Archive for the ‘Healthly lifestyle’ Category

Now many Army recruits are overweight and out of shape

Tuesday, August 31st, 2010

I was setting up Lynnette’s new Kindle (we are now a two-Kindle family) and in doing so looked at the one newspaper I subscribe to on what is now our old Kindle. I get the “New York Times” breaking news, updated three or four times a day. I scanned through the article list quickly, then I stopped and read one article carefully.

In the last few years the military has come to grips with our obesity epidemic. In 2010 the

optimal Army recruit

Optimal Army Recruit

Army has had to change its recruit physical training program. They aren’t having the newbies do situps anymore; now they do yoga and Pilates. The underly rationale is partially to cut down on injuries and get soldiers ready for challenging terrain, actually it’s because so many more of the youngsters who enter the service are overweight and out of shape.

I guess with all I’ve studied and read on the area that shouldn’t have been surprising, but it still was. An Army report, “Too Fat to Fight” said the proportion of possible new recruits who couldn’t pass the application physical went up by 70% between 1995 and 2008. Many of those who passed that exam still can’t “cut the mustard” in physical activity like their predecessors. All this is being attributed to junk food, video games replacing outdoors sports and less time spent in physical education classes in schools.

Kids are drinking sugar-filled sodas and more sports drinks and not getting enough calcium and iron according to the three-star general who is in charge of Army recruit training. That plus the lack of serious exercise in their teens leads to a markedly increased percentage failing fitness testing and suffering injuries along the way.

I remember when one of my Air Force dieticians came up with a heart-healthy recruit diet trial; that was about 1995 or 1996. The youngsters actually liked the fruit “pizza” and other food items she substituted for what one senior officer on our base termed “the same old slop.” We didn’t totally change the worldwide menu for what we termed “chow halls,” but we did add 300 heart-healthy items to the list of choices.

Now, roughly fifteen years later, the Army recruit diet is changing with milk vs. sodas, more green vegetables and lots less fried foods. It’s about time, was my first thought. My second was, we’ve got to start earlier than the 18 to 24 year-old group.

It’s time to set an example for your kids and grandkids and to pay attention to what they get to eat when they’re first starting out. I suspect too many parents are letting very young children make bad choices in their diets and not setting limits on their sedentary activities. We need to steer our next generations for healthy eating habits and more physical activity.

Kids don’t always listen to what you say, but they will notice what you do.

Before it’s too late.

Living to 100; I tried some of Harvard Medical School’s ideas

Monday, August 30th, 2010

We’ve purchased a number of Harvard Medical School’s short publications; as expected they’re excellent. I just was re-reading on on “living to 100.” Most of the concepts, e.g., don’t smoke, exercise regularly and eat a healthy diet, are well known to almost all of us but less commonly followed than I’d like to see. Some of the others, like take care of your teeth, establish a social network that lasts and kept your brain working hard, are also fairly obvious, but less well-publicized.
But then there was an idea that I really liked: keep an optimistic viewpoint on life. I tend to be cheerful, like puns (that’s a “two-fer,” optimism and brain play) and view the cup as mostly full, rather than partially empty.

My wife isn’t hiking this summer as one knee has been bothering her; she goes to the gym for Pilates and/or yoga two or three times a week and is still in her “Strong Women, Strong Bones” class twice a week. She has a group of friends who attend one class and sit and converse afterwards; she has a close friend in the Strong,Stong class and has a snack with her afterwards.

I’ve noticed her social network and thought I needed one myself. So this past weekend I went for a hike in the mountains with a close friend of ours. I’m ten weeks out from back surgery and have been walking, but not going to the gym. In the week before the hike I walked further, three and a half hours without pause one day (actually I stopped to pet a dog for a moment) and two hours up and down hills another day.

My legs weren’t as strong as usual going up the mountain to 11,440 feet and I had to stop twice, but made it to the summit. Then, on the way down, something extraordinary happened. We had seen a couple hiking up and later heard the man had stopped with Acute Mountain Sickness. Someone called 911 when they got to a point where they had cellphone reception and ten of us gathered around the couple and, in one way or another, contributed to getting the man down the slope.

The National Park medics arrived with oxygen and another group brought a stretcher with a single huge wheel. When my friend and I got to the trail-head I thought, “What a great day; exercise, a superb group effort and lots of positive approaches to solving a problem.”

