there is no finish line...enjoy the ride...

What Are You Made Of?

My regular guest blogger, Dr Les Davidson and I align on most health related topics and this week is no exception.  Of the people that actually monitor their body weight, I wonder how many understand what makes up the number on their scale, and why is it important.  That’s the topic of today’s post by Dr Les.

Besides our nation being just lazy, the obesity epidemic gripping North America may be in part due to what I call, “health illiteracy”.  So many people have preconceived ideas of what “healthy” is, but in actual fact they score very low on the health literacy scale when it comes to nutrition, diet, body weight, fitness, sleep, stress, etc., and even lower on execution.

Specifically related to Dr Les’ topic of weight, I’m experiencing this “illiteracy” first hand as I train for the hardest amateur bike race in the world this August - Haute Route.   This 7 day stage race starts in Geneva and finishes in Nice France and covers 860km through the beautiful French Alps.  But it's not the distance that makes this race so grueling; it’s the 21,000 meters (68,000 feet) of climbing over the Alps that makes is so hard.  Below is the profile of the 7 days of racing facing the 600 participants of Haute Route. 

 

Given the amount and severity of climbing involved, special attention to a rider's body weight and its composition is of primary concern to every participant.  There’s a reason why cyclists pay more attention to their weight than international super models, and it has little to do with vanity.  In fact, it has everything to do with how much power a rider can produce for every kilogram of body weight.  And the relationship between power output and weight has greater sagnificance when long, steep mountain climbs are involved.

At the beginning of January, I weighed 171lbs, but to race Haute Route, I would have to shed between 15lbs to 20lbs to increase my “power-to-weight” ratio to over 4 watts/kg.  Losing weight is just half the battle, as one must also be mindful of what type of weight that's lost.  In my case, I want to lose body fat, while maintaining or even increasing lean muscle mass. 

There’s an old saying in business, “If you can measure it, you can manage it”.  So, at the beginning of February I started measuring my body fat using skin fold calipers.  By focusing on the quality and even more importantly, the quatity of food I consumed, I now weight 156lbs.  During this time I also gained 4lbs of lean muscle, so effectively I’ve lost 19lbs of body fat since January.  Since fat occupies more volume than muscle, I’ve also lost an inch from my chest, waist and hips, so I actually appear much thinner.  Below is my progression of weight loss and muscle gain since I started recording this information in February.

And here in lies the “health illiteracy” issue.

It seems in North America you can be overweight, or even obese, and no one will ever mention that you have a serious and potentially life threatening health issue.  In fact, a recent study found that over 60% of parents with overweight children considered them to be of normal weight.  But if you’re thin, as in healthy thin, people take it upon themselves to point out that you’re too thin and don’t look healthy.  Can you imagine the reaction you would receive if you told a friend that she was overweight and didn't look healthy?  The duel standard is because of three reasons:

1. Given there are so many overweight and obese people in North America, our mental model of what constitutes a healthy weight and size has been skewed over the decades.  People of a healthy thin composition are now in the minority and look different to the majority of overweight North Americans.
2. Most people are illiterate when it comes to what a healthy size and weight should be.  Just like the majority of people no longer know what represents a healthy food portion.  As a result, the bigger is better attitude prevails.
3. Finally, weight loss is generally associated with serious illnesses such as AIDS, Cancer or Eating Disorders.  My good friend Pierre LeClair who I coach was once 250lbs.  After losing 80lbs last year, he tells me people that haven’t seen him for a while ask him if he’s sick because he looks too thin, even though he’s the healthiest he’s been in decades.

This is obviously frustrating to a guy like myself that’s uber aware of my health and fitness, but more importantly, it draws attention to the fact that so many people are “health illiterate” which has negative consequences at both individual and national levels. 

Dr Les, has done a great job of framing the issue, why it’s important to understand what you’re made of, monitoring techniques, and how to bring yourself back to a healthy and well proportioned size. 

As always with much of what I share, “knowledge is power, but action flicks the switch”. 

Enjoy the ride….Rob

 

What Are You Made Of?

by: Dr Les Davidson

What are you made of? Or stated more technically, what is your body composition? Are you a lean, mean athletic machine, or are you getting a little soft?  Every year billions (with a “b”) of dollars are spent on weight-loss endeavors in North America. Beyond the obvious — looking good at the beach — is there any reason to be concerned about the composition of your body.

As a competitive wrestler throughout high school and university, the scale was a constant companion because we were grouped according to our weight classes for competition.  I learned quickly that the quality of my weight was crucial; reducing extraneous fat became an important objective. Forty years later the challenge to maintain an optimum fat to muscle ratio is still there but my motivation is less about competing and more about remaining healthy and active. In order to do that, I need to pay close attention to my body composition.

Body composition is simply a measurement of lean body mass (bones, muscles, ligaments and organs) compared to fat mass which is referred to as adipose tissue. Technology allows us to accurately measure the amount of lean mass versus fat mass. These measurements are expressed as percentages of overall weight and knowing these percentages and what they indicate is important to your health.

A certain amount of body fat is essential to insulate our body, protect our organs from trauma, provide energy, and to assist hormone production necessary for reproduction. The amount of essential fat will vary dependent on sex and age but there are recommendations for ideal body fat percentages. The table below from the American Council on Exercise is typical fat percentages.

