The Mediterranean and Paleo diets both have their strong devotees and their fervent critics. Midtown Athletic Club in Rochester Nutritionist Sarah Guilbert takes over the blog to compare two popular diet patterns to help you discern which, if either, is the healthiest option for you.

The word “diet” tends to be associated with negative self-image and restriction (“I can’t blow my diet” or “I need to go on a diet and lose these love handles”). It also implies that eating habits are temporary when healthy eating should be an enduring and sustainable lifestyle.

An “eating pattern,” however, is comprised of lifestyle eating habits that serve as a guide to how many servings of different foods you should have each day. Both the Mediterranean Diet and the Paleo Diet fall into the “eating pattern” category.

Before we dive into the specific aspects of each diet, keep in mind that I never recommend one specific eating pattern for everyone. There are benefits and drawbacks to every way of eating. It’s important to find one that is balanced, sustainable, enjoyable, and tailored to your specific needs.

Now let’s take a closer look at these two popular eating patterns.

Mediterranean

Longitudinal evidence has demonstrated that the Mediterranean eating pattern lowers your risk of many developing several diseases, including cancer and heart disease (1, 2, 3).

The Mediterranean eating pattern pyramid divides foods into ones that you should eat at every meal, foods that you should eat every day, and foods that you should eat weekly. It emphasizes fruits, vegetables, whole grains, olives/olive oil, nuts, and seeds. It encourages limiting starchy vegetables, red meat, and processed meat. White meat, fish, and legumes fall in the middle, with approximately two servings per week of each recommended.

The Mediterranean eating pattern is a good choice for many other reasons. It promotes whole/natural foods, increased fruit and vegetable intake, and it does not restrict any major food groups. It emphasizes cardio-protective fats and encourages limiting the types of fats that have been shown to negatively affect your health (saturated fat and trans fat). The eating pattern promotes the consumption of healthy fat and fiber, which will help promote satiety, and includes potassium-rich food, because it is primarily plant-based and includes many fruits and vegetables.

One criticism of the Mediterranean eating pattern is that it can be low-to-moderate in protein, which is a concern for athletes. It limits white meat to two servings/week and places fish/eggs higher up on the pyramid, which implies that they should be eaten less frequently (although it recommends having at least two servings of fish/week).

For the sample breakdown menu shown below, lunch was low in protein (14 grams). Athletes who require 25-30g protein per meal may need to add more protein to their plates.

Paleo

The Paleo Diet boasts that it is the “world’s healthiest diet, based on wholesome, contemporary foods from the food groups that our hunter-gatherer ancestors would have thrived on during the Stone Age” (5). It aims to improve overall health, promote weight loss, and lower disease risk (6). It is a relatively new diet and does not have the longitudinal data that other eating patterns have to support it.

Image via athleanx.com

Let’s look at the breakdown of a typical day. The Paleo eating pattern encourages meat, fish, poultry, vegetables, and fruits (mostly berries and melons). It excludes grains, dairy, legumes, added sugar, and salt because people living in the Paleolithic age would not have eaten those foods.

The Paleo eating pattern has many benefits. Natural foods and limited processed foods are a big part of this eating pattern, which helps to lower empty calorie intake and reduce sodium intake. It also emphasizes vegetable consumption and is higher in protein than the Mediterranean Diet. This combination will increase satiety and may promote weight loss. The Paleo eating pattern promotes the consumption of lots of fiber (the sample menu below has 47 grams), which can help healthy gastrointestinal function and lower cholesterol levels.

However, this much fiber may be a shock if new followers of the eating pattern try to increase their intake too quickly. Fiber intake should be increased gradually and should be coupled with increased water intake. The typical Paleo eating pattern is also high in potassium, which helps prevent hypertension. By encouraging nuts, the Paleo eating pattern also includes many heart-healthy fats, like the monounsaturated and polyunsaturated fats found in almonds.

On the negative side, this eating pattern eliminates multiple key food groups (dairy, grains, legumes). In a study of over 75,000 women, Harvard researchers showed that including 2-to-3 servings of whole grains per day correlated with a 30% lower risk of having a heart attack or dying from heart disease (8).

