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Governor KathyHochultoday announced the completion of a $49 million housing development that will bring 80 new affordable apartments to downtown Yonkers.LandyCourt, a seven-story building located on School Street, will include homes reserved for formerly unhoused residents who will have access to on-site supportive services.

"As we work to fight homelessness and provide housing stability to all New Yorkers, it is critical that we expand access to supportive housing and quality healthcare,"GovernorHochulsaid."Our investment inLandyCourt will provide 48 individuals and families with the on-site care and services they need to thrive. By creating new affordable housing options in downtown Yonkers, we will improve the quality of life of our most vulnerable neighbors and strengthen the community they call home."

LandyCourt is part of GovernorHochul'ssweeping plans to make housing more affordable, equitable, and stable. In the recently enacted State Budget, the Governor successfully secured a new $25 billion, five-year, comprehensive housing plan that will increase housing supply by creating or preserving 100,000 affordable homes across New York, including 10,000 with support services for vulnerable populations, plus the electrification of an additional 50,000 homes. As part of that plan, this week the Governor signed new legislation to help convert underutilized hotel space into affordable housing for low-income and formerly homelessNewYorkers.

LandyCourt consists of 80 apartments for households earning at or below 60 percent of the Area Median Income. The School Street location was originally comprised of three parcels with vacant buildings thathave been demolished.

Residents of the supportive apartments will receive services through St. Joseph's Medical Center. These services include individual case management, educational services, employment assistance, psychiatric and behavioral health coordination and substance abuse support, along with referral services with the hospital's in-network array of programs.

Residential amenities include a community room with a kitchen, staff offices, an exercise room, a library, laundry facilities, and a rooftop garden. The development also includes 2,200 square feet for social services office space tobe usedby St. Joseph's and 34 parking spaces.

LandyCourt is located within walking distance of shopping, restaurants, bus lines, parks, municipal services, and the St. Joseph's main hospital campus.

State financing for the $49 million development includes $15.1 million in permanent tax-exempt bonds, Federal Low-Income Tax Credits that generated $17.2 million in equity and $10.7 million in subsidy from New York State Homes and Community Renewal. The New York State Office of Temporary and Disability Assistance provided $2.8 million through the Homeless Housing Assistance Program. The New York State Office of Mental Health provided construction financing and $345,000 in Program Development Grant funding to support start-up costs such as furniture, staff recruitment, and training.

OMH also provided funding for rental subsidies and supportive services. The development team consists of St. Joseph's Medical Center and Concern Housing, Inc.

Homes and Community Renewal CommissionerRuthAnneVisnauskassaid,"In the last decade, HCR has invested over $462 million to create and preserve 3,500 affordable homes in Yonkers. The $49 millionLandyCourt builds upon this success with an additional 80 apartments, including 48 with on-site supportive services. Along with our partners, St. Joseph's Medical Center and Concern Housing, Inc., we are helping residents build stable and successful lives in a modern building with easy access to transit and services. This development demonstrates how we can fight homelessness and housing insecurity while keeping our downtowns thriving.Congratulationsto everyone who played a role in bringing this development to Yonkers."

OMH Commissioner Dr. Ann Sullivan said,"LandyCourt will provide people living with mental illness with the on-site services and the safe and stable homes they need to live full and productive lives in their own communities. This is a great addition to downtown Yonkers and another example of GovernorHochul'scommitment to helping vulnerable New Yorkers, and we at OMH are proud to have played a role in its construction."

State Office of Temporary and Disability Assistance Commissioner Daniel W.Tietzsaid,"Supportive housing plays a critical role in ensuring long-term housing stability for many who have experienced homelessness.LandyCourt provides permanent housing paired with supportive services for adults with a serious mental illness, while also bringing renewed vitality to a city block previously characterized by vacant, dilapidated buildings. This project, like many others supported through the Homeless Housing and Assistance Program, further demonstrates GovernorHochul'sunwavering commitment toward ensuring all New Yorkers have access to safe, affordable homes."

Yonkers Mayor MikeSpanosaid,"Congratulationsto St. Joseph's Medical Center on the vision and completion of this wonderful addition to our city's housing stock. St. Joseph's has long been a cornerstone of our community and this project demonstrates their continued commitment to the needs of our residents, providing new, quality affordable housing."

Assemblyman NaderSayeghsaid,"All Yonkers residents deserve to live in affordable, safe, and vibrant neighborhoods which is why I voted in favor of New York State's 5-year plan to add 100,000 affordable housing units. Working together with State and Local Government, community organizations, and developers, we can tackle the housing crisis and make our city a more affordable place for everyone."

State Senate Majority-Leader Andrea Stewart-Cousins said,"The naming of this development is a great and fitting tribute to JimLandyand all his efforts to create affordable housing in Yonkers in his roles as Chair of the Municipal Housing Authority for the City of Yonkers and Chair of St. Joseph's Medical Center.LandyCourt is a unique and innovative development, which will not only provide safe, low-cost housing for those that will live there,butprovide rental subsidies and on-site supportive services for 48 formerly homeless adults. The whole community benefits when partnerships such as this one between St. Joseph's Medical Center, Concern Housing, Inc., the New York State Office of Mental Health, Office of Temporary and Disability Assistance and Homes and Community Renewal exist. I understand how critical affordable housing is, which is why I've strongly prioritized funding for these agencies."

County Executive George Latimer said,"Westchester County is pleased to have played a part in the redevelopment of vacant buildings on School Street in Yonkers, which will now provide 80 units of affordable housing for families, and 48 units dedicated to adults struggling with homelessness. The completion ofLandyCourt adds to our mission to create and sustain affordable housing in Westchester, while providing necessary support services and helping to revitalize this Yonkers community."

Saint Joseph's Medical Center President and CEO Michael Spicer said,"Saint Joseph's affordable and supportive housing meets a significant need in our community. The 32 affordable housing units provide an attractive, new permanent place to live for local individuals and families who meet the qualifications. The 48 supportive apartments will meet the needs of those individuals who have demonstrated the ability to live independently in the community with on-site support services. This programis designedto offer support and assistance to help individuals maintain skills of daily living and foster successful integration in the community. The building has been named,LandyCourt, after James J.Landy, our Chairman of our Board and longtime supporter of affordable housing."

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Governor Hochul Announces Completion of $49 Million Affordable and Supportive Housing Development in Yonkers - ny.gov

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Tennis is one of the most popular racket sports in the world. It can be played individually against a single opponent or between two teams of two players each. Tennis is an enjoyable way to maintain your health, fitness, strength and agility. As tennis can be played by people of all ages and fitness levels, we spoke to some of Indias leading experts to learn more about its health benefits. Heres what they said.

Tennis is a great addition to any workout regime because it improves metabolic function, muscle tone, strength and flexibility. It also boosts aerobic capabilities. Tennis also helps increase your reaction time and attention span, remarks Sonakshi Bagla, fitness expert and founder of Shakti Warrior, an athletic wear brand.

1. Boosts Brain Power and Mood

Playing tennis regularly can improve your critical and tactical thinking and mental alertness. A good lifestyle includes a balanced blend of adequate physical activity and a modulated diet. While dietitians can advise people to eat a balanced diet and even curate a dietary schedule, it is important to supplement that with a good exercise regime. And for those, who find that too boring, you could invest in a sport like tennis. Tennis requires full body coordination and hence, it keeps the brain active. This further results in the active release of serotonin, which helps you to sleep soundly, says dietician and fitness expert Vidhi Chawla, founder of Fisico Diet Clinic.

