2019 WELLNESS
MAGAZINE

Live healthy and feel vibrant - smart choices
By ALMH Nutrition & Diabetes Services:
Jennifer DiPasquale RD, LD, CDE
ALMH Clinical Nutrition Supervisor/Diabetes Self-Management Education Coordinator
 

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[February 22, 2019]  Living well is about balance

Getting enough nutrition

Nutrition is an important part of overall health care to decrease the risk of disease development and complications. Some individuals learn early in life to balance food intake and energy output, and recognize and respond appropriately to internal hunger and fullness cues.

To start, it's balance between consumption and activity

Genetics contribute significantly to a person's ability to achieve and maintain a healthy weight.

Lifestyle choices may not always produce desired outcomes, but we generally have control over what we choose to eat and how much, and how much we physical activity we get.

Setting small realistic goals and building upon your successes over time is more likely to produce lasting results through lifestyle change than attempting to make radical changes in food and activity choices.

Food choice pros and cons to health

(-) If a meal plan recommends avoiding entire food groups or significantly restricting protein, carbs, and/or fat, your food intake will not reflect the Dietary Guidelines for Americans and will be nutrient deficient.

(+) It is important to eat a wide variety of unprocessed whole foods that include dairy or dairy substitutes, fruits, non-starchy and starchy vegetables including legumes, whole grains and heart healthy fats.



Watch out for extremes

Significantly restrictive food plans can set the stage for nutrient deficiencies.

Some supplementation through a multi-vitamin/mineral and calcium/vitamin D may be necessary, especially when needing to trim some calories from your intake.

Our bodies need vitamin and mineral micronutrients to perform at peak function. Many people who do not have well balanced nutrient intake suffer from sub-clinical nutrient deficiencies, even those not attempting to restrict their calories.

What weight loss diet is best?

There is no scientific proof that eating more or less of certain foods will result in weight loss. Meta-analyses of low-carb, low-calorie and low-fat diets produce similar weight loss results over time.

Where the difference comes into play is in maintaining the weight loss, which is best accomplished by adopting a healthy lifestyle. A food plan with the following percentages has been shown to reduce and/or eliminate many metabolic disease states:

  • 50 percent (at least) of calories from complex carbohydrates

  • 20 percent (or more) of calories from unsaturated fat and omega 3 fatty acids

  • (Less than) 10 percent of calories from saturated and trans fats

  • 20 percent (or less) of calories from mostly plant based proteins

The simple formula

There is no magic secret. Working towards adopting an unrestricted, but mostly unprocessed foods meal plan with adequate cardiovascular and strength training exercise, can produce the results we want and need, no matter our set body weight.

A word about our body fat purposes and concerns

Visceral fat, the fat that is metabolically active and surrounds the body organs, is a big determinant of disease risk.



Subcutaneous fat, the kind we can see easily with the naked eye, carries its own set of problems. Too much or too little also contributes to disease development.

However, visceral fat, much like our HDL "happy healthy" cholesterol, can only be changed through lifestyle. There is currently no pill to increase HDL, or to selectively decrease visceral fat.

Exercise regimens need to focus on healthy weight loss through a nutritionally balanced diet, in addition to maintenance and/or increase of lean muscle mass, to decrease visceral fat.

The key to weight: calories in/calories out

Here are some basics to review when making decisions about what meal plan is best for you.

Your body performs its own unique metabolic balancing act every day -balancing out the number of calories (or energy) you fuel your body with against how much energy you burn in order to support normal functions and activities.

If you take in more fuel than you need your body stores it as fat; if you take in less than you need, you lose weight.

Yet, recent surveys show that most people don't understand this energy balance. If you want to find out how many calories you need, check out MyPlate.gov.

In order to lose weight, consume about 500 calories per day less than you need, without going under 1,200 calories per day (unless you are in a medically supervised weight loss program) to prevent the metabolism from conserving energy output or going into "starvation mode."

Restricting calorie intake and increasing energy output to achieve the needed calorie deficit is best practice.

If you have higher amounts of weight to lose

If you have been morbidly obese or had extremes in weight due to yo-yo dieting (50 or more pounds), expect to need to expend up to one-third more calories to lose a pound of stored body weight.

Once the body has been in "starvation mode" the metabolism has learned to conserve energy, much like we turn down the thermostat in our home to save on the energy bill. Fat cells are more resistant to letting go of stored energy, therefore increasing lean body mass to increase energy output is key for the metabolically challenged to lose weight and maintain weight loss.

  • For individuals who have any concurrent health issues in addition to overweight or obesity, it is important to see a registered dietitian to get education and make sure your nutrient needs will be met.