Then to top thing off, our friend came back with me, and joined my wife and I in celebrating our anniversary. With days like that I may live to 100.

To Overeat or not to Overeat, now that is THE question

Monday, August 23rd, 2010

I read an article in “The Wall Street Journal” recently (WSJ July 13, 2001) that gave me clues for my own eating “Hot Spots,” those times when I tend to go on eating autopilot, switching from being a fairly lean, healthy eater to my late 1960s pattern of consuming anything in sight. As usual, I also looked for source material, and found an article in “Applied Psychology” that was published two years ago and another in the June 21010 issue of the “American Journal of Clinical Nutrition.”

Swiss researchers used the “Power of Food Scale” to measure three groups’ vulnerability to so-called hedonic/hedonistic eating. Obese patients tended to react much more to the sight, smell and, in other studies, even the names of “attractive” foods. Several recent studies have shown brain activity in the amygdala, a primitive area of our brains thought to be connected to emotion, to differ in lean vs. obese subject, in response to the smell and taste of milkshakes. Scientists are exploring, via functional MRIs and measurements of hormone levels, how and when we decide to quit eating.

So what does that mean for you and me? Many of us tend to eat on impulse, reacting to sight, smell, sound, and taste of foods we really like. People who are obese seem to have less/little control over this reaction. Successful dieters have the ability to pause, to have second thoughts before launching into an eating frenzy.

When I look back at how I once ate, it’s clear to me that I was, at times, a hedonistic eater. Now I’m almost always a homeostatic eater, eating to satisfy hunger, rather than eating impulsively.

Yet there are still times when I can switch patterns. That’s when I need to adopt the “one bite only” method, eat prior to parties, try my own method of cutting off a portion of each food item, avoid even the sight of high-calorie foods or just pause for a moment.

We ate a wonderful Australian dinner with our small gourmet group last night. There were lots of unusual food items, some of which were potentially high in calories. I ate very well, but only gained two tenths of a pound. This morning I walked for three and a half hours, doing some hill work in preparation for a mountain hike this coming weekend. Today is a mostly vegetable day. I think I understand the hedonistic eating pattern better and, in doing so, find myself much better able to withstand tempting foods.

Think about your own eating patterns, especially those times when you tend to overeat without thinking. How can you avoid or minimize this happening?. How can you spend as much of your life as possible as homeostatic eater?

Slow Food, farmer’s markets and more

Wednesday, August 18th, 2010

I had heard of the “Slow Food” movement, begun in the late 60s after McDonald’s got to Rome. I didn’t know much about it until I read Michael Pollan’s June 10, 2010 online article in “The New York Review of Books.” His six-page piece is exceptionally well worth reading; I just got back to it via Google without any difficulty. Now I’ll attempt to articulate some of its points and add a few of my own views.

Pollan covers some far-flung aspects of the recent history and current trends of “food in America” (and elsewhere). Early on he mentions that our citizens now spend less of their money and time preparing and cleaning up from meals than any other group in history. There has, however, been a secondary, but crucial cost, the decline of meals eaten together as a family. The impact of this is visible: our kids are growing up with meals eaten in front of the TV with an absence of family conversations; our food industry has had an enormous sway in what we eat and where, e.g., “Fast Food;” our diet with all its emphasis on ease and speed of preparation has led to the epidemic of obesity and its related diseases.

Pollan notes the variegated segments of the food movement, distinct as they have been over the past thirty years or so, have now appeared to have a common focus on high-level problems: we cannot sustain our present food/farming patterns longterm without major environmental and economic consequences. Climate change issues are at the heart of this shift, as is the realization that cheap fossil fuel enabled the huge post WW II increases in farm/food system productivity via the pesticides and fertilizers they spawned. In order to solve our global warming and water issues, we will almost certainly have to alter our farming/food patterns.

Our current diet, centered for many on meat-eating, consumes huge amounts of our increasingly valuable water supply. Our habits of wanting produce grown around the globe to be available on our tables year-round consumes fuel in enormous quantities.

The new health care reform legislation, Pollan feels, may lead to health insurance firms having a keen interest in the prevention of chronic diseases. We appear to be at a cusp where food-related businesses, locovores, food movement organizations, health insurers and even our government may agree on the need for change.

