Dietary Strategies for Weight Loss MaintenanceMARKETDIGITALBN
Weight regain after a successful weight loss intervention is very common. Most studies
show that, on average, the weight loss attained during a weight loss intervention period is not
or is not fully maintained during follow-up. We review what is currently known about dietary
strategies for weight loss maintenance, focusing on nutrient composition by means of a systematic
review and meta-analysis of studies and discuss other potential strategies that have not been studied
so far. Twenty-one studies with 2875 participants who were overweight or obese are included in
this systematic review and meta-analysis
The Eating Attitudes Test (EAT-26) is probably the most widely used and cited standardized measure of symptoms and concerns characteristic of eating disorders . The original EAT appeared as a Current Contents Citation Classic in 1993. The 26-item version is highly reliable and valid according to Wikipedia. Many studies have used the EAT-26 as an economical first step in a two-stage screening process.
Nutritional Rehabilitation for Eating DisordersDavid Garner
This report describes our approach in sufficient detail to allow our outcomes to be replicated and compared with other programs. Our approach to meal planning has been referred to as “mechanical eating” and consists of a structured eating program in which quantity of food consumed, type of food consumed and spacing of meals, are all specified in advance. This report describes our approach in sufficient detail to allow our outcomes to be replicated and compared with other programs. We have anticipated potential criticisms of this
approach and have provided the theoretical and practical basis for our model.
Dietary Strategies for Weight Loss MaintenanceMARKETDIGITALBN
Weight regain after a successful weight loss intervention is very common. Most studies
show that, on average, the weight loss attained during a weight loss intervention period is not
or is not fully maintained during follow-up. We review what is currently known about dietary
strategies for weight loss maintenance, focusing on nutrient composition by means of a systematic
review and meta-analysis of studies and discuss other potential strategies that have not been studied
so far. Twenty-one studies with 2875 participants who were overweight or obese are included in
this systematic review and meta-analysis
The Eating Attitudes Test (EAT-26) is probably the most widely used and cited standardized measure of symptoms and concerns characteristic of eating disorders . The original EAT appeared as a Current Contents Citation Classic in 1993. The 26-item version is highly reliable and valid according to Wikipedia. Many studies have used the EAT-26 as an economical first step in a two-stage screening process.
Nutritional Rehabilitation for Eating DisordersDavid Garner
This report describes our approach in sufficient detail to allow our outcomes to be replicated and compared with other programs. Our approach to meal planning has been referred to as “mechanical eating” and consists of a structured eating program in which quantity of food consumed, type of food consumed and spacing of meals, are all specified in advance. This report describes our approach in sufficient detail to allow our outcomes to be replicated and compared with other programs. We have anticipated potential criticisms of this
approach and have provided the theoretical and practical basis for our model.
Delivered for the 25th Annual Convention of the Philippine Association for the Study of Overweight and Obese (PASOO) at the EDSA Shangri-la Hotel in Manila.
Exploring Unobserved Heterogeneity of Food Safety Behavior: A Meta-AnalysisNaiqing Lin, Ph.D.
Finding new gaps in a well established theory can be very challenging, traditionally we rely on well-established leaders in the theory to do an review, and point out the directions of future.
Recent development in Meta-analysis provided new possibilities to mathematically examine existing "theoretical system", therefore finding the bridges, this paper provided an example of how-to
Levels of Anxiety and Quality of Life in Overweight Individuals Under Nutriti...CrimsonPublishersIOD
Levels of Anxiety and Quality of Life in Overweight Individuals Under Nutritional Monitoring by Géssika Dutra de Andrade Reis, Virginia Souza Santos* and Martha Elisa Ferreira de Almeida in Interventions in Obesity & Diabetes
Hypothyroidism in association with obesity, the most common endocrine disorder among females in urban areas. The objective is to find out the effect of yoga intervention on hypothyroidism linked with obesity among working women leading sedentary lifestyles in urban areas. Further to assess the recovery through yoga practice in addition to diet follow up treated as safe, very low cost, natural therapy. A total of 150 obese women had a history of hypothyroidism within the age group 30-50 years located in eastern parts of West Bengal were enrolled for this study from June,17 to January, 18. A qualitative study by a purposive sampling method was used applying BMI as the main parameter along with questionnaires & thyroid function tests, blood tests as secondary data. The study revealed initially that there was no such deficiency of nutrients like Iodine even though elevated TSH & normal or low T4 among the subjects. The study concluded that diet in conjunction with yoga intervention resulted in significant improvement to all subjects at no cost. Moreover, yoga intervention was the safest choice for all of them in this study and that not only for physical health but also mental wellbeing.
