Protect Your Heart by Losing Weight

Saturday, December 5, 2009

Losing weight lowers your risk of heart disease and stroke because it helps you control blood glucose (sugar), blood pressure, and cholesterol
levels. You don’t have to lose a lot of weight to see the benefits— even a loss of 10 to 15 pounds can help a lot.

Weight loss can be a struggle because it means making changes in the
way you eat and in your level of physical activity. The older we get, the harder it is for us to lose weight because we burn fewer calories. We also tend to be less active. Losing weight takes time— and that can be frustrating. The good news is that you can lose weight and keep it off, even if you’ve never done it before.

What strategies can help me lose weight?

Here’s what works for people who have lost weight and kept it off:

• They cut back on calories and fat.

• They’re physically active most days of the week.
  

• They eat breakfast every day.

• They keep a record of their weight, what they eat and drink, and what they do for physical activity.
  

Some people attend weight-loss programs; others use these strategies on their own. Think about which approach will work best for you. Just remember that studies show it’s much easier to lose weight when you use a combination of meal planning and physical activity.

What’s the secret to changing habits?

Understanding the process for changing habits can make it easier for you to change the way you eat and increase your activity. Every change involves several stages, and each stage is important. Here’s an example. Sue used to have ice cream almost every night for her snack. But she wanted to lose weight.

• At first, she wasn’t interested in making a change. She wasn’t ready to give up her ice cream. She thought it would be too hard to do.

• Then she thought about ways she could cut calories to lose weight. She decided that one way might be to eat something instead of ice cream. She wasn’t ready to try it but thought she might be ready in the future.

• After a while, she decided that soon she’d be ready to make a change in her snack, even within the month. She made a realistic plan— she’d have fruit instead of ice cream several times a week.
  

• Then she took action. She bought her favorite fruit and started eating it four times a week instead of ice cream.
  

• Now, after more than 6 months of her new habit, it’s part of her routine.

Think about what stage you’re in for changes you’d like to make. Are you in the early stages— not ready for a change yet? Or maybe you’re interested in losing weight but you haven’t taken action. The next step is to decide what you’re willing and able to do. Then plan exactly how and when you’ll do it.

Strategies for Losing Weight
Choose things to do that will help you lose weight. Put a check mark next to the things you’re willing and able to do. Or write down your own ideas. Remember that every step you take helps move you toward your goal.

How to cut back on calories and fat

• Eat smaller servings of high-calorie favorites.

• When you eat out, split a main dish with a friend or family member. Or take some home for tomorrow.
  

• Ask for salad dressings and sauces “on the side” and then use as little as possible.
  

• Include a fruit or a vegetable with every meal or snack.
  

• Cook in low-fat ways: roast, broil, grill, microwave, steam, or bake. Use nonstick pans or cooking sprays.
  

• Substitute low-fat ingredients in your favorite recipes. For example, try low-fat cheese instead of the regular kind.
  

• Cut back on high-fat toppings, such as butter, margarine, sour cream, regular salad dressing, mayonnaise, or gravy. Instead, season your food with herbs, spices, salsa, lemon juice, or other low-fat choices.
  

• Check food labels. Choose the products with fewer calories and less fat.
  

• Stock your kitchen with low-calorie, low-fat snacks, such as air-popped popcorn, pretzels, and fruit. Keep serving sizes small.
  

• Other things I can do: _____________________ _________________________________________

How to be more physically active

• Take a 30-minute walk every day. Or split up your daily activity—try a 10-minute walk after each meal. If you haven’t been very active recently, check with your health care team first. Start off with a 10- to 15-minute walk every other day, then little by little walk farther and walk more often.
  

• Find a physical activity you enjoy, like swimming, dancing, bicycling, or doing the exercises on TV programs.
  

• Be active around the house: work in the yard, play with the kids, get up to change the TV channel, and walk around while you talk on the phone.
  

• Take the stairs instead of the elevator.

• Take the dog for regular walks.

• Walk instead of drive whenever you can.

• Park at the far end of the shopping center lot and walk to the store.
  

• Other things I can do: _____________________ _________________________________________

How to keep a record of your progress
Keep track of your weight loss efforts. Many people find that writing everything down helps keep them on target. Use a small notebook and keep it with you all day.

• Write down everything you eat and drink. Include the serving size. Some people set target levels of calories or grams of fat and keep track of their daily totals.

• Make a note of what kind of physical activity you’ve done and for how long.
  

• You may want to check your weight once a week and write it down or use your clothes as a measure of weight loss. Are your pants a bit loose around the waist? Can you fit into the blouse you haven’t worn for years?

How a support system can help
Many people find it motivating to meet on a regular basis with people who are also trying to lose weight. You may want to consider joining a group for weight loss, exercise, or general support. Or create your own support system by talking with friends and family about your successes and your struggles. Find a walking buddy or friends who also want to improve their health and work together to set goals for success.

Lose 40 pounds in 4 weeks: Regulating commercial weight-loss programs

Friday, December 4, 2009

The $50 billion North American weight-loss industry comprises a morass of fantastical claims of products and programs promising quick, easy, long-lasting results. Given this wealth of magical weight-loss aids, why is obesity still a problem? Perhaps because magic exists solely within consumers’ hopes and dreams, which many commercial weight-loss providers happily exploit.

Although experts agree that obesity management requires long-term behavioural, medical or surgical intervention, the majority of commercial
weight-loss providers manipulate vulnerable consumers with impunity, cultivating unrealistic expectations and false beliefs. Consequently, we regularly see preposterous claims, such as claims that subcutaneous B vitamin injections aid in weight loss by accelerating lipolysis (a claim lacking published medical evidence) and claims of “magical” herbal supplements that curb appetite, accelerate metabolism and reduce cravings (claims deemed “not convincing” in a 2004 meta-analysis of dietary supplements and weight loss).

Recognizing the substantial morbidity and mortality associated with obesity, physicians, public health campaigns and nongovernmental organizations fuel the fire of the public’s weight-loss desires by promoting awareness of obesity’s risks. However, by not explicitly recommending evidencebased treatments, these well-intentioned
messages drive consumers to blindly navigate in an unregulated weight-loss wilderness. This has, at times, had fatal consequences, as with the administration of ephedra and with medically unsupervised very-low-calorie diets.

Failure to impose and enforce penalties for false or misleading weight-loss claims results in a major public health hazard. Not only are patients being swindled, but it is also reasonable to assume that those who have had multiple failed attempts at fraudulent programs are less likely to engage in evidence-based approaches. This increases the risk that these individuals will suffer or succumb to the myriad health consequences of excess weight and, in so doing, increase society’s burden of illness and global health care expenditures.

Physicians, governments and public health departments all share medical and moral obligations to protect consumers from shady weight-loss practices. Since weight loss addresses a medical concern for which treatment guidelines exist, weight-loss products and services must be regulated to protect consumer health. Precedents from other areas of health care suggest that the weight-loss industry can indeed be regulated and consumer protection enforced. Currently, hospitals and other health care facilities, both public and private, are subject to mandatory accreditation. Also, professional associations can be given authority to oversee and set standards for health care practices that provide specialized services, as has occurred recently in Ontario with private cosmetic surgery facilities.

Before we can truly address the devastating obesity epidemic, we must first stem the centuries-old flow of snake oil. We call on governments to
require formal accreditation of weight-loss providers to ensure quality and to provide consumers with an easily recognizable means of identifying evidence-based services. Simultaneously, governments must pass legislation to subject weight-loss products to regulatory approval before they can be marketed, as has recently been proposed for other therapeutic products not presently covered by current drug-approval regulations. This would give health and drug directorates the power to require manufacturers of weight-loss supplements to substantiate their claims scientifically and eliminate the lure of “weight-loss in a bottle” scams.

Finally, health professionals must be taught evidence-based principles of obesity management to ensure they can understand, provide and support healthy weight-loss efforts. Neither public health agencies nor the medical community are doing enough to solve the problem of obesity. Those suffering with obesity are often desperate for solutions and hence prone to exploitation. It’s time we put an end to this nonsense.