	Male	Female
Essential fat	3-5%	10-16%
Competitive Athletes	6-13%	14-20%
Recreational Athletes	14-18%	21-24%
Average	19-20%	25-31%
Obese	25+%	32+%

 

An equally important variable is where the fat is located; excess fat found at the waist (also known as central obesity) is associated with increased risk to our health. Our waists are thickened not just by the fat we can feel but also because excess fat accumulates around the organs (visceral adipose tissue).

Historically, we believed this fat to be an inert storage of extra energy. Medical science has now come to understand that adipose tissue is a major endocrine organ that produces hormones associated with insulin resistance and general body inflammation. The conditions associated with excess fat are often discussed as separate syndromes but in reality, they are a group of interrelated issues that cascade into ill health. Insulin resistance and inflammation leads to Metabolic Syndrome or Syndrome X — conditions associated with an elevated risk of Type Two diabetes and Cardiovascular Disease. There is also strong evidence that Metabolic Syndrome increases risk for certain Cancers. Then there is the impact that excess adipose tissue has on the musculoskeletal system with increased back pain and damage to the weight-bearing joints of the lower extremities. In my office each day I see patients impacted by being overweight. It may not cause their back, hip or knee pain but it aggravates their symptoms and limits their ability to be as active as needed to regain good health.

Determining your risk:

Body weight alone is a poor indicator of body composition as it does not differentiate between lean tissue (bones, muscles, connective tissue and organs) and body fat. There is no single ideal percentage of body fat for everyone. Estimating body composition is attempted with the body mass index using the variables of weight and height (weight divided by height squared). More accurate methods using DEXA (dual energy X-ray absorptiometry) or hydrostatic weighing (calculating what sinks (lean mass) versus what floats (fat) when the client is submerged under water) are often difficult for most individuals to access. Using calipers to measure skin folds or employing Bioimpedance are affected by the skill of the person measuring and the formulas applied, but can be easily mastered with a little practice. At our office we employ the bioimpedance method. With careful attention to patient hydration and selection of the optimum formula, we have had results that match closely to results of the DEXA scan.

Another method to stratify those who have high levels of body fat ignores the percentage of lean mass and body fat and focuses instead on the amount of belly fat. Measuring your waist circumference may be a more sensitive test because, as I mentioned, Intra-abdominal or visceral fat (regardless of overall body fat) has a particularly strong correlation with cardiovascular disease, diabetes, cancers and other life shortening diseases. There are three ways that this measurement is used to quantify risk:

1. Waist circumference, Absolute waist circumference (>102 cm in men and >88 cm in women)
2. Waist–hip ratio (the circumference of the waist divided by that of the hips of >0.9 for men and >0.85 for women)[19]
3. Waist circumference divided into height. This has been described as the index of central obesity. (0 .5 or greater is suggested as a sign of increased risk. More specifically the range for women was suggested to .47-.54 and for men as .51-.58).

Reducing the risk:

1. Diet: You cannot exercise at the same pace you can eat so it is critical to moderate your calories regardless of the protein, fat or carbohydrate content of your food or the amount you exercise. Look for food in a natural state with no “improvements” by the food industry (such as partially hydrogenated fat, preservatives or high-fructose corn syrup).
2. Exercise: Just remember we are designed to move and not doing so compromises our health. Vary the intensity and duration and include resistance activity. This challenge becomes greater as we age because hormonal shifts make building lean mass harder and layering on fat easier
3. Sleep: Sleeping too little or of a poor interrupted quality increases insulin resistance and raises cortisol the stress hormone. (See Rob’s blog, The Sleep Mistake Many of Us Make)
4. Stress reduction: Being overwhelmed or on heightened alert increases the sympathetic nervous system activity. This releases cortisol and directly increases belly fat. Moderating our moods by eating or drinking too much is often seen in response to stressful situations.

The body has tremendous recuperative powers if it is provided with the right inputs. March is Nutrition month and I would like to encourage you to think of the importance of quantity as well as quality of your food! Exercise is critical for good health but it can’t exercise your way out of a bad diet! Don’t pursue some unrealistic and media-hyped expectation for your body.  People come in all shapes and sizes but no shape is improved by an expanding layer of belly fat.

Pay more attention to what you’re made of. This will be good for your health and you just might look better on the beach this summer!

Four Common Diet and Exercise Myths Dispelled

Is it any wonder why so many North Americans are frustrated with the barrage of mixed messages regarding their diets and the roll of exercise?   It’s my attempt to provide some clarity to many of misconceptions that guide people to their lifestyle choices, and as a result I write about and often share other articles that I feel assist in making informed health decisions for yourself and your families.

That being said, I came across an excellent article by Dr Mark Hyman that exposes four myths about health and lifestyle choices that I’ve written about in the past, but has consolidated them into one article.  Dr Hyman dispels the following common myths:

Myth 1: Diet Soda and Diet Drinks Don’t Make You Fat or Cause Type 2 Diabetes

Myth 2: Eating Fat Makes You Fat

Myth 3: Being Overweight Is Your Fault

Myth 4: Exercise Your Way to Weight Loss

As I’ve often said, “Knowledge is Power, but Action flicks the Switch.  Dr Hyman has provided clarity to 4 of the most common myths about diet and exercise, and after reading this; it’s up to you to put this information into action.

