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Keeping the Weight Off: Your Diet After Bariatric Surgery – Medical News Bulletin
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A study recently published in the American Journal of Clinical Nutrition set out to determine whether changes in diet after bariatric surgery could predict weight change 10 years post-procedure. Greater weight loss was achieved by patients who adapted soon after the surgery to a diet that consisted of both a lower caloric intake and reduced fat consumption.
Bariatric surgery refers to a variety of procedures, most commonly a sleeve gastrectomy or gastric bypass, performed to help those struggling with obesity to lose weight. Since bariatric surgery results in sustained weight loss and reduced risk of related diseases, it is widely viewed as the most effective treatment for morbid obesity. However, some patients rely solely on the surgery itself instead of making the necessary behavioural changes to lose their excess weight. In fact, approximately 20-30% of bariatric surgery patients do not achieve adequate weight loss, with some even experiencing a net weight gain. Not only that, researchers estimate that about 20-25% of weight lost after bariatric surgery can be regained within a 10-year period. Prior short-term studies have accordingly hinted at the important role of dietary adherence within the first post-surgical year in achieving and maintaining the required weight loss. However, a recent study published by the American Society for Nutrition aimed to conduct research over a much longer timespan10 years, to be exact.
The results presented in the paper were generated from participants recruited from the Swedish Obese Subjects (SOS) studya prospective, non-randomized, surgical intervention trial. Of the 6095 eligible patients for the SOS study, 2010 were in the surgical group and thus, included in the current study. Physical examinations and questionnaires were completed prior to surgery, as well as 6 months, 1, 2, 3, 4, 6, 8, and 10 years after surgery. The questionnaire included 49 questions to gauge patients habitual dietary intake over the previous 3 months.
From the recorded frequencies of food and drink consumption, daily caloric and nutrient intakes were calculated and compared to each patients unique basal metabolic ratean estimation of their bodys daily energy requirements at rest.
Following statistical analysis, the researchers observed a correlation between the self-reported reduction in energy intake six months post-bariatric surgery and greater weight loss over the 10-year period. In addition, the earlier adaptation to a macronutrient composition with a reduced relative proportion of energy from fat in favor of either carbohydrates or protein was associated with greater weight loss; between the two, however, favoring protein over carbohydrates proved to be more beneficial. The reasoning behind this may be that protein helps people feel full both longer and faster, thus leading to weight loss. One limitation of the study may stem from the self-reporting of the dietary intake data; it has been speculated that obese individuals and, in general, women are more prone to misreporting food consumption. However, the dietary questionnaire used in the SOS study was validated against laboratory measurements for energy and macronutrient consumption.
Bariatric surgery forces patients suffering from obesity to decrease the quantityand hopefully, increase the quality of the foods eaten. Thus, much of the change in dietary habits and weight post-procedure are due to the surgery itself. This study highlights the importance of complementing the surgery with conscious dietary habit changesmost prominently, daily caloric restrictionin order to ensure not only an adequate amount of weight loss, but its maintenance as well. As macronutrient ratios were also observed to have an effect on weight loss, the researchers generally recommend a low-fat diet for bariatric surgery patients. However, randomized interventional studies still need to be conducted in order to confirm the casual effect of dietary changes on long-term weight loss. In the meantime, patients should not rely on the procedure alone for weight loss, but instead adopt healthy behavioursnamely, a calorie-conscious, low-fat diet combined with physical exercisein order to maximize the effects of bariatric surgery.