Combat Obesity with Weight Loss Pills

Saturday, November 28, 2009

Obesity is the problem that is found very common among people of all ages. Gender and age is no barrier to obesity. Even small Children only 2 or 3 years are found to suffer with obesity. It has become an issue of concern because it is necessary to Occurrence of various other diseases. Diabetes, blood pressure, heart disease and sexual health problems were associated with obesity.

The Person is not able to live a normal and healthy life if he is suffering with obesity. The problem of obesity occurs mainly due to the excessive Weight gain. Obesity is the first symptom of obesity. A person is overweight by the excessive consumption of food, the fat and the lack
physical activity. To fight obesity, various methods available. Few people show that natural methods are the best because they have no side effects.

But I would like to recommend the use the weight loss pills for obesity. Using this method proves to be particularly effective and has proved to be the better weight loss than any method natural or some other method. Individuals in each age group, it can weight loss pills, but strictly under the supervision of a doctor. There is a guarantee that you lose the desired weight, within the prescribed time from the start of weight loss pills. May be the effect of weight loss pills already in a month, because you lose at least 10 pounds of weight within a month.

Weight Loss Pills works in a two-phase pattern. In the first phase of the attack the weight gain and at the next level, it promotes weight loss. In the first phase of weight loss pills reduce the urge of hunger by Down the signals that are to be sent through the brain, the endocannabinoid system, if a person feels hungry. This way a person can eat less, and the inclusion the high-fat diet is reduced. Excessive weight gain has stopped in the first phase.

Later in the second and final stage, weight loss pills, fasten the Metabolic rate. This leads quickly to the digestion of food. The result will be stored fats and carbohydrates used in the body. The weight loss is encouraged by this. The two-stage process of weight loss pills is slow, so you must wait at least a month to see the good weight distribution Loss effects. To show the weight loss pills, the better and more rapidly effective if strictly related to the controlled diet and regular exercise taken Regime. Anyone who has followed this routine is able to lose the considerable amount of pounds in specified time. The manufacturers of weight loss pills give guarantee that if you do not get the effect of these pills they are willing to return the money.

This confident the manufacturer indicates How much more effective weight loss pills are. Weight Loss Pills are taken to be sure, but one thing I would add that here they only take on a limited period and then increase the dosage concentration, because it can lead to greater weight loss that can affect your body. To take the weight loss pills after the planned dose to the desired effect at the time agreed to be seen.

Lose Fat, Lose Weight - Essential Steps

Friday, November 27, 2009

If you are a young adults are overweight, you are probably eating more than you need. Your body needs a certain number of calories to maintain itself, and if you consume more than this number, you will be more important. If you have less calories than you eat, consume you will lose weight - it really is that simple. Do not let Anyone persuade you otherwise. Unless you have some kind of disease, this technique is for you. To take on board what you read now talk to your doctor, and adopt it, if he or she approves.

The above equation is determined complicated by the reality that your body does not want to think that you consume less than it needs - it is that you are starving. If you take on a very limited diet, your body will do a series of nasty things like give you hunger, so you feel tired,
and lazy, you will find the extra energy needs from your muscle tissue to your fat deposits, etc. Therefore, you should not try to lose Weight by dieting alone.

It is important that you eat by as much as less. When you exercise, your body receives the message that you continue to run well and be triggered to maintain muscle mass and you live your fat. If you need to consume fewer calories than the body, but not under go Demands a lot and get plenty of exercise so that your body will burn even more fat and continued to do so, then you take off first.

A pound of fat equals about 3500 calories of stored energy. To lose a pound of fat, you need 3500 more calories than you are in. It is too better, they have over a period of one day or you're likely to do damage to yourself, and your body would in all probability, some extreme
reaction not what you are losing any real weight. It is better to spread them over a week, so you seek exceed your caloric Requirements from 3500 to 7000 calories per week. This leads to weight loss of a to two pounds per week. It's not healthy to try to lose more than two pounds in a week. If you attempt to do so you unlikely that you will be successful.

Let's say you want to lose two pounds per week. You have to figure out how many calories a person your age, sex and weight typically requires in a day, subtract 500 from that amount, and a diet with you that contains many calories. For example, if you Normally requires 3,000 calories per day, would you to stick a 2500 calorie per day diet. Then you work out how much your movement of a single Weight would have to do to burn 500 calories per day, and off your butt and do it.

The result is simple. 500 less calories consumed plus 500 more calories are equal to a 1000 calorie per day deficit on what the course of a week adds up to 7000 calories, or two pounds. Your Mileage Account may be different, but it is unavoidable. When your body uses less calories than using it, something's got to go. That's how it goes. Now you just have to learn how to exercise less, and you'll definitely something to eat to lose
weight. Then you want to know how to You keep it off.

How to reveal weight loss scams

Thursday, November 26, 2009

Want to loose weight and burn fat? If so, there is a good chance that your own weight loss plan is established. Several companies set up their own Weight loss programs with the help of various weight loss products like diet pills or exercise gear.

If you are for certain types of weight Loss products, always on the lookout for the weight loss scams. People are wondering how to automatically reveal when they are deceived if they Buy weight loss products. Unfortunately, you do not often talk through an advertisement in a magazine or online, and by just a TV -- commercial. The best way to detect a weight loss fraud is to do some research first.

There are many opportunities for research if the products you want purchase are worth the price. One of the easiest ways is by visiting the retailer's online website to publish their clients or the general publics evaluate their products. Many consumers want to other people about a product that is a scatter of cash or alarm Recommend products that is well worth the money.

If you are able to find reviews for weight loss, you are advised to read them carefully. When reading weight loss reviews, it is important to remember that no product is perfect. Even the excellent products, such as the those who are highly rated and recommended, are still a few bad reviews. What you need to be careful of is any weight loss product that more bad reviews than good reviews.

This is an alarming sign that the weight loss product is not worth the price be. You can also find reviews about some weight loss products with the help of search engines. Use when searching the Internet spesific keyword. Your search may lead to online weight loss message boards. These types of sites and discussions are freat places to experience the weight loss products that
You may not have come otherwise.

Another way to show weight loss scams of this nature, by examining the online side of the product distributor or manufacturer. When you buy diet pills or similar weight loss supplement, you should be made with as much information as possible available. Deal of the Goods, the conservative Web site information only to help you lose weight without all the details. If you do not find relyable Source of the information, consult your doctor. You still have to plan a visit, a phone call, you should have the answers to your questions.

The majority of doctors will be able to tell you if a weight loss pill or supplement that you are interested in purchasing. If they do not tell you at a particular product, they can at least the ingredients and advise you. Likewise, your doctor will ask you to the right, if you buy more than to Sports equipment

Why We Gain Weight And How To Lose It

Our emotions decide whether we win or lose weight. As you are at any given time is the dominant force of your weight loss effort. Weight Loss is on all our feelings and I urge anyone to refute this statement. We as a people and do things that bring us joy and we avoid the things that cause us pain.

Why do we choose to eat too much or indulge yourself with the things that may not be the best for us? Because it gives us joy. Just think of many occasions in your life, where food was the focus. When we celebrate with friends and family, we eat. When We mourn the loss of a loved one, the food is there again to comfort people. If we are nervous, we eat. Sad, we eat. If we are happy to do what we do? That's right eat. So by overeating, consuming more calories with excess food, we start packing on unwanted pounds.

But it brings us short term, like something to eat. If it brings us joy, it is emotion based. At the moment, the pleasure in eating that extra piece of Godiva chocolate or pizza outweigh the pain and guilt that come at a later date when you start the scale to creep up again noted. We have things at the moment, the bring us joy right then and there, often not thinking about the future.

So, if weight gain, associated emotions, it stands to reason that weight loss would be good. If we do things that need based on joy, pleasure, we find in setting up and maintaining a weight loss and fitness program. If you do not get some pleasure in it, you will not continue. We have strong enough reasons to have in the not too distant future that is pleasurable enough to put us in continuing our motivating weight-loss attempts.

