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Aug 31

Weldon Reed: Richard and the belly dancer | Living – Cleburne Times-Review

Back in the 1980s my buddy Herb (the geology teacher) and I were planning a wilderness class to the Grand Canyon. We were going to be taking 28 students, and the class began filling up fast. We always went to the Canyon the day after the spring semester ended and arrived back in Fort Worth the Sunday before summer started.

Thus these lucky students could earn four hours in geology, three hours in wilderness literature and one-hour P.E. credit for a 17-day trip between semesters. We would spend four to five days hiking the Canyon rim to rim and three more days hiking down into Havasu Canyon. These students were in for a treat.

One of the students was an older man named Richard. He was ex-Army and probably in his 50s. He was in good shape and had no problems with the hiking. Plus he rode shotgun for Herb for you city slickers, that means he sat in the front passenger seat.

Boy, was he a dandy addition to the group! For one thing, he was an early riser. Now Herb had appointed various students to be captains for a particular day, which meant, on the travel portion of the trip, they were responsible for getting up before everybody else, getting the coffee pot full and percolating, heating enough hot water for hot chocolate and setting out the milk and cereal. Well, Richard voluntarily took over that chore for everybody, thus endearing himself to everyone.

In addition, he was pretty much a Handy Dan. If a backpack had something broken on it or had lost a pin, Richard could always solve the problem.

Also he was always in a good mood, smiling, even after hiking 6 to 8 miles with a 50-pound pack on his back while the younger students were moaning and crying.

Clearly, Richard had believed Herb and me when we had forewarned them that this trip would include arduous, physical activity.

On the actual backpacking days Herb placed us in cook groups of three or four, and the members of that group would divide the meals that each had to carry. There would be about four breakfasts, lunches, and suppers (for you Yankees, supper is always the evening meal; it is not called dinner).

Herb treated me well because he put Richard in my eat group, and just like on the travel, Richard took over the meals, which was fine with me. When it comes to meals, I will readily admit that I am lazy, and I appreciated Richard taking that chore over. Of course, the backpack meals were not all that ornate anyway.

For breakfast, you just heated water for the instant coffee or hot chocolate and that delicious, yummy instant oatmeal. Then you had that appetizing granola bar. I vowed that back in civilization I would never eat oatmeal or granola bars, and I have kept that vow.

The lunches were something light and easy to carry, like crackers some sort of spreadables or Cheese Whiz and a box of raisins. For supper it was mac and cheese or fried Spam, or instant eggs with tortillas. Oh, well we all needed to lose weight anyway.

Speaking of losing weight, there was a woman on the trip, probably in her mid-20s, who had mentioned to me that back on campus she had taken a belly dancing class to shed a few pounds. Now on the South Campus we did have a heck of a belly dancing teacher. If you walked by her classroom down in the gym, you would always see four or five guys peering in the door.

After we had returned to campus, Herb would have a show-and-tell party at his house about two weeks later to give everyone time to get their pictures developed and for me to finish reading and grading their journals and assigning grades for the literature part of the course.

Belly Dancer B.D. hereafter had asked Herb if she could perform at the gathering, and Herb said, Sure.

So after the meal was over and everyone had showed their pictures, Herb said B.D. was going to demonstrate what she had learned in her belly dancing class. So she started a record of this exotic music and came out of one of the bedrooms wearing a belly dancng outfit with a long, bright-red sash in her hands. Then she began twirling around the room. Now bless her heart she had all the moves down pat, but, unfortunately, she still needed to lose a few more pounds. Thus the performance was not really seductive or alluring.

She posed in front of Herb, placed the red sash around his neck, and danced in front of him. Afterwards, she did the same thing to me. Now my wife and Herbs smiled and thought nothing of it.

Then she moved over to in front of Richard and his wife, repeating the performance. I believed I noticed smoke coming out of Richards wifes ears but thought nothing about it.

Now coming home from the Canyon trip, Herb had told Richard about the Gran Teton trip coming up in July, and Richard had said Herb could count on him coming along again. The party was now breaking up, and Herb and I stood at his front door, telling everybody good bye.

Richards wife just grimly nodded at us as she stepped through the doorway, and then Richard said to Herb, Just notify me when that Teton class to Wyoming starts meeting in June, and Ill be there.

Oops! Richards wife whirled around and snapped, Well just see about that! Now I see what goes on on these trips.

Sure enough, on our first meeting in June, there was Richard.

Now Herb told him, Richard, I dont want to cause any disharmony here between you and your wife about this trip. We would love to have you but not if its going to pose a problem at home for you.

No, Herb, Richard stated. I gave you my word, and Im a man of my word. The wife will just have to understand.

When we left on the Teton trip in July, poor Richard called home at every gas stop with a pay phone, but his wife refused to answer all his calls except one, when one of his C.D.s had matured and she needed to know what to do about it. To this day Herb and I wonder how that incident ended.

Weldon Reed is a Cleburne resident who recently returned to his hometown. He can be reached at weldon.reed@att.net.

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Aug 31

The Key Ways To Boost Muscle Growth – The Sports Bank

When you choose to change your body with muscle growth, you are in for a challenge. It doesnt matter what your goals are, if you want to build muscle, you have to work out the right combination of diet, sleep and training to get the results that you want. Some people never get it right, but a lot of trial and error will help you to get the results that you want.

