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Showing posts with label center-for-weight-and-eating-disorders. Show all posts
Showing posts with label center-for-weight-and-eating-disorders. Show all posts

Unhealthy “Health” Food

Rebecca Dilks, RD, LDN, research coordinator at the Center for Weight and Eating Disorders and member of the Penn Metabolic and Bariatric Surgery team, and Casey Siegel provide tips for avoiding misleading health claims and being your own healthy food judge.
 

Just because the package or ad claims that a food is “healthy” does not necessarily mean that it is. More and more, food marketers are using healthy as a marketing technique to promote foods that by most people’s definitions do not actually qualify as healthy.

Don’t fall into the food marketing health trap: Next time you are the grocery store, check the nutrition label and ask yourself the following three questions to make sure the food qualifies as healthy health food.  

1. Does it contain too much sugar?
When food manufacturers reduce the fat content in foods, they often sacrifice flavor too. To compensate, many food manufacturers add sugar.
 
Further complicating matters, the sugar listing on nutrition labels groups all sugar together, which can be deceiving. In general, try to stay away from added sugar as much as possible. The American Heart Association recommends women consume no more than 100 calories (6 teaspoons or 24 grams) of added sugar per day and men consume no more than 150 calories (9 teaspoons or 36 grams).

Fruit juices, fruit cups, granola bars and energy drinks all contain added sugar, significantly increasing the calorie content. Try fresh fruit or flavored seltzer to avoid extra sugar without skimping on flavor.

2. Does it contain too much sodium?
Food can be loaded with sodium even if it does not have that traditional salty taste. That is why you must check the sodium content on the nutrition label. Don’t assume a food’s salt content meets the healthy food requirement. Stick to foods that contain less than 140 milligrams of sodium per serving.

For example, fat-free cottage cheese, which does contain healthy nutrients like calcium, also contains 400 milligrams of sodium per four ounce serving.

3. Does it contain healthy nutrients?
Food manufacturers are onto the growing healthy diet trend and have started making snacks in healthier portion sizes than ever before. But while many of these foods have reduced calories and fat, they also fall short on healthy nutrients like fiber or protein.

Instead of reaching for a pre-packaged, manufactured snack, try opting for all natural low-calorie and low-fat snacks that also offer important nutritional benefits, like fruits and veggies.

Check out this “buyers beware” list of foods that are commonly marketed as healthy despite questionable nutritional contents:
  • Bran muffins: Some may be high in fiber, but many are loaded with calories due to excessively large portion sizes.
  • Trail mix and granola: These products tend to come in small portion sizes that are loaded with calories and fat. Get more bang for your buck by snacking on low-calorie, nutrient-rich foods like fresh fruits and vegetables.  
  • Tuna salad: Don’t be fooled by the word “salad.” Tuna fish alone is a great choice for lean protein and omega-3 fatty acids, but by adding mayonnaise to make tuna salad you also add lots of calories and fat.  
  • Dried fruit: Dried fruit contains healthy nutrients such as fiber, but it also contains large amounts of sugar. Stick with fresh fruit for all the same nutrients but with less sugar. 
  • Veggie chips: These chips may have some “veggie” ingredients, but most brands do not contain whole vegetables.  
There are many food claims out there masquerading as healthy despite a lack of nutritional facts to back them up, so you be the judge. Use the nutrition label to determine which foods actually qualify as healthy by your standards, not the food marketers.

Rebecca Dilks RD, LDN
Center for Weight and Eating Disorders
University of Pennsylvania Perelman School of Medicine

Casey Siegel, University Of Pennsylvania, Class of 2012
Biological Basis of Behavior/Nutrition minor
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Start Walking for a Healthier You

Rebecca Dilks, RD, LDN, research coordinator at the Center for Weight and Eating Disorders and member of the Penn Metabolic and Bariatric Surgery team, provides tips for starting and maintaining a walking program.

Gym memberships are expensive. Running or biking outside can put stress on the body, especially when starting an exercise program after surgery. But walking? It’s free, convenient and easy on your body. That is why walking is the recommended form of exercise after weight loss surgery.

The following tips can help you get motivated to start and maintain an active walking program:

Lace up your shoes rain or shine
Make a commitment to walk in all kinds of weather. If it is cold, bundle up. If it is raining, carry an umbrella. Don’t let the weather be an excuse for not walking.

Plan ahead
Look at your schedule at the beginning of each week and decide which days to walk. By planning ahead, you help ensure that your busy life does not get in the way of your walking program.

Make walking fun
Just because walking is a form of exercise does not mean it has to be miserable. Make walking fun by starting a walking group and asking friends and family to join you. A lively conversation makes exercise more enjoyable. You might even forget you’re walking for exercise.

Bring a dog
Pets make wonderful companions – even for exercise. Use your exercise time as an opportunity to walk the dog or even borrow a friend’s dog. Dogs are great motivators to keep moving and stay active.