What are some of the reasons to motivate you to achieve your goals? I bet she emotions are based. Do you want to impress fit into the new bathing suit for your spouse? Do you want to win the person of your dreams? Have want to give your first bodybuilding and fitness show? Or do you simply want to just feel better and have more energy? What ever you choose, the benefit you will later be comfortable enough so that you give in to temptation and enjoy instant pleasure, will resist a piece of cake or ball Ben & Jerry's.

How do you resolve your feelings so that you are not trying to give up, and throw in the towel weight-loss? First of all, I do not think you ever solve the problem, easy to learn to better cope with your feelings. All our actions are done because we get a kind emotional payoff of them. When you sit at night and Gourge on food that you know you should not, you will always be a payoff of instant Pleasure.

To prevent this, we need to replace the payment with a new payment of feeling better, look better, or whatever you want to badly enough. You need to decide what things you think. Is the future joy you will lose 30 pounds for the pleasure will outweigh merit Eating junk right now, at this moment? That you must you some hard-hitting questions. It often amazes me that we will often walk up to the Strangers and ask them out on a date we do not want us to some questions that help to solve a problem.

Ask yourself: What do I want 'm thankful for now? What in my life I want to change right now? Why do I want to change it? What will bring about these changes, either now or in the near future. What is it about my weight loss efforts, I really want to achieve? Why do I want these goals so bad? How will they achieve make me feel? Do I really need this cookie / cake / ice cream, I'm calm now or something that is not right for me, right now.

How To In this type calls, I feel a little bit later, when the cycle of debt back? If you ask yourself to answer some basic questions and learn honestly, you can on the things that are really important. If you do matters, which in turn bring about joy because you have a meaning and a sense of relief knowing that you are better at things. And that in turn goes to the right back to emotions and how you feel, at a given point in time.

Gaining Muscle And Losing Fat

Monday, November 23, 2009

If you are my personal key to muscle building and fat loss, to learn to read, because I show them below. Last night I had the pleasure and the opportunity to visit one of the "Dave Ramsey's Financial Peace" seminars here in Portland, Maine. For those of you who do not know, Dave Ramsey is a financial consultant, bestselling author and popular radio talk show host.

I recommend that when you get to see him speak in person, that you go. He is phenomenal! He talked about a few things that has me really thinking about how things really work in life, if only certain Principles. Well, I often go to seminars, not only for my personal benefit, but so that I can all the information I learned that may be useful to my clients to relay and newsletter subscribers in my store. The last night was no exception.

Dave first to point out that if you want to achieve prosperity and to finacially independent need to learn other rich, wealthy people, not by people who have their own opinion, but nothing to show for it. I Thought at this point in the gym as well. It seems everyone has an opinion about what should be done and what works, but how many people have actually put it to action and have done what they know so much.

I can remember growing up, heard my doctor tell me how important Exercise was to health, but he is extremely overweight. Well put, Dave win's advice to others modeling muscle mass, seeking to have already achieved what you want and copy some of the things they have done. They worked for him in his life where he learned some Principles of rich people who worked and when he joined them in his life he was a millionaire many times over.

Dave also spoke on certain truths with money, that laws must be complied with, if you want to achieve the true wealth. These are laws that occur just as the law of gravity, whether you want them or not. If you jump off a building, will occur, the law of gravity, and you'll hit the ground, no matter what happens. He called this Laws, "No Matter Whats" because they work every time, no matter what you think of her.

When I am on this point as it relates to Fitness and I noticed that there are also many "No Matter Whats" in the fitness and exercise world. I thought about many of them, and that if you only followed them, they would work, no matter what! Here's to lose my top ten list of NO MATTER WHATS for muscle and fat. I thank Dave Ramsey for the insight to recognize that the weight loss has many "laws" that govern it too.

Here are ten I immediately thought:

1. No matter what, if you ... stay positive, and persistent, you win in your efforts to a muscle. Those who think people who are "on keeping on" to the winners in all they set out to do. You can not win every time, but it sure the rates they want to compare. So be positive and perseverance. Besides, what is the alternative, because negative and stop?

2. No matter what ... if you have a form of action, you will do better than nothing. Gaining muscle is done by to be active. You need to lift weights for muscle building. You have to work be carried out regularly. Taking some form of action as you continue to receive over-analyzing the situation to death and do not move!

3. No matter what people see ... not good results, because they do not know "what to do." In
To get in great shape and the muscles, you need to understand HOW behind. Learn about the principles of muscle and wait never hire a coach again (then I will) out of business.

4. No matter what you enjoy ... in your fitness routine must have, otherwise you will not want
remain so for long. They know most of you, that is an optimal fitness is a lifelong process. Can you imagine to do something you not for your entire life? (besides your work?) Have fun with your training!

5. No matter what you eat ... small, well-balanced and nutritious meals or snacks every three to four Hours you will get your metabolism making operations more efficient. With a faster metabolism is crucial for long term fat loss.

6. No matter what step by step ... Increase the amount of weight you can lift over time, will have a positive impact on how much muscle mass you need to build. Who does not want a little more
Muscle and less fat. I had never seen anyone tell me, "Shawn, I'm all set in the muscle department, we can add a little fat?" Win more muscle, lift heavier over time.

7. No matter what ... gaining muscle takes time. There is nothing in life worth that happens overnight. Let get_____quick one kind of person. (You can in the following fields.)

8. No matter what ... You must be a synergy between proper nutrition, moderate aerobic Create
,who provides intensive, short weight training. You need to do any good one, and they will come together to achieve incredible results.

9. Regardless what ... Muscle and getting in shape requires a lifestyle change. You can not expect that the things that you are overweight or at a Form in the first place. To get better, you need to do better. You must change your habits so that they do not support you, stop you. To cut your relations with them!

10. No matter what ... if you want it bad enough, you can achieve it. To take what Dave finished last night, and put them in my own weight loss and Fitness terms: to lose muscle and fat, "Whatever you will be." The choice is yours. They can happen. Or you can stop. The choice is "whatever you have it!"

Bad Workout Can Prevent Your Fat Loss

Sunday, November 22, 2009

Every fat person is found in these days amok in search of the best training to get. This is certainly a new development since never before people were aware of obesity in this way. But the finding is not an easy task. There are many programs, re now and each of them assures you rendering the best methods to lose weight, at the earliest. However, to the consideration of experts, most of them are fake and have a tendency to deceive. This is easily realized by their unrealistic demands and goals.

What would your perfect job, then? You have the difference between good and evil. You can only exercise the bad ones. There is no other way to lose Weight. Never forget when you blinded by the poor training that hell fall on you. Not only is your dream of losing weight, will be overwritten, but you will certainly a victim for medical treatment, sooner or later. As you can see the bad training? For this reason, you have to research in the Internet. Now, many People do not realize the worst training, which is also made reference. If you are one of them, you need the following lines. But before they refer to, to remember that every workout has some bad flaws.

The first of these weaknesses is the lack of a clear target. There are many software that is not directed and the actors end. Well, I am not all talk about a realistic goal. But it should have a clear idea before the artists take the necessary tasks. In his absence, are numerous in the
School in the vicinity and in the execution of the exercises themselves with difficulty. They are simply using the same exercises that will receive the same Weight and not what considerably. They refer to the same as for the months and one day be forced to leave the system. But at this stage they do not lose a lot of money, energy and time. Never in such training, or you can to the same fate.

It is not everything, and others are still on. Do you have an idea for your stamina? It may be that you do not, and there are so many people like you. But This is necessary, and you need to know in advance. You must by medical examination and assessment of the situation will be supported. This is extremely important, because all the training depends on this simple question. In the absence of May, you can choose the evil of the exercises and the results disastrous. Some of them exert themselves because dangerous side effects! This should be done through training, and if the brakes, it is bad indeed.

It is also surprising that many training sessions do not have the need for the training of the newspaper. This report training is very important and is help you with your life. It stores the results and drawbacks. In addition, as you suggested many times as necessary. Do not settle on these workouts. They will destroy your dream.