2. Aids Weight Loss

Playing tennis is an excellent cardiovascular workout where you are constantly running, pivoting or stretching various muscles of your body. Moreover, as per reports from the American Dietetic Association, recreational tennis players can burn an estimated 600 to 1,320 calories per two-hour singles session while competitive players can burn between 768 to 1,728 calories. Therefore, adding tennis to your weight loss regime is beneficial.

3. Improves Overall Fitness Levels

Tennis can help you improve your overall physical health in daily life by lowering your resting heart rate and blood pressure. Tennis is a full-body workout. As you sprint around the tennis court, you work your leg muscles. Your core is working as you maintain your balance while chasing the ball. Participating in this sport can help you improve your balance, flexibility, coordination, and agility, adds nutritionist Dr Rohini Patil.

4. Reduces Stress

Tennis also provides an opportunity for social interaction and reduces stress. Furthermore, playing tennis regularly releases serotonin and endorphins, which decrease stress, anxiety and depression, and have a positive impact on your mood and sleep.

5. Decreases the Risk of Osteoporosis

According to the National Institutes of Health, weight-bearing exercises such as tennis help prevent diseases like osteoporosis, which is a bone disease that occurs when the body loses too much bone, makes too little bone, or both. While playing tennis, every time you raise your racquet to hit the ball, youre working against gravity that helps strengthen your bones.

6. Improves Strength, Agility and Balance

Tennis is a full-body workout with great health benefits. In my opinion, tennis is outstanding for strength, agility, speed and conditioning. A continuous process of starts and stops helps in strengthening the leg muscles. Moreover, quick agile movements are required as the player sprints from one side to the other. Quick accelerations and even quicker stops build great muscle motor control over a period of time, says Harpreet Vir Singh, fitness expert and founder, YourHappyLife and Roots Premier League.

Additionally, regularly playing tennis will improve your balance as the sport trains your body to maintain its equilibrium while hitting the ball and serving with a two-foot extension of your arm. The constant switching of movement in tennis teaches your body and brain to adapt more quickly.

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6 health benefits of playing tennis and why its a good idea to add it to your workout program - GQ India

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NHS Forth Valley piloted the classes in Clackmannanshire before the pandemic and the results were so encouraging that the classes are now being rolled out to Grangemouth and Stirling.

Ian McLean, orthopaedic surgeon at Forth Valley Royal Hospital in Larbert, explained that pain in the joints is a wake up call from your ageing alarm clock.

But the good news, he added, is that its never too late to improve your condition.

The clear evidence of just how beneficial the right diet and exercise can be came from a pilot programme called Best in Class, which ran for a year in Clackmannanshire aimed to help people to help themselves.

Developed before the pandemic started, it helped people get physio treatment by introducing a physiotherapist joint pain adviser who worked in GP practices in Clackmannanshire.

Patients were given arthritis education and also encouraged to attend the hip and knee classes.

Kenny Cook, active communities officer in Clackmannanshire, said that anyone with knee or hip pain who was worried that exercise would make things worse, that wasnt the case.

He said: Some people with knee or hip pain think that exercise wont help the pain but it can help the muscles in the joint area round about the knee or the hip, which can reduce the pain and improve their overall health and flexibility.

It can have other benefits too it can help with blood pressure and weight loss too.

The results were even more impressive than had been anticipated and now, as the health service begins to emerge from the pandemic, the programme will start to be rolled out.

That ties in perfectly with last weeks announcement that Forth Valley Royal Hospital is to get a new ward that will concentrate almost exclusively on knee and hip replacements. And it will be vital that patients are given as much support as possible to prepare for surgery, both physically and mentally, programme director Gillian Morton explained.

She said: There has been a lot of investment and time with the clinical teams round about how we make people as fit as we can before they actually come in before the surgery.

Thats important for many reasons: not only can surgery be delayed if people are over weight, being fitter can really aid recovery from surgery.

NHS Forth Valleys chief executive, Cathie Cowan, said they had been surprised by just how successful the pilot had been. She said: In actual fact, with that support saw a number of people who had planned surgery not needing surgery or it slowed down the need for surgery.

Advance practice physiotherapists are now in more than half of GP practices in Forth Valley.

The exercise classes are being offered by Active Forth at Grangemouth Sports Centre, 4.30-5.15pm. To find out more call Active Forth on 01324 504568.

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Falkirk Health: NHS exercise class in Grangemouth will help with knee and hip pain - Falkirk Herald

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Introduction

Overweight and obesity are risk factors for noncommunicable diseases, such as type 2 diabetes, cardiovascular disease, and some cancers.14 Globally, the prevalence of obesity and overweight has significantly risen over the past three decades,5 and the projected obesity trends are expected to enhance its economic burden.6 In Taiwan, the prevalence of obesity in adults has also increased over the past two decades, and approximately half of adults in Taiwan have become overweight or obese.7,8 Weight loss through lifestyle modification can significantly produce health benefits.912 However, only a small proportion of patients with obesity undergoing lifestyle modification achieve clinically significant weight loss and weight loss maintenance.13,14 To date, no country has succeeded in reversing the current obesity pandemic.15

Since coronavirus disease 2019 (COVID-19) was declared a global pandemic,16 several studies conducted in different countries have shown lower diet quality, higher overeating frequency, less physical activity, and weight gain during the COVID-19 pandemic compared to before the COVID-19 pandemic.1720 Furthermore, obesity increases the risk of severe COVID-19 illness, hospitalization, and mortality.2124 However, weight management programs for obesity have been reduced during the COVID-19 pandemic to ensure the safety of patients and healthcare professionals.25 Thus, remote approaches instead of face-to-face interactions for weight management are required.

Prior to the COVID-19 pandemic, many studies demonstrated that telehealth and mobile health (mHealth) technologies are effective tools for weight loss treatment.26 Weight loss treatment delivered by smartphone applications (apps) may lead to higher adherence and greater weight loss compared to that delivered by websites or paper diaries.27 In the Asian population, the use of a mobile app applied to weight loss may also have benefits for improving diet quality and weight loss self-efficacy.28,29 During the COVID-19 pandemic, the use of telehealth increased by almost 200% in the US.30 Recently, a randomized clinical trial, using the mHealth app to promote ketogenic diet during the COVID-19 pandemic, found that self-reported dietary adherence is an important predictor of weight-loss success.31 Thus, telehealth technologies may be a feasible choice for weight management during the COVID-19 pandemic.

Although a nation-wide lockdown was not implemented until May 18, 2021, a social distancing policy was implemented after a locally-transmitted COVID-19 infection was reported on January 21, 2020 in Taiwan.32 Assembly and gathering were restricted according to public assembly guidelines published by the Taiwan Centers for Disease Control. Since September 1, 2020, the Taichung Veteran General Hospital (VGH) provided a weight management program, which combined self-monitoring of meal tracking and weight tracking as well as person-to-person individualized feedback, via a mobile app during follow-up in the Weight Control Outpatient Department in the Taichung VGH.

The present study retrospectively assessed data from real-life practice to examine the degree of weight loss during a mobile weight management program in the Taichung VGH during the COVID-19 pandemic and explored independent factors associated with successful weight loss.

We retrospectively collected the medical information of subjects who had undergone weight loss treatment at the Weight Control Outpatient Department in the Taichung VGH between September 2020 and May 2021. The inclusion criteria were: (1) age between 20 and 64 years; (2) initial body mass index (BMI) 24 kg/m2; (3) patients registering the homecare app between September 2020 and May 2021. The exclusion criteria were: (1) changing any medications within 3 months before the first visit; (2) the use of anti-obesity drugs within 3 months before the first visit; (3) the use of glucagon-like peptide 1 agonists; (4) a history of bariatric surgery; (5) weight loss by > 5% in 6 months prior to baseline measurements; (6) a history of endocrine disorders; (7) a history of drug addiction or psychological disorders; (8) the use of systemic steroids; (9) pregnancy; and (10) no any meal photo uploaded onto the homecare app. Finally, we enrolled participants in our analyses only if they had at least two anthropometric measurements at different visits during the program (Figure 1).