Set a destination
Having a destination in mind makes the walk pass quicker. Before you begin your walk, set a destination such as a flower shop or bookstore. You can even reward yourself by buying a bouquet of flowers or magazine when you get there.

Clear your mind
Walking is a great form of self therapy or catharsis. Use your time walking to clear your mind and channel positive energy.

Keep things new and fun
As soon as a walking path starts feeling routine, change it up. Find a new trail or go to a park you’ve never been to before. Avoiding routine helps keep things new and fun.

Jazz up your walk with tunes
Update your music player with upbeat songs. Music is energizing and sometimes even gives you an extra pep in your step. You can also upload audio books if you prefer listening to books instead of music.

The key to maintaining a long-term exercise program is making it enjoyable instead of a chore. Also, remember that physical activity is a key component of a healthy lifestyle, so make walking a priority and invest in a healthier future.

Make sure to consult with your health care team before starting any exercise program, including walking.

- Rebecca Dilks, RD, LDN
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Lose Weight and Achieve a Better Quality of Life, Too!

David Sarwer, PhD, director of clinical services at the Center for Weight and Eating Disorders and member of the Penn Metabolic and Bariatric Surgery team, explains the psychosocial benefits of weight loss surgery.

The physical benefits of bariatric surgery include weight loss, improvements in obesity-related diseases such as type 2 diabetes and hypertension, but that’s only half the story. A growing body of evidence now shows the significant impact of bariatric surgery on psychosocial health and well being, particularly quality of life.

Many people with morbid obesity experience impairments in their quality of life, including persistent pain, low self-esteem and issues with social relationships, body image and sexuality. For individuals suffering from obesity-related diseases, the negative effect on their quality of life is only enhanced by their illness.

The good news is that research suggests that bariatric surgery can benefit mental and social well being in addition to facilitating weight loss and reducing typical metrics of obesity-related diseases like blood sugar and blood pressure.

In fact, a recent study conducted by the Penn Metabolic and Bariatric Surgery Program shows the psychosocial benefits of bariatric surgery begin earlier than previously thought. Patients reported significant improvements to quality of life as early as just 20 weeks after surgery.

These findings suggest the need for a broader view of the benefits of bariatric surgery. The transformation people experience after bariatric surgery often involves significant physical, psychological and interpersonal changes. It is important to consider – and prepare for – all the benefits, including better qualify of life, when deciding whether bariatric surgery is the right treatment option for you.

The Penn Metabolic and Bariatric Surgery Program provides ongoing support groups to help you prepare for and successfully cope with post-surgical changes in your life. 

- David B. Sarwer, PhD
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Penn Advancing Bariatric Surgery with Clinical Research

Jacque Spitzer, MSEd, research project manager at the Center for Weight and Eating Disorders and member of the Penn Metabolic and Bariatric Surgery team, explains the various ways patients can stay connected with the program after surgery.

There are many ways to stay connected with the Penn Metabolic and Bariatric Surgery Program after your surgery. In addition to regular follow-up appointments and an annual visit, many people choose to join Penn’s post-operative support groups or participate in clinical research programs.

As one of the leading research programs in the country, Penn Metabolic and Bariatric Surgery is deeply committed to advancing medicine by finding new, improved ways help people with morbid obesity. At any given time, the Penn Metabolic and Bariatric Surgery Program conducts multiple research studies aimed at better understanding the underlying cause of severe obesity, developing new surgical techniques and finding optimal strategies for improving post-operative outcomes and success.

The first step in participating in clinical research involves learning about the study, asking any question you may have and providing informed consent if you choose to participate. Informed consent means getting all the information about the study and then making an educated decision about whether you want to participate. The decision is all yours and it does not affect the quality of care you receive from the program.

The next step in the process is a screening interview or visit to make sure you fit all of the requirements to participate in the study. Research studies vary greatly in the number of visits and types of activities that they involve. Some involve filling out a one-time survey while others involve repeated visits over months or even years. You learn about all of these parameters before deciding whether to participate.

Participating in clinical research provides the unique opportunity to contribute to the growing understanding of obesity and obesity-related diseases as well as obtaining access to the latest treatments. Click here for a list of all obesity and weight loss surgery research studies currently under way at Penn Medicine.

In addition, support groups provide an opportunity to meet other people who are on a similar weight loss journey, share experiences and offer support to one another. Staying in close contact with the team also allows them to quickly address any problems you may be having so you can stay on track with your post-operative lifestyle changes and achieve your weight loss goals.

- Jacque Spitzer, MSEd
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Providing Support, Education and Advocacy for People with Obesity

Rebecca Dilks, RD, LDN, research coordinator at the Center for Weight and Eating Disorders and member of the Penn Metabolic and Bariatric Surgery team, explains the mission of and Penn's involvement with the Obesity Action Coalition.