This study took place over ten years (compared to the ten days that some of the Paleo studies were conducted).  Yes, Americans tend to eat too much processed grains; however, this does not mean that grains should be eliminated from the diet completely.

Another negative aspect is that this diet is excessively high in protein. Based on the 1,800-calorie plan outlined below, a Paleo eater would be getting 151g protein/day on the low end (there is an optional added 3 ounces of fish if protein intake was not satisfying for the day).

Generally acceptable protein intake ranges from .8-2.0 grams of protein per kilogram that you weigh. For example, a 130 pound person would have an upper limit on protein intake of 118g protein/day. This diet also excludes the major source of calcium in the diet: dairy products.  Inadequate calcium intake can lead to developing osteopenia and can also be detrimental to heart health (9).

Which Is Best?

The Mediterranean eating pattern is a much more established, balanced way of eating for lifelong health. I would recommend it to most clients, but would also recommend increasing protein slightly at mealtimes. Is the Paleo diet the worst eating pattern out there? No. However, I would not recommend it unless it was modified slightly to reduce protein intake and include at least three servings of whole grains and two servings of dairy products daily. This would ensure that followers of this eating pattern obtain adequate healthy fuel and calcium sources while not overdoing it with protein.

Image via www.naturalhealthadvisory.com

In a future post, I will compare two diets: Advocare and The South Beach Diet. If you would like me to examine other eating patterns and diets, leave a comment on this post.

References:

(1) Couto E, Boffetta P, Lagiou P, & Ferrari P et.al.  Medierranean dietary pattern and cancer risk in the EPIC cohort.  April 26, 2011.  Br J Cancer 104(9): 1493-9.  Retrieved March 11, 2013 from http://www.ncbi.nlm.nih.gov/pubmed/21468044.

(2) Mitrou P, Kipnis V, Thiebaut A, & Reedy J et al.  Mediterranean dietary pattern and prediction of all cause mortality in a US population.  December 24, 2007.  Arch Intern Med (3) 167(22): 2461-2468.  Retrieved March 11, 2013, from http://archinte.jamanetwork.com/article.aspx?articleid=770019.

(4) USNews Health.  Medierranean Diet-Sample Menu.  Retrieved March 11, 2013, from http://health.usnews.com/best-diet/mediterranean-diet/menu.

(5) Innocenzi, L.  Academy of Nutrition and Dietetics.  Should we eat like our caveman ancestors?  Retrieved on March 11, 2013, from http://www.eatright.org/Public/content.aspx?id=6442471551.

(6) The Paleo Diet.  Retrieved on March 11, 2013, from www.thepaleodiet.com.

(7) Life Expectancy-what is life expectancy.  Retrieved on March 11, 2013, from http://www.news-medical.net/health/Life-Expectancy-What-is-Life-Expectancy.aspx.

(8)  Harvard School of Public Health.  Health gains from whole grains. 2013.  Retrieved on March 11, 2013, from http://www.hsph.harvard.edu/nutritionsource/health-gains-from-whole-grains/#references.

(9) Office of Dietary Supplements: National Institutes of Health.  Dietary Supplement Fact Sheet: Calcium.  November 16, 2012.  Retrieved on March 11, 2013, from http://ods.od.nih.gov/factsheets/Calcium-HealthProfessional/.

(10) Clark, S.  Body Building.  What is the Paleo Diet?  Dec 29, 2010.  Retrieved on March 11, 2013, from http://www.bodybuilding.com/fun/what-is-the-paleo-diet.html.

March is National Nutrition Month, and today is Registered Dietitian Day, which was created by the Academy of Nutrition and Dietetics to increase the awareness of registered dietitians as indispensable providers of food and nutrition services and to recognize them for their commitment to helping people enjoy healthy lives.

To celebrate, Midtown Athletic Club in Rochester Nutritionist Sarah Guilbert is back to talk about how to properly fuel up for your workout, and what you should eat post-workout as well.

The Importance of Snack Planning

Pre-workout nutrition is important for ensuring that you have adequate energy stores (through carbohydrates) to fuel your workout. Consuming a moderate amount of protein  before your workout is thought to increase muscle mass and strength performance.

