Friday, July 15, 2016

The Secret to Sticking to a Healthy Diet Couldn’t Be Simpler

Think of it as the "carrot" approach to a healthy diet, as opposed to the "stick" approach—as long as you like carrots. New research in the journal Psychology & Marketing finds that people who focus on eating healthy foods they actually like (mmm avocados and poke bowls!) are more successful at revamping their eating patterns than people who fixate on the misery of avoiding unhealthy dishes they adore (cue bacon cravings and rocky road daydreams).

"Focusing on what you can have, and can do, and should have more of is a better strategy," says co-author Kelly Haws, PhD, an associate professor of marketing at Vanderbilt University's Owen Graduate School of Management in Nashville. Food lists and advice framed in absolute terms ("never eat chocolate") can be a recipe for failure, she adds.

It's a feeling others in the nutrition field share. "Food lists are not effective," agrees Lauri Wright, PhD, RDN, a spokesperson for the Academy of Nutrition and Dietetics. "People may look at those lists and think, 'Those are my favorite foods that you're saying don't [eat] so I'm not going to even try.' Or they try, then eat something [unhealthy], then beat themselves up. The more of a dichotomy we set up, the more a sense of failure, then the more people stop the plan."

RELATED: Best Superfoods for Weight Loss

The researchers worked on the assumption that people with high "self-control" make better choices than people with low self-control. In this context, self-control means how impulsive you are, and how able you are to delay immediate gratification for the sake of future goals. 

The study consisted of two separate experiments. In the first, 176 undergraduates were divided into two groups. Individuals in one group made a list of foods they thought were good for dieting. The other listed foods that they considered bad for dieting. They then rated how much they liked each item in their lists. Researchers also measured where each participant fell on an accepted scale of self-control.

As predicted, people with greater self-control were more likely to list foods they liked in their healthy-foods column, and foods they didn't really like anyway ended up in the "avoid" category. People with low self-control were the opposite: More likely to list foods they enjoyed in the "don't eat" column, and more likely to list foods they didn't enjoy in their "do eat" column.

The second study, which involved 200 undergraduates, confirmed these findings and added a second feature: Participants were given a list of 16 snack items, some healthy and some not, then asked to list their top five choices. People who had focused on avoiding foods they liked tended to choose the less healthy snacks. Meanwhile people who had focused on eating healthy foods they liked picked healthier snacks

​RELATED: 20 Snacks That Burn Fat

It's almost as if people who are "good" at self-control naturally set themselves up to succeed: Think of it as the Power of Positive Thinking, nutrition style. "We are more successful at sticking to our healthy eating plans when we think about healthy foods being attractive and exciting than when we dwell on avoiding unhealthy foods," says Pam Koch, RD, executive director of the Laurie M. Tisch Center for Food, Education & Policy at Teachers College Columbia University in New York City. "Thinking 'Yes, I can' gets us further than thinking, 'I better not.'"

And a healthy diet doesn't have to be one-size-fits-all plan. In fact, the more tailored your diet is to your personal palate, the better: "Individualizing a diet pattern and lifestyle choices helps individuals make those healthier choices," says Wright, who is also assistant professor of nutrition at the University of South Florida College of Public Health in Tampa. "You can still have a nutritionally healthy diet but [include] foods that are acceptable and taste good to that individual." 



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Monday, July 11, 2016

Weight Loss Success Story: "I Lost 76 Pounds"

Casie Price, 43, 5' 4", from Marietta, Penn.
Before: 209 lb., size 20
After: 133 lb., size 2-4

Total pounds lost: 76
Total sizes lost: 9

Casie's wearing: C9 Champion: Cami Sports Bra ($20, target.com), Premium Seamless Tank ($10, target.com), and Performance Capri ($25, target.com)

For as far back as I could remember, I had been chubby. The trouble really began, though, after I gave birth to my son. At first, I lost the baby weight. But then I quickly piled it all back on, until I weighed more than I did while pregnant. It bothered me that I didn’t have the energy to keep up with my active son. My wake-up moment came when I found myself zipping into a size 20(!) bridesmaid dress for a friend’s wedding. It made me realize that the health concerns that run in my family, like heart disease and diabetes, could become a reality for me.

RELATED: The Baby-Weight Whisperer

Walk this way

I finally got serious in 2010, kicking off the year by resolving to reach my target weight through two strategies. The first: Walk two miles every day. The initial outings felt like an eternity—my legs ached so badly, and I could barely catch my breath—but once I made it part of my to-do list, I started shedding major pounds. The other: Clean up my diet. I opted for lean protein, such as salmon, and substituted heavy sides, like mashed potatoes, for a mixed-greens salad with balsamic vinegar and olive oil. In six months, I was down another 20 pounds.

