Author: AIPM

  • Injury And Disability

    Healthylife® Weigh

    Part 5

    Doctor helping elderly man with fitness.

    Talk to your doctor or physical therapist about exercises you can do at home, at a gym, or in a pool. While there may be activities you can’t do, there are probably many that you can do. Plus, there are many exercises that can be adapted to suit your individual needs and abilities.

    *  Focus on what you CAN do.

    *  Choose low-impact exercises that don’t make an injury worse.

    *  Find a supportive buddy to help motivate you or assist you with exercises.

    *  Use flotation devices in a pool for support.

    *  Try new things as you lose weight. You may find some activities easier when you are carrying less weight on your joints.

    © American Institute for Preventive Medicine

  • It Takes A Village

    Healthylife® Weigh

    Part 4

    Three friends at the beach.

    Build support around you. Support from others can help:

    *  Motivate you and lift you up when you stumble.

    *  Hold you accountable.

    *  Give you new ideas and inspiration.

    *  Make activities more fun.

    Start With One Person

    Find someone you know and trust. This could be anybody-a family member, friend, or coworker. Perhaps this person already motivates you to make positive changes in your life.

    1. Let them know what you are trying to do.

    2. Ask them if they would be willing to support you.

    3. If “yes,” say “thank you!”

    4. Let them know how to help you. This may change over time.

    5. Thank this person often. Let them know the impact they are having on your lifestyle change.

    Let Others Know How to Help You

    Even when someone wants to help you, they may not know how. You have probably experienced this already, like when someone gives you cliché advice or gives you a sweet treat to cheer you up.

    Be specific when you tell others how to help you. Here are a few ideas.

    *  Remind you of your strengths and talents.

    *  Share healthy recipes for easy meals and snacks.

    *  Plan social times that don’t involve food. For example, go for a walk or go to the same exercise class.

    *  Give you non-food gifts only.

    *  Take care of your children so you can do your planned exercise. Or, plan an event where your families can be active together.

    © American Institute for Preventive Medicine

  • Join The Team: The Rest Of Your Kitchen

    Healthylife® Weigh

    Part 4

    Selection of fruits in a heart shaped bowl.

    Avoid going to battle every day with unhealthy choices. Learn your own strengths and weaknesses. If you are more likely to chop veggies after shopping than after coming home from work, do this after shopping and store in clear containers. If having visible candy is tempting, keep it in a tin in the basement, out of sight and inconvenient.

    Dish Cupboards

    *  Stock small bowls and plates on easy-to-reach shelves. Put large plates and bowls in a hard-to-reach place or in another closet in the house.

    *  Put smaller wine glasses in front of larger ones. Use tall, narrow glasses for non-water drinks.

    *  Make it easier to cook. Have a blender on the counter and organize your pots and pans to make it easy to pull out a frying pan or pot.

    Use a smaller plate (9-10 inches) and downsize your cereal bowl. This helps reduce portion sizes, even if what is on your plate has not changed.

    Use dessert forks, appetizer forks, or child-sized utensils to eat your meals. This will help you take smaller bites and eat slower. You may find you feel full before you’ve finished your meal! You may also be satisfied with less.

    Counter Tops & Kitchen Space

    *  Add a fruit bowl to the counter with two or more fruits. Tomatoes can go in here too! Roma tomatoes can make for a refreshing, convenient, and filling snack!

    *  Organize counter tops and decrease kitchen clutter-even on the refrigerator door.

    *  Take out the lounge factor-no TV, tablets, comfy chairs, etc. Spending extra time in the kitchen could lead to munching and eating when you are not hungry.

    *  Don’t sit down to a meal unless it includes a fruit or vegetable.

    Pantry

    *  Keep healthy choices at eye level-oatmeal, quinoa, nut butters, beans, canned fruit in water or juice, whole grain pasta, rice, etc.

    *  Move foods you want to eat less of to a less convenient location (like in a cupboard you need a stool to reach) or to a different place in the house where you do not go as often (like the basement or laundry room).

    *  Store packaged, processed foods in solid-colored bins in a closed pantry or closet.

    *  Make less healthy foods less visible and harder to reach. Make healthy foods more visible and easier to reach.