Diet Plan For 1200 Calories A Day

More and more books on how to lose weight on 1200 calories coming into the market. It has never been this kind of general interest weight loss with low carbohydrate diet. The widespread anger, because more and more people want to lose weight because of Health risks of obesity.

I know you are probably ready to buy the latest 1200 calories diet recipe to start your weight loss plan, but before you have to do that, I here and Example of this type of diet plan so that you can more or loss should be measured, if you can handle it, otherwise I would advise would be that you start with a higher Number. Although our goal of losing weight is for health reasons and benefits, we should never forget that your health during a diet should not be neglected.

1200 calories diet menu sample

Breakfast banana slices 1 slice cheese 1 cup cornflakes, while Jack wheat toast 1 teaspoon jam coffee or tea glass of skimmed milk

Lunch Vegetable chow mien cut with 2oz chicken or lean beef into cubes 1 / 4 cup rice 1 / 4 cupFresh pineapple chunks 1 cup buttermilk

Dinner 3oz baked veal chop Small baked potato peas Fresh fruit salad raspberry

To cut a low-calorie chow mein, cubes of lean beef or chicken, 1 / 4 cup peas, 1 / 4 cup bean sprouts, 1 / 2 cup celery, 1 small chopped onion. If you join up with a 1 / 4 cup soy sauce, the better. Steam the peas, bean sprouts, celery. You can also cook the vegetables with 1 / 4 cup water, if a Steamer is not available, but the steaming of vegetables is more to get the nutrients that you need instead of boiling them. Vegetables Meat and serve on rice. That alone is a total of 410 calories 1200 caloried your diet plan.

The problem with this type of diet plan is, people who try not least a week and go on food binges, because it supplied with food and feel they feel the shortage is already the third day. It announced today that diet plans ground-breaking results on the diet, which has been pursuing its new approach Dieting as shifting calories.

Weight Loss Pills: Should You Use Them?

Friday, November 20, 2009

Have you tried to lose weight with the use of exercise and the best food? If you have, you still know were coming up short on your Weight disadvantage goal? If you have, you can find for the duration of the use of weight loss products, namely, his interest to enable weight loss Pills. Although you may think of giving weight reducing pills a chance, you might wonder if you should.

When it comes to determining whether weight cost of pills for you are correct, there is a ratio of strange questions that ask you to ask for themselves. These questions can help you determine, whether there really weight loss pills for you are in the affirmative. A few of the many questions you can ask to be overly himself to be, pills to reduce the weight, outlined below.

One of the many questions you will ask yourself if you really tired cost weight. Thinning 'natural', often includes exercise and a healthy diet. Did you exercise? The exercise may involve visiting your local fitness center, by creating a training DVD in Your DVD player or something as simple as picking a night hike. Healthy eating involves cutting all sweets from your diet, or at least a large Can not rush deal. If you have not taken those steps yet, you may want to try in the first place to lose weight naturally. If that does not works, his weight diet pills cost something for you to consider.

Although there are a number of reasons for weight gain, one of the many reasons for this are regular eating is also that many food products. If you regularly find They eat more and more to eat than you, or whether, in contrast to more food you need, why you believe you do that? Are you eating lately too due to the fact that you will get bored or your sense of person are you hungry? This is a central question to be answered about how much weight Reduction of the pills are designed to suppress your hunger.

While these advantages may disappear, many people the amount of food they eat and the Take the number of calories properties, it can only help if you too believe that your body tells you who you are still hungry. If you what is generally boring as "eaters" means, there is a good chance the current you plan to eat a good bit further. Another question that you ask yourself is fine if you can deduct the costs of weight pills. When examining an investment by the weight loss pills, you will be able to find which properties are for a large span of prices obtained.

Although it is important that you make sure that the current can afford the price of weight withdrawal pills, it is important that you do not include the class for the costs. If you are not with the weight loss pills come to evaluate and recommend highly, you can only at the end you do not waste your money to work on weight loss pills without fail. Therefore, it is fall, so consult your doctor or seek weight loss diet pill reviews online, before taking any purchases.

Here is the list of the most popular weight loss products is that Proactol Zotrim PureAcaiBerry Spark UniqueHoodia Natural Health Pharmacy Weight Loss The above issues have only recently a few of the many that you might ask yourself before you go and buy weight loss Pills for themselves. As a reminder, it is significant that such a the right amount of research before you buy weight loss pills, should you accept to do so. Weight loss diet pills are not all the same, therefore possess characteristics different results.

Why Are We Overweight?

Wednesday, November 18, 2009

Why are we overweight? This question was often asked, and we all have different answers. The most common reason is because we eat too much, especially fast food and less exercise. It is easy to say, I will lose weight and keep it off. The reality is that if we have more calories than we for energy, our body fat. The question is whether we are seriously committed to changing our lifestyle, adopt healthier habits and more exercise.

After we gain weight, we find difficulty in losing it. There is hope. Increasing our fat burning metabolism will help us lose weight. Most people have tried to many diets, how fast lose weight loss diets with the hope that unwanted fat, but not from the weight. Why? As fast diet
not the answer. Think for a moment, we do not win all that weight in a week, but little by little, is not it? Therefore, we can lose that unwanted fat to keep the weight gradually. That is why it is so difficult to lose fat and to remain slim with the quick weight loss diet.

Some of these diets are so extreme that is a little hungry, weak, and leave at the end, that instead of promoting a healthy eating habit to lose weight, you end Fraud and eat until you satisfy these desires. Back to our original question, why we are overweight? The people are overweight, eat a variety of reasons: to much to hold too little exercise, slow fat burning metabolism, water, eat late, eat unconsciously, while watching TV, poor eating habits.

We tend to eat for emotional reasons, as we get food, as our nerves calmed down. If they sound familiar? Of course, we feel good when eating, but this is the Reply to calm our nerves? No. Definitely not. The anxiety can help us to eat more food and to see how a perfect comfort. How can the obese Question? First, we recommend a conscious decision to examine your eating habits and consult a doctor to check your health before Start the nutrition program and exercise plan.

Second, is characterized in a journal what you eat, drink at least 8 glasses of water, green tea
Increase your metabolism, consume lots of vegetables and fresh fruit, avoid junk food and sugar-heavy foods. Third, learn to say no when friends or family members offer you two or three servings. Fourth, a clear decision and a positive attitude to keep that unwanted weight to lose, visualize new you. Fifth, ask friends who should be encouraged to lose weight and motivate you when feeling down. There is always someone willing to keep Motivates them. Whenever you eat for fear, think twice.

Hold a moment and ask yourself, "I'm really hungry or is just an emotional Excuse? "Instead of eating too impulsive, try to drink water or a cup of green tea, stroll, or contact one of your friends for Motivation. Remember, you are not alone, there are many people who are trying to lose weight and help each other is the most important tool. Others have
Weight loss and keeping the weight off. I did it, so can you! Believe in yourself, you're special.

How to Lose Lower Leg Fat

Every body stores excess fat differently and for some people, their problem area, the lower leg. This can be a difficult area to burn and melt fat remove or turn the fat into muscle, but there are certain routines and techniques, you can choose to use to get started on the right path. Explore what will you eat and exercise regularly, the two components will want to learn to live, how they deliver results for the defeat of the lower leg fat. Locating a problem area, such as lower fat can help you gain self-discipline needed to start a training regime that the entire body, slowly working its way to your lower leg fat.

First, change your diet! Contrary to what you may think you can not eat what you want, just because you go to the gym. Be the more calories you will be receiving from your diet the more difficult it is to lose leg fat and the more it can hold for you during your workouts. You want to be able to results as soon as possible and the only way you can see this, the food that you are monitoring the commissioning Your body and do what you can, eat well and drink plenty of water to help cleanse your body with the weight loss and muscle toning to.

Calve raises are a great exercise cause if you focus on fat and lower leg should be included in any event in your fitness routine. Simply use The muscles of the leg lift the weights on the shoulders, lower standing on the top of toes and then slowly back down. You will be amazed how much weight the legs have to raise the potential, if worked properly. From here, cardio activities are the best choice for lower fat Loss.

