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By Stacy Driks

Jonathan Antigua has been wearing red and carrying a whistle for 15 years but not as a fashion statement. He plans to pass along the uniform to six lifeguard trainees this weekend.

Because of the lifeguard shortage, I thought I could help out, Antigua said. Im trying to get people certified. Antigua learned how to become a lifeguard with the American Red Cross and he recently took it to the next level in March, when he earned his lifeguard instructor license.

He says the amount of lifeguard instructors in the northwest Bronx is scarce due to the national lifeguard shortage. Pools around greater Riverdale have also felt the impact of that shortage, especially at the public pool.

The American Lifeguard Association says the national lifeguard shortage hit community pools the hardest. Residents of the northwest Bronx found their neighborhood pool in Van Cortlandt Park would no longer accommodate educational swimming lessons and exercise programs for the summer due to the shortage.

Our goal is to always offer as much swimming access as possible we are happy that our number of open pools increases daily, despite the recruitment challenges we have faced due to the national lifeguard shortage, said Dan Kastanis, New York City Parks press officer.

The shortage forced Van Cortlandt Park to cancel some of its many pool programs this summer. As of July 1, pool hours were split into five separate sessions to provide access to more patrons.

Unlike Van Cortlandt Park, Riverdale Neighborhood House on Mosholu Avenue has enough lifeguards. And the Neighborhood House has begun hosting a lifeguard training program.

Its not for our own benefit, said Emma Pollack, director of community programs at Riverdale Neighborhood House. We heard there was a need for lifeguards in the community.

The pool house recognized the shortage of lifeguards in the community and decided to take action.

The shortage is coming after two years of COVID where they (certification classes) were already restricted and shut down, Pollack said. With the hot part of the summer upon us and the increase in travel due to inflation, some people want to stay home more and take advantage of the local pool.

When we became aware of the shortage, we started to work towards getting the training going, said Nancy Alberts, development manager of Riverdale Neighborhood House.

Community pools reached out to Alberts and her team about their shortage, and then they saw what and where the need was for lifeguards.

During the 27-and-half-hour course, certified American Red Cross lifeguards teach recruits in four days. Once completed, participants will receive an American Red Cross lifeguarding, first-aid, CPR, and automated external defibrillator certificate that is valid for two years.

Although the most recent session ended, there is still a chance to apply for the second training session on July 30. More information can be found on their website RiverdaleOnline.org/news

The program can accommodate 20 students as there are two lifeguards for 10 trainees. It cost $400 for the public while there will be a discount for Neighborhood House pool members.

As the mayor recently announced, we are also elevating, for this summer alone, lifeguard pay to $19.46 per hour, Kastanis said. And to ensure our beaches and pools are guarded all summer long, we will pay a retention bonus in September to guards who work every week through the end of the summer session.

Despite the programs cost, the new certified lifeguards will have an easy time finding employment because the community and residential pools are desperate for new lifeguards.

Many of my students ask me where do I apply? Antigua said.

He helps them find pools near their house that are looking for lifeguards.

Before the pandemic, there was never a problem finding lifeguards, including high school students, according to Antigua.

According to the American Red Cross instructor, traditionally high school students have replaced college students as they returned to college at the end of August. The following year the high school students would be rehired for the entire summer.

But that all stopped in 2020.

During the pandemic, there were no lifeguard courses, but the Red Cross did extend lifeguard certificates, but eventually they just stopped recertifying and students never went back (for new classes), Antigua said.

That meant new people were not being trained and, since they could not renew their license, those people needed to find another way to support themselves. Most found higher-paying jobs in retail and hospitality as things opened up through the year.

Antigua and the rest of the team from the Riverdale Neighborhood House are dedicated to certifying as many lifeguards as possible due to the drowning rate.

Were hoping to do more moving forward, but on top of that also think about the resources the pool at RNH offers, Pollack said.

While lifeguards main mission is to prevent drowning, they are helped immensely if children take swimming courses. That is why aquatic specialists teach children as young as 1. In pools, Black children between 10 and 14 drown at rates 7.6 higher than white children.

The number one thing that the American Red Cross ensures the best preventable way to avoid drowning is to learn how to swim.

This (training) isnt really for lifeguarding, Antigua said. Lifeguarding is there to prevent drowning, and the first thing is learning to swim.

At Orchard Beach I had multiple rescues, so I know the importance of being a lifeguard and knowing the skills, he said.

He stressed the importance of being a lifeguard and to ensure his students know the seriousness of the job.

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Neighborhood House finds way to find lifeguards - The Riverdale Press

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This publication was sponsored and written in partnership with Bristol-Myers Squibb.

The American Journal of Managed Care: What are some specific patient characteristics associated with relapsing-remitting multiple sclerosis (MS)?

