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Archive for April, 2008

Shed a Few Pounds to Be Fit for Summer

Wednesday, April 30th, 2008

Face it, folks. A lot of us are fat. The rest of us might not be among the 34 percent of the American population that is considered obese, but we could stand to shape up a little. And so could our kids.That’s why the Albuquerque Journal’s Fit magazine and KOAT-TV are teaming up to present Summer Shape-Up, an eight-week exercise and healthy eating program designed to help you build a fitness foundation for your family.

It’s open to anyone age 6 and older, and is designed to give you guidance, motivation and rewards.

Sponsored by New Mexico Sports & Wellness, Lovelace Health Plan, S.E.D. Medical Laboratories, The Vitamin Trader and Sportz Outdoor, Summer Shape-Up offers membership to the five Sports & Wellness health clubs for the eight weeks of the program. That includes access to the clubs’ indoor-outdoor pools, state-of-the-art exercise equipment (kids must be at least 13 to use the equipment), steam and sauna rooms, exercise classes (including yoga, aerobics and more), basketball courts and more.

In addition, four specially designed family-friendly exercise classes will be offered each week of Summer Shape-Up. Nutrition and healthy eating seminars also will be held nearly every week of the program.

You can attend as many — or as few — as you want; the program isn’t designed to be a boot camp-type fitness challenge. Rather, it is designed to get people up and moving.

At a kick-off health fair you can have your blood pressure checked, get bone density heel scans done, be weighed in and have your body composition determined. (You also will be given the opportunity to have cholesterol and blood glucose screenings done at another time.)

If you want to have before and after photos taken, that’s available, too.

All of this for $199 for individuals, $259 for couples and $299 for families (up to three members, $25 a person for each additional member).

Registration will be taken through Wednesday. Forms are available online at ABQjournal.com/fit or at any Sports & Wellness location, Sportz Outdoor and The Vitamin Trader.

The program begins with the health fair the weekend of May 31- June 1.

Get involved

WHERE TO SIGN UP: Registration forms are available at ABQjournal.com/fit, all Sports & Wellness locations; The Vitamin Trader and Sportz Outdoor. Once completed, forms need to be taken to any Sports & Wellness location: Del Norte, Highpoint, Midtown, Downtown or Riverpoint.

WHEN: Registration closes at 6 p.m. Wednesday.

COST: Special pricing for Sports & Wellness members. Inquire at club. Nonmembers: $199 individuals, $259 couples and $299 families (up to three members, $25 a person for each additional member.)

INFORMATION: ABQjournal.com/fit or call 823-3926, 823-3886 or any Sports & Wellness club

(c) 2008 Albuquerque Journal. Provided by ProQuest Information and Learning. All rights Reserved.

Study Casts Doubt on ‘Fat but Fit’ Theory

Wednesday, April 30th, 2008

CHICAGO - New research challenges the notion that you can be fat and fit, finding that being active can lower but not eliminate heart risks faced by heavy women.”It doesn’t take away the risk entirely. Weight still matters,” said Dr. Martha Gulati, a heart specialist at Northwestern Memorial Hospital.

Previous research has gone back and forth on whether exercise or weight has a greater influence on heart disease risks.

The new study involving nearly 39,000 women helps sort out the combined effects of physical activity and body mass on women’s chances of developing heart disease, said Gulati, who wasn’t involved in the research.

The study by Harvard-affiliated researchers appears in Monday’s Archives of Internal Medicine.

Participants were women age 54 on average who filled out a questionnaire at the study’s start detailing their height, weight and amount of weekly physical activity in the past year, including walking, jogging, bicycling and swimming. They were then tracked for about 11 years. Overall 948 women developed heart disease.

Women were considered active if they followed government- recommended guidelines and got at least 30 minutes of moderate activity most days of the week, including brisk walking or jogging. Women who got less exercise than that were considered inactive.

Weight was evaluated by body mass index: A BMI between 25 and 29 is considered overweight, while obese is 30 and higher.

Compared with normal-weight active women, the risk for developing heart disease was 54 percent higher in overweight active women and 87 percent higher in obese active women. By contrast, it was 88 percent higher in overweight inactive women; and 2 1/2 times greater in obese inactive women.