Post-workout nutrition is important for repleting your carbohydrate stores (glycogen) in your muscles,  repairing muscle damage, and helping to synthesize muscle mass through protein.

How Much Do I Need?

The number of carbohydrates that you’ll need will vary slightly depending on whether you are trying to lose/maintain weight (30g carbs/10-15g protein) or build more mass (40-50g carbs/15g protein). If you have a long workout day, try to get slightly higher carbohydrate repletion so that your glycogen stores are refueled optimally for the next workout.

Timing and Delivery

Pre-workout snacks should be eaten 30-60 minutes before you begin exercising.  Post-workout recovery eating is optimal within 30 minutes of exercise completion.  Note that liquid nutrition will get into your muscles faster than solid food because solid food has to be broken down more and has a longer transit time through the GI tract.

Which Type of Protein is Best?

Whey protein is quickly absorbed by muscles and has also been shown to have a greater effect on stimulating muscle protein synthesis than casein and soy.  However, slower-absorbed proteins do have their benefits for providing repletion to muscles for a longer period of time after a workout.

Snack Ideas

Here are some appropriate pre- and post-workout snack options, whether you like to add protein to your shakes, have cottage cheese and fruit, or go old-school with skim milk and fruit smoothie.  Try one and let us know what you think!

Strawberry protein shake

12 oz skim milk

1 cup strawberries

1 cup ice

177 calories, 13g protein, 30g carbs

Tropical fruit smoothie

4 oz vanilla non-fat Greek yogurt

1 cup mixed tropical fruit (frozen)

4 oz vanilla almond milk

½ cup ice

195 calories, 10g protein, 38g carbs

Chunky Monkey*

½ large banana

8 oz chocolate soymilk

1 T peanut butter

1 cup ice

276 calories, 10g protein, 38g carbs

Berry Vanilla Smoothie

¾ cup blueberries

¾ cup blackberries

4 oz light vanilla soymilk

½ scoop vanilla protein powder

1 cup ice

193 calories, 15g protein, 34g carbs

6 oz flavored fat-free Greek yogurt + ½ banana

201 calories, 15g protein, 36g carbs

6 oz vanilla yogurt + ¼ cup granola

228 calories, 11g protein, 39g carbs

4 oz 1% cottage cheese + 1 cup mango

187 calories, 15g protein, 32g carbs

1/4 cup egg whites + 2 slices toast

187 calories, 12g protein, 30g carbs

*The fat in peanut butter will delay gastric emptying and may cause GI distress if you have a sensitive stomach.  This one is better to have post-workout.

References: Kleiner, S and Greenwood-Robinson, M.  Power Eating (3^rd Edition).  Champaign: Human Kinetics, 2006. Stuart M. Phillips & Luc J.C. Van Loon (2011): Dietary protein for athletes: From requirements to optimum adaptation. Journal of Sports Sciences, 29:sup1, S29-S38. Retrieved on March 11, 2013, from http://www.tandfonline.com/doi/pdf/10.1080/02640414.2011.619204

What does it mean to be fit?

For many of us, being fit means maintaining a healthy weight with diet and exercise.

However, the “healthy weight = fit” idea omits and misrepresents several important components of what being truly fit means. In biological terms, “being fit” means “being able to provide for one’s own life and wellbeing; the fittest are those who can do so the best.”  Now that’s a little closer to what we should be working toward.  Not just being fit to the point of sufficiency, but being the fittest.

So, the question is: What can you do to be the fittest you can be, or to obtain the best quality of life possible?

To answer that question, we’ll examine the five components of physical fitness.  That’s right, there are five.  Not just “fitting into my favorite jeans,” “being able to run a marathon,” or “bench pressing twice my body weight.” Our definitions are from the US Department of Health and Human Services.

Body Composition: This refers to the relative amount of muscle, fat, bone, and other vital parts of the body. Body composition can provide a better evaluation of overall health than weight or BMI alone, so it is important to maintain a level of body fat that is neither too low (below 3-5% for men and 8-12% for women), nor too high (above 20-25% for men and 29-35% for women).

