To the reader:
I think you could try to teach your friend about enjoying healthy food. It only works if you are subtle, so work in small steps. Try inviting her over for dinner and cooking...
Somthing's fishy about your lab results. The improvement in your cholesterol levels may be due to the foods you replaced with the fish, rather than the fish in and of itself. The fats found in some varieties of fish, omega-3 fatty acids, reduce triglyceride levels in the blood, but generally do not affect cholesterol levels.
However, you're still doing yourself a favor by feasting on fish. Eating fish offers many major health advantages. The primary benefit found from including fish oils in your diet is the lowered risk for sudden cardiac death. This means that fish eaters decrease their chance of dying suddenly from a heart attack (keep in mind that there are different types of heart attacks).
Two mechanisms explain how eating fish reduces the chance of heart attack. First, it seems that fish oil fatty acids reduce blood clotting by decreasing the stickiness of blood platelets. Second, omega-3 oils may play a role in stabilizing heart rhythms. It could be that the electrical impulses that go awry during some heart attacks are preserved in fish eaters. These protective qualities may work together, resulting in the reduced risk of sudden cardiac death that has been observed among fish consumers. Other possible health benefits of omega-3 fatty acids are their potential to help lower blood pressure and protect against some forms of stroke.
Remember, it is possible to have too much of a good thing. There are certain risks associated with eating too much fish. The main risk has to do with the toxicity of environmental contaminants, primarily mercury, which ends up in fish due to environmental pollution. Because of this, women who are pregnant or breastfeeding are often advised to avoid fish. In addition, there are various recommendations for eating fish to avoid consuming dangerous levels of mercury, as its toxicity can damage the brain, kidneys, and lungs. Mercury levels may be especially high in shark, swordfish, king mackerel, and tilefish.
But in moderate amount, fish can be beneficial, especially for people eating a western diet that is often low in omega 3s. Good sources of omega 3 include:
Fish oil supplements, on the other hand, contain almost no toxic contaminants and thus are safe. However, they can cause gastric symptoms, so it is best to take them with food. People with low blood pressure or who are taking medication for low blood pressure should also be careful about eating too much fish, since the fish oil could lower blood pressure even more. In very high amounts, fish oils can have some anti-coagulant effects, causing nosebleeds in some people.
Eating these jewels of the sea even once or twice a week may lead to heart healthy benefits. Obviously an all-around healthy diet will provide even more protection from heart disease, and other maladies, too.
Dear In a quandary,
Your friend definitely isn't alone, but in order for her to change her behaviors or ingrained patterns, she needs to acknowledge that a problem exists, or see a benefit from making a change. Because food and eating habits are such a personal aspect of our lives, it can be a sensitive area of discussion. To answer your first question, diets that are high in fat, sodium, and calories, and low in fruits, veggies, calcium, and other nutrients, may contribute to the development of diseases, such as heart disease, diabetes, hypertension, and osteoporosis, among others. If this factor is a concern to your friend, she may consider changing her patterns. However, if she is healthy now, the thought of developing any of these conditions in the far off future may not be motivation enough for her in the present time to change habits with which she's been comfortable.
One thing is for sure — criticizing and nagging don't work! So, what can you do? First of all, you can suggest spending time together doing some sort of activity. If you can get your friend moving, she may become interested in eating more healthfully. Try to disguise exercise into a fun pursuit. Some ideas include:
Another tact you can try is to determine something that is important to her, and show her that eating better can help improve the matter. While many people aren't motivated by diseases they can't relate to or that seem intangible, immediate concerns can hold more relevance. For example, skin problems, low energy levels, or stomach discomfort can promote a greater incentive or inclination to change. If she complains about any of these conditions, some appropriate suggestions could include drinking more water than diet soda, substituting a juicy piece of fruit for the chips, or heading over to an enticing salad bar rather than making a quick trip for fast food. Considering and implementing any changes or new patterns are only part of the challenge; maintenance is also key, and can be easier to follow-through when done together with a peer than by one's self. Your can demonstrate your support by bringing over some farm fresh apples, cooking a healthy meal together, going to lunch together at an eatery where healthy choices are available, walking together regularly during lunch breaks, etc.
