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Once a week I skip food for 36 hours. I finish my last meal around 8 p.m. on Monday night, have nothing but water and sometimes black tea on Tuesday, and break my fast on Wednesday morning around 8 a.m. If that sounds nuts and a little dangerous to you, I get it. That was my own reaction when I first experimented with fasting about a year and a half ago. But since then, I haven't looked back.

I didnt start fasting to lose weight. In fact, as a naturally lean guy with a fast metabolism, skipping meals sounded like a recipe for shriveling away both physically and mentally. But two things happened toward the end of 2015: Dr. Sandrine Thuret of Kings College pointed me to her TED talk about boosting the growth of new brain cells by fasting, and a colleague of mine didnt eat on certain work days because he claimed that it would extend his lifespan. This got my wheels turning to understand the biology behind why this could work and to try it for myself.

The first time I fasted for 36 hours, it was horrible. Through my entire life, any inkling of hunger triggered an instant reaction to grab a snack. It took two weeks to break that instinct. But by the third week, my body started adapting into better using my own fat reserves. Instead of shriveling away, four things happened.

While this was my fasting experience and it works for me, there's plenty ofskepticismassociated with the practice you should consider before jumping in. Don't fast if you're underweight or malnourished. When you break a fast, eat plenty of good, healthy food, since the focus of fasting is changing the timing of eating, not the reduction of calories. Lastly, remember that a lot of your daily water intake comes from food. So if you aren't eating, make sure you're staying hydrated. Fasting can be illuminating but you have to do it safely.

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What I Learned from Fasting for a Year - Men's Journal

Why you shouldn't go straight back into your old fitness regime after having a baby. Body and Soul Programs like the Fit Mummy Project help new Mums to return to exercise in a safe and positive way. They are full of short workouts that you can do at home or in the park without any need for expensive equipment. Action Item: Find a great postnatal ...

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Why you shouldn't go straight back into your old fitness regime after having a baby. - Body and Soul

Tuesday April 18 2017

Migraines are more common in women

"People who are too fat or too thin are 'more likely to suffer from migraines'," reports The Sun.

Researchers reviewed data from 12 studies involving 288,981 people and concluded obese people have a 21% increased risk of migraines, compared to those of healthy weight.

Migrainesare moderate to severe headaches that are more common in women. People who are underweight also have a small increased risk.

Researchers don't know exactly how weight affects migraine risk, but it may be to do with chemicals released by fatty tissue. Researchers found that both age and sex affected people's chances of the condition, as well as their weight.

This type of research can't tell us whether migraine is caused directly by weight. And we don't know whether obese people with migraine can lower their chances of having the painful headaches by losing weight.

Still, trying to achieve a healthy weight should help lower your risk of a range of chronic diseases such asheart disease and type 2 diabetes.

Read more about how to lose weight safely with the NHS Weight Loss Plan.

The study was carried out by researchers from Harvard TH Chan School of Public Health and Johns Hopkins University School of Medicine in the US, the University of L'Aquila in Italy, and the University of Queensland in Australia.

The researchers reported no direct funding. The study was published in thepeer-reviewed journal Neurology.

The Sun gave an accurate overview of the study. The Mail Online's rather odd headline claimed that: "Being a healthy weight is the only way to beat migraine," ignoring the fact that many people of healthy weight get migraines, and there are plenty of migraine treatments around.

The Mail also said that "migraine sufferers could prevent the misery of migraine headaches by staying at a healthy weight," when the research does not show that changing weight affects migraine.

Both newspapers use the researchers' figure that obesity leads to a 27% greater risk of migraine, based on an analysis adjusted for age and sex. However, the fully-adjusted figure, taking into account multiple risk factors for migraine, is 21%.

This is a meta-analysis, which pooled results from previously-published studies looking at links between weight and migraine. Meta-analyses are a good wayof summarising all the existing research about a topic. However, they are only as good as the studies that they report.

All of the studies in this case were observational in nature, and so are not able to show that being over- or underweight causes migraines.

Researchers looked for previously-published observational studies on migraine and weight. They pooled the data to look for links between migraine risk and different categories of weight underweight, healthy weight, overweight or obese. They adjusted their figures to take account ofconfounding factorsknown to affect migraine risk, such as age and sex.

The studies included were assessed to be of fairly good quality (all ranking seven or above on a 10-point quality scale).