A variety of body fat measurement tools exist including calipers and bio-electrical impedance devices, and although some are more accurate and expensive than others, all can help you monitor changes.

Tip: Have a body fat analysis performed to know your starting point, and begin implementing small, healthy diet and exercise changes to improve body composition.

Cardiorespiratory Endurance: Cardiorespiratory endurance is the ability of the body’s circulatory and respiratory systems to supply fuel during physical activity.  This means being able to sustain an elevated heart rate.  Activities like walking, swimming, and bicycling will all lead to improvement, and the good news is that the activity you choose does not necessarily have to be strenuous (at least initially).

Tip: choose an activity you enjoy and start slowly, increasing the intensity and duration over time.

Flexibility: Flexibility is the range of motion around a joint.  Maintaining good flexibility helps protect the muscles and joints from injury in all kinds of activity.  A basic stretching program, such as 10-15 minutes of light stretching for the upper body, lower body, and core after a workout, may be all you need to improve this oft-neglected fitness component.  Yoga and Pilates classes can also add more structure to your flexibility program.

Tip: the key to improving flexibility is to make time for it! Add 10 minutes to the end of your workout to stretch or take 10-minute walking/stretching breaks at work.

Muscular Endurance: Muscular endurance is the ability of the muscle to continue to perform without fatigue.  You can improve muscular endurance by doing sustained activities such as walking, swimming, or bicycling.  When it comes to weight training, completing longer sets (12-25 repetitions) would be considered working in the endurance range.

Tip: look for opportunities to activate your muscles outside the club.  For example, walk to the grocery store and flex those biceps by carrying groceries.

Muscular Strength: Muscular strength is the ability of the muscles to exert force during an activity.  Sorry to those of you who want to stick to the treadmill, but this means using your muscles against resistance, whether that comes in the form of a dumbbell, resistance band, or your own body weight against gravity.

Tip: take the stairs instead of the elevator, or do some pushups during TV commercial breaks.

To be truly, “totally fit” we need to focus on all five components of physical fitness. Not only will we be healthier overall, but we will also enjoy the benefits of reduced risk of injury and disease prevention (osteoporosis, diabetes, etc.).  The added bonus?  Improving any single area of fitness will help the others improve as well.

So what are you waiting for?!  What areas of physical fitness are you focusing on right now?

College students have plenty to worry about these days, with finding a job in a tough economy topping the list. Between the job search, studying, campus activities, and time spent “living the college life,” it’s easy to put your health on the back burner.

Courtesy of life-without-fat.com.

And that’s okay, right? I mean, you’re young, and your body can handle the stress of too little sleep and exercise, and too much unhealthy food…

Or can it?

In truth, it’s only a matter of time before the poor health choices you make as a young adult catch up with you.  Your health is no one’s responsibility but your own and maintaining it takes constant effort.  Learn that lesson now and you will set yourself up for success in the years to come.

Here are 3 of the most common health mistakes college students make and how you can avoid them:

Eating Too Much Junk Food: Dorm cafeterias put soft-serve ice cream machines and waffle makers at your finger tips, and campus convenience stores provide all of the salty snacks and sugary sodas you could ever want to propel yourself through late night study sessions.  Add in a few midnight pizza runs and party binges and you’ve created quite a mess for your body to clean up.

In fact, according to teenshealth.org, studies have shown that snacking between 8PM and 4AM is a leading contributor to weight gain.

Avoid It: Eat at regular times without skipping meals and incorporate plenty of nutrient-rich foods such as fruits and vegetables, whole grains, and lean proteins. Pay attention to portion sizes and nutrition labels (many dorm menus provide them) and limit your intake of high-calorie foods, including alcohol.

If you are up late, fuel your food cravings with lower calorie fruits, vegetables, or sugar-free drinks.  Your body will thank you for it!

Not Exercising Enough: Without high school sports or gym class programmed into your daily schedule, many college students let exercise fall by the wayside.  Combining lower activity levels with increased caloric intake makes putting on the “freshman 15″ a real possibility.

Avoid It: Take at least 30 minutes every day to do something active, such as walking, jogging, swimming, taking a group exercise class or working out at the campus gym.  Also get up and stretch or walk around if you catch yourself sitting for an extended period of time.