Effectiveness of health coaching on diabetic patients:A systematic review and...LucyPi1
Abstract
Background: Using health coaching to improve the quality of life and health outcomes of the patients with
diabetes mellitus, has emerged as a possible intervention. However, the few published randomized controlled trials
using health coaching for patients with diabetes mellitus have reported mixed results. The present meta-analysis
aimed to determine the effectiveness of health coaching on modifying health status and quality of life among
diabetic patients and to clarify the characteristics of coaching delivery that make it most effective. Methods: This
study searched for articles on randomized controlled trials of health coaching interventions targeting type 2 diabetic
patients that were published in the English language from January 2005 through December 2018 in the Cochrane,
Medline, PubMed, Trip, and Embase databases. Patients in the control group received usual diabetes mellitus care,
and those in the experimental group received health coaching based on usual diabetes mellitus care. The primary
outcomes included Hemoglobin A1c (HbA1c) and cardiovascular disease risk factors, including systolic blood
pressure, diastolic blood pressure, triglyceride, high-density lipoprotein cholesterol (HDL-C), low-density
lipoprotein cholesterol, total cholesterol, and body weight. The secondary outcomes included quality of life,
self-efficacy, self-care skills, and psychological outcomes. Results: Health coaching intervention has a significant
effect on HbA1c [mean difference (MD) = -0.35, confidence interval (CI) = -0.47, -0.22, I2 = 83%, P < 0.001] and
HDL-C (MD = -0.50, CI = -0.93, -0.07, I2 = 10%, P = 0.02). The most effective strategy for health coaching
delivery associated with improvement of HbA1c was decreasing the number of sessions and increasing the duration
of each session. However, no significant difference was found for weight, SBP, diastolic blood pressure,
triglyceride, low-density lipoprotein cholesterol, or total cholesterol. Mixed results were reported for the effect of
health coaching on quality of life, self-efficacy, self-care skills, and depressive symptoms outcome. Conclusion:
Health coaching intervention has a significant effect on HbA1c and HDL-C, and the most effective strategy is
decreasing the number of sessions while increasing session duration. However, these results should be interpreted
with caution as the evidence comes from studies at some risk of bias with considerable heterogeneity and
imprecision.
Body mass-index-quality-of-life-and-migraine-in-studentsAnnex Publishers
Migraine is reported globally with a higher prevalence in students. The present study aims to evaluate the association between nutritional status, quality of life (QL) and characteristics of migraine.
A cross-sectional study. Headache characteristics, level of disability caused by migraine crises (Pediatric Migraine Disability Assessment - PedMIDAS) and QL (Pediatric Quality of Life Inventory- PedsQL) were assessed. Anthropometric variables were also measured.
Data were collected from 98 students with a mean age of 11.2 ± 1.7 years. Migraine had the highest prevalence (54.8%). The average Body Mass Index (BMI) of the total sample was 20.0 ± 3.8 kg/m2, and among students with migraine and students with tension headache, the average BMIs were 20.4 ± 4.0 and 19.5 ± 3.4 kg/m2, respectively (p = 0.264, Student's t-test). Around 47.5% from migraineurs were overweight or obese. Regarding QL, the average total score in students with migraine was 74.4 ± 12.4, with no differences observed among normal weight, overweight or obese students, and no correlation between the scores of the PedsQL and BMI (r = -0.182, p = 0.165, Pearson correlation coefficient) was observed. There was a high percentage of overweight students with migraine. Analyses show no associations between the nutritional status, frequency, severity, disability caused by crises, or QL.
Thinking About Success and Failure in Obesity CareObesityHelp
Even though obesity has officially been classified as disease by important groups like the American Medical Association, many people – doctors included – put all the emphasis on the scale and on other measures like body mass index (BMI). In this talk we will look at how success is measured now and other ways to define success after bariatric surgery. Time allowing, we will also talk about some of the long-term issues related to health and nutrition after bariatric surgery, with a focus on things that contribute to weight regain.
What to Do When the Honeymoon is Over by Dr. Scott CunneenObesityHelp
For those planning to have weight loss surgery, as well as for those who have already done so, extensive patient education is required – or at least it should be. There’s the excitement of having made this life-changing decision, and the thrill of the weight coming off after surgery – for some, fast and furious, for others slower and more steadily. We call that the “honeymoon period,” when you can almost stand in front of a mirror and watch the changes take place. You’re excited, committed and compliant. And then a year goes by, and another, and before you know it, you’re three or four or five years post-op…with a whole new set of issues, or maybe some of the old ones resurfacing. Dr. Cunneen would like his audience to think about what “success” really means for weight loss surgery patients, how to achieve it and, most importantly, how to make it last.
Delivered for the 25th Annual Convention of the Philippine Association for the Study of Overweight and Obese (PASOO) at the EDSA Shangri-la Hotel in Manila.
