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

January 13, 2011

Strategies for Better Sleep

image courtesy from testcountry.com

Do you have difficulty falling asleep at night? Once you get to sleep, do you wake up frequently? Do you feel lethargic in the morning? Are you drowsy by midafternoon and unable to stay alert as you go about your day? If you answered yes to one of these questions, you may be one of the millions of people who are chronically sleep deprived and not even aware of it!

Practice good sleep hygiene by following these simple steps:

1. Make sleep a priority, like brushing your teeth, eating well and exercising regularly.

2. Avoid caffeine, nicotine and alcohol late in the afternoon and evening. Caffeine and nicotine can keep you from falling asleep, whereas alcohol interferes with overall sleep quality and can cause you to wake during the night.

3. Avoid large meals several hours before bed, and “don’t dine after 9” as a general rule. A light snack, however, may help you sleep, particularly if you are really hungry. Also, foods containing tryptophan (e.g., milk) have sleep-promoting properties.

4. Develop a sleep ritual. Following a routine just before going to bed signals to your body that it’s time to settle down for the night. Try reading a book, listening to music or practicing nightly relaxation techniques.

5. Keep regular hours. Fall asleep and arise around the same time each day, even on weekends. Avoid napping unless you are sleep deprived.

6. Create a restful place to sleep. A cool, comfortable, dark room (not too hot or too cold), a comfortable mattress and pillow, and a room free of noise work best.

7. Use earplugs, an electric fan or a “white-noise” machine to block out sounds, if needed. If your pets disturb you during the night, put them in another room.

8. Exercise regularly. Physical activity can help relieve daily tensions and stress. However, refrain from exercising at least 3 hours before bedtime, because the beta endorphins secreted during a workout can keep you awake.

9. Take a warm bath before going to bed and try out some aromatherapy products that contain lavender or chamomile.

10. Avoid using your bed for anything other than sleeping or having sex.

original article from IDEA Fitness

December 13, 2010

How Dangerous Is Being Fat? New Data On The Meaning Of Body Mass Index

If your body mass index is between 20 and 24.9, you’re golden.

Obese people — those with a BMI of 30 to 34.9 — have a 44 percent higher risk of death from any cause compared with those in the most-favorable range, according to a study in the New England Journal of Medicine.

You won’t live forever, but your chances of living longer than those with other BMI values are statistically better, according to an analysis of 1.46 million adults in this week’s New England Journal of Medicine. One important proviso: These were Caucasian adults, so if your ethnicity is otherwise you’ll have to wait for further research.

(Measure your own BMI with an online calculator like this one.)

Now, to say that people with higher BMIs are more likely to die sooner isn’t exactly big news. But it’s worth noting because there’s been a lot of back-and-forth in recent years about the meaning of BMI. A 2009 advisory from the American Heart Association even suggested that being a little overweight – a BMI of 25 to 30 — might be protective. Others disagreed.

“There was debate over whether having a BMI in the overweight range is associated with an increased risk of death,” study author Amy Berrington de Gonzalez of the National Cancer Institute told Shots. “Our study finds that it does. It’s a small increase, about 10 percent. But we think it’s the best analysis to date.”

The reason she thinks so is that it included BMI and mortality data from 19 different studies. Pooling that much data allowed the researchers to exclude people who were smokers or had diagnosed diseases. So they could isolate the effects of BMI.

Berrington and her colleagues calculate that every five-point increase in BMI (for Caucasians in developed countries) leads to a 31-percent increase in risk of death from all causes. (Earlier studies had pretty much nailed down a link between higher BMIs and an increased risk of death from heart disease, stroke and certain cancers — uterine lining, esophageal, pancreatic.)

The study finds that obese people — those with a BMI of 30 to 34.9 — have a 44 percent higher risk of death from any cause compared with those in the most-favorable range. Severely obese people (BMI over 35) have an 88 percent higher death risk. And the most obese (BMI over 40) have a 250 percent higher risk.