Figure 1 Flow diagram of the enrollment of study subjects.

Abbreviation: VGH, Veteran General Hospital.

The Taichung VGH homecare app is a non-commercial app consisting of a patient interface and a professional interface. The patient interface allows subjects to record their blood pressure, blood glucose, body weight, and meal contents via a smartphone. Particularly, meal contents can be uploaded as photos with text annotations and patient users can obtain feedback messages from professional users. The professional interface is the backstage management system, accessible by professional users. Professional users monitor the records of blood pressure, blood glucose, body weight, and meal contents uploaded by participants. Notably, professional users can send person-to-person messages in response to meal photos through the professional interface.

The mobile weight management program was provided, beginning September 1, 2020. Patients in the first visit to the Weight Control Outpatient Department registered in the Taichung VGH homecare app. Patients were assigned to a personalized meal plan with a specific calorie and macronutrient goal based on their initial weight. This program used daily weight tracking, meal tracking, and personalized feedback for meal tracking on the homecare app. Patients were encouraged to participate in weight tracking every day and upload all food and beverages consumed throughout the program without a limit on the number of food logs entered daily. Patients logged meals, snacks, treats, and beverages, including their photo, description, and quantity. Each photo of an individual meal, snack, treat, or beverage was considered a single food log entry.

Professional users, four physicians and one dietitian, checked the weight and meal tracking records on the professional interface and sent personalized feedback messages, including mental health support and diet education based on each meal photo, to the patient-user interface. Diet education included estimation of calorie, knowledge and estimation of macronutrients, and suggestions for dietary adjustments. Patient users received messages on the homecare app from professional users, and were encouraged to adjust their diet content based on recommendations to meet their personalized meal goals (Figure 2).

Figure 2 Circuit of mobile weight management program on the app.

Outpatient follow-up visits were requested in an interval of less than 3 months, and anthropometric measures (body weight, waist circumference, hip circumference, body fat mass, skeletal muscle mass, body fat mass percentage, and fat-free mass) were evaluated on every follow-up visit. Patients who did not attend the next outpatient follow-up visits within 3 months were defined as being at end of weight loss treatment.

Baseline data obtained from the medical records of the initial face-to-face interview included age, sex, and anthropometric measures (body height, body weight, waist circumference, hip circumference, body fat mass, skeletal muscle mass, body fat mass percentage, and fat-free mass). Body weight, body fat mass, body fat mass percentage, skeletal muscle mass, and fat-free mass were measured at every follow-up visit with a calibrated bioelectrical impedance scale (InBody 230 multifrequency analyzer, Biospace Corp., Seoul, Korea). BMI was calculated through the following equation: weight (kg)/(height [m])2. Waist circumference was measured to the midpoint between the lower border of the rib cage and the iliac crest. Hip circumference was measured at the level of the greatest protrusion of the buttocks when the subject was standing erect with feet together.

Type 2 diabetes was defined according to a recorded diagnosis of type 2 diabetes or use of antidiabetic drugs, an HbA1c level 6.5%, or a fasting glucose level 126 mg/dL before the date of the first visit. Prediabetes was defined according to a recorded diagnosis of prediabetes, an HbA1c between 5.7 and 6.4% or glucose between 100 and 125 mg/dL before the date of the first visit in subjects who did not meet the criteria for diabetes. Hypertension was defined according to a recorded diagnosis of hypertension or use of anti-hypertensive drugs.

Educational status, marital status, fertility status, history of weight loss, exercise habits, snacking habits, and times of eating out per week were all categorized and obtained at the first weight control outpatient visit.

The primary outcome was a successful weight loss, defined as a final weight reduction by 5% of the initial body weight.33 Changes in other anthropometric measures were defined as follows: (the last observed anthropometric measurements) (the first observed anthropometric measurements). Duration of treatment was defined as the interval between the date of the first and last observed in-person exams. The number of dietary records was defined as the number of meal photos tracked over the duration of treatment. The number of diet records per week was defined as follows: (the number of dietary records)/(duration of treatment). The number of days of weight recording was defined as the number of days of weight tracking over the duration of treatment. The completion ratio of daily weight recording was defined as follows: (days of weight recording/days of the duration of treatment) 100%. The number of outpatient visits was defined as the number of outpatient visits over the duration of treatment. The interval of outpatient visits was defined as follows: (weeks of treatment duration)/(number of outpatient visits).

All continuous data are presented as the mean standard deviation (SD). Categorical data are presented as numbers and percentages. A MannWhitney U-test was conducted to detect significant differences in continuous variables between groups. A Wilcoxon Signed Rank test was conducted to detect significant differences in continuous variables before and after treatment. Chi-square tests were conducted to detect differences in categorical variables. Backward-stepwise logistic regression was used to identify the factors associated with successful weight loss (weight loss by 5%). Statistical analyses were performed using SPSS version 22.0 software (IBM Corp., Armonk, NY, USA).

In a total of 45 subjects enrolled in the study, a mean weight reduction of 4.1 4.4 kg (P < 0.001) was observed over a mean duration of 11.0 7.3 weeks. There were 24 (53.3%) subjects in the unsuccessful weight loss group with weight loss < 5%, and 21 (46.7%) subjects in the successful weight loss group, including: 14 subjects (31.1%) with weight loss between 5% and 9.9%, 5 (11.1%) subjects with weight loss between 10% and 14.9%, and 2 (4.4%) subjects with weight loss 15% (Figure 3).

Figure 3 Proportions of patients categorized by weight loss of their baseline body weight.

The characteristics of enrolled subjects are shown in Table 1. Subjects in the successful weight loss group had lower baseline body fat percentages compared to those in the unsuccessful weight loss group (37.5 6.9% vs 41.6 6.3%, P = 0.032). There were no significant differences in age (37.4 11.2 years vs 43.1 12.3 years, P = 0.108) and sex (47.6% female vs 75% female, P = 0.114) between the successful weight loss and the unsuccessful weight loss groups, respectively. There were no significant differences in baseline body weight, BMI, waist circumference, hip circumference, body fat mass, skeletal muscle mass, body fat mass percentage, fat-free mass, number of subjects with type 2 diabetes, prediabetes, hypertension, antidiabetic drug history, educational status, marital status, fertility status, history of weight loss, exercise habits, snacking habits, and times of eating out per week between these two groups.

Table 1 Baseline Characteristics of the Enrolled Patients

The use of the mobile app and other aspects of the interventions are shown in Table 2.

Table 2 The Clinical Practice in the Weight Loss Program

Subjects in the successful weight loss group had longer duration of treatment (14.6 6.5 weeks vs 6.9 6.0 weeks, P < 0.001), higher number of dietary records (109.2 84.7 vs 54.7 58.8, P = 0.002), higher number of outpatient visits (6.1 2.7 vs 3.7 2.3, P < 0.001), and higher interval of outpatient visits (2.5 1.1 weeks vs 1.8 0.9 weeks, P = 0.003) than those in the unsuccessful weight loss group. There were no significant differences in the number of dietary records per week, days of weight recording, and completion ratio of daily weight recording between these two groups.