Researchers have found that students who exercise at least 3 days a week are more likely to report better physical health, as well as greater happiness, than those who do not exercise. Students who stay active are also more likely to report using their time productively. If just a little bit of exercise can help boost your health and your grades, it sounds like a no-brainer.

Courtesy of darlington.ac.uk.

Sleeping Too Little (and No, Naps Don’t Count): From studying and other school-related activities to social outings and noisy roommates, it’s hard to avoid poor nights of sleep in college.  Among other consequences, a lack of quality sleep can lead to increased stress levels and weight gain.

Avoid It: Do the best you can to go to bed and wake up at the same time every day, and aim for 7 to 8 hours of sleep per night. Don’t rely on naps or power 10+ hour sleep sessions to catch up on missed sleep.  Finally, avoid caffeine and alcohol too close to bedtime, as well as other stimulating activities such as exercise, TV, texting and Facebook.

One of the most important things you can do for yourself this school year is to keep your health on track. If your health is not already a priority, begin introducing positive changes slowly and build healthy habits now.  You’ve got a lot of off-campus years ahead of you, and it’s up to you to make sure that you will be healthy enough to enjoy them.

What are your tips to help stay healthy on campus?

Dane Robinson, a NASM-certified Personal Trainer & Performance-Enhancement Specialist at Midtown Athletic Club in Windy Hill, and an accomplished Arena Football League Player, takes over the blog today to talk about how to create a healthier margarita.

The margarita is a classic staple of the American summertime gathering.

When made correctly, it’s a simple, three-ingredient drink that when consumed responsibly won’t derail your health and fitness goals.

Unfortunately, grocery and liquor store shelves are stocked with unhealthy margarita products that are not only unnecessary, but also bad for your body.

Fortunately, it’s quite easy to create a healthier margarita.

1.  Lose the Cans

If your margarita-flavored drink comes in a can, chances are it contains bisphenol A (BPA), a chemical linked to serious health problems, such as cancer, birth defects, miscarriages, obesity, and a whole host of other diseases. Plus, consuming a margarita from anything other than its signature glass is just plain wrong.

2. Bypass the Bar Mix

While convenient, store-bought sour mixes are loaded with high-fructose corn syrup (HFCS), which is linked to diabetes, decreased liver function, and the growth of cancer cells. Recently, HFCS was also shown to decrease cognitive function following just six weeks of consumption.

3. Ditch the Dyes

If it’s not organic, chances are those pre-made margarita mixes you see on store shelves contain food dyes, most notably Yellow #5 and Red #40. Derived from petroleum and linked to cancer and hyper-activity, food dyes are bad news.

4. Embrace Your Inner Bartender

You may think you need a mixology degree to make a mean margarita, but an authentic, chemical-free margarita is actually a breeze to make. Once you’ve assembled the ingredients, the only other things you need are a shaker and a dish for the optional coarse salt.

5. Create the Drink

The best and most healthful margarita is one made from organic ingredients whenever possible.

Here’s how to do it:

Rub the rim of a margarita glass with a lime slice, and then dip the rim in coarse salt.

Add the following to a shaker:

1 1/2 ounces of tequila
1/2 an ounce of Triple Sec
Juice from one large lime
Coarse salt for rim of glass

Combine the ingredients, pour into the glass, and enjoy!

Courtesy of favim.com

A recent study published by the U.S. Department of Agriculture  revealed that although junk food was found to be cheaper per calorie, healthy foods (foods from specific food groups whose nutritional values fell below a maximum amount of saturated fat, added sugars, and sodium) were cheaper by portion size and weight. In other words, it costs less to put healthy food on your plate than junk food when you adhere to serving sizes.

Here’s an example. According to this Mark Bittman column, four “complete” meals from the leading fast food restaurant cost just under $30. But you can easily feed four-to-six people with a roast chicken, vegetables, salad, and milk for under $14. Choose a meal of rice and beans instead, and your total bill goes down about $5 more.

