Maintaining Weight Loss After Illness [Forum]

Hi there,

I have an unusual question. I used to be very overweight, with a BMI of 28. Earlier this year, I began losing weight very rapidly and by April was diagnosed with cancer.

By late May, my weight had plummeted to what is perfect for my height and has stayed there. Now that I am in remission, I want to maintain this new weight. However, I know that most people gain weight back after huge weight loss and, in any case, I didn't 'earn' my weight loss.

I am very motivated to stay at this new weight, partly because I never want to be so sick again in my life, and being overweight is a risk factor for cancer. Also because when I was very ill, I kept my spirits up by looking at fashion websites, at all the clothes I could wear once I got better. I am keeping a food journal and am eating the right amount of calories for my age (42), level of activity and height. I have also started walking for an hour a day and, when I am in better health, intend to join a gym and take classes.

I've also got rid of my old clothes and taken pleasure in buying new clothes that fit perfectly. It was hugely expensive, so if I gain weight again, I will be up for big clothes bills.

But already I am coming up against problems. Mostly other people - somebody always seems to be offering cake or alcohol and they seem offended if I refuse. A few people have even said I need 'feeding up' even though my weight is clinically perfect for my height and body. I think they're shocked at how much weight I've lost and think that if I went back to looking like I did before, somehow it would mean I was back to normal. Then there are people who seem to actively want me to be fat again. One friend, who is more than obese herself, hovers over me practically chanting that weight lost always comes back. My partner, who is overweight himself, loves his food and is always bringing chocolate and other snacks into the house. We've even had fights about it - he says he understands, but then brings me home some chocolates.

Also, I've lost a huge amount of muscle mass because of my illness. Should I expect to put on some weight as I do more exercise, as muscle returns, or is all weight gain likely to be fat?

Has anybody got any advice for me? I feel like the only good thing about enduring that horrible illness was the weight loss and I want to keep it. I couldn't stand it if I got fat again, on top of everything else - but how do I cope with friends and family who want to push food on me? And do I need to know anything about altered metabolism etc etc?

Thanks for all advice,

Alexie

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Small Tips For Losing Weight? [Forum]

I know that it's through exercise and diet, but I don't know where to start. I'm 5'1 and 140 lbs. Please help me.

I love sweets, junk food and soda. I know it's a lethal combination. Please give me small tips that I can work on. I'm not in a rush to lose weight I think I'd be happy if I lose my first 5 pounds.

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Can We Stop Food Stamp Users Buying Soda?

In the uphill battle to fight obesity, Mayor Michael Bloomberg has petitioned the United States Department of Agriculture to ban the 1.7 million food stamp users from using them to buy soda, or other sugared drinks.

This move is part of series of interventions to curb obesity, which have included advertisements, stricter rules on food sold in schools, and a yet-to-be successful attempt to tax sugared drinks.

Herein lies a good concept in a stirred pot of political, ethical and health soup.

I'm going to come right out and say it: I like the idea. I like it a lot. In fact, I think food stamps should be used to buy vegetables, fruits, meats, eggs, dairy, nuts, seeds and canned goods - healthy foods. I also realize the stepping-on-eggshells nature of this kind of idea.

Look, this thing should be signed, sealed and delivered starting today, but in the "humor us all" department, let's take a look at some of the sticky issues that may arise with this sort of stipulation.

Ethically, is it fair to discriminate against those with food stamps? Who are we to tell them what they can and cannot buy?

Conversely, we all have a collective responsibility to ensure that our already-off-the-rails health care spending doesn't go even further into the abyss.

I don't see this as too "big brother" at all. The run-of-the-mill straw man argument here will be "how dare they tell people what they can and cannot eat or drink", but let's remember that regulating what people can spend their government assistance on is not the same as telling people what they can and cannot eat/drink.

As with many other similarly conceived ideas, the problems are deeply rooted, and the solution is multifaceted. While this is a great idea, there are bigger fish to fry - specifically corn subsidies that keep prices artificially low.

In the end I don't see this passing due to the industry-cozy relationship between big food and government food regulators. I'm sure they have the soda lobbyists working overtime to ensure that this idea never sees the light of day. Moreover, in 2004, the Agriculture Department denied a request by Minnesota to prevent food-stamp recipients from buying junk food.

What are your thoughts on this?

Image credit: poolie

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Link Time! Gluten-Free, Eating Cake, Nasal Sanitizer, and more

I'm not sure how any of us survived so long eating all that gluten and dairy, but by the thousands people are switching to a gluten-free and a dairy-free lifestyle for many reasons.

Fortunately, award winning french chef, Alain Braux, just released a new book, Living Gluten and Dairy-Free with French Gourmet Food. If you want or need to be gluten and dairy-free but want to do it gourmet and deliciously, this book is a must have.

While you're baking all Chef Braux's delicious gluten free french cakes, you can look no further than to The Have Your Cake and Eat it Diet. Developed by Personal Trainer, Charli Cohen, this plan attacks the Fad Diet mentality and teaches dieters to change their lifestyle, which includes still enjoying the foods they love. Her plan seems very effective and sensible. Who doesn't love Cake!?!

The Flu Season has begun and if you remember, just over 12 years ago hand sanitizer gel made its surge into the marketplace encouraging people to apply the alcohol based gel often to kill germs when washing hands isn't convenient. Well, 2010 brings us NOZIN, the nasal sanitizer.