Enjoy the Ride....Rob

 

How Diet Soda Makes You Fat (and Other Food and Diet Industry Myths)

By Dr Mark Hyman, MD

How do you lose weight? Substitute diet drinks for sugary drinks. Eat low-fat foods. Just eat less of the bad foods -- it's all about the calories. We are told, "Just have more willpower."

These ideas are false. They are food and diet industry propaganda that make and keep us fat and sick. Lies by the food industry combined with bad government policy based on food industry lobbying are the major cause of our obesity and diabetes epidemic. Now, more than 35 percent of Americans are obese, and almost 70 percent are overweight. This is not an accident but the result of careful marketing and money in politics.

We are told it is all about making better choices. If we all took more personal responsibility, we could stop this obesity and diabetes epidemic. We have been told there are no good or bad foods, that the key to weight loss is moderation. And, of course, if we all just exercised more, all of us would lose weight. These myths hold us hostage. So, what doesn’t the Food and Diet industry want you to know?

Myth 1: Diet Soda and Diet Drinks Don’t Make You Fat and Cause Type 2 Diabetes

Diet soda DOES makes people fat? Really? How does that happen?

If losing weight were all about the calories, then consuming diet drinks would seem like a good idea. That's certainly what Coca-Cola wants us to believe in their new ad highlighting their efforts to fight obesity. They proudly promote the fact that they have 180 low- or no-calorie drinks and that they cut sugared drinks in schools by 90 percent.

Is that a good thing? In fact, it may be worse than having us all drink regular Coke (and the other food giants making diet drinks also push the same propaganda). A new 14-year study of 66,118 women (supported by many other previous studies) found that the opposite seems to be true. Diet drinks may be worse than sugar-sweetened drinks, which are worse than fruit juices (but only fresh-squeezed fruit juices).

The study, published in the American Journal of Clinical Nutrition, discovered some frightening facts that should make us all swear off diet drinks and products.

1. Diet sodas raised the risk of diabetes more than sugar-sweetened sodas!
2. Women who drank one 12-ounce diet soda had a 33 percent increased risk of Type 2 diabetes, and women who drank one 20-ounce soda had a 66 percent increased risk.
3. Women who drank diet sodas drank twice as much as those who drank sugar-sweetened sodas because artificial sweeteners are more addictive and are hundreds to thousands of times sweeter than regular sugar.
4. The average diet soda drinker consumes three diet drinks a day.

You might say that people who are overweight and just about to get diabetes drink more diet soda, but they scientifically controlled for body weight. And they found the artificial sweeteners increased diabetes independent of body weight!  This and other research shows how diet sodas make people fat and sick.

And that diet drinks may be even worse than regular sugar-sweetened sodas! How does that happen?

• Artificial sweeteners are hundreds to thousands of times sweeter than regular sugar, activating our genetically-programmed preference for sweet taste more than any other substance.
• They trick your metabolism into thinking sugar is on its way. This causes your body to pump out insulin, the fat storage hormone, which lays down more belly fat.
• It also confuses and slows your metabolism down, so you burn fewer calories every day.
• It makes you hungrier and crave even more sugar and starchy carbs like bread and pasta.
• In animal studies, the rats that consumed artificial sweeteners ate more, their metabolism slowed, and they put on 14 percent more body fat in just two weeks -- even eating fewer calories.
• In population studies, there was a 200 percent increased risk of obesity in diet soda drinkers.

I love Taylor Swift. I met her last summer. She is a wonderful person with great integrity. I don't think she knows about this research, and I hope someone shares it with her so she can save millions of children and fans from drinking Diet Coke because she endorses it.

Bottom line: There is no free ride. Diet drinks are not good substitutes for sugar-sweetened drinks. They increase cravings, weight gain, and Type 2 diabetes. And they are addictive.

Myth 2: Eating Fat Makes You Fat

The diet and food industry has brainwashed us to eat fat-free foods, which seems like common sense. Eating fats makes you fat. Right? But the science tells us otherwise -- not all calories are created equal. And even though fat has more calories per gram (9 calories vs. 4 calories of carbs and protein), eating fat can help you lose weight.

This low-fat idea was based on bad science. Our government told us in the 1970s to go on a low-fat diet and to eat 8-11 servings of rice, bread, and pasta a day. And unfortunately, we listened. This was the beginning of our obesity and diabetes epidemic. The food industry happily created a flood of fat-free foods.

But the science has proven that eating fat doesn't make you fat -- sugar does. And it is sugar, not fat, that raises your cholesterol despite what people and most doctors still believe. A 20-ounce soda is fat-free, but that doesn't make it a health food. If cookies were fat-free, then you can eat the whole bag, right?

But the fat is replaced with flour and sugar, and the result we now have is one in two adults with diabesity -- that's pre-diabetes or Type 2 diabetes -- and almost one in four teenagers with pre-diabetes or Type 2 diabetes. We did a 10-day sugar-free detox with our online community, and 600 people lost more than 4,000 pounds in 10 days!

