WebMD Blogs
Icon

Heart Disease

Heart disease affects an estimated 62 million Americans, more than any other illness. Laurie Anderson RN FNP MSN is here to share information and advice on heart disease, its symptoms, treatments, and prevention.

background

WebMD Health News

Monday, April 24, 2006

The Newest Diet Craze?
AddThis Social Bookmark Button

According to WebMD the newest diet craze may be the "high protein diet." Huh? Is this any different than a low carb diet? That's what this inquiring mind wants to know!

Well there will be no surprises for those of you who read my diet ranting here, or who follow the Recipe Doctor, Elaine Magee, RD. Diets that are high in protein tend to limit the number of calories consumed in the form of fruits and vegetables, and without eating them you're not getting all those good for you vitamins, minerals, phytochemicals and antioxidants. These are the plant chemical that provide protection against cancer and other diseases.

Another problem with high protein diets is our tendency to choose the bad for you, high fat, high protein foods, such as red meats and bacon. I remember a diet a few years ago that was emphasized as low carb. People were eating hot dogs, bacon, steak, and other high-fat meat choices to their hearts' content and losing weight. The problem was they couldn't sustain it, and soon they were eating normally and regaining the weight.

This is because our bodies live on the sugar called glucose, and all foods are broken down to it at some point in their digestion. Carbs go first, then protein, but they eventually become glucose and the body "eats." When we restrict carbs we cause the body to use stored glucose from our muscles and liver for energy. As muscle breaks down it gives off water, we urinate more often, and this looks like fast weight loss (it's all water weight).

When we run out of these glucose stores we start burning body fat. Although this sounds good, it causes a build-up of a byproduct called ketones. This is called ketosis, and it causes headaches, irritability, and strain on the kidneys. The article sites a study that found that women who already had mild kidney disease had a faster progression of that disease when they ate a diet that was high in animal protein. Ketosis is also associated with heart arrythmias and the heart stopping. Seems like a pretty drastic way to lose weight to me!

Over the last 3 weeks I have lost 4 pounds.
I have done it the good old fashioned way, eating anything I want. The secret is small portions, less snacking and better snack choices, and exercise.

A friend of mine who is a pharmacist was recently helping me to teach a diabetes class. His topic was medicines to help control diabetes. He came in with two paper bags full of props for his talk, and he started by telling people that the most important medicine for diabetes control wasn't in a prescription written by their health care provider. It was in their own hands.

On each side of both of his bags was a single word. The first side of a bag that he faced to the audience said "diet" and the second one said "exercise." My friend then talked about the benefits of eating well and exercise on diabetes control. When he got to the end of this part of the discussion he said, 'if you don't like my suggestion about diet and exercise, then try this,' and he flipped both bags around. Each had a new word written on them; they were "nutrition" and "physical activity."

There is no magic in losing weight folks, and if a diet sounds too good to be true, I bet it will be.

Take care, Laurie

Energy is the essence of life. Every day you decide how you're going to use it by knowing what you want and what it takes to reach that goal, and by maintaining focus.
Oprah Winfrey (1954 - ), O Magazine, July 2003

Related Topics: 10 Diet Rules Meant to be Broken, Video: Give Your Pantry a Healthy Makeover

Technorati Tags: , , ,

Posted by: Laurie Anderson, RNP at 8:13 PM

Monday, April 17, 2006

Weight Loss, Week 2
AddThis Social Bookmark Button

Thanks to all who have commented on my last post. It seems that some of you missed the first post in which I described the competition that I am a part of at the hospital where I work. This is why I am obsessing about the loss.

I am part of a team who is competing for a prize, and I don't want to let the teammates down. Otherwise those of you who said "forget the scale" are right, weighing yourself too often can be discouraging. On the other hand, as of this morning I am 3/4 of the way to losing my third pound, so I'm happy that the scale keeps going in that direction.

I am working out in an inspirational place though; you should see all the 70, 80, and even 90+ year olds who are there working out three days a week. A gentleman I know who is in his late 20's is also there. He was recently diagnosed as having sleep apnea, high blood pressure, and early diabetes, all due to his morbid obesity. He is an inspiration, working out every day, even wearing oxygen so that he can work harder. He's only been there about six weeks and has already lost more than 35 pounds! He says he can't believe how great he feels, and how much more exercise ability he has in a very short time.

So all of you out there waiting for the right day, or the right moment to start getting fit, what are you waiting for? I know the Nike thing is old, but they ARE right-just do it!