Remember, gentle suggestions are better received than harsh criticism. Advice that begins with "You should..." may fall on deaf ears. Instead you can try to initiate a discussion, saying something like, "You know, I just read an article that said drinking water is important for keeping skin healthy... and I'm drinking more water as a result." Having a conversation about this subject may get your friend to think, and perhaps try, to take steps leading to healthier patterns of eating and activity. Then again, she may decide not to pursue anything at this time. If this is the case, you can express your concern to your friend, and let her know that if she would ever like to pursue healthier eating habits you are ready to support her. In the mean time, remember why you're friends in the first place and enjoy your time together!
To the reader:
I think you could try to teach your friend about enjoying healthy food. It only works if you are subtle, so work in small steps. Try inviting her over for dinner and cooking...
To the reader:
I think you could try to teach your friend about enjoying healthy food. It only works if you are subtle, so work in small steps. Try inviting her over for dinner and cooking a healthier version of pizza or lasagne or some other food she might recogize. Or take her out for a healthy but filling meal at a good quality restaurant (Italian is often good for this). By doing this the aim is to lead by example: show her that healthy food tastes great, fills you up and can contribute to a fun meal, as well as being good for you. Then she will see that living a healthy lifestyle needn't be torture, in fact it is something that a lot of people (chefs, gourmet food lovers, etc.) deliberately seek! Good Luck!
Put your fork down for a minute and raise your glass: here's to feasting more sensibly, moderately, and contentedly:
Enjoying the holiday season doesn't have to mean overindulging in holiday cheer. Being mindful of your eating (and drinking) doesn't have to be limiting; it can actually enhance your experience.Happy Holidays,
The frustration you feel in controlling your sweet tooth is understandable. There are many facets to this issue, so no one answer applies to everyone. Based on your situation described here, you can consider the following possibilities and see how they play a role for you. First, you mentioned that you are trying to lose weight. Quite often, when a person tries to shed some pounds, s/he cuts back on the size and composition of his or her meals. A recent fad has been to limit carbohydrates in one's diet. This leaves most people unfulfilled, still "wanting" something else. Others cut way back on fat, compromising flavor and fullness. Some eat what they think they should eat, without enjoying their food. Do any of these situations sound familiar to you? If your meal is satisfying, you may be able to handle the craving and let it pass, or not experience the craving at all. Try to incorporate sensory appeal — different tastes, textures, colors, and food temperatures — into your meals. You'll be surprised as to what a difference these factors can make.
Second, you wrote that you recently quit smoking. Congratulations! That's the healthiest change you can make. Everything tastes better when you become a non-smoker. With smoking cessation, however, some people experience variations in appetite and increased cravings for sweets to compensate for the lack of nicotine. These are generally temporary. Realize that you have already overcome a difficult obstacle. Asking yourself to quit smoking, lose weight, exercise more, and stop eating sweets is a lot to expect of one person at one time. Reconsider what you can successfully accomplish, setting short- and long-term goals that are realistic for you and workable within your typical schedule and patterns.
Third, restriction can lead to overindulgence. Some people find that the more they try to stop eating something, such as sweets, the more they want or the more out of control they become when they finally succumb. Allowing yourself one treat each day is a way to finding some middle ground. This can be difficult to work through at first, but the potential is there if you stick with it. One approach is to buy a single sized serving item daily, whether it's candy, a cookie, or whatever you like. Knowing that you can have a little every day can make the food seem less forbidden and more acceptable. This approach reinforces the concept of "a reasonable amount," and can help in curbing excessive intake.
