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Achieving Type 2 Diabetes Remission through Weight Loss | NIDDK – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Studies have shown that significant weight loss, through either metabolic (also known as bariatric) surgery or calorie restriction, may lead to remission in some people who have type 2 diabetes.
William T. Cefalu, MD, director of the NIDDKs Division of Diabetes, Endocrinology, and Metabolic Diseases, discusses type 2 diabetes remission, including recent research into strategies and mechanisms by which people who have diabetes can achieve remission.
Q: What is remission of type 2 diabetes? How do health care professionals define remission and know when a patient has achieved it?
A: People with type 2 diabetes who do not have adequate glycemic control have an increased risk for diabetes complications. Glycemic control is monitored by measuring both blood glucose and blood markers assessing antecedent glycemia such as hemoglobin A1C, which reflects average glucose over the previous months. We define type 2 diabetes remission as having the condition revert to a nondiabetic range as assessed with blood glucose levels or blood glucose markers and staying in that range for at least 6 months when a person isnt taking any diabetes medications.
Its important for both health care professionals and people who have type 2 diabetes to realize that significant weight loss either from lifestyle intervention (i.e., diet and exercise) or from certain procedures can result in blood glucose levels decreasing into the nondiabetic range, and that achieving remission can minimize or prevent future complications.
Q: Why do health care professionals use the term remission rather than cure when discussing type 2 diabetes? What happens to a persons diabetes when he or she relapses?
A: We don't use the word cure when we refer to blood glucose levels reverting back to levels below the threshold used for diagnosis, as you could argue cure means completely alleviating the condition. For example, an acute condition seen with infectious diseases such as bronchitis may be considered to be cured with antibiotics. However, in type 2 diabetes, because blood glucose levels are on a continuum and are significantly associated with weight, it is observed that when weight regain occurs, the glucose levels may increase back to the range associated with diabetes diagnosis. So, the correct term is remission.
Type 2 diabetes is a progressive disorder, and, at one time, we didnt think that weight loss or other interventions could allow people with type 2 diabetes to lower their blood glucose levels into the nondiabetic range and to stay there for an extended period of time without medication. However, we now understand that people with type 2 diabetes who lose significant weight and improve other factors related to diabetes can achieve remission.
With sustained weight loss, people may stay in remission for quite some time. However, if they begin to put on weight, their blood glucose levels can increase and return to the diabetic range. They may need diabetes medications or even insulin with weight regain depending on the severity of their type 2 diabetes and their glucose control.
Q: What strategies can lead to remission of type 2 diabetes?
A: The most important factor in achieving remission is weight loss, and two techniquesmetabolic surgery and lifestyle changes that restrict calories on a daily basis to achieve weight losshave been shown to induce remission.
Some studies, dating back many years, have observed that metabolic surgery leads to high rates of type 2 diabetes remission. Recently, the Diabetes Remission Clinical Trial (DiRECT), conducted in primary care practices in the United Kingdom, examined type 2 diabetes remission rates in participants who lost weight, starting with a very low-calorie diet and sustaining the weight loss over time. DiRECT found high rates of type 2 diabetes remission among people who lost a significant amount of weightmore than 10 kg (about 22 pounds)and sustained the weight loss over 12 to 24 months.
Q: What research is being conducted on remission of type 2 diabetes?
A: Studies have sought to understand the mechanisms of remission. A lot of current research focuses on not only total fat in the body, but also where the fat may be located, referred to as ectopic fat (e.g., fat in the liver and pancreas) that may affect normal physiologic function. This research has led to some very interesting observations about potential mechanisms. Weight loss may improve pancreas function, with better insulin secretion and type 2 diabetes remission.
Q: Are some people with type 2 diabetes more likely to achieve remission than others?
A: Three factors that seem to predict success in achieving remission are significant weight loss, baseline pancreatic function, and diabetes duration.
Significant and sustained weight lossfor example, in the range of 10 kg (about 22 pounds) as shown in some studiesis the most important factor. Studies in which participants lost small amounts of weight have shown lower rates of type 2 diabetes remission. However, studies in which participants lost a significant amount of weightsuch as DiRECT or studies of metabolic surgeryhave shown higher remission rates.