Jonathan C. Calkwood, MD: In general, female predominance of the disease, at least in the relapsing forms, and onset in early to mid-adulthood is the well-known demographic of MS. Theprognosis for an individual with MS can be highly variable and can be hard to predict. The disease is characterized by intermittent neurological attacks and recoveries which progress to permanent physical and cognitive disability. The patient characteristics associated with relapsing-remitting MS that interest me most are those characteristics that help me understand where a patient is currently in their disease course as well as those that help me predict a patients risk of disability. To me, the important characteristics are those that are predictive of long-term accumulation of disability. How do I predict where that patient might be? If I have someone with aggressive disease, I want to match that disease aggressiveness with an appropriately efficacious treatment. Now, that might beg the question, If highly officious treatments preserve neurons and prevent more disability, when should we use a less efficacious treatment? The question I often ask other neurologists who might be reluctant to make a treatment change is, How many brain cells is it ok to lose on a lesser efficacious treatment that we might have prevented? Theanswer should be zero and current research strongly supports early intervention with highly efficacious therapies to limit development of disability.

There are three patient characteristics that I am most concerned with: relapses, magnetic resonance imaging (MRI) lesions, and the level of disability based on neurological exams. I focus on those characteristics that are predictive of a more aggressive disease including: race, frequency of exacerbations, incomplete recovery from a relapse, or more severe relapses. The character of the patients neurologic symptoms, be it relapses or their day-to-day symptoms, can help us. Patients who have symptoms or relapses with predominantly involved symptoms that are coming from their brainstem or their spinal cord may have more disabling issues. Its the same for MRI characteristics. If lesions are accumulating in the brainstem and the spinal cord, that patient is at higher risk for physical disability. We also use a patients neurologic exam abnormalities in a similar way. There are many risk factors that may exist in an individual that may influence risk assessment so it is important to form a type of a matrix of what those characteristics are to try to identify a higher-risk patient.

AJMC: What do you see as existing gaps in care for patients with relapsing-remitting MS?

Jonathan C. Calkwood, MD: There are many gaps in our healthcare system that may influence a patients ultimate accumulation of disability. I think there is a huge gap that readers of AJMC could, and should, influence. The healthcare insurance industry attempts to apply utilization management practices that work well in many other disease states but are fundamentally flawed when applied to MS. Individual patient variability in a disease state like diabetes or hypertension is relatively uniform compared to MS. These diseases have easily measured and inexpensive biomarkers that tightly correlate with outcome. In these diseases, you can identify a treatment failure before there is permanent end organ damage. Selectively limiting access to treatments is less likely to have permanent consequence for the patient with diabetes or hypertension when end organ damage can be predicted by biomarkers. Treatment escalation based on efficacy, cost, or treatment risk has little if any long-term consequences for the patient and makes sense in these diseases where treating to those biomarkers prevents end organ damage in the future.

In MS, the measure of treatment failure is end organ damage. We grow all the brain cells we have by the age of 19 to 21 years of age. Neurons, unlike other tissues in our body, do not have the capacity to regenerate. In MS, a new lesion on the MRI, a relapse, worsening on neurological exam, cognitive decline, or other changes indicate that the patient has already lost brain cells.

Even as an expert in MS, it is difficult to predict how an individual patient is going to progress, but I can put them in a higher risk group. As such, we should treat patients proactively to prevent disability accumulation.

I believe the single biggest clinical gap in care is the limited access to classes of therapy or individual medications that may be medically determined by the physician as appropriate for an individual patient. Since more efficacious treatments have demonstrated better outcomes, we want to use the most efficacious treatment early in the course of disease that is appropriate for that individual patient.

Other important gaps in care are access to MRIs and medications because of the financial burden it puts on them. A patient with MS is usually on multiple symptomatic medications, so theyre paying copays on those medications, too.

Another gap in care is the support of insurance companies of nonpharmacological measures, which have been proven to reduce disability. Some structure is needed that encourages patients with disabilities to participate in wellness programs (eg, physical therapy, exercise programs focused for patients with MS and disabilities, etc).

AJMC: If left untreated, what is the course of disease for patients with relapsing-remitting MS?

Jonathan C. Calkwood, MD: If left untreated or undertreated, the data have been very clear that patients do worse and accumulate disability. Our earliest studies on disease-modifying therapies involved a placebo control group. With the very earliest studies on platform therapies, we saw the same thing when there was a placebo-controlled trial. Even if that study is only a year long, we will see on the Kaplan-Meier curve a separation between the 2 groups of patients in terms of their disability, MRI, or relapse rates that shows the difference between a patient whos on treatment versus not on treatment. Typically, in those studies, the patients in the placebo group rolled into a treatment trial or the treatment group for an extension study. When we put the patients taking placebo on treatment, they paralleled the other group, but at a significantly higher rate of disability. Even a delay in treatment of 1 or 2 years makes a difference in the disability progression of a patient with MS.