Look who's running

When my progress stalled, I amped up my routine from walking two miles to eventually running six. By the following summer, I was at my lowest weight. To firm up, I incorporated strength training. This helped me get the killer body I had always wanted. Even better, I went from struggling to run a few miles to competing in half marathons. In the fall of 2014, I even placed first overall female in the Civilian Military Combine—a mud and obstacle course race that tests endurance and strength—at the age of 41. I felt more fabulous than ever!

RELATED: A Running Vacation Rebooted My Spirit

Casie's pound-cutting pointers

Easy, everyday tweaks like the ones below have helped Casie get and stay super fit. 

1. Bag it up: I portion out all my snacks, like almonds or sliced apples, ahead of time in ziplock bags. This lets me take my healthy eats anywhere while keeping my serving sizes in check.

2. Crush a quickie workout: On extra-busy days,I do a Tabata sequence—in just 20 minutes, I can get a full-body workout. It really revs up my heart rate.

3. Write it out: When I’m dreading the gym, I grab a pen and paper and map out my workout; having a game plan prevents me from wasting time or slacking off during my session.

4. Find sweet swaps: I love peanut butter. To avoid some of the fat that comes with it, I mix the powdered kind, PB2 [$4; bellplantation.com], into Greek yogurt. It gives me that nutty, creamy taste without the guilt.

As told to Lindsey Murray



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Saturday, July 9, 2016

The Thicker Your Smoothie, the More Full You’ll Feel, Study Suggests

The thicker the shake, the thinner your waistline. That at least seems like a good bet given new data showing that a drink thickened with fiber makes you feel fuller. In fact, participants in the study, which appears in the American Journal of Clinical Nutrition, reported feeling fuller after drinking a thick shake with only 100 calories than after drinking a thin shake with five times as many calories. 

Other research has correlated feeling fuller with eating less; and eating less, as we all know, helps keep our figures trim. But as nutritionist Keri Gans, RDN, author of The Small Change Diet, points out, the current study included only 15 individuals. "We can't really draw major conclusions when we're looking at such a sample size," she says. (The participants were young men, all healthy and lean.)

The researchers, from Wageningen University in the Netherlands, asked participants to drink one of four dairy-based shakes which differed in viscosity (some were thick, some thin, due to varying amounts of fiber) and calorie content (100 calories or 500 calories). All drinks were 50% carb, 20% protein, and 30% fat.

RELATED: How to Make a Wake-Up Smoothie

Participants fasted for three hours prior to the experiment, then drank through a straw, without knowing which drink they were consuming. Immediately after, they had their stomachs scanned every 10 minutes for the next 90 minutes in an MRI scanner. They also rated their appetite levels every 10 minutes 

The thin, 100-calorie shake had the lowest "gastric emptying" time, meaning it left the stomach faster than any of the other shakes (in about 30 minutes). Next was the thick, 100-calorie shake (about 40 minutes), followed by the thin, 500-calorie shake (about 70 minutes). The thick, 500-calorie shake was the slowest. It took about 82 minutes to leave the stomach.

Thickness and thinness had very little effect on gastric emptying time, the researchers determined. But viscosity did account for feelings of fullness, what the researchers call "phantom fullness." So even though the thick, 100-calorie shake left the stomach quickly, it still left participants feeling fuller than the thin, 500-calorie shake. That means there may only be a weak link between gastric emptying time and feelings of satiety. 

RELATED: How to Build the Perfect Smoothie

The findings really don't change advice on what we should and should not be consuming, says Gans. "A smoothie is great if you put the right ingredients in [it]," she says. In addition to thickening your drink with fiber (bananas and avocado are good options), try adding Greek yogurt or peanut butter. They have the added advantage of providing lots of protein, which also contributes to feeling full. 



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Wednesday, July 6, 2016

3 Simple Steps to Mindful Eating (And Why You Should Try It)

Mindfulness is a major buzzword right now—and rightly so. In my experience, becoming more mindful is life-changing. It can help you react more calmly and thoughtfully in any situation, whether you’re stuck in traffic, dealing with a difficult boss, or making food choices. And mindfulness isn’t just a new age theory; its benefits are backed by plenty of research. Studies have found it may help reduce inflammation (a known trigger of premature aging and disease), lower stress hormone levels, boost happiness, shrink belly fat, improve sleep, and curb appetite.