Exploring Unobserved Heterogeneity of Food Safety Behavior: A Meta-AnalysisNaiqing Lin, Ph.D.
Finding new gaps in a well established theory can be very challenging, traditionally we rely on well-established leaders in the theory to do an review, and point out the directions of future.
Recent development in Meta-analysis provided new possibilities to mathematically examine existing "theoretical system", therefore finding the bridges, this paper provided an example of how-to
Levels of Anxiety and Quality of Life in Overweight Individuals Under Nutriti...CrimsonPublishersIOD
Levels of Anxiety and Quality of Life in Overweight Individuals Under Nutritional Monitoring by Géssika Dutra de Andrade Reis, Virginia Souza Santos* and Martha Elisa Ferreira de Almeida in Interventions in Obesity & Diabetes
Hypothyroidism in association with obesity, the most common endocrine disorder among females in urban areas. The objective is to find out the effect of yoga intervention on hypothyroidism linked with obesity among working women leading sedentary lifestyles in urban areas. Further to assess the recovery through yoga practice in addition to diet follow up treated as safe, very low cost, natural therapy. A total of 150 obese women had a history of hypothyroidism within the age group 30-50 years located in eastern parts of West Bengal were enrolled for this study from June,17 to January, 18. A qualitative study by a purposive sampling method was used applying BMI as the main parameter along with questionnaires & thyroid function tests, blood tests as secondary data. The study revealed initially that there was no such deficiency of nutrients like Iodine even though elevated TSH & normal or low T4 among the subjects. The study concluded that diet in conjunction with yoga intervention resulted in significant improvement to all subjects at no cost. Moreover, yoga intervention was the safest choice for all of them in this study and that not only for physical health but also mental wellbeing.
Effectiveness of health coaching on diabetic patients:A systematic review and...LucyPi1
Abstract
Background: Using health coaching to improve the quality of life and health outcomes of the patients with
diabetes mellitus, has emerged as a possible intervention. However, the few published randomized controlled trials
using health coaching for patients with diabetes mellitus have reported mixed results. The present meta-analysis
aimed to determine the effectiveness of health coaching on modifying health status and quality of life among
diabetic patients and to clarify the characteristics of coaching delivery that make it most effective. Methods: This
study searched for articles on randomized controlled trials of health coaching interventions targeting type 2 diabetic
patients that were published in the English language from January 2005 through December 2018 in the Cochrane,
Medline, PubMed, Trip, and Embase databases. Patients in the control group received usual diabetes mellitus care,
and those in the experimental group received health coaching based on usual diabetes mellitus care. The primary
outcomes included Hemoglobin A1c (HbA1c) and cardiovascular disease risk factors, including systolic blood
pressure, diastolic blood pressure, triglyceride, high-density lipoprotein cholesterol (HDL-C), low-density
lipoprotein cholesterol, total cholesterol, and body weight. The secondary outcomes included quality of life,
self-efficacy, self-care skills, and psychological outcomes. Results: Health coaching intervention has a significant
effect on HbA1c [mean difference (MD) = -0.35, confidence interval (CI) = -0.47, -0.22, I2 = 83%, P < 0.001] and
HDL-C (MD = -0.50, CI = -0.93, -0.07, I2 = 10%, P = 0.02). The most effective strategy for health coaching
delivery associated with improvement of HbA1c was decreasing the number of sessions and increasing the duration
of each session. However, no significant difference was found for weight, SBP, diastolic blood pressure,
triglyceride, low-density lipoprotein cholesterol, or total cholesterol. Mixed results were reported for the effect of
health coaching on quality of life, self-efficacy, self-care skills, and depressive symptoms outcome. Conclusion:
Health coaching intervention has a significant effect on HbA1c and HDL-C, and the most effective strategy is
decreasing the number of sessions while increasing session duration. However, these results should be interpreted
with caution as the evidence comes from studies at some risk of bias with considerable heterogeneity and
imprecision.
Body mass-index-quality-of-life-and-migraine-in-studentsAnnex Publishers
Migraine is reported globally with a higher prevalence in students. The present study aims to evaluate the association between nutritional status, quality of life (QL) and characteristics of migraine.
A cross-sectional study. Headache characteristics, level of disability caused by migraine crises (Pediatric Migraine Disability Assessment - PedMIDAS) and QL (Pediatric Quality of Life Inventory- PedsQL) were assessed. Anthropometric variables were also measured.