These patterns held after the researchers accounted for other risk factors besides smoking and disease, such as alcohol consumption, physical activity and educational level. Those who were overweight or obese before the age of 50 had a higher mortality risk.

These numbers apply to the vast majority of Americans. Two out of every three U.S. adults are overweight or obese. Seventeen percent of women and 11 percent of men are severely obese.

Berrington acknowledges that BMI “is not a perfect measure of body fatness because it can’t distinguish body fat from lean mass. But we think it’s a valid measure of obesity.”

If you want to determine your own BMI, you can multiply your weight in pounds by 702, divide that answer by your height in inches, and then divide that answer again by your height in inches.

Or you can take a shortcut and use the calculator mentioned above.

Original Article from NPR Health

December 11, 2010

House Passes Bill To Upgrade School Lunches

School lunches stand to get a little bit better soon.

Better school lunches are in the works. Courtesy from NPR

The House of Representatives passed a bill Thursday that would upgrade the fare for federally subsidized school meals, clamp down on junk in school vending machines and make it easier for tens of thousands of poor kids to get free meals.

The Senate unanimously passed the Healthy, Hunger-Free Kids Act months ago. Now, with the House vote, it’s on to President Obama for his signature. That’s pretty much a sure thing because the changes have been a top priority for the administration.

First lady Michelle Obama said in a statement she was “thrilled” by the vote. She said the changes would “improve the quality of meals that children receive at school” and help to “combat childhood obesity.”

For a rundown of what’s in the bill, see this summary from the office of Rep. George Miller (D-CA), chairman of the education and labor committee.

Republicans have carped that the bill’s nutritional standards, which would cut out junk food and restrict fat and calories in meals, go too far. They also have complained about the bill’s $4.5 billion price tag.

But the bill garnered pretty broad support. The legislation “makes significant progress toward ending child hunger and obesity by expanding access to federal child nutrition programs and improving the nutritional value they provide,” said a statement by Dr. O. Marion Burton, president of the American Academy of Pediatrics.

House Democrats dropped their own, more generous, bill in favor of the Senate version as a way to speed things up. In that bargain, they settled for less money per lunch, and a reduction in future funding increases for food stamps. In a side letter, the administration pledged to find money elsewhere to make up for the cuts to the food stamp program.

December 10, 2010

Stay Fit To Reduce Risk Of Stroke

If you want to avoid a stroke, you can start by living a healthier life.

Eat well and stay fit to keep a stroke at bay. Courtesy of NPR

Shed those extra pounds if you’re overweight, exercise regularly, eat more fruits and vegetables and less salt, say guidelines just released by the American Heart Association and American Stroke Association. Oh, and don’t smoke, please. Although drinking a little wouldn’t hurt and might help.

There’s a lot of advice for preventing a first stroke, most of it for doctors. There are specific recommendations for blood pressure targets, diabetic patients (who are at higher stroke risk) and when to recommend aspirin (only for people at especially high risk.

The guidelines, which were last revised in 2006, run nearly 70 pages. The executive summary is six-pages long!

But the most important advice is pretty simple. Living better can cut the risk of a first stroke by 80 percent, Duke’s Dr. Larry B. Goldstein tells Medscape. “There’s virtually nothing that we can do with medicine or interventions of any kind that’s going to have that kind of impact, so that I think is of paramount importance,” says Goldstein, a stroke specialist who chaired the guideline group.

Prevention is key because more than three-quarters of the nearly 800,000 people who have strokes in this country each year are having first strokes.

“Between 1999 and 2006, there’s been over a 30 percent reduction in stroke death rates in the United States and we think the majority of the reduction is coming from better prevention,” Goldstein says in a statement.

If you or someone close to you has a stroke, it’s important to get to the hospital as quickly as possible. Most strokes are caused by blood clots. A drug that dissolves clots can go a long way toward saving lives and reducing disability if it’s given in time, as NPR’s Richard Knox reported last year.