Walking, jogging, hiking, inline skating and swimming also have the potential to turn contribute to more than leg fat in muscle mass. After sexy legs is something that men think and women both, and if your leg muscles need a job, now is the time to start working! Change Your lifestyle and start a new image that will help better health, you lose not only your lower leg fat, but any excess fat in your body. Lots, the lower fat now!

Lose Weight without Losing your Mind

Monday, November 16, 2009

How to lose weight and not go crazy, you must ensure that you are vigilant about the nutritional value of your food in your diet-eating plan to be. Nutrition affects the brain and the brain controls how successful you are in achieving your goals are weight loss.

How to lose weight, lose your mind without sounds incredible, but the brain is actually the solution to dieting success. A healthy body creates a healthy mind and a healthy mind creates a healthy body. This does not mean that if you have a few extra pounds you are demonstrably insane. But increasingly clear that the brain has neurotransmitters, nutrition, exercise and nutritional eating habits, a strong correlation. Weight loss results can You will learn how to weight from a different perspective on your diet plans and your brain to eat to lose.

When we released foods we like to eat, whether we are trying to lose weight or not, in our brain endorphins. Endorphins are the Neurotransmitters, which can tell us how you lose weight. Endorphins balance our desire to reduce appetite, our sensations of pain and lift our spirits. Not just the endorphins are released when we eat, but they are also released during strenuous exercise. Those who try to lose weight by starving are likely to make themselves more depressed and more likely that their weight loss goals.

Nutritional deficiency, a side effect of many weight loss diets is poorly designed, with psychological effects on the mind are connected. Back in 1999, the Public Health Journal reported that elderly patients suffer, a foliate deficiency is usually a depression. Convincingly in several studies, Thiamin was associated with improved mood. It was also reported that iron deficiency linked to depression, apathy was associated, and low endurance. Recently took the National Institute on Alcohol Abuse and Alcoholism, are that low levels of omega-3 directly to aggression and depression. To keep learning how to start weight with learning how to lose your mind healthy.

To feed your chances for a stay, lose weight, and maintaining your weight loss goals are much higher if your mind does not suffer from nutritional Deficiencies. Choose carefully, as you plan your weight loss, omega-3, iron and thiamine to arrange. Preparing your mind is the first step in Learn how to lose weight without losing sanity.

Learn how to control your environment to lose weight successfully is just as important. If you do not go on a low-carb diet, in a bakery. If you are on a low sodium diet - have the children hide the chips. Cravings can overwhelm common sense when you try to lose weight. How to keep the Desire under control is a question of moderation of your blood sugar levels and keep the atmosphere high enough so that you, like you can conquer the world. . If you did not starve. Practice often.

How to lose weight without losing understanding can best be done with the Atkins diet. The Atkins diet is a popular weight loss program, which places great emphasis on learning how to write your feelings and learn how to handle cravings balance, along with learning how to lose weight, with the Low-carb diet method. The Atkins Diet Weight Loss Program makes the impossible possible. With your spirit and the Atkins diet plan, your weight loss Goals are sure lucky to be a success.

Top 10 Diet Tips For Weight Loss Success!

Sunday, November 15, 2009

Perform a search for the word diet on Google and you'll find 175,000,000 results. Run the same diet search on Yahoo and you are presented with 118,000,000 sites proposed. This popular auction house eBay has more than 26,321 items for sale diet.

Finally, is in search of food on myspace.com Role in page after page of people interested in more than confused and searching for answers for a diet. With the staggering number of diet pills and diet plans on the market today, it should come as no surprise that most people are confused about which product is the right diet for them. About two thirds of our population is overweight, and statistics from the Centers for Disease Control and Prevention (CDC) show that 80 percent of the trying to lose overweight individuals and almost 87 percent of obese individuals or maintain their weight.

In other words, there are literally millions of Americans seeking diet tips and advice they can trust. So we've created this list of top 10 diet tips. As a personal trainer and health club Owner, our goal is to give you sound advice on how to achieve permanent weight loss with a healthy diet program. We are not pressing any particular Diet, diet supplement or weight loss program. Rather, it is our goal to have some of the best weight loss information available. 1. Our first diet tip is also our most important. We strongly recommend that you seek medical advice before beginning any diet and nutrition program. This is good advice for anyone beginning a new exercise program, as well.

No one other than your personal physician is qualified to give you the expert advice You need to make smart decisions about healthy weight loss, so get in the first place, some medical advice before starting any diet. 2. Our Nutrition second tip is to look for all the free advice on diet, see. Be aware that the best and most reliable health advice will come from people actually working in the industry - not from a marketing and sales staff. In this sense, find tips on losing weight by doctors, nutritionists and gym Owner. Be wary of health tips from marketers, which focuses exclusively on the sale of a product or plan interested. The ulterior motive to sell, can their Weight Loss Tips questionable. 3. Realize that if a diet has gained national exposure, it is likely that someone worked.

However, just because a diet has been working for someone else does not mean that it work for you. Just as legal advice and dating tips are from person to person are different, no diets One-size-fits-all product either. So if you are enthusiastic your relatives or colleagues about the great new online diet it on, check it out before you jump on the moving train. What is not possible for them to work for you. 4. Try many different diet recipes to decide which you like best. People enjoy different Food, nutrition and looking for a recipe that is all like how the attempt to give the same relationship advice for any couple on the planet.

It just will not Work. Trying to force yourself to food you eat does not like just because they are low in calories, only to frustration and failure. A much better Approach is to experiment with food recipes until you find the perfect match for you. 5. Our fifth diet tip is to avoid weight loss pills and Prescription Diet Pills may be unsafe or even deadly. Although some diet drugs are completely safe and effective, have), others (such as Meridia and Phen-Fen Users can be surprised with serious side effects. The promise of quick weight loss is not worth the risk to health, are with weight loss drugs and careful other weight loss supplements. 6. Good financial advisory mandates state that you are your spending journal to find out where your money is going.

In the same way you should start a journal of everything you eat. Everything! This is a tip for losing weight that is guaranteed to work for almost everybody. It turns out that only a small thing here and a taste there are a lot together, and keep a diet journal is your eyes, how many open Calories you actually get. Armed with this information, you will know where to cut and trim, lose weight. 7. Join a support group. Some of the best Weight loss tips and diet advice is not found in a book, but comes from other people like you. Following a diet support group such as prism or may TOPS make up the difference when your willpower starts to fade, and you're tempted to throw in the towel.

Whether you're swapping Weight Watchers Recipes or on the new diet patch on the market, a group of enormous help when you write your own weight loss success story. 8. Set realistic expectations. All doctors advise diet suggests that if you are healthy weight loss occurs, you will not lose more than they should 1 to 2 pounds per week. Lose weight faster than that and you're likely to lose muscle and water weight and not fat. This is one of worst things you can do when you are trying to achieve permanent fat loss. So forget the infomercials that you see a quick weight loss without any assurance Effort, because that is simply not true. , Concentrating instead on achieving your ideal weight with a healthy diet and nutrition weight loss plan. 9. A diet tip that you can not expect to require that you eat more often.

That's right! Consume small high-protein and low fat snacks every 3 to 4 hours and you will keep hunger Contractions continued throughout the day. This creates a big step toward eliminating the binges, which is so tempting during a diet. Following this advice will also keep your Stable blood sugar throughout the day, allowing you more energy and preventing the "crash" a lot of experience with diets. 10. Finally, remember that all weight loss diet needs to make regular use, to be effective. It is a proven fact that when you diet without exercising up to fifty percent of the You may actually lose muscle weight loss.

Losing muscle is the absolute worst thing you can do when you try to lose weight because of the rapid every pound of muscle you lose, you actually lower your metabolic rate by about fifty calories. In other words, makes it harder to lose muscle, so you Lose body fat. In this sense, coupling regular exercise with a diet plan makes success much more likely. Take these diet tips to heart and you will soon be well on your way to weight loss success. Good luck, and we'll see you in the gym.