Table 3 shows the changes in the anthropometric measurements. Subjects in the successful weight loss group had higher weight loss in percentage (8.6 3.4% vs 1.3 2.4%, P < 0.001), higher weight loss (7.6 3.4 kg vs 1.1 2.4 kg, P < 0.001), higher BMI reduction (2.7 1.1 kg/m2 vs 0.4 0.8 kg/m2, P < 0.001), higher waist circumference reduction (7.0 3.7 cm vs 1.9 3.2 cm, P < 0.001), higher hip circumference reduction (5.4 3.4 cm vs 0.7 3.3 cm, P < 0.001), higher body fat mass reduction (6.2 3.0 kg vs 1.0 1.1 kg, P < 0.001), higher skeletal muscle mass reduction (0.9 1.1 kg vs 0 1.1 kg, P = 0.018), higher body fat percentage reduction (4.4 3.0% vs 0.7 1.1%, P < 0.001), and higher fat-free mass reduction (1.5 1.9 kg vs 0.1 1.9 kg, P = 0.021) than those in the unsuccessful weight loss group.

Table 3 Changes in Anthropometric Outcome Measures

Multivariate logistic regression analyses demonstrated that duration of treatment was an independent factor associated with successful weight loss (odds ratio = 1.23, 95% confidence interval: 1.081.41, P = 0.003). The association was significant in both the crude and adjusted models (Table 4).

Table 4 Univariate and Backward Multivariate Logistic Analysis Showing Odds Ratios for Successful Weight Loss

The present study showed a mean weight loss of 4.7% of baseline body weight during an average 11 weeks of treatment using a mobile app. There were 46.7% of patients who had successful weight loss 5% of baseline weight. The duration of treatment was an independent factor associated with successful weight loss. Setting a weight loss goal is important for obesity management.34 According to the Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society in 2013, a loss of 5% of the initial body weight can be a target for successful weight loss.33 In line with our findings, the duration of treatment was reported as the only independent factor of successful weight loss defined by 5% baseline weight, and all other assessed variables were no longer significantly associated with successful weight loss after adjustment for duration of treatment based on the data retrospectively extracted from electronic medical records in The Wharton Weight Management Clinic.35 Hu et al demonstrated that enrollment length in the digital Foodsmart platform was significantly associated with successful weight loss of 5% in a retrospective cohort.36 Similarly, 52-week weight loss programs showed significantly greater weight losses than 12-week programs based on a randomized controlled trial using life-style modification.37 Notably, early attrition and drop out, defined as a participant not attending a scheduled visit, were negative predictors of successful weight loss during clinical trials.38

It was previously reported that a higher frequency of face-to-face attendance is a significant predictor of greater weight loss in conventional weight loss programs.3942 In contrast to the conventional weight loss programs, we observed a longer interval of outpatient visits and more outpatient visits in the successful weight loss group than in the unsuccessful weight loss group. None of above outpatient visit profile was independent factor after adjustment for the duration of treatment in the present study. Since self-monitoring and diet education are conducted via the mobile app, the goal of weight loss can be achieved without frequent face-to-face visits during the COVID-19 pandemic.

Dietary self-monitoring is an important component of weight loss programs.4345 This relationship between a dietary diary and weight loss has been revealed via use of online support.46 In the Livongo Diabetes Prevention Program, food logging had the most important impact on weight loss.47 Falkenhain et al also reported that self-reported dietary adherence was the most important metric to predict weight loss during the COVID-19 pandemic, based on a secondary analysis of a randomized clinical trial using a mHealth ketogenic diet app intervention.31 Although the number of dietary records in the 5% weight loss group was significantly greater than that in the < 5% weight loss group in the present study, the difference became nonsignificant after standardizing the number of dietary records by treatment time, ie the number of dietary records per week. Carter et al reported that a long duration was significantly associated with improvement of weight loss via electronic dietary self-monitoring using a mobile app.48 In line with our findings, weight loss via an app using a photo feature as a dietary record method showed that a greater weight loss is mediated by increased duration and logged days.49 Notably, several dietary-based programs for weight loss demonstrated that greater initial weight loss is associated with a lower study dropout rate.5054 Initial weight loss is a known predictor of successful weight loss and greater initial weight loss may be the motivating factor leading to longer treatment length and less attrition.55

High education is helpful in adopting a healthy diet and associated with a good repose to weight loss program.56 Despite high education was associated with successful weight loss under univariable analysis, the association became nonsignificant after adjustment for the duration of treatment using mobile app in the present study. It has been reported that self-reporting weight has a potential social desirability bias.57 The strength of our study was that the measurements of weight was performed using the same InBody machine for body-component analyses. However, the present study had several limitations: First, to promote adherence to the program, subjects were not followed by a fixed time schedule, and diet education via the app did not use a fixed formula in this study program. Therefore, our results cannot be applied to the weight-reduction programs with fixed-visit schedules. Second, the case number was relatively small in the present study. Third, changes in adherence-related profiles are important for successful weight loss. The self-weighing trajectories are reported to be significantly associated with weight-loss maintenance.58 However, we did not perform these analyses due to limited case numbers and different visit intervals in each participant. Fourth, the present study had an observational design, which did not allow the determination of a causal effect. A randomized controlled trial is warranted to help determine causal direction.

We present a retrospective analysis of a weight management program using an app with self-monitoring dietary records, weight tracking, and person-to-person individualized feedback in real-world practice during the COVID-19 pandemic. The duration of treatment was an independent factor associated with successful weight loss. The numbers of dietary records and outpatient visits were not significantly associated with successful weight loss in multivariate logistic analysis.

The study complied with the Declaration of Helsinki. The Institutional Review Board of the Taichung Veterans General Hospital approved the protocol (ethical approval code: CE21241B) and waived the need for informed consent due to the retrospective collection of data. Anonymous medical record data were obtained from the Clinical Informatics Research & Development Center of Taichung Veterans General Hospital after delinking the identification code.

This work was supported by grants from the Taichung Veterans General Hospital, Taichung, Taiwan (grant number TCVGH-1103503C) and the Ministry of Science and Technology, Taiwan (grant number MOST 110-2314-B-075A-004-MY3). The funders had no role in the decision to submit the manuscript for publication.

The authors report no conflicts of interest in this work.

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2. Flegal KM, Graubard BI, Williamson DF, Gail MH. Excess deaths associated with underweight, overweight, and obesity. JAMA. 2005;293(15):18611867. doi:10.1001/jama.293.15.1861

3. Ogden CL, Carroll MD, McDowell MA, Flegal KM. Obesity among adults in the United States--no statistically significant change since 20032004. NCHS Data Brief; 2007:18.

4. Ogden CL, Yanovski SZ, Carroll MD, Flegal KM. The epidemiology of obesity. Gastroenterology. 2007;132(6):20872102. doi:10.1053/j.gastro.2007.03.052

5. Ng M, Fleming T, Robinson M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 19802013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766781. doi:10.1016/S0140-6736(14)60460-8

6. Wang YC, McPherson K, Marsh T, Gortmaker SL, Brown M. Health and economic burden of the projected obesity trends in the USA and the UK. Lancet. 2011;378(9793):815825. doi:10.1016/S0140-6736(11)60814-3

7. Chang HC, Yang HC, Chang HY, et al. Morbid obesity in Taiwan: prevalence, trends, associated social demographics, and lifestyle factors. PLoS One. 2017;12(2):e0169577. doi:10.1371/journal.pone.0169577

8. Yeh CJ, Chang HY, Pan WH. Time trend of obesity, the metabolic syndrome and related dietary pattern in Taiwan: from NAHSIT 19931996 to NAHSIT 20052008. Asia Pac J Clin Nutr. 2011;20(2):292300.