Finally, some hospitals in the country are certified as stroke centers, meaning they provide state-of-the-art care. If you’d like to find one nearby, check out this database.

Original article courtesy of NPR’s Health Blog

December 9, 2010

A Good Turn For Your Shoulders

A Good Turn For Your Shoulders

Courtesy photo from LA Times

Shoulders are a very complex area of our bodies because they are highly flexible joints that move in many directions. It’s important to train them with appropriate exercises, like this one, designed to improve joint stability and muscular balance.

Sit upright in a sturdy chair (you can also perform it standing upright). Grasp a dumbbell in each hand. Begin with your upper arms hugging the sides of your torso, elbows bent at a 90-degree angle and tucked into your waist. Start with the ends of the dumbbell touching at the center of your waist.

Keep your upper arms pressing firmly against your torso as you externally rotate both your arms out to the sides. Be sure you make this movement happen at the shoulder joint while maintaining a bend at your elbow with your forearms parallel to the floor. Pause at the furthest point of the rotation. Slowly return your dumbbells to the center. Repeat for 12 repetitions. Rest a few seconds, then repeat two more sets of 12 reps.

story originally from LA Times | 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!

November 2, 2010

FDA Questions Diet Pill in Latest Setback for Weight-Loss Medicines

Here’s a little piece of friendly advice. If you’re waiting around for a diet pill to solve your weight problem, forget about it.

Diet Pills are under intense FDA scrutiny over their claims

On Thursday, the Food and Drug Administration sent drugmaker Vivus what’s blandly called a “complete response letter,” detailing the shortcomings in the company’s application to sell a prescription diet pill called Qnexa.

The upshot is the agency isn’t going to approve Qnexa for a long time, if ever.

The once-a-day pill is a combination of phentermine, a stimulant and appetite suppressant, and topiramate, sold mainly to help control epilepsy seizures.  While those drugs have risks, the side effects are pretty well understood at this point.

But are the risks worth the modest improvement in weight loss? That remains the big bugaboo for the field. It’s been tough for the makers of medicines to show they can help people lose just 5 percent of their weight.

Given the obesity epidemic in this country, millions of Americans might turn to  a new diet pill for help. So even rare side effects could end up causing problems for a lot of people.

That’s one reason not to expect FDA — or doctors — to embrace any of these medicines anytime soon.

October 19, 2010

Spritz Away!

You are defeating the purpose when you fix yourself a low-calorie, healthy salad and then add a salad dressing full of calories, fats, and carbs.

Unlike what Ke$ha says, don't brush you teeth with a bottle of Jack!

Try eating your salad “au natural” or with a light virgin oil and vinegar dressing. There is a new product on the market that you may want to check out…
Try using Salad Spritzers!

There are several benefits, such as:

  • only one calorie per spritz
  • only 1 gram of fat in most flavors
  • 0% or 1% carbs depending on the flavor
  • more than 8 flavors to choose from
  • cost less than $2.00 per Spritzer
  • The next time you have a low-calorie, healthy salad, reach for the Spritzer!

    October 14, 2010

    NHS should use term fat instead of obese, says minister


    GPs and other health professionals should tell people they are fat rather than obese, England’s public health minister says.

    Anne Milton told the BBC the term fat was more likely to motivate them into losing weight.

    She said it was important people should take “personal responsibility” for their lifestyles.

    But health experts said the word could stigmatise those who are overweight.


    Using 'fat' may encourage people to take more personal responsibility, says Anne Milton

    Ms Milton, who stressed she was speaking in a personal capacity, said: “If I look in the mirror and think I am obese I think I am less worried [than] if I think I am fat.”

    She said too many staff working in the NHS were worried about using the term, but suggested it could help encourage “personal responsibility”.

    “At the end of the day, you cannot do it for them. People have to have the information,” she added.

    The minister spoke to the BBC after setting out the coalition government’s vision for public health.

