Thursday, January 21, 2016

Portion Control


I recently had the privilege of participating in the Brownfields Grant Health Education Series at the Flagler County Free Clinic.  I was tasked to talk about the importance of portion control.  The issue of portion control has been widely addressed in the media.  
So why is portion control important? 
Why is there so much talk about obesity?

There continues to be an epidemic of obesity in the United States.  Currently 34.9% or 78.6 million of U.S. adults are obese. Obesity is a problem because it increases risk of chronic disease to include heart disease, stroke, type 2 diabetes and certain types of cancer.  Obesity also increases the risk of sudden cardiac death.

Obesity affects our economy.  The annual medical cost of obesity in the U.S. was $147 billion in 2008.  The medical costs for people who are obese were $1,429 higher than those at a healthy weight. 
Obesity affects our children.  Seventeen percent of children in the United States are obese. During my years as the Primary Care Nurse Practitioner at the Department of Health, Flagler,
I personally observed the effects of obesity in children.  Obese youth are more likely to have high cholesterol, high blood pressure and pre-diabetes.  Obese children are at greater risk for bone and joint problems, sleep apnea, and social and psychological problems.    




How does portion size affect the incidence of obesity?

Large portion sizes contribute to obesity because they have more calories.  Having a large portion in front of you encourages overeating and many people actually underestimate the amounts they consume.

What is a portion? 

A Portion is the amount of food you actually eat.  This is different from a serving size which is the recommended amount of a food to eat according to the US Department of Agriculture (USDA). 

Portion sizes have grown drastically over the past 30 to 50 years in what is referred to as “portion distortion”.  Many portions of common foods have doubled even tripled in size.  In fact some restaurants serve up to 8 times the recommended serving size from the USDA. 

How are we able to eat so much? 

The average person has a stomach that is the size of his/her fist.  It can expand up to 10 times its original size to accommodate food.  The stomach expands to allow more calories than necessary.  Extra calories are stored as fat.  This is a survival mechanism to endure times of famine. 

Fortunately most of us will never experience famine.  In fact we live in a society that offers an overabundance of food.  Yet, we have the ability to store excess energy.  Over time, this has contributed to the obesity epidemic.

How can we control portion size? 

Here are Top 10 Tips for portion control:

1.       Use smaller plates

    • Studies have shown that people served food on a larger plate will consume up to 10% more food than those with a smaller plate.
    • People who eat from a larger plate also underestimate the amount of food eaten
 

 

2.       Minimize second or third helpings

·         I usually challenge my weight control clients to eat at least 1 cup of vegetables prior to returning for a second portion.

3.      Eat slowly

    • It takes the brain a certain amount of time of perceive fullness.  Eating slowly allows the brain to properly sense the amount of food needed. 
     4.  Do not eat in front of the tv
    • Statistically those who eat in front of the tv consume more calories than those who do not.
    • If you must eat while watching television, put the amount of food you want to eat in a separate bowl or container rather than eat straight from the bag.
     5.  Eat Healthy Snacks
    • By eating healthy snacks, you can control your hunger. 
    • When a person becomes ravenous, they often overindulge on an unhealthy item.
      6.  Check the label
    • Many prepackaged foods contain more than 1 serving.
      7.  Eat lots of high fiber low calorie foods
    • Vegetables!
    • Fiber helps control your appetite and regulate blood sugar.
      8.  Drink Water
    • Drinking water before a meal helps fill you up so you eat less food (but still feel satisfied)
    • Water consumption aids in the digestive process and contributes to a healthy metabolism.
     9.  Eat a broth-based soup before the meal
    • Research has shown that having a cup of low calorie broth-based soup before the meal decreases overall calorie consumption by as much as 20%.
    • Many soups are low calorie and filled with vegetables.
     10.  Be mindful
 
 
So go out there and eat the right amounts of the right things.
Here's to you health!

Tuesday, January 5, 2016

Life Lessons Learned from Star Wars: Anger and Your Health


A few weeks ago, we talked about the health implications of fear.  This week we’ll continue our series on Life Lessons Learned from Star Wars and discuss anger.


“I can feel your anger. It give you focus... makes you stronger.”—Senator Palpatine
Have you ever noticed how strong you feel when you’re angry?  Ever write that scathing E-mail or call to complain about something when you’re mad?  How do you feel?  Perhaps your heart is racing; you may need to stand up and pace.  You’ve got so much pent up energy that needs to be released.  Then what happens?  The energy may be released in the form of verbal or physical aggression.




“Is the dark side stronger?”—Luke

"No, no, no. Quicker, easier, more seductive.”--Yoda

Do we always make sense when we’re angry?  Ever had a rant or tantrum… in public?  How do you feel then?  It’s embarrassing right?  Anger can temporarily make us stronger but we ultimately lose control.  Maybe we cause pain to someone who doesn’t deserve it. 

“The hate is swelling in you now… Give in to your anger. With each passing moment you make yourself more my servant.”—The Emperor (Senator Palpatine)

People who are prone to angry outbursts are more likely to suffer from heart disease, stroke and premature death.  Anger really can kill you.  Anger also increases the likelihood of anxiety and depression and decreases your immune system.  Uncontrolled anger can also can physical complaints such as headache, stomach ache, skin rash and more.

 
Anger is a human emotion.  It’s very normal to become angry from time to time.  So how do we get rid of anger without hurting ourselves or others? 
Try to take a moment before giving in to an angry impulse.  Count to 10.  Take a walk.  Think about your response to the situation.  By responding in a calm manner, you remain in control and will ultimately be more effective.
 
 
 
 
“Control.  You must learn control.”--Yoda 
It takes a lot of self-control to not give in to anger.  You increase your ability to maintain control with healthy lifestyle.  The anger must be funneled out.  This can be done with exercise, yoga or meditation.  Some people journal about their feelings.  Anger must be released in a healthy way or it will make you sick. 
I wish you peace and tranquility in the new year.  Stay calm and May the Force be with You.