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= By NELLY BOSIRE 10 hoursago

Suzy* is a bubbly 26-year-old first-time mum. She is excited about motherhood, and having had an uneventful pregnancy and delivery, she has nothing to complain about. When she comes for her post-natal clinic at two weeks, she is doing well, and has settled into breastfeeding rather easily.

Her final post-natal clinic is rather dramatic, though. She is accompanied by her older sister, who is not amused that the new mum has gained seven kilogrammes since the delivery of her baby, not counting the nine kilos gained during pregnancy. From a svelte 56kgs to an uncomfortable 72 kilogrammes! She has no fitting clothes and has invaded her sisters wardrobe

Motherhood is one of the most cherished states for a woman. It brings contentment, excitement, a sense of accomplishment and even social elevation in some communities. In Africa and India, most communities will look down on a woman who has not achieved this feat.

During pregnancy a woman should, on average, gain eight to 12 kilogrammes by the time the baby is being born at term. This weight is derived from the baby itself, the amniotic fluid, the placenta, the increased breast tissue, the expanded maternal blood volume and a bit of fat stored in preparation for breastfeeding, commonly noticed under the shoulder blades.

The smaller the woman, the more likely she is to gain less weight. The obese woman has challenges balancing the necessary weight gain against an excess that is unhealthy.

Women with pregnancy complications such as pre-eclampsia will gain several more kilogrammes due to excessive retained fluid. This weight gain is usually sudden and the patient appears puffy.

The expectant womans calorie requirements in pregnancy varies with gestation. In the first trimester, one has no need for extra calories, hence dietary intake should provide about 1,800 kilocalories a day. This requirement goes up to 2,200kcal in the second trimester and 2,400kcal in the third.

The myth about a pregnant woman eating for two is not only false, but outright harmful. Extra calories during pregnancy lead to piling on unnecessary weight that may lead to unwarranted obesity. This myth continues into the post-natal phase under the pretext of breastfeeding. Studies have shown that women who put on weight beyond the recommended pregnancy kilos have a higher chance of retaining the excess weight right up to a year after delivery.

Once the baby comes, the new mum has a new mountain to climb. Well-meaning family members will visit with heaps of food and they expect the new mum to eat non-stop for the duration of breastfeeding.

Mugs of hot chocolate, porridge, soup and fermented milk are served without ceasing. Food servings are increased and the number of meals increases from three to five. Woe unto her if she has challenges with a good flow of breastmilk, or if the baby is colicky and cries all night. She will be forced to eat more to produce enough milk for her baby.

Within weeks, instead of shedding the baby weight, the new mum continues to gain weight at an alarming rate. Since she is still on maternity leave and does not need to dress up; she wears comfortable loose clothing and has no idea that her wardrobe no longer fits.

Suzy is in this trap. She has a doting mother-in-law who is visiting her first grandchild. The older lady spends all day in the kitchen cooking one delight after another and Suzy cannot resist pigging out.

In the breastfeeding phase, all Suzy needs is an extra 500kcal in addition to her daily requirements to cater for the baby. This way, women are able to lose the stored pregnancy fat and resume normal weight. What is required in large volumes is water. Quite an amount of water is lost in the breastmilk and it is important to replace this.

It is not in order to keep unnecessary weight under the guise of having more babies. Most lazy mothers will ignore the weight and cite their desire to have another baby and complete the family size as the excuse.

They will plan to lose the weight after they are done with having a second baby. The danger is that, with each successive pregnancy, they are already starting from a point of disadvantage, by being overweight or outright obese. The weight loss project ultimately becomes even more difficult.

Post-pregnancy weight loss must start from the delivery room. The mother should learn to eat only what her body requires. She must decisively choose what she needs to eat and not let that be dictated to her. Simple exercises such as brisk walking and swimming to boost metabolism are encouraged. Above all, breastfeeding in itself helps with the weight loss as the body is pushed to use the pregnancy fat that was stored specifically for this.

This is also a good period to initiate weight loss in those diagnosed with obesity during pregnancy. The danger of rapid weight loss in pregnancy is gone and the joints are under less pressure hence can tolerate exercise.

Look out for the contraceptive used too. Some women may gain weight especially if they use progesterone-based hormonal contraceptives. For this group of women, safe options are available and should be used as needed.