    A white paper is expected to be published in the autumn, which she said would stress the combined role of the individual, state, business and society.

    The comments come after Health Secretary Andrew Lansley last month attacked the “lecturing” of recent public health campaigns, such as the drive on school meals that followed Jamie Oliver’s TV shows.

    ‘More brutal’

    Professor Steve Field, of the Royal College of GPs, said he agreed with Ms Milton and already tried to use the term fat as much as he could.

    “I think the term obese medicalises the state. It makes it a third person issue. I think we need to sometimes be more brutal and honest.

    “You can be popular by saying the things people want to hear and in the NHS we too often do that when we should be spelling things out clearly.”

    But Professor Lindsey Davies, president of the UK Faculty of Public Health, which represents public health professionals, warned against using ‘fat’ when dealing with patients.

    “People don’t want to be offensive. There is a lot of stigma to being a fat person.”

    She said health professionals started using the term obesity to encourage patients to think about the condition in a different way.

    “Obesity is something that happens to people rather than something they are. The language you use all depends on the relationship you have with a patient.

    “I would probably be more likely to say something like ‘can we talk about your weight’ rather than obesity, but that is a judgement you make on a patient-by-patient basis.”

    October 13, 2010

    6 Ways to Keep the Weekend From Wrecking Your Diet

    During the week, it’s not too tough to maintain my weight by watching what I eat and exercising regularly. However, when the weekend comes along, I’m more likely to splurge on my diet and slack on my workouts. Sometimes it’s as if on my weekends I undo everything I worked hard to achieve during the week! My goal is always to stay on track but to still have fun, so I use some tips and tricks to maintain my Feel Great Weight. Here’s a look at how I handled this past weekend.

    avoid eating the entire buffet no matter the temptation! image courtesy of health.com

    Friday

    On Friday night, my husband and I arrived in Newport, R.I., ready to relax and unwind with a drink. We stopped by the convenience store and picked up a six-pack of beer and a box of Vermont White Cheddar Wheat Thins. Of course, this wasn’t the healthiest happy hour I’ve ever participated in, but there were slim pickings at the store!

    Plan a Saturday morning workout
    I was in the mood to unwind with a few pumpkin beers. However, a long marathon training run the next day prevented me from drinking too much. Plus, the more I drink, the more I want to snack, especially when faced with a box of cheddar crackers! Planning an early morning workout kept me in check. I drank only two beers over the course of the entire evening and paced myself with multiple glasses of water. Also, knowing that I’d burn some extra calories in the morning made me enjoy my Friday night splurges a lot more.

    Move the snacks
    Once I have a couple of beers, I’m immediately drawn to snack foods. If they are nearby, I’ll continue to munch away mindlessly. I found myself going back for more and more crackers, so I put a napkin over the bowl to remind me to stop munching. I ended up sneaking a few bites, but I definitely ate less than I would have otherwise!

    Saturday
    Saturday morning, my husband and I woke up for a 9-mile run, which required a pre-workout snack for fuel. We stopped by a local café for a pistachio-chocolate muffin and an iced coffee.

    Share the fun stuff
    I absolutely love the special muffins at this particular café. Still, they’re nearly as big as my head! Instead of denying myself one of my favorite treats, I shared it with my husband. I needed some food in my stomach to have enough energy to run for more than an hour, but I didn’t need as many calories as the muffin provided. Splitting it with my husband and eating only half was the perfect solution.

    Enjoy a drink after dinner
    After running 9 miles and a long day of shopping, my husband and I stayed in Saturday night. We ended up ordering pizza, which is not necessarily a low-calorie meal. Still, when my husband returned with a pizza and a 6-pack of beer, I didn’t let myself go crazy. I’m all about enjoying a drink with dinner. But instead, I drank some water with dinner and enjoyed one beer after dinner for “dessert.” This way, my inhibitions weren’t lowered when faced with an entire cheesy pizza!

    article by Tina Haupert

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