Written By:Rebecca Yu
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Keeping the Weight Off: Your Diet After Bariatric Surgery - Medical News Bulletin
How This Northern Idaho Man Dumped 100 Pounds and Turned Into an Endurance Beast – Runner’s World
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Runner's World | How This Northern Idaho Man Dumped 100 Pounds and Turned Into an Endurance Beast Runner's World Please describe your weight loss journey, including your before and after weights. I dumped over 100 pounds. Before that, who knows how ... My long-term goal is that I'm considering training for ultras. If I go that route, then I will train with the ... |
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How This Northern Idaho Man Dumped 100 Pounds and Turned Into an Endurance Beast - Runner's World
Diet Doc Explains Why Doctor-Supervised Diet Plans Are More Effective Than Mini-Fast Diet – EconoTimes
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Diet Doc Explains Why Doctor-Supervised Diet Plans Are More Effective Than Mini-Fast Diet
Wichita, KS, July 11, 2017 -- Weve often heard the saying, Breakfast is the most important meal of the day. However, the popular Mini-Fast diet replaces that morning meal with exercise as a way to jumpstart the metabolism and burn more calories. The diet is based on the science of intermittent fasting, coupled with early exercise that is intended to burn through remaining glycogen stores and transform the body into a fat burning machine prior to eating. After skipping breakfast, the fasting period is over at noon, and the dieter should choose healthier, low-calorie options throughout the rest of the day.
Skipping breakfast is a hotly debated topic in the diet world. Our metabolism and blood sugar are normally at optimal levels in the morning, so eating earlier in the day tends to make more sense. People who skip breakfast do tend to burn more calories, but some researchers have seen a link between skipping breakfast and elevated levels of inflammation after lunch. Skipping breakfast and replacing it with exercise can also lead to snacking or binge eating later on. Diet Doc medical weight loss, a nationally recognized telemedicine program recommends that any fasting program should take place under the care of a physician. Diet Doc incorporates intermittent fasting for obese and overweight patients as a part of their customized, doctor-supervised diet and medication plans. Their team of certified doctors, nutritionists and coaches create plans that result in quick weight loss without the potential drawbacks of unsupervised fasting. Diet Doc is able to review an individuals health history and current health status to formulate the best weight loss solutions for each persons unique body type.
New Diet Doc patients can call or easily and effortlessly visit https://www.dietdoc.com to complete an initial comprehensive, yet simple, health questionnaire and schedule an immediate personal, no-cost consultation. Diet Doc Physicians all received specialized training in nutritional science and fast weight loss. Diet Doc reviews each patients health history to create a personalized diet plan geared for fast weight loss, or that addresses life-long issues causing weight loss to slow down or stop. Nutritionists work personally with each patient and use their own algorithm to craft meal and snack plans that are compatible with each patients age, gender, activity level, food preferences, nutritional needs and medical conditions. They combine these state of the art diet plans with pure, prescription diet products that enable their patients to resist the temptation to reach for sugary snacks, eliminate fatigue and curb the appetite. Over 97% of Diet Doc patients report incredible weight loss results with the majority losing 20 or more pounds per month.
At Diet Doc, all patients gain unlimited access to the best minds in the business. Their staff of doctors, nurses, nutritionists and coaches are available 6 days per week to answer questions, offer suggestions, address concerns and lend their professional guidance and support. Because of this, more and more people are turning to Diet Doc for their weight management needs. Diet plans are tailored to be specific to the needs of those of any age, gender, shape or size and for those who are struggling to lose that final 10-20 pounds to those who must lose 100 pounds or more. Call today to request a private, confidential, no-cost online consultation.
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Diet Doc Weight Loss is the nation's leader in medical, weight loss offering a full line of prescription medication, doctor, nurse and nutritional coaching support. For over a decade, Diet Doc has produced a sophisticated, doctor designed weight loss program that addresses each individual specific health need to promote fast, safe and long term weight loss.
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Diet Doc Explains Why Doctor-Supervised Diet Plans Are More Effective Than Mini-Fast Diet - EconoTimes
The Problem With Fad Diets (Video) – South Florida Reporter
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For many people,losing weightis a constant battle. Some try fad diets to jump-start the weight-loss process and drop pounds quickly. Mayo Clinic experts say fad diets arenot the best way to lose weight.
Raw food, detox, cabbage soup, the three-day flush. The list of fad diets is long. Mayo Clinic family medicine specialistDr. Summer Allensays many fad diets work by drastically slashing calories.
If anybodycalorierestricts themselves to 500 to 600 calories in a day, theyre going to lose weight.
But, she says severe calorie restrictions are not realistic long term.
I think, for a lot of people, restricting themselves from things in the long term, they end up craving it even more.
Dr. Allen says successful, sustainable weight loss is all about lifestyle changes. Fill your plate with fruits and veggies, whole grains and lean meats. And definitely get moving. Be more physically active.
