Weight-loss plateau: Now what?

Has the same number on the scale been popping up week after week? That’s common. Being stuck at a weight-loss plateau eventually happens to most people trying to lose weight, despite continuing with the same exercise routine and healthy-eating habits.

Try these solutions:

  • Reassess your habits. Look back at your food and activity records. Make sure you haven’t loosened the rules, letting yourself get by with larger portions or less exercise.
  • Cut more calories. Reduce your daily calorie intake by 200 calories — provided this doesn’t put you below 1,200 calories. Fewer than 1,200 calories a day may not be enough to keep you from feeling hungry all the time, which increases your risk of overeating. In addition, this reduced calorie intake should be sustainable. If not, you’ll regain the weight you’ve lost and more.
  • Rev up your workout. Increase the amount of time you exercise by an additional 15 to 30 minutes. You might also try increasing the intensity of your exercise if you feel that’s possible. Additional exercise will cause you to burn more calories. Consider adding resistance or muscle-building exercises. Increasing your muscle mass will help you burn more calories.
  • Pack more activity into your day. Think outside the gym. Increase your general physical activity throughout the day by walking more and using your car less, or try doing more yard work or vigorous spring cleaning.

 

Focus on your weight-loss victories, and recognize that plateaus are just part of the journey. Continue your healthy eating and exercise habits, knowing that will help you sustain the success you’ve had.

7 meatless meal ideas

Meat doesn’t have to be the only source of protein in your diet. In fact, studies show that eating red meat and processed meat can increase your risk of developing heart disease and cancer.

Since meatless meals are built around vegetables, beans, nuts, seeds and grains, they offer many nutrients, including protein. Eggs and low-fat dairy foods also are good protein sources. Eating a variety of these foods throughout the day can give you all the essential amino acids — the building blocks of protein — that your body needs. In addition, protein from meatless sources can be just as filling. Another bonus: Buying less meat can also help you spend less on food, as meat usually costs more than its healthy alternatives.

Meatless recipes can offer a world of enjoyable possibilities, including some fun ethnic meals. Start exploring your meatless options — and your cooking creativity — with these ideas:

  • Substitute part or all of the meat with extra vegetables when making lasagna, pasta and stews.
  • Order mushroom and cheese or veggie pizza.
  • Stir-fry vegetables with tofu instead of meat.
  • Make vegetable kebabs.
  • Choose bean burritos or tacos.
  • Make chili or spaghetti sauce with soy-based vegetable crumbles instead of ground meat.
  • Grill portobello mushrooms in place of hamburgers.

 

Instead of building your meals by focusing on meat, think about the colorful and satisfying meals you can create by starting with vegetables and whole grains.

Grip strength can predict lifespan

How strong you can grip may be a better predictor of future health and longevity according to a recent study published in the British Medical Journal. After accounting for age and a wide variety of other factors, such as diet, amount of time being sedentary, and socioeconomic status, researchers found that muscle weakness—defined by a grip-strength measurement of less than 26 kilograms (57 pounds) for men and less than 16 kilograms (35 pounds) for women—was associated with a higher risk of premature death and a higher risk of heart and lung disease, and cancer.

Researchers in Norway found that those who have excellent grip strength in their 80s and 90s are more likely to live in good health into their 100s. The role of skeletal muscle is often under-appreciated. It not only controls our body movement; skeletal muscle also stores protein and plays a major role in glucose and lipid metabolism.

 

Published July 30, 2018 by Dr. Daniel Thomas, DO, MS

Whole grains vs. regular grains: What’s the difference?

Chances are you eat lots of grains already. But are they the healthiest kind? If you’re like most people, you’re not getting enough whole grains in your diet. Aim to choose whole grains for at least half of all the grains you eat. Read on to learn about the different types and why you should skip refined and enriched grains.

Types of grains

Also called cereals, grains and whole grains are the seeds of grasses cultivated for food. They come in many shapes and sizes, from large kernels of popcorn to small quinoa seeds.

  1. Whole grains. These unrefined grains haven’t had their bran and germ removed by milling; therefore, all of the nutrients remain intact. Whole grains are better sources of fiber and other important nutrients, such as selenium, potassium and magnesium. Whole grains are either single foods, such as brown rice and popcorn, or ingredients in products, such as buckwheat in pancakes or whole wheat in bread.
  2. Refined grains. In contrast to whole grains, refined grains are milled, a process that strips out both the bran and germ to give them a finer texture and longer shelf life. The refining process also removes many nutrients, including fiber. Refined grains include white flour, white rice, white bread and degermed cornflower. Many breads, cereals, crackers, desserts and pastries are made with refined grains, too. These processed foods will not keep your blood sugar levels steady, which is why you will be hungry again soon after consumption.
  3. Enriched grains. Enriched means that some or many of the nutrients that are lost during processing are added back in later.