You might think, “that’s all well and good, but it still feels like junk food is cheaper and easier to put on the table. Why is that, and what can I do about it?”.  In a country whose obesity-related medical expenses already cost $147 billion per year, that is one of the billion dollar questions.

The answer is complex. But that doesn’t mean we’re powerless.

Here are some steps we can take now to curb the ever-widening effects of our “junk food” culture:

Ignore Manipulative Food Marketing: Fast food companies alone spent $4.2 billion on marketing in 2009, and the Food and Beverage industry as a whole has done a pretty good job convincing consumers that the foods they sell are cheap, convenient, and tasty.

It’s important to recognize that the tactics used are just that – ways of enticing you to buy products. Their bottom line doesn’t care if you enjoyed your burger after you bought it, or if it caused you to gain weight. But, your body cares, and who would you rather listen to?

Banish the Fast-Food Habit: Sixty years ago food was less plentiful and more expensive than it is today. Now, in part because of the overabundance of food, Americans dine out about five times per week. We have to reverse this trend. Our bodies do not need large portions of oil-saturated foods, a staple in many fast food restaurants.

We can also get more comfortable saying “no” to our kids, who sadly, are unfair targets of manipulative marketing. We need to show them that grilled chicken and potatoes can taste just as good as chicken nuggets and fries.

Know Your Options: Healthy food can be cheap and convenient too; it just takes a little more knowledge and forethought than ordering a Value Meal.  The cost of organic produce and $5 loaves of hearty whole-grain bread (vs. $2 white loaves) can be discouraging, but buying store brands and in-season produce, and taking advantage of coupons and sales can help keep costs low.

Embrace substitutions. Less expensive, conventionally grown foods can still be healthy, and brown rice is an alternative whole grain that costs under $1 per bag. Take 10 minutes to plan your trip to the store, and you can be in and out in less time than it would take for you to wait in a drive-thru line. Plus, you’ll have a smaller tab!

Get Cooking: Americans are watching more cooking shows, but spending less time in the kitchen. What’s wrong with this picture? There is a misconception that cooking takes lots of time and skill. Stock “staple” items, such as rice and beans, chicken breasts (which freeze well), and spices. Also, invest in a good knife and large cutting board, and use the Internet to find healthy and easy recipes you can prepare in 15-minutes or less.

If you have time to watch your favorite TV show, you have 15 minutes to prepare dinner for your family. Try it for a month and see if your bills and your belt stay a little tighter.

Courtesy of jcburrou.hubpages.com

We don’t like to hear that healthy food is cheaper than junk food because it gives us one less excuse to eat junk. While it’s easy to go out and eat 5,000+ calories a day, our bodies simply can’t handle that lifestyle, even with exercise. Our choices impact the quality of our lives, and it’s up to us to embrace a healthier lifestyle that doesn’t include junk food products.

Do you think it’s possible to eat healthy on a budget? What challenges have you faced in providing healthy meals for your family, and how have you overcome them?

As the obesity epidemic grows in scope, so too does the “blame game.” Lack of exercise, over-consumption of food, sedentary work environments, lifestyle choices, biological predispositions, genes…the list of possible culprits for America’s fatness goes on.

Fast food is a common target. Earlier this month, an advocacy group launched a campaign petitioning 26 hospitals across the country to remove a major fast food restaurant from their cafeterias with the aim of sending a “better message” to consumers.

Some of the reasoning behind the group’s initiative comes from a 2006 study published in the journal Pediatrics that concluded that allowing fast food centers to operate in hospitals not only affects guests’ consumption of fast food on the day of their visit, but also unintentionally boosts the perception of the “healthfulness” of fast food in general. Here’s more research that supports the initiative:

• The prevalence of obesity-related diseases has risen sharply over the past thirty years, and the number of fast food restaurants in America has more than doubled over the same period (The National Bureau of Economic Research).
• Studies have shown that “consumption of fast food among children in the US seems to have an adverse effect on dietary quality in ways that plausibly could increase risk for obesity.”
• Studies have shown that increased proximity to fast food restaurants is linked to an increase in obesity.

Courtesy of wagnerfpa.wordpress.com.