Facts About Weight Loss...

Friday, November 13, 2009

Weight loss

Weight loss may be planned to bring the body back to a safer, more desirable weight. Weight loss also may be unintended as a result of a serious illness, decline in memory or behavioral problem. Unplanned weight loss is defined as an unintended decrease from a person’s usual weight.

Weight loss is also an anticipated part of the dying process in individuals with end-stage problems, such as dementia, chronic obstructive pulmonary disease (lung disease) or a failure to thrive.

Many elderly patients are at risk for unplanned weight loss because of serious medical problems, decreased appetite and decreased mobility. Significant weight loss can lead to malnutrition which, if not corrected, can lead to death. Unfortunately, in cases such as end-stage diseases like dementia, the body gives up and even if food is given, the body may not be able to “process it” correctly. The best way to care for a person at risk for weight loss is to offer them nutritious food that they enjoy eating whenever possible.

Some risk factors for weight loss include:

• History of weight loss

• Depression, feeling of abandonment, dementia or other behavioral problems

• Increased food requirements due to illness, fever or pressure ulcers

• Indigestion

• Poorly fitting dentures

• Person “gives up” and refuses to eat

• Infections

• Dehydration
  
  

Effects of aging
Age-related reasons leading to weight loss include:

• Decreased overall body weight (mass)

• Decreased sense of taste and smell, which makes food less appetizing

• Inability to absorb nutrients

• Loss of the learned ability to eat

• Acute or chronic illnesses such as stroke, Alzheimer’s or Parkinson’s diseases which may result in:
  
  • Chewing and swallowing problems
  • Decreased ability to feed oneself
  • Decreased appetite
    

Prevention
Some steps that may be taken to attempt to prevent or minimize unintended weight loss include:

• Early identification of risk

• Assessing the person for early signs of weight loss and malnutrition

• Assessing the need for devices to assist in eating

• Attempting to maintain nutrition

• Treating underlying medical problems

• Treating depression

• Checking for thyroid disease
  
  

Treatment
Artificial nutrition and hydration involves placing a tube in the patient’s nose, stomach or into the veins (intravenous).

The best method for residents who require long-term nutritional support is the G-tube (gastric tube), which is placed through the skin of the belly into the stomach by a gastroenterologist. This procedure is usually performed at the hospital and normally does not require an overnight stay. In a study of terminally ill persons, few experienced hunger or thirst; however, there was no evidence suggesting that tube feeding increased the comfort of persons with dementia.

For residents who are able to eat, it is best to use the most liberal diet medically advisable. The American Dietetic Association states that the quality of life and nutritional status of residents in long-term care facilities may be improved on a regular diet rather than a therapeutic diet. Therapeutic diets, such as diabetic, low salt and low-cholesterol diets, are often less palatable and have been shown to be associated with weight loss and other problems in nursing home settings.

Possible treatment options include:

• Attempting to identify underlying illness and problems

• Attempting to identify pain or stomach problems

• Attempting to diagnose and treat depression

• Treating dry mouth or denture problems

• Removing medications that decrease appetite if possible

• Providing smaller, more frequent meals where indicated

• Positioning your loved one properly during meals

• Providing assistance and supportive equipment

• Providing supplements or artificial nutrition and hydration

What you can do to help

• Tell the nursing staff about your loved one’s food preferences and eating routine.

• Bring in favorite foods from home (when approved in advance by the nursing staff and dining service team).
  

• Encourage your loved one to eat and drink.

• Join your loved one during mealtime.

• Assist your loved one in dining, when possible, if he or she eats better for you.

• Discuss the issue of artificial nutrition or hydration with your family member before the question arises (see treatment information).
  

• Provide us with accurate telephone numbers for family members or other caregivers.

Overweight, Obesity, and Weight Loss : Frequently Asked questions #3

Thursday, November 12, 2009

Q: What surgical options are avail-able to treat weight loss?
A: Weight loss surgeries — also called bar-iatric (bair-ee-AT-rik) surgeries — can help treat obesity. You should only con-sider surgical treatment for weight loss if you:

• Have a BMI of 40 or higher

• Have a BMI of 35 or higher and weight-related health problems

• Have not had success with other weight-loss methods

Common types of weight loss surgeries are:

• Roux-en-Y (ROO-en-WEYE) gastric bypass. The surgeon uses surgical staples to create a small stomach pouch. This limits the amount of food you can eat. The pouch is attached to the middle part of the small intestine. Food bypasses the upper part of the small intestine and stomach, reducing the amount of calories and nutrients your body absorbs.
• Laparoscopic (LAP-uh-ruh-SKAWP-ik) gastric banding. A band is placed around the upper stomach to create a small pouch and narrow passage into the rest of the stomach. This limits the amount of food you can eat. The size of the band can be adjusted. A surgeon can remove the band if needed.
• Biliopancreatic (bil-ee-oh-pan-kree-at-ik) diversion (BPD) or BPD with duodenal (doo-AW-duh-nul) switch (BPD/DS). In BPD, a large part of the stomach is removed, leaving a small pouch. The pouch is connected to the last part of the small intestine, bypassing other parts of the small intestine. In BPD/DS, less of the stomach and small intestine are removed. This surgery reduces the amount of food you can eat and the amount of calories and nutrients your body absorbs from food. This surgery is used less often than other types of surgery because of the high risk of malnutrition.

If you are thinking about weight-loss surgery, talk with your doctor about changes you will need to make after the surgery. You will need to:

• Follow your doctor’s directions as you heal

• Make lasting changes in the way you eat

• Follow a healthy eating plan and be physically active

• Take vitamins and minerals if needed

You should also talk to your doctor about risks and side effects of weight loss surgery. Side effects may include:

• Infection

• Leaking from staples

• Hernia

• Blood clots in the leg veins that travel to your lungs (pulmonary embolism)

• Dumping syndrome, in which food moves from your stomach to your intestines too quickly

• Not getting enough vitamins and minerals from food

Q: Is liposuction a treatment for obesity?
A: Liposuction (LY-poh-suhk-shuhn) is not a treatment for obesity. In this procedure, a surgeon removes fat from under the skin. Liposuction can be used to reshape parts of your body. But this surgery does not promise lasting weight loss.

Q: I’m concerned about my children’s eating and physical activity levels. How can I help improve their habits?
A: The things children learn when they are young are hard to change as they get older. This is true for their eating and physical activity habits. Many children have a poor diet and are not very active. They may eat foods high in calories and fat and not eat enough fruits and vegetables. They also may watch TV, play video games, or use the computer instead of being active.

Kids who are overweight have a greater chance of becoming obese adults. Overweight children may develop weight-related health problems like high blood pressure and diabetes at a young age. You can find out if your child is overweight or obese by using the Body Mass Index for children and teens.

Body Mass Index for Children and Teens
You can find out your child’s BMI by using the calculator at http://www.girlshealth.gov/nutrition/weight/bmi_calc.cfm.

You can help your child build healthy eating and activity habits.

• Limit time spent watching TV, playing video games, and using the computer.

• Make sure your child is physically active for 1 hour each day.

• Find out about activity programs in your community.

• Ask your children what they like to do and what they’d like to try, like Little League Baseball or a swim team.

• Plan activities for the whole family – like hiking, walking, or playing ball.

• Help your children eat healthy foods.

• Have your children plan and cook healthy meals with you.

• Don’t do other things while you eat, like watch TV.

• Give your kids healthy snacks, like fruits, whole-grain crackers, and vegetables.

• Limit your trips to fast-food restaurants.

• Involve the whole family in healthy eating. Don’t single out your children by their weight.

We know children do what they see — not always what they are told. Set a good example for your children. Your kids will learn to eat right and be active by watching you. Setting a good example can mean a lifetime of good habits for you and your kids.