I’m tentatively hopeful that the next twenty years will see progressive shifts in our dietary patterns, our food sources, our use of fossil fuels and the longterm health of our kids and grandkids. Maybe that’s asking for a lot, but the alternative is truly frightening. It’s time and past time for a whole series of interlocking changes.

Pea Pod Soup and Pea Pod Soup++

Tuesday, August 10th, 2010

This has been our first closeup and personal experience with a CSA (community supported agriculture) organization. Every Monday we drive about a mile and a half to one of the 20+ delivery sites for Grant Family farms and pick up our Couples Veggie Share and a Single Fruit Share. This was week eight and thus far we’ve been extremely pleased at the quality and variety of produce we’ve been receiving.

Our only issue was what to do with it all; we’ve gotten six to eight different veggies a week. We have friends who split their Couples Veggie Share with neighbors, and we’ve given our next-door couple a few things. And when we travel we’ve either donated to the Larimer County Food Bank or, as will happen over the next ten days, while we’re up in the mountains at the Y camp with our grandson and then flying him back to his folks in the DC area, a friend will make two pickups for us. She’ll keep one for her family and split the second with us when we return.

The real discovery was the recipes. Our CSA sends out a newsletter each week and it took me a week or two to catch on to the sidebars. There are fascinating thins to do with the kale, beets, romaine lettuce, and cabbage we’re getting at this time in the veggie season.

Then there were the English peas. The first time we got a large batch of them we just shelled them and added the pods to our kitchen compost bucket. They eventually were transferred to our vermiculture compost bin in a sheltered location just outside our garage.

The following week I spotted a recipe for pea pod soup. I gathered up the ingredients: olive oil, an onion, two cloves of garlic, chicken stock, fresh thyme, zest of one lemon and the pea pods and followed the instructions. I thought the resulting soup was delicious, if a little bland; Lynnette really wanted considerably more kick to it.

Having been local parents to two graduate students from India, we’ve been introduced to garam masala, a wonderful spice mix. We had a second day’s worth of soup left over and heated that up for lunch, adding a couple of tablespoonfuls of garam masala and a teaspoon of minced garlic.

Both of us tried the new recipe and agreed we had made an enormous improvement. I plan to send our suggested alterations back to the CSA. Some may like the “souped up” soup; some may not. We’ll probably never make it any other way.

More on “What to Eat”

Friday, July 23rd, 2010

I finished Dr. Marion Nestle’s book, “What to Eat” some time ago, but got distracted by several other books and articles in various publications I read. Now I’d like to return to her superb volume and make a blanket statement to begin with. I’ve been concentrating on books, articles and online sources, in the wide field of food, nutrition and dieting for well over a year now and have found and read a number of excellent publications . If you were limited to reading only one book in the area, I’d strongly suggest this one.

That being said, I’d like to devote a few posts to the book and my reactions to it.

Nestle expanded my concept of who benefits from our having an overabundance of food available, and eating much more of it then we should (remember two thirds of Americans are overweight. and half of that group, one third of our total population is obese). So of course the food industry, in all its manifestations, food production, sit-down restaurants and the plethora of fast-food outlets, benefits directly from our overeating.

What I hadn’t thought of as collateral beneficiaries were the whole diet industry, our expanding number of health clubs, our pharmaceutical firms and even my colleagues in medicine.

Then there’s the stock market angle. A number of those entities I’ve listed (a list I’ve obtained from reading Nestle’s book) are actually publicly owned and have shares traded on the stock market. As such, my take is they need to demonstrate constant growth, or at least a pattern of growth, to maintain share value.

Nestle also emphasizes changes, over the last thirty years or so, in our eating patterns. We are encouraged to snack from an early age and most of those snacks, unlike my occasional piece of fruit, are empty calories. More calories ingested equals more weight, unless you’re also burning more calories.

I’m now six and a half weeks out from back surgery and won’t be able to return to our own health club for another ten days. So for now I’m walking, and going a little further each day. Today I walked for seventy-five minutes. I wasn’t moving very rapidly and I didn’t calculate how many calories I burned. I didn’t care really; it was a beautiful morning (I started at 7:45 AM) and I enjoyed the walk. I chose a different route than I’ve taken in past days and saw some different scenery.

A major part of losing weight is to think about what you’re doing when you shop, when you eat and when you chose how to spend your time. I may watch a TV show from time to time, but I’d rather spend the same amount of time exercising.

How about you? What choices do you make in these areas?