So being near to fast food increases the likelihood of obesity, but will removing fast food from hospitals (and other institutions and neighborhoods) help solve the problem?

Consider this:

• The New York Times recently reported that studies have shown that “there is no relationship between the type of food being sold in a neighborhood and obesity among its children and adolescents.”
• Restrictive “diets” and the “diet mentality” in general do not lead to long-term effective weight-loss. What does work, according to a recent study by the American Journal of Preventative Medicine, is eating less fat, exercising more, using prescription weight loss medications, or participating in commercial weight loss programs.
• Calling for removal of fast food from hospitals sends the message that fast food restaurants are “bad” and can be blamed for obesity, lessening personal responsibility for our own health.

Blaming fast food restaurants for obesity can place us on a slippery slope.  Should we remove buses from our streets to force people to choose the less convenient, but “healthier” walking or biking options?  After all, sitting for long periods of time is correlated with obesity, and most adults do not get the recommended level of exercise.

Similarly, while we should limit consumption of fast food, we can’t eliminate it from the American diet as long as there is a demand for convenient, inexpensive, and (arguably) tasty food.  We need to improve health through education and develop incentives that encourage healthy lifestyle decisions, proper nutrition, and exercise.

Perhaps a partnership between hospitals and Weight Watchers (or other proven commercial weight loss programs), or the establishment of walking groups or active events within hospital walls, could promote lasting change.

We won’t make any progress in the fight against obesity by playing the blame game at the expense of taking responsibility for our health into our own hands.

Courtesy of www.topnews.in.

What do you think? Will restricting fast food lead to a decrease in obesity? How can we as individuals, families, and institutions promote a healthier America?

Courtesy of reachphysio.com

Last week the results of a recent study published in the journal Pediatrics disproved the belief held by many parents that playing “active” video games like Wii Fit and Dance Dance Revolution could increase their kids’ activity levels. However, before you throw away your Wii Fit systems and go back to the drawing board, let’s take a look at the study to determine whether video game fitness really is too good to be true.

• Researchers from Baylor College of Medicine in Houston, TX gave Wii consoles to 78 kids (ages 9-12 and above average weight).
• Half the kids were given their choice of two “active” games (e.g. Wii Sports) and the other half were given their choice of two “inactive” games (e.g. Super Mario Galaxy).
• Kids’ activity levels were measured for 13 weeks using an accelerometer (a motion-measuring device) worn on the belt.
• Accelerometer logs showed that throughout the study period, kids with the active games didn’t get any more exercise than those given inactive video games, with both ranging between 25-29 minutes of moderate or vigorous physical activity each day.

• Accelerometers have been shown to monitor activity accurately, however, the location of the accelerometer can impact what movement is actually recorded. For example, an accelerometer on a kid’s belt may not be able to pick up all of the motion generated by the upper body in a boxing game.
• Actual game time logged was not recorded.
• Other “active” game systems such as “Kinect” involve more full-body interaction than the Wii.
• Fitness games aren’t interesting enough to hold a kid’s attention.

Courtesy of wii.gamezone.com

It’s hard to exaggerate the important of heart health when almost 600,000 million Americans die of heart disease every year. Even individuals who are apparently fit and healthy can be caught unawares by a diagnosis, so let’s take a look at the steps you can take today to give yourself the best chance at a healthy heart now and in the future.

Courtesy of hometestingblog.testcountry.com

Step 1 – Know your numbers and risk profile: Schedule a doctor’s appointment and a blood test to learn the important numbers (risk factors) for heart disease, such as your blood pressure, cholesterol level, fasting blood glucose level, and BMI.

Having multiple factors for heart disease increases your risk exponentially, and some factors, such as age, gender, family history, and race, can’t be controlled.  However, knowing where you stand on the others will help you take the appropriate action; according Dr. Philip A. Ades of Eating Well, treating any one risk factor effectively halves your likelihood of developing heart disease.

Step 2 – Quit smoking (or better yet, don’t start): It’s easy for non-smokers to cite all of the negative effects of this habit as reasons to “just stop,” but they may not understand the seriousness of the lifestyle change required to quit. If it’s been a while since you have reviewed the risks associated with smoking, check them out here, and work with your doctor to develop a plan to quit.

