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Posts Tagged ‘weight’

Train Your Brain For Weight Control

Wednesday, December 7th, 2011

my brains - let me show you them

Your brain may be the key to controlling your eating behavior, according to a new book The Amen Solution:The Brain Healthy Way to Lose Weight and Keep it Off by Daniel Amen, MD. He is a well-known neuropsychiatrist who has studied the brain images of thousands of patients in 90 countries over 20 years before writing his book. His research shows that there is an adverse relationship between body fat and brain function – that is, as body fat increases, brain function appears to decrease.

He has also identified 5 (so far) brain patterns for overeaters, each requiring a different approach for successful weight control. These patterns have much in common with those of people who are addicted to drugs, sex, gambling, etc. To further complicate things, one person could have more than 1 brain pattern.

Dr. Amen has found the following 5 types of overeaters, which are characterized by the corresponding brain issues, and are helped by the listed supplements and medications. Longtime Healthy Habituator readers will remember that I am not generally a fan of supplements. I am not endorsing their use in this article, merely reporting on this man’s work.

1. Compulsive Overeaters are very focused on food and report that they can hear food calling to them. They worry a lot and often have trouble sleeping, so are nighttime eaters. They have trouble letting go of hurts. They have low levels of serotonin and are anxious, so diet pills and caffeine are counterproductive. Increasing serotonin through exercise and supplements such as 5-HTP, inositol, L-tryptophan, saffron, or St. John’s Wort, and medications like Prozac, Zoloft, and Lexapro seem to be best for Compulsive Overeaters.

2. Impulsive Overeaters have poor impulse control, are easily distracted or bored, and eat without thinking. Their brain scans show low activity in the prefrontal cortex, which acts as the braking system. This pattern is common among people with ADD, who also show low dopamine levels. Without treatment, it is very hard for these people to follow an eating plan. Impulsive Overeaters do best with higher protein, lower carb diets, exercise, supplements like green tea, L-tryosine, and rhodiola, and medications like phentermine, Adderall or Ritalin. Brain calming substances make this condition worse by lowering worries and impulse control.

3. Impulsive-Compulsive Overeaters are a combination of the previous two patterns. They tend to overthink and get stuck in negative thoughts. They do best with exercise and a combination of supplements like 5-HTP, green tea, and rhodiola.

4. Sad or Emotional Overeaters use food to medicate their feelings of sadness and depression, or to calm their emotions. They are prone to low energy, winter blues, low self esteem, sleeping a lot, and gaining winter weight. Sad or Emotional Overeaters benefit from exercise, optimizing levels of vitamin D and DHEA, taking supplements fish oil and SAMe and the medication Wellbutrin.

5. Anxious Overeaters are tense, nervous, pessimistic, and eat to calm themselves. They often have stomach and head aches. What works for them is meditation and hypnosis to calm the mind, supplementation with vitamin B6, magnesium,and GABA, and the medication Topamax.

Here are the 9 strategies (in brief) Dr. Amen suggests for helping your brain control cravings and overcome overeating:

1.  Keep blood sugar balanced by:

  • eating a nutritious breakfast
  • eat small meals throughout the day
  • stay away from simple sugars and refined carbs
  • eat some cinnamon

2.  Avoid or decrease artificial sweeteners

3.  Manage stress

4.  Plan to overcome eating triggers, like movie popcorn or parties

5. Identify unknown food allergies and avoid those you have

6.  Practice willpower (not just in eating; saying no to bad things gets easier the more you do it

7.  Exercise

8.  Get enough sleep - less sleep = more cravings

9.  Take supplements

N-acetyl-cysteine (NAC), alpha-lipoic acid, chromium, DL-phenylala-nine, L-glutamine can take the edge off cravings

Here are the 10 ANTs – automatic negative thoughts – that can adversely affect brain function, with examples:

1.  All or Nothing – “I just blew my diet for good with an ice cream”

2.  Overgeneralizing – “I’m fat and always will be”

3.  Focus on the Negative – “I didn’t reach my goal so I suck”

4. Thinking with your feelings – “I feel like a fattie so I must be one”

5.  Guilt Beating – “I should have ordered the salad not the steak”

6.  Labeling – “I’m a slob”

7.  Fortune Telling – “I’ll never be able to keep this up”

8. Mind Reading – “She doesn’t like me because I’m fat”

9. Blame – “You made me skip my workout”

10.  Denial – “I only overeat when …”

If you have these negative thoughts, you can combat them by asking yourself – and answering – these questions (ANTeaters):

Is that really true?