Data were collected from 98 students with a mean age of 11.2 ± 1.7 years. Migraine had the highest prevalence (54.8%). The average Body Mass Index (BMI) of the total sample was 20.0 ± 3.8 kg/m2, and among students with migraine and students with tension headache, the average BMIs were 20.4 ± 4.0 and 19.5 ± 3.4 kg/m2, respectively (p = 0.264, Student's t-test). Around 47.5% from migraineurs were overweight or obese. Regarding QL, the average total score in students with migraine was 74.4 ± 12.4, with no differences observed among normal weight, overweight or obese students, and no correlation between the scores of the PedsQL and BMI (r = -0.182, p = 0.165, Pearson correlation coefficient) was observed. There was a high percentage of overweight students with migraine. Analyses show no associations between the nutritional status, frequency, severity, disability caused by crises, or QL.
Thinking About Success and Failure in Obesity CareObesityHelp
Even though obesity has officially been classified as disease by important groups like the American Medical Association, many people – doctors included – put all the emphasis on the scale and on other measures like body mass index (BMI). In this talk we will look at how success is measured now and other ways to define success after bariatric surgery. Time allowing, we will also talk about some of the long-term issues related to health and nutrition after bariatric surgery, with a focus on things that contribute to weight regain.
What to Do When the Honeymoon is Over by Dr. Scott CunneenObesityHelp
For those planning to have weight loss surgery, as well as for those who have already done so, extensive patient education is required – or at least it should be. There’s the excitement of having made this life-changing decision, and the thrill of the weight coming off after surgery – for some, fast and furious, for others slower and more steadily. We call that the “honeymoon period,” when you can almost stand in front of a mirror and watch the changes take place. You’re excited, committed and compliant. And then a year goes by, and another, and before you know it, you’re three or four or five years post-op…with a whole new set of issues, or maybe some of the old ones resurfacing. Dr. Cunneen would like his audience to think about what “success” really means for weight loss surgery patients, how to achieve it and, most importantly, how to make it last.
Das ist ein Vortrag, den Dr. Clarence P. Davis im Jahre 2007 im Rahmen eines Anti-Aging Kongresses in Paris gehalten hat. Er beinhaltet theoretisches Basis- und Hintergrundswissen zu den verschiedenen Diaettypen, sowie einige praktische Beispiele aus dem aerztlichen Alltag. Der Vortrag ist auf einem hohen Niveau und richtet sich ausschliesslich an professionelle Leser mit fundierten Vorkenntnissen.
RESEARCH Open AccessTelecoaching plus a portion control pl.docxsyreetamacaulay
RESEARCH Open Access
Telecoaching plus a portion control plate
for weight care management: a
randomized trial
Jill M. Huber1, Joshua S. Shapiro2, Mark L. Wieland1, Ivana T. Croghan1, Kristen S. Vickers Douglas3,
Darrell R. Schroeder4, Julie C. Hathaway5 and Jon O. Ebbert1,6*
Abstract
Background: Obesity is a leading preventable cause of death and disability and is associated with a lower health-
related quality of life. We evaluated the impact of telecoaching conducted by a counselor trained in motivational
interviewing paired with a portion control plate for obese patients in a primary care setting.
Methods: We conducted a randomized, clinical trial among patients in a primary care practice in the midwestern
United States. Patients were randomized to either usual care or an intervention including telecoaching with a
portion control plate. The intervention was provided during a 3-month period with follow-up of all patients
through 6 months after randomization. The primary outcomes were weight, body mass index (BMI),waist
circumference, and waist to hip ratio measured at baseline, 6, 12, 18, and 24 weeks. Secondary outcomes included
measures assessing eating behaviors, self-efficacy, and physical activity at baseline and at 12 and 24 weeks.
Results: A total of 1,101 subjects were pre-screened, and 90 were randomly assigned to telecoaching plus portion
control plate (n = 45) or usual care (n = 45). Using last-value carried forward without adjustment for baseline
demographics, significant reductions in BMI (estimated treatment effect -0.4 kg/m2, P = .038) and waist to hip ratio
(estimated treatment effect -.02, P = .037) at 3 months were observed in the telecoaching plus portion control plate
group compared to usual care. These differences were not statistically significant at 6 months. In females, the
telecoaching plus portion control plate intervention was associated with significant reductions in weight and BMI
at both 3 months (estimated treatment effect -1.6 kg, P = .016 and -0.6 kg/m2, P = .020) and 6 months (estimated
treatment effect -2.3 kg, P = .013 and -0.8 kg/m2, P = .025). In males, the telecoaching plus portion control
intervention was associated with a significant reduction in waist to hip ratio at 3 months (estimated treatment
effect -0.04, P = .017), but failed to show a significant difference in weight and BMI.
Conclusion: Telecoaching with a portion control plate can produce positive change in body habitus among obese
primary care patients; however, changes depend upon sex.
Trial registration: ClinicalTrials.gov NCT02373878, 13 February 2015. https://clinicaltrials.gov/ct2/show/
NCT02373878.