About 2 in 5 U.S. women at age 50 will eventually develop heart attacks or other cardiovascular problems. Excess weight can raise those odds in many ways, including by increasing blood pressure and risks for diabetes, and by worsening cholesterol. Exercise counteracts all three.

“It is reassuring to see that physical activity really does make an impact,” said lead author Dr. Amy Weinstein of Boston’s Beth Israel Deaconess Medical Center. However, she added, “If you’re overweight or obese, you can’t really get back to that lower risk entirely with just physical activity alone.”

University of South Carolina obesity expert Steven Blair, a leading proponent of the “fit and fat” theory, said the study is limited by relying on women’s self-reporting their activity levels. That method is not as reliable as a more objective fitness evaluation including exercise treadmill tests, Blair said. These tests include heart-rate measures to see how the heart responds to and tolerates exercise.

In Blair’s research, overweight people deemed “fit” by treadmill tests did not face increased risks of dying from heart disease.

Dr. Laura Concannon, who specializes in treating overweight patients at Chicago’s Advocate Illinois Masonic Medical Center, said the study’s message that exercise can help reduce health risks isn’t new, but it’s important.

“Anything that can motivate the public is useful because heart disease is becoming a bigger and bigger problem as levels of obesity increase,” Concannon said.

Originally published by The Associated Press.

(c) 2008 Charleston Gazette, The. Provided by ProQuest Information and Learning. All rights Reserved.

Chiropractic Care: A Dying Profession?

Wednesday, April 30th, 2008


Source: Dynamic Chiropractic
Publication date: 2008-04-22

Remember the good ol’ days? We would see 40 to 50 patients each and every day, workers’ compensation cases drove much of our workload, and we were even getting paid a decent amount by the health insurance companies. What a good life! Well, as the saying goes, we’re not in Kansas anymore. The chiropractic profession has changed dramatically over the past 15 years. The days of glory are gone while most of us struggle just to survive. What has caused this demise? It’s a combination of things:* the ACOEM (American College of Occupational and Environmental Medicine) 2004 Guidelines, which basically state that chiropractic care is not a solid avenue to take for rehabilitation;

* health insurance companies cutting benefits and co-pays while simultaneously delaying payments to chiropractors;

* third-party administrators further cutting the “customary and reasonable fees” paid to chiropractors;

* attorneys cutting personal-injury bills by 50 percent;

* tightening of workers’ compensation laws; and

* escalating costs of health insurance paid by companies and individuals.

What’s particularly disturbing about all this is that we should be experiencing a major “boom” in business, because baby boomers continue to make up a larger part of the population, which means the median age of people in the U.S. is increasing. This aging population should be creating the need for more chiropractic care, not less.

So, should we just pack it in and move to the Bahamas? Absolutely not. There’s a better way to run your business and stay true to your profession while also providing better care to your patients. What’s the secret? In my opinion, the answer is integrative medicine (IM), better known as anti-aging. IM will not only help you survive, but also will help you revive your practice.

In this series of articles, I will attempt to provide a solution for the typical chiropractor’s business in terms of adding services to complement the practice. In this article, I will provide an overview of the services you can add to your practice. Subsequent articles in this series will detail each additional service by providing an in-depth look at the topic along with examples to illustrate the point.

Integrative medicine is a holistic approach to patient care. It recognizes, as described by the American Association of Integrative Medicine, that health is more than just an absence of disease. Integrative medicine combines the discipline of modern science with the wisdom of ancient healing. For people living with chronic or life-threatening illness, it can transform the physical, emotional and spiritual dimensions of their lives. Integrative medicine also might be valuable to those who are not ill, but who wish to increase their self-awareness, enhance overall well-being, and prevent health- related problems.1

In treating disease, complementary therapies are not substitutes for mainstream medical care. They are used in concert with medical treatment to help alleviate stress, reduce pain and anxiety, manage symptoms and promote a feeling of overall well-being. Integrative medicine has a number of “patient-friendly” solutions, including:

Support

We are not alone. The American Academy of Anti-Aging Medicine (A4M) has been supporting the integrative medicine movement for the past 15 years. The A4M provides excellent educational conferences for chiropractors geared toward the various alternative services available to integrate IM into your practice. In addition, it has a diplomate and a fellowship credential that will further your education in the field of IM. You can contact the A4M via its Web site: www.worldhealth.net

Education

We need to stay abreast of the latest and greatest in not only our own chiropractic field, but also in the fields of nutrition, exercise and integrative medi- . cine (including anti-aging and hormone therapy). We also need to provide training and education to our patients so they can make more educated decisions about their health and wellness.