So why does eating fat free make you fat and diabetic?

In a recent Harvard study, Dr. David Ludwig found that in two groups eating exactly the same calories, the group that had the low-fat diet (which means higher in sugars and starches) burned 300 calories less per day. Their metabolism was slower than the group eating the higher fat and higher protein diet.

If you ate the higher-fat, higher-protein diet (of exactly the same calories), it is the equivalent of running for one hour a day. In other words, if you just swap out sugars and starches for good quality fats and protein, it will be like you added an hour of free exercise a day to your life without any change in calorie intake!

Bottom Line: The key point here is that all calories are not the same. Swap out sugar and starch for good fats such as nuts, avocados, olive oil, and grass-fed animal products or wild fish. Be a "qualitarian." Focus on quality, on real food, and the rest takes care of itself.

Myth 3: Being Overweight Is Your Fault

The food industry would have us believe that controlling our weight is about personal responsibility. Tell that to a 200-pound 5-year-old with diabetes and liver failure. Our taste buds have been hijacked by the food and diet industry. We are programmed to like sweet, salt, and fat tastes.

And those slick combinations of sugar, fat and salt in junk and processed food have hijacked our taste buds, our brain chemistry, and our metabolism. These foods are biologically addictive. We are held hostage by the food industry and we blame ourselves. This is food terrorism!

How does food addiction happen?

New research shows that industrial food full of processed sugars, fats, salt, and chemicals are powerfully addictive. And sugar is the worst culprit. One animal study found that sugar is more addictive than cocaine. When rats were given the choice between mainline cocaine right into their veins or sweetened water (in fact, they used an artificial sweetener), they found that sugar was eight times more addictive than cocaine. Even the rats already addicted to cocaine switched over to diet drinks!

And what's even more interesting is that while cocaine and heroin activate only one spot for pleasure in the brain, sugar lights up the brain like a pinball machine. If these foods are addictive and drive overeating, then the whole idea of moderation just doesn't work. Hey, just have that one line of cocaine or that one hit of heroin.

We can't stop eating, but we can stop eating junk and sugar! So we have to take back our taste buds, take back our brain chemistry, and take back our bodies from the food and diet industry. How do we do that?

Bottom Line: By eating real food -- chicken, fish, veggies, fruit, nuts, seeds, beans, and a little whole grains will reset your taste buds and your brain chemistry automatically.

Myth 4: Exercise Your Way to Weight Loss

The food industry and diet industry push exercise. Even Michelle Obama's childhood obesity initiative focuses on exercise in its name, Let's Move. But it should be really called Let's Eat Real Food.  Here's why. Sugar-sweetened drinks make up about 15 percent of our calorie intake every day. But you have to walk 4.5 miles to burn off one 20-ounce soda, which contains 15 teaspoons of sugar.

You have to run four miles a day for one week to burn off one supersize meal. If you have one supersize meal everyday you would have to run a marathon every day! You can't exercise your way out of bad diet -- except if you run a marathon every day.

Drinking 32 ounces of Gatorade after a workout is a dumb idea, unless you run around like Kobe Bryant on the basketball court for 48 minutes. There are better ways to replenish your energy and electrolytes than colored sugar water with a few minerals sprinkled in. To paraphrase my friend Bill Clinton, "It's the food, stupid!"

Bottom Line: Exercise is critical to long-term health and weight loss, but you can't exercise your way out of a bad diet.

Thankfully, science is shedding light on the ideas that keep us fat and sick. Unfortunately, scientists don't have billion-dollar marketing budgets. But we as a community of thinking people wanting real information can speak out, can spread the word and turn the tide of obesity and chronic disease together.

Believe ‘A Calorie is a Calorie’? Coke says it is....Think Again!

I read the following article today by Dr Robert Lustig, Professor of Pediatrics at UCSF, and President of the Institute for Responsible Nutrition. 

I’ve shared Dr Lustig’s research and information in the past and given Coca Cola’ latest slick new 2 minute ad – Coming Together on YouTube suggesting to their consumers that a Calorie is a Calorie, thereby implying that it’s the fault of the general public for the obesity epidemic because they offer reduced and low calorie options (claiming no culpability on their part) is reprehensible, but predictable.

 

Dr Lustig’s research below is certainly timely given this slick piece of marketing and something every person that cares about their health and the health of their families should know and understand. 

Let's be clear, companies like Coca Cola, PepsiCo, and others that market processed foods are no friends of yours, mine or our families when it comes to selling products that are harmful to our health and the health of our families. They care only about revenues at the expense of a healthcare system that are struggling and on life support, while giving little consideration for their customers that are addicted to their unhealthy products.

Think about your health the next time you reach for the “Real Thing”, because you're not only paying for their products, you're also paying for a dying healthcare system.

I’ve copied the full article written by Dr Lustig for your convenience below.

Enjoy the Ride....Rob

Still Believe ‘A Calorie is a Calorie’?

By Dr Robert Lustig

If you do, you fly in the face of mounting and incontrovertible evidence that some calories -- in particular, "sugar calories" -- are jeopardizing both your and your family's health. Physicians and politicians who cling to the dogma that "all calories should be treated equally" imperil our country's health care system, food supply and standing in the world for the next hundred years.