Keywords: Obesity, Telecoaching, Portion control plate, Primary care, Patient-centered medical home
* Correspondence: [email protected]
1Division of Primary Care Internal Medicine, Department of Medicine,
Rochester, MN 55905, USA
6Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA
Full list of author information is ...
The Okinawa Flat Belly Tonic is a new one of a kind weight loss “tonic” supplement. It helps men and women burn fat fast using a simple 20-second Japanese tonic. IF THAT TONIC DOES NOT WORK AS GIVEN YOUR VALUABLE MONEY WILL REFUND WITH IMMEDIATE EFFECT.
04 May 2015Page 1 of 28ProQuestIntegrating Fundamental Conce.docxmercysuttle
04 May 2015
Page 1 of 28
ProQuest
Integrating Fundamental Concepts of Obesity and Eating Disorders: Implications for the Obesity Epidemic
Author: Macpherson-Sánchez, Ann E, EdD, MNS
ProQuest document link
Abstract: Physiological mechanisms promote weight gain after famine. Because eating disorders, obesity, and dieting limit food intake, they are famine-like experiences. The development of the concept of meeting an ideal weight was the beginning of increasing obesity. Weight stigma, the perception of being fat, lack of understanding of normal growth and development, and increased concern about obesity on the part of health providers, parents, and caregivers have reinforced each other to promote dieting. Because weight suppression and disinhibition provoke long-term weight increase, dieting is a major factor producing the obesity epidemic. The integrated eating disorder-obesity theory included in this article emphasizes that, contrary to dieters, lifetime weight maintainers depend on physiological processes to control weight and experience minimal weight change.
Links: Linking Service
Full text: Headnote
Physiological mechanisms promote weight gain after famine. Because eating disorders, obesity, and dieting limit food intake, they are famine-like experiences. The development of the concept of meeting an ideal weight was the beginning of increasing obesity. Weight stigma, the perception of being fat, lack of understanding of normal growth and development, and increased concern about obesity on the part of health providers, parents, and caregivers have reinforced each other to promote dieting. Because weight suppression and disinhibition provoke long-term weight increase, dieting is a major factor producing the obesity epidemic. The integrated eating disorder-obesity theory included in this article emphasizes that, contrary to dieters, lifetime weight maintainers depend on physiological processes to control weight and experience minimal weight change. (Am J Public Health. 2015;105:e71-e85. doi:10. 2105/AJPH.2014.302507)
Since 1960, the Centers for Disease Control and Prevention has done periodic surveys of representative samples of the US population, which include measured heights and weights.1 From the 1960 to 1962 to the 1976 to 1980 measurement periods, there was little change in population weight. However, the next survey (1988-1994) showed increases in body mass index (BMI; defined as weight in kilograms divided by the square of height in meters [kg/m2]) that were unanticipated and inexplicable.2 Most of the increase occurred in those with BMI of 30 or greater.3 In 2006, a prominent Centers for Disease Control and Prevention researcher expressed frustration with her incapacity to explain why this happened.2
Losing weight and recuperating from that weight loss is part of the biological heritage of every human being.4-6 However, in the past 70 years, self-induced famine (dieting to achieve and maintain a lower weight)7 became the socie ...
The American Gastroenterological Association Obesity Practice GuideDr. Robert M. Webman
Between 2000 and 2018, the percentage of American adults who are obese increased from 30 percent to over 40 percent. The rate of severely obese individuals doubled within the same period.
Obesity is linked with the onset of several chronic conditions, including diabetes and heart disease. Researchers have also noted that people who are obese have a greater chance of developing gastrointestinal problems, such as fatty liver disease, gastric cancer, and chronic acid reflux. In response, the American Gastroenterological Association (AGA) created the Practice guide on Obesity and Weight management, Education, and Resources (POWER), a guide for treating patients with obesity.
Patient activation: New insights into the role of patients in self-managementMS Trust
This presentation by Helen Gilburt, Fellow at The King's Fund, looks at why some people are active at managing their health while others are quite passive, and how levels of patient activation impact on health outcomes.
It was presented at the MS Trust Annual Conference in November 2014.
Healthy weight loss supplements are carefully formulated products designed to complement a balanced diet and exercise routine, aiding individuals in their efforts to lose weight. These supplements typically consist of natural ingredients or extracts known for their potential benefits in supporting weight loss goals. Healthy weight loss supplements often feature natural components such as plant extracts, vitamins, minerals, and other bioactive compounds. This emphasis on natural sources contributes to their perceived safety. It’s crucial for individuals considering weight loss supplements to approach them as part of a comprehensive strategy. While these supplements can offer support, they are most effective when integrated into a holistic approach that includes a healthy diet, regular exercise, and overall well-being.