Start small. So start with a day a week, as far as your activity level, and then work toward the five days or six days a week of activity.
Sure, fad diets may help jump-start your weight-loss goals, but, for long-term success, focus on healthy lifestyle changes.
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The Problem With Fad Diets (Video) - South Florida Reporter
How to Go Vegan Without Losing Weight – Care2.com
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Not everyone goes vegan to lose weight, but it can be hard to find information on how to maintain your weight or gain when you go vegan.Heres how to go vegan without losing weight.
Its definitely possible to maintain or even gain weight on a vegan diet. Just look at football player David Carter, who reached his goal weight of 300 pounds eating only plants. Its all about eating the right food and enough of it.
NFL players arent the only ones looking to maintain or gain on a vegan diet. Below, I share my own story of maintaining weight while going vegan and tips on gaining from a vegan weightlifter.
Fora lot of new vegans,the focus tends to be on cutting foods out, so it makes sense that youd lose weight. If you just stop eating the cheese, butter, meat and eggswithout replacing the fat, protein and calories,youre probably going to lose some weight. But you dont have to.
WhenI went vegan 11 years ago, I was riding my bike 10 miles a day and was already at a healthy weight. I wasnt looking to lose weight when I cut out animal products for good,so when I started dropping pounds, I had to figure out how to maintain my weightwhile eating vegan.
The trick for mewas finding ways to make up those lost calories. These are some of the calorically-dense foodsI add to my meals to helpmake them filling andmaintain my weight:
Basically, the foods above are the ones I use to make sure Im getting enough calories each day, even when Im very busy. They may seem like no-brainers if youve been vegan for a long time, but many new vegans dont yet know how to round out a meal or snack without animal products. Thesefoods are a great starting point.
To get some tips on how to gain weight on a vegan diet, I talked to myfriend,Chris Moultrie, who is an avid weight trainer. He has been vegan fora decade.As his exercise regimen has shifted more and more toward gaining strength and muscle, hes had to also shift his eating patterns to accommodate.
Chris explained that, to build muscle, you need to be in what lifters term a calorie surplus. This means that youre taking in more than youre using, so that your body can efficiently build muscle, your calories arent competing for current/future energy and muscle building, you have enough for all of them.
To build that calorie surplus, Chris had to move away from the idea of simply replacing the meat and dairy he used to eat with enough veggies to feel full.That wasnt providing him with enough calories. To gain on a vegan diet, you have to change how you think about eating. He says there are really two ways to gain on a vegan diet:
A typical meal for Chris looks like this:
He also explains that the order youre eating matters, if you want to have healthy vegan gains. You can eat the protein and carb together, just make sure you eat your fruit and veg first, itll make you feel a bit fuller and ensures you dont fill up on other things and accidentally not eat them.
Whether youre trying to gain or maintain your weight on a vegan diet, its all about getting enough calories each day. As Chris pointed out, No one really mentions that when you switch to a vegan diet, youre now lush with fiber. Fiber makes you feel full, full means youll eat less, now youre losing weight.
If youre losing weight or not gaining as quickly as youd like, he suggests using a calorie-tracking tool to log what youre eating for a few days. Chances are, youll discover that youre not eating as much as you think.This is where those calorie-rich sauces and toppings can help. Bring on the sauces, cashews and avocado!
There are tons of resources out there for losing weight on a vegan diet, and that can make it hard to find good information on gaining or maintaining. Here are some places to start:
Armed with the right foods, its easy togo vegan without losing weight or even gain on a vegan diet. Like any other life change, it just takes some planning and education.
All images via Thinkstock.
Disclaimer: The views expressed above are solely those of the author and may not reflect those of Care2, Inc., its employees or advertisers.