9. Liao CC, Sheu WH, Lin SY, Lee WJ, Lee IT. The relationship between abdominal body composition and metabolic syndrome after a weight reduction program in adult men with obesity. Diabetes Metab Syndr Obes. 2020;13:18. doi:10.2147/DMSO.S228954

10. Franz MJ, VanWormer JJ, Crain AL, et al. Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. J Am Diet Assoc. 2007;107(10):17551767. doi:10.1016/j.jada.2007.07.017

11. Anderson JW, Konz EC. Obesity and disease management: effects of weight loss on comorbid conditions. Obes Res. 2001;Suppl 9(S11):326S334S. doi:10.1038/oby.2001.138

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18. Sidor A, Rzymski P. Dietary choices and habits during COVID-19 lockdown: experience from Poland. Nutrients. 2020;12(6):1657. doi:10.3390/nu12061657

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20. Robinson E, Boyland E, Chisholm A, et al. Obesity, eating behavior and physical activity during COVID-19 lockdown: a study of UK adults. Appetite. 2021;156:104853. doi:10.1016/j.appet.2020.104853

21. Kass DA, Duggal P, Cingolani O. Obesity could shift severe COVID-19 disease to younger ages. Lancet. 2020;395(10236):15441545. doi:10.1016/S0140-6736(20)31024-2

22. Caussy C, Pattou F, Wallet F, et al. Prevalence of obesity among adult inpatients with COVID-19 in France. Lancet Diabetes Endocrinol. 2020;8(7):562564. doi:10.1016/S2213-8587(20)30160-1

23. Williamson EJ, Walker AJ, Bhaskaran K, et al. Factors associated with COVID-19-related death using OpenSAFELY. Nature. 2020;584(7821):430436. doi:10.1038/s41586-020-2521-4

24. Ho FK, Celis-Morales CA, Gray SR, et al. Modifiable and non-modifiable risk factors for COVID-19, and comparison to risk factors for influenza and pneumonia: results from a UK Biobank prospective cohort study. BMJ Open. 2020;10(11):e040402. doi:10.1136/bmjopen-2020-040402

25. England PH. Weight management services during COVID-19: Phase 1 insights; 2020 [cited September 7, 2020]. Available from: https://www.gov.uk/government/publications/weight-management-services-during-covid-19-phase-1-insights. Accessed June 2, 2022.

26. Ufholz K, Bhargava D. A review of telemedicine interventions for weight loss. Curr Cardiovasc Risk Rep. 2021;15(9):17. doi:10.1007/s12170-021-00680-w

27. Carter MC, Burley VJ, Nykjaer C, Cade JE. Adherence to a smartphone application for weight loss compared to website and paper diary: pilot randomized controlled trial. J Med Internet Res. 2013;15(4):e32. doi:10.2196/jmir.2283

28. Ang SM, Chen J, Liew JH, et al. Efficacy of interventions that incorporate mobile apps in facilitating weight loss and health behavior change in the asian population: systematic review and meta-analysis. J Med Internet Res. 2021;23(11):e28185. doi:10.2196/28185

29. Cavero-Redondo I, Martinez-Vizcaino V, Fernandez-Rodriguez R, Saz-Lara A, Pascual-Morena C, lvarez-Bueno C. Effect of behavioral weight management interventions using lifestyle mhealth self-monitoring on weight loss: a systematic review and meta-analysis. Nutrients. 2020;12(7):1977. doi:10.3390/nu12071977

30. Demeke HB, Merali S, Marks S, et al. Trends in use of telehealth among health centers during the COVID-19 pandemic - United States, June 26-November 6, 2020. MMWR Morb Mortal Wkly Rep. 2021;70(7):240244. doi:10.15585/mmwr.mm7007a3

31. Falkenhain K, Locke SR, Lowe DA, et al. Use of an mHealth ketogenic diet app intervention and user behaviors associated with weight loss in adults with overweight or obesity: secondary analysis of a randomized clinical trial. JMIR mHealth UHealth. 2022;10(3):e33940. doi:10.2196/33940

32. Liu YC, Liao CH, Chang CF, et al. A locally transmitted case of SARS-CoV-2 infection in Taiwan. N Engl J Med. 2020;382:10701072. doi:10.1056/NEJMc2001573

33. Jensen MD, Ryan DH, Apovian CM, et al. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation. 2014;129(25_suppl_2):S102138. doi:10.1161/01.cir.0000437739.71477.ee

34. Wharton S, Lau DCW, Vallis M, et al. Obesity in adults: a clinical practice guideline. CMAJ. 2020;192:E875E891. doi:10.1503/cmaj.191707

35. Jiandani D, Wharton S, Rotondi MA, Ardern CI, Kuk JL. Predictors of early attrition and successful weight loss in patients attending an obesity management program. BMC Obes. 2016;3:14. doi:10.1186/s40608-016-0098-0

36. Hu EA, Nguyen V, Langheier J, et al. Weight reduction through a digital nutrition and food purchasing platform among users with obesity: longitudinal study. J Med Internet Res. 2020;22:e19634. doi:10.1016/S0140-6736(20)31024-2

37. Ahern AL, Wheeler GM, Aveyard P, et al. Extended and standard duration weight-loss programme referrals for adults in primary care (WRAP): a randomised controlled trial. Lancet. 2017;389(10085):22142225. doi:10.1016/S0140-6736(17)30647-5

38. Ponzo V, Scumaci E, Goitre I, et al. Predictors of attrition from a weight loss program. A study of adult patients with obesity in a community setting. Eat Weight Disord. 2021;26(6):17291736. doi:10.1007/s40519-020-00990-9

39. Kerrigan SG, Clark M, Convertino A, Forman EM, Butryn ML. The association between previous success with weight loss through dietary change and success in a lifestyle modification program. J Behav Med. 2018;41(2):152159. doi:10.1007/s10865-017-9883-6

40. Batra P, Das SK, Salinardi T, et al. Eating behaviors as predictors of weight loss in a 6 month weight loss intervention. Obesity. 2013;21(11):22562263. doi:10.1002/oby.20404

41. Piernas C, MacLean F, Aveyard P, et al. Greater attendance at a community weight loss programme over the first 12 weeks predicts weight loss at 2 years. Obes Facts. 2020;13(4):349360. doi:10.1159/000509131

42. Karlsen TI, Shagen M, Hjelmesth J. Predictors of weight loss after an intensive lifestyle intervention program in obese patients: a 1-year prospective cohort study. Health Qual Life Outcomes. 2013;11:165. doi:10.1186/1477-7525-11-165

43. Burke LE, Wang J, Sevick MA. Self-monitoring in weight loss: a systematic review of the literature. J Am Diet Assoc. 2011;111(1):92102. doi:10.1016/j.jada.2010.10.008

44. Boutelle KN, Kirschenbaum DS. Further support for consistent self-monitoring as a vital component of successful weight control. Obes Res. 1998;6(3):219224. doi:10.1002/j.1550-8528.1998.tb00340.x

45. Taylor CB, Agras WS, Losch M, Plante TG, Burnett K. Improving the effectiveness of computer-assisted weight loss. Behav Ther. 1991;22(2):229236. doi:10.1016/S0005-7894(05)80178-9

46. Johnson F, Wardle J. The association between weight loss and engagement with a web-based food and exercise diary in a commercial weight loss programme: a retrospective analysis. Int J Behav Nutr Phys Act. 2011;8:83. doi:10.1186/1479-5868-8-83

47. Painter SL, Lu W, Schneider J, James R, Shah B. Drivers of weight loss in a CDC-recognized digital diabetes prevention program. BMJ Open Diabetes Res Care. 2020;8(1):e001132. doi:10.1136/bmjdrc-2019-001132