Studies of weight loss through restricting calories or metabolic surgery have found that people with type 2 diabetes who start with greater pancreatic function at baseline, prior to the intervention, are more likely to undergo remission. People who have had shorter diabetes duration are also more likely to undergo remission. Type 2 diabetes is a progressive disease, and, after a long time with diabetes, pancreatic function may decline over time. Thus, observations suggest that after having diabetes for a long period of time, significantly improving pancreatic function and achieving remission may prove to be more difficult, compared to achieving remission early in the natural history of the disease.
Q: How and when should health care professionals talk with patients who have type 2 diabetes about remission? How can health care professionals help patients achieve remission and sustain it over time?
A: First and foremost, you should emphasize the importance of managing blood glucose levels to minimize the complications of type 2 diabetes whether the patient is or is not on medications. Glycemic control is incredibly important in reducing the risk of complications, and you need to discuss glycemic control and a goal with the patient. In most cases, this means advising patients to keep their A1C level at 7 percent or below to prevent eye, kidney, and nerve complications. While we have very effective medications to lower blood glucose levels, lifestyle interventions (nutrition and exercise) are a cornerstone of managing diabetes. A balanced diet that achieves weight loss not only improves blood glucose levels but also may reduce cardiovascular risk factors.
Patients should also know that obesity contributes to increased blood glucose levels due to insulin resistance and that the more weight patients put on, that may mean they need more medication. It is important that they know if they lose weight and improve their bodys efficiency, they may require less medication. Let your patients know that if they lose enough weight, particularly during the early phases of type 2 diabetes, they will significantly lower their blood glucose, have less risk for diabetes complications, and may be able to achieve remission.
Overall, with significant weight loss through restricting calories or other strategies, patients have a high likelihood of achieving remission, particularly if they have a greater baseline pancreatic function and have had diabetes for a shorter time.
How do you talk with patients about type 2 diabetes remission? Tell us below in the comments.
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Achieving Type 2 Diabetes Remission through Weight Loss | NIDDK - National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
7 Best Foods to Add to Your Weight-Loss Diet This Fall – LIVESTRONG.COM
Sweet potatoes and pomegranates are two healthy and delicious fall foods to add to your weight-loss diet.
Ah, fall the season of apple cider doughnuts, pumpkin spice lattes and hearty casseroles. Throw in the start of the holiday season (hello, Halloween candy!) and it may not seem like the best time of year to buckle down on your weight-loss efforts.
There's good news, though: Autumn is also bursting with nutritious foods that easily fit into a healthy lifestyle. So yes, you can enjoy the flavors of the season and see progress on the scale.
Here are seven of the best fall foods for weight loss and tips for how to enjoy them.
Did you know that keeping a food diary is one of the most effective ways to manage your weight? Download the MyPlate app to easily track calories, stay focused and achieve your goals!
It's fall and that means the store shelves are exploding with all things pumpkin. The sight of this orange gourd may send you spiraling into thoughts of high-sugar coffee drinks, but in its whole form, it's actually an extremely healthy food. Pumpkin is high in beta carotene, which is converted into vitamin A in the body a powerful antioxidant.
A half cup of pumpkin also provides 3.6 grams of fiber, which is pretty impressive. The fiber in your diet may be a good indicator of how successful you will be with your weight loss. An October 2019 study published in The Journal of Nutrition concluded that fiber intake helped more individuals stick with their diet plan and that eating more fiber promoted weight loss.
Try adding canned pumpkin to your morning smoothie to get that extra burst of fiber and vitamin A in your day. This Fall Pumpkin Smoothie has 9 grams of fiber and 30 grams of protein a win for crushing morning hunger.
If your fall apple picking outing leaves you swimming in the round fruit, that's a good thing. Like pumpkins, apples are full of fiber (one medium fruit has 4.4 grams), and they're also high in water and phytonutrients, which make them an ideal weight-loss food.
In fact, it might be worth adding an apple a day to your diet. A September 2015 Harvard study published in PLOS Medicine found that individuals who ate certain fruits (apples being one of them) lost weight without making significant changes to their diet. The researchers concluded that high-fiber fruits have a positive effect on weight loss.