    Now Go! Take a Look

    *  Is there food sitting out in the open in your kitchen? If so, what is visible (e.g., bags of chips or boxes of cereal on top of the fridge, bowl of fruit on the table)?

    *  Where do you keep “treat” foods (desserts, sweet snacks, chips, etc.)?

    *  How quickly can you reach for these? Is it easy?

    *  Where else can you store highly processed snacks and high-sugar treats? If options are limited, put them in a solid-colored plastic container or put them on a shelf that is not at eye level. These changes might help everyone else in your household too!

    *  When you drink water, do you prefer filtered, chilled water, or tap water? Is your preferred water easily accessible?

    © American Institute for Preventive Medicine

  • When “Just A Little” Doesn’t Work

    Healthylife® Weigh

    Part 4

    Open bag of potato chips.

    Sugar, fat, certain chemicals, and other parts of foods can trigger addiction responses in the brain. Once this desire for additional rewards is activated, it can be very difficult to stick with your healthy goals.

    Fill in the blank: Once I start eating _________________________, it is difficult for me to stop eating it or to not overeat.

    *  If you have this food in your house, keep it hidden and in an inconvenient location (like a closet or in the basement).

    *  If possible, avoid places and store aisles that sell this item.

    *  Try to understand why you have this craving. Is it due to stress, boredom, or another emotion? Read more in Part 6 on tackling emotional eating.

    *  Only eat this item around people who have healthy habits. You may find yourself less likely to binge on a food if others around you are eating healthy portions.

    *  If you do buy a trigger food, buy the smallest amount you can.

    – A small, single-serving bag of chips may keep you from buying the large, family-size bag and eating too many chips.

    – If you buy a larger bag, portion the contents into smaller bags as soon as you can.

    – Get a child-size or small fountain drink to satisfy a craving for soda. Re-fill your cup with water immediately and sip until your craving goes away.

    © American Institute for Preventive Medicine

  • Keep Food Safe

    Healthylife® Weigh

    Part 3

    Man with frying pan cooking food at home.

    *  Freezing: Keep freezer temperature at or below 0°F. Keep frozen foods in airtight containers.

    *  Refrigerator: Keep refrigerator temperature at or below 40°F. Store foods made from animal products in a drawer or in the back of the refrigerator, where it is cooler.

    *  Thawing: Thaw food on the bottom shelf of the refrigerator. Or, submerge the sealed container in cold water. Or, use the defrost settings on your microwave. Never thaw food on the counter.

    Heat to Safe Temperatures

    Use a food thermometer to make sure foods are safe to eat.

    *  145ºF: Fish, roasts, steaks, chops (beef, pork, veal, and lamb)

    *  160ºF: Egg dishes and ground meats (beef, veal, and lamb)

    *  165ºF: Stuffing, all poultry, casseroles, reheated leftovers

    Simple Cooking Methods

    When you cook vegetables, do so quickly and in little water. Some vitamins, like vitamin C, are lost when soaked in water or overcooked.

    Microwave: Place chopped vegetables in a microwave-safe dish with a lid. Or, use plastic wrap with a few holes poked for venting. Add 2 Tbsp. of water, or enough to cover the bottom of the dish. Microwave on high for 5 minutes. Check firmness. Add time to reach desired softness.

    Stove Top: Add 1 to 2 inches of water to a pot. Add vegetables. Simmer until tender, checking vegetables often after the first 5 minutes. Greens will cook faster, so check these after 2 minutes.

    Oven: Preheat oven to 450ºF. Coat a baking sheet with non-stick cooking spray or use a sheet of parchment paper. Toss vegetables with 1 Tbsp. of canola oil. Spread vegetables evenly and bake for at least 15 minutes. Check for desired softness. Add cooking time, if needed. Experiment with spices to flavor vegetables to your liking.

    © American Institute for Preventive Medicine

  • Keep Habits Rewarding

    Healthylife® Weigh

    Part 4

    Happy, young woman cooking dinner with grandmother.

    When you are rewarded for an action, you are more likely to repeat it. If you eat a piece of chocolate and enjoy the taste and how you feel afterwards, you are probably going to eat chocolate again.