In this article, were going to talk about some of the best ways to boost muscle growth and get leaner. Lets jump right in and start!

Go Old-School With Workouts

You may love a good HIIT workout online, but its the old school crossfit workouts that are really making a comeback. You can perform circuits and supersets where the rest time is short but you get the exercises nailed down. Workouts like this are excellent for your health in general, but theyre also great for bulking up but only if you make this little change. Instead of resting for shorter periods between sets, complete all of the exercises in a set, rest for 1-3 minutes and go for the next one. Allowing your body to rest properly will help you to maintain the same strength level for the next set and more. The movements that require more energy should mean a little longer for rest, where isolation exercises only need smaller rest periods so that you can recover well. The more energy you have, the more you build up your strength. This can help you to get through those exercises and feel great by the end of each exercise set.

Enjoy Carbs

Most people heading to the gym to bulk up focus on their protein intake and think that they have to cut out carbs. WRONG! You have to think about eating the right balance of carbs in your diet. Protein is important, but when you eat carbs you increase the glycogen in your muscles. This will improve your energy in the gym, giving you more energy to lift heavier and better weights. Getting stronger is the best way to grow your muscles, and you can follow John Cenas workout to help your body, too. Carbs like rice, oats, bread and pasta will be excellent additions to all of your meals. Add large portions (within your calorie allowance!) to your meals and you can watch your body grow. Carbs are not the devil dont panic about this tip!

Slow Down

Lifting weights isnt a race. Cardio is for running and racing, not weight-lifting. Think about how you move and make your movements deliberate with each weight you lift. Lower the weights with control and slow down with each move. You should be able to feel it, not sling the weights around your head as if youre tarzan in the woods. You wont see results if youre not slow and controlled about your movements, you can do your body more harm than good. The best way to control the movement is to lower the weight down for two seconds, dont pause, come back up quickly in one second. This can help you to perform better, lift the weights better and hone your technique when it comes to lifting. It can also lead you to pack on as much muscle as possible in a short amount of time.

Gainer Shakes Have a Place In Life!

We talked about protein earlier, and the best way to pack on some muscle is to add protein shakes to your diet. You need to add calories when you want to build muscle, as you convert those extra calories into muscles and not fat. Being in a calorie surplus may feel odd if youre used to being in a deficit to lose weight. The thing is, you may not want to add more meals or more to what youre already eating, and this is the time you want to drink those calories instead. Protein shakes are delicious and you can find SO many recipes.

Cut Down Your Cardio

Cardio is going to burn off your calories faster than any other exercise and your goal is gaining muscle, not burning fat. If youre burning a ton of calories working off your food with cardio, then you need to think about stopping the amount of cardio youre doing and adding more weight training. You can still train in cardio once a week its good for your health in other ways, but you dont need to run every day and youll prevent yourself from building muscle with too much of it. Keep the cardio low-intensity and you can have fun with it. Swim, play ball with friends, go for a long and brisk walk. Here are many low-intensity ways to enjoy cardio without losing muscle.

Eat, Eat, Eat

Bulking up means introducing more food while you lift more. Lifting and eating go hand in hand the more you lift, the more you eat! Eating should be something you prepare in advance so that you can make sure that youre never too busy to eat. One big meal a day is not going to be enough. Eat big, lift hard and increase your muscle mass at the same time. You should consider making sure that you have enough protein: if it hits your macros, go for it. Eating more and lifting more will take some getting used to, so take your time.

Work Muscle Groups Twice A Week

The most important thing that you can do to build muscle growth is to train each muscle group twice a week. Whether you do a full body routine twice a week, or you work les, then arms, then core one week after the next, you need to go with a minimum of twice a week to bulk up fast.

Building muscle doesnt have to be hard and with these tips, youre going to be on your way to bulking up in no time at all.

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Aug 31

Rebel Wilson Stuns in Blue Dress, Giving Update on "Year of Health" Weight Loss Goals – Prevention.com

At the beginning of 2020 (which feels like forever ago), Rebel Wilson declared it her Year of Health. Now, eight months later, shes showing off her progress, and she looks incredible.

On Aug. 27, the actress got dolled up in a blue midi dress to attend a School of St. Jude fundraiser. Her Instagram post detailing the look garnered nearly a million likes, and all the love from her fans and Hollywood friends.

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Werk. You delicious babe!! Octavia Spencer commented. If I could like this picture numerous time[s] I would, Ruby Rose wrote. MY GOD WOMAN! Her trainer, Jono Castano Acero, added: Sweet baby Jesus!!! You look amazing

Fans were inspired by her journey. You were beautiful before, but you are radiating so much light from your heart and it shows!!! one person wrote. You are inspiring me to take charge of my health!! another replied. One thing you did not lose and makes you even more beautiful is your Good Soul.

Wilson later shared a second post (and another fab angle of the fundraiser look), thanking followers for all of the kind words. Thanks for all the love so far on my Year of Health journey. When I was reaching for the candies last night after dinner I thought to myself hmmmm...better not and had a bottle of water instead, she wrote. [18 pounds] to go until I hit my goal - hopefully I can do it by the end of the year.