Also note that each woman is inherently different, some may have a high metabolism and lose weight in weeks. Others need a little longer to catch up. Whatever the case, shed off the post-natal weight safely.

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Best way to lose baby fat? Eat for one! - Daily Nation

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What, if anything, can we do in our own personal lives to possibly hold cancer at bay? Martha Teichner has some food for thought:

Chef Eric Levines Eureka! moment about healthy food came with his fifth cancer. Yes, hes beaten cancer five times.

That moment came on the best and worst day of his life. Hours after chemotherapy and radiation, barely able even to stand up, he competed on the Food Network show, Chopped.

In the middle of it I had that, like, moment of clarity where I thought, You know what? I could win this competition, and I could beat cancer, he told Teichner.

He did win. But his doctor told him, change the way you eat -- or die. So far hes lost 65 pounds.

So the relationship of food to health and wellness, its massive. I didnt get it, he said.

Now he wants everybody to get it. He sneaks healthy dishes like a stuffed acorn squash onto the menu at his N.J. restaurant.

When things are jammed down your throat, people resist, Levine said.

What you eat has tremendous bearing upon preventing or treating cancer and other diseases.

CBS News

What cancer patients eat matters. Mary-Eve Brown, an oncology dietician at Johns Hopkins University in Baltimore, told Teichner, Its been reported that two out of three people, when they show up for that very first oncology appointment for treatment, are already suffering nutritionally -- theyre undernourished or malnourished.

One patient, Jack Appelfeld, had about a quarter of a cup of chicken noodle soup. It went, as he put it, terrible. Because he was so malnourished, Appelfelds chemotherapy session had to be cancelled.

Any time that we hold treatment, that has impact on survival, said Brown. Thats how powerful nutrition is during your cancer treatment.Badly enough that Appelfelds scheduled chemotherapy had to be cancelled.

So, is there evidence that food can actually cause cancer?

Theres a relationship between high-fat meats and certain types of gut cancers, said Brown. Theres even a bigger body of evidence about obesity and cancer, female cancers, pancreas cancer.

Dr. Margaret Cuomo has produced a documentary and a companion book, both called A World Without Cancer.

Teichner took a spin around Dr. Cuomos local supermarket on Long Island. Her advice: Eat the rainbow. We want to eat a variety of colorful vegetables and fruits, Dr. Cuomo said. The anti-oxidants and anti-inflammatory qualities of the vegetables and fruits were seeing here today are those elements that are going to help us reduce the risk for cancer, diabetes and other diseases.

Dr. Margaret Cuomo (with correspondent Martha Teichner).

CBS News

So says Cuomo, but there is some debate about the role of specific foods in cancer prevention, even organics. Still, shes a believer and says consider organic. But if you gasp at the price, buy as much as you can afford. Its important that you eat the vegetable, so if you cannot get them organic, youre gonna eat the vegetables regardless.

And heres something you may not have thought about: We want to keep to the periphery of a supermarket, she said.

Rodale

Why? Because the healthier foods are going to be located there.

She says fill your cart with fruits and veggies, like tomatoes, peppers, oranges, broccoli, kale, collards, cabbage.

And try green tea. Green tea is known to have catechins, and that has a powerful anti-cancer effect, she said.

And what does all that look like on your dinner plate?

You want two-thirds of that plate to be consisting of vegetables, whole grains and fruits, with one-third of it protein, Dr. Cuomo said. That protein can be a bean -- black beans, chick peas, lentils. It can be a lean protein, like fish or poultry.

Teichner asked, And what do you say to people who say, I hate all that stuff?

Learn to like it, Dr. Cuomo laughed. Its good for you!

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In late February, Dr. Salim Yusuf, a prominent cardiologist, gave a talk at the Zurich Heart House, circulated on YouTube before it was pulled. Citing observational data of his own, Yusuf asserted, after noting that he has no expertise in nutrition, that in effect, everything we know about diet and cardiovascular disease is wrong.

He told the world that eating fish is neutral, eating vegetables useless, and that heart disease rates go down as meat-eating goes up. If only he had recommended smoking cigarettes, the bizarre, surreality of it would have been complete enough to rival that famous scene in Sleeper.