1EFFECTS OF UNHEALTHY EATING HABITSEffects of Unhealthy Ea.docxfelicidaddinwoodie
1
EFFECTS OF UNHEALTHY EATING HABITS
Effects of Unhealthy Eating Habits in society
PSY625: Biological Bases of Behavior
Instructor: Roxanne Beharie
February 3, 2018
Effects of unhealthy eating habits
Specific Aims
1). Concise statement of goals I would like to work with individuals experiencing health problems due to unhealthy eating habits, and inactivity. The purpose is to see if participants would agree to attend the program for 5 days to learn about healthy diet, food, exercise, food preparation, calorie count, and if they would use resources available to help them with their diet and exercise.
2). Novel Design
Chart #1: Displays the numbers of people eating fruits, vegetables, and consuming a low cal diet, vegetarians, dieters, unhealthy eaters
Chart #2: Displays the five categories that I will use to create manuals for participants to review to learn about the socio demographics, psychosocial knowledge and how beliefs attitudes and norms are part of self-efficacy and it establishes behavior patterns.
Per: Raghunathan, Rajagopal, et al. “The Unhealthy = Tasty Intuition and Its Effects on Taste Inferences, Enjoyment, and Choice of Food Products. “Journal of Marketing, vol.70, no. 4 (2006), pp. 170-184
3). solve a specific problem
I would like to design a comprehensive program on a community or state level that addresses poor eating habits, poor nutrition, and physical inactivity. Within the State of Maryland we have a large amount of chronic diseases and death per year due to the poor diets that people have become comfortable with, and the lack of physical activity which also contributes to the high rates of sugar diabetes, osteoporosis, obesity, and stroke. This is a serious matter when you think about it 1 out of 10 people suffer from one or more of the chronic diseases listed. I would like to have a facility where I can teaching people how to eat by using scales to measure the portion of meats, vegetables, fruits, measuring the amount of calories, carbohydrates, saturated fats, total fat, what foods to eat, how to prepare them. If I can encourage families to join us for a day to enjoy fun exercise activities, along with healthy meal made using fresh fruits and vegetables. Families will want to come again enthused to improve their dietary patterns and activities. Within this facility I would like a gym and track to allow them to exercise because this will boots their energy and if we meet with them three times a week to teach regular physical activity. The object is to show them how to improve their muscle strength and boost their endurance. The gym would afford them the resource needed to exercise. The exercise gives them great benefits to deliver oxygen and nutrients to their tissues and improve their cardiovascular system. The nutrition program and the exercise stem together would make this efficient. By showing participants end results that reflect a healthier heart and lung they will feel good an ...
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
1. Behavioral Management of Obesity Introduction and the Obesity Epidemic: In recent years, healthcare professionals have taken a great interest in helping people that struggle with obesity, however the epidemic has become increasingly alarming (1). According to the National Heart, Lung, and Blood Institute, overweight is defined as a BMI of 25 to 29, obesity is a BMI of 30 and extreme obesity is a BMI of 40 (2). If left untreated, “the obesity epidemic” could potentially pose a threat to the future of our nation’s health. According to the latest National Health and Nutrition Examination Survey (NHANES for 2003-2004), an estimated 66.3% of US adults 20 years of age or older are either overweight or obese. This shows a relative increase of 18% from the previous estimate of 56% from NHANES III (1988 –1994). In the 2003-2004 NHANES the estimated prevalence of obesity alone was 32.3%, a relative increase of 40.6% from the estimated 22.9% prevalence reported in NHANES III (1988-1994). It is evident from this data that the prevalence of obesity has increased throughout the past two decades (2). In addition, research suggests that with the increased prevalence of obesity comes the increase in other health problems, such as CVD, Type 2 Diabetes and High Blood Pressure, to name a few (2). If left untreated these health problems can lead to complications and worsen one’s condition, making it harder for them to lose weight. This public health issue has remained an enigma regarding treatment, as even those obese people who were able to lose weight at one point or another were often unable to maintain their weight loss. In addition, there has not been any clear guidance on everlasting strategies that will help people to achieve long term weight loss maintenance (2). A multitude of factors may make attempts to control weight tricky, however current research indicates that behavioral therapy is a promising tool that can help for the long term management of obesity. Behavior Therapy Approach: Behavioral therapy is a type of therapy that provides people with a set of techniques and values that will enable them to change their eating and activity patterns (3). Contrary to psychotherapy, behavior therapy does not seek to treat a psychiatric disorder but instead seeks to change behaviors and habits. Ultimately, behavior therapy is an intervention equipped to educate people on skills and tools to facilitate the change of their problems (3). This paper will discuss the behavioral management of obesity and will provide: (1) a brief overview of strategies used in behavioral management of obesity (2) a summary of clinical and case controlled studies of behavioral management in the treatment