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How to Go Vegan Without Losing Weight - Care2.com
What Marriage Has to Do with Permanent Weight Loss… – HuffPost
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Its a rainy day here on Long Island, and in about an hour, Ill be heading to a wedding with my girlfriend at a church right around the block. Wed discussed simply walking over there, but with the monsoon thats been coming down for the past hour (and with no hope that its going to stop before 3:00 according to the weather report), it looks like well be driving over there, instead;-)
After the wedding itself, well have an hour or two before we have to head out east for the reception. For those of you unfamiliar with Long Island here in New York, places like Montauk, the Hamptons and several wineries can be found further out towards the tip of the island. Since this is technically July 4th weekend and the rains supposed to die down shortly before wed have to head out, were going to give ourselves a 90 minutetwo hour buffer to insure we can get to the reception on time.
Which brings me to the point of todays email: Commitment. When two people get married, theyre not only committing to each other, but to their spouses family, friends, and the life theyd like to build together. Theres a binding legal document that must be signed prior to the nuptials, and it often entails the bride and groom moving in together (if they hadnt done so already). Any kids or pets that came before the marriage come along for the ride, as it is truly a complete immersion of two individuals lives.
This level of commitment is really quite reminiscent of the one you have to make if youre looking to make a permanent change
Lets face itLosing weight isnt a huge accomplishment anymore! With shows like The Biggest Loser on TV, and a bunch of fad diets and fitness programs that offer you insane results in a very short period of time, losing the extra weight isnt the big accomplishment these days. The big accomplishment is, rather, if you can KEEP THE WEIGHT OFF!
Sadly, we live in an instant gratification society. If youre accessing this right now, then, like it or not, you live in a world of abundance much of the global population doesnt have access to. There are countries that are literally 2030 years BEHIND us from a technological perspective, so email or internet to them is an insane luxury. For us, its a common component of our lives, and is a must
If you really wanted to, you could find a job working from home, have all of your groceries and food delivered to your front door with a few taps of your finger, and you can stream just about anything in the world with a relatively inexpensive internet subscription. We could be shut-ins if we really wanted to!
So when the notions of hard work and of truly adopting a healthy lifestyle to assist in achieving Permanent Weight Loss becomes the reality, many of us would rather revert back to gaining weight and being unhealthy, just to yo-yo and undo all the progress weve made not too far into the future. We really dont want this to take any significant amount of work.
And it doesnt have to take up much of your week! My programs help my clients lose weight FOR GOOD by making their health a priority for just four hours per week. Four out of the 168 hours we have each week is just 2.4% of it! This includes prepping healthy meals and snacks, as well as being fit!
The hardest part is the commitment, the determination and the dedication necessary to really see this thing through. Reaching your short-term weight loss goal isnt the hard part, no matter how much weight you have to lose! Its continuing to eat healthily and to exercise regularly for the REST OF YOUR LIFE! This will insure that you continue to thrive long after the weight has been lost:-)
So, whats it going to be? Are you going to keep yo-yoing, or are we going to nip this in the bud, and make a PERMANENT change?
P.S. If youre READY to take that first step on your health and weight loss journey, then youre REALLY going to want to download my FREE report!
With 10 years of experience, SEVEN different fitness and nutrition certifications, and a sustained weight loss of 100 lbs., I think I know a thing or two about this Permanent Weight Loss thing;-)
This report will provide you with the five strategies I personally used to lose 100 lbs., and KEEP THEM OFF! These are the same five strategies I teach my Permanent Weight Loss clients, and are the basis to losing weight and getting healthy once and for all!
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What Marriage Has to Do with Permanent Weight Loss... - HuffPost
The Role of Meal Replacements in Weight Loss – Mountainside NJ … – TAPinto.net
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Obesity is at epidemic proportions in the United States and in other developed and developing countries. The prevalence of obesity is increasing not only in adults, but also in children and adolescents.We all know that obesity is a significant risk factor for various chronic illnesses, most importantly heart disease and diabetes, but also cancer and osteoarthritis, liver and kidney disease, sleep apnea, and depression. Clearly significant benefits could be expected from interventions to prevent or reduce obesity.
Studies have shown that significant improvements in disease risk could be attained with moderate weight loss (5% to 10%). Research has also shown that approximately 20% of overweight individuals are successful at long-term weight loss which is defined as losing at least 10% of initial body weight and maintaining the loss for at least 1 year.
There is no single answer to weight loss. However, reports indicate that meal replacements can offer an effective option for losing weight in patients who are obese or overweight. A traditional lifestyle intervention using meal replacements can be especially effective for weight control and therefore reduction in risk of chronic disease in the physician's office setting.