    Managing your weight does not mean giving up rewarding feelings. If it did, it would be VERY hard for you to stick with it. People are wired to seek rewards and to stick to habits that give rewards. There are two types of rewards:

    Intrinsic Rewards

    *  Something intangible (you can’t touch it)

    *  Arise from within you

    *  Examples: a feeling or emotion, such as joy, pride, or satisfaction

    *  Feeling like you are living your values

    *  Are strong motivators

    Extrinsic Rewards

    *  Something tangible (you can touch it)

    *  Are physically received from someone else

    *  Examples: money, a trophy

    *  Get weaker over time

    Your habit change plan starts with two basic questions:

    1. What is the reward for my current habit?

    2. How can I still get the reward with a healthier habit? You may need to learn a new skill, such as time management. Or, you may need help from others.

    Example: My morning habit of rushing out the door with a cup of coffee-no breakfast-helps me be on time for work. Every time I am on time for work, I feel relieved and proud of myself. (Feeling relieved and proud is the reward for being on time for work.)

    Ideas to Keep Rewards: I could make a breakfast-to-go snack the night before and keep it next to my coffee maker. Or, I could wake up earlier to prepare a breakfast. Or, I could keep a breakfast snack at work to have once I get there.

    Plan to Keep Rewards:

    Pick a habit that is part of your everyday routine and that you want to change.

    *  Planning Step 1: What is the reward for this habit?

    *  Planning Step 2: How can I still get the reward with a healthier habit?

    Try this again for another habit.

    *  Planning Step 1: What is the reward for this habit?

    *  Planning Step 2: How can I still get the reward with a healthier habit?

    Use this tool often to change how you think about adopting healthy habits.

    © American Institute for Preventive Medicine

  • Limit Added Sugars

    Healthylife® Weigh

    Part 2

    White sugar assortment.

    Sugars are naturally present in many foods, including fruit, dairy, and grains. Your body can get all the sugar you need by digesting these foods. Sometimes, sugar is added during the processing of foods and drinks. Sugar adds calories, taste, and shelf-life to a product, but zero nutrients. There is no need for added sugars in your diet.

    Too much added sugars is associated with:

    *  Heart and blood vessel problems. This can lead to fatty liver disease, high blood pressure, type 2 diabetes, and kidney disease.

    *  Gut bacteria damage.

    *  Skin problems like irritation and acne.

    *  Headaches, aching limbs, and fatigue.

    *  Nervous tension, anxiety, and depression.

    *  Tooth decay and gum disease.

    *  Memory problems and memory loss. This can lead to Alzheimer’s (research ongoing).

    Sugar is Addicting

    It is okay to have a piece of chocolate every now and then and experience a little “lift” in the brain. Your brain activates dopamine, the brain chemical that gives you a “feel good” feeling. However, eating sugar too often can have addictive effects on the brain.

    Impulsive behavior, lack of control, and cravings can result. Your tolerance for sugar may also increase, especially if you are eating or drinking super-sweet artificial sweeteners with hundreds of times the sweetness of regular sugar.

    Over time, it becomes harder to control how much sugar you eat. Without fiber, healthy fats, and other nutrients that help you feel full, your natural “stop eating” system is hijacked. Sugar addiction leads to overeating, a highway to obesity.

    Hooked on Sugar:The pathway below shows how your body can become addicted to sugar.

    *  You eat a high sugar food. It tastes good, especially when combined with a fatty or salty food. Addiction pathways are activated in your brain. You feel a rewarding sensation.

    *  Your blood sugar spikes. Hormones are released to lower your blood sugar.

    *  Your blood sugar drops rapidly. Your body notices low blood sugar levels.

    *  You feel hungry and crave food, especially sugary foods. Your body thinks you are starving and demands sugar.

    Type 2 Diabetes

    Type 2 diabetes is a condition that makes it difficult for the body to properly get energy from food. Risk factors include family history and being overweight. Insulin, a hormone made in the pancreas, works like a key to a door, allowing sugar to go from the bloodstream into the cells.

    In addition to extra body weight, eating too much sugar (and foods that break down into sugar like bread and pasta) puts a strain on your pancreas to work harder. Over time, this means too much sugar stays in the bloodstream, which causes serious problems for your blood vessels, heart, and brain.