Since apples contain fiber on both the flesh and the peel, you want to make sure you are eating both. Try baking your apples and adding in even more fiber with oats and nuts, like these Healthy Stuffed Baked Apples by Kelli Shallal, RD. These are perfect for a weekend breakfast and a great way to jumpstart your fiber intake for the day.
It's no wonder pomegranate arils are often called rubies. Their deep red color shows immediately that they are bursting with nutrients. Indeed, pomegranates have been studied for their antioxidant and anti-inflammatory effects.
There is no conclusive research to show that pomegranate arils or juice can directly help you lose weight, but they do have an impact on your gut health, and getting your gut healthy can definitely help with your ability to lose weight.
Pomegranates have been shown to increase the growth of Bifidobacterium and Lactobacillus, two important bacteria in the gut, according to February 2020 research published in Foods.
Try sprinkling pomegranate arils on your morning oatmeal and in smoothie bowls, savory casseroles and salads. Toby Amidor, RD, gives you a burst of fall flavors in her Turkey, Walnut, and Pomegranate Salad, which is sure to become a lunchtime favorite.
Go easy on calorie-heavy toppings like cheese and sour cream to help make chili a weight loss-friendly meal.
Image Credit: OksanaKiian/iStock/GettyImages
Chili the quintessential fall food. While you might not be tailgating this year, this football game staple tells you cooler temps are here. Chili may not be the obvious choice for a food that can help you with your weight-loss goals, but it just might be your secret weapon.
When loaded with vegetables, beans and lean meat, it is the complete package for a balanced dinner with complex carbohydrates and protein, both of which help keep you fuller longer (aka less likely to reach into the cookie jar).
When the air is crisp, try this Vegetarian Chili with Red Lentils from Marie Dittmer, RD. This spicy chili is loaded with vegetables, beans and lentils for a fiber- and nutrient-filled dinner, perfect to keep you on track.
Brussels sprouts are in a family of vegetables called cruciferous vegetables. This family also includes broccoli, cauliflower, kale and cabbage.
Cruciferous veggies may help you lower the inflammation in your body, according to a May 2014 study published in the Journal of the Academy of Nutrition and Dietetics. The research indicates that women, in particular, who had higher intakes of cruciferous vegetables had lower markers of inflammation.
If you have chronic inflammation the kind that stays around for a while you may find it harder to lose weight. There is a clear link between weight gain and inflammation, according to Harvard Health Publishing, so lowering inflammation with anti-inflammatory green vegetables like Brussels spouts is a good start.
If you've been hesitant to jump on the Brussels sprouts train, there are a multitude of ways for you to enjoy them. Gone are the days of simply boiling these tiny cabbages. Now, roasting is the way to go. Sharon Palmer, RDN, pairs delicious and warm fall flavors perfect for any weight-loss plan in her recipe for Maple and Balsamic Roasted Brussels Sprouts.
Sweet potatoes are often thought of as a good substitute for the white potato. The truth is, they are both starchy vegetables and both have impressive nutrient profiles. The sweet potato is much less abused when it comes to processing, though (looking at you, french fries and potato chips).
Sweet potatoes are low in calories (103 for a medium size) and have an impressive 15 percent of your daily value of fiber per serving. What makes sweet potatoes an ideal food for weight loss is the water content they're anywhere from 62 to 75 percent water, per a June 2019 review in Food Science & Nutrition. This means they are a satisfying option for meals and you are less likely to overindulge.
Sweet potatoes are a favorite for fall menus, but they don't have to be drenched in butter or slathered in marshmallows to be delicious. There are healthier ways to eat them, such as roasted, mashed or added to your favorite soups.
Sweet potatoes are also delicious stuffed yes, you heard that right. Take the time to bake your sweet potatoes and stuff them with veggie chili, broccoli or try a recipe from Chrissy Carroll, RD, for BBQ Ground Beef Stuffed Sweet Potatoes.
A warm breakfast is always a good idea when the temperatures drop, and oatmeal is an excellent option when you're working to lose weight. It has a special type of fiber called beta-glucan. While beta-glucan may not directly help you lose weight remember it's all about overall diet quality it can help.
Beta glucan is known to help regulate blood sugar and keep you fuller for longer periods of time. This makes it a great addition to all types of diets.