The importance of the remaining steps cannot be understated, as they directly impact all of the remaining heart disease risk factors:

Step 3 – Adjust your diet if necessary: Making a conscious effort to reduce intake of saturated and trans fats, added sugars and sodium, and excess calories in general greatly reduces your risk for heart disease.

Some of the best ways to do that? Eat less heavily processed and refined food and substitute with more whole grains, fruits and vegetables, and lean proteins (including fish, nuts, beans, and lean meats). Keep a close eye on portion sizes of snacks and meals to lower your chances of overeating, and drink alcohol in moderation. For more healthy diet and nutrition tips from Midtown, click here.

Step 4 – Exercise more (or at the very least, sit less): Losing weight (or lowering BMI) is just one potential benefit of regular exercise. Consistent daily and weekly efforts to get up and move will help you become healthier, stronger, and more energized, and just 10 minutes of activity here and there can make a big difference.

Courtesy of www.bbc.co.uk

Once you begin consciously moving more, try adding more traditional exercise to your routine a few days per week for just a few weeks. Experiment with different activities until you settle on one that works for you. Your body and mind may not react positively right away, but if you don’t give exercise a real chance (which means a consistent effort), you will never experience the real benefits.

Step 5 – Stress less: While we hold out hope that someone will develop a “magic pill” that will banish stress from our lives forever, managing stress remains one of the most difficult aspects of our lives. Work and family commitments alone are enough to overwhelm our calendars and our worry threshold for the month. You can try to sleep more, take more time for yourself, and clear your schedule, but it’s not always possible to do those things.

So what can you do? It may help to start by identifying the centers of stress in your life and how you feel about them.  Observe what happens to your mind and body when you experience stress. Knowing what causes your stress in the first place can help you gain new perspective and create coping strategies that will reduce stress and its consequences. It takes patience and practice, but you and your heart are worth it.

What are you doing to improve your heart health?

All parents want what’s best for their kids. They want them to be the smartest in the class, or the fastest on the team.  They give them time, money, support, encouragement, and love, all to help them be the best they can be.  For many families, this is especially true when it comes to fitness and sports.

But before plowing into hours of practices and training sessions with spring sports right around the corner, it’s important for parents to ask themselves, “Are my kids working out too much, or not enough?”

According to research done at the University of Michigan, exercise is key to combating the obesity epidemic, especially in a nation where 15% of all children are estimated to be overweight.  However, it’s also possible to push kids so hard in organized activities and athletics that they run the risk of injury and mental/emotional fatigue.

So, how do we determine what’s really best for kids?

Existing research isn’t too much help here.  Many studies have been done on childhood fitness, and many sets of guidelines have been published.  According to Harold Kohl, an epidemiologist from the University of Texas, there are at least 27 sets of official guidelines from various organizations without a lot of data to back them up.

For example, we don’t know why 60 minutes is more sufficient than 30 or 45, how play time or unorganized activity fits into the picture, or how individual differences impact the results.  Fortunately, the experts do agree on a few things:

• Kids who exercise have stronger muscles, greater endurance, and bones that are denser and have greater mineral content.
• When obese children exercise regularly, their body fat, blood lipids, and blood pressure may fall.
• Kids should not exercise as “little adults;” for example, it may not be safe for kids to run on a treadmill for 30 minutes straight.
• Exercise impacts all children differently – some get more benefit than others, and some get none at all.
• Left on their own, most children know best what their bodies need.

So what does this mean for families?  Children spend a lot of time being told what to do by parents, teachers, peers, and the media.  Maybe it’s time to include our children in the decision-making process, and in turn, teach our kids to listen to their own bodies.

Whether they choose to participate in organized athletics or unorganized activity (“just play”), they stand to gain the benefits of building and maintaining a healthy lifestyle, without risking physical or emotional burnout.  Activity can contribute fun, creativity, new skills, teamwork, and personal fulfillment to a child’s life.

And if “the single best activity you do is the one you will do”, let’s allow our kids to choose how to become the best, healthiest, and happiest, they can be.

What sports and activities do your kids enjoy most?