AJMC: How quickly will symptoms develop in these patients if theyre left untreated?

Jonathan C. Calkwood, MD: Its really unpredictable but virtually every patient will worsen more than they would have to if they werent on a treatment or if incomplete efficacy is not addressed.

We have an older MS disability scale that attempts to predict progressionthe MS severity scale. This is a natural history scale of the disease untreated. It is a tool to gauge the risk of progression by essentially gauging the length of time they had MS against their disability score. If we dont treat those people early, the data have been very clear that they will do worse and accumulate disability. The disability score is the Expanded Disability Status Scale, which is used in most clinical trials and can be used to gauge the risk of the individual patient. I think the best indication would be if Im able to gauge that individuals overall MS risk and disability based on the MS severity scale. It is important to monitor the patients to see how quickly disability is evolving while they are on treatment. These scales can be helpful but have significant limitations to predict an individual patients future disability, and to help determine a treatment approach to match the aggressiveness of the disease.

MS can be more inflammatory in adolescents and young adultstheir symptoms may change very quickly. I have a tendency to use more efficacious therapies in these patient types as I am more concerned about the risk of disease progression. Postpartum mothers are another high-risk group. Then there are those patients who arent necessarily relapsing but theyre neurologically worsening, seemingly relentlessly, despite our most effacious treatments. The progressive patients with MS that are incompletely responsive to our current treatments represent a challenging group of patients to treat. We are sometimes left with supportive care measures alone.

While we commonly talk about physical symptoms, we also have to consider cognitive symptoms which develop from the onset of disease, but may not be visible until later in life. Early and effective treatment is necessary to preserve the brain cells and neurologic function. The brain of a patient with MS can atrophy at a faster rate than non-MS patients and have a greater risk for losing neurologic function sooner. If you have patients on a less efficacious therapy, their disease may not be controlled. Time equals brain cells, and we cant grow those neurons back. While its hard to predict how quickly symptoms will develop when a patient is untreated, it doesnt matter if theyre developing symptoms or not because theyre losing brain cells faster. If theyre not on the appropriate treatment, this results in more brain loss and greater levels of disability.

AJMC: Could you provide a couple of examples of how relapsing-remitting MS affects patients quality of life?

Jonathan C. Calkwood, MD: I think the two most underappreciated areas that affect quality of life of patients with MS are fatigue and cognitive dysfunction.

The most profound, universal impact is fatigue. A symptomatic issue with MS that we really dont understand very well but profoundly affects the ability of many patients to fully participate in work, life and relationships. Fatigue is commonly cited as a reason that a person with MS chooses to leave the work force.

The cognitive decline that I alluded to scares me the most because its silent, and it really creeps up. Weve got very crude tools for assessing cognitive functioning. We dont have a very good clinical metric, and by the time the person with MS has cognitive symptoms, they already lost many brain cells. We may not have good biological markers. Brain atrophy is a trailing indicator of disease severity but is linked with fatigue and cognitive dysfunction. By the time we can measure brain atrophy, were well behind the curve. Thats one of the bigger, more worrisome quality-of-life issues, because cognitive dysfunction is pervasive in patients with MS, as early as clinically isolated syndrome.

A third aspect of MS on quality of life is physical disability. Some people with MS can be cognitively functioning but physically disabled or, on the flip side, they could look fine but be cognitively disabled. I have plenty of patients who have significant gait limitations, yet theyre still fully functioning in the workforce. Theyre cognitively intact and are able to do highly cognitive jobs, yet physically they need to ride a scooter to get from the parking lot to their desks. MS manifests very differently in different people.

AJMC: What utility do biomarkers have for patients with relapsing-remitting MS?

Jonathan C. Calkwood, MD: At this point in time, immune system biomarkers measured by laboratory tests are of limited usefulness in MS because we just dont understand the immune system abnormalities in MS well enough. Thats where MRI, relapse rates, disabilities, and monitoring response to treatment come into place as biomarkers. I think one of the problems in MS is were managing the patient with a reactive approach. From a neurologists perspective, treating a patient with MS is like driving a bus while looking through the rearview mirror. We are always responding to what has already injured the patients brain. We dont have good, predictive biomarkers so were often responding after a patient has developed more disability. Thats why were often left using scales like the MS severity scale, the risk factor assessment, and a patients individual risk factors. If someone had a relapse, the biomarker could be a change on MRI. Thats probably our biggest, most useful biomarker because the brain MRI scans will show us lesions in the absence of new symptoms. The MRI is an effective biomarker, to help us define and identify an inadequate response to treatment, so we can then escalate therapy. But even an asymptomatic lesion can cause permanent loss of precious neurons.