It doesn't matter if you prefer old-fashioned, steel cut or quick-cooking oats, you still get the same nutritional benefit. You can also blend up oats into flour and add them to any recipe that calls for all-purpose flour and doesn't require the gluten for texture, like meatballs or the topping to your apple crumble.
If you choose to buy instant oatmeal packets in the store, opt for the lower sugar choice to control the amount of added sugar in your diet. And keep in mind that making your own flavored oatmeal is so easy and affordable, and it helps you control what exactly goes in your oatmeal.
If you are really wanting to kick fall into high gear, chai flavors will have you curling up under your favorite throw and reaching for your fuzzy slippers. This Chai Spiced Pumpkin Seed Almond Muesli by E. A. Stewart, RD, will make you happy that sweater weather has arrived.
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7 Best Foods to Add to Your Weight-Loss Diet This Fall - LIVESTRONG.COM
HIIT along with rowing and cycling can help type 2 d..etes patients lose weight, improve insulin sensitivity – Firstpost
The scientists concluded that HIIT can help in improving the blood sugar levels and can also help in losing weight effectively.
Representational image. Reuters
Diabetes is one of the major health burdens in the entire world. According to the International Diabetes Federation, more than 463 million adults in the age group of 20 to 79 years were living with diabetes in the year 2019.
Among these, a majority of people have been reported to have type 2 diabetes. Type 2 diabetes is the result of reduced insulin sensitivity in the body, which mostly occurs due to excess body weight and physical inactivity.
It is already known that physical activity helps in managing and preventing type 2 diabetes. However, it has been reported that most commonly practised aerobic exercises such as walking or jogging provide only 10 percent to 20 percent improvement in insulin sensitivity.
As per the new study, presented at the annual meeting of the European Association for the Study of Diabetes (EASD) in September 2020, it was stated that insulin sensitivity, body composition and cardiorespiratory systems of people with obesity along with type 2 diabetes can be improved by combining high-intensity interval training (HIIT) with cycling and rowing.
Determining the effect of HIIT on obese and diabetic people
To determine the effects of HIIT, scientists from the Steno Diabetes Centre Odense, Odense, Denmark, enrolled 48 men in the study and divided them into three groups.
Out of the 48, 15 participants were obese with an average Body Mass Index (BMI) of 31 (kg/m2) and had been diagnosed with type 2 diabetes. The other two groups had non-diabetic participants, out of which 15 were obese with an average BMI of 31 and the rest 18 were lean with an average BMI of 24.
Body mass index, also known as BMI, is a way to measure whether or not a person is overweight or obese. An adult with a BMI that is between 18.5 and 24.9 is considered healthy, between 25 and 29.9 is considered overweight and 30 or over is considered obese.
All the participants underwent a highly supervised HIIT programme, which lasted for eight weeks. The participants had three training sessions per week, which were combined with cycling and rowing.
The effects of the training programme were evaluated with the help of Dual-energy X-ray absorptiometry (DXA) scans to determine the body changes, VO2 max tests to measure the amount of oxygen utilised during the session and euglycemic-hyperinsulinemic clamps along with indirect calorimetry to determine insulin sensitivity and metabolism.
The results of the study
In the beginning, people with diabetes showed around 35 to 37 percent reduction in insulin sensitivity as compared with the non-diabetic subjects.
However, after eight weeks of HIIT, the insulin sensitivity in lean men and those with only obesity was 32 to 37 percent on average whereas the average for the diabetic group was found to be 44 percent.
The scientists further found that after the training, the fasting blood sugar levels in patients with type 2 diabetes were also reduced. The HbA1c results, which measures the average level of blood sugar over the past 2 to 3 months, also showed a decline.
The body fat mass was reduced by 1.6 to 2.3kg in all three groups.
The VO2max results showed that oxygen utilisation increased by 10 percent in lean and obese people with no diabetes, while it increased to 15 percent in people with type 2 diabetes.
The scientists concluded that HIIT can help in improving the blood sugar levels and can also help in losing weight effectively. It is believed that the short bursts of intense anaerobic exercise with short recovery periods in between may prove to be better for people with obesity and diabetes in managing their condition.