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In a now deleted Instagram post, she established her goal weight as 75kg's or 165 pounds. And career wise am trying to get one of my movies into production before the end of the year," she added. "Both of these things are requiring a daily effort and theres constant set backs - but I'm working hard."

Wilson has shared lots of moments along the way, including hiking shots, workout clips, and additional progress photos. According to People, shes following The Mayr Method diet to lose weight, which is a restrictive program that claims to achieve weight loss by improving gut health.

"The diet is centered around stopping snacking, reducing intake of gluten and dairy, and chewing foods for a longer amount of time," Amy Gorin, M.S., R.D.N., a registered dietitian in the New York City area recently told Prevention.com. "The eating plan is focused on high-alkaline whole foods."

Whether or not its the healthiest way to lose weight is murky, Gorin said, because theres not enough research available. Instead, for long-term weight loss, she recommends a whole-foods, plant-based diet. It's sustainable, helps you to feel energized, and doesn't completely restrict any foods you love," she explained. "Mindful eating and mindfulness-related activities such as yoga and meditation are also helpful in becoming more in touch with hunger levels, feelings, and so on."

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Aug 31

Weight loss options: Why you shouldn’t give up dieting – TODAY

Nearly half of American adults try to lose weight in a given year, yet up to 80 percent of those who do will put at least some of it back on. Lately, theres been an anti-diet movement among healthcare professionals that promotes the idea that people should stop trying to pursue weight loss.

There are valid reasons for this stance. While a high BMI may be linked to a higher risk for diseases, like insulin resistance and type 2 diabetes, studies have found that body size alone isnt the best marker of health. Plus, some studies suggest that setting aside your weight-loss goals can lead to improvements in your self esteem, mood and eating behaviors (like portion control). So, should you stop trying to lose weight? In nutshell: Not necessarily.

Dr. Robert Kushner, the medical director of the Center for Lifestyle Medicine at Northwestern Medicine in Chicago, a professor of medicine at Northwestern University Feinberg School of Medicine and author of the book, Six Factors to Fit: Weight Loss that Works for You!, told TODAY that while a higher body weight isnt always linked to poorer health outcomes, excessive body fat does present a health risk to many people. He explained that decades of science demonstrate that a very high body weight is linked to poorer health outcomes, including dying prematurely.

One study that modeled the death rates of 4,000 people with heart disease or diabetes found that as weight crept up, lifespan appeared to shorten. Compared to those defined as having a healthy body weight, people who were overweight could lose about three years from their lifespan; obese individuals could die up to six years sooner; and very obese individuals could lose up to eight years from their lives, according to researchers.

Even people who are very overweight and healthy at the moment may be at increased risk for more serious problems over time. One study that looked at the health records of 3.5 million people, 15% of whom were categorized as obese and healthy (meaning they didnt have high blood pressure, high cholesterol or diabetes) found that over five years, these people were 49% more likely to develop heart disease and 96% more likely to develop heart failure compared with their healthier-weight counterparts.

Dr. Kushner emphasized that there are a lot of similarities between body weight regulation and blood sugar or blood pressure regulation in the sense that there are biological, social, behavioral and economic factors that contribute to dysregulation. When there is a health risk, whether thats due to excessively high body weight or blood pressure, available treatment options should be discussed, he said. A balanced, calorie-controlled diet is one such option and that medications and surgery may be useful when needed, he said.

But what about weight re-gain? Dr. Kushner pointing to the landmark Diabetes Prevent Program explained that even if youve lost weight and then regained some of it back, you may still be better off. The study found that healthy eating and exercise could reduce the risk of type 2 diabetes by at least 58% among people with prediabetes and 10 years later, even despite some weight regain, people in the lifestyle intervention program reduced their risk of developing diabetes by 34%.

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If you want to pursue weight loss, here are four things you can do:

The rate and amount of weight you lose is highly individual and there are no guarantees youll reach the weight you want. But losing just 5% of your weight or 8 pounds for the average 170-pound woman can lead to health improvements.

Rather than focusing on a goal weight, focus on eating habits within your control. For example, swap less healthy packaged foods for healthier versions, make it a goal to eat veggie-filled meals, kick your soda habit, drink more water, trade your refined grains for whole grains, develop an awareness of healthy portion sizes and aim to eat a balanced mix of food groups (mostly veggies, with some protein, fat and carbs) at meals. These types of eating behaviors can promote weight loss without you having to fixate on it.

Whether you fall into the anti-diet camp or not, fad and restrictive diets arent helpful. These plans are hard to follow and they dont help you develop long-term, balanced eating habits or the skills you need to address issues within your food environment things like meal planning or dinner with friends. They also dont teach you how to manage stress and emotional eating in a healthy way.

In his book, Dr. Kushner explains that managing weight involves a mix of strategies like these, along with gaining an appreciation for how your body works, for example, by becoming more aware of the types of foods that are more filling, like high-fiber veggies and whole grains as well as lean proteins.

Clearly, health isnt just about your weight or what you consume. Along with balanced eating, its important to build other key habits into your life. These practices can have a positive impact on your weight and well-being.

