January 23, 2018

Mind over Matter: Hunger, Appetite and Sugar Cravings, Oh My!

Yes, it’s that time of year again when your eyes are likely on the lookout for tips to trim pounds and to control your hunger and appetite. You may also catch come-on headlines for articles about how to control sugar cravings and sweet cravings.

 
August 22, 2017

Overcoming Weight Loss Plateaus – “Why Can’t I Budge My Scale?”

Have you lived this movie time and again?

Over the last two months you’ve enthusiastically taken steps to live a healthier lifestyle or, as you may put it, follow a diet. You’re tackling a host of action steps that might include some of the following:

 
June 26, 2015

Washington Post Nutrition Q&A Column – Twenty Questions Answered

Washington Post Q&ABoy time flies when you’re having fun! And yes, I’ve been having fun writing the Nutrition Q&A column in The Washington Post. Publication of the June 1st column marks column #20. This column came to be because I and several colleagues saw a big need at The Post for a column written by a dietitian to offer readers reliable, evidence-based answers to popular nutrition questions.

 
December 22, 2014

THE TRUTHS about Keeping Pounds at Bay

weighing scalesLosing weight is one tough challenge, but not as tough, research shows, as keeping those lost pounds at bay over time. What are the THE TRUTHS about keeping lost pounds at bay? 

Research shows that the most weight most people, on average, lose, even with pretty constant expert support, is about 6 to 10% from your starting weight. Example: 200 pounds that's 12 to 20 pounds. For sure, some people lose more (but do they keep the weight off?). Losing this 6 to 10% of weight hardly seems worth it compared to those triple digit losses touted by the Biggest Loser TV show or some weight loss plans.

Research also shows people lose these 12 to 20 pounds by about the 6 months to 1 year point of their effort. It’s simply tough to lose more weight. Read Weight Loss, Control: Expectations vs. Research-based Realities.

 
September 9, 2013

Welcomed ‘Call for End to the Diet Debate’

Just before I departed for a week’s vacation and last blast of summer I spotted an intriguing tweet about the article A Call for an End to the Diet Debate in the August 21, 2013 issue of Journal of the American Medical Association (JAMA).  I clicked to the recap in the tweet and was further intrigued. I recognized the name of the first author, Sherry Pagoto, PhD. Ah yes, I follow her on Twitter (@drsherrypagoto).

After arriving at our first home away from home in Asheville North Carolina and enjoying a yummy and healthy dinner of sushi, I sat down to digest the article...and sushi. 

It warmed my heart. Thank you Drs Pagoto and Appelhans! I applaud your efforts and absolutely concur with your sentiments. They echo those I penned over a year ago in a blog titled How Much Carb, Protein or Fat? Does it Really Matter for Weight Loss or Keeping Pounds Off? and continue to speak about.   

 
November 20, 2012

Insulin Resistance, Weight Gain and Type 2 Diabetes: Connect the Dots

apple vs. pear shape

Have you heard the terms insulin resistance, insulin sensitivity and metabolic syndrome in the same breath as prediabetes and type 2 diabetes? Do you wonder how these terms are intertwined with prediabetes and type 2 diabetes?

Learn the terms and gather action steps put them in reverse or at least slow their progression over time.  

What Is Insulin Resistance?

Insulin resistance most often occurs in people who are overweight. People who carry their extra weight around their middle – the abdomen or waist line - are at increased risk. The medical term for that apple shape is central adiposity. 

 
June 26, 2012

Dialoging: How to Become “The Biggest Maintainer of Weight Lost”

As a dietitian and diabetes educator I know the critical importance of weight control as part of disease prevention and/or control and healthy living. I also know how challenging it is to keep pounds lost ….well, lost forever. It takes inner strength, fortitude, perseverance and much more. Compared to taking the pounds off, keeping the pounds off is THE hard work and it goes on endlessly. Good news is experts say it gets easier over time.

Wilson head shotIn this blog I’m dialoging with Bob Wilson, a dietetic technician in his day job. Bob was a morbidly obese teenager. He weighed 400 pounds in the 8th grade. He lost 250 pounds over 2 years when he hit 21. He has now kept his weight between 155 and 160 for 39 years. He’s been on a remarkable journey. Through his struggle to manage his weight Bob has amassed many learnings and skills and shares these at his website: balancedweightmanagement.com and in his book "Lighter and Free from the Inside Out". Bob wants millions of others to win “The Biggest Maintainer of Weight Lost” award. He graciously agreed to share.
  
HW Q: You discuss 12 Essential Skills for long term weight loss/control. Can you list the top 5 and briefly state why they’re most important to long term success?  
BW: A: My overarching message: for lasting success discover skill power, not willpower!

 

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