Nutritional and Dietary Evaluations

This service simply provides patients with a sound diet and meal plan to follow. If Jenny Craig can do it, why can’t we? It’s been said that diet accounts for 80 percent of the battle for health and fitness, so providing your patients with a reasonable diet to follow surely will make a difference to their overall health and well- being. Again, when used in conjunction with exercise and supplementation, this service attacks health from the inside.

Supplementation

During this era of processed and microwavable food, the likelihood that your patients are getting sufficient nutrition from their daily intake of food is low. Based upon the laboratory testing and analysis you perform, you can suggest a daily regimen of vitamins and minerals to add to their diet Studies have shown the positive effect that a multivitamin and a B complex have on total body chemistry.

Exercise Programs

Offering your patients a glimpse into proper exercise, this service simply puts together an exercise plan that consists of both cardio and weight training. The idea here is to give your patients a step-bystep exercise plan that makes going to the gym simple and fun.

Laboratory Testing and Analysis

This process consists of testing blood, urine, and saliva for essential hormones, neurotransmitters, amino acids, toxic metals and other substances. Most medical doctors only test blood and urine for disease and serious medical conditions during routine physical exams. That’s what they are taught to do. I don’t think my GP has ever suggested a particular diet or exercise program, or tested me for body fat. It’s just not what they do. In addition, most chiropractors do not perform any lab testing, yet they are licensed to do so.

Body Composition Testing

Sure, your patients can go to the local gym to get body composition done by a 24-year-old fitness instructor. Why not provide this service by someone better trained, more experienced and better educated. Body composition testing consists of evaluating body fat and lean mass percent.

Example of IM in Practice

Imagine this: A patient named John comes into your office with lower back pain. He’s your typical baby boomer-late 40s, poor diet; a couch potato who barely exercises and is 25 pounds overweight He also has 30 percent body fat You perform the normal spinal manipulation and muscle stimulation, and John gladly gives you his co-pay amount.

But instead of sending John on his way, you suggest he enroll in your integrative medicine program, whereby you provide him with a diet, a recommendation on supplements that fit with his body chemistry (based upon laboratory testing), an exercise plan, and a detailed evaluation of his overall health. These suggestions will be based upon a detailed review of his history, a physical exam and laboratory testing. The plan consists of a fitness prescription that will lower his body fat percentage to 20 and drop his weight by 15 pounds. Of course, John is happy to continue to come to the office for his chiropractic care, but in addition, he gets weekly coaching to keep him focused. He also is quite happy to pay for the added services because he knows that after some time, he will feel better, look better, and be better. Even if only 10 percent of your patients take you up on these services, the incremental income adds up fast, as these services pay a great deal more than normal chiropractic care. And to boot, most of this stuff doesn’t even run through insurance!

Holistically Speaking

When used in concert with traditional chiropractic care, IM will not only increase your patient count and the corresponding money Mowing through your business, but also will help your patients live longer, more productive and healthier lives. The question that must be asked here is, what are people willing to pay for their mortality? It’s no secret that a good diet, appropriate vitamin/ mineral supplementation and a sound exercise program will lead to more youthful and vibrant appearance. IM is the means to this end.

I am encouraged about the prospect of helping our industry get back on track, and I believe that integrative medicine is the way to go. I don’t know about you, but I think I’ll save the Bahamas for my next vacation.

REFERENCE

1. Sloan-Kettering Web site: wwwjnskcc.org.

BY DAVID L. MARTIN, DC

DAVID L. MARTIN, DC, is a graduate of Palmer College of Chiropractic. He practices in China, Calif., specializing in physiotherapy, sports medicine, diet/ nutrition and exercise.

Copyright Dynamic Chiropractic Apr 22, 2008

(c) 2008 Dynamic Chiropractic. Provided by ProQuest Information and Learning. All rights Reserved.