Healthy habits include:

A review study published in 2019 that analyzed 67 studies on people who had successfully maintained weight loss found some commonalities among the pool of people.

Their maintenance habits included:

Many people can healthfully pursue weight loss, but for some people weight-loss efforts can be destructive.

Signs to watch out for include:

If pursuing weight loss triggers these or any other signs of disordered eating or exercise, seek support from a mental health professional or registered dietitian who specializes in intuitive eating or eating disorders.

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Aug 31

Consumers Lose More Than Weight with Noom Health App – Flagstaff Business & Online News | Northern Arizona Local Newspaper – Flagstaff Business…

Consumers who are at home more than usual during the COVID-19 (coronavirus) pandemic may be especially interested in getting in shape by trying out convenient web-based health and fitness services. The Better Business Bureau (BBB) is warning consumers about Noom, a popular app-based weight loss service.

According to BBB Serving Metropolitan New York, where Noom is headquartered, customers have submitted well over a thousand complaints alleging the company offers misleading free trials and subscriptions are difficult to cancel after free trials are complete. Nearly 100 of the complaints received are from consumers in the BBB Pacific Southwest region.

Many stay-at-home consumers are looking for options that can help them achieve their health and wellness goals during this pandemic time, said Claire Rosenzweig, President and CEO of BBB Serving Metropolitan New York. Smartphone applications and online programs may seem convenient especially when coupled with attractive free trial offers but consumers must always be cautious when shopping for a weight loss service.

Between August 16, 2019 and August 18, 2020, BBB received 1,213 consumer complaints regarding Noom, representing a significant uptick in complaint volume over previous years. Since July 2017, Noom has drawn a total of 2,023 complaints.

According to complaints made to BBB, consumers reportedly try to cancel the trial offer before it ends but still end up being billed for the subscription. A number of these consumers said they believed after the free trial the cost of monthly membership was between $20 and $40. Instead, they discovered they were charged for several months upfront upon the free trials end, resulting in alleged charges varying from $120 to $180 or more. Consumers consistently alleged difficulty trying to get in contact with Nooms customer service to request a refund of charges. They then turned to BBB for assistance.

As of this date, Nooms BBB Business Profile displays a D rating due to the high volume of complaints filed against the business and the companys failure to address the underlying cause of its recent pattern of complaints.

To avoid losing money on free trials and subscription services, especially in the health and wellness area, BBB recommends the following tips:

Be wary of free trial offers, and before signing up, fully understand all the terms and conditions. Free trial offers are common in the health and beauty category. Some deals might become subscription traps that hook consumers into paying for expensive products or services that they did not intend or agree to buy. Be cautious and proceed carefully if the business terms say that it takes payment from your credit card until you cancel.

Determine your fitness goals and check the details. Its hard work to lose weight. Find a program you can stick with, preferably one you enjoy, with goals that seem reasonable to you. Be sure you understand how the product or service is supposed to work. Does a weight loss plan require you to buy special foods? Can you cancel if you move or find the program doesnt meet your needs?

Always be wary of overpromises in advertisements and customer testimonials for weight loss services. According to the Centers for Disease Control and Prevention (CDC), evidence suggests a gradual loss of 1-2 pounds per week is a healthy goal and is more successful for achieving long-term weight loss.

Report concerns. If you come across an ad for a weight loss program or product that feels like its overpromising or deceptive, report it. Contact your BBB, report suspicious, confusing or misleading ads to BBB Ad Truth and file a report with the Federal Trade Commission.

Research the company with BBB.org before purchasing. Many companies specializing in weight loss programs or products have lengthy consumer track records with BBB. Check what people have to say about the product or company name by checking BBB.org and searching the internet in general to see if there are any complaints alleging issues you may come across yourself.

BBB.ORG

For more information or to schedule an interview with a BBB spokesperson, please contact Marilyn Huffman at 928-772-3410 or marilyn.huffman@bbbcommunity.org.

About the Better Business Bureau Serving the Pacific Southwest.For more than 100 years, the Better Business Bureau (BBB) has been helping people find businesses and charities they can trust. In 2019, people turned to BBB more than 358 million times by checking more than 232 million business profiles all available to the public for free at bbb.org. Incorporated locally in 1938, BBB Serving Pacific Southwest covers Greater Arizona and Southern California with key campuses in Phoenix, San Diego, Newport Beach, Prescott, Yuma, and Lake Havasu City. BBB Serving Pacific Southwest is supported by over 19,000 BBB Accredited Businesses, making it one of the largest BBB nationwide. Businesses that earn BBB Accreditation contractually agree and adhere to high standards of ethical business practices in the marketplace. BBB provides objective expertise and educational programs on topics affecting marketplace trust.

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Aug 31

Fitness first: Here’s how to manage your weight during the pandemic – YourStory

Have you gained a few extra kilos while staying indoor during lockdown? You do not have to specifically hit the gym or yoga centres to look fabulously fit.

People, irrespective of their profession and age can manage their weight effectively while making a safe weight loss journey at home.

However, it can become quite hard to lose those extra pounds while staying at home and with limited resources.

The lockdown has made quite a few citizens gain weight.