48. Carter MC, Burley VJ, Cade JE. Weight loss associated with different patterns of self-monitoring using the mobile phone app my meal mate. JMIR mHealth UHealth. 2017;5(2):e8. doi:10.2196/mhealth.4520

49. Ben Neriah D, Geliebter A. Weight loss following use of a smartphone food photo feature: retrospective cohort study. JMIR mHealth UHealth. 2019;7(6):e11917. doi:10.2196/11917

50. Yackobovitch-Gavan M, Steinberg DM, Endevelt R, Benyamini Y. Factors associated with dropout in a group weight-loss programme: a longitudinal investigation. J Hum Nutr Diet. 2015;28(Suppl 2):3340. doi:10.1111/jhn.12220

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52. Handjieva-Darlenska T, Holst C, Grau K, et al. Clinical correlates of weight loss and attrition during a 10-week dietary intervention study: results from the NUGENOB project. Obes Facts. 2012;5(6):928936. doi:10.1159/000345951

53. Batterham M, Tapsell LC, Charlton KE. Predicting dropout in dietary weight loss trials using demographic and early weight change characteristics: implications for trial design. Obes Res Clin Pract. 2016;10(2):189196. doi:10.1016/j.orcp.2015.05.005

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58. Zheng Y, Burke LE, Danford CA, et al. Patterns of self-weighing behavior and weight change in a weight loss trial. Int J Obes. 2016;40:13921396. doi:10.1038/ijo.2016.68

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Duke freshman AJ Griffin participated in a pre-draft workout with the Portland Trail Blazers on Thursday and had the opportunity to talk with Damian Lillard afterward.

Griffin, who was named to the ACC All-Freshman Team, averaged 10.4 points, 3.9 rebounds and one assist on 44.7% shooting from 3-point range last season. He ranked fifth in program history in 3-point percentage and second among freshmen.

The meeting with the Trail Blazers is the only known workout for Griffin at this point of the pre-draft process. He has been linked to Portland and projects to be a good addition next to Lillard, who took some time to give him some tips, via Aaron Fentress of The Oregonian.

Griffin enters the draft projected to be a lottery pick after emerging as a strong shooter off of the ball with the Blue Devils. Griffin, who wont turn 19 until August, is also viewed as one of the most physical players in the class boasting a 7-foot-2 wingspan.

The Trail Blazers enter the NBA draft with the seventh pick but are heavily rumored to want to trade it to acquire players that can help them win now. However, they have also been linked to several other prospects in their range, such as Bennedict Mathurin and Jalen Duren.

Portland will be among the teams that could be busy on draft night. The organization wants to build a competitive roster around Lillard and figures to be active in trade discussions.

The NBA draft will take place on June 23.

This post originally appeared on Rookie Wire! Follow us on Facebook!

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As the economy improves, more and more people start their businesses. This can be a daunting task for someone who has never worked on a team before. When people work without much experience working in groups, they often become overwhelmed by the task and quit before finishing anything. To ensure that your team can make it through business-building, its essential to learn how to keep yourself organized and focused while building chemistry with other people.

Tips for building professionals from beginners

One thing that scares people about hiring newbies is losing their productivity. It can be avoided by involving them in your new process. A simple example would be sending out a reminder email or making sure they know project deadlines and goals. Still, you can also involve them in product concept development and design, giving them input on features they like.

The key to productivity is not talking but, instead, doing. If you have a more talented person on your team and arent willing to help, you already know you cant get production out of them. It would help if you showed them that by communicating with the team regularly and showing them the results of the work they have produced. It can be as simple as commenting on their previous work or as complex as giving a feedback session after each project.

One of the things that can make an incompetent person productive is the feeling of pride that comes from knowing theyre helping others. Make your team members feel proud when they help you with problems, or show off this by making it a point to thank them for their hard work on one of their projects. Doing this will encourage your employees to put in more effort and provide better quality outputs. This also works well for teams, who may feel more motivated by service offers than money.

Rewarding your employees is something you probably do with friends or family, but it can work wonders for a team. Since incentives are purely based on motivation, this is a great way to keep a team of people working hard and motivated to come back every morning. Giving them bonuses and praise as they work can make your team more productive and more money!

One of the things that can hurt productivity is bossiness. This doesnt work for many people as it can cause them to lose interest and motivation. Try to be a benevolent dictator and give them clear goals and strategies. This way, you can get their best output without putting unnecessary pressure on them.

The biggest mistake we make in todays market is working against each other instead of working together on the same project. Many reasons can cause this breakdown, but the main problem is that we are working for high stakes. Instead, your employees should be aware that they are committed to their job and that you have a commitment to them. This will make them think twice before going to work without showing up and doing whats needed.

How to motivate your team

Let your team go to work at their own pace, and dont get in their way unless youre asking for help. If you do it this way, they are more likely to deliver whats promised and get the best out of themselves.

Show your employees that you respect them by talking to them and how you treat them. Please dont get too personal with your employees, and dont talk down to them like children. If they release lousy work, dont yell at them; instead, help them improve or give specific directions on how to do it better. Respect builds loyalty which is just another thing that makes for a more productive team!

This is one of the most important things you can do to motivate your team and let them know that you appreciate their hard work. Feedback is a form of recognition, and its also important because it allows them to learn and improve. You can give feedback by sharing their work with the rest of the team, or you can give them points on their performance so that if they dont meet expectations next time, theyll be able to improve.

When employees are not motivated and are not having fun at work, they stop showing up and get less productive. This can be fixed by ensuring that they like their job and are happy and enjoying their work, but its also essential to give them a break. Have fun!

Causes of poor performance

This is one of the leading causes of poor performance at work because it keeps you from being able to concentrate on your tasks and causes nausea, dizziness, flu-like symptoms, and loss of appetite. The other reason this causes poor performance is that it makes you sick and tired, which will cause you to have more health issues at work. Considering Sermorelin therapy, first make sure your blood work proves your HGHD.

This is the most common cause of poor performance that you can find on the internet. People who work long hours are more likely to get sick and dont take good care of themselves, which causes them to have a lot of health issues at work.

This is one of the biggest reasons for poor performance, and it is something that many people dont think about until they have a severe illness or injury. Depression is a disease that keeps a person from being able to concentrate or focus on their job. This can be caused by many things, like a broken relationship or losing a close family member. The best thing you can do for your team is to make sure they are supported and happy.

When your employees are happy, they will be more productive, but they will want to help you out and do what you need. All these things combined make for a better team of happy and healthy people. This can be achieved by giving your employees the proper training and motivation and letting them take breaks and go home early when they need to get rest.

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If you are trying to lose weight quickly, you're probably resorting to more "dramatic" ways to help you lose weight. And unfortunately, most may actually sabotage your weight loss goals long-termand also come with negative health consequences.

"Rapid weight loss can lead to dehydration, it can slow your metabolism, and you may actually lose muscle instead of fat!" says Lauren Manaker, MS, RDN, LDN, CLEC, CPT, registered dietitian nutritionist in Charleston, S.C. and member of the Eat This, Not That! medical expert board.

She notes that as a rule of thumb, people should shoot for 1-2 pounds of weight loss per week, "although this can vary based on many factors." And the Mayo Clinic confirms that a "safe" amount of weight to drop each week is in fact 1-2 pounds.

While it is possible to lose more weight than that in one week, the methods you take to get there can help or hurt you. Here are five eating habits that will hurt your weight loss goals if you're trying to drop weight quickly. Read on, and for more on how to eat healthy, don't miss Eating Habits to Lose Abdominal Fat As You Age, Say Dietitians.

Cutting back on how much you're eating likely means you're drastically decreasing your calories, which may put your body into starvation mode.