Dietary Supplement ‘Helps Ageing Process’

Wednesday, April 30th, 2008


Source: Herald, The; Glasgow (UK)
Publication date: 2008-04-30

A SIMPLE dietary supplement could help eliminate some of the problems caused by ageing, scientists believe.As we get older we can lose up to 30per cent-40per cent of our muscle mass and if we pile on the pounds we also have an increased risk of developing type 2 diabetes.

In a study, launched yesterday, scientists from Aberdeen’s Rowett Research Institute, are hoping to find out whether taking a supplement will help to reduce these age-related health problems.

As we age, our muscles become less sensitive to the action of insulin which is produced in our bodies when we eat and which regulates the levels of glucose in our blood.

One of the results of this reduced sensitivity to insulin is a progressive loss of muscle mass as the balance between muscle synthesis and breakdown is altered, with the rate of breakdown overtaking the muscle building function as we get older.

Originally published by Newsquest Media Group.

(c) 2008 Herald, The; Glasgow (UK). Provided by ProQuest Information and Learning. All rights Reserved.

Family Life: Dear Doc ; Health and Fitness Better Get a Life!

Wednesday, April 30th, 2008


Source: Evening Gazette - Middlesbrough
Publication date: 2008-04-29

Q DEAR Doctor, my 55-year-old father has had two heart attacks and his brother has just had a stroke. I am only 35 but am worried with my family history that there may be something wrong with my genes that I should be doing something about now. Can you advise me?A THIS is not an uncommon problem for your GP, screening people for disease is the new big thing for the Government. At 35 you are quite young to be screened but given your family history I would expect your GP to give you a sensible hearing.

They will want to look at a wide range of risk factors for heart disease, such as your smoking and exercise habits. They are likely to check your blood pressure, and measure your blood lipid and sugar levels.

When they have the results of these they will want to discuss your personal risk and consider other risk factors such as weight, the size of your tummy, and any racial factors, (Asian people have a different pattern of risk to Europeans).

At your age they are unlikely to place you in a very high risk group but may suggest making some lifestyle adjustments, such as stopping smoking if that is an issue, taking some more exercise, 30 minutes a day is a good target, and dietary advice about saturated fats and salt. He may suggest drugs to lower your cholesterol, or blood pressure, depending on the levels and the risk they present as you get older.

(c) 2008 Evening Gazette - Middlesbrough. Provided by ProQuest Information and Learning. All rights Reserved.

Calcium and Children’s Bone Health

Sunday, April 27th, 2008


Source: Foot.com
Publication date: 2008-04-27
Osteoporosis is a condition in which people lose bonemass and their bones become weaker, resulting in more frequent fractures. Osteoporosis is commonly thought of as a disease of the elderly and particularly of women, but men are also at risk of Osteoporosis as they grow older. Fractures in the elderly are common - about 1 in 2 women and 1 in 4 men over 60 years of age will fracture a bone due to osteoporosis. Preventing osteoporosis in later life actually starts in childhood; it is as important to ensure good bone health in childhood as it is to slow the bone loss that occurs as we grow older. The maximum amount of bone attained in childhood is called peak bone mass. It is estimated that if we could increase peak bone mass by 10%, we could delay the onset of osteoporosis by about 13 years! About 90% of peak bone mass is reached by age 18, so ensuring growth of bone is maximized in childhood is very important to our future bone health. If children have low bone density (a measure of the amount of bone they have), they are more at risk of fracture, too. So improving bone health in children could help prevent childhood fractures.

Calcium is a major component of the mineral that forms bone, and adequate calcium levels are important to bone health. However, encouraging children to increase their calcium intake through diet can be difficult, and managing to get children to take calcium supplements is also very challenging. So, if we are going to put our efforts into improving children’s calcium intake, how much benefit are we likely to get?

There are a large number of studies in which children have been given calcium supplements to see if their bone density improves. We undertook a summary of all these studies to see how much benefit healthy children might obtain from taking a regular calcium supplement. We found that calcium supplements had no effect on bone density at the hip or spine, which are two of the most important sites of serious fracture in later life. While calcium supplements did cause a small increase in the total amount of bone mineral overall in the body, once children stopped using supplements, the effect disappeared. In the forearm, there was a small increase in bone density, but it was too small to be likely to reduce fractures either in childhood or in later life. It did not matter how long supplements were taken for, the effects stayed the same. There was no evidence to suggest that children with calcium intakes as low as 600 mg per day had any greater benefit than children with diets high in calcium. Other studies that gave children dairy products rather than calcium supplements had similar results.