Laurie

Opportunity is missed by most people because it is dressed in overalls and looks like work.
Thomas A. Edison (1847 - 1931)

Related Topics: 7 Tips For Eating While You Work, Gym Smarts: Cardio Workout: Elliptical Training

Technorati Tags: , ,

Posted by: Laurie Anderson, RNP at 9:37 PM

Monday, April 10, 2006

Weight Loss!
AddThis Social Bookmark Button

Hey, I lost a POUND! Course I worked my butt off at the gym and I can't believe that's all I have to show for it. This is going to be hard. Whaaa. Get me some cheese to go with that whine! I love cheese...I want wine and cheese! :>) Please?

Actually this was more painless than I expected; I'm working out at the hospital gym where I used to be a staff member, so I have friends among those who work there now. It's always easier to get through a workout if you have someone to chat with while exercising. Today I found a nurse practitioner colleague there exercising too, so now I have a little support from a friend.

Did I mention that I hate to exercise? I find it incredibly boring, and I have to change what I'm doing about every 15-20 minutes or I start to hate it enough to make it painful. Today I did 20 minutes on a treadmill, alternating between walking fast and jogging. I was actually working at about 9 1/2 METS, which is pretty good.

A MET is a term in exercise science that refers to "metabolic equivalents" and it has to do with the number of calories the body is burning per minute of exercise. As a point of reference running 8-minute miles is roughly a 12-MET workout. No one really pays any attention to these numbers except those of us in exercise science or medicine, because it helps us to judge fitness levels in an exercise participant, which is important when you're assessing recovery from a heart attack.

Anyway, I digress. After my treadmill I did some sit-ups and push-ups while seated on a large exercise ball. I was happy that I was able to do that without falling off and embarrassing myself, LOL! They're killer though, especially the sit-ups. I did a few more on the floor for good measure, because it's easier when you're not also trying to maintain your balance on a moving ball.

Then I did about 10 minutes of jumping rope intermittently; I met my match there! Anything overhead increases the pressure inside the chest, which is called inter-thoracic pressure. This makes it a harder workout. I want to be able to do 5 minutes continuously with that rope. That's my goal-so far I can do about 2. At the end the staff was trying to do some yoga stretches and I tried them as well. I did better than I expected in the flexibility department.

The gym staff is doing a newsletter for all the weight loss challenge participants and it includes a weight loss tip, and exercise tip, and a motivational saying. Today's exercise tip was pretty neat, and I'm thinking about doing it.

Their suggestion? Pick an activity, such as jumping jacks or push-ups. Then commit to doing a certain number of them hourly for the day. If you did 10 x 8 hours you would have done 80 jumping jacks or push-ups in that day. If you alternated activities every other day or every third day and added another exercise, such as sit-ups, then you'd work those muscles over again every second or third day.

I think this is a neat idea. I'll have trouble getting the job done on the hour while seeing patients, but I'm sure I can accomplish once sometime on an hour without a problem. Good thing there's a door on my office. They already think I'm nuts!

Laurie


Related Topics:
Exercise Eases Menopause Symptoms, Video: Cardio Crash Course


Technorati Tags: , , ,

Posted by: Laurie Anderson, RNP at 8:03 AM

Sunday, April 02, 2006

Weight Loss Challenge
AddThis Social Bookmark Button

Last night I stumbled upon a great web site for healthy eating, that combines Mediterranean and Asian cooking (Japan, Thailand, and China among others). I have already printed a number of recipes to try, because I am convinced that I can love my food and still lose weight. As you know from reading my blog, I am a big fan of the Mediterranean diet for its role in improving health while not tasting like "diet food." BLECK!!

Which brings me to my latest challenge...I signed up for a weight loss competition at the hospital where I work for the hospitalist team (more on that later). I am part of a Huge team (25 people) made up mostly of nurses in the Intensive Care Unit, where I still spend some time working as an RN. This interhospital competition is going to reward the team who loses the greatest percentage of weight over the next 5 weeks. I can't let the team down, and I am headed to Florida at the end of April, so I'd like to have taken off a few pounds.

I thought that I would add a little dieters angst to my blog, so you can all cheer me on! Please visit often and encourage me to write, not snack, at night.

Laurie

Nothing is as certain as that the vices of leisure are gotten rid of by being busy.
Seneca (5 BC - 65 AD), Moral Letters to Lucilius, 64 A.D.

Related Topics: The Art of Power Snacking, Healthy Desktop Dining

Technorati Tags: , , ,

Posted by: Laurie Anderson, RNP at 10:27 PM

background