The researchers conducted sensitivity analyses to ensure the pooled results were not skewed by any individual study. They also asked the original study authors for additional information, meaning they were able to include data not used in previous meta-analyses.

The study found that obese people and underweight people, but not overweight people, were more likely to report having migraines.

Compared to people of healthy weight:

Both the chances of having migraines, and the link between migraines and obesity, were strongest in younger people and lessened with age.

The researchers say their findings show a potential "moderate" increased risk of migraine from being obese. They say this finding "supports the need for research to determine whether interventions to reduce obesity decrease the risk of migraine".

They suggest this will help scientists understand the causes of migraine better, and possibly develop treatments based on people's weight.

The study results are clear: people who are obese have a moderately increased chance of getting migraine headaches, and people who are underweight have a small increased chance. However, the results don't tell us why that is.

There are a few limitations to be aware of:

The link to weight is likely to be only one factor contributing to whether someone gets migraine, including genes inherited from parents. Lots of things have been identified as possible triggers for migraine headaches in those susceptible, including:

While it's always a good idea to keep to a healthy weight (it's not called a healthy weight for nothing), we don't know from this study if losing weight (for obese people) or gaining weight (for underweight people) will affect their chances of getting migraines.

Avoiding the triggers listed above, when possible, should also help.

Read more aboutmigraine prevention.

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Being either under or overweight may increase migraine risk ... - NHS Choices

Eman Ahmed, the worlds heaviest woman who came to Mumbai for bariatric surgery on February 10 and has lost 268 kg since then, was on Friday night shifted to the normal ward from a special room that was built for her at Saifee Hospital.

A crane was used to move Eman from to the normal ward on the seventh floor so that doctors can perform a CT scan on her. Eman is getting seizures and we want know its cause. For this, she has to undergo a CT scan. However, the table used during the scan cannot withstand her current weight. Its maximum capacity is 200 kg. We contacted other hospitals to know if they had a machine that can safely fit in a 250 kg patient, but none has it. Our target now is to make Eman lose another 50 kg, said Dr Muffazal Lakdawala.

The doctor further said that Eman, who originally wighed 500 kg, might never walk again.

She has not walked since the age of 11. She will require continued sessions of occupational therapy and physiotherapy to be able to get back to her feet, but there is uncertainty, Lakdawala said.

Three years ago, Eman suffered a stroke, which left her paralysed. Since then, she has remained completely bedridden.

Eman underwent sleeve gastrectomy, a surgical procedure that reduces the stomach to about 15 per cent of its original size, last month.

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Lighter Eman shifted to normal ward for CT scan - Mumbai Mirror

At this time of year, during the long Songkran holiday, news about road accidents and highway casualties is common, along with announcements of measures to reduce the appalling numbers.

The post-coup government blundered earlier this month in issuing an order under Article 44 of the interim constitution banning people from riding in the cargo bed of pickup trucks. It was supposed to come into effect ahead of Songkran, in a bid to keep people safer on the roads, but the idea backfired, drawing a heated backlash from the public.

Faced with the rationale that the ban allowed insufficient time for people to prepare for the rule given that so many routinely ride in the back of pickups and cannot afford public transport the government postponed the plan until after the long holiday.

The delay was a victory of sorts for the outspoken citizens who sought to block what was seen as a dictatorial order, but it represents a defeat for the many concerned people campaigning for more and better road-safety measures.

Pickup trucks carrying passengers in the back in the open have indeed been involved in countless road accidents. All it takes is for the driver to lose control on a curve easy enough with all that shifting weight behind him and the passengers are spilled out to their injury or death. A collision with another vehicle will have the same effect. Open cargo beds were not designed to carry people. It cannot be done safely.

The argument that the governments urgent measure did not give people time to prepare is reasonable to some extent. The underlying problem, however, stems from the publics worrying lack of awareness about road safety. Far too many people shun safety precautions and are heedless of the risks theyre facing.

Taking every precaution to stay safe on the roads (and in any aspect of daily life) should be a matter of common sense. Dont speed, dont drive recklessly or drunk, wear a seatbelt or, if riding a motorcycle, a crash helmet. If riding in the open in the back of a pickup is absolutely necessary, keep off the side rails and tailgate.