For more information, read our article on High-Intensity Interval Training (HIIT).
Health articles in Firstpost are written by myUpchar.com, Indias first and biggest resource for verified medical information. At myUpchar, researchers and journalists work with doctors to bring you information on all things health.
5 High-Fat Foods To Never Give Up When Trying To Lose Weight & Why – MensXP.com
I want to lose weight so I will eliminate the fatty foods from my diet and refrigerator.
Thats usually our first attempt towards a healthier life but its not the most efficient one because fat is not the enemy.
While fat may contribute to weight gain, it is one of the foods to eat for weight loss. Our body needs healthy fats to survive and function properly. They are the building blocks of our brain, hormones and nervous tissues. So dont make the mistake of giving it up.
Dark chocolate can help flatten your belly. It contains the highest percentage of pure cocoa butter which takes longer to digest. This helps you feel fuller for longer.
Go nuts with a variety of nuts and seeds because polyunsaturated fat present in them activate genes that reduce fat storage, control stress and blood pressure, reduce inflammation and improve insulin metabolism.
Nut butter like peanut and almond butter have similar benefits as dry fruits but not when they are packed with sugar and hydrogenated oils. So make sure your peanut butter has natural and nutritional ingredients.
Just because its pure fat, doesnt mean its bad. These cold-processed oils are rich in cancer-fighting polyphenols and heart-strengthening monounsaturated fats.
They help in lowering your BMI. Another reason to drizzle them on our salad: they may increase blood levels of serotonin, a hormone responsible for mood swings and wellbeing.
Cheese is an excellent source of protein, calcium, minerals, vitamins and fatty acids. It helps in slowing down the absorption of sugar and carbs. This leads to consistent energy levels and better brain functioning.
Nutrients in cheese are indeed good for us, just make sure its real like ricotta, goat cheese and not processed.
The fat stored in our body provides energy to protect our vital organs during the times of starvation. It keeps us warm and prevents injuries. Not all fats have similar benefits but some are healthier than the others.
Polyunsaturated fat is found in certain types of fishes such as salmon. Nuts and seeds provide omega-3 fatty acids. Consuming these foods can reduce the risk of cardiovascular disease and certain types of cancer.
Monounsaturated fat mostly comes from plant sources like almonds and avocados. They can decrease cholesterol in the blood.
Saturated fat and trans fat are mostly responsible for an increase in our health problems.
Healthy fats target the main problem we face while following a diet. So you should eat more fat to lose weight.
Fatty foods take longer to digest so we feel fuller for longer. This also helps in eliminating snack cravings.
Everything tastes better with butter and olive oil so go ahead and drizzle some of it on your meal. Fat also helps our bodies absorb fat-soluble vitamins from vegetables which makes our meal more satisfying and delicious.
As crazy as it sounds, fat helps the body burn fat. So you need to eat fat to lose fat.
Our body needs the energy to burn fat and maintain its metabolism. So until it has enough protein, fats and carbs, it will not burn fat.
Most fat we consume turns into energy that helps in boosting metabolism and increases the rate at which our body burns fat.
If you consume good fats frequently and exercise, most of the energy is used in building muscles and maintaining muscle mass as we age.
Its a two-way street. When we give our body what it needs, it happily fulfills our demands. So find healthy ways to add all nutrients in your meal and let us know if it helps you feel fuller.
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5 High-Fat Foods To Never Give Up When Trying To Lose Weight & Why - MensXP.com
Weight loss: Try this unique ajwain concoction to lose weight – Times of India
Ajwain, or carrom seeds, contain an essential oil called 'thymol' which aids the functioning of the digestive system and counter the side effects of a bad diet. Secondly, it also promotes better absorption of nutrients from the food you take, which could potentially speed up weight loss and provide their own health benefits as well.
Regular consumption of ajwain also works to cut down on toxins from the system and boosts your metabolism. This takes care of unregulated fat stored up in the stomach and recharges you, which could help you burn more calories in a short time. There are also some who claim that ajwain could help you lose upto two kilos in a month's time if used correctly!