Entrepreneurs and working professionals are considered to be at higher risk of stress and medical problems. They always work under high pressure and in a stressful environment that contributes to the difficulty in maintaining their waistline. Due to the lack of physical activities and inactive schedules, their metabolism becomes slower which makes it more challenging to shed that unwanted fat stored in the body.

Additionally, there are risks associated with nutritional deficiencies that happen because of careless eating habits, further hampering the weight loss process.

Here are a few tactics that working adults can incorporate in their daily routine to lose weight and boost their health:

Working from home brings a lot of perks with uninvited weight gain. It brings a lot of changes in the composition and metabolism of the body. To aid the weight loss journey, eating habits need to be changed.

Most people tend to eat far more calories than what is required by their bodies which results in gradual weight gain.

Tracking your food intake and recording activity helps you maintain a healthy weight.

To stay healthy, you should eat food that is full of nutrients without adding extra calories. Mainly green and leafy vegetables should be included in your daily diet to aid the fat-burning process.

When it comes to losing weight, cardio sessions are very important, regardless of your body type. It works extremely well for teenagers. However, in adults, it can show contrary results. As the muscle mass declines with age, it slows down the metabolism that hinders weight loss.

It is imperative to add strength training to your daily workout routine.

A protein-rich diet is crucial for mid-age adults. It is the key to building and maintaining muscle mass and strength that ultimately promotes physical activity. It not only aids in weight loss but also assists in reversing muscle loss caused due to slow metabolism or inactive physical schedule.

Several studies also show that increasing the consumption of protein helps in maintaining weight for long-term health benefits.

Proteins are excellent when it comes to promoting physical activity.

Keeping the body hydrated is important for healthy weight loss. Usually, during mid-age adults who are working professionals or entrepreneurs, tend to get less thirsty. They become dehydrated which is medically not good for their health and weight loss.

It is important to keep hydrating yourself throughout the day.

Pre-made or packed drinks with added sugars are not recommended as they are strongly linked to weight gain. These drinks can also result in diabetes and diseases associated with fatty liver.

There is a direct correlation between sleep and weight loss, and getting quality sleep is everything for a healthy mind and body.

The connection between sleep and weight loss in adults cannot be ignored. Sleep-deprived adults experience day-time fatigue that makes them feel less motivated for physical activities. They are more likely to get tired in the first half of the day.

Having quality sleep for at least 7 to 8 hours a day enhances the bodys capability of responding to foods consumed throughout the day. Additionally, it helps the brain in making right and healthy choices and resisting tempting foods.

Weight loss seems extremely hard without physical activities. However, it is not impossible to achieve your goals if you are working and are restricted to go to your fitness centre due to the pandemic. With the right nutrition backed by consistent efforts, anyone can shed their overall body fat.

(Image Credits: Shutterstock)

(Disclaimer: The views and opinions expressed in this article are those of the author and do not necessarily reflect the views of YourStory.)

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Aug 31

Weight Loss Guide: 5 Effective tips that will help you kick start your journey – PINKVILLA

Weight loss is never an easy path. Its a long journey that needs patience and dedication. Here are a few effective tips that will help you start the process right!

Excess weight can severely affect a persons confidence and self-esteem. Apart from that, being overweight can turn into a serious medical concern as it severely takes a toll on a persons health and creates issues in breathing, sleeping, mood swings and energy levels.

However, there are some effective ways to lose weight. Losing weight is not an easy journey as it requires patience, commitment and dedication. But once you are ready to be started, keep a few effective tips to follow that will help you to get on the road to weight loss.

1. Set Realistic Goals Through A JournalThe first step towards shedding weight is to set the right goals. Focus on both diet and exercises to make a long-term change. The weight loss goals should be smart, measurable, attainable and realistic. Keep a journal with you to jot down every progress you have made as this would help you to make necessary changes when something doesnt work out.

2. Cut On Junk & CarbsThe most important part is to cut back on junk, sugar and carbohydrates. Reducing carbs can lead to speedy weight loss. Once you cut down on these calories, your hunger levels would go down and lower your insulin levels, causing the kidneys to shed excess sodium and water. Avoid eating fried and junk to reduce bloating.

3. Drink WaterDrinking loads of water throughout the day can help in losing weight and belly fat. Water helps in cleansing the system and maintaining hydration levels in the body. Along with reducing appetite and calorie intake, water helps in keeping your skin glowy and healthy.

4. Eating Healthy Is The Key There is no doubt that exercising is extremely important. But, working out alone cant make any difference in weight loss. For losing weight, one needs to burn more calories than they consume in a day. Constructing meals in a way so that it includes protein, fat and vegetables which are tremendously necessary. So, when you are munching a lot of junk while working out hard, you wont get the desired results.

5. Exercise, Exercise and ExerciseExercise is extremely necessary for losing and maintaining weight loss. Exercising increases metabolism and also helps in maintaining the body mass, which helps in increasing the number of calories you burn each day. You can do easy exercises at home to shed weight or simply go for a run.

Also Read:7 Beautiful relationship lessons Bollywood taught us

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Aug 31

Do I have anorexia? How to recognize the signs and get proper treatment – Insider – INSIDER

Anorexia nervosa is a type of eating disorder that leads people to obsess over their body image, weight, and caloric intake. It has the highest mortality rate of any mental health disorder.