Overweight, Obesity, and Weight Loss : Frequently Asked questions #2

Saturday, November 7, 2009

Q: How can physical activity help?
A: The new 2008 Physical Activity Guidelines for Americans state that an active lifestyle can lower your risk of early death from a variety of causes. There is strong evidence that regular physical activity can also lower your risk of:

• Heart disease
• Stroke
• High blood pressure
• Unhealthy cholesterol levels
• Type 2 diabetes
• Metabolic syndrome
• Colon cancer
• Breast cancer
• Falls
• Depression

Regular activity can help prevent unhealthy weight gain and also help with weight loss, when combined with lower calorie intake. If you are overweight or obese, losing weight can lower your risk for many diseases. Being overweight or obese increases your risk of heart disease, high blood pressure, stroke, type 2 diabetes, breathing problems, osteoarthritis, gallbladder disease, sleep apnea (breathing problems while sleeping), and some cancers.

Regular physical activity can also improve your cardiorespiratory (heart, lungs, and blood vessels) and muscular fitness. For older adults, activity can improve mental function.

Physical activity may also help:

• Improve functional health for older adults
• Reduce waistline size
• Lower risk of hip fracture
• Lower risk of lung cancer
• Lower risk of endometrial cancer
• Maintain weight after weight loss
• Increase bone density
• Improve sleep quality

Health benefits are gained by doing the following each week:

• 2 hours and 30 minutes of moderate-intensity aerobic physical activity
or
• 1 hour and 15 minutes of vigorous-intensity aerobic physical activity
or
• A combination of moderate and vigorous-intensity aerobic physical activity
and
• Muscle-strengthening activities on 2 or more days

This physical activity should be in addi-tion to your routine activities of daily living, such as cleaning or spending a few minutes walking from the parking lot to your office.

If you want to lose a substantial (more than 5 percent of body weight) amount of weight, you need a high amount of physical activity unless you also lower calorie intake. This is also the case if you are trying to keep the weight off. Many people need to do more than 300 minutes of moderate-intensity activity a week to meet weight-control goals.

Moderate Activity
During moderate-intensity activities you should notice an increase in your heart rate, but you should still be able to talk comfortably. An example of a moderate-intensity activity is walk-ing on a level surface at a brisk pace (about 3 to 4 miles per hour). Other examples include ballroom dancing, lei-surely bicycling, moderate housework, and waiting tables.

Vigorous Activity
If your heart rate increases a lot and you are breathing so hard that it is dif-ficult to carry on a conversation, you are probably doing vigorous-intensity activity. Examples of vigorous-intensity activities include jogging, bicycling fast or uphill, singles tennis, and pushing a hand mower.

Q: What drugs are approved for long-term treatment of obesity?
A: The Food and Drug Administration has approved two medicines for long-term treatment of obesity:

• Sibutramine (si-BYOO-tra-meen) suppresses your appetite.

• Orlistat (OR-li-stat) keeps your body from absorbing fat from the food you eat. These medicines are for people who:

• Have a BMI of 30 or higher

• Have a BMI of 27 or higher and weight-related health problems or health risks If you take these medicines, you will need to follow a healthy eating and physical activity plan at the same time. Before taking these medicines, talk with your doctor about the benefits and the side effects.
  

• Sibutramine can raise your blood pressure and heart rate. You should not take this medicine if you have a history of high blood pressure, heart problems, or strokes. Other side effects include dry mouth, headache, constipation, anxiety, and trouble sleeping.

• Orlistat may cause diarrhea, cramping, gas, and leakage of oily stool. Eating a low-fat diet can help prevent these side effects.

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Overweight, Obesity, and Weight Loss : Frequently Asked questions

Thursday, November 5, 2009

Q: How many women in the United States are overweight or obese?
A: Over 60 percent of U.S. adult women are overweight, according to 2007 estimates from the National Center for Health Statistics of the Center for Disease Control and Prevention. Just over one-third of overweight adult women are obese.

Q: How do I know if I’m overweight walking or obese?
A: Find out your body mass index (BMI). BMI is a measure of body fat based on height and weight. People with a BMI of 25 to 29.9 are considered over- weight. People with a BMI of 30 or more are considered obese.

Q: What causes someone to become overweight or obese?
A: You can become overweight or obese when you eat more calories (KAL-oh- rees) than you use. A calorie is a unit of energy in the food you eat. Your body needs this energy to function and to be active. But if you take in more energy than your body uses, you will gain
weight.

Many factors can play a role in becoming overweight or obese. These factors include:

• Behaviors, such as eating too many calories or not getting enough physical activity

• Environment and culture

• Genes

Overweight and obesity problems keep estimates from the National Center getting worse in the United States. for Health Statistics of the Center for Some cultural reasons for this include:

• Bigger portion sizes

• Little time to exercise or cook women are obese. healthy meals
  

• Using cars to get places instead of walking

Q: What are the health effects of being overweight or obese?
A: Being overweight or obese can increase your risk of:

• Heart disease

• Stroke

• Type 2 diabetes

• High blood pressure

• Breathing problems

• Arthritis

• Gallbladder disease

• Some kinds of cancer

• Problems getting pregnant But excess body weight isn’t the only health risk. The places where you store your body fat also affect your health.

Q: What is the best way for me to lose weight?
A: The best way to lose weight is to use more calories than you take in. You can do this by following a healthy eating plan and being more active. Before you start a weight-loss program, talk to your doctor.

Safe weight-loss programs that work well:

• Set a goal of slow and steady weight loss — 1 to 2 pounds per week
• Offer low-calorie eating plans with a wide range of healthy foods
• Encourage you to be more physically active
• Teach you about healthy eating and physical activity
• Adapt to your likes and dislikes and cultural background
  
• Help you keep weight off after you lose it

Q: How can I make healthier food choices?
A: The U.S. Department of Health and Human Services (HHS) and Department of Agriculture (USDA) offer tips for healthy eating in Dietary Guidelines for All Americans.

• Focus on fruits. Eat a variety of fruits — fresh, frozen, canned, or dried — rather than fruit juice for most of your fruit choices. For a 2,000-calorie diet, you will need 2 cups of fruit each day. An example of 2 cups is 1 small banana, 1 large orange, and 1/4 cup of dried apricots or peaches.

• Vary your veggies. Eat more:

• Dark green veggies, such as broccoli, kale, and other dark leafy greens

• Orange veggies, such as carrots, sweet potatoes, pumpkin, and winter squash

• Beans and peas, such as pinto beans, kidney beans, black beans, garbanzo beans, split peas, and lentils

• Get your calcium-rich foods. Each day, drink 3 cups of low-fat or fat-free milk. Or, you can get an equivalent amount of low-fat yogurt and/or low-fat cheese each day. 1.5 ounces of cheese equals 1 cup of milk. If you don’t or can’t consume milk, choose lactose-free milk products and/or calcium-fortified foods and drinks.

• Make half your grains whole. Eat at least 3 ounces of whole-grain cereals, breads, crackers, rice, or pasta each day. One ounce is about 1 slice of bread, 1 cup of breakfast cereal, or 1/2 cup of cooked rice or pasta. Look to see that grains such as wheat, rice, oats, or corn are referred to as “whole” in the list of ingredients.

• Go lean with protein. Choose lean meats and poultry. Bake it, broil it, or grill it. Vary your protein choices with more fish, beans, peas, nuts, and seeds.

• Limit saturated fats. Get less than 10 percent of your calories from saturated fatty acids. Most fats should come from sources of polyunsaturated and monounsaturated fatty acids, such as fish, nuts, and vegetable oils. When choosing and preparing meat, poultry, dry beans, and milk or milk products, make choices that are lean, low-fat, or fat-free.

• Limit salt. Get less than 2,300 mg of sodium (about 1 teaspoon of salt) each day.

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GUIDELINE ON CLINICAL EVALUATION OF MEDICINAL PRODUCTS USED IN WEIGHT CONTROL (CPMP/EWP/281/95 Rev. 1) ADDENDUM ON WEIGHT CONTROL IN CHILDREN #3

Wednesday, November 4, 2009

4. ASSESSMENT OF EFFICACY OF NEW MEDICINAL PRODUCTS FOR THE
TREATMENT OF OBESITY IN CHILDREN

It is recommended that the primary endpoint is a change in BMI Standard Deviation Score; however, change in adiposity should also be measured in BMI (%) units4. In adults a 10% weight reduction is accepted as a clinically meaningful effect. However, in the paediatric population the degree of change should be justified by the applicant.