People shouldnt need the authorities to remind or force them to adopt safe practices for their own sake or because its the law. In reality, though, many of our fellow citizens are oblivious to the dangers. In some cases it might be a matter of sticking to old habits that have yet to cause serious harm, but thats worse than tempting fate. Its putting at risk both them and other people their passengers or other road users and the consequences are often terrible.

Fear of being fined or jailed for breaking the laws intended to uphold public safety should not be the overriding motivation for doing so. Mitigating accident risk is an important responsibility that every driver and passenger shares in, and we should do all we can, conscientiously, to ensure that everyone stays safe. The need for care on the road has to be instilled in citizens starting from a young age so that safety precautions become ingrained and are adhered to automatically.

Importantly, strict enforcement of the laws of the road would convince many more people to obey them. Getting pulled over by traffic police can be an education in whats allowed and whats tolerated. A good start would be persuading motorcycle riders and passengers to wear helmets. Police should be keeping motorbikes off sidewalks and stop them driving against the traffic flow and in this endeavour the cops could be busting their fellow officers too, among the worst offenders.

Originally posted here:
Roads can't be safe without public cooperation - The Nation

In posters highlighting key points in the Active Mobility Bill, the same limit of 20kg is imposed on personal mobility devices (PMDs) and conventional bicycles. This is supposedly to "reduce the risk of serious injuries in cases of collision". However, is it reasonable for PMDs and bicycles to share the same weight limit?

PMDs incorporate heavy components such as batteries and electric motors. Heavier e-scooters incorporate safety features, such as suspension systems and large pneumatic wheels, to absorb the shock from uneven terrain.

Good suspension and large wheels are important to navigate safely. Heavier e-scooters also have better brakes, such as hydraulic disc brakes on both wheels.

To save on weight, lighter e-scooters use "electronic brakes", where its electric motor generates a braking force. Electronic brakes are much less effective than disc brakes.

Although e-scooters also have foot brakes, these require the rider to balance on one leg, not optimal if a collision occurs. Furthermore, foot brakes quickly lose effectiveness in Singapore's damp weather.

Finally, would the 20kg limit on e-scooters reduce the impact in a collision?

Suppose a rider and his groceries weigh 120kg. On a 20kg scooter, he collides into an object at 10kmh, while on a 30kg scooter with better brakes, he collides at 9kmh. Based on my calculations, the force on impact is actually 3.6 per cent less for the heavier scooter.

Even if they collide at the same speed, the difference in force is only 7 per cent.

Heavier e-scooters with better braking systems will tend to collide at a lower speed than lighter ones, assuming the brakes are applied at the same time. Even if they collide at the same speed, the difference in force is only 7 per cent.

The Government says active mobility is a "key pillar" of its vision for transport in Singapore (Registration, plates for e-bikes to boost safety; Jan 11) . To support this, we must allow Singaporeans to choose PMDs suitable for the terrain and distances they commute. Also, a weight limit of, say, 35kg, would be more reasonable.

Keith Tang Tien Wei

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Relook weight limit for heavier, 'safer' e-scooters - The Straits Times

Having fallen in and out of favor with nutrition experts, youd think the fragile egg would be broken and beaten by now. Luckily, its ego isnt nearly as vulnerable as its shell. Oblivious to the attempts to separate the egg from its well-deserved title of "best source of complete protein on the planet," the egg has managed to remain a nutritious, inexpensive, andpopular food.

For awhile, nutrition experts hypothesized that the high cholesterol content of eggs raised blood cholesterol levels, which can increase a person's risk of heart disease. But this hypothesis was never proven. In fact, several studies have shown that the consumption of eggs is not associated with higher cholesterol levels but is associated with higher nutrient intake.

In 2000, researchers set out to assess the nutritional significance of eggs in the American diet and to estimate the degree of association between egg consumption and cholesterol levels. Their straightforward results were published in the Journal of the American College of Nutrition: Eggs make important nutritional contributions to the American diet and their consumption is not associated with high cholesterol levels. Specifically, the study showed that egg consumers had a higher intake of important nutrients like vitamins B12, A, E, and C than non-egg eaters, and that people who reported eating four or more eggs per week actually had significantly lower average cholesterol levels than those who reported eating zero to one eggs per week.

Here are four more ways eggs can enhance your health:

According to Becky Hand, a Licensed and Registered Dietitian for SparkPeople, "One egg daily can easily be a part of a well-balanced, nutritious diet for healthy adults." An important exception is for diabetics, who experienced an increased risk of coronary artery disease when consuming greater than six eggs per week. If you have a medical condition such as heart disease or diabetes, Hand suggests checking with your physician (or dietitian) regarding egg consumption and dietary restrictions.