It's the same basic concept, but this alcohol based product is swabbed up the nose to kill those nasty bugs before they can replicate out of control. NOZIN is available in most major pharmacies and would be great for use during air travel or in other crowded conditions as sneeze particles can travel more than 30 feet (10 meters).

While we're on the health subject, did you know that 12 million Americans alone suffer from incontinence which can be an extremely uncomfortable and embarrassing situation. New research from The University of Alabama shows that women who drink a lot of caffeine are 70% more likely to develop a leaky bladder. Some women may want to cut back on the coffee.

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Some Obese People Don't See Themselves as Fat

Many obese people don't see themselves as fat and in fact, they think they're healthy - or so says a new study.

Talk about being a "glass is half full" type of person. I wish I was like that!

The problem is this positive attitude doesn't dispel the fact that obese people are at a heightened risk of death, i.e. heart disease, stroke, high blood pressure, etc.

Published in the Archives of Internal Medicine, scientists gauged body awareness of 2,056 men and women already participating in a study, surveying the individuals on their body perception.

Researchers asked participants to look at pictures and choose their ideal body size. People who picked figures that were the same or larger than their actual body size were classified as "misperceiving" their body size, but these people were also more likely to be happier.

However, worry warts who acknowledge they're fat and out of shape tend to be less happy. I'm willing to guess that only exacerbates the problem. For you Shaun of the Dead fans, that means "to make things worse."

Important factors were considered. Scientists found people with higher incomes and better education were no more likely to perceive their body weight accurately, than less educated people, or those with lower incomes.

And here's the problem with that. Those who misperceived their size, saw their health risks as the same as people who more accurately identified their body size; which is a problem. Obese people are at a higher risk of cardiovascular disease, cancer, type-2 diabetes, hypertension, and the list goes on and on.

All this reminds me of the scene in Four Weddings and a Funeral - no I don't like girly movies, I saw it in a film class in college - where the overweight, smoking, drinking, jovial guy drops dead from a heart attack after boozing, eating, and dancing at the wedding reception.

I think this is a personality thing. If you're happy go lucky and have a fun social network, you spend less time being introspective and worrying about all the nitty-gritty. I'm a miserable, cynical, depressed mess, so I spend a ton of time worrying about my health, but one of my happier and - as coincidence may have it - overweight friends enjoys life more and doesn't sweat the small stuff. Well, the not so small stuff.

Image credit: The Sneeze

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Mothers Underestimate Influence On Their Kids' Weight

A survey of 1,037 women has uncovered a knowledge gap when it comes to certain weight issues - including their influence on their children's weight.

Here are some of the findings of the survey - conducted by HealthyWomen.

Not surprisingly, most respondents know that obesity leads to an increased risk for health problems, such as high blood pressure (93%), type 2 diabetes (89%), and heart disease (88%).Less than one-third of the women, however, know that obesity is associated with increased risk of colon cancer (26%), gallstones (30%), and breast cancer (23%).While 87% of women believe a parent's obesity affects a child's risk of becoming obese, only 28% assign that responsibility to themselves.Only 11% of respondents know that a child's risk of becoming obese more than doubles if the mother is obese during her first trimester of pregnancy.

Elizabeth Battaglino Cahill, Executive Director of HealthyWomen says this:

From an early age, children tend to eat the same foods as their parents, especially mothers, so exposure to nutritious foods like fruits and vegetables is not only setting a good example, but also positioning your child on a lifelong course of good health. Source

Education is central to change, but knowledge is only power if you choose to use it. To be sure, prevention of childhood obesity and healthy children begins at home - with BOTH parents (if there are 2 parents involved).

It goes without saying that mom and dad need to change their ways to become the healthy role-models for children.

While growing healthy habits in children starts at home, it would be folly to put 100% of the responsibility on parents. I firmly believe in the idea that it takes a village to raise a child, and in this case to raise a healthy, active child. The culture and environment children are exposed to nowadays may be one that sets them up for failure. Change needs to take place in communities, schools and various levels of government, especially for higher risk children.

Battaglino Cahill sums it up nicely when she says;

Empowering and educating women is the best way we know to break the cycle of obesity and promote healthy habits for the life of any woman and her loved ones.

Image credit: mikebaird

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Diet Drug Meridia May Cause Heart Attack and Stroke

Last Friday, the diet drug Meridia was pulled from the shelves in America by its maker, Abbott Laboratories.

Meridia, a prescription drug, was known to cause a higher risk of heart attack and stroke when in trials, but scientists believed this effect might be compensated for by the weight loss benefits. It wasn't.

The Food and Drug Administration (FDA) requested Meridia's removal, stating that the increased heart disease and stroke risk wasn't an acceptable price to pay for the "very modest weight loss" that the drug causes.

Since January, Meridia hasn't been sold in Europe. It has now been withdrawn in Canada and Australia, as well as in America.

It's little surprise that despite the risks to dieters, Abbott were reluctant to withdraw Meridia from sale. Diet pills can be hugely profitable for drug companies:

So far this year, the pill [Meridia] had $80 million in sales worldwide, including $20 million in the U.S. Source

However, after a number of health scares related to diet drugs, perhaps dieters will turn back to tried-and-tested methods of safe weight loss: a healthy diet, combined with exercise.

Both aren't just good for losing weight, they're also great for a healthy heart.

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