"Your body may adjust its metabolism when food isn't being supplied in adequate amounts, which can wreak havoc on your weight long term," says Manaker.

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Trying to lose weight quickly may also hurt your hydration efforts.

"Some people mistake thirst for hunger, and eat when they are actually thirsty. This can cause consuming too many calories that can lead to weight gain," says Manaker.6254a4d1642c605c54bf1cab17d50f1e

Weight loss supplements are inefficientand dangerouswhen it comes to losing weight quickly. Especially if you're solely relying on them to drop pounds.

"Supplements are not a magic bullet for weight loss," says Manaker. "Taking supplements without modifying your diet will likely not result in the outcomes you want to see."

RELATED:These 14 Popular Weight Loss Supplements Do Not Work, New Study Says

Some people may assume that cutting back on food still means they can imbibebut it's likely hurting your weight loss efforts.

"Alcohol can be loaded with empty calories, which can lead to weight gain," says Manaker. "Plus, drinking too much alcohol can lower inhibitions, possibly causing people to make unhealthy choices when choosing what they eat."

Most people assume that "fat-free" foods may hold the key to losing weight quickly. But if you cut out fat completely, you actually are missing out on its weight loss benefits.

"Fat has gotten a bad rap over the years, but healthy fats, like those from olive oil and avocados, can help people feel satiated and support weight loss goals," says Manaker.

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Most North Americans associate a slender physique with health, leading to the belief that weight loss is the optimal way to resolve health issues or avoid disease. Unfortunately, the diet and weight loss industry has done an exceptional job of fueling this narrative, with failure rates approximating 95 percent.

This narrative is so prevalent that it has seeped into the medical system. Many experiencing metabolic health concerns like diabetes or heart disease will be told by their doctors to lose weight. Unfortunately, theyre often not explicitly directed on how to do this healthily, but simply to lose weight. This leaves a lot of room for the diet industry to work its magic and profit from well-meaning consumers.

However, what is often overlooked is that losing weight will not necessarily eradicate health concerns. Ive had many clients come to me a few years after losing weight, and they are in a worse place than when they started. Thats because weight loss can be achieved by eating food devoid of nutrients and full of synthetic substancesultimately doing the stark opposite of what weight loss promised, leading to a deterioration of health in the long run.

This article will discuss the five reasons to avoid dieting and how it can negatively impact your health, even if you dont succumb to diet shakes full of food-like substances or artificial sweeteners that have toxic side effects.

Although weight loss is touted as the optimal solution for resolving our health concerns, the methods supported by the weight loss industry are anything but healthy. Many of the foods sold as diet foods that people end up choosing are the opposite of healthy foods. Thats because they are as far from nature as you can get.

For instance, most diabetics or those trying to avoid sugar will begin to replace their sugar with synthetic sweeteners such as aspartame, saccharin, and sucralose. Most diet foods and drinks are sweetened with these chemical sweeteners. People consuming these products may choose these foods because they are low calories, which may contribute to weight loss in the short term. However, they are not without side effects in the long term.

For instance, artificial sweeteners have been associated with higher cancer risks in laboratory testing and observational studies. They have also been associated with a higher risk of insulin resistance and deterioration of gut health due to their impact on the microbiome.

So although diet foods will help reduce weight in the short-term, theyre not designed to support a healthy body, free of disease. Quite the opposite, rather.

Most of us know that our body needs macronutrients like protein, fat, and carbohydrates to produce energy and cells such as muscle, blood, and connective tissue. However, most are not aware of just how vital micronutrients such as vitamins and minerals are to our health.

The human body cannot function optimally, produce energy, digest, sleep, and produce hormones and enzymes without the appropriate intake of vitamins and minerals, including essential electrolytes such as magnesium, calcium, sodium, and potassium.

By focusing on calorie reduction and macronutrients with no regard for micronutrients, many people placed on diets will begin to experience severe cravings for certain foods that they have cut out of their diets. These cravings have a psychological factor which well discuss shortly. However, they also have physiological factors.

When your body lacks a nutrient, lets say potassium an essential electrolyte, it will continue to crave food until you give it what it needs. Our bodies are wise in that sense. For instance, before their cycle, most women will crave chocolate. Cacao (not processed milk chocolate) is rich in magnesium, and magnesium-rich foods are needed in a womans luteal cycle phase. This craving is the bodys natural mechanism for providing a woman with what her body needs in a particular phase of her cycle. And her craving is an indication that she needs more magnesium in her diet and may be experiencing a deficiency.

All calories are not created equal, and choosing the right micronutrient-rich food will lead to a healthy weight and a healthy body in the long term.

Many people trying to lose weight will often go to extreme measures to do so. Think of the 1200 calorie diet that many women resort to or alternate-day fasting, which has now become popular whereby approximately 800 calories are consumed in a given day.

Well, what most dont recognize is that cutting calories may lead to weight loss in the short term but will lower the dieters metabolic rate in the long term. Its like when we dont provide our body with sufficient energy through food intake; the body slows down to slow the burning of energy. This is the bodys protective mechanism to prevent the person from dying of starvation. As a result, the person burns fewer calories than before. Kind of like when your car is low on gas, you may take your foot off the gas pedal in hopes of extending the gas in your tank.

If this is done continuously or for someone who goes on and off diets, it will become harder and harder for them to lose weight as the body adapts to this cycleleading them to resort to more damaging weight loss methods.

We all know that stress wreaks havoc on our bodies. After all, its a very well-researched topic. However, many of us dont recognize that taxing our bodies with insufficient food or missing micronutrients places the body under physical stress, which will lead to long-term health issues.

When we deprive our body of the food it needs, our bodies respond by chronically secreting cortisol. When this happens, our body uses up stores of B-vitamins, magnesium, and potassium to cope with the stressor. These deficiencies, along with elevated cortisol levels, can eventually lead to insulin resistance and weight gain in the abdominal section. As a result, inflammation rises, and illnesses can set in.

So the diet that was expected to improve health creates havoc and can open the door to future health issues.

Diets simply cannot be maintained long-term without some psychological implications. For example, focusing on reducing caloric intake or avoiding certain food groups can lead to disordered eating and increase feelings of anxiety and depression.

Individuals can develop a feast and famine mentality by focusing on weight loss, adhering to cycles of deprivation followed by cycles of overeating. Often when overeating occurs, feelings of guilt set in and likely follow with more eating. Often severe cravings are experienced for foods that are eliminated from the persons diet leading to a binge reaction when willpower ultimately wanes.

When people become fixated on their physical appearance and adhering to a particular number on the scale, they often become fixated on a specific goal. This leads to psychological stress and an unhealthy relationship with food.

If we want to become healthier, shed weight, and feel comfortable in our bodies from the inside out, it is critical to shift our focus from weight loss to health.

Your health & weight loss transformation begins with shifting your mindset around food, your body, and your lifestyle and rewiring habits interfering with your goals. When you address these two, you begin to make healthy choices naturally and consistently without feeling deprived or tapping into your willpower.

Suppose you only address these two and dont manage your metabolism by correcting nutritional and hormonal imbalances. In that case, you continue to experience low energy, feel uncomfortable in your body, and feel confused about making proper dietary and lifestyle choices.

When you rewire bad habits and boost your metabolism, you begin to regain your energy and begin to feel comfortable inside and out. In addition, you experience an awareness of what food makes you feel confident and help your body thrive.

If you address both of these but overlook shifting your mindset, it becomes difficult to shed weight without tapping into a lot of willpower. You feel deprived and revert to your old patterns.

When you focus on boosting your metabolism and shifting your mindset around food, body, and lifestyle, you begin to shed weight without focusing on it. Healthy eating and living become second nature.