The ideal biomarker would identify an inadequate response to therapy and warn us that a patient was headed for trouble before they lost brain cells. The biomarker of interest recently has been neurofilament light chains, which are proteins normally only found inside of nerve cells. These proteins are increased in the spinal fluid and blood of people with MS. The FDA has recently granted fast track review of a commercial lab test for neurofilament light. There is still a lot to learn, changes in neurofilament light chain correlates with disease activity and may be predictive for an individual or as a biomarker to distinguish relapses. Obviously, the neurofilament lights are going up in the blood or in the spinal fluid because brain cells are dying; those neurofilament light chains belong inside nerve cells. We can at least use that as a general biomarker now, but it is yet another example of a biomarker indicating that the end organ has already been irreversibly damaged.

AJMC: What nonpharmacologic approaches do you think are helpful in your patients?

Jonathan C. Calkwood, MD: It takes a village to care for a person with MS. They require so much support. The care provider and support partners of persons with MS deserve enormous credit. Education, social and psychological support provided by MS nonprofits and MS nurses are an important source of support. A neurologist trying to take care of people with MS cant just be a neurologist. We already talked about how you have to be an immunologist. Sadly, our patients, despite our best efforts, become disabled, and we have to understand physical medicine and rehabilitation. I would say probably one of the single biggest positives coming out of the neurologic literature in the past decade, but especially the last 5 years, has been a broadening of our approach to focus on biological and immunologic systems. Now we postulate, Whats the impact of general health and wellness on persons with MS? As we have learned, the data on smoking have trickled out in MS. Its not just the other health issues associated with combustion products of tobacco. Smoking tobacco makes the immune system more aggressive.

Recently, we have identified obesity to be an immunological issue for patients with MS. The immune system becomes more aggressive. Managing the patients general medical issues, managing their quality of life, and managing exercise is absolutely one of the most important things. Weve known about that for quite a long time. People with MS will go into a slow downward spiral just from inactivity, so regular exercise is important.

Heres an example. When I joined Randall T. Schapiro, MD, FAAN at the Schapiro Center for MS, we had a program called the Back to Fitness program. That program took patients who had wrapped up physical therapy, but they still werent back to where they were prior to their MS relapse, or, in some cases, they just became deconditioned. Here in Minnesota the winters are long and hard and people with MS may lose function quickly if they are not able to exercise and be active. Every spring, we get calls from our patients. Theyd say, I need steroids. Id say, Well, why do you need steroids? I cant walk to the mailbox anymore, theyd say. Id ask, Well, when was the last time you walked to the mailbox? Last September, theyd answer, and it was April. Thepatient hadnt been active, so we got them into physical therapy. That Back to Fitness program was hugely cost-effective. We had an exercise physiologist who would spend 3days a week for a couple of weeks taking that patient into the gym and showing them how to exercise. Then patients could use a community health club to do their own therapy. The program reduced steroid use and side effects, reduced fall risk, gave patients a transition from physical therapy, and kept me from having to order physical therapy. It was cost-effective and benefitted patient overall well-being.

In addition to access for pharmacological therapies, a comprehensive approach to the disease should include support for health and wellness, access to primary care and internal medicine services for comanagement of medical conditions, smoking cessation, diet, and exercise. These interventions could help these patients more by helping them learn how to do those things that are going to maintain their health better, prevent disability, and lower cost to the healthcare system and society.

AJMC: How do you decide on the appropriate pharmacologic treatment for your patients?

Jonathan C. Calkwood, MD: It starts from having an accurate diagnosis. Once we have made a diagnosis, I try and assess a patients risk of future disability. If the risk is high, we definitely want to use a stronger treatment, even if the treatment comes with some risk. The majority of what I do, day in day out, is risk management for my patients. I cant really predict whats going to happen to them, and I can only put them in a higher or lower risk group based on the factors I mentioned earlier.

When I meet a patient with MS for the first time, the first thought process I go through is, Do they have MS? And then, Are they on the right disease-modifying therapy? By that, I mean the right efficacy. I think selecting the treatment for the patient starts from thatmatching the treatment, the risk of the disease, and the risk of the treatment at some level.

The risk of treatment is not just adverse effects and lab abnormalities. The risk of a less efficacious treatment, may be disability for the patient with MS. If we cant truly predict how an individual is going to do, should we plan and treat for the best or worst potential outcome? If it is my brain we are talking about, I am going to want to err on the side of prophylaxis against the worst possible outcome. If I have a game plan that they have mild disease, and Im wrong, they get more disabled. If I have a game plan for the worst-case scenario, and Im not putting the patient at inordinate risk from the therapy and then it doesnt happen, is the patient any worse off? No, as long as you pay attention to risk, tolerability, adverse effects, and cost.

Based on research data and my experience, I prefer to use the higher-efficacy therapies early in the course of disease. It does not make sense to me to let a patient lose brain cells that we could otherwise prevent. The neurology community is in the process of making a 180-degree turn away from a treatment approach that starts with less efficacious therapies and escalates treatment as disease progresses to starting with higher-efficacy therapies. Among the MS specialists, we are making a change, but its slow going.