of obesity; and (3) a plan for future research. Trends and Strategies Used in Behavior Therapy: In the past, behavioral weight-loss programs consisted of weekly 60 to 90 minute sessions with each person for about 6 months. According to research, these programs typically resulted in average weight losses of about 10% of initial weight (3). However, without continued treatment, the participants usually regained approximately one third of their lost weight within the first 6 months after stopping treatment and within 5 years the participants returned to their original weights (3). It has been found through various studies that weight regain can be minimized through maintenance programs offered every other week for an additional 12 months. Decades of research on the behavioral treatment of obesity have lead to a comprehensive approach to obesity management, consisting of various components including, self monitoring, stimulus control, problem solving, cognitive restructuring, and relapse prevention. Together, these components make up the “Standard Behavioral Treatment of Obesity” which is part of a Lifestyle Modification Program (3). The Self-Monitoring Component: Self Monitoring is possibly the most important skill taught in “standard behavior therapy” and also the most challenging to correctly implement (3). This approach is used to educate patients on the use of measurement tools such as cups and spoons, nutrition facts labels and calorie counting guides in order to evaluate their own behaviors. Patients are instructed to record all foods eaten in a food log and include specifics such as time, amount, preparation and calorie content of all foods and beverages. In addition, it is important that the patient records how he or she is feeling (i.e. hunger rating, emotions, activities done while eating, etc.). This helps the patient to identify eating-related trends and can help them to target areas where they want to change (3,4). The Goal-Setting Component: This approach is used to help patients set specific and more importantly, attainable behavioral goals. These goals should be within a 1 week time frame depending on when sessions meet and they should be realistic and somewhat challenging at the same time. Instead of using “I’ll try harder” as a goal, patients are taught how to express observable behaviors that they will actually employ such as, “I will prepare my dinners for the week on Sunday so I can avoid eating out this week.” Setting a goal like this will increase the chance of the person succeeded and will bring about a feeling of accomplishment, which in turn can be reinforced (3). The Stimulus Control Component: Stimulus Control is taken from the operant conditioning theory that states that reinforcing stimuli leads to the probability that a given behavior will be repeated. In the case of behavior management, the therapist is not in control of the stimuli itself, but teaches lifestyle modification techniques that aid the patients in determining schedules and principles for rewarding themselves for advantageous behaviors. Principles of classical conditioning are also used for behavioral weight control and are used to “break” the chain of association between nonfood cues with eating, for example, eating breakfast in the car during the morning commute. If a habitually does this they end up associating their car with eating. Thus, patients are taught cues such as only eating in the kitchen or dining room table. Lastly, stimulus control involves decreasing the number of cues for unwanted behavior (i.e. overeating) and increasing the cues for desirable behavior (i.e. eating a salad before lunch and dinner). Patients will learn how to modify their environment as to take away the temptation for a certain food, sometimes this means ridding the pantry of a specific food altogether (3,4). The Problem Solving Component: Problem solving is a multi-step process where the patients are taught to first identify the problem or events leading up to the problem behavior. Throughout this process, one or more links are targeted leading to the second step where possible solutions come about. The next step involves listing pros and cons and using a cost-benefit plan of analysis for each solution. The fourth step is to select the best and most feasible solution and implement it for a period of time. Once the period of time is over, the last step takes place. The last step is evaluation. When all is said and done, successful solutions are sustained and the process continues again for those with failed solutions (3). The Cognitive Restructuring Component: These patients are taught to screen for any thoughts that pose a barrier to their ability to meet behavioral goals, identify any distortions within those thoughts, and replace the distorted thoughts with more sensible and rational ones. Cognitive restructuring can be utilized to correct these warped thoughts within a lifestyle medication program (3,4). Results of Behavioral Treatment of Obesity: According to reports of a 2 year randomized controlled trial entitled “Study to Prevent Regain” or “STOP”, it’s illustrated that increased contact with a health care provider is in fact beneficial to preservation of weight loss. Results from the study show that behavioral techniques such as, frequency of self-weighing and increased physical activity are predictors of weight maintenance. The study suggests that self-weighing combined with face-to face contact and continual dialogue are important for long-term maintenance of weight loss (5). Lifestyle modification programs are typically provided weekly for an initial period of 16-20 weeks. In hospitals and clinics, therapy is offered to groups of 10 to 20 individuals by Registered Dietitians, Behavioral Psychologists, and/or related