Posted October 29, 2017
By Julie Davis
FRIDAY, Oct. 27, 2017 (HealthDay News) -- Gone are the days of hunting through calorie and carbohydrate counting books to find the information you ...
Posted March 13, 2016
MONDAY, March 7, 2016 (HealthDay News) -- Plain old tap water might be the best diet drink around, scientists say.
People who want to cut calories and improve their diet might consider ...
Posted June 1, 2017
By Regina B. Wheeler
TUESDAY, May 30, 2017 (HealthDay News) -- We've all come up with excuses for eating when we're really not hungry, like dealing with a difficult ...
Posted March 8, 2016
By Maureen Salamon
WEDNESDAY, March 2, 2016 (HealthDay News) -- Playing couch potato on the weekends may be even worse for your weight than working at a desk all week, ...
Low-Carb Beats Low-Fat for Weight Loss, Heart Health: Study
Posted September 2, 2014
By Amy Norton
MONDAY, Sept. 1, 2014 (HealthDay News) -- For people who want to lose weight and boost their heart health, cutting down on carbohydrates may work ...
Train Your Brain to Choose Fruit Salad Over French Fries
Posted September 3, 2014
MONDAY, Sept. 1, 2014 (HealthDay News) -- You may be able to convince your brain that healthy foods taste better than unhealthy ones, new research suggests.
The study included eight ...
You've Lost the Weight. How Soon Before It Comes Back?
Posted January 27, 2018
By Serena Gordon
MONDAY, Jan. 22, 2018 (HealthDay News) -- If you've just shed a lot of pounds, you might want to hold off on buying a new wardrobe full of "thin" ...
At the 2011 American Dietetic Association’s Food and Nutrition Conference and Expo, Andrea Carrothers, MS, RD, Nutrition Communications Manager at WhiteWave Foods (the maker of Silk) presented Soy Myths Busted. ...
Posted November 10, 2016
THURSDAY, Nov. 3, 2016 (HealthDay News) -- Too little sleep may contribute to a larger waistline, researchers say.
The new research included 11 studies with a total of 172 participants. ...
Posted July 11, 2014
(HealthDay News) -- Along with calculating your body-mass index, measuring your waist is a good way to determine if you're at a healthy weight.
The U.S. Centers for Disease Control and ...
Posted December 24, 2014
By Natural Vitality Living
Regardless of where you work, chances are it's an easy place to be tempted by foods that don't jibe with your eating goals. Sure, a treat every now and again ...
Posted November 23, 2017
By Dennis Thompson
THURSDAY, Nov. 16, 2017 (HealthDay News) -- Obese people who follow a low-fat weight-loss plan could tack extra years onto their life, a new ...
Scientists have discovered that exercising could make low-calorie food appear more appetizing.
Scans taken after volunteers jogged for an hour showed that the brain's "reward centers" lit up when they were shown ...
Nuts Linked to Lower Cases of Obesity, Metabolic Syndrome
Consumption of tree nuts is associated with lower cases of obesity and metabolic syndrome, suggests a new study from Loma Linda University Health published in the peer-reviewed online science and medicine journal, ...
Crunchy or Smooth? Food's Texture May Sway Perception of Calories
WEDNESDAY, April 16, 2014 (HealthDay News) -- Creamy butter or ice cream versus a crunchy granola bar: A new study suggests that the texture of foods influences people's dieting choices.
"We studied the link ...
Adult Obesity Rate Tops 30 Percent in Half of States
Posted September 22, 2015
By Steven Reinberg
MONDAY, Sept. 21, 2015 (HealthDay News) -- Obesity still plagues millions of Americans, as rates remain high in most states, a new report finds. ...
No Snacking During Mid-Morning Leads to Better Weight Loss
WebMD Health News Journalist, Denise Mann reports new findings from a recent published study in the December issue of the Journal of American Dietetic Association. The study titled, “Associations between Snacking and ...
The health benefits of spinach abound—it’s an excellent source of vitamins K, A, C, E, and B6 and the minerals manganese, folate, magnesium, iron, and copper; it contains more than a dozen different flavonoid compounds ...
Calorie Counts on Menus May Prompt Healthier Offerings
Posted November 21, 2015
TUESDAY, Nov. 3, 2015 (HealthDay News) -- Large chain restaurants that list the calorie counts on their menus offer more lower-calorie choices than those that don't provide calorie ...
Posted August 26, 2017
By Regina Boyle Wheeler
WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- The choices you make during your lunch hour can make -- or break -- your "bottom" line. Picking ...