These results mean that, in general, adding calcium supplements to the diet of healthy children is unlikely to benefit their bone health and is not recommended in most children. Some children have very low calcium intakes (< 600 mg per day), for example if they do not take any dairy in the diet. Encouraging alternative sources of calcium intake in the diet or from supplements may be still worth considering in this case. If your child has a medical condition or takes medication likely to have a negative effect on their bone, calcium supplementation also might still be recommended by your health professional.

Other lifestyle factors besides calcium intake can influence children’s bone development, though this is an area that requires more research. These factors include:

* Weight-bearing physical activity, particularly activities involving running and jumping

* Ensuring adequate levels of vitamin D from a mixture of diet, sun exposure and vitamin D supplements;

* Adequate fruit and vegetable intake, and;

* Low salt intake

These factors are important for good health generally and for the prevention of other common diseases. Taking a balanced approach to improving your child’s bone health through a balanced, healthy lifestyle is likely to give the best long-term health outcome overall.

By Tania Winzenberg, FRACGP, PhD, Graeme Jones, FRCP, MD, and Kelly Shaw, FRACGP, PhD, FAFPHM

Dr Tania Winzenberg is a family physician who completed a Master of Medical Science in Clinical Epidemiology from the University of Newcastle before moving into a research position at the Menzies Research Institute in Hobart, Tasmania, Australia in mid-2002. She was awarded her PhD in 2006 for work in the area of promoting lifestyle change for osteoporosis prevention in young women and children. Currently, she is developing a research program in primary health care area, addressing chronic diseases prevention and management, particularly for musculoskeletal conditions.

Copyright Pediatrics for Parents, Inc. Jan 2008

(c) 2008 Pediatrics for Parents. Provided by ProQuest Information and Learning. All rights Reserved.

A Simmering Debate ; Fight Cancer With Raw Diet?

Sunday, April 27th, 2008


Source: Foot.com
Publication date: 2008-04-27
A raw-food diet basically raw fruits, vegetables and whole grains has plenty of advocates, but whether it’s the right choice for a cancer patient is open to question.

In a matter of seconds, you can find numerous testimonials online about its health benefits. However, finding peer-reviewed scientific studies, much less specific research on raw foods and cancer, is harder.

“There are only a couple dozen studies worldwide on relationships between raw-foods diets and anything else,” says Suzanne Havala Hobbs, a registered dietitian with a special interest in vegetarian nutrition who has tracked the raw-foods movement. She knows of no studies on raw foods and cancer.

Still, Hobbs, who’s on the faculty in the school of public health at the University of North Carolina, is far from dismissive.

“I am fascinated by some of the claims made by raw foodists,” she says. “But I’m cautious about them, as well. I am sympathetic and skeptical at the same time.”

When she conducted what she calls a small, low-tech study in 2005 on raw-food attitudes, practices and beliefs, the top reason for adopting a raw-food diet was health, especially protection from disease and faster healing.

That’s what drove Courtney Smith, 26, of Dallas to go raw seven years ago.

“I was experiencing a whole range of health problems at the time,” she says, including asthma, allergies, chronic fatigue and digestive problems. “All of those challenges have gone away. I have way more energy than I’ve ever had, and I haven’t been sick in many years. … I sleep a lot deeper, and my brain works better.”

Today, she runs Loving Foods, a raw superfoods business, with her husband, Brian. Raw superfoods are blends of unprocessed ingredients that concentrate nutrients. Examples include Chocolate Silk, whose main ingredients are cacao powder, hemp seeds and whole coconut flour, and Fiesta Mole, whose primary ingredients are tomato powder, cacao powder and hemp seeds.

“Some of the claims are not supported by science,” Hobbs says, “but they’re not refuted by science.”

A raw-food diet is a diet made up of raw fruits, vegetables, legumes, nuts, seeds and grains organic, if possible that excludes meat, dairy and fish. In addition, foods are heated to no more than 116 degrees. Raw foodists say that food enzymes, sometimes more broadly characterized as the “life force” or energy in food, are destroyed when subjected to higher heat. They believe these enzymes improve digestion and fight disease. They also say that cooking produces harmful substances.