    Diabetes should be managed carefully to control blood sugar levels. If you already have type 2 diabetes, losing weight, following a healthy eating plan, and doing regular exercise can help you manage diabetes and may reduce the need for medication.

    Be a Label Detective: Find the Added Sugar

    How can you tell if a product has added sugars? Find a food package or drink bottle and follow the steps below.

    Step 1: Check the Nutrition Facts

    Nutrition label highlighting total sugars.

    Step 2: Check the Ingredients List

    Read the ingredients list on a processed food’s label to tell if the product contains added sugars. There are many names for sugar. Some words you might find in a list of ingredients that indicate a sugar include:

    *  Sugar

    *  Syrup

    *  Nectar

    *  Juice

    *  Malt

    *  Molasses

    *  Honey

    *  Words that end in “-ose”

    Honey, maple syrup, molasses, brown rice syrup & stevia may be better choices among sugars. However, limit all added sugars.

    If a sweetener is one of the first 3 ingredients on the label, avoid this product. It may be high in calories but not include many nutrients.

    Step 3: Find out the real amount

    Nutrition label highlighting the real amount of added sugars.

    If you have more than the serving size listed on the label, you are getting even more sugar than the label says. If you have half of the serving size, you will get half of the sugar listed.

    How much added sugar is okay?

    It is almost impossible to avoid all added sugar. Sugar is added to nearly every processed food. Yogurt, salad dressing, ketchup, crackers, peanut butter, tomato sauce, and most bottled beverages contain added sugars.

    The American Heart Association has set recommended limits on daily intake of added sugars:

    Reduce Sugar-Sweetened Drinks

    Sugar-sweetened drinks (including pop/soda, bottled tea and coffee drinks, juices, flavored waters, etc.) are some of the top sources of added sugars in the U.S. By choosing water or unsweetened drinks, you can reduce added sugar and calories, leaving room in your diet for nutrient-dense foods.

    *  What is one sugar-sweetened drink you consume now?

    *  Look at the label. How many grams of sugar does it contain per serving?

    If you drink sweetened beverages, you will very likely go over your daily limit for added sugar.

    What about Bottled Fruit Juice?

    100% fruit juice is more nutritious than soda, as it often contains vitamin C and may be fortified with calcium. However, fruit juice does not contain fiber to slow the absorption of sugar into the bloodstream. Instead, squeeze a lemon or orange slice into plain water. Or, have the whole fruit for a serving of heart-healthy fiber and a naturally sweet treat!

    Look for Hidden Sugar Traps

    Many foods you wouldn’t consider “sweets” contain a lot of added sugar. Find each of the food products below and check the Nutrition Facts. You may already have these products at home. Or, check next time you are in the store. For the product you are looking at, check how many grams of sugar are in this food. Would you typically only eat one serving?

    *  Yogurt

    *  Salad dressing

    *  Tomato sauce

    *  Ketchup

    *  Bread

    *  Cereal

    *  Granola bars

    What changes do you need to make to get your total added sugar below the number of teaspoons advised for your gender?

    Careful!“Low Fat” or “Lite” foods, other than dairy foods and drinks, often make up for taste and texture with sugar and artificial ingredients. Foods that are “sugar free” may have artificial sweeteners and other chemicals to make the product still taste sweet. Choose these foods less often.

    More Ways to Limit Added Sugars

    *  Add a slice of lemon, lime, or cucumber to water for a flavorful twist.

    *  Avoid buying sweet snacks or candy. Mentally practice passing by and not stopping to pick up sweets at the store or vending machine.

    *  Add your own natural sweetener, if needed, such as whole, dried, or canned fruit (packed in water or 100% juice).

    *  Toast whole grain bread to bring out natural sweetness.

    *  Schedule 30 minutes of physical activity and 30 minutes more sleep each night for a natural energy lift.

    *  Limit foods high in added sugars as occasional treats.

    *  Add fresh or canned fruit (packed in water or 100% juice) to plain yogurt instead of having yogurt that contains added fruits and sugar.

    *  Avoid rewarding children with sweets. Ask relatives and friends not to reward your child with sweets.

    *  Buy bread from your local bakery. These breads may have fewer added sugars.