Last (and perhaps most importantly), some people use sweets or other types of cravings and/or overeating as a coping mechanism for emotions. Do you find, or have you ever found, the cravings come when you are stressed, bored, lonely, sad, or even happy? As children, many of us were soothed with a cookie or other treat, and have learned to tame emotions with food, associating such eats with comfort or nostalgia. What starts as a coping mechanism can turn into a well-ingrained routine, becoming a harder habit to break over time. If this applies to you, you can take some time to observe what is happening. Try to determine what your patterns are. Are there other ways you can deal with your feelings besides resorting to sweets? For some people, distracting themselves with activity can work; for others, facing their issues by journaling, for example, can help. Either way, taking yourself away from the craving for a short while may help it to subside and/or pass. Sometimes this practice won't work, and sometimes it will. However, the more times you try, the more successes from which you can draw. In the long run, working on changing this behavior can enable you to feel more in control, rather than allowing the craving to control you.
So, it isn't so simple — but that doesn't mean it's not possible. Best wishes on turning this pattern into something healthier, too.
The "good fat/bad fat" you've heard about refers to fat's potential to cause disease. All fats have the same amount of calories, but they vary in their chemical compositions and effects on health. Fats are made of chains of carbon and hydrogen atoms. The saturation refers to whether all the available spaces on the carbon chain are bonded to hydrogen atoms, or if there are any hydrogen atoms missing. The three forms of fat found in nature are:
These fats have all of their carbon atoms filled (saturated) with hydrogen. Saturated fat is primarily found in high-fat cuts of meat, poultry with the skin, whole and 2 percent dairy products, butter, cheese, and tropical oils: coconut, palm, and palm kernel. Our body needs a small amount (about 20 grams) of saturated fat each day, but the typical American diet usually exceeds that amount. Too much saturated fat may cause a person's bad cholesterol (LDL) to rise and may also increase the risk of developing certain types of cancer. You can look for the amount of saturated fats in a serving of food on the nutrition label, under the heading "Saturated Fat" below the larger heading of "Total Fat."
These fats have one space missing a hydrogen atom, instead containing a double bond between two adjacent carbon atoms. Monounsaturated fat is found in olive oil, canola oil, peanut oil, and in most nuts and nut butters. This type of fat does not cause cholesterol to increase. When a person substitutes monounsaturated fat for saturated fat, it helps to lower the bad cholesterol and protects the good cholesterol (HDL) from going down. The amount of monosaturated fats (and polyunsaturated fats, see below) is not listed separately on the food label, but it can be calculated by subtracting the saturated and trans fats (see below) from the total fat.
These fats have more than one hydrogen atom missing in the carbon chain and therefore contain more than one double bond. The two major categories of polyunsaturated fats are Omega-3 and Omega-6 fatty acids. Omega-3 means there is a double bond in the third space from the end of the carbon chain. These fats are extremely healthful in that they protect against sudden death from heart attack. They can also help people lower their triglycerides. Omega-3s are used by the body to produce hormone-like substances with anti-inflammatory effects. The best sources of Omega-3s are fatty fish, such as salmon, sardines, mackerel, herring, and rainbow trout, among others. Canola oil, walnuts, and flaxseed also contain some Omega-3s.
Omega-6 fats have a double bond in the sixth space from the end of the carbon chain. These fats are found in oils such as corn, soybean, cottonseed, sunflower, and safflower. Omega-6 fatty acids are used in hormone-like substances that promote inflammation. Replacing saturated fats with Omega-6 fats may reduce levels of total, bad, and good cholesterol. Many health experts suggest that the ratio of Omega-6 to Omega-3 fatty acids should be 4:1 for optimal health. (Most Americans get 14 - 20:1 — a lot more than needed!) These fats are not listed separately on the food label.
The other type of fat that is found in food, but isn't natural, is:
Hydrogenated Fats (also known as Trans Fats)
These are manufactured by adding hydrogen to a polyunsaturated fat, making it solid at room temperature. However, instead of having the qualities of a polyunsaturated fat, it takes on some of the traits of a saturated fat. In the past, trans fats were widely used in foods as a replacement for saturated fats. Then it was discovered that trans fat was even worse than saturated fat in terms of its effects on health. In addition to raising LDL cholesterol, as saturated fat does, it also decreases the level of HDL cholesterol.