Nutrition experts reject the enzyme theory. As registered dietitian Karen Schroeder notes in an online article from EBSCO Publishing, humans use their body’s enzymes, not enzymes from plants, to break down foods. Digestion also destroys plant enzymes.

Nutrient deficiencies

She goes on to say that acrylamide and heterocyclic amines (HCAs) are possible carcinogens formed in high-heat cooking, but “neither the American Cancer Society nor the National Cancer Institute goes so far as to recommend a raw food diet to reduce the risk of cancer from these chemicals.” NCI does note on its Web site that HCAs are not monitored and that there are no guidelines about limits.

A strict raw-food diet also can result in deficiencies of calcium, iron, B-12 and protein. But, at least in the case of calcium, it’s unclear what effect this has on health. A small 2005 study at Washington University found that while raw-food vegetarians had lower bone mass than a control group on a typical American diet, their bone turnover was normal.

“I think there’s good evidence to say, ‘Yes, some raw foods, like salads, are a good thing,’ ” says Lawrence Kushi, associate director for etiology and prevention research at Kaiser Permanente in Northern California. “A lot of other foods benefit from being cooked.”

Kushi is more open-minded about alternative food approaches than some scientists. His father, Michio Kushi, helped introduce macrobiotics to North America. Macrobiotics is a philosophy of diet and wellness that relies primarily on whole grains and vegetables.

Kushi says that water-soluble vitamins, such as C and B, are leached out of foods when cooked. But sauting foods in a little oil improves the body’s uptake of fat-soluble nutrients such as the carotenoids found in tomatoes, greens, and orange fruits and vegetables. “Having a variety of preparations is the way to go,” he says.

Even among people who support the raw-foods approach, compliance may not be 100 percent. Texan Jeannette Wright, 44, adhered to a strict raw-foods diet for three years.

“The first year, I felt better,” she says. “The second year, I was stable. By the third year, my nails were brittle, my hair thinned and I didn’t have strength. My feeling at the time was that I was not getting enough protein. When I added fish, my nails got better, I got stronger and my hair got thicker.” Now, she says, she eats raw foods 80 percent to 90 percent of the time.

Hobbs recommends that cancer patients considering a raw-foods regimen consult a dietitian knowledgeable about cancer and vegetarian diets. “That’s a tall order,” she says, because such specialists are rare.

“The idea that everybody could increase the portion of raw foods and vegetables in their diets and benefit from it is probably an accurate statement,” Hobbs adds. “It doesn’t necessarily translate into a raw-foods diet.”

***

raw food diet

In a raw food diet, the following should be unprocessed and preferably organic:

* Fresh fruits, vegetables

* Nuts

* Seeds

* Beans

* Grains

* Legumes

* Dried fruit

* Seaweed

* Freshly juiced fruits and vegetables

* Purified water

* Young coconut milk

Source: About.com: Alternative medicine

***

On the Web: loving-foods.com

***

(c) 2008 Record, The; Bergen County, N.J.. Provided by ProQuest Information and Learning. All rights Reserved.

Don’t Feel the Burn With No-Flour, No-Sugar Diet

Sunday, April 27th, 2008


Source: Foot.com
Publication date: 2008-04-27
Dear Dr. Gott: My husband and I started your no-flour, no-sugar diet several weeks ago after purchasing your first book. After just a few days of religiously following the diet, I discovered that the acid indigestion that had been plaguing me for a very long time had disappeared. I searched your book from cover to cover for an explanation but couldn’t find one. My husband noticed the same thing and doesn’t need to use antacids as long as he stays with the plan.

I can’t say that I am losing weight very quickly, but I certainly don’t miss the heartburn. I also feel a whole lot healthier than before. Perhaps others have noticed this unexpected (yet pleasant) side effect, as well. We now plan to purchase your cookbook to add more variety to our stock of recipes. Thank you for such a wonderful and easy-to-follow diet.

Dear Reader: Congratulations on starting (and sticking with) my diet. As you have noticed, weight will not drop as drastically as it does on fad/crash diets.