Of course, this is wrong and strangely, for a researcher who has written many times on matters of epidemiologic methodology, wrong at the level of Epi 101.

Yusuf was citing observational data across many countries. The sine qua non of interpreting such data reasonably is the avoidance of the ecological fallacy, in which A and B both happen but are true, true, and unrelated.

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For instance, there is much less Ebola where there is more 4G LTE cell phone service, and more Ebola where cell phone service is poor, patchy, or absent. This, of course, is not because 4G LTE cell towers protect against the Ebola virus, but because Ebola is endemic in poor, rural areas of sub-Saharan Africa that lack such towers. There are innumerable examples of similarly nonsensical associations.

Sticking with only the most obvious of rebuttals: meat is a very small part of the diets in poor countries. As countries become more affluent, they can afford, and sadly for the health of people and planet alike generally choose to eat more meat. But affluence doesnt just procure meat. It also procures medicine, and technology. Countries that eat more meat have more cardiologists to prescribe drugs, and perform angioplasties; they have more cardiothoracic surgeons doing coronary bypass procedures.

One obvious way to confirm or refute the merit of cross-sectional data is to look for change over time in those very behaviors in a given population, and then ask if the results were as predicted.

Cultural transitions in both India and China have shifted traditional, plant-based diets to more meat-centric, Western type diets, and rates of chronic disease in general, diabetes and heart disease in particular, have skyrocketed. These massive examples, alarmingly on display for all the world to see, belie Dr. Yusufs conclusions.

So does a study, just published in JAMA, which looked at dietary components associated with mortality in the U.S.

Controlling carefully for other relevant variables, this study reaffirms the associations long backed by the weight of scientific evidence and sense alike: increased risk with highly processed foods, and reduced risk with vegetables, fruit, nuts, seeds, and fish.

We actually know some things about diet and health. These days, that view is often attacked as defense of dogma. But truth is not dogma; its just true. Its not dogma to defend heliocentrism against excessive scriptural literalism; it is irrefutable fact. And though many fewer accept it as such, so is evolution by natural selection. So is climate change. Scientists throughout history have at times died defending truth objectionable in their day, and the forces that burned them at the stake were the forces of dogma.

I presume we can agree that when zoos give meat to the lions and eucalyptus leaves to the koalas, it is not in the service of dogma.

Rather, it actually is possible to know some things based on consistent observation and sensible interpretation in context. We know what to feed dogs and dolphins, porcupines and penguins and tropical fish accordingly. We have the same bounty of observational information about Homo sapiens.

We have data from randomized trials, too, showing again, and again, and again much the same thing. Across populations and places around the world, decades and generations and research methods; diets rich in vegetables, fruits, whole grains, beans, lentils, nuts, and seeds and plain water for thirst lower rates of chronic disease and premature death, and diets lower in these and higher in meat, soda, and processed foods do the opposite.

The defense of this contention, which enjoys the support of a global whos who in public health, owes nothing whatsoever to dogma but rather is richly informed by data. It is a defense against dogma, a defense of both science and sense where they converge in a veritable sea of supporting sources.

Those of us defending what we truly do know about diet and health generally need not fear being burned at the stake these days for our pains. But since diet and lifestyle are the leading determinants of years added to or taken from lives, and life added to or taken from years there certainly are lives at stake in this debate. For that very reason, science and sense must prevail.

Dr. David L. Katz;www.davidkatzmd.com; founder, True Health Initiative

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Dr. David Katz, Preventive Medicine: Diet and truth - New Haven Register

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Though the care for and concern about teeth has a long history, the modern practice of dentistry has its roots in the 18th century, and quickly developed the century after that. No Neanderthal had a dental plan, and we should be thankful. Thats because a recent study of Neanderthal teeth gives us a glimpse of what life was like tens of thousands of years ago. The results, published in the journal Nature, give us unique insights into, as the authors put it, our closed known, extinct hominin relatives.

UK archaeologist Keith Dobney, at the University of Liverpool, and palaeomicrobiologist Laura Weyrich, at the University of Adelaide in Australia, co-led the study. They examined the plaque from jawbones taken from three separate Neanderthals who lived in Europe around 50,000 years ago.