Many companies have found ways to eliminate trans fats from their products and all companies are now required to list the amount of trans fats on the nutrition label. Be aware that products containing half a gram or less of trans fat per serving are allowed to report zero grams of trans fat on the nutrition label. The best way to check for trans fat is to read the ingredients label; if you see the words "partially hydrogenated" or "hydrogenated" in front the word oil, the food probably has a small amount of trans fat. This doesn't mean you shouldn't eat the food, but you should limit the amount you eat — a little can add up to a lot. Some foods contain small amounts of naturally-occurring trans fats, but these fats, unlike man-made trans fats, probably do not increase the risk of heart disease and other conditions. Moreover, some manufacturers are now replacing trans fat with saturated fats, so be sure to check the nutrition label to keep your total intake of unhealthy fats in check.
Although too much can have negative results, fats are certainly required for good health. Here are some of the positives — fats:
Bear in mind, though, that the calories from fat can add up fast since they are more concentrated in fat than in protein or carbohydrate. Also, as mentioned above, consuming too much saturated and trans fat may result in negative health consequences in some people. The secret is not to stay to one extreme or another; try to be flexible in your fat intake. What does that mean? Balance your meals and snacks. If you find you have a high fat meal (especially high in saturated fat), make the next one lower in fat. Or, if you choose a higher fat food, complement it with a lower fat one. We don't have to live an "all or nothing" philosophy when it comes to fat.
Dear Out to lunch bunch,
It's a great idea to think about your health when dining out! While restaurants and delis are convenient for lunch and provide a welcome opportunity to socialize, the results of eating out may be less than favorable for your health. Why is that? A couple reasons; (1) Much food eaten away from home is high in fat and calories, and (2) people tend to overindulge when they dine out, eating healthier when they are at home. Regardless of where you are eating, any healthy diet should include plenty of different fruits, vegetables, and whole grains. However, even healthier foods such as these may be more calorie-rich at restaurants; studies show restaurant food typically is more calorie dense — meaning more calories per bite — than similar food prepared at home.
It may be hard to believe that in the 1950s, Coca-Cola was packaged in 6.5-ounce bottles. Twelve-ounce cans and 20 oz bottles were next in the upsizing timeline, and now it's possible to get a super-sized soft drink at a fast food restaurant containing 42 oz or more. That's more than one liter! The original bottle of Coke was 81 calories. The super-sized beverage is over 300 calories (it would be more, but you get lots of ice included).
If you go to a fast food restaurant, a regular hamburger weighs in at almost four ounces and contains 250 calories. That's fine, but not many people just eat a plain burger. Compare it with a Big Mac at 7-½ ounces and 540 calories. Super size your fries and end up with 320 calories more than a small order. So, a well-known hamburger, giant fries, and a big beverage total 1410 calories — about two-thirds of a day's worth of calories for an average sized woman.
Fast food isn't the only high-calorie culprit. If you visit your local deli or pizza parlor you'll likely notice the size of sandwiches and pizzas are huge. On top of that, some pizzas come with stuffed crusts, adding an extra 120 calories per slice. And as for the heroes and hoagies, many delis make sandwiches with six ounces of meat or more. At home, most people would use three or four ounces.
Breakfast on the run adds up like you would not believe! The average bagel in
You may also want to consider the sodium and other food additives that are likely in some of your restaurant favorites. Salt certainly brings out the flavor in a meal, but in excess may also bring out undesirable health problems. Many restaurants offer low-sodium dishes. Asking for sauces and dressings on the side can help you to manage your salt, as well as calorie, intake.
In these examples, some of the foods (e.g., cheese, juice) have nutrients your body needs, but that is not always the case. Usually, extra calories eaten away from home are lower in fiber, calcium, and other important nutrients than foods eaten at home.
So, what is a busy person (or a person who just enjoys eating out) to do? Useful resources for healthy eating and living can be found at MyPyramid.gov. Additionally, here are some practical tips if restaurants are part of your daily regimen:
It may be wise to view your restaurant dining as a convenience. That is, you are paying not to have to shop for food, cook, and clean up; however when it comes to eating a balanced diet restaurants aren't going to do the work for you. The mantra 'everything in moderation' is key when dining out. Bon appetit!