    *  Make your own cakes, pies, and cookies. Reduce the sugar in the recipe by one-third or more. Use baking swaps.

    *  Order a child-size dessert or split a dessert.

    *  Cut back on added sugar in coffee and tea. Each week, cut the amount of sugar you add to these drinks by half until you add no sugar.

    Be realistic!Enjoy sweet treats, but make these foods “once in a while” foods. Savor and enjoy treats when you do have them. Eat them slowly and pay attention to the taste, texture, and pleasure from the food.

    © American Institute for Preventive Medicine

  • Limit Added Sugars 2

    Healthylife® Weigh

    Menus & Recipes

    A variety of flavored water.

    Your body can get all the sugar it needs by eating foods that naturally contain sugar, including fruit, dairy, and grains. However, sugar is added to many processed foods and drinks that we consume. While it’s okay to eat a sweetened food or treat once in a while, eating too much can lead to obesity and other health problems. The American Heart Association recommends daily limits for added sugars: 9 teaspoons (36 grams) for men and 6 teaspoons (24 grams) for women.

    Ways to Limit Added Sugars

    *  Reduce sugar-sweetened drinks (pop/soda, bottled tea and coffee drinks, fruit drinks, flavored waters, etc.).

    *  Read the Nutrition Facts label on the package or container. Many products now list added sugars.

    *  Check the ingredients list on the package. Words that mean sugar include syrup, molasses, nectar, malt, honey and words that end in “-ose.” If a sweetener is listed as one of the first 3 ingredients, avoid this product.

    *  Cut back on added sugar in coffee and tea.

    *  Flavor water with slices of lemon or a few berries.

    © American Institute for Preventive Medicine

  • Limit Alcohol

    Healthylife® Weigh

    Part 3

    Glass of wine for 2 at dinner.

    Alcoholic beverages provide calories with little or no nutrients. Alcohol can damage your heart, liver, brain, and other body systems. It can cause high blood pressure and increases your risk for some cancers. Drinking can also decrease your immunity, making it harder for your body to fight disease.

    Chart showing alcoholic drink, calories per amount.

    Effects of Alcohol on Weight Management

    *  It stimulates the appetite.

    *  It can make it harder to keep track of how much you’ve eaten.

    *  It can cause a drop in blood sugar. This can make you tired and less able to concentrate. It can also cause you to crave something sweet.

    If you drink alcohol, do so wisely.

    *  Don’t drink and drive. Designate a driver who will not be drinking. Volunteer to stay sober.

    *  Drink slowly. You will probably drink less.

    *  Drink alcohol with a meal. Food slows alcohol absorption.

    *  Drink a full glass of water between each alcoholic drink.

    © American Institute for Preventive Medicine

  • Limit Artificial Sweeteners

    Healthylife® Weigh

    Part 3

    Packets of artificial sweeteners in glass container.

    Artificial sweeteners give a sweet taste without adding the calories you get with sugar. They don’t contribute to tooth decay and don’t raise blood sugar levels. However, consuming these sugar substitutes can have significant drawbacks. They may:

    1. Raise your sweetness threshold. This can make it harder to break a sugar “addiction.” Artificial sweeteners are hundreds of times sweeter than regular sugar. This may cause you to crave sweeter foods.

    2. Cause you to eat more. Eating and drinking sweet things signals the brain to want more. Even if the artificial sweetener doesn’t have any calories, it can lead to overeating and consuming extra foods that do.

    3. Cause discomfort. This can be headaches, exhaustion, and digestive discomfort, including gas, bloating, and constipation.

    4. Harm your gut bacteria. Artificial sweeteners may promote the growth of gut bacteria that store energy as fat. Gut bacteria that is not working properly also contributes to high blood sugar.

    Stevia (Truvia®, Pure Via®) is a non-caloric sweetener made from an herb. It has not been studied as much as artificial sweeteners, but it is still super sweet (300 times sweeter than sugar) and may cause digestive discomfort for some people.

    Sugar Alcohols (e.g., xylitol, sorbitol) are not sweeter than sugar and contain fewer calories than sugar. However, they may also cause digestive discomfort and headaches for some people.

    © American Institute for Preventive Medicine