Frequent Dining Out Might Widen Your Waistline, Study Finds
Posted October 21, 2014
FRIDAY, Oct. 17, 2014 (HealthDay News) -- Love to dine out? You could be at higher risk for becoming overweight and having poorer cholesterol levels than people who prefer to eat at home, a ...
Posted March 5, 2015
By Michael T. Murray, ND
With the growing epidemic of obesity and type 2 diabetes it is imperative that Americans utilize safe and effective strategies for achieving and maintaining their ...
Posted July 5, 2016
FRIDAY, July 1, 2016 (HealthDay News) -- Having a stable family and a good relationship with mom and dad makes young people more likely to develop healthy habits that may protect them against ...
People May Eat More of a Food That's Labeled 'Healthy'
Posted January 6, 2016
By Dennis Thompson
MONDAY, Jan. 4, 2016 (HealthDay News) -- Words matter when you're trying to eat right, new research suggests.
People tend to overeat when ...
Posted February 16, 2018
By Steven Reinberg
TUESDAY, Feb. 13, 2018 (HealthDay News) -- Instead of gulping your food, try eating more slowly. It may help you drop those unwanted pounds, a ...
Posted July 2, 2017
By Regina Boyle Wheeler
THURSDAY, June 22, 2017 (HealthDay News) -- Are you a regular victim of the late-night snack attack? Mindlessly munching on chips or diving ...
Posted August 21, 2014
WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- Leaving the car at home and getting to work by walking, cycling or public transit is good for your health, a new study indicates.
Posted May 16, 2017
FRIDAY, May 12, 2017 (HealthDay News) -- Americans love fast food -- even if they can afford meals that aren't prepackaged in grease-resistant wrappers, according to a new study.
The study ...
Water truly is the stuff of life. Every cell in our body requires water to perform the necessary functions that keep us going, and without water we would only survive a few days. Our bodies range from about 78% ...
Posted September 15, 2015
MONDAY, Sept. 14, 2015 (HealthDay News) -- Larger portions and oversized tableware do contribute to overeating, a new study reports.
Eliminating jumbo servings of foods and beverages ...
Forget Three Square Meals -- Americans Eat All Day Long
Posted September 26, 2015
By Alan Mozes
THURSDAY, Sept. 24, 2015 (HealthDay News) -- Many Americans have tossed the conventional three-meals-a-day routine out the window, and replaced it ...
Love Chocolate? Potato Chips? Your Genes Might Be to Blame
Posted April 29, 2017
By Amy Norton
SUNDAY, April 23, 2017 (HealthDay News) -- Your tendency to indulge in chocolate, go heavy on salt, or eat veggies may be tied to certain gene ...
What can be more discouraging after weeks of dieting than the numbers on the scale? If you find yourself stepping on the scale day after day in hopes you’ll see a big change on the scale, only to be disappointed by ...
Posted May 13, 2017
By Julie Davis
WEDNESDAY, May 10, 2017 (HealthDay News) -- If you're looking for big fitness results in a small amount of time, a twist on high-intensity interval ...
By Michael T. Murray, ND
I absolutely love this time of year. It allows me to fully examine my life and, of course, assess if I achieved the goals that I set for the previous year. I began 2015 with seven ...
Posted July 17, 2014
(HealthDay News) -- Concession-stand snacks at the beach don't always offer the healthiest options. But packing your own snacks ensures that you fuel your body with healthy foods.
5 Steps to Get Back on the Diet Track After the Holidays
Posted January 7, 2018
By Julie Davis
TUESDAY, Jan. 2, 2018 (HealthDay News) -- Even though successful dieters work harder than non-dieters at maintaining their weight over the holidays, ...
By a News Reporter-Staff News Editor at Obesity, Fitness & Wellness Week -- Girls between 9 and 12 years of age with higher-than-average levels of bisphenol-A (BPA) in their urine had double the risk of being obese than ...
Posted December 26, 2017
By Julie Davis
TUESDAY, Dec. 19, 2017 (HealthDay News) -- Whether you're traveling for business or pleasure, resist taking a vacation from the smart eating ...
Ioannides-Demos L, Proietto J, et al. Safety of drug therapies used for weight loss and treatment of obesity. Drug Saf. 2006;29(4):277-302.
Kral, J.G. Surgical Treatment of Obesity. In Handbook of Obesity, ed. Bray, G.A., Bouchard, C., James, W.P.T. New York. Marcel Dekker, Inc., 1998.
National Heart, Lung, and Blood Institute.
National Institute of Diabetes and Digestive and Kidney Diseases.