While it is important to obtain statistically significant results, it is also important to consider clinical relevance defined via the responders’ rate. Research in this area is encouraged. In the meantime, justification should be provided for all design approaches to show clinically relevant effects.

Parameters relating to co-morbidities are secondary endpoints and can include improved glucose control, improved lipid profile, enhanced exercise tolerance, better mental health and/or quality of life, reduced use of adjunct medications etc. Choice of endpoints should be justified.

Behavioural changes are considered as secondary endpoints. Validated psychological tools must be used and justification for their use should be provided.


5. ASSESSMENT OF SAFETY OF NEW MEDICINAL PRODUCTS FOR THE
TREATMENT OF OBESITY IN CHILDREN

Safety aspects are dependent on the mechanism of action of the investigational medicinal product. Appropriate safety data should be collected during the entire drug treatment period, which will usually be at least one year, and for the duration of the follow-up period. This data should notably encompass the adverse events related to lipid profile, liver function, cardiovascular system function and rebound phenomenon. For centrally-acting anorectic agents, in particular, it is recommended that special attention and monitoring is afforded to neuropsychiatric events such as depression, sleep pattern and nightmares, assessment of self-esteem, aggression or suicidality. Self-esteem could fall under both the efficacy and safety category.

In growing children height velocity should also be monitored in addition to standard safety evaluations and pubertal development should be assessed by determining Tanner stage at baseline and endpoint. For centrally-acting anorectic agents the abuse potential should be considered and factored into trial design in an appropriate manner. This is especially important in the adolescent age group.

GUIDELINE ON CLINICAL EVALUATION OF MEDICINAL PRODUCTS USED IN WEIGHT CONTROL (CPMP/EWP/281/95 Rev. 1) ADDENDUM ON WEIGHT CONTROL IN CHILDREN #2

Tuesday, November 3, 2009

3. TRIAL POPULATIONS

Studies in children, whose age is determined by the proposed indication, are required.

In general the results of studies in adults cannot be extrapolated to adolescents or from adolescents to younger children. Study results from weight loss trials outside Europe could, however, be extrapolated to the European population when it is established that the response to the therapy is not dependent on any ethnic background. Justification should be provided for using extrapolation data. Lifestyle factors may, however, have an important effect on efficacy in that a drug may be more effective in some populations with, for example, a low degree of physical activity and this should be considered in performing trials. The population studied should largely reflect the population intended for treatment in real life.

3.1 Non-pharmacological measures
Design of clinical trials on obesity in children should include, and precisely define, all types of
intervention (lifestyle changes, diet, physical activity, parental involvement). As discussed below, trials should consist of three phases: a run-in phase; an active treatment phase; and a follow-up phase. The run-in period (without any medication) should last 3 to 6 months. All non-pharmacological interventions should begin in the run-in phase and continue during the blind treatment phase and during the follow-up phase. Relevant details about the medical history of the patient and the family should be collected and all co-morbidities well documented before enrolling the child into the trial. Any approach to specific interventions should be justified and the interventions proposed should be relevant and appropriate for the target population and not only for the trial purposes. As described above, two populations of children should be differentiated: pre- and post-pubertal. It is recognised that some pre-pubertal children may enter puberty during the clinical trial.

3.2 Surgical interventions in obesity in children
Surgical intervention is normally restricted to adults. It is considered to be a last resort therapy. While it is acknowledged that comparison studies between surgical intervention and medical intervention might be useful, at present too little data are available to recommend such a design.

3.3 Goals of pharmacotherapy in obesity in children
Pharmacotherapy is only one aspect of a weight loss regimen. Pharmacological treatment of childhood and adolescent obesity and whether treatment translates into less obesity and/or less morbidity in later life is poorly understood. Treatment goals are composite and need to encompass age, stage of growth and development, degree of overweight and the presence of associated co-morbidities. Halting abnormal/excess weight gain or decreasing the rate of weight gain are important goals in paediatrics and could be primary endpoints. For those subjects with obesity related complications weight loss is a primary endpoint.

3.4 Design of clinical studies in the development of medicinal products for the treatment of
obesity in children
Pivotal trials should preferably be conducted by physicians experienced in the management of childhood obesity. They should be performed in centres with access to the relevant multidisciplinary teams that can provide expertise in drug monitoring, diet, psychological support, behavioural interventions and physical activity.

Inclusion criteria: It is recommended that separate trials for pre-pubertal (6 years to puberty) versus post-pubertal children (post-puberty to 18 years) are performed. This is because of the considerable physiological changes in body composition, metabolic responses and behaviour occurring during puberty. Patients should be obese and have a documented history of failing to lose weight by means of lifestyle modification, before enrolment into the pharmacological phase of a study. After the run-in 5/7 phase, study participants who do not have associated co-morbidities should not enter the active phase of the study if the results of the non-medicinal interventions suggest adequate weight loss i.e. if they no longer fulfil the definition of obesity. Conversely, those participants free of any co-morbidity should be enrolled if the run-in phase did not result in significant weight reduction. Children or
adolescents with severe obesity should enter the active phase of the trial irrespective of the weight changes obtained during the run-in phase when at least one of the co-morbidities exists. Children of all ages should be represented in sufficient large proportions in the study.

Overweight patients with obesity-related co-morbidities could be included in the study.

Exclusion criteria: patients with secondary causes of childhood obesity such as mental retardation, chromosomal problems or syndromic obesity (e.g. Prader-Willi syndrome) should be excluded from the pivotal trials. Separate trials are needed for children with secondary causes of obesity. It is recommended that subjects suffering from severe co-morbidities be excluded from pivotal trials. This is because these severely obese children may require more intense medical management than is available in clinical trial conditions. Patients who have undergone any surgical intervention for the management of obesity e.g. bariatric surgery should also be excluded from a trial because this intervention may affect outcome. Conversely, post-pubertal children who have responded well in the suggested minimal 3 to 6 months run-in period should not be excluded unless they are no longer
obese. Patients with confirmed bulimia nervosa disorder should be excluded from trials.

3.5 Trial methodology
Trials should be randomised, double-blind, placebo-controlled trials. There should be a run-in phase, followed after randomisation by a blinded treatment phase and follow-up. Non-pharmacological interventions (lifestyle changes, dietary manipulation, physical activity etc.) should be standardised and remain unchanged during all three phases of the study. The use of food questionnaires could be considered in special cases although it is considered that the standardisation of food intake per se is not feasible and the reproducibility of such studies is relatively low.

The treatment phase should last for at least 1 year, as stabilisation of the effect is needed. As with adults, the problem of drop outs is recognised in both the placebo and active treatment groups. Historically there have been high rates of premature subject withdrawal in trials of medicinal products used in the management of overweight and obesity. Every effort should be made to follow-up these patients fully and include them in the intention to treat analysis. Patients should be seen on a regular basis and their weight monitored from baseline to final analysis. If possible, patients who drop out from a 1 year study should have a body weight measurement at the time he or she would have completed the study after 1 year of taking part.

After discontinuation from the study the patients must be followed to assess maintenance of effect and any evidence for relapse and/or rebound. It is recommended that the observation phase after stopping drug therapy should last 6 months at least.

The applicant should indicate how he proposes to ensure the long-term follow-up of possible adverse reactions to the use of the medicinal product and efficacy in the paediatric population as outlined in Paediatric Regulations.

The possibility of an excessive pharmacodynamic effect, e.g. excessive weight loss, is unlikely and would relate to dose problems rather than to the duration of the study. In the case where investigators would like to conduct studies of shortened duration scientific advice should be sought.

Body composition analysis using a validated methodology is necessary in a representative sample of trial patients to ensure that any weight reduction is caused primarily by a reduction in fat content and not lean-body mass.

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