A calorie is a measurement of energy (a matter of physics), not a value judgment on where that energy goes (a matter of biochemistry). As my book Fat Chance explains, you get sick from inappropriate energy storage (in your liver and muscle), not defective energy balance (bigger love handles). Nonetheless, "a calorie is a calorie" continues to be promulgated by the food industry as their defense against their culpability for the current epidemic of obesity and chronic metabolic disease. But it is as dishonest as a three-dollar bill. Here are just four examples that refute this dogma:

1. Fiber. You eat 160 calories in almonds, but you absorb only 130. The fiber in the almonds delays absorption of calories into the bloodstream, delivering those calories to the bacteria in your intestine, which chew them up. Because a calorie is not a calorie.
2. Protein. When it comes to food, you have to put energy in to get energy out. You have to put twice as much energy in to metabolize protein as you do carbohydrate; this is called the thermic effect of food. So protein wastes more energy in its processing. Plus protein reduces hunger better than carbohydrate. Because a calorie is not a calorie.
3. Fat. All fats release nine calories per gram when burned. But omega-3 fats are heart-healthy and will save your life, while trans fats clog your arteries, leading to a heart attack. Because a calorie is not a calorie.
4. Sugar. This is the "big kahuna" of the "big lie." Sugar is not one chemical. It's two. Glucose is the energy of life. Every cell in every organism on the planet can burn glucose for energy. Glucose is mildly sweet, but not very interesting (think molasses). Fructose is an entirely different animal. Fructose is very sweet, the molecule we seek. Both burn at four calories per gram. If fructose were just like glucose, then sugar or high-fructose corn syrup (HFCS) would be just like starch. But fructose is not glucose. Because a calorie is not a calorie.

Up until now, scientists have shown that sugar is "associated" or "correlated" with various chronic metabolic diseases. For instance, the increase in sugar consumption over the past 30 years paralleled the increase in obesity, diabetes and heart disease. Areas that drink more soda (e.g., the American Southeast) experience higher prevalences of these diseases. But correlation is not causation.

Which direction do the data go? Does sugar cause obesity and metabolic disease? Or do obese people with metabolic disease drink soda? You can't tell, because you only have one point in time -- the snapshot, not the movie. In the February 27 issue of the journal PLoS One, my colleagues Dr. Sanjay Basu, Paula Yoffe, Nancy Hills and I put this issue to rest, because we now have the movie.[1]

We asked the question, "What in the world's food supply explains diabetes rates, country-by-country, over the last decade?" We melded databases from the Food and Agriculture Organization (FAOSTAT), which measures food availability, the International Diabetes Federation (IDF), which measures diabetes prevalence, the World Bank World Development Economic Indicators, and the World Health Organization Global Infobase. We assessed total calories; meat (protein); oils (fat); cereals (glucose); pulses, nuts, vegetables, roots, and tubers (fiber); fruit excluding wine (natural sugar); and sugar, sugarcrops, and sweeteners (added sugar). We controlled for poverty, urbanization, aging, and most important, obesity and physical activity.

Bottom line -- only changes in sugar availability explained changes in diabetes prevalence worldwide; nothing else mattered.

Total caloric availability was unrelated to diabetes prevalence; for every extra 150 calories per day, diabetes prevalence rose by only 0.1 percent. But if those 150 calories per day happened to be a can of soda, diabetes prevalence rose 11-fold, by 1.1 percent (and Americans on average consume the added sugar equivalent of 2.5 cans of soda per day, so that's 2.75 percent!). And this effect of sugar was exclusive of obesity; controlling for body mass index did not negate the effect. Even more important, we showed that the change in sugar availability preceded the change in diabetes (that's cause, not effect); and we showed directionality -- those countries where sugar availability rose showed increases in diabetes, while those where sugar availability fell showed decreases in diabetes. This is a very robust signal, with little noise. While epidemiology can't prove scientific causation, the data allow for objective inference. Sugar drives diabetes worldwide, and unrelated to its calories.

When you do the math, fully one-quarter of the world's diabetes is explained by sugar alone.

The food industry has contaminated the American food supply with added sugar to "sell more product" and thereby uphold their Wall Street mandate to increase profits. Of the 600,000 food items in the American grocery store, 80 percent have been spiked with added sugar; and the industry uses 56 other names for sugar on the label. They know when they add sugar, you buy more. And because you do not know you're buying it, you buy even more.

The outcome: By the year 2050, one-third of all Americans will have diabetes. Trustees of the Medicare program predict that Medicare will be broke by 2024. No health care for you. Yet just six weeks ago, Coca-Cola had the temerity to introduce its two-minute ad "Coming Together," in which they say: "All calories count" because a calorie is a calorie; if you're fat, it's your fault (they claim no culpability); and because they make non-caloric drinks, they're part of the solution. The problem is that a calorie is not a calorie; if non-caloric drinks are the solution, then by inference they're saying that caloric drinks are the problem.

Sugar in excess is a toxin, unrelated to its calories. The dose determines the poison. Like alcohol, a little sugar is fine, but a lot is not. And the food industry has put us way over our limit.