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The main finding in a study done by Ashley et al, Meal Replacements in Weight Intervention, was that the use of one or two meal replacements daily promoted significantly improved weight loss and maintenance compared with a traditional diet plan. This finding is particularly encouraging because the markers for disease risk were improved in many patients.Therefore the study concluded that incorporating a meal replacement strategy into a traditional weight management program can improve food choice behavior and nutrient adequacy, while following a reduced energy intake.
Meal replacements work on a concept called stimulus narrowing. Clinical studies show that when people are given very few food choices, or even no food choices, it is easier to decrease the amount of calories they consume each day. By taking away the selection and preparation of foods, and reducing the vast array of available foods, people lose weight. The benefits of this type of diet are in the reduced calories, complete nutrition, and perhaps most importantly, in the ability to stick with the diet.
But meal replacements alone may not be sufficient. They have to be combined with behavioral, dietary and exercise counseling. Therefore it is important to join a comprehensive meal replacement program which offers support groups where patients share their concerns and experiences with weight loss efforts. These groups can be very therapeutic for many patients. In addition, giving handouts and exercises for patients to complete at home helps patients learn about their own eating styles and behaviors and therefore helps them not only lose weight in the short term but also keep the weight off in the long term.
At K Primary Care & Medical Nutrition Center, our comprehensive meal replacement program combines meal replacements with group counseling, mindfulness meditation and cooking classes. Please call 908-206-4676 to learn more about our meal replacement weight loss and lifestyle management programs.
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The Role of Meal Replacements in Weight Loss - Mountainside NJ ... - TAPinto.net
Nolvadex and arimidex pct – Does high blood pressure medication cause weight loss – Longboat Key News
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Nolvadex and arimidex pct - Does high blood pressure medication cause weight loss - Longboat Key News
5 ways to lose weight fast – Today.com
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Im not a fan of most quickie diet plans if long-term weight loss is what youre hoping to achieve. Following a strict diet is often a direct route to yo-yo dieting. However, there are certain long-term lifestyle changes you can make today that will help you reap weight-loss rewards by the end of the week.
The catechins in green tea have been shown to have a positive effect on both weight loss and weight maintenance. Not only that, but sipping throughout the day will also contribute to being properly hydrated, which is a well known factor to keeping your metabolism running at an optimum level.
As if you needed more reason to brew a cup, adding tea to your day can help contribute to developing a mindful morning routine. Youll be in a better mindset to stay on track towards your weight-loss goal, and take steps towards being your healthiest self. When adding in green tea, dont forget to ditch the soda (diet included).
Have you hit a weight-loss plateau even though you swear your workout routine is on point? To help drop your next couple of pounds, add stretching or foam rolling to your morning routine.
Rolling helps flush out your lymphatic system, congestion, inflammation and stimulate blood circulation. Self myofascial release with a foam roller post exercise has been shown to increase the range of movement in your joints. Most people ignore their lymphatic system, but it needs to function efficiently for the rest of your systems to work well (including your bodies ability to release excess fat stores). Incorporate 10-15 minutes a day to begin.
Current research shows this one to be pretty much a no-brainer when it comes to shedding unwanted weight. Processed sugar is directly linked to inflammation in the body, and inflammation is linked to all kinds of health issues. Any excess sugar consumed will eventually be stored as fat. Not only that, but if youre eating lots of sugar, theres a good chance its in conjunction with unhealthy fats (hello frosted donut).
Do a sugar cleanse. Cut out refined carbohydrates and obvious sugars (bye bye afternoon M&Ms and gummy worms), but also try to cut out any added natural sugars (think coconut sugar, honey and agave).
Studies show that eating protein for breakfast may help increase your satiety (how satisfied you feel) throughout the whole day, and may even prevent you from reaching for those late-night sweet snacks. But, dont stop at breakfast, get protein in at every meal.
Fat also contributes to your satiety, and can even help you burn fat. While I dont recommend going all out (control is key) be sure to get fat in consistently throughout the day (about 30 percent of your calories should come from fat). Eggs are a great way to start your day with a dose of protein and fat.