While one can always include ajwain in recipes and make yummy paranthas, one way to speed up weight loss is to have it in the form of teas. Here are two ways to have it:
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Weight loss: Try this unique ajwain concoction to lose weight - Times of India
Weight Watchers boss reveals 6 ways to lose weight and keep healthy this winter – The Sun
WHETHER it's to keep up with the kids or to feel better on holiday, most people will decide they want to lose weight at some point.
But with the darker winter evenings drawing in, it can be more tempting to cosy up in front of the TV with a hot chocolate or a slice of cake.
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While the motivation to fling off the duvet and go bust a gut in the gym may be running thin, it's not the only way to achieve your weight loss goals this winter.
And with the threat of a second coronavirus wave seemingly around the corner, there's never been a more important time to lose weight.
Here, Julia Westgarth, the head of programme at WW (formerly Weight Watchers) has shared six ways you can keep healthy this winter....
For many people, having strong community support is essential to help them work towards and maintain healthier habits.
This could be family or friends but could also be a case of finding like-minded people digitally.
There are so many social experiences and events online for WW members alone including the in-app community, Connect - and social media can be a great way to keep in touch and share your journey with others too.
Research shows us that tracking our weight, what we eat, and how we move are some of the most effective ways of maintaining health long-term.
And its also a great way to mindfully check-in with yourself to see how things are going.
Think about tracking as a tool to increase your awareness and learn - rather than to score how youre doing and this will feel much more motivating and help you to continue.
When people track flexibly (versus focusing on every little step or bite of food), they track more consistently, so find methods that work for you, like taking fun pictures of your food or daily voice notes.
Focusing solely on the negative wont help right now.
For example, try to stop telling yourself that youll never make progress when you cant go to the gym.
This will make you more frustrated and doesnt change the outcome.
Instead try to accept it and find alternatives such as an online class that youd never try in person.
Reframing your thoughts can also help.
Instead of thinking Im forced to stay inside, think Im doing this so I can stay healthy this will help you regain control and stay positive.
Theres an obvious and immediate need to find new and different ways to keep our health on track, but use this as an opportunity to introduce habits thatll fit seamlessly into your life in the long-term.
This could be taking an online yoga class before work or making sure you eat a healthy breakfast.
Establishing new habits can take time, so by taking action now you could achieve your healthy goals quicker than if you wait until new years resolutions.
Your way is the right way, and there is no one-size-fits-all approach to being healthy in all aspects of your life.
Be active and proactive in ways that feel good and get you thinking positively, and dont be afraid to experiment.
Have you always planned to work out in the evening but find the sofa calling after a day at work? Perhaps give early mornings or lunchtimes a go.
Find yourself going hungry between meals? Perhaps try eating little and often instead.
Find it hard to switch off? Perhaps try turning off devices for a few minutes every day.
Its easy to say that wont work for me, but you wont know until you try.
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Although its important to remember that not all health management services are created equal, the fact there are so many goes to show that youre not alone in needing help.
There are so many factors at play that impact your ability to lead a healthy, well-balanced life.
If you dont know where to start or what works for you, look for a service like WW that provides a range of support from fitness content, tracking, recipe inspiration, a 24/7 community and rewards to keep you motivated.
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Weight Watchers boss reveals 6 ways to lose weight and keep healthy this winter - The Sun
Weight loss: Lose weight by increasing your ‘NEAT’ without doing intense exercising – Times of India
Increase your daily number of steps
We walk while doing daily chores in the house. You can increase the steps by parking your car at the farthest spot, walking to the grocery store and taking your dog for a walk. You can also increase your daily steps by simply walking while talking on the phone.
Do some stretching while watching TV
We all love to relax on the couch while watching our favourite series. But what if we told you that stretching while watching TV can help increase your NEAT. All you have to do is simply sit on the floor and stretch out your legs, shoulders, back and hands while enjoying your favourite TV show.
Get a standing desk
Though the number of calories burned while using a standing desk versus sitting desk is not huge, but you are more likely to move around while you work on a standing desk as compared to sitting down.
Many people have even claimed that they got relief from back pain by switching to a standing desk.
Cooking at least one meal for yourself
By cooking, we obviously don't mean just throwing something in the microwave. If you do proper cooking (from raw material), you can burn around 200 calories per hour. And an extra 75 calories for cleaning up afterwards. The benefits of cooking on your own are not just limited to this, you get to eat a healthy and nutritious meal too.