"Designer" Eggs: Are They Worth the Money? When you go to stock up on eggs, be prepared for an onslaught of choices. Beyond just white and brown, youll see a whole new world of choices in the refrigerator case. Are these designer eggs worth the extra money? It depends on the designer.

This article has been reviewed and approved by Becky Hand, Licensed and Registered Dietitian. Article Source: http://www.sparkpeople.com/resource/nutrition_articles.asp?id=126

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Eggs are Egg-cellent - KRMG

Mary Lynn Mitcham Strom, For The Journal News Published 3:51 p.m. ET April 7, 2017 | Updated 22 hours ago

Pregnant fitness(Photo: gdinMika, Getty Images/iStockphoto)

Every pregnancy is different, so theres no one rule about what exercises you can and cant do while pregnant.

Obviously, talk to your doctor about any concerns you have and always listen to your body.

But generally speaking, Helen Jhang, an obstetrician gynecologist at WestMed in White Plains, says theres no need to cancel your gym membership just because youre pregnant.

KEGELS AND KETTLEBELLS:Moms-to-be who work out

WORK IT OUT:Keeping moms-to-be in the gym

I find that women who are well conditioned during pregnancy have an easier time with labor when it comes time to push. Their endurance is better, their backs are stronger, their abdominal muscles are stronger, she says.

And if youre exercising, youre not gaining as much weight so theres less to lose post-partum. How do you exercise safely? Keep these considerations in mind.

Keep your heart rate down. When youre pregnant your heart rate should be 70 percent of your normal target heart rate, says Dr. Jhang. (The formula to find your pregnancy heart rate is 220 minus your age and then multiply that by .7.) You should be able to talk through whatever youre doing. Your brain is smart but its not that smart. It will pump blood to where its needed most, so if youre pumping less to your uterus and more to your lungs, thats not good.

Consider your fitness level before pregnancy. If youre a marathoner and want to keep running, go ahead. But nows not the time to step it up or try something new.

Avoid injury. It may seem like a no-brainer, but you wont be working with the same body in month one and month six. Your center of gravity changes as pregnancy goes along, says Dr. Jhang. Sure, you can do yoga, Pilates, and light aerobics. But maybe skiing is not such a great idea.

About those abs: You can still do stomach-strengthening exercises during pregnancy, says Dr. Jhang. Sit-ups are OK during your first trimester, but you cant realistically do them much after that. Avoid laying flat on your back for an extended time, she warns. It can reduce blood flow to the fetus.

Walk: For people who are not good exercisers, this is a good time to start walking. It can help you metabolize meals. Try walking for 15 to 20 minutes after dinner, says Dr. Jhang. You dont even need a gym membership to do it.

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Doctor's orders on pregnancy workouts - The Journal News | LoHud.com

People love their bananas. Ask anyone to grab a snack, and 9 times out of 10 theyll pull out a banana from their backpack and pocketbook. In fact bananas are the most popular fruit in the US with the average person consuming 25 pounds a year. They dont need any washing or refrigeration. They are high in fiber and potassium, and low in calories. What could be wrong with them? Depending on the ripeness and size, a banana can have a huge impact on blood sugar. That can be a good thing if you are running a marathon, but a bad thing if you are watching your blood sugars or tryingto lose weight. Bananas are not alone in spiking blood sugars; there are other foods high on the glycemic index scale that do the same thing.

Glycemic index (GI) is a scale used to measure the impact of a specific food on blood sugar. GI ranks foodin comparison to a food reference point, either glucose or white bread, which are both ranked at 100. The GI of a food tells you how quickly the sugar from the food will enter the blood stream. Eating low GIfoods have helped with weight loss as well as maintaining steady blood sugars in those with prediabetes or diabetes. Eating foods that keep blood sugars from spiking requires less insulin. A lower blood insulin level lessens the workload for the pancreas, preserving its function, and also helps with weight loss. Here are some examples of low, medium and high GIfoods:

Glycemin index is only part of the picture. To completely understand how much a food will impact blood sugar you also need to know how much sugar it will deliver. This is called the glycemic load. Glycemic load takes into consideration portion size.A glycemic load of 10 or below is considered low, while a glycemic load of 20 or more is considered high.

ripe bananas are sweeter but also have a much higher GI

The American Journal of Clinical Nutrition maintains a list of glycemic index and glycemic load of over 750 commonfoods. The table below lists glycemic index, serving size based on grams, and glycemic loadof a ripe banana, a slightly under-ripe banana and an over-ripe banana with some brown spots. I could not find any information on a fully green banana, but you can safely assume it has an even lower GI than the slightly under ripe banana.