Dear Student & Parent,
Bravo to eating breakfast! It's fairly well known as this point that a healthy breakfast is a great way to start each day — especially when it's made from scratch. Taking into consideration that, just sometimes, younger people are a little picky about what they'll eat, not to mention the energy it can take a groggy chef to whip up something in the A.M., here are a few easy, interesting, and nutritious breakfast recipes:
Creamy Apple-Cinnamon Oatmeal (makes two servings):
2 c. skim milk
1 c. rolled oats
1 T. Brown sugar
1 T. Maple syrup
1 apple — peeled, cored, and chopped into cubes
Berry Parfaits (makes two servings):
2 containers of yogurt (vanilla, lemon, or peach)
2 c. mixed berries: strawberries, raspberries, blueberries, and/or blackberries
1 c. low fat granola
Egg Scramblers (one serving):
1 or 2 eggs
1 toasted whole wheat pita or toasted English muffin
Optional item(s): mushrooms, peppers, grated cheese, chopped tomatoes, onions, salsa, or whatever else you like!
Banana Smoothie (makes one serving):
1 banana cut into 1-inch chunks (works great if already frozen)
½ c. yogurt
½ c. milk or soy milk
2 T. honey or jam
¼ t. vanilla extract
You can freeze this beverage overnight, then toss it into a blender, and pour it back in the plastic cup you froze it in. If you run out of time in the morning, you can bring your smoothie with you on the way to school.
Regardless of what you make, consider involving your breakfast companion in both the decision process and making the breakfast. This way you can both enjoy some time together and a nutrient-filled morning. Eat up!
You and your friends have picked up on a popular debate. One aspect of weight management that is vital to understand is that we gain and lose weight over periods of time — weeks, months, years — not hour by hour. This happens as we take in more calories than we expend. Another important fact of metabolism is that our bodies do not stop working, even when we are sleeping! Hearts are beating, blood is circulating, lungs are functioning, brains are even working. This all takes energy — meaning we are still burning calories.
There is no magic time after which the body stores fat. For instance, if you eat the same exact meal at 6 pm or at 8 pm, is one more caloric than the other? No, each meal has the same number of calories. What really matters is the total amount of food and drink you have over the course of a week, or a month or longer, and how much energy you expend during that timeframe. Excess calories will be stored as fat over time, regardless of whether they are taken in during the day or night.
When it comes to eating late at night and the potential for weight gain, there are several considerations:
So, to settle the debate, you are correct that late-night calories won't change your metabolism or magically count more than calories eaten during the day. However, limiting late-night meals and snacks may be an effective weight management strategy for some because it helps them to control their overall calorie intake. Some people find that if they set a time that they can't eat past, it helps minimize or eliminate the possibility of munching on a lot of high calorie foods. Another useful tip may to be to eat four or five smaller meals and snacks spread evenly throughout the day so you don't become overly hungry at any point. Following these tips can keep your energy levels consistent for work and play and can provide some long-term benefits to help you reduce your chances for diabetes or other health issues.
Though your metabolism IS constantly at work, it does slow down later in the day, especially if you are just dieting and not exercising. When you exercise your heart rate and...
Though your metabolism IS constantly at work, it does slow down later in the day, especially if you are just dieting and not exercising. When you exercise your heart rate and metabolism both increase. In addition it is better to eat more meals and take in the same amount of calories because in doing so you keep your metabolism working. On the other hand if you eat less or worse starve yourself for several hours your metabolism slows down and potentially puts your body into a "starvation mode" where more insulin is released causing the body to store more fat. This is the most simple answer to this question.
As a general rule, fasting all day on a regular basis is not a good idea, even if you "make up" the skipped calories at night. Although our bodies are remarkable in their ability to adapt to over and under eating at times, they need energy throughout the day to perform at an optimal level.
Paying attention to hunger signals (they are there for a reason!) and being aware of how much food you need to maintain physical and mental energy is healthy. By fasting all day you deny your body nutrients and energy which may lead to headaches, mood swings, feeling tired and dizzy, and even fainting. Your metabolism may also slow down and you could lose muscle mass. Fasting also may make you more likely to binge in the evenings, and you may be more likely to choose unhealthy foods.