If youre experiencing any of the problems I just mentioned, I guarantee you are missing one of those pillars. You get this beautiful effect when you have all of the three pillars combined. You will lose weight and keep it off without hyper-focusing on it. As a result, you begin to feel energetic and confident and will not have to give up everything you enjoy. But you have to have these three pillars working together. Otherwise, it doesnt work, which is probably why you feel frustrated that the weight refuses to stay off no matter what you try, and your energy and health continue to decline.

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NEW YORK Nine in 10 American adults have tried at least one weight loss strategy in their lifetime. A poll of 2,000 adults reveals that 91 percent have tried at least one strategy for weight loss, with half claiming that theyve tried 11 different methods of shedding extra weight!

A quarter of Americans even confessed to trying at least 16 different weight loss strategies.

In fact, 32 percent of respondents who have been on a weight loss journey reported successfully losing weight but then gaining it back, while only 28 percent report successfully losing weight and keeping it off.

However, going on a weight loss journey doesnt appear to be sustainable for many, as respondents described their overall experience with weight loss as overwhelming (37%) or unsuccessful (31%). Only 15 percent described their weight loss experience as rewarding. Almost two-thirds (65%) agree that it is difficult to think about weight loss long-term because of the sacrifices that come with it.

Conducted by OnePoll on behalf of evidence-based weight care platform, Found, the survey revealed that most respondents felt that losing weight (34%) required more sacrifice than having kids (33%), cutting back on finances (30%), and even starting a new job (28%).

Reflecting on their own weight loss experiences, respondents felt they had to sacrifice their happiness (31%), mental well-being (29%), and love or relationships (28%) in order to lose weight. More than half (54%) have even given up on losing weight because they felt they were sacrificing too much.

Those surveyed had goals that went beyond the numbers on the scale. Of those who have gone on a weight loss journey, 44 percent said the outcome they were most hoping for was feeling more confident with their bodies. Other popular goals include wanting to feel healthier overall (42%) and wanting to be able to do an activity without stopping, such as walking a mile, climbing stairs, or strolling through the mall (42%).

In fact, almost four in five (79%) want to be healthier, not skinnier. Two in five wanted to have more energy and 34 percent felt victorious when others noticed their efforts.

This data validates what many of us who have tried to lose weight before have known for a long time: that traditional weight loss journeys require too much sacrifice and leans too heavily on the idea of personal willpower, says Dr. Acacia Parks, chief behavioral health officer at Found, in a statement. As someone who has struggled with my weight my whole life and also as an expert in psychology, I know that the feeling of extreme sacrifice doesnt lead to lasting weight loss or positive mental health and only fuels stigma around needing help. To achieve sustainable weight loss, it is important to provide people with a personalized program that works with their unique biology and lifestyle, not against it.

Beyond sacrifice, another key challenge with weight loss according to survey respondents is the stigma associated with the journey. The data reveals that this stigma is decreasing compared to several years ago, with 73 percent of respondents reporting that they are more comfortable discussing weight loss with their family and friends compared to five years ago.

Looking at health overall, 71 percent take medication for physical or mental health conditions, or both. In addition, the concern around discussing these medications openly has decreased, with more than half (59%) of all respondents feeling more comfortable talking about their medications than they were a few years ago.

Although people are more comfortable discussing their weight loss today compared with five years ago, there is still some stigma around discussing the medications theyre taking for their physical and mental health.

Results showed that 41 percent of respondents are very comfortable talking about their physical health medications, such as for diabetes and thyroid, compared with only 29 percent who feel the same with mental health medications, such as for anxiety or depression.

In terms of medications related to weight loss, one in three wished they had access to taking prescription weight loss medications to lose weight.

Its time we evolve the mainstream weight loss narratives that are outdated and tell us its our fault we arent losing weight, says Dr. Rekha Kumar, chief medical officer at weight care platform, Found. The science clearly shows that eating and exercise changes dont address the biological components associated with weight, which is why medications can be extremely valuable in a weight loss journey.

Clinical evidence proves that medication in combination with lifestyle changes can result in up to an additional 7-10 percent total weight loss, Kumar continues. This survey validates that people are struggling to find effective and long-term weight loss solutions, with 37 percent looking for both a supportive community and access to a program that feels sustainable.

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Can't get in shape? 1 in 4 have tried at least 16 different weight loss strategies! - Study Finds

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Wouldnt it be great if there really was a long-lasting yet quick fix for weight loss? Low-calorie fad diets like juice cleanses may be enticing for people looking to shed pounds ASAP, because they seem like just that: a fast, easy way to reach your goals. However, health experts warn that these methods arent sustainable and can even be detrimental to your overall wellbeing; if you want to lead a healthy lifestyle, a juice cleanse likely isnt your best option.

To learn more, about the long-term downsides of this trend, we spoke to Nutritionist Lisa Richards, author of The Candida Diet. She told us that subjecting your body to a restrictive juice cleanse can lead to numerous health complications and even result in weight regain.

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Even if you do end up reaching your weight loss goals thanks to a seemingly miracle-working juice cleanse, the negative effects will likely outweigh any positive results. For starters, Richard notes that juice cleanses can lead to serious gastrointestinal issues such as cramping and even diarrhea. She says this is "due to higher amounts of fiber and liquid nature of the diet." You may also run into uncomfortable gas and bloating. Yikes!

Additionally, the low-calorie nature of juice cleanses can take a serious toll on your body. While consuming a low amount of calories may seem like a good idea for weight loss, it's important to remember that your body needs enough food every day. If you follow a restrictive juice cleanse, Richards says "you can experience headaches and fatigue as your body adjusts to suddenly losing many of its calories, fats, and protein," and you'll likely end up feeling irritable, as well. We certainly don't want to deal with that!

There's another crucial factor to keep in mind if you're set on losing weight this way: ultimately, you're likely going to gain it right back. "For many, rebound weight gain will occur once a juice cleanse has been concluded," Richards warns. "Juice cleanses can be effective at weight loss in the short term, but they are not sustainable. Therefore, whole foods will need to be integrated back into the diet and once this occurs weight gain will likely take place."

All in all, any fad crash diet is generally not the healthiest option for weight loss, and juice cleanses are no exception. "Those who tend to turn to fad diets like juice cleanses are not equipped or knowledgeable in balanced eating habits, which could prevent rebound weight gain once a diet is done," Richards notes. Guess there's no such thing as a quick fix when it comes to health!

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OK, so maybe a juice cleanse isn't the best way to gobut what can you try out instead? Richards says if you're really set on getting most of your nutrients from drinking your produce, it's a better idea to opt for smoothies over juice. "You can stillget in the juice of fruits and vegetables while also adding higher calorie ingredients along with protein and healthy fats," she explains. "Making your smoothie a meal replacement rather than juice only can be just as effective towards weight loss and resetting your health without the negative side effects and potential rebound weight gain."

At the end of the day, though, if you're serious about leading a healthy lifestyle, Richards stresses that the best thing to do is always to "eat a balanced diet that is rich in whole foods and low in processed food products." If a detox is what you're looking for, she reminds us that "the liver is effective, in the majority of individuals, at detoxing and cleansing on its own."

So, there you have it: your best bet is always the tried and true method of a well-balanced diet. "When you follow a balanced dietand fuel your body with high quality nutrients juice cleanses and the-like shouldn't be necessary. By adding more fruits and vegetables into your diet you can get many of the same benefits of juicing like weight loss, mental clarity, energy, better sleep, and improved skin appearance," Richard concludes. Got it!

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The Long Term Downsides Of Juice Cleanses, According To A Registered Nutritionist - SheFinds

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