Shekelle P, Morton, S., Maglione M, et al. Ephedra and Ephedrine for Weight Loss and Athletic Performance Enhancement: Clinical Efficacy and Side Effects. Evidence Report/Technology Assessment No. 76, Southern California Evidence-based Practice Center, RAND.
Ephedrine: Since March 2004, the sale of all products containing ephedra in the United States has been banned. Other names of ephedrine are ephedra, ephedrinum, and ma huang.
A study published in the February 2003 issue of the Annals of Internal Medicine found that ephedra supplements make up only one percent of all dietary supplement sales, but account for 64 percent of adverse effects associated with dietary supplements.
A case-control study published in a 1993 issue of Neurology concluded that the rate of hemorrhagic (bleeding) strokes among ephedra-users was significantly higher than among nonusers, for people taking doses above 32 milligrams a day. According to the FDA, many ephedra-containing dietary supplement labels recommend that users take up to 100mg of ephedra daily.
Fenfluramine (Pondimin) and dexfenfluramine (Redux) were voluntarily removed from the market in 1997. These two medications were shown to be associated with a rare but very serious and potentially fatal disorder known as primary pulmonary hypertension (PPH), a disease of the lungs. Forty-five percent of patients with PPH die within four years of diagnosis.
Phenylpropanolamine (PPA) is a synthetic sympathomimetic amine structurally similar to pressor amines (i.e., epinephrine, phenylephrine, and ephedrine) and central nervous system stimulants (i.e., ephedrine, amphetamine). It is a common ingredient in cough-cold remedies and appetite suppressants. A study reports that taking PPA increases the risk of hemorrhagic stroke (bleeding into the brain or into tissue surrounding the brain) in women. Men may also be at risk but no data's available. Although the risk of hemorrhagic stroke is very low, FDA recommends that consumer should not use any products that contain PPA, and also manufacturer either reformulated or recalled all the medications that contain PPA.
General safety concerns: Most side effects of the medications that are approved by FDA are mild and diminish as treatment continues. Rarely, serious and even fatal outcomes have been reported. Medications that affect catecholamine levels, such as phentermine and dietylpropion may cause symptoms of sleeplessness, nervousness.
Gastric bypass surgery is the most common weight loss surgery which uses bands or staples to create food intake restriction. The bands or staples are surgically placed near the top of the stomach to section off a small portion that is often called a stomach pouch. A small outlet, about the size of a pencil eraser, is left at the bottom of the stomach pouch. Since the outlet is small, food stays in the pouch longer and you also feel full for a longer time.
This surgery is often performed in those who have a BMI ?40 (extremely obese) or BMI between 35 and 39.9 and with weight related health problems such as diabetes or high blood pressure.
Surgical candidates go through an extensive screening process. Not everyone who meets the criteria for the surgery is psychologically or medically ready for the surgical procedure. A team of professionals, including a physician, dietitian, psychologist and surgeon, evaluate whether the surgery is appropriate. Following surgery, physical, nutritional and metabolic counseling are given to prevent nutritional deficiencies. Lifelong use of nutritional supplements such as multivitamins, vitamin B12, vitamin D and calcium is recommended.
Researchers have found greater weight loss in gastric bypass (93.3 pounds) compared to gastroplasty (67 pounds) after one year. Over two years, gastric bypass surgery patients have been shown to lose two-thirds of excess weight. The success rate for weight loss for RGB is 68 to 72% of excess body weight over a three-year period, and 75% for BPD. After five years, the average excess weight loss from gastric bypass surgery ranges from 48 to 74%.
The improvements observed in type 2 diabetes, high blood pressure and high blood cholesterol may significantly decrease the risk of cardiovascular events in individuals who have undergone gastric bypass surgery compared with those treated through other means. Gastric bypass surgery has also shown to improve mobility and quality of life for people who are severely overweight.
A risk of death has been associated with gastric bypass surgery. The risk varies depending on age, general health and other medical conditions. Talk to your doctor about the exact level of risk gastric bypass surgery may pose for you.
Blood clots in the legs are more likely to occur in very overweight people. Blood clots can be dangerous. In some cases, they travel to the lungs and lodge in the lungs' arteries causing a pulmonary embolism, a serious condition that damages lung tissue and can lead to death. Walking and using leg wraps that apply intermittent pressure to the leg can help reduce this risk of blood clots in the legs.
Leaking at one of the staple lines in the stomach has occurred and can be treated with antibiotics. Most cases heal with time. Sometimes, the leak can be serious enough to require emergency surgery.
Excess weight places extra stress on the chest cavity and lungs. This means a higher risk of developing pneumonia after the surgery.