Though we have some indications of how Neanderthals and our ancestors interacted, including interbreeding, we know very little about the Neanderthals themselves. Testing was performed on three specimens. One was found in Spy Cave in Belgium and the two in El Sidrn Cave in Spain. Researchers performed genetic testing on calcified plaque or calculus, found on the teeth. What they discovered was that Neanderthals were highly adaptable. Their diet varied considerably, depending upon where they lived.

The Belgian Neanderthal ate a meat-heavy diet, likened to that of polar bears and wolves. Researchers found traces of mouflon or wild sheep and wooly rhinoceros. Besides these animals, the bones of mammoths, reindeer, and horses were found inside the cave. This jives with previous research, which has shown that Neanderthals were highly carnivorous. However, it wasnt strictly meat. There is some evidence that they may have eaten wild mushrooms, and other plants too.

Spy cave. The Belgian excavation site. Getting Images.

Those found in Spain ate not a trace of meat. A diet of pine nuts, mosses, tree bark, and mushrooms, suggest that they gathered vittles from the forest for their supper. While this might sound like a placid existence to some, its important to note that evidence of cannibalism was found at the Spanish cave site. Whether this was due to some sort of religious ritual, a case of dogged survival during a time of famine, absorbing the warrior spirit of a rival, or for some other reason, remains a mystery.

Belgian Neanderthals occupied a large grassland, filled with grazing animals, while the Spanish group lived in a heavily forested region. Performing genomic testing on the remnants of microbiota or oral bacteria, that once inhabited these hominids mouths, indicated their diet. Over 200 species were identified, which means this study may garner results for bacteriology as well.

Micro-wear analysis on the teeth also gives us clues as to what they ate. The diet consumed depended on food availability. An analysis of starch granules found in the dental calculus suggests that plants may have been an important part of the Neanderthal diet, no matter where they lived. Previous research of Neanderthal fossils near Gibraltar, finds the eating of seals and even the baking of mollusks.

Seems Neanderthals appreciated a good clam bake. But the takeaway is, it was their adaptability that made them survive and thrive in a variety of different environments, across Europe and Asia. This trait may have been passed on to early humans when they began invading these continents, after migrating out of Africa.

The researchers' approach not only tells us what Neanderthals ate, but also quite a bit about their health, including the conditions they experienced and their medicinal practices. Evidence of ancient aspirin was found, in the form of poplar bark, which contains the painkillers active ingredient, salicylic acid. They also found a rudimentary form of penicillin, a mold from which the antibiotic derives.

"It's pretty phenomenal that these guys were so in tune with their environment and to know what was going on and how to treat things," said Weyrich. It was a boy, found in the Spanish cave, who was eating the mold and poplar bark, in order to get better.

A jaw bone found at the Belgian cave site. Getting Images.

He suffered from a tooth abscess that must have been painful. The young Neanderthal also had a terrible stomach ache, because they found traces of a stomach bug, a bacteria known as Microsporidia. He was probably nauseas and experienced intermittent bouts of vomiting and diarrhea. Since he was found around a group of females, researchers believe they were caring for him. It really paints a different picture, almost of their personalities, of really who they were, Weyrich said.

There is some evidence to reveal something interesting about these ancient hominids love lives. Enter the ever-controversial interspecies dating. We know homo sapiens and Neanderthals interbred. At least 20% of modern human DNA is Neanderthal. Weyrich says that before this study, it was thought to be a rough, primitive, violent encounter.

However, the presence of a certain bacteria which causes gum disease in modern humans, tells a different story. Since Neanderthals and humans branched off about 100,000 years ago, researchers believed it must have been passed somehow, from humans to the Neanderthals, whose fossils were then discovered.

Weyrich said, If youre swapping spit between species, theres kissing going on, or at least food sharing, which would suggest that these interactions were much friendlier and much more intimate than anybody ever possibly imagined. You know this is going to breed some type of movie, either Romeo and Juliet caveman style or perhaps a Disney-esque prehistoric love story, bringing us our very first Neanderthal Disney princess.

More importantly, learning more about interactions between early humans and Neanderthals, and the genetic implications, may help in the fight against certain medical conditions. As one Harvard study found, Remnants of Neanderthal DNA in modern humans are associated with genes affecting type 2 diabetes, Crohn's disease, lupus, biliary cirrhosis, and smoking behavior.

