broccoli and you just eliminated over 70 calories from your diet and ingested more nutrition then the 140 calories dense bread.

This also holds true for most vegetables. They will beat out grains almost every time. I know conventional wisdom keeps telling you to eat multiple servings of whole grains every day but eating too many grains can get you into trouble in your quest to control your weight.

If you want to look into whether grains are really healthy for you at all, check out this article by Mark Sisson titled Why Grains are Unhealthy.

Try reducing or eliminating the amount of grains in your diet for just two weeks and let me know how much weight you have lost and how much better you feel.

Article Courtesy of Mike Cola, Fitness Contrarian

September 17, 2010

Fuel UP!

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

Wow, this is great!

This one simple step alone will not only lengthen your workout, but it will also increase  your performance, which is the key when training and exercising.
That step?

photo courtesy of health.com

…Fill ‘er up!

If you don’t eat before exercise, you will likely feel light-headed, fatigue and nausea.
Your body is then forced to turn to muscle protein for fuel because it doesn’t have enough carbohydrates to perform.

By starting your workout well-fueled, your body will burn a combination of the carbohydrates and stored fat.
So fill ‘er up…and here are the food and beverage tips from your coach Max:  Eat 1 hour before a workout or event.
Choose a high carbohydrate, low fat, moderate protein meal or snack.

And don’t forget to hydrate. Drink at least 10 ounces of water to help offset perspiration loss during your workout.

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