If left untreated, anorexia can result in long-term physical ramifications like anemia, osteoporosis, and heart failure. It can also cause debilitating mental health effects like worsening depression, increased anxiety, and increased suicide risk. People with anorexia, or those experiencing symptoms of the disorder, should seek treatment immediately to prevent long-term health effects.

Here's how you can tell if you or someone you love might have anorexia nervosa, and what you can do to get a diagnosis.

Anorexia nervosa is a type of mental health disorder that causes individuals to have an intense fear of gaining weight, despite being at a normal or below normal weight. Those with the disorder will restrict caloric intake to the point of significant weight loss or an inability to gain weight for individuals still growing. Those with anorexia often evaluate their self-worth by their body weight or shape, and may experience distorted perceptions of their weight and size.

People with anorexia nervosa may also experience symptoms commonly associated with other eating disorders such as excessive exercising, binge eating, or purging with laxatives or by vomiting.

About 0.9% to 2% of women and 0.1% to 0.3% of men will develop anorexia at some point in their life. While eating disorders are often associated with women, 25% of anorexia nervosa cases are in men. The misconception that men cannot have anorexia puts them at a higher risk of dying from the disease due to lack of diagnosis.

Anorexia nervosa is a progressive disorder. While it may start off as obsessively adhering to a strict diet, it can evolve into eating very few calories, extreme anxiety about foods, and developing fears about certain food groups. These increasingly dangerous developments are why early detection is so critical.

Early detection can help ward off long-term impacts or more dangerous symptoms like organ failure. "Without integrative treatment, individuals may face a lifetime of potentially irreversible health problems, which is why timely, professional help is critical," says Kristin Wilson, a licensed professional counselor and vice president of the Newport Institute, a youth mental health center.

Because each case of anorexia is unique, symptoms will vary between individuals. Most people with anorexia may not display all of the following symptoms, but some combination of a few. Symptoms span three categories: behavioral, emotional, and physical.

Behavioral symptoms are some of the earliest signs of anorexia nervosa. Meanwhile, emotional symptoms are those that have to do with the changes in thoughts, values, and overall mental health. Physical symptoms are those discovered through medical examinations or are visible to others.

According to Jessica Jaeger, a registered dietitian specializing in eating disorders, and Chelsea D. Woodard, a licensed counselor and site director of The Renfrew Center, an eating disorder treatment facility, symptoms of anorexia include:

Wilson points out that sudden weight loss is not the same as being thin, as some people with the disorder may be a normal weight. The misconception that everyone struggling with anorexia is very thin can cause some people to not seek treatment out of fear they are not thin enough.

About 33% of people with anorexia also have a mood dysregulation disorder like depressive or bipolar disorder. Additionally, about half also suffer from an anxiety disorder like obsessive-compulsive disorder (OCD).

"Our clients with anorexia often report that restricting their caloric intake helps them to feel better in the midst of anxiety and depression," says Woodard. However, in the long-term these limitations create compounding problems and stress for the body to deal with.

A 2014 report from the National Institute of Health found about 24.3% of people with an eating disorder also have PTSD. For individuals who have a diagnosis of PTSD, symptoms of anorexia may give them a sense of control, says Wilson. In tightly controlling their food intake, they feel a sense of power return to their life and choices.

Undergoing treatment for PTSD may help people recover from anorexia nervosa. In a 2007 study published by The Journal of Treatment and Prevention, researchers found that PTSD and its symptoms needed to be satisfactorily addressed in order for someone to also reap benefits of treatment and recovery from an eating disorder.

Family history is a good indicator of your risk for developing an eating disorder. In fact, researchers have found that 50% to 80% of the risk for anorexia and bulimia is genetic.

Being exposed to negative ideas around weight and body image can also put you at an increased risk.

"If children grow up in an environment where dieting is encouraged, their parents dieted, or they experience body shame or weight-related teasing, they may be at a higher risk of developing eating disorder symptoms in general," says Jaeger.

According to Wilson, there are also a few demographics at a heightened risk for developing anorexia:

Though certain people are predisposed to the disease, Woodard notes, "anorexia nervosa does not discriminate: we know it affects people across all ages, races, sexes, genders, and socioeconomic statuses."

Because individuals suffering from anorexia nervosa may be in denial about their condition, self-diagnosis is difficult. Even if they believe a problem exists, they may be reluctant to seek help.

This hesitation can be due to thinking they aren't sick enough or from a fear of gaining weight once in treatment. However, there is no such thing as being "sick enough" and anyone who is struggling should reach out to a healthcare provider.

If you have a primary care doctor who you trust, they can be a good first point of contact. To confirm a diagnosis of anorexia, doctors may perform a series of tests.These exams will tease out other possible causes for why you're experiencing rapid weight loss and check for related complications, says Wilson. Other common conditions that may cause severe weight loss or a dysfunctional relationship with food are gastrointestinal conditions such as celiac disease.