Fidgeting
Activities that involve repeated tapping of fingers, playing with rings, bouncing of legs and other small movements of hand and feet, impatiently or restlessly, come under fidgeting.
Spontaneous physical activities can increase your energy expenditure and control body weight.
According to a report in the American Journal of Clinical Nutrition, energy expenditure of 24 individuals was measured while resting, standing, sitting, walking and fidgeting.
It was found that fidgeting increased energy levels substantially, which contributed to weight loss.
Gardening
Gardening uses a lot of energy. Planting, digging holes, uprooting, mowing the lawn can increase NEAT levels.
45-60 minutes of gardening daily can help in maintaining body weight, especially in the middle-aged people.
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Weight loss: Lose weight by increasing your 'NEAT' without doing intense exercising - Times of India
Cline Dion weight loss how did the singer lose weight? – The Irish Sun
CELINE Dion has made headlines for her slimmer frame in recent years.
While the singer's transformation has received a mixed response from fans, Cline insists she is feeling "strong and feminine".
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Cline Dion, 52, is most famous for her unbelievable singing talents.
But the superstar singer has been seeing the conversation about her appearance take up more headlines in the past few years.
The Because You Loved Me hitmaker has been looking noticeably slimmer following the death of her husband Ren Anglil in 2016.
However the exact amount of weight she has lost over recent years has never been confirmed.
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Talking to The Sun's Dan Wootton about her approach to fashion and health since the death of her husband Rene, Celine explained: "Im doing this for me. I want to feel strong, beautiful, feminine and sexy."
And as for criticism of her slimmer frame, Celine added: "If I like it, I dont want to talk about it. Dont bother. Dont take a picture. If you like it, Ill be there. If you dont, leave me alone."
The star also stated she has been dancing and training with her stylist and close friend Pepe Munoz.
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Cline Dion has previously denied claims that she has an unhealthy diet.
She admitted to The Guardian: "I'm not anorexic. It pisses people off that I am thin and I don't make any effort."
But the singer continued: "I have been thin all my life. Nobody in my family is overweight."
Meanwhile, she also credited her life as a performer for her slim frame.
She explained to People magazine: "Dancing has been in my DNA all of my life. Its a dream. And so hard!
"I do [ballet practice] four times a week. People say, 'Shes a lot thinner' but Im working hard. I like to move and [weight loss] comes with it."
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Fans have expressed concern that the star might have lost a bit too much weight, with some commenting on her Instagram pictures to share their thoughts.
Hundreds of comments poured in largely reiterating the same point: that Cline looks very slim.
One wrote: "She looks so fragile."
Another added: "Celine, you are too skinny."
While one fan mused: "Ive never seen her look this skinny."
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Cline Dion weight loss how did the singer lose weight? - The Irish Sun
Julie celebrates 25 years of helping others lose weight – Worcester News
A WEIGHT Watchers leader from Malvern is celebrating clocking up 25 years of helping people across Worcestershire lose weight. Julie Baker, who first moved to Malvern 29 years ago, originally joined to lose four stone. Since then, however, she has become a group leader and helped thousands of people in Worcester, Pershore, Churchdown and Malvern lose weight. She said: As you can imagine I have seen many changes and innovations over the years with WW, all of them aimed at helping members become a much better version of themselves. To this day I still get so much pride and satisfaction from helping and watching members achieve their own personal wellness journeys. Two people who have been helped recently by Mrs Baker are Alison Palmer and Sami Heath, who have lost 175lbs (12.5 stones) between them. Mrs Palmer went to Mrs Baker for help in June last year as she suffers from an auto-neurone condition and osteoarthritis. Her medical team suggested steroids, painkillers, hydrotherapy and crutches, but 47 year-old Mrs Palmer instead joined Mrs Bakers Worcester workshop. Since joining the group, Mrs Palmer has lost seven stones in 14 months, dropping from 18.2 stones to 10 stones 12 lbs She said: I am incredibly grateful to Julie for helping me turn my life around. Amazingly, I can now do a little exercise within my limitations and I enjoy walking. I also enjoy cooking and all the family partakes in healthy meals, the recipes to which I source through the WW app. Mrs Heath, 53, has dropped from 15 stone 10lbs to 10 stones 5lbs . She said: Julie is an amazing coach. She has the knack of saying all the right things to motivate you and keep you going on your journey. I joined just over a year ago having walked past a shop window and shuddering at what I saw staring back at me. Julie guided me from my eating habits of takeaways, no breakfasts and massive portions to a healthy, more satisfying way of eating. My terrier is also grateful to Julie as he now has lots more walks as I go for my daily exercise with him. Mrs Baker added: Overall it has been an amazing journey. For me, WW has always been about family and community. Ive been lucky enough to see my members have their own families and even watched their children join as well. All in all it has been a privilege to support the people of this local community to lose weight and I am looking forward to the next 25 years.