A study reported in Diabetic Medicine on the effect of banana ripeness on blood sugars in people with type 2 diabetes, revealed:

Green bananas contain more resistant starches. Resistant starches are starches that resist digestion in the small intestine. Resistant starches are fermented by our healthy gut microbes and help to produce vitamins and health-promoting compounds as well as destroy potential cancer causing toxins. Resistant starches also help to reduce blood sugars.

When fruits ripen the resistant starches convert to sugar which is why a ripe banana tastes sweeter and will raise blood sugars much more than a green banana.

This is where Glycemic Load comes into play. A small banana has 18.5 gms of carbs, while a 9 inch banana contains over 35 gms. When you consider serving size in addition to ripeness, you can easily see how blood sugars could really spike by eating a large ripe banana.

Diabetes.org discusses other factors that impact the GI of foods.

I remember my mother telling me that green bananas would give me a stomach ache. Part of that problem is from the fermentation process that occurs in the gut. People with a normal digestion and a healthy diet should not experience this problem. But people with irritable bowel syndrome or some other digestive problem, green bananas could cause gas and bloating.

For the rest of us, unless you are getting ready for a marathon, this is what you should do:

Read more here:
Go bananas, but go green for a lower glycemic index - Bangor Daily News (blog)

791-lb James K. didn't lose weight on "My 600-lb Life" -- in fact he gained 153 pounds and is blaming Dr. Younan Nowzaradan. And heads have collectively exploded. Enraged fans want to know what's up. Did Dr. Now fail to help the bariatric surgery patient with weight-loss? Is James' enabling girlfriend Lisa at fault? How about his teen daughter Bayley who had to quit school to care for dad? Who's to blame when an obese man eats 10,000 calories a day?

Dr. Now told the nearly 800-lb man that he would have to shed 200 pounds before gastric bypass surgery could be safely performed in Houston. In preparation, Dr. Nowzaradan gave the bed-ridden man his homework -- a 1,200-calorie-a-day diet. Lisa moved heaven and earth to find a vehicle large enough to accomdate her plus-sized significant other. She started a GoFundMe to raise money to get him to Texas. Bayley missed school so she could cook for, bathe, and feed her dad. "#My 600-lb Life" readied for the reality television episode. But meanwhile, back in Kentucky, James kept eating.

As everyone worked to save James' life, he just complained. This hurt, that hurt, he had cellulitis and leaking lymphedema fluid from the obesity. All patients feel pain, and those who accept responsiblity for it, like Chad Dean, can heal. In-denial James just kept whining and making Lisa and Bayley cook him supersize meals, which they felt guilty to feed him but were afraid not to. What happened to that 1,200 calorie diet? James claimed he was following it "his way" (cheating constantly). For whatever reason, the family went ahead and made the trip to Houston (James kvetching all the way) even though they'd been overfeeding him and he'd been overeating. They seemed to think that somehow "My 600-lb Life" would magically make him lose weight. The only one who didn't fall for it was Bayley. And Dr. Now.

At weigh-in (surprise, surprise) James hadn't lost and had gained weight. Dr. Nowzaradan hospitalized him and put him on an 800-calorie diet. He finally shed some pounds and was released to finish losing for bariatric surgery. At his next weigh in, James jumped to 844 pounds. What about the diet? He and Lisa vowed he'd followed it -- mostly. But Dr. Now said a 153-lb weight gain meant he was eating (drum roll) 10,000 calories daily! Lisa felt terrible and James let her take the blame. He also faulted Dr. Now for not getting him a nutritionist like he wanted and for not helping him implement the diet. The reality TV physician called BS, saying James and Lisa had been offered loads of support which they had ignored. The show ended as it did with co-star Steven Assanti. James K. went home, still obese, bullying, and BS-ing. #RealityTV #Weightloss

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'My 600-lb Life': James fails weight-loss, blames Dr. Now and heads explode - Blasting News

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