If a medical doctor believes a diagnosis of anorexia nervosa is likely, they may refer you for evaluation by a mental health professional to confirm your condition. The mental health professional will ask you a series of questions about your behavior, mental health state, and self-reflection. Once someone is diagnosed with anorexia nervosa, they will receive an individualized treatment plan which may involve techniques such as therapy, nutritional education, and medical intervention, says Wilson.

Anorexia nervosa is a serious and life-threatening mental health disorder that causes someone to fixate on weight and food restriction. Symptoms of the disorder vary and are both emotional, behavioral, and physical. Therefore, if you or someone you love might have symptoms suggestive of anorexia, it's important to reach out to a healthcare professional like a doctor or psychiatrist for treatment.

"Despite the many challenges clients with anorexia face, complete recovery is totally possible," says Woodard. "Clients who are courageously willing to engage in the therapeutic and nutritional work during treatment have a great chance of seeing full recovery in their future. Making the decision to regain your life from the grips of anorexia requires bravery, hard work, and commitment."

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Do I have anorexia? How to recognize the signs and get proper treatment - Insider - INSIDER

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Aug 31

What Is Ulcerative Colitis, the Ailment Afflicting Shinzo Abe of Japan? – The New York Times

Ulcerative colitis, the gastrointestinal affliction that has debilitated Prime Minister Shinzo Abe of Japan so badly that he is resigning, is a chronic inflammatory bowel disease, which is suffered by millions and can flare up unpredictably.

It irritates and inflames the innermost lining of the large intestine and rectum, causing ulcers or sores. Symptoms can include uncontrolled diarrhea, rectal bleeding, weight loss, diminished appetite, abdominal pain and frequent need to use the bathroom.

The disease can strike at a young age and worsen over time, as appeared to happen to Mr. Abe, 65. Doctors say they have also seen it develop in people in their 50s and older who had not suffered symptoms at a young age.

Inflammatory bowel disease also includes Crohns disease, which can disrupt the entire gastrointestinal tract.

Ulcerative colitis and Crohns together afflict more than two million people in North America, more than three million in Europe and millions more worldwide, according to estimates in an article published in May by Clinical Gastroenterology and Hepatology, a medical journal.

Dr. Ashwin N. Ananthakrishnan, a gastroenterologist at Massachusetts General Hospital who was the lead author of that article, said ulcerative colitis was first seen during the Civil War, and has dramatically increased since the 1940s in the United States and since the 1970s in Asia, including Japan.

He and other doctors attributed the growth in cases partly to changes in eating habits notably a move away from fiber-rich diets particularly in Asia. But the underlying causes and triggers of both Crohns and ulcerative colitis remain areas of intense research. Many treatments have been developed to ease the symptoms, but both diseases can recur without warning.

Its still associated with a lot of disruption, Dr. Ananthakrishnan said in a phone interview. People can have flare-ups that can last for a few days to a few weeks.

Dr. Reezwana Chowdhury, an assistant professor at the Johns Hopkins University School of Medicine and a specialist in colitis and other intestinal disorders, said ulcerative colitis can develop at any age and that children who are diagnosed with it can suffer chronic recurrences. Its a lifelong disease, Dr. Chowdhury said.

Removal of the large intestine can be considered a cure for ulcerative colitis, but not without complications. In some cases, surgeons create an artificial opening in the abdominal wall for the discharge of bodily waste from the small intestine, an operation known as an ileostomy.

Dr. Ananthakrishnan said advances in treatments had sharply reduced the need for surgery. Twenty years ago, he said, one in five patients needed surgery, compared with one in 10 now.

Nonetheless, he said, even people who have responded to treatments can suffer flare-ups, which appeared to be the case for Mr. Abe, and that can take a toll on functioning for such a high-level person.

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What Is Ulcerative Colitis, the Ailment Afflicting Shinzo Abe of Japan? - The New York Times

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Aug 31

Trying to Lose Weight? Here Are 4 Fats to Enjoy and 2 to Avoid – LIVESTRONG.COM

Incorporating healthy fats is beneficial for weight loss, as well as for your overall health.

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If you're old enough to recall the '80s and '90s, you probably remember it as a time of low-fat everything. Dietary fats, regardless of type unsaturated, saturated, omega-3s or trans fats were, for the most part, lumped together and seen as problematic when it came to weight loss and heart health.

It took us some time (read: a few decades) to understand that this line of thinking wasn't entirely accurate and that avoiding all fats was hurting our hearts and waistlines.

Fast forward to today where the keto diet is king, and it appears we're now living on the opposite end of the spectrum. We've gone from limiting fats as much as possible, to a trendy diet that is about 75 percent fat, 20 percent protein, and 5 percent carbohydrates.

So, where do fats belong when it comes to managing our weight and overall health?

The truth is, somewhere in the middle, and the science on this will continue to evolve annoying, I know. The current Institute of Medicine guidelines, based on available science, recommend a diet that is 20 to 35 percent fat, 45 to 65 percent carbs and 10 to 35 percent protein.

Did you know that keeping a food diary is one of the most effective ways to manage your weight? Download the MyPlate app to easily track calories, stay focused and achieve your goals!

Dietary Fat and Weight Loss

Fats are a crucial part of our diet. They are a source of energy and they help our bodies produce hormones and better absorb fat-soluble nutrients like vitamins A, D, E and K, as outlined by the American Heart Association.