  • Spread calories over the day.

  • Skipping meals, especially breakfast, is linked with higher calorie intake and weight, as well as increased risk of diabetes development.

  • To promote healthy weight loss without hunger pangs and cravings during a restricted calorie meal plan, choose three main meals per day - breakfast, lunch and dinner. Possibly one to two snacks in between will aid success.

  • Foods as snacks need to be nutrient-rich and not just lower in calories - unsweetened fruit, low-fat yogurt, or an ounce of nuts - and they need to fit into your daily calorie plan.

  • Boost high-volume, low-energy foods.

    Research suggests that these foods, which provide low calorie levels in relatively large portions, can help promote weight loss by filling you up, yet reducing your overall calorie intake.

  • Choose a wide variety of colorful, non-starchy vegetables at meals and don’t shy away from raw veggies as part of your snack regimen.

    Broccoli doesn't have many calories, yet it is packed with nutrients. The volume of the broccoli adds volume to your stomach due to water and fiber content, making you feel full, and it will take longer to eat.

  • Focus on eating more fruits and vegetables for snacks instead of high-calorie foods like cakes and cookies.

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Follow the nutrient-rich approach

Choosing foods based on their nutrient density is an optimal strategy for weight loss. This practice boosts important nutrients for health while reducing overall calorie intake to support weight loss, according to several studies.

Nutrient-rich foods contain the most nutrients per calorie. Examples include lean meats, legume beans, low-fat yogurt and milk, raw fruits and vegetables, and whole grains. If you eat a combination of these foods at every meal, you can cut back on your calories and meet your nutritional requirements.

Push fiber intake

Fiber may be one of the most important hunger-controlling nutrients we know. Fiber is a great aid for losing weight because it can make you feel full.

High-fiber foods take longer to chew, which increases saliva and digestive juices and expands your stomach. Because fiber rich foods slow down emptying of the stomach, they also help decrease the spike in blood sugar after the consumption of a meal.

Again, increase your intake of non-starchy vegetables, fruits, beans, and whole grains to increase your fiber intake.



Increase your daily activity and weekly fitness

Increase your physical activity throughout the day in addition to focused activities working up to 30 minute increments if possible, five or more days of the week.

Exercise makes it possible to create a calorie deficit and lose weight without starving yourself and slowing metabolism.

It is important to exercise regularly. Those who do this lose weight more effectively and are more successful in keeping it off.

Include muscle-strengthening activities at least twice per week. If you need to, see an athletic trainer, or if you have physical issues see a physical therapist to help develop the best exercise program for you.

Cut down on solid fats and sugars

Dietary guidelines recommend cutting back on solid fats including saturated fats found in meat and full-fat dairy products, and trans fats added to processed foods. Also cut out the added sugars found in beverages and desserts to reduce weight and lower disease risk.

Sugary and fatty, highly processed foods contain a lot of calories and very few nutrients. Again… you guessed it, switch out these foods for whole, minimally processed foods, such as lean meats, low-fat dairy, whole grains, legumes, fruits and vegetables.

Fats have more than twice the calories of protein or carbohydrate. Generally speaking, cutting back on all fat intake can be a significant way to consume less calories for many people.

Here's the good stuff to choose

  • Choose plant based, heart healthy mono- and poly-unsaturated fats and omega 3 fatty acid sources, and include fatty fish for your most of your fat calories.

  • Nuts and nut butters including soy, flax, chia, and hemp seeds, and nut and seed milks are good choices and help to improve heart health instead of promoting inflammation and heart disease as well as many other disease states.

  • Choose black olives, avocado, extra virgin olive oil, canola oil poly-mixed oils and products made from these, like margarines, mayonnaises, spreads and salad dressings to make the most of your fat calories.

What to avoid

(-) Avoid drinking your calories. Study after study suggest sugary beverages may be a culprit in obesity. At about 150 calories a can of soda or other sugary beverage can add unwanted calories to your food plan without offering any sense of fullness or lasting source of energy. When you consume calories in liquid form - without any chewing required - you're not likely to cut back on calories at meal time.



(-) This same rule applies to drinking fruit juice; it's easy to drink the calorie equivalent of two or more servings of fruit in a few sips.

(-) Don’t forget about alcohol. Keep these beverages to a minimum, meaning no more than one drink per day for women, and two drinks for men, or just eliminate them.

The best food and activity plan for you will likely be different than for those around you. It is important not to waste energy comparing your individual needs to those of others and instead channel that energy into making healthy, educated choices that are part of a healthy lifestyle.

 

Read all the articles in our new
2019 Wellness Magazine

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