Or, start meal prepping in the first place! Dedicate an hour or two to prepping lots of roasted veggies on Sunday to eat throughout the week, or create something different than your same spinach salad you normally pack to bring to work every day (that you were already sick of two months ago).
Packed lunches of Greek yogurt marinated chicken over my favorite slim slaw are calling your name. Pack snacks, too. Prepping, chopping and slicing all of your veggies before the work week starts will have you crushing afternoon snack time.
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5 ways to lose weight fast - Today.com
Despite the hype, intermittent fasting isn’t a magic weight-loss cure – Philly.com
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I joined in a wave of the intermittent fasting trend about 10 years ago before I was a dietitian. Thats when most of the writings on the topic were in the form of blog posts and self-published PDF e-books. Today, a perusal of the Internet turns up several best-selling books extolling the benefits of intermittent fasting for weight loss and improvements in the metabolic risk factors that contribute to Type 2 diabetes and heart disease.
Then, and even now, the intermittent fasting hype was way ahead of the science. Most early research data came from animal studies, with human data coming from observations of participants of religious-based fasts or from small, short clinical studies. A systematic review published last year in the journal Nutrients looked at studies of at least six months that assigned adults with overweight or obese BMIs to either intermittent fasting or daily calorie restriction, and found no evidence that intermittent fasting was superior. The authors cited the need for longer, larger studies to assess sustainability and effects on weight maintenance.
So I was eager to read the results of a study published in the May issue of JAMA Internal Medicine that was longer and larger, enrolling 100 participants for a year six months of weight loss and six of weight maintenance. Researchers randomly assigned metabolically healthy adults ages 18 to 64 who had BMIs in the obese category to an alternate-day energy restriction group, a daily-calorie-restriction group or a control group whose members ate their usual diet.
Researchers found that the intermittent fasters had a harder time following their diets and were more likely to drop out than daily calorie restrictors. Weight loss and weight regain were similar between the dieting groups, as were changes to fat and lean tissue which is significant, because one intermittent fasting claim is that it leads to less muscle loss than traditional calorie-restrictive diets. Reduction of cardiovascular risk factors, including blood pressure, cholesterol and triglycerides, were also similar between the two dieting groups. The conclusion? Intermittent fasting was no better, and no worse, than a standard, calorie-restrictive diet.
Although no one study should be taken as a be-all, end-all answer, the results add substance to what previous research studies have overwhelmingly found.
The JAMA study used alternate-day energy restriction for the fasting group, whose members ate one meal containing 25 percent of their usual daily intake on fasting days and feasted on 125 percent of their usual daily intake on the other days, for an average 25 percent calorie reduction. The calorie-restriction group reduced calories by 25 percent each day, spread over three meals. Participants started out sedentary, and researchers asked them not to increase activity.
The takeaway? Intermittent fasting may actually be less sustainable in the long term for most people than daily caloric restriction, which itself is not sustainable, as the majority of people who lose weight on calorie-restrictive diets regain the weight, sometimes repeatedly, as with yo-yo dieting. The authors questioned whether there was a difference in perceived hunger or actual levels of appetite-related hormones between intermittent fasters and calorie restrictors. The answer is no, according to a small study published in April in the journal Clinical Nutrition. Researchers found that neither method has an advantage for weight loss or for lessening the bodys means of compensating for perceived starvation, which include slowing the metabolism and increasing levels of the hunger hormone ghrelin.
I tolerated the hunger that ebbed and flowed on fasting days and wasnt ravenous when it was time to eat, but not everyone has that experience. I stopped doing intermittent fasting when I went back to grad school to study nutrition because I had a hard time focusing on fasting days. My brain needed regular fuel! Today, I know that restrictive diets dont work, regardless of the form. Despite the hype, intermittent fasting isnt a magic bullet its plain old calorie restriction in a new outfit.
Dennett is a registered dietitian nutritionist and owner of Nutrition by Carrie.
Published: July 5, 2017 3:01 AM EDT | Updated: July 5, 2017 9:53 AM EDT
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Despite the hype, intermittent fasting isn't a magic weight-loss cure - Philly.com