This means your weight loss is much more healthful and requires you to work toward goals.

Soon, this way of eating will be more a lifestyle choice than a diet.

As for your reduction in acid indigestion, I can only assume it is due to a more balanced diet and a reduction in processed, fatty foods. Most people believe that excess stomach acid, indigestion and heartburn are the result of spicy or acidic foods. In some cases, this is true, but for the most part, highly processed and/ or fatty foods are the real culprit. I am sure most gastroenterologists would agree that simply cutting out excess fatty foods could resolve the problem for many sufferers.

I hope you and your husband stick with my diet and continue to feel better and reach your weight goals.

Write Dr. Gott c/o United Media, 200 Madison Ave. 4th floor, New York, NY 10016. (Distributed by NEA)

Originally published by PETER GOTT Newspaper Enterprise Association.

(c) 2008 Tulsa World. Provided by ProQuest Information and Learning. All rights Reserved.

Trainer Pushes Change, Not Diet

Sunday, April 27th, 2008

Bob Harper was not an athletic kid, which might surprise some of the millions of people who see him on NBC’s “The Biggest Loser.”"It wasn’t until later in my life that I responded (to physical fitness). Oh my God, can you imagine if I had gotten into sports back then? I would have been an Olympic athlete,” the 42-year-old one-time celebrity trainer reflects now, as he travels the country peddling his new fitness book, “Are You Ready!” (Broadway Books, $22.95).

His book-signing trip brings him to Tempe on Friday. In addition to signing books, he’ll dole out sage advice and words of encouragement, much of it similar to what you hear him pound into his charges at the “Biggest Loser” ranch every Tuesday night.

We got a sneak peek at the book and some insight into his reality- TV show when we caught up with Harper in Florida via cell phone.

What you guys do with these contestants is amazing. At first glance, it’s easy to think, “Oh, this isn’t happening.”

“That’s why I was so excited about writing this book. My book is basically all about what I’ve done with the contestants on the show since the beginning. Working with them has just fine-tuned my abilities as a trainer.”

How did you land on “The Biggest Loser”?

“I had been a ‘celebrity trainer’ for years and . . . my name got thrown into the mix. I went there skeptical because of the (show’s) name, but when I found out the show was all about diet and exercise, I knew this was my job.”

It must have been initially overwhelming.

“Imagine. Here I was in Los Angeles training people like Selma Blair and Jenny McCarthy - these thin, beautiful people. Then all of a sudden I’m getting these overweight people coming to me. They were looking at me like, ‘OK, we’ll do whatever you say.’ That’s when I had a huge epiphany of my life. All of a sudden I found my true calling, what I want to do with my life. That’s why I’m going around the country to all these book signings. I believe in it so much. I want to help in this battle of obesity as much as I possibly can because it’s my responsibility.”

Your book hits on all the familiar tenets of dieting, but you really emphasize accountability.

“I think that’s the most important thing. When you talk to people who need or want to lose weight, they know every diet book that’s out there. They’ve done every kind of plan. What’s missing is the psychological plan to keep going. It’s the internal tape recorder that I talk about, the inner compass. To realize that it’s not a quick fix. I wanted my book to be a lifestyle plan as opposed to a quick fix. I’m not interested in quick fixes. Why put all that work and effort into something that’s finite. I want this plan to be infinite.”

This is more a lifestyle change than a diet.

“Absolutely. One thing that I’ve been talking a lot about lately is . . . breakfast. Nobody’s eating breakfast and it’s driving me crazy. . . . You’ve got to eat to lose weight. And milk has gotten this bad rap. ‘Oh, you can’t have milk because it’s so fattening.’ Milk stands on its own. If you’re drinking three glasses a day, it’s going to help build lean muscle mass and you’re going to burn fat. If you eat the right things and you eat more consistently through the course of the day, you’re going to lose weight and build muscle.”

People with 40 to 60 pounds to lose, would you steer them to cardio or strength training?

“The first stage I talk about in my book is setting up cardio because that’s setting up the routine. It’s setting up a routine and you build from that. I’m not interested in making things overwhelming for people. When people get overwhelmed, they’re going to stop doing it.”

With all the diet books out there, you have an edge. We get to see your results on TV every week.