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Neanderthal Dental Plaque Reveals a Lot About Their Diet, Medical Practices, and Love Life - Big Think

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The Cardiology Advisor (registration)

US Cardiovascular Deaths Attributed to Poor Diet and Nutrition The Cardiology Advisor (registration) HealthDay News Unhealthy diets may have contributed to as many as 400,000 premature deaths from cardiovascular disease in 2015, according to a study presented at the American Heart Association's Epidemiology and Prevention/Lifestyle and ... Poor Diet to Blame for Almost Half of CVD DeathsFinancial Tribune all 6 news articles »

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US Cardiovascular Deaths Attributed to Poor Diet and Nutrition - The Cardiology Advisor (registration)

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For the seventh year in a row, U.S. News and World Report has ranked the DASH diet developed by the National Institutes for Health the best overall diet, according to a Jan. 4 NIH news release.

With its focus on vegetables, fruits, whole grains, low-fat dairy and lean proteins, the diet also ranked as the best for diabetes and healthy eating, and tied as the best for heart disease prevention.

Researchers funded by NIHs National Heart, Lung, and Blood Institute developed the diet, which stands for Dietary Approaches to Stop Hypertension, to prevent and treat high blood pressure, but the diet also has been highly effective in lowering blood cholesterol, according to reports.

DASH is a healthy eating plan that supports long-term lifestyle changes, NIH said. It is low in saturated fat, trans fat and cholesterol. It emphasizes fruits, vegetables and low-fat dairy foods, and includes whole grains, poultry, fish, lean meats, beans and nuts.

It is rich in potassium, calcium and magnesium, as well as protein and fiber. It also calls for a reduction in high-fat red meat, sweets and sugar-containing beverages.

The DASH diet was one of 38 diets reviewed and scored by the U.S. News and World Reports panel of health experts. To receive top ratings a diet has to be relatively easy to follow, nutritious, safe, effective for weight loss and protective against diabetes and heart disease.

See nhlbi.nih.gov/health/health-topics/topics/dash to learn more.

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DASH ranked best overall diet for 7th year - Shore News Today

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The latest fad diet riding on the coat tails of the low-carb trend is the ketogenic diet. This nutrition planhas been around for ages, and has been effectively used in the treatment of epilepsy, but its also become popular to help folks shed pounds. Heres what you need to know about this diet plan before you hop on another fad diet bandwagon.

About the Diet

This diet promotes low carb, moderate protein, and high fat intake touting health benefits such as weight loss and improved overall health. It promotes an extremely low intake of carbs: about 30 grams per day. For the average American on a 2,000 calorie diet, this would be 120 calories of any type of carb per day. You can find carbohydrates in fruits, vegetables, grains, dairy, and legumes which, when minimized in the diet, limits food choices dramatically. The distribution of macronutrients recommended is 5% carbohydrates, 25% protein, and 70% fat.

The fats recommended include both unsaturated like avocado and fatty fish along with saturated like whole milk, sour cream, and mayonnaise. Flour, sugar, and other such carbs are not recommended on the plan. Fruits are eaten in very small amount, low carb vegetables are recommended, and nuts in moderation.

The purpose of taking in so few carbs is to put your body in a state called ketosis. As carbs (AKA glucose) is the bodys primary source of energy, 30 grams of carbs runs out quickly forcing the body to utilize fat and some protein (or ketones made from fat) as a source of energy. When excess fat and protein is used for fuel, it creates an acidic environment in the blood, known as acidosis. Long-term acidosis can cause damage to your organs and is potentially deadly. While in this state, the body acts as if it is in starvation mode and other side effects include headaches, fatigue, irritability, and loss of muscle mass.

The Costs

Although this diet eliminates added sugars, the plethora of protein and fats can cost you a pretty penny (avocados and meat arent cheap!). Further, its very tough to follow a diet with a maximum limit of 30 grams of carbs, which is equivalent to 2 slices of bread.

This plan also eliminates many food groups, especially fruits and vegetables which have been shown to help lower the risk of chronic diseases like heart disease. The 2015 dietary guidelines found that 90% of Americans dont eat the recommended amount of vegetables, while about 85% dont eat the recommended amount of fruit. Eliminating most fruit and vegetables also takes away many important vitamins, minerals, and phytonutrients that can help keep you healthy in the long run.