You may want to ask yourself why you are skipping meals during the day. Observing religious holidays or special occasions is one reason many people fast from time to time. For most people, our bodies can adapt and function through the occasional fast, whether it is a sun-up to sun-down fast, or extends for a full day (children and people with certain medical conditions may need to forgo even occasional fasting; consult your health care provider if you are uncertain).
If you fast frequently you may want to consider some of your motivations. Are you trying to lose weight? Do you not feel hungry during the day? Are you too busy to eat? If you are trying to lose weight, eating several small meals throughout the day might be a better option. This will provide you with a more constant and consistent source of energy in a form that makes it easier for your body to metabolize and burn calories. Skipping meals is not a healthy approach to weight loss since fasting slows down metabolism and makes people more likely to overeat later. See Will skipping breakfast and lunch lead to weight loss? and Importance of eating breakfast for more information on skipping meals.
You mention eating "whatever you want" at night. Could this be because you feel guilty about eating certain kinds of foods, or about the amount of food you eat? These concerns are issues to think about before you can adopt a more healthful eating plan and positive attitudes toward eating. They may also be a sign of disordered eating, or other issues such as depression. If you're experiencing guilt or are anxious about food, contact a mental health professional who can help you get to the bottom of these feelings and behaviors. Columbia students should contact Counseling and Psychological Services at x4-2878.
If your question is motivated by the desire to lose or manage your weight, consider making an appointment with a nutritionist who can help you figure out a meal plan that works for you and fits your lifestyle. If you are a Columbia student, you can make an appointment with a nutritionist through Open Communicator or by calling x4-2284. Non-Columbia students may want to start with a primary care provider who can help them find a nutritionist.
Although it's not always easy to change your eating habits, taking care of your health is worth it in the long run.
Dear Confused and College Bound,
You are not alone with your concerns. Going to college is a big step in a person's life involving major changes. You and those around you may be living on your own for the first time, making decisions on a buffet of issues, including what to eat.
Eating healthy at college is possible. Many college dining services are offering more healthy choices and are often quite receptive to students' concerns and dietary preferences. But, this is only part of the challenge. In an environment where time, friends, and finances may combine in new ways, having options available only solves some of the puzzle. It's important to experiment with what works best for you. For example, that traditional idea of three square meals a day has been updated with a more contemporary concept of eating five smaller meals spread throughout the day. Steer clear of diets or fads, especially those that drastically limit a particular nutrient. Remember, balance, moderation, and variety win out over trendy and extreme. For some practical tips, navigate through the many options on Choosemyplate.gov. Columbia students can also take advantage of the resources from the Get Balanced initiative. Plan ahead when possible so you don't have to rely on vending machines when you're hungry; think of ways to incorporate fruits, vegetables, and whole grains on a daily basis. Eating more of these will fill you up and possibly even enhance your already stellar brain power.
Making time for physical activity is important, too. Most college fitness centers have a variety of movement classes and options. When the weather is right, grab a friend and walk, run, bike, or blade outdoors. If you are Columbia affiliated, you can connect with the CU Move initiative. CU Move encourages members of the Columbia community to engage in active lives that include regular physical activity. The program provides participants with motivation, incentives to be active throughout the year, and event calendars with access to plenty of free and low-cost physical activity options on campus and around NYC.
Now, to address the second part of your question: an eating disorder, such as anorexia nervosa, is less about food, eating, and body weight. It has more to do with mental health, emotional, physical, socio-cultural, and family issues. If this is a particular concern of yours, you might want to take a look at Eating disorders vs. normal eating. Additionally, if you are a Columbia student, you can make an appointment with a health care provider or a registered dietitian to discuss your concerns by contacting Medical Services (Morningside) or the Student Health Service (CUMC).
Give yourself some time to adjust to a new environment and ask for help when you need it. Everything in moderation, even moderation.
Enjoy your time at college,
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