Link:
Expert Perspectives on Disease Burden of Relapsing-Remitting Multiple Sclerosis: A Q&A With Jonathan C. Calkwood, MD - AJMC.com Managed Markets...

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Patrick Mahomes and Brittany Matthews have been dating each other since their high school days. The couple has spent the majority of their lives together. They have seen each other growing up and have supported each other to pursue their dreams.

Brittany was a good soccer player during his time in college and also played the sport at a professional level. When the Chiefs drafted Mahomes, Brittany Matthews was given an opportunity to play soccer in a league in Iceland.

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She spent about a year there before she came back to Kansas City to live with Patrick Mahomes. She later became a certified fitness trainer. After that, she launched Brittany Lynne Fitness, a website that offers training programs and fitness merchandise designed by Brittany herself.

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On her website, Brittany wrote, I have experience with all levels of fitness and have carried that experience with me to create exercise programs for people at all stages on their fitness journey. With Mahomes busy with football on the field, Brittany Matthews herself is creating another business empire. She is quite active on social media platforms, and that will help to grow her business further.

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Patrick Mahomes and Brittany Matthews have been close to each other since 2011. They finally decided to get married earlier this year in Hawaii. Both of their families and close friends were present to celebrate their special day, which had been a long time coming.

The couple already has a daughter named Sterling. Moreover, they are expecting the birth of a baby boy pretty soon. Mahomes and Brittany were typical high school sweethearts. Despite all the challenges in front of them, they were able to stay together and get married.

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Watch This Story: Tom Brady Reveals His Eldest Son, Who Lives Separate From Gisele Bundchen And His Step-Siblings, Does Not Get Enough Time With His Dad: Lives In New York City And He Wants Time

With Mahomes continuing to climb the ranks of best quarterbacks ever, Brittany has been able to make a name for herself as well. The couple is pretty active in the business world. They are bound to achieve immense success there as well.

Continue reading here:
Wife Brittany Matthews Is as Involved With Professional Sports as Husband Patrick Mahomes, but as an Owner - EssentiallySports

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DUBLIN, July 19, 2022 /PRNewswire/ --The "European Health and Fitness Market: Analysis By Value, By Membership, By Club, By Region Size and Trends with Impact of COVID-19 and Forecast up to 2026" report has been added to ResearchAndMarkets.com's offering.

The European health and fitness market in 2021 was valued at US$22.94 billion. The market is expected to reach US$32.55 billion by 2026. The European health and fitness market growth is to be driven by key structural trends such as urbanization, public health promotion, fitness technology and employee well-being programs. The market is expected to grow at a CAGR of 7.25% during the forecast period of 2022-2026.European Health and Fitness Market Dynamics:

Growth Drivers: One of the most important factors impacting the health and fitness market is the growing fitness club membership penetration rate. People are getting more aware that exercise improves energy levels, decreases medical expenses, and likely increases longevity. In addition to this, people can also expect mental health improvements and more energy on a daily basis. Because of this, fitness has become a trend for millions of people, leading to a rapid increase in the fitness penetration rate. Despite the fact that the vast majority of people now live more sedentary lives, an increasing number of individuals are opting for a more proactive lifestyle. Furthermore, the market has been growing over the past few years, due to factors such as favorable demographic changes, the rise of lifestyle-related illnesses, an increasing number of social media users, growing personal disposable income, increasing obesity, and an increasingly-health conscious audience, etc.

Challenges: However, the market has been confronted with some challenges specifically, lack of skilled and professional trainers, the high cost of setting up a club, etc.

Trends: The market is projected to grow at a fast pace during the forecast period, due to various latest trends such as the increasing adoption of virtual reality in training, growing use of fitness wearables, the evolution of hybrid gym memberships, technological advancements, etc. There is an increase in gyms offering hybrid memberships. Many traditional gyms are noticing that members want to have the option to work out either online or in-person. A hybrid gym offers the best of both worlds and includes a combination of in-person and online workout options. For example, a gym may offer in-person exercise classes that are also live-streamed or available on-demand for members who want to continue with home workouts. On the other hand, hybrid gyms help to reach more people. Therefore, the growing trend of market hybrid gym memberships is expected to propel market growth in the coming years.