A gram of fat (regardless of type) has 9 calories. They're more calorically dense than protein (4 calories per gram) and carbs (also 4 calories per gram). This is one of the reasons why we pursued low-fat diets long ago.

But it's important to keep in mind that eating an excess of calories, regardless of the macronutrient source, will lead to weight gain, and be aware that fats are actually beneficial for weight loss. Here's why:

Dietary Fats Slow Down Digestion

Dietary fats naturally slow "gastric emptying," i.e., the time it takes for food to leave your stomach and continue its course through your GI tract, according to the July 2014 issue of Today's Dietitian.

We know that foods that take a while to digest leave us feeling fuller longer. So, adding a little bit of fat to your meal, like olive oil on a salad, or avocado in your smoothie, will help to slow down how quickly you digest your meal.

Furthermore, research shows adding fiber slows down the digestion of fat even further.

Dietary Fats Favorably Affect Hunger Hormones

There's a growing body of research looking at the effect different types of fat have on various hunger hormones and satiety levels.

A March 2019 study published in Appetite found that eating meals higher in polyunsaturated fats (PUFAs) led to a greater decrease in ghrelin (a hormone that triggers hunger) and higher CCK levels (a hormone that suppresses hunger) compared to monounsaturated fat. The diet high in PUFAs also resulted in lower hunger ratings, although there was no difference between the amount of calories consumed and the reported feelings of fullness.

4 Fats to Add When Youre Trying to Lose Weight

Adding some avocados to your tacos will help you digest the meal slower.

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What makes avocados so special when it comes to weight loss? It's the healthy fat and fiber combo. A serving of avocado (one-third of the fruit) has 4.5 grams of fiber and 9 grams of fat, according to the USDA.

If you pair the avocado with a salad, chips or tacos, the added fat will help to slow down the digestion of the meal and the grams of fiber slow it down even further. The only caveat is portion control. Avocado is good, yes, but polishing off a bowl of guac isn't going to help your cause.

Yes, eating fish is great for your health and waistline but salmon (and a few other fish like tuna and sardines) may have the upper hand. These specific types of fish are rich in omega-3 fatty acids and it turns out, these fats may help improve leptin resistance, according to a July 2015 article published in Today's Dietitian.

If you are carrying some extra weight, chances are you also have chronic inflammation and it's the inflammatory chemicals that cause our body to be less sensitive to leptin, a hormone that decreases our food intake and regulates our metabolism. Omega-3s however, can help make your body less resistant to leptin, allowing it to do its job.

Nuts are a good source of healthy fats they can be up to 80 percent fat, per the Mayo Clinic. And, all tree nuts are good for us. Eating nuts is great for our heart because they help to lower LDL cholesterol levels and reduce inflammation linked to cardiovascular disease.

But walnuts are a standout because they're unique in that they contain a solid dose of omega-3s, according to California Walnuts. This also means they're rich in PUFAs, which we know has been shown to favorably alter our hunger hormone levels as well.

A drizzle of olive oil on your salad may help with your weight-loss efforts.

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It may seem counterintuitive to add oil to your salad if you're trying to lose weight, but olive oil may actually help you better manage your body weight. It is a staple of the Mediterranean diet after all, which has been touted as one of the healthiest and most researched diets that we can follow.

Researchers looked at 11 different randomized clinical trials addressing olive oil and weight management and concluded that a diet enriched with olive oil led to a greater reduction in weight than a control diet without, according to a November 2018 meta-analysis published in Revista Espaola de Salud Pblica.

2 Fats to Limit if Youre Trying to Lose Weight

The biggest thing that will lead to weight gain is overeating no matter the source of calories.

That said, we know some foods are beneficial for our health while others are not. Trans fats and saturated fats provide no benefit to our diet and can do more harm than good, although more research is coming out on the effects of different saturated fats stay tuned!

Here's the deal: Trans fats have no redeeming qualities, so much so that the U.S. Food and Drug Administration has required that the artificial fat be removed from all processed foods. While the amount in our food supply has been cut back drastically, some still exists, according to the Mayo Clinic.

Margarine, refrigerated dough, baked goods and fried foods like French fries and doughnuts may all contain trans fats.

You won't find trans fats in healthy fat sources of food like chia seeds and almonds, but you may find them in ultra-processed junk food that is typically high in refined grains, too. These are the types of foods you'll want to limit if you're trying to lose weight.

If you're trying to lose weight, chances are you're watching what you eat and trying to eat less. When we do that, it's especially critical that we focus on nutrient-dense foods so that we get all of the nutrients that we need.

By limiting the saturated fat in our diet which we know provides no benefit we leave room for more beneficial sources of fat like mono- and poly-unsaturated fats.

You'll find saturated fat in fatty meats, fried food and butter.

Additionally, saturated fats may increase inflammation by kicking on a pathway that triggers what's called obesity-induced inflammatory response, according to an April 2018 study published in Nutrients. So, if you're overweight, eating foods high in saturated fat may trigger a greater inflammatory response in your body.

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Trying to Lose Weight? Here Are 4 Fats to Enjoy and 2 to Avoid - LIVESTRONG.COM

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