Mindfulness can also be pretty powerful when it comes to your eating habits. With my clients, I've observed how mindful eating can totally transform a person's relationship to food. (That's why I devoted an entire chapter to it in my book Slim Down Now.) Mindfulness can help you eat less and enjoy your food more. Plus, feeling relaxed while you nosh helps improve digestion and reduce bloating. And while becoming mindful doesn't happen overnight, the process is actually pretty simple. Here are three steps you can take today.

RELATED: Do These 5 Things Every Day to Live Longer

Practice slowing down

If you find yourself eating too fast, or making spontaneous food decisions often (like grabbing a handful of M&Ms from the office candy jar), start by slowing the pace of your day. One way to do so: Pop in your earbuds and listen to a five-minute guided mindfulness meditation. You’ll find many options on YouTube, and through apps like Headspace, Meditation Studio, and Calm.

At meal times, try putting your fork down in between bites. You can also try an app like Eat Slower which allows you to set an interval (anywhere between 20 seconds and 3 minutes) between bites; a bell lets you know when it's time to lift your fork again. Even if you don’t do this at every meal, regularly practicing slow eating will help you become accustomed to unhurried noshing.

RELATED: 49 Ways to Trick Yourself Into Feeling Full

Take smaller bites and sips

When clients really struggle to quit a speed eating habit,  I often recommend that they cut their food into smaller pieces. I also advise choosing  “loose” foods. For example, it's helpful to eat popped popcorn kernels or nuts one at a time, and chew each well before grabbing another. Grapes, berries, and grape tomatoes can also work well for slowing the pace.

RELATED: 5 Superfood Snack Recipes You Can Make at Home

Eat without distractions

As efficient as multitasking may be, it’s not a great idea for meal or snack time, since it’s extremely difficult (if not impossible) to really pay attention to more than one thing at a time. So step away from your computer, TV, phone, and even books during meal time. By removing distractions, you can really pay attention to the flavors, textures, and aromas of your food, and better tune into your hunger and fullness levels. You’ll also be more mindful of how quickly you’re eating, and likely realize that gobbling down food at lightening speed doesn’t actually feel good. If you can’t do this at every meal, commit to undistracted eating at least once a day.

RELATED: 8 Sneaky Reasons You're Always Hungry

Ready to give it a go? In my experience, this trio of steps can lay the foundation for balance, and help remedy chaotic or erratic eating. So rather than thinking about calories or carbs, shift your focus inward, take a deep breath, and start to adopt a new type of healthy eating pattern.

Do you have a question about nutrition? Chat with us on Twitter by mentioning @goodhealth and @CynthiaSass

Cynthia Sass is a nutritionist and registered dietitian with master’s degrees in both nutrition science and public health. Frequently seen on national TV, she’s Health’s contributing nutrition editor, and privately counsels clients in New York, Los Angeles, and long distance. Cynthia is currently the sports nutrition consultant to the New York Yankees, previously consulted for three other professional sports teams, and is board certified as a specialist in sports dietetics. Sass is a three-time New York Times best-selling author, and her newest book is Slim Down Now: Shed Pounds and Inches with Real Food, Real Fast. Connect with her on FacebookTwitter and Pinterest.



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Monday, July 4, 2016

6 Ways to Burn More Calories During the Day

If you're looking to burn more calories during the day, there are so many more options than fidgeting or working out at your desk. Watch this video for a few small tweaks that you can make that will give your calorie burn a step-up throughout the day and help the pounds melt off. Get creative by using your phone to remind you to move or make your bedroom cooler—your waistline will thank you.

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Friday, June 24, 2016

Why Your Random Eating Schedule Is Risky for Your Health

Do you ever postpone dinner because you’re in the middle of a project? Or skip breakfast because you overslept? As long as you avoid binging later on, it’s no big deal, right?

Well, maybe not.

Two new papers published in the Proceedings of the Nutrition Society suggest that it’s not just what you eat, but when you eat that affects your health. Having irregular meals may set you up for obesity, high blood pressure, and type 2 diabetes—regardless of how many total calories you’re consuming. 

RELATED: 3 Breakfast Rules to Follow to Lose Weight

One of the reviews examined international eating patterns and found a possible link between obesity and eating more calories in the evening. The other paper concluded that people who consistently ate six meals a day had better cholesterol and insulin levels than those who ate meals with variable frequency—in this case, anywhere from three to nine meals a day.

“We found that adults consuming calories during regular meals—at similar times from one day to [the] next—were less obese than people who have irregular meals, despite consuming more calories overall,” says Gerda Pot, PhD, a visiting lecturer in the Diabetes and Nutritional Sciences Division at King’s College London who worked on both papers.