The report includes:

Key Topics Covered:

1. Executive Summary

2. Introduction2.1 Health and Fitness: An Overview2.1.1 Introduction to Health and Fitness2.1.2 Benefits of Exercise on Health and Fitness

3. European Market Analysis3.1 An Analysis3.2 Membership Analysis3.3 Club Analysis

4. European Regional Market Analysis

5. Impact of COVID-195.1 Impact of COVID-19 on Health and Fitness Market5.2 Impact of COVID-19 on Fitness Clubs5.3 Post COVID-19 Impact on Health and Fitness Market

6. Market Dynamics6.1 Growth Driver6.1.1 Favorable Demographic Changes6.1.2 Rise of Lifestyle-Related Illness6.1.3 Growing Fitness Club Membership Penetration Rate6.1.4 Increasing Number of Social Media Users6.1.5 Growing Personal Disposable Income6.1.6 Increasing Obesity6.1.7 Increasingly-Health Conscious Audience6.1.8 Increased Importance of Employee Well-being Programs6.2 Challenges6.2.1 Lack of Skilled and Professional Trainers6.2.2 High Cost of Setting up a Club6.3 Market Trends6.3.1 Increasing Adoption of Virtual Reality in Trainings6.3.2 Growing Use of Fitness Wearables6.3.3 Increasing Market Consolidation6.3.4 Evolution of Hybrid Gym Memberships6.3.5 Rapid Digitization6.3.6 Technological Advancements

7. Competitive Landscape7.1 European Health and Fitness Market Players by Clubs7.2 European Health and Fitness Market Players by Membership

8. Company Profiles

For more information about this report visit https://www.researchandmarkets.com/r/bf72q3

About ResearchAndMarkets.comResearchAndMarkets.com is the world's leading source for international market research reports and market data. We provide you with the latest data on international and regional markets, key industries, the top companies, new products and the latest trends.

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European Health and Fitness Market Analysis By Value, Membership, Club and Region 2022-2026: Growing Fitn - Benzinga

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Become a leader in exercise and sports nutrition

Earn your Masters degree in Exercise and Sports Nutrition (ESN) at TWU. Explore research and study opportunities that allow you todetermine howdiet and exercise impact health and athletic performance.

Buildyour sports nutrition and research skills in a variety of settings, including the classroom, health-related settings, and high school, university and professional athletic teams.

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The MS in Exercise and Sports Nutrition along with the dietetic internship prepares graduates to take the national Registration Examination for Dietitians and apply for a license to practice through the Texas State Board of Examiners of Dietitians. Licensing of dietitians in Texas is voluntary. If you are a resident of another state, contact our department to determine whether our program fulfills requirements to apply for licensure in your home state.

Findmore informationabout degree options, program requirements, dietetic internships, research and career path opportunities in theMS Exercise and Sports Nutrition (ESN) programs at the Denton and Houston campuses.

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Express News Service

The 20th century saw diets becoming the holy grail of ultimate lifestyle. Fads with varying results have been obsessing people for decadesthe Atkins diet, South Beach diet, vegan diet, ketogenic, paleo diet, zone diet, Dukan diet, the 5:2 diet, etc. have led to the booming diet and weight loss industry to become a $71 billion industry. Adding to the plethora is the pegan diet which combines the paleo diet and veganism. The theory here is that opposites attract.

The pegan diet combines the unprocessed food our hunter-gatherer ancestors ate with plant-based food. The principle behind this diet is that it is nutrient-rich. Whole foods reduce inflammation, maintain blood sugar levels and keep the body in age-appropriate peak condition. The pegans must ensure 75 percent of their food is plant-based and the other 25 per cent lean meats. Plant-based foods have high amounts of antioxidants and fibre, which promotes digestion and gut health.

Though the diets focus is on vegetables and fruits, it is assumed that moderate amounts of meat, certain fish, nuts, seeds, and some legumes make the combo a better bet. Of course, say no to heavily processed sugars, oil, and grain. The difference between the pegan diet and others is that it is not an immediate solution or even a short-term diet, but instead must be lifelong. And one advantage is that though it tells you what to eat, it doesnt tell you how much.

The following items are recommended All vegetables and fruits, mostly low-glycemic fruits like cherries, strawberries, pears and apples. Dairy alternatives without added sugar, such as coconut yoghurt Eggs, nuts and seeds except peanuts Oils rich in healthy fats, such as avocado or olive oil Organic, grass-fed sustainably raised meats and poultry Fish, with low-mercury content, such as anchovies, salmon, and sardines One cup a day of beans, lentils, black rice, quinoa

Benefits of pegan diet Lowers blood sugar and reduces the risk of Type II diabetes and heart disease. Recommends nutrient-loaded foods and avoids processed food.

What the diet prohibits Bread, grain Dairy products, including milk, cheese, ice cream, or yogurt Foods with added sugar or a high glycemic index Processed foodsThe downside to it is that cooking time is longer. Having sustainably raised meat and fish to meet proteins makes it an expensive diet to follow. Since it skips almost all legumes and grains, the body is robbed of Vitamin B and fibre. Also health supplements become mandatory due to the lack of calcium and protein from dairy products. Added disclaimer: Studies say diets dont work 95 per cent of the time.