Can I absolutely know it is true?

Who would I be without that thought? Or how would I feel without that thought?

After answering, reverse the thought and determine which is more true, the original or the reverse? Then see how to apply the reverse thought to yourself most effectively.

Example: “I’m fat and I always will be” Reverse: “I’m fat now but I don’t have to stay that way” Application: “I am going to get help to lose weight”

OK, so that is a quick and dirty version of the book. Please get a copy and read it if you want to know more. Again, I am not recommending all of the actions in this article, especially as regards the use of supplements or medications, since that is outside the scope of my practice. My intent is just to stimulate your thinking and perhaps some further research on your part.

Is Obesity A Disease?

Friday, April 2nd, 2010

As we all know, there are a lot of obese Americans – 33% of adults and 16% of kids. Another 33% of adults are overweight, at least some of whom could be considered pre-obese. Memphians are all too aware of this, since we are considered one of the most obese cities in the country.

The World Health Organization and both the US Food and Drug Administration and National Institutes of Health all consider obesity to be a disease. The arguments for this are that obesity impairs body function, decreases life expectancy, and can be inherited. If you compare obesity to hypertension, their causes and effects are very similar. But hypertension is internal to the body and unseen from the outside, while obesity is very apparent to the eye, and we as a society are prejudiced against obesity and obese people.

The flip side is that the most common causes of obesity are matters of personal choice and that many obese people do not have the impairments or conditions that obesity can cause. Obesity triggers other diseases but is not a disease in and of itself. This side of the argument states that we can control the causes of obesity.

What do I think? Well I’m just a personal trainer and this is a complicated issue. I agree with both sides. There are some people who have the knowledge and ability to maintain a healthy weight, but don’t. There are others who are economically and/or educationally disadvantaged and don’t know how – but could if they did. Some people have psychological or emotional conditions that interfere with weight control. Some inherit the genes that make weight control difficult.

It is interesting to me that both sides of the argument say that we as a society have to do a much better job of incenting the production and consumption of healthy foods in healthy amounts instead of unhealthy ones in huge amounts. And we have to value using our bodies for movement instead of sedentariness. Both sides advocate healthy eating and exercise for all people – obese, overweight, normal weight or underweight. So I make out either way!

What do you think?

Fit and Fat?

Friday, February 5th, 2010

Yes, it’s possible to be both. It’s also possible to be underweight (or at a healthy weight) and overfat.

How can it be? If a person has a good BMI (Body Mass Index), doesn’t that mean they are healthy? Not necessarily.

BMI is a commonly used tool to estimate risk associated with being overweight or obese, but it has always been seen as a quick and dirty tool, not a definitive measure. Now we are seeing why.

Normal weight but over fat

Researchers at the Mayo Clinic have found that as many as half the normal weight people in America have too much body fat, and thus have an increased risk for diabetes, heart disease and other lifestyle conditions. This is because much of their body fat is visceral, which is deeply deposited, most often around the belly, and which produces triple the bad chemicals of other types of body fat. Visceral fat is the kind normal weight people have – it builds up without changing our total weight because it replaces muscle that is naturally lost as we age.

Fit and fat

A 2008 report in the Journal of Internal Medicine showed that half of all overweight people and 1/3 of obese people (as defined by BMI) are actually healthy in terms of risk. Their blood pressure and body chemistry numbers are good.

So, if BMI does not work as a predictor of health or disease risk, what does?

EXERCISE!!! I’m a personal trainer, what did you think I would say? People with the lowest fitness level are 4 times more likely to die than those with the highest level. Fitness level at any weight is the single strongest predictor of your risk of dying. A minimum level of fitness is all that is needed – just one healthy habit! (took me a while to get that in…)

Cmon people, get off the scales and put your shoes on!

 

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