Really? While it doesn't seem to make sense that meal timing could affect your health that much, the studies are part of an emerging field called chrononutrition, in which researchers are exploring the link between metabolism and circadian rhythms. 

Many metabolic processes in the body—such as appetite, digestion, and the metabolism of fat, cholesterol, and glucose—follow patterns that repeat every 24 hours, explains Pot. “Eating inconsistently may affect our internal body clock,” she says. And that disruption might lead to weight gain and other health risks.

​RELATED: 12 Low-Calorie Foods That Speed Weight Loss

But just how significant is the effect of varying your meal times?

“This is a really important and valid question which we unfortunately cannot answer yet,” says Pot. “It would be of great interest to fully understand how much impact disruptions in our circadian rhythms could have on [our] obesity risk.”

So for now, it seems like a good idea to eat at the same times every day if you can. But if you can't, there are plenty of other ways to stay healthy, too.



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This Weight Loss Device to Treat Obesity Looks Insane—But Is It, Really?

Unless you’ve been avoiding cable news and Twitter lately (in which case we're jealous), you’ve probably heard about AspireAssist, the controversial new obesity treatment that was approved by the Food and Drug Administration last week.

Basically, it’s a tube that’s surgically inserted into a person’s stomach, and allows them to drain some of the food they’ve just eaten through a port valve and into a toilet. Approved for folks with a BMI between 35 and 55 (a BMI over 30 is classified as obese), the AspireAssist can prevent the body from absorbing nearly a third of a meal’s calories. (Here’s a video that shows how it works.)

Now, before we go any further, let’s just admit that our knee-jerk reaction was that this device this sounds totally bonkers. We weren’t alone, either. The media dubbed it a "bulimia machine." Stephen Colbert explained it as "machine-assisted abdominal vomiting."

RELATED: The Eating Disorder Many Women Don't Know They Have

But is this opinion fair? Probably not.

“It’s not society’s job to judge [the AspireAssist] based on whether they think it’s morally okay or not,” says Yoni Freedhoff, MD, author of The Diet Fix and the director of the Bariatric Medical Institute in Ottawa, Canada. (For the record, he’s unaffiliated with the device.) “Our opinions should be based on evidence and results.”

And, he says, the data behind the AspireAssist is actually pretty good. A year-long trial followed 111 people who used the AspireAssist and compared them to 60 people who didn’t have the device. Both groups received dietary and lifestyle advice along the way. After 52 weeks, those who were using the AspireAssist lost 12.1% of their body weight, while the other group lost only 3.6%.

As for the criticism that the device mimics bulimia, it’s not approved for people with that very serious eating disorder. It’s not approved for anyone with binge eating disorder or nighttime eating disorder either.

There has also been concern that the device will encourage gluttony, or that people who opt for the AspireAssist will eat whatever they want, with a 30% discount on calories. (It almost sounds unfair, right?)

RELATED: The 10 Biggest Weight Loss Mistakes All Women Make

Only, that’s not what happened in the study, says Louis Aronne, MD, director of the Comprehensive Weight Control Center at Weill Cornell Medicine and New York-Presbyterian, and a researcher who was involved in the clinical trials of the device. “People didn’t keep eating,” he says. “They felt full.”

 “People assume that [obesity] is under a person’s control,” says Dr. Arrone. “They think, ‘[That person] should stop eating as much.” But in fact, it’s more complicated than willpower alone.

When we eat, our brains produce hormones that eventually tell us we’re full, he says. But as time goes on and we gain weight, that “you’re full” signal may become blunted. He suspects that may explain why the AspireAssist can help people: They get the food they need to stay full, minus about one-third of the calories.

If it still seems like a quick-fix solution, keep in mind that the device needs to be surgically implanted, and you have to spend about 5 to 10 minutes after every meal draining your stomach. “[The AspireAssist] doesn’t sound like the easy way out,” says Dr. Freedhoff. “It sounds incredibly involved.”

Dr. Freedhoff said he was personally shocked by how many people have reached out to him and expressed negative reactions to the device. “I’ve never seen something more raked over the coals,” he says.

RELATED: What to Know About the 'Biggest Loser' Study

It might be because we tend to think people who can’t lose weight are “lazy, slothful, and gluttonous,” he says. Never mind the fact that obesity is a complicated mix of genetics and our environment—or that weight loss is pretty freaking hard for plenty of people.

“We only moralize about obesity, which is always fair-game in our society—from Saturday morning cartoons to late-night comedy shows,” says Dr. Freedhoff.

Regardless of how people feel about this particular device, it’s time for all that to change, he says.



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