The food industry will summon their spin doctors. They will yet again argue that the statistics are wrong, the interpretation is too broad -- but they will not be able to effectively refute the science. They haven't yet, and they won't succeed now. Sunlight is the best disinfectant, and it's shining brightly on the food industry's practices. They will continue the propaganda, and try to sow the seeds of doubt. But they will be on the losing end of this battle. The UK and Australia have just this past week laid down stricter guidelines for sugar consumption. The people and scientists of the United States are onto them as well. It's just a matter of time before the politicians follow.

Robert H. Lustig, M.D., is Professor of Pediatrics at UCSF, and President of the Institute for Responsible Nutrition (responsiblefoods.org), at which the Doctors' Food Project is the first campaign. He is currently getting his Masters in Studies of Law at UC Hastings College of the Law. His YouTube lecture, "Sugar: The Bitter Truth" has been viewed over 3 million times. His book, Fat Chance: Beating the Odds Against Sugar, Processed Food, Obesity and Disease (Hudson Street Press, 2012), is in bookstores now.

Calories are NOT Created Equally

I’d like to share with you an article I recently read in Bicycle Magazine that’s excellent “food for thought” (pardon the pun).  And not just for cyclists, but for anyone that’s interested in maintaining a healthy weight.  It's often suggested that it doesn't matter if the calories you eat comes from a donut, or an apple, because a calorie is a calorie and the body doesn’t know the difference.  Nothing could be further from the truth. 

Let’s start with some basics.  There are 3,500 calories in every pound of body weight and when you exercise you burn a varying amount of calories depending on your activity and intensity. For example, I zap around 9 to 10 calories every minute when I’m riding my bike, which means a guy weighing 159 pounds like myself will burn between 500 and 600 calories on a typical one hour bike ride—roughly the calories in a 6-inch Spicy Italian Subway sub. (If you're heavier, you shed more calories; if you're lighter, you lose less.)

Most people that exercise generally overestimate how many calories they’re burning up during their workout.  And if they eat an energy bar and drink a sports drink, they’ve effectively cancelled any calorie burn.  According to Leslie Bonci, MPH, RD, director of sports nutrition at University of Pittsburgh Medical Center, “Surveys show that many exercisers overestimate the calories they burn by nearly double and unless every morsel has a food label, it's difficult to know how many calories are consumed and even harder to know how much you're burning."  And it goes without saying that your average couch potato has no clue what they’re consuming and unfortunately they couldn’t care less.  In fact, the only time they take an interest is when they’re told they have heart disease, cancer, or diabetes.

As mentioned above, a calorie is a measurement of the energy in food. And for years we've been told a calorie is a calorie. According to Bonci, "Foods close to their natural state, such as fresh vegetables, fruits, whole grains and lean, whole cuts of meat, require energy from your body to chew and digest them. They create a thermic response, which means you burn calories just processing them."

Bonci and other experts partly blame the preponderance of "lazy calories" for the current obesity epidemic. "Our food is so heavily processed, it's practically predigested," she says. "That fast-food burger you eat from McDonalds has gone through so much pulverization, you barely have to chew. We're losing the ability to burn calories as we naturally would during the eating and digestive process." And many of these same foods are calorie-dense, so there's more for your body to store.

Neither Bonci nor I suggest counting calories as it takes the joy out of eating and ends up a futile venture. Instead, fill your plate with active calories, like those found in fruits and vegetables. Such foods possess more fiber and water, which means you digest them slowly, feel satisfied longer with longer-lasting energy.  Consider them as, "free foods" and eat as many as you want.

By simply changing the composition of your plate, you will lose weight without worrying about hunger pangs, counting calories, or bonking episodes if you’re a cyclist like me. Below shows what a "high performance plate" should look like. Structuring your meals this way will allow you to fill up without filling out.

The Performance Plate

• One-quarter to one-third of your meal should consist of active and semiactive calories from protein such as lean meat, skinless poultry, fish, eggs and low-fat dairy.
• One-half should be active calories from fruits and vegetables (for the fill-and-chew factor).
• One-quarter should be active and semiactive calories from whole-grain starches: brown rice, whole-wheat pasta.
• Couch Potato calories should be consumed sparingly; and if you are overweight (BMI greater than 24.8) try your best to avoid them completely.

Active Calories

• Lean meat, fish, poultry
• Fruits
• Vegetables
• Leafy greens
• Whole grains
• Beans and legumes

Semiactive Calories

• Fiber-rich cereal
• Whole-grain bread
• Low-fat dairy
• Soups

Couch Potato Calories

• Pastries, cookies, pies, cakes
• Fatty processed meats
• Chips, pretzels, snack foods
• Fast food

So being mindful of foods that are not only nutritious, but require energy to digest, you won’t have to starve yourself on one of those crazy diet programs that force you to count every calorie while depriving yourself the enjoyment of eating for pleasure as well as nourishment. 

Enjoy the Ride....Rob

6 Rules that will Increase the Quality of your Life

Over the weekend I participated in the Gran Fondo Rockies 170km cycling “race”.  Well, they say it’s not a race, but hey, they give you a number, a time and the top 5 male and female finishers were awarded prize money.  So as far as I can tell, it had all the characteristics of a race. 