Go here to see the original:
Deconstructing the Pegan - The New Indian Express

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Scan the aisles of any bookstore and you will find a multitude of diet books, from general healthy eating cookbooks to specific or clinical how-to books focusing on various dietary regimens, such as gluten-free and ketogenic. If one were to read them all, it would be very confusing indeed. Some forbid fats, while others warn against carbohydrates and sugars; some encourage a narrow range of particular foods, while others specifically ban certain items. In a year or two, these books will be available at your local thrift shop, priced at $1 each. Thats because, like the diet recommendations that came before them, many of these diet guidelines will soon be abandoned, either because they dont work or because they have been replaced by the next popular food regimen.

In Anxious Eaters: Why We Fall for Fad Diets, I and my coauthor Kima Cargill examine fad diets from the perspectives of anthropology, psychology, and nutrition to understand why they are popular, why they often fail, and why they are replaced by the next diet du jour. While most analyses of diets focus on the content of the diet and how it affects the physical body, we wanted to understand the social context of diets. Diets do not become socially salient in a vacuum; diets, bodily practices, and nutritional belief systems are crafted by cultural narratives. They are almost always of their time and place and are rational when examined within a cultural system.

As one example, the paleo diet has cycled through many cultural tropes to reach its current ideological statefor an ideology is exactly what it has become. Paleo started in the 1930s with a belief that ancient or tribal diets could restore health with whole, natural foods ideally suited to the biological body. From the 1960s through the 1990s, academic data on ancient and modern hunter-gatherer diets further emphasized the traditional reliance on whole foods with meat as a source of protein and few processed foods consumed. In recent decades, the diet has morphed into a cultural power-house: the earlier meat-centric, low-carb, high-fat Atkins diet adopted paleo principles and then lent credence to the keto fad. The emphasis on whole and natural foods overlaps with clean and gluten-free diets, supports the Whole30 fad, and even validates beliefs about so-called food addiction, because targeted, disallowed foods are labeled dangerous and addictive. The paleo concept remains popular because it easily shifts into and supports other diet fads. Because so many of these principles overlap, its now possible to buy cookbooks that promise to fulfill the entire roster of dietary goals: clean, keto, paleo, Whole30, easy, and family friendly.

Paleo is also popular because the cultural meanings attached to going paleo signify social status, identity, and wellness. Many people believe that evolutionary nutrition promises optimal health, but its difficult to reconstruct ancient diets because of the incomplete nature of the archeological record and because much of humans diverse omnivorous diet does not fossilize. The practice of paleo encourages women and families to adopt the diet to ensure healthier children, so paleo becomes a part of good parenting and a form of virtue signaling. Moreover, because the paleo diet is expensive, it also allows the well-off to enjoy a favored diet while validating class barriers; it strictly forbids the processed foods, starches, sugars, and fast foods presumed to make up the diet of the poor. And likely because of the emphasis on meat eating, paleo has been adopted by body-builders and by men who belong to male-dominance, alt-right, or white supremacist groups. The mashup of paleo, keto, and meat-eating seems to appeal to aspirational men who wish to be perceived as in control, hegemonic, and virile.

In other words, the meaning of paleo now extends far beyond the idea that natural foods can heal a damaged modern body; instead, a paleo lifestyle is believed by some to transform the eater into a member of an idealized social categorya powerful male, an economically successful citizen, or a good parent. The diet rationale has shifted from biological to cultural, and at each node of social performance, the diet meets psychological needs.

When examined together, its clear that fad diets really arent about the food, but they do signal group belonging and self-identity two qualities central to the psychological health of most humans.

Each of the fad diets we examine in Anxious Eatersaddresses socially important goals. They provide an identity, because what we eat serves as a symbol to others about who we are and who we wish to be. Fad diets provide status because they rely on performance of a perfected self and often require expensive ingredients that signify wealth. Adopting these diets provides a sense of bodily purity by consuming supposedly healthy foods and avoiding those considered to be bad. And it demonstrates a capacity for self-control, a value much esteemed in American culture. Because of this control, fad diets promise transformation into the identity one desires, the body one values, and the lifestyle one aspires to. Finally, most of these diets retain legitimacy by convergencetheir precepts are similar, so once youve tried one, youre primed for the next. Paleo encourages belief in keto, gluten-free, and clean diets. When examined together, its clear that fad diets really arent about the food, but they do signal group belonging and self-identitytwo qualities central to the psychological health of most humans. And because they fulfill social (if not nutritional) goals, fad diets make cultural sense.

Janet Chrzanis an adjunct assistant professor of nutritional anthropology at the University of Pennsylvania.

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Opinion: Why We Fall for Fad Diets | TS Digest | The Scientist - The Scientist

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The 80/20 rule is a magic formula that allows you to find a balance between healthy eating and treat foods.

Here's a look at how this method promises to help you reach your ideal weight without depriving yourself.

No more diets, which, in the end, usually make you gain back the weight you lost anyway.