 

Most refined grains are enriched, and many enriched grains are also fortified — meaning nutrients that don’t occur naturally in the food are added — with other vitamins and minerals, such as folic acid and iron. Enriched grains lack fiber and are not an optimal choice because while they have traces of nutrition, many important vitamins and nutrients are lost during processing.

Choosing whole grains

Eat whole grains rather than refined grains as often as possible. Examples of whole grains include:

  1. Barley
  2. Brown rice
  3. Buckwheat
  4. Bulgur (cracked wheat)
  5. Millet
  6. Oatmeal
  7. Whole-wheat bread, pasta or crackers
  8. Wild rice

 

It’s not always easy to tell which grains are in a particular product, especially bread. For instance, a brown bread isn’t necessarily whole wheat — the color may come from added coloring. If you’re not sure something has whole grains, check the product label or the Nutrition Facts panel. Look for the word “whole” on the package, and make sure whole grains appear among the first items in the ingredient list.

How to enjoy more whole grains in your diet

Try these tips to add more whole grains to your meals and snacks:

  1. Enjoy breakfasts that include whole-grain cereals, such as bran flakes, shredded wheat or oatmeal.
  2. Substitute whole-wheat toast or whole-grain bagels for plain. Substitute low-fat bran muffins for pastries.
  3. Make sandwiches using whole-grain breads or rolls. Swap out white-flour tortillas with whole-wheat versions.
  4. Replace white rice with kasha, brown rice, wild rice or bulgur.
  5. Feature wild rice or barley in soups, stews, casseroles and salads.
  6. Add whole grains, such as cooked brown rice or whole-grain bread crumbs, to ground meat or poultry for extra body.
  7. Use rolled oats or crushed bran cereal in recipes instead of dry bread crumbs.

 

Eating a variety of whole grains not only ensures that you get more health-promoting nutrients but also helps make your meals and snacks more interesting.

Lack of sleep and sitting all day damages the brain

If you are sleep-deprived or if your job has you sitting all day, your brain is being damaged. If both apply to you, that is a double-whammy that no brain can withstand. Regularly getting less than 6 hours of sleep a night can cause the same long-term brain damage as alcohol abuse. Sitting at a desk all day or spending hours watching television damages the brain in a way that can increase the risk of dementia.

Recent research found that getting too little sleep causes the brain to literally eat itself. Specialized brain cells called astrocytes are more active in brains that are sleep-deprived. Astrocytes act like miniature vacuum cleaners, sucking up unwanted cellular debris. While normally this is good, when the vacuuming goes on too long, the astrocytes begin sucking up portions of the brain’s connections called synapses.

Sedentary behavior such as prolonged sitting has been found to be associated with thinning of the medial temporal lobe of the brain. This portion of the brain is crucial to the formation of new memories. Thinning of the medial temporal lobe can be an early sign of cognitive decline and dementia.

 

Published June 18, 2018 by Dr. Daniel Thomas, DO, MS

Try some spicy snow peas for a healthy lunch

Number of servings: 6

Ingredients

  1.  1 pound snow peas, washed and trimmed of stems and strings (about 7 cups)
  2.  3 tablespoons reduced-sodium soy sauce
  3.  4 tablespoons rice vinegar
  4.  2 tablespoons brown sugar
  5.  1 tablespoon cornstarch
  6.  1/2 teaspoon Chinese five-spice powder
  7.  1 teaspoon sesame oil
  8.  1 garlic clove, chopped
  9.  Crushed red pepper, optional

Directions

Bring a large saucepan 3/4 full of water to a boil. Add the peas, reduce heat and simmer for 2 minutes. Drain the peas then plunge them into a bowl of ice water to stop the cooking. Drain again thoroughly and set aside.

To prepare the sauce, combine the soy sauce, rice vinegar, brown sugar, cornstarch and five-spice powder in a small bowl. Stir until the cornstarch and seasonings have dissolved. In a large skillet, heat the sesame oil over medium heat. Stir in the garlic and peas. Increase the heat to high, stirring frequently. Pour in the soy sauce mixture and cook until thickened, 1 to 2 minutes. Sprinkle with crushed red pepper, if desired. Serve immediately.

Nutritional analysis per serving

Serving size: 1 cup

  • Calories: 73
  • Total fat: 1 g
  • Saturated fat: Trace
  • Trans fat: 0 g
  • Monounsaturated fat: 0.5 g
  • Cholesterol: 0 mg
  • Sodium: 222 mg
  • Total carbohydrate: 13 g
  • Dietary fiber: 2 g
  • Total sugars: 4 g
  • Added sugars: 4 g
  • Protein: 3 g

Enjoy

Functional fitness: Is it right for you?

Functional fitness exercises train your muscles to help you do everyday activities safely and efficiently. Find out what it can do for you.