Training for a 170km bike race, or just trying to increase the basic quality of your life requires 6 key criteria. If you follow these 6 basic rules, you will enjoy increased energy levels (at any age). 

1. Eat Healthy, (Most of the Time):  I have to admit, I have a sweet tooth and I love French Fries and Onion Rings.  That said, I rarely eat this stuff because over the years, I’ve made small changes to my diet whereby I don’t crave it.  When grocery shopping, stick to the outside aisles, because that’s where you’ll find the healthy whole food and avoid the inside aisles where they stock the processed foods that are accountable for the health crisis in North America.  Over time, increase your fruits, vegetables, leafy greens, whole grains and lean meats, to the point where this becomes the majority of your calories consumed and junk food is the exception.  Finally, watch your portions.  North Americans eat way too much and generally have no idea what a healthy portion looks like.
2. Keep Moving & Move More:  I’m often asked how many times a week should one exercise for optimal health.  The answer is 7 days a week for a minimum of an hour.  If you live a sedentary life, start walking.  Instead of plopping your butt in front of the TV with a bag of chips and a beer, or wine and cheese.  Get moving and go for a brisk walk.  It’s easy, free of cost and you will feel better when you’re done.  If you’re already active, try switching up your routine, or increase the training intensity.  As the ad goes, “Just Do It”.
3. Sleep:  This is one of my areas where I can certainly improve.  Sleep is critical for the body to recover, especially for those of us that are active.  I’ve written on this topic before and I have two suggestions, 1) go to bed this week 30 to 60 minutes earlier, and 2) get into a pre-bed routine that reduces the exposure to TV, Computers, and work e-mails.  Making these two changes will increase the quantity and quality of your sleep, thereby increasing your body’s ability to recover and be energized for the next day.
4. De-stress Your Life:  I look at stress as being both negative and positive.  The stress that you place upon yourself to improve and drive yourself to new levels is positive.  By its very nature, healthy stress is a motivator.  It makes us better people.  Having just watched the Olympics for the past 17 days, we witnessed incredible performances that were the result of positive stress.  While at the same time these very same athletes do everything in their power to eliminate all negative stress from their lives.  If you have issues at work, or within your family that are causing internal turmoil, deal with it, because the stress is unhealthy and will affect your ability to sleep, exercise and eat properly.  The good thing about negative stress, it’s usually within your power to control, or eliminate.  But like most things pertaining to health, it requires action on your part to make it happen. 
5. Drink H2O:  With all the exotic drinks that are available these days, there’s still nothing better than good old fashion water (even our tap water).  Water is the ultimate energy drink and don’t let anyone convince you otherwise.  If you eat a healthy diet, there’s no need for vitamin water, energy drinks, sports drink, electrolyte replacement drinks, etc, etc.  And if there’s just one thing you take away from this post that will make a huge change in your energy levels, stop drinking soda pop.  Just remember, the majority of the human body is water and it needs approximately 2 litres (67 oz) every day, and more depending on the intensity of your exercise.  If you want to turn you water into a more exotic drink, slice up a lemon, lime or orange for some flavour.  Finally a word on alcohol; if you’re female, more than 1 drink a day is considered unhealthy and 2 drinks a day for men.  Many of our chronic diseases are directly attributed to the increase in social drinking habits, especially amongst women.
6. Find and Fuel Your Passion:  Anyone that's met me for more than 5 minutes will know my passion is cycling.  Living your passion fuels your spirit.  Finding and living your passion is a key criterion for living a quality life.   If you don’t know what your passion is, list the things you used to love doing and start doing them again until one emerges.  People often lose their way when they live without something they love to do that defines who they are.  If you know what your passion is, but aren’t doing it, now’s the time to stop procrastinating and make it happen.  You’re body and soul will thank you.

I placed 2^nd overall in that Gran Fondo and after 170km of hard racing, it came down to a sprint finish between three of us and I was edged out by a wheel at the line by the guy in the front of this picture.  This picture was taken after 160km of racing with only 10km to go and by this point, we were all sufferring. 

After we finished the other two guys I sprinted with were surprised that a 56 year old guy could compete with guys that were 15 to 25 years younger.  The answer was simple and contained in the 6 points listed above. 

For the most part, I eat well (most of the time), I train every day (a day off is the exception), maybe if I got a little more sleep, I could have beaten the other guy to the line (note to self, go to bed 30 minutes earlier, starting this week), I drink approximately 4 litres of water every day to fuel my body, I deal with all stressors in my life and eliminate the negative ones that affect my wellness and finally, I know my passion and enjoy doing it every day.

Implementing these 6 basic rules will certainly increase the quality of your life.

Enjoy the Ride...Rob

Ride to Conquer Cancer

A week ago I participated in the Ride to Conquer Cancer with seven of my work colleagues.   We joined over 1800 cyclists from across the province of Alberta as they rode over 230km over a weekend.  Collectively our team raised over $43,000, adding to the over $8,000,000 this single event raised in the fight against cancer. 