Other huge costs include taste and sustainability of the diet. Eating loads of meat, cheese, and avocado can get boring without fruits, vegetables, grains, and nuts. Go ahead and try it for a few days, or even a week or two, and youll miss out on those other food groups in no time.

The Good

The Not-So-Good

Bottom Line

Between the lack of nutrition, health consequences and lack of flavor, this is one diet plan that just isnt healthy (or tasty!) to follow.

Toby Amidor, MS, RD, CDN, is a registered dietitian and consultant who specializes in food safety and culinary nutrition. She is the author ofThe Greek Yogurt Kitchen: More Than 130 Delicious, Healthy Recipes for Every Meal of the Day.

*This article was written and/or reviewed by an independent registered dietitian nutritionist.

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Diet 101: The Ketogenic Diet - Healthy Eats (blog)

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Picture: AFP PHOTO/SAIFEE HOSPITAL

A woman weighing almost 1,100 pounds, believed to be the world's largest, was able to lose 210 pounds due to diet changes.

Doctors at the Saifee Hospital in Mumbai, India, were surprised by the amount that their patient Eman Ahmed Abd El Aty was able to lose since she arrived in January.

Ahmed was dieting in preparation for gastric surgery which took place on Tuesday.

According to Times of India, Ahmed lost twice as much as her doctors were expecting ahead of surgery.

The life saving procedure of Laparoscopic sleeve gastrectomy reduced her weight to 900 pounds, and doctor's expect her to lose another 200 within six months.

The gastrectemy reduced her stomach size by 15 per cent.

Ahmed was born weighing 11 pounds, and was soon diagnosed with elephantiasis, making her bed ridden for much of her life.

Her surgeons also believe she may suffer fromlymphoedema- a condition that causes fluid retention and tissue swelling in the arms and legs.

In a statement from the hospital,

We are trying to get her fit enough to fly back to Egypt as soon as possible.

Ahmed an Egyptian national, was granted a visa to travel to India for surgery due to the intervention of India's foreign minister.

HT USA Today

More:Twelve health 'facts' that are actually false

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The world's 'heaviest woman' loses over 200 pounds with diet changes - The indy100

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"It's not just about 'Can we develop a new piece of hardware that is a standalone Adidas ecosystem,'" Burr told Engadget in an interview at SXSW 2017. "You'll be seeing that we'll be opening up a bunch of our content and know-how to other third party devices, and [making] it more of an open platform scenario so that we can extend onto other people's devices as well." She says the goal will be to make fitness experiences that are tailored for each individual, since not everybody takes the same approach to training or working out.

"It's not about creating these monolithic experiences that we want everyone to be in, in the same way," Burr said. As for when we can expect these new products, whether this may be an app or a wearable, there's no timeframe right now, but Burr says they're coming "down the road."

Click here to catch up on the latest news from SXSW 2017.

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One of the most common causes of burnout is excessive overload or simply doing too much

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Angie Ferguson, Special to The News-Press 9:03 a.m. ET March 13, 2017

Burnout can occur when we do more than we are ready to handle.(Photo: shironosov, Getty Images/iStockphoto)

Do you ever feel like youre full of energy and enthusiasm during your day, but when its time to head to the gym you feel exhausted and drained? This is in part because we give so much of our energy to our work. Its great to love what you do, but its also easy to become rundown in the process if youre not taking proper care of yourself.

One of the most common causes of burnout is excessive overload or simply doing too much. We become overeager and do more than we are ready to handle. The second most common cause of problems is inadequate rest. Not getting enough proper rest can drain our energy stores and leave our bodies feeling wasted.

Implementing a few simple self-care protocols will help you stay on top of your game, so youre in the best shape for work, workouts and whatever life offers you that day.

Fitness: Exercise to build stronger bones

-- Angie Ferguson is an exercise physiologist from Fort Myers. She is a USA Triathlon Advanced Level 2 coach, Ironman Certified coach, Slowtwitch Certified coach, USA Cycling coach and has a Specialty in Sports Nutrition certification. For more training tips, read her blog at http://www.triathlontrainingisfun.com or contact her at http://www.gearedup.biz.

Read or Share this story: http://newspr.es/2mBRTL4

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