The China Study; time to change my diet?

Wednesday, July 21st, 2010

We were on a trip recently and stopped for three days to visit some relatives we seldom get to see. He’s a physician, past department chair at a highly regarded clinic/academic center and is working on a major research project in four countries, one of which is China. They’ve altered their dietary pattern in a very significant manner since we last saw them, four years ago. I asked for the background data on their new diet and purchased two books, the first of which is “The China Study,” by T. Colin Campbell, PhD and his youngest son, Thomas M. Campbell II.

Dr. Campbell, an emeritus named-chair professor at Cornell, has been a long-term major figure in the area of nutrition and was involved in a large-scale research project involving scientists from China, the US and England. They did blood-work and gave out questionnaires to 6,500 adults in rural and semi-rural areas of China as well as performing urine tests, three-day dietary measurements and analysis of food samples.

The resultant book emphasizes health differences between people in China on a mostly to exclusively vegetarian diet and those of us who eat what has been termed the Western Diet, one rich in meat and dairy products, relatively low in vegetables and fruit. Dr. Campbell strongly advocates our switching to an exclusively plant-based diet and details how the “Diseases of Affluence,” especially heart attacks, diabetes Type 2, some cancers, and obesity are related to nutrition.

I also looked at Dr. Campbell’s impressive bio and, as well, read some of the critiques of his conclusions. I think the book is well worth reading and enjoyed Dr. Campbell’s article in “The Huffington Post,” published today (7-21-2010). In it he calls for an NIH Institute of Nutrition. I would agree that our Western Diet, rich in fats, sugar and salt, is a major cause of overweight and many assocated diseases. I would disagree that some of the specific conclusions in “The China Study” have been conclusively proven. I’d love to see a new NIH branch which could fund studies to prove or disprove those conclusions.

I’d recommend you read the book and judge for yourself.

Harvard Medical School Weighs In

Friday, July 16th, 2010

I recently received an email from Harvard Medical School (HMS) about their series of medically-related Special Health Reports. I purchased one on Women’s Health Fifty and Forward for my wife and then saw another in their list titled “Lose Weight and Keep it Off.” That one arrived just after we got home from a two-week vacation. On the morning we departed I weighed 149 pounds, the bottom edge of my goal weight of 149-150. I knew before we left that I wouldn’t be sticking to my usual diet, but hadn’t realized that I’d gain six and a half pounds on the trip.

I went back to the strict version of my diet as soon as we got home and three and a half of those extra pounds are gone already. This morning I weighed 152.2, within my acceptable range. Having started my dieting in May of 2009 at 177, I’m not too upset, but I wanted to look at the HMS take on dieting and especially on maintaining your weight goal once you’ve achieved it. I’d like to do better on vacations.

I had lots of excuses for my temporary weight gain: I was recovering from b ack surgery and couldn’t exercise like I usually do six or seven days a week;we had visited relatives on the first leg of our trip and they fed us very well; the week-long Chautauqua stay was at a lovely hotel with abundant meals included and the final three days were spent visiting friends, one of whom is on the New York Times staff as a deputy food editor and took us to his favorite restaurants. I wasn’t happy with my excuses.

The last chapter of the HMS report cites the statistic that 95% of people who lose weight will regain it in a few years. Well I’m interested in being in the 5% who can keep their weight off, so I read that chapter with great interest. It turns out there’s a project, the National Weight Control Registry, that has been following over 5,000 long-term dieting successes. Of course, those people, in general, stick to diets that are healthy and don’t have excess calories. They also exercise regularly.

That made sense, but it turns out that they differ considerably in their diets and what they do for exercise. What they do share is the ability to pick out an approach to eating and exercise that fits their own long-term goals. Then they adhere to that plan, get an hour of exercise a day, eat lots of fiber and less fat, weigh themselves at least weekly and don’t watch much TV.

Okay, I do all of that and, having read the HMS publication, I realize watch TV is a double-edged sword. By that I mean you’re stationary and you’re exposed to lots of food commercials.

That’s great stuff, but didn’t tell me what to do on vacations. I think what I have to incorporate into my travel plans, maybe on my computerized pack lists, is a statement. “You’re going on a trip, Peter. You’re also going on your own diet plan, especially the part about portion control.”