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Julie celebrates 25 years of helping others lose weight - Worcester News
Intermittent fasting doesn’t help you lose weight, UCSF study suggests – CNBC
For seven years, Dr. Ethan Weiss, a cardiologist at The University of California, San Francisco, has experimented with intermittent fasting. The health fad, which restricts eating to specific periods of time,hit the mainstream after a series of promising studies in mice suggested that it might be an effective weight loss strategy in humans.
So Weiss decided to give it a try himself by restricting his own eating to eight hours per day. After seeing that he shed some pounds, many of his patients asked him whether it might work for them.
In 2018, he and a group of researchers kicked off a clinical trial to study it. The results, published on Monday, surprised him.
The study found "no evidence" that time-restricted eating works as a weight loss strategy.
People who were assigned to eat at random times within a strict eight-hour window each day, skipping food in the morning, lost an average of around 2 pounds over a 12 week-period. Subjects who ate at normal meal times, with snacks permitted, lost 1.5 pounds. The difference was not "statistically significant," according to the research team at UCSF.
"I went into this hoping to demonstrate that this thing I've been doing for years works," he said by phone. "But as soon as I saw the data, I stopped."
Intermittent fasting, once a trend among self-styled "biohackers," who use diet and lifestyle tweaks to try and improve their health, has become increasingly mainstream over the last decade. Instagram influencers regularly weigh in on the trend, and super-fit celebrities like Hugh Jackmanhave said it helps them get in shape for movie roles. In Silicon Valley, entrepreneur Kevin Rose launched an app called Riseto help people monitor their fasts, noting that the scientific data "starts to get pretty exciting." Twitter CEO Jack Dorsey and the actress Jennifer Aniston also rank among the famous fans.
With so many stars touting its benefits, in 2019, intermittent fasting was the top-trending diet search in Google, according to Google Trends data.
But scientific evidence in humans is still thin. So the UCSF study, dubbed TREAT, led by Weiss and graduate student Derek Lowe, aimed to fill some of the gaps in research with a randomized controlled trial.
Starting in 2018, they recruited 116 people who were overweight or obese.All the participants received a Bluetooth-connected scale, and were asked to exercise as they normally would.
Weiss suggests that the placebo effect might have caused both groups to lose weight: Many people will pay closer attention to what they eat when enrolled in a nutrition study, meaning they're more likely to make healthier food choices.
So going forward, he says, consumers should be increasingly skeptical about any nutrition study claiming weight loss benefits that doesn't involve a control group.
There may also be a potential downside to intermittent fasting. A smaller percentage of participants were asked by the researchers to come on-site for more advanced testing, including changes in fat mass, lean mass, fasting glucose, fasting insulin and so on. Through those measurements, researchers discovered people who engaged in time-restricted eating seemed to lose more muscle mass than the control group. Weiss says the outcome wasn't definitive, but he is hoping to conduct further studies down the line.
There's also a need for further studies to show whether intermittent fasting is safe for people over 60, or those with chronic ailments like diabetes and on medications.
Still, Weiss isn't yet ready to write off intermittent fasting entirely -- there may be benefits around fasts during different times of day. Weiss' study had participants skip food in the morning. He didn't study the effects when it came to missing meals at night.
But for now, he won't be recommending it to his patients.
"Just losing weight alone doesn't mean good things are happening for your health," he explained.
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Intermittent fasting doesn't help you lose weight, UCSF study suggests - CNBC