Do you live to exercise? Unless you’re an elite athlete, you probably answered no to that question. Most people, in fact, would say they exercise to improve their quality of life.

What is functional fitness training?
Functional fitness exercises train your muscles to work together and prepare them for daily tasks by simulating common movements you might do at home, at work or in sports. While using various muscles in the upper and lower body at the same time, functional fitness exercises also emphasize core stability. For example, a dead lift is a functional exercise because it trains the muscles used when you pick up an object from the floor. By training your muscles to work the way they do in everyday tasks, you prepare your body to move efficiently in a variety of common situations.

Functional fitness exercises can be done at home or at the gym. Gyms may offer functional fitness classes or incorporate functional fitness into boot camps or other types of classes. Exercise tools, such as fitness balls, kettlebells and weights, are often used in functional fitness workouts.

What are the benefits of functional fitness training?
Functional exercises tend to be multijoint, multimuscle exercises. Instead of only moving the elbows, for example, a functional exercise might involve the elbows, shoulders, spine, hips, knees and ankles. This type of training, properly applied, can make everyday activities easier, reduce your risk of injury and improve your quality of life.

What are examples of functional fitness exercises?
Functional fitness exercises use multiple joints and muscles at once to train your whole body. Examples include:

  • Dead lift
  • Assisted lunge with press
  • Resisted squat with overhead press

Are functional fitness exercises for everyone?
If you’re over age 40, haven’t exercised for some time or have health problems, it’s a good idea to check with your doctor before starting any new exercise program. Similarly, women who are pregnant should check with their doctors.

It’s also a good idea to start with exercises that use only your own body weight for resistance. As you become more fit and are ready for more challenge, you can increase resistance by using weights or resistance tubing or performing movements in the water.

The functional fitness payoff
As you add more functional exercises to your workouts, you should see improvements in your ability to perform your everyday activities. That’s quite a return on your exercise investment.

Hunger vs. craving: What’s the difference?

A better understanding of these potential food triggers will help you stay on track.

Have you noticed that when food temptations strike, it often has more to do with your mood than when you last ate? You may crave food to relax, relieve stress or boredom, soothe anger, or cope with loneliness, sadness or anxiety. Indulging in cravings during these emotional times may lead you to eat too many high-calorie, sweet, fatty foods.

Everyone has a food craving at times — and yes, chocolate is at the top of most people’s list. The first step to managing your cravings is being able to identify when you’re truly hungry. Learn how to recognize the difference between a craving and hunger.

Cravings:

  • Are usually for comfort foods, such as chocolate, sweets and fatty foods
  • Are often caused by negative feelings
  • Lead to eating that makes you feel good at first, but then guilty
  • Increase during a woman’s pregnancy and menstrual cycle
  • May be stronger when you’re dieting, especially if you’re giving up your favorite foods
  • Can occur even after you’ve recently eaten
  • Pass with time

 

Hunger:

  • Usually occurs when you haven’t eaten for a few hours or more
  • Results in a rumbling stomach, headache or feeling of weakness
  • Doesn’t pass with time
  • Isn’t just for one specific food
  • Can be satisfied by a healthy snack or meal

 

If you have a craving, distract yourself. Try calling a friend, listening to music, taking a walk or bike ride, reading, or writing. If a negative feeling is causing your craving, use positive self-talk, exercise or a fun activity to improve your mood.

5 easy ways to eat more fruits and veggies

Your goal is to fill half your plate with fruits and vegetables whenever possible. Aim for a whole rainbow of colors, including dark green, red, orange, purple and white. Variety is vital to get all the different nutrients and their health benefits.

Make fruits and veggies the star of your daily diet with these ideas:

  1. Snack smart. Keep vegetables washed and cut in your refrigerator for quick snacks. Or reach for vegetables that require little preparation, such as baby carrots and cherry tomatoes. Keep a bowl of fruit on your kitchen counter. Just be sure to limit your intake of dried fruits because they’re not as filling as whole fruits and they have a lot more calories in a smaller volume of food. For example, 1⁄4 cup of raisins has the same number of calories — about 100 — as almost 2 cups of grapes.
  2. Experiment with new combinations. Try mango or peach slices on whole-wheat toast with a little peanut butter and honey. Toss some mandarin orange or peach slices into a salad.
  3. Choose recipes that have vegetables or fruits as a main ingredient. Try pineapple-chicken stir-fry, tomato-basil pizza or vegetarian chili.
  4. Start your day with a fruit or vegetable. Sprinkle a handful of blueberries on your morning cereal or oatmeal. Saute red peppers, tomatoes or spinach into your scrambled eggs.
  5. Drink your fruits and vegetables. But don’t reach for prepared fruit juice! Instead, turn whole fruits and vegetables into a refreshing drink. Make a smoothie with plain low-fat yogurt and your favorite frozen fruits. Or puree together banana, berries, lemon, mint, ice and 2 cups of fresh raw baby spinach — this green concoction may look odd, but it tastes delicious!