Narrowing of the opening between the stomach and small intestine has occurred. This rare complication may require either an outpatient procedure to pass a tube through your mouth to widen (dilate) the narrowed opening or corrective surgery.
Gastric bypass can also cause dumping syndrome, a condition where stomach contents move too quickly through the small intestine causing nausea, vomiting, diarrhea, dizziness and sweating.
Other common complications include vitamin and mineral deficiency, dehydration, gallstones, bleeding stomach ulcer, hernia at the incision site, and intolerance to certain foods.
Adjustable gastric banding: The surgeon uses an inflatable band to partition the stomach into two parts. He or she then wraps the band around the upper part of your stomach and pulls it tight, like a belt, creating a tiny channel between the two pouches. The band keeps the opening from expanding and is designed to stay in place indefinitely. But it can be adjusted or surgically removed if necessary. Most surgeons perform this operation using a laparoscope.
Biliopancreatic diversion: In this procedure, a portion of your stomach is removed. The remaining pouch is connected directly to your small intestine, but completely bypasses your duodenum and jejunum where most nutrient absorption takes place. This weight-loss surgery offers sustained weight loss, but it presents a greater risk of malnutrition and vitamin deficiencies and requires close monitoring.
Jaw wiring: This is a form of food intake restriction for temporary use in patients without respiratory problems. It can be effective for short-term weight loss. However, weight regain occurs soon after the wires are removed.
Liposuction: This is the most frequent cosmetic operation in the United States in which fat tissue is removed. Relatively small amounts of total body fat can be removed safely, however, and little weight is lost.
Vertical banded gastroplasty: This operation divides the stomach into two parts - limiting space for food and forcing you to eat less. There is no bypass. Using a surgical stapler, the surgeon divides your stomach into upper and lower sections. The upper pouch is small and empties into the lower pouch (the rest of the stomach). Surgeons use this procedure less commonly than gastric bypass, partly because it does not lead to adequate long-term weight loss.
Appetite suppressants are agents that promote weight loss by decreasing appetite or increasing the sensation of fullness. About one-quarter of the U.S. population can be considered obese (BMI of >30). Four million of these people may be classified as morbidly obese (BMI of >40). Obesity is associated with increased risk of hypertension, type 2 diabetes and heart disease.
The use of appetite suppressant medications to treat obesity in combination with physical activity and diet modification is often recommended to lose and maintain weight successfully over the long term.
Several prescription medications are currently approved for treatment of obesity. In general, the effects of these medications are modest, leading to an average initial weight loss of between 5 and 22 pounds; though studies show that weight returns after cessation of the drugs. There is considerable individual difference in response to these medications; some people experience greater weight loss than others.
Short-term use of appetite suppressant medications has been shown to modestly reduce health risks for obese individuals. Studies have found that these medications can lower blood pressure, blood cholesterol, blood fats (triglycerides), and decrease insulin resistance (the body's ability to utilize blood sugar). Long-term studies need to be conducted to determine if weight loss assisted by appetite suppressant medications can improve health long-term.
Weight loss tends to be greatest during the first few weeks or months of treatment, leveling off after about six months. Research suggests that if a patient does not lose at least four pounds during the first four weeks on a particular medication, that medication is unlikely to be effective over the long run.
Short-term use (few weeks to few months): Examples include diethylpropion (Tenuate®), and phentermine (Adipex-P®).
The mechanism of action of diethylpropion and phentermine appears to be secondary to CNS (central nervous system) effects, specifically stimulation of the hypothalamus to release catecholamines into the central nervous system. Appetite suppressing effects are mediated via norepinephrine and dopamine metabolism.
Long-term use (up to one year or more): Examples include orlistat (Xenical®) and sibutramine (Meridia®).
Orlistat is the first prescription treatment for obesity that does not act as an appetite suppressant. It works by interfering with the action of gastrointestinal (GI) lipase in the GI tract. As a result of this mechanism of action, 30% of ingested dietary fat is not absorbed.
Sibutramine and its two primary metabolites also appear to be secondary to CNS effects by blocking the neuronal uptake of norepinephrine, serotonin, and dopamine.
OTC (over-the-counter): It is believed that "P57" molecule in Hoodia mimics the effect that glucose has on your brain, telling part of your brain (the hypothalamus) that you feel full. Consequently, you have no desire to eat. However current available evidence on hoodia's effectiveness and safety is lacking.
Dietrine Carb Blocker with Phase 2®: An ingredient extracted from white kidney beans is thought toneutralize the digestive enzyme alpha amylase before it can convert starch into glucose and then fat.
The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.