The Dirty Dozen and the Clean Fifteen redux

Tuesday, July 13th, 2010

I had seen an article on foods that are more often contaminated with pesticides and other chemicals and wrote a blog post on it (“Protect your kids, buy organic”) on May 21st. Now I’ve got a follow-up to that post. To begin with, as I briefly alluded to in the May post, there’s an Environmental Working Group (EWG) that makes recommendations to the public on a number of health-related issues. It’s a 501(c)3 non-profit that was originally formed in 1993 and includes people from a variety of disciplines (e.g., scientists, engineers, lawyers). It also, since 2002, advocates Congress on health-protection and subsidy-shifting policies and publishes a variety of reports through its website www.ewg.org. I just signed up for several of its newsletters and read a study that may lead to my changing which cellphone I use.

“Prevention” magazine, in its August 2010 edition just published an article reviewing the recent version of the Dirty Dozen and the Clean Fifteen. I usually don’t read this publication, but my spouse has a subscription and said I’d be interested in this particular article. When I originally found those lists in May, I clipped them from a newspaper, researched the background of the EWG, then made multiple copies of the lists and we started buying more organic foods than we had previously. Subsequently our 26-week Grant Family Farms (local CSA) Veggie Couples Share began and, as of yesterday, our 22-week Fruit Share began. But we’re still buying some produce that doesn’t come from our CSA. So I read the article in my wife’s copy of “Prevention” with interest.

The writer went through the lists fruit and vegetable by fruit and vegetable and gave a cogent rationale for why each was on each list. For instance, take celery, which ranked number one on the Dirty Dozen list. When I first read that I wasn’t at all sure why celery would be in the “These you really should buy in the Organic foods section.” But the comment in the article made sense. Three quarters of our celery crop is grown in the fall and winter when weather conditions make contamination by bacteria and fungi more likely to occur. That added to the fact that we consume all of the celery stalk (I do cut of those leafy bits and the large end of the stalk), leads to repetitive spraying of the crop with pesticides. So buying organic celery now does make logical sense to me.

Try the EWG website and see if their work interests you as much as it does me.

Marion Nestle’s book, “What to Eat”

Friday, July 9th, 2010

On one of my previous posts I mentioned Marion Nestle as a professor of nutrition who had commented on the 2010 Dietary Guidelines. I read two of her columns in the Atlantic Monthly and a blog post she had written and was struck by her intimate and detailed knowledge of the process by which the Dietary Guidelines, initially put together by an committee of experts, get subtly altered before they reach their final form.

Subsequently I purchased two of her books and have been reading my way through her absolutely superb book, “What to Eat.” I’ve been stunned by her depth of knowledge and have learned many new facts. Today I looked at her bio and realized she’s been directly involved with the Dietary Guidelines in the past, has both a Masters’ degree in public health nutrition and a Ph.D in molecular biology.

The book itself is stellar and won the James beard Foundation award for best food reference in 2007. Dr. Nestle examines the trillion dollar/year US food industry and walks you through the sections of a supermarket commenting as she goes. I’ll mention a few of the more striking areas today, but will try to pick out more over the next few posts I do. I think you should read this book yourself.

When you enter an average supermarket in this country, you’re confrounded with an enormous array of choices. She estimates you have 30,000 plus to pick from. So how do you get to the items on your shopping list? Well first you have to pass artfully, probably a better term is cunningly, arranged shelves and more shelves with food items you didn’t plan to buy.

The placement of those food choices is far from random. If your goal, like mine, is to shop the periphery, mostly purchasing fresh fruits and vegetables and a few dairy items, you’ll still pass through a gauntlet of deliberately placed, often highly processed, foods, many of which have lengthy ingredient lists. And you’ll likely find the things you do wish to buy have less carefully been arranged.

Why is this? Well to start with the government subsidizes the production of a few items: corn, soybeans, sugar beets and sugarcane, but not that of other fruits and vegetables. And the major food companies (that includes a much smaller number of them than I had once thought), don’t make as much money from the items on my shopping list, but lots more from foods that have been augmented, processed and made to appear appetizing to adults and, in some cases to children.

So the next time you’re in a supermarket, go there with your own shopping list and try to stick to it. Look at ingredient lists if you do buy processed foods; check out the fat, sugars (sic) and salt contents of anything you buy. And start to look at what is placed where in the store. Decide what’s been put there to catch your attention and to tempt you to buy.

Happy shopping.