 

As you can see from these suggestions, sneaking more fruits and veggies into your diet can be easy, convenient — and fun!

8 solutions to healthy-eating roadblocks

Don’t like to cook? Can’t resist junk food? Use practical strategies to overcome your biggest healthy-eating challenges.

Life doesn’t follow a perfectly smooth course. You will inevitably run into obstacles on the journey to healthy eating. It’s how you respond that makes the difference. For long-term success, you’ll need strategies in place to solve problems as they arise. The first step is to identify and define potential roadblocks and brainstorm solutions. Identify the barriers most likely to get in your way and plan ahead how you’ll face those challenges.

Roadblock: “I don’t have time to make healthy meals.”

Healthy detours: If you use smart cooking strategies, creating a healthy meal doesn’t have to take too much time. Planning ahead is a great time-saver.

For example, shop for several meals at one time, or prepare foods over the weekend and then freeze meal-sized portions to reheat during the week. You can also keep it simple with a fresh salad and low-calorie dressing, a whole-grain roll and a piece of fruit, or a healthy sandwich, soup or entree from a deli or grocery store.

Roadblock: “I don’t like vegetables and fruits.”

Healthy detours: You don’t need to like all fresh vegetables and fruits. Just find some that you enjoy. Experiment by sampling produce you’ve never eaten before. Add fruits or veggies to your favorite recipes, or replace meat with vegetables when possible. Experiment with new ways to prepare produce, such as grilling pineapple or lightly cooking vegetables if you don’t like them raw.

Roadblock: “I don’t like to cook.”

Healthy detours: Not interested in becoming a gourmet chef? No problem. Many cookbooks offer recipes for quick and easy healthy meals. Or you can use creative shortcuts that don’t require a lot of cooking, such as prepackaged vegetables and lean meats. Also, remember that cooking is a skill: The more you practice, the better you will become.

Roadblock: “My family doesn’t like to try new things, and it’s too much work to make two different meals.”

Healthy detours: You’re right — you don’t want to fall into the trap of making the “good” food for the family and the “diet” food for yourself. So instead, ask for your family’s input — and help — on healthy foods they’d like to try, which may make them more willing to experiment.

Take it slow, and make a few small changes each week. You may be able to make some dishes healthier and tastier and your family won’t even realize it. If you have a favorite dish that you don’t want to abandon, prepare it with a different cooking method, such as baking rather than frying.

Roadblock: “I can’t resist junk food!”

Healthy detours: As you prepare your healthy-eating plan, ask yourself how you can fit the occasional treat into the plan without derailing your overall weight-loss efforts. If you give up all your favorite foods, you’ll feel deprived, which decreases your chances of successful weight management. Give yourself permission to eat them on occasion and in moderation. Find a happy medium for high-calorie foods. Could you take the kids out for ice-cream cones once a week or buy a small bag of chips for the Sunday-afternoon football game? That’s better than buying a gallon of ice cream for your freezer, where it causes constant temptation.

You can also try healthier versions of your favorite snack foods, such as baked, rather than regular, potato chips. In addition, eat healthy foods before having your treat. It can help you eat less of your favorite treats.

Roadblock: “When eating out, I like to eat large portions of my favorite foods, not something healthy.”

Healthy detours: It’s OK to occasionally have your favorite foods if you do it healthfully. For example, when at a restaurant, eat half of your favorite meal and save the other half for the next day. Or, if you know you’ll be eating extra calories, increase your exercise for the day. Explore ways to make your favorite dish healthier. If your meal contains a rich sauce, for instance, ask for it on the side so that you can control how much of it you eat. If you dine out often, however, it’s best to make healthy choices part of your routine. You don’t want a large indulgence to cancel out all your good efforts.

Roadblock: “I don’t eat breakfast because I’m not hungry in the morning.”

Healthy detours: Research shows that eating breakfast helps people better manage their weight, in part because it helps keep them from feeling ravenous and overeating later in the day. So, even if you’re not hungry, try to eat a little something in the morning. Start gradually by planning to have breakfast twice a week and then work toward eating breakfast every day. Keep foods on hand that you can take with you on busy days, such as apples, bananas, whole-grain bagels and yogurt in single-serving containers.

Roadblock: “Keeping food records — measuring food, keeping track and figuring out calories — takes too much work.”

Healthy detours: Losing weight does take time and effort. That will gradually lessen as you get used to knowing what serving sizes should look like and how many calories you should have each day. But, initially, keeping detailed records will help you work toward your main goal: reaching a healthy weight. Make these initial steps easier on yourself by keeping your food record and serving-sizes chart handy and logging your entries after each meal instead of at day’s end.

By Mayo Clinic Staff…