health professionals. One controlled study found that group treatment produced a larger initial weight loss than individual treatment. In fact, those currently treated with a comprehensive group behavioral approach lost about 10.7kg (~24 pounds) or 10% of their initial weight in 30 weeks of treatment. Analysis of both earlier and more recent behavioral weight loss studies revealed that weight losses have increased three times over the past 40 years as treatment duration has increased (6). Short Term Modification: Researchers have looked at various dietary interventions combined with behavior treatment to increase initial weight loss. Earlier studies measured the use of low-calorie diets providing 1400-1800 calories per day. The results indicated that this diet produced almost twice the amount of weight loss as those produced by 1200-1500 calorie diets consisting of conventional foods. However, the losses could not be maintained beyond 1 year even with intensive follow-up care. This study suggests that large, rapid weight losses, even when combined with behavioral therapy leads to counteracting changes in the body causing the person to return to their baseline weights (6). Long Term Modification: Many studies also examine the effect of long-term weight management combined with behavioral therapy. Long-term weight management continues to remain a challenge. In one study, individuals treated by lifestyle modification for ~20-30 weeks (only 5-7 months) typically regained approximately 30% of their weight loss in 1 year following treatment. After the first year, it was shown that weight regain slowed, and by 5 years greater than or equal to 50% of patients most likely returned to their baseline weights. Given these results, we see that the need for long-term treatment to prevent weight regain is imperative (6,7). Behavioral Therapy: A Possible Long-Term Treatment of Obesity According to two recent studies published in Clinical Pharmacology and Therapeutics, results demonstrate that long-term weight loss can be achieved. The first study looked at a register of over 1000 people from all over the United States who maintained large weight losses for a period of years. One strategy used by the patients to maintain long-term weight losses included use of continued care after the first phase of treatment. As stated earlier, this care can be provided from RD’s, Therapists, and other health care providers through on-site visits, phone calls, and email. It was found that those patients who attended sessions every other week throughout the year following weight loss were able to maintain 13kg (~29 pounds) of their 13.2kg (~30 pound) totally weight-loss (6). Those who did not receive therapy were only able to maintain about half of their original weight loss. The subjects reported that their success was attributed to continuing care and continuing implementation of strategies learned through behavioral treatment programs such as, self monitoring of food intake and physical activity, weekly weighing, better nutrition, and exercise (6,7). Thus, we see the positive effects that long term behavioral management can have on maintenance. Future Research: Over the past couple of decades there have been notable improvements in the initial and long-term weight losses that can be attained via behavioral weight-loss interventions (8). When looking back to studies from 1978-1980, the average participant lost 10 lbs during the initial phase of treatment compared to the year 2000 where patients lost ~ 20 lbs by the end of treatment and maintained about 2/3 of that weight after 1 year (8). Future research is focusing on new and cost-effective ways to continue care with patients through internet and email. Further research is needed on this concept as well as developing more effective solutions for long term habit change and boredom, which is often a major processor to weight regain (8). It is hopeful that future research will help map out prevention and intervention strategies to help fight the obesity epidemic and make American healthy again. References: 1.Kumanyika, S.K., et al., Population-based prevention of obesity: the need for comprehensive promotion of healthful eating, physical activity, and energy balance: a scientific statement from American Heart Association Council on Epidemiology and Prevention, Interdisciplinary Committee for Prevention (formerly the expert panel on population and prevention science). Circulation, 2008. 118(4): p. 428-64. 2.Lacey, J.M., A.M. Tershakovec, and G.D. Foster, Acupuncture for the treatment of obesity: a review of the evidence. Int J Obes Relat Metab Disord, 2003. 27(4): p. 419-27. 3.Fabricatore, A.N., Behavior therapy and cognitive-behavioral therapy of obesity: is there a difference? J Am Diet Assoc, 2007. 107(1): p. 92-9. 4.Berkel, L.A., et al., Behavioral interventions for obesity. J Am Diet Assoc, 2005. 105(5 Suppl 1): p. S35-43. 5.Foster, G.D., A.P. Makris, and B.A. Bailer, Behavioral treatment of obesity. Am J Clin Nutr, 2005. 82(1 Suppl): p. 230S-235S. 6.Jones, L.R., C.I. Wilson, and T.A. Wadden, Lifestyle modification in the treatment of obesity: an educational challenge and opportunity. Clin Pharmacol Ther, 2007. 81(5): p. 776-9. 7.Latner, J.D., et al., Effective long-term treatment of obesity: a continuing care model. Int J Obes Relat Metab Disord, 2000. 24(7): p. 893-8. 8.Wing, R.R., Behavioral interventions for obesity: recognizing our progress and future challenges. Obes Res, 2003. 11 Suppl: p. 3S-6S. 9.Wadden, T.A., et al., Benefits of lifestyle modification in the pharmacologic treatment of obesity: a randomized trial. Arch Intern Med, 2001. 161(2): p. 218-27. 10.Lyznicki, J.M., et al., Obesity: assessment and management in primary care. Am Fam Physician, 2001. 63(11): p. 2185-96.