Obesity is a disease and its patients require support, education and access to treatment. Several members of the Penn Metabolic and Bariatric Surgery team had the privilege of learning about expanding access to obesity treatment, ending weight bias and preventing obesity through education, awareness and advocacy at the 28th annual meeting of the American Society for Metabolic and Bariatric Surgery, the largest bariatric society in the world.


At the annual meeting, we learned about the Obesity Action Coalition's (OAC) website, magazine, newsletter, support groups and other methods being used to increase education about obesity, including a "Walk from Obesity." It was clear to us that the OAC offers a unique opportunity for bariatric health care providers and patients to team up and improve the lives of people affected by obesity. In fact, we were so impressed by the OAC that several members of the Penn Metabolic and Bariatric Surgery Program joined the coalition.


A major focus of the OAC is advocating for widespread recognition of obesity as a disease. Patients can be denied access to important medical treatments, including medically managed weight loss or bariatric surgery, because insurance companies do not recognize obesity as a disease. The OAC wants to change this by encouraging patients and providers to contact elected officials, legislators and employers and emphasize the importance of treating obesity as a disease. They also provide guidance for those seeking insurance coverage for bariatric surgery.


With tools provided by the OAC, people affected by obesity can help eliminate the negative stigma and encourage key decision makers to recognize obesity as the medical disease that it is.


We encourage you to consider joining the OAC as part of your bariatric surgery experience with the Penn Metabolic and Bariatric Surgery Program.


For more information about the Obesity Action Coalition, visit the website.


- Rebecca Dilks, RD, LDN
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Learning and Sharing: Penn Metabolic and Bariatric Surgery team heads to Orlando

David Sarwer, PhD, director of clinical services at the Center for Weight and Eating Disorders and member of the Penn Metabolic and Bariatric Surgery team, discusses Penn’s involvement with the American Society for Metabolic and Bariatric Surgery and attendance at the upcoming annual meeting.

In mid-June, several members of the Penn Metabolic and Bariatric Surgery Program head to Orlando. Instead of going on the rides at Disney World or enjoying the marine shows at Seaworld, we are attending the 28th annual meeting of the American Society for Metabolic and Bariatric Surgery (ASMBS), the largest bariatric society in the world.

The leading bariatric surgeons and health care providers from across the United States share the latest research, treatments, news and industry developments at the ASMBS annual meeting. During the week-long meeting, members of the Penn Metabolic and Bariatric Surgery team attend and present sessions about cutting-edge developments in the field of bariatrics.

Penn Metabolic and Bariatric Surgery has been actively involved with the ASMBS since its inception over 20 years ago. All of Penn’s bariatric surgeons are members of the ASMBS as are various other members of the team, including program coordinators, dietitians and psychologists.

For the past several years, I have had the good fortune of serving as a co-course director of the behavioral health program at the meeting, which spans two days. During the program, I meet and talk with approximately 200 psychologists and mental health professionals who also specialize in the psychosocial care of individuals preparing for weight loss surgery. I am also presenting on various topics in the behavioral health program, including two original research studies under way at Penn Medicine.

Attending the ASMBS annual meeting and serving as co-course director of the behavioral health program are two of the biggest professional highlights of my year. I enjoy sharing Penn Medicine’s research studies and clinical developments with other professionals in the field as well as hearing about studies and advancements in their programs. The ASMBS meeting is a special opportunity for all bariatric health care providers to share and learn from each other so we can all continue to improve our programs and provide the most advanced and highest quality care to our patients.

- David Sarwer, PhD
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I’m Not Crazy, I Just Want to Lose Weight

David Sarwer, PhD, director of clinical services at the center for weight and eating disorders, explains the importance of psychological evaluations before bariatric surgery.

When considering weight loss surgery, many people wonder why they need
a pre-surgical psychological evaluation. It is a good question with several answers. Psychological evaluations have become a routine part of pre-surgical care. In 1991, the National Institutes of Health recommended psychological examinations prior to bariatric surgery when the health care team was concerned about a patient’s readiness to make the necessary lifestyle changes after bariatric surgery.

Over the past 10 years, organizations such as the American Society of Metabolic and Bariatric Surgery have strongly supported pre-surgical psychological evaluations and extended the recommendation to all bariatric surgery candidates. Today, nearly all insurance companies recognize the value of pre-surgical psychological evaluations and require them for all potential candidates as a part of the preoperative approval process.

The Penn Metabolic and Bariatric Surgery team believes that a psychological evaluation before bariatric surgery is critical to improve patients’ post-surgical success. The evaluation is an opportunity to identify motivations, address psychological challenges that may contribute to a person’s obesity or impact preparedness for surgery and arrange for appropriate follow-up support. It is not designed to be a barrier to surgery.

The Penn Metabolic and Bariatric Surgery Program is committed to providing the highest quality care to help patients reach their weight loss goals. As part of that mission, the pre-surgical psychological evaluation allows the health care team to optimize individuals’ chance for long-term weight loss success.

- David Sarwer, PhD

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