The 80/20 method aims to help you rebalance your diet long term. It is not really even a diet, but a new set of eating habits to adopt.

The main objective is to lose weight and especially to stabilise your weight, with no more yo-yo dieting or piling on the pounds as soon as you start eating normally again.

The rule is simple.

It involves making sure that 80% of your meals are healthy, balanced recipes, while the remaining 20% can be "pleasure foods."

With this approach, you are entitled, for example, to two "cheat meals" per week.

This method is based on the Pareto principle.

According to this rule, described by the Italian economist Vilfredo Pareto, about 80% of consequences are produced by just 20% of causes.

Such observations can also be seen in the world of work, in economics and in food.

The method requires eating a balanced diet 80% of the time.

As such, fruit, vegetables, vegetable proteins, legumes, meat or fish will make up 80% of your meals.

You must eat a variety of foods, in appropriate quantities, and avoid overly processed foods as much as possible.

For the remaining 20% of meals, you can relax and indulge yourself with a rich diet, but one that brings you pleasure. From burgers to chips, chocolate and pizza, there are no forbidden foods as long as the quantities remain reasonable.

To boost the effects of this new regime, add in some exercise, such as walking, running or yoga. AFP Relxnews

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Diet not working? Reach your ideal weight with the 80/20 rule - The Star Online

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Dive Brief:

Despite a comprehensive scientific report that pointed to recommendations for people to eat more fruits and vegetables and cut down on red meat, the latest edition of the Dietary Guidelines for Americans did not specifically recommend people adopt plant-based diets.It recommends people cut back on saturated fat and eat leaner proteins, but there is nothing specific that says a plant-based diet is a better option.

Unlike the Dietary Guidelines, which are updated and republished every five years, a White House Conference on Hunger, Nutrition and Health is not something that happens on a schedule. In the video announcement for this years conference, President Biden said he is committed to taking bold action to ease access to healthy food and end hunger, as well as preventatively combat diet-related disease.

This petition is looking for another chance for plant-based food to come to the center of federal nutrition policy.

The Physicians Committee for Responsible Medicines petition to center the conversation around plant-based eating was the result of a policy discussion on a video call last month. More than 100 people, including physicians, dietitians, nurses, teachers, university professors, public health professionals and firefighters participated, the group said. Some also submitted written recommendations.

With the overwhelming evidence of the role of meat and dairy in chronic disease, it is imperative the Biden-Harris administration advance policies not only to reduce and eliminate the consumption of these foods but also to encourage the further adoption of plant-based diets, Dr. Neal Barnard, the groups president, said in a statement.

Plant-based eating is likely to be discussed at the conference access to fresh fruits and vegetables and increasing their consumption rates are perpetual issues in expanding better nutrition but it has yet to be seen how much of a role it will play.

There has recently been a movement toward making plant-based food more available through government programs.Some plant-based meat companies have gone through the process for their products to be more easily used in school cafeterias. A provision in the House version of the still-pending 2023 Defense Department budget bill would create a pilot program to require plant-based options to be available at some military bases.

Regardless, any amount of discussion is just discussion even if it happens at the White House. Plant-based diet advocates need to convince policymakers, companies and, most importantly, consumers to make different choices for change to be made.

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Why a medical group wants plant-based diets discussed at the White House - Food Dive

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Supernatural and The Boys star Jensen Ackles doesnt actually stick to a strict diet. With three young kids, he admits its hard not to be the garbage disposal and eat chicken fingers, sliders, or whatever else is around. Still, when hes away from the kids, he tries to stay disciplined.

Dont overeat and dont overindulge, at least not all the time, he says in a new Eat Like video for Mens Health. In the video, Ackles breaks down his general diet to stay in superhero shape. When he first began training for his role as Soldier Boy in The Boys, Ackles says he didnt go on a diet, but simply cut out food he knew wasnt healthy, like fried foods. He traded the unhealthy food for grilled fish, grilled chicken, steamed vegetables, and steamed rice. Along with working out, the 44-year-old actor is happy to report he still looks good with his shirt off (like in his naked intro to The Boys).

Ive been more exposed in my 40s than I ever was in my 20s, Ackles says.

Ackles generally starts his day with granola and yogurt. He says he snacks throughout the day, rather than eating big meals. And he reiterates his diet comes down to smart choices, like apples instead of donuts, or celery with peanut butter.

For dinner, Ackles says nothing beats a classic steak once or twice a week. Otherwise, he mostly eats chicken, fish, or pork.

All of that sounds better than what Ackles says his The Boys character Soldier Boy probably subsists on, which he believes is caffeine, alcohol, and cigarettes.

For current food trends, he might get on that Liver King guy. Hed be like, Yeah! Nothing but meat and organs. I can get down with that.

Learn more about Jensens diet in the video above.

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Here's What Actor Jensen Ackles Eats to Stay in Shape - Men's Health

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