“I know. It’s just a great marketing tool. They can see that it works, and I believe in it.”

So what inspires you to help people lose weight?

“I’ve never had a weight problem, but I’ve had and have obesity in my family. I lost my mother to heart disease. I realized when I first became a personal trainer, the thing that really affected me was working one-on-one with someone. Isn’t that what they say God’s work is all about? When you help someone, you’re doing God’s work. I have faith in a higher power, and that’s what gets me through every day. . . . Having this platform of ‘Biggest Loser,’ I get to reach out to as many people as I can.”

How often do you work out a day?

“I try to work out at least an hour a day. . . . You’ve got to see what fits into your schedule. . . . Twenty minutes is better than no minutes.”

Your food plan includes whole foods, nothing processed and preserved. But what do you do to cheat?

“Hello, I love chocolate. I’m never going to not have chocolate in my life. I tell people whatever that cheat food is, you can have it. You just can’t have it like a child would want it. We have to be adults and be able to make adult decisions.”

So no Big Mac on the way home?

“No. That never worked for me.”

You never sneak a Twinkie?

“No. Those kinds of foods that have a shelf life that can live longer than me, I don’t want to eat them.”

Drug Combination Could Pose Dangers

Sunday, April 27th, 2008

Q: I am a woman, 73, with type 2 diabetes. My doctor has prescribed fenofibrate and simvastatin.Your recent column cautioned about possible muscle damage with this combination. I suffer from arthritis and have a bad back and lots of joint pain, so how am I to distinguish between the pains? I have not had the additional blood work that was ordered and have not started on the above drugs yet. I would appreciate your opinion. (I currently take metformin, metoprolol, and hydrochlorothiazide.)

A: Based on the drugs you mention, you appear to have mixed hyperlipidemia (both high LDL cholesterol and high triglycerides).

Fenofibrate reduces triglycerides and simvastatin is a statin drug that reduces LDL cholesterol (the bad kind).

The first step is to get the recommended blood work. It will serve as a baseline to help your doctor distinguish between any drug-related muscle symptoms and the back and joint pain you already have.

Both simvastatin and fenofibrate increase the risk of muscle damage, with fenofibrate carrying the greater risk. Combining the two amplifies the risk, so you are right to be concerned.

You and your doctor should decide if the benefit of this drug combination outweighs the risk.

An alternative to consider is the use of niacin in place of fenofibrate for cutting triglycerides. Niacin also boosts HDL cholesterol (the good kind). The statin-niacin combination carries some (but less) risk for muscle problems. However, niacin can potentially cause liver damage and so must be carefully monitored.

Combining niacin with a resin-type drug such as colestipol, which reduces LDL cholesterol, is another alternative. Colestipol appears not to be associated with muscle damage.

Finally, fish oil in high doses could be an alternative to fenofibrate. Lovaza (formerly Omacor) is a prescription fish oil product approved for triglyceride levels higher than 400. It can be used with a statin drug.

Following are other observations you may find helpful.

Medical conditions that raise triglycerides include diabetes (which you have) and hypothyroidism (also raises LDL cholesterol).

You’re taking two drugs that, at higher doses, can push up triglycerides: hydrochlorothiazide (a diuretic) and metoprolol (a beta blocker). On the other hand, the metformin you take for diabetes tends to pare triglycerides.

Excessive ethanol (alcohol) intake as well as a high-carbohydrate diet bumps up triglycerides.

Both aerobic exercise and trimming down (if you’re overweight) trim triglycerides, improve blood sugar levels, and reduce cardiovascular risk. (Diabetes is the risk equivalent of having heart disease, so these would be major benefits for you.)

People most at risk for drug-related muscle damage are those with impaired kidney function, the elderly, and those taking certain other medications. Higher drug doses also boost the risk. Genetic vulnerabilities likely play a role.

If you take a statin drug with or without a triglycerides-lowering drug, promptly report any unexplained muscle pain, soreness, or weakness, or brown-colored urine.

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(Richard Harkness is a consultant pharmacist, natural medicines specialist and author of eight published books. Write him at 1224 King Henry Drive, Ocean Springs, MS 39564 or rharkn@aol.com.)

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(c) 2008, The Sun Herald (Biloxi, Miss.).

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