It’s said a picture is worth a thousand words, than I guess a video must be worth a million words.  Below is a short 10 minute video I produced to capture the event’s highlights.  Enjoy. 

  

My Observations:

The majority of the people riding in this event were your everyday person and I couldn’t find a single person that hasn’t somehow been personally affected by cancer, either personally or through a close friend or relative. 

I write this blog with the intent to increase the quality of life through providing readers information about diet, exercise and general healthy lifestyle choices.  During the weekend, I listened to the many stories about people that had cancer and lost the fight, and those that won the fight.  But as I listened, I found myself making a mental tally how many cases were the result of “bad cards” vs how many were because of “bad habits”.  It didn’t take long to realize the majority were the result of poor lifestyle choices.  Obviously, this is not a scientific study, but the point I’m trying to make, is that many people contract cancer because they have adopted unhealthy habits from their parents, or friends and without even knowing it they find themselves running directly towards a serious cancer event. 

Too many of these cases is simply a lack of education regarding the risk factors beyond genetics.  For example, eating a diet that’s high in acid, is a breeding ground for cancer (the typical North American diet, especially soft drinks and alcohol are very acidic), or not eating foods that are high in antioxidants, that remove free radicals that cause oxidative stress, which may lead to cancer.  In the absence of information, people will do what others do with little consideration to the consequences.

The other comment I heard over and over again during the weekend was how cancer caught the person by surprise.  Cancer is generally a disease that takes years or decades to develop to the point of crisis.  Except for the people that were given “bad cards”, cancer should never come as a surprise.  If you are overweight (BMI greater than 24.8, which is now over 55% of all Canadians), or you smoke (21% of Canadians), or you drink more than the safe limit of alcohol (one drink a day for women, two for men), or if you don’t exercise daily, etc. etc. then don’t be surprised if one day cancer knocks on your door.  The decisions you make today about your health will affect you decades from now.

Regardless of how or why a person contracts cancer, this disease affects more than that individual, and events such as the Ride to Conquer Cancer raise much needed awareness in addition to the funding needed for scientific research that hopeful brings a day when we live in a cancer free world.  Until that time comes, take it upon yourself and make healthy lifestyle choices for you and your loved ones.

Enjoy the Ride.....Rob

Drinking: How Alcohol Affects Athletic Performance?

I’ve often commented within this blog about the negative affects associated with the consumption of alcohol, in addition to the social stigma associated with people that abstain from drinking.  It seems drinking has become an accepted and integral part of our social fabric.  That said, as long as it’s restricted to 1-2 drinks a day (1 for women, 2 for men), alcohol can actually have positive heart health benefits.  The problem I see, is that most individuals drink far more than what is considered healthy.

But, how much alcohol can you drink before it negatively impacts athletic performance?  The answer is ZERO. Any alcohol in your system is detrimental to any kind of fitness activity, (well maybe except for recreational dancing).  Here are just four examples how booze wreaks havoc on the athletic body.

Slower Recovery

Hard workouts drain the glycogen stores (carbohydrates stored in the liver and muscles) and leave your muscle tissue in need of repair. "Pouring alcohol into your system as soon as you finish stalls the recovery process," says Tavis Piattoly, R.D. High levels of alcohol displace the carbohydrates, leaving your stores still 50 percent lower than normal even eight hours later. Sip or snack on a combo of muscle-repairing protein and carbohydrates before thinking that a cold beer as a good recovery drink.

Packed-On Fat

When booze is on board, your body, besides having to deal with the surplus of calories, prioritizes metabolizing the alcohol over burning fat and carbohydrates. Alcohol also breaks down amino acids and stores them as fat. "For some reason this process is most pronounced in the thighs and glutes," says Piattoly. "Excessive alcohol consumption really chews up muscle in those areas." It also increases levels of cortisol (a stress hormone), which further encourages fat storage, particularly in your midsection.

Disrupted Sleep

Boozing also blows your muscle recovery and performance by sapping your sleep. In a study of 93 men and women, researchers found that alcohol decreased sleep duration and increased wakefulness (particularly in the second half of the night), especially in women, whose sleep time was decreased by more than 30 minutes over the night. "Disrupting the sleep cycle can reduce your human growth hormone output—which builds muscle—by as much as 70 percent," says Piattoly.

Depleted Water and Nutrients

Alcohol irritates the stomach lining, which can reduce your capacity to absorb nutrients (the reason you have an upset stomach after a few too many), says Brian R. Christie, Ph.D.—not to mention that alcohol makes you pee. For every gram of ethanol you suck down, you pump out 10 milliliters of urine (that's about 9.5 ounces for two beers). As little as 2% dehydration will significantly hurt your athletic performance. And by the way, you can't rehydrate with a dehydrating drink (e.g., beer).

So regardless if you're training for the Tour de France, or the next local 5km fun ran, the next time you reach for something to drink after your workout, make it something that both you and your body will appreciate.  Cheers.

Enjoy the Ride ....Rob

HEALTH & DIET MISCONCEPTIONS

It’s now the beginning of March and I'll bet a few of you declared a New Year’s resolution to achieve better health this year.  If studies are correct, 78% of you have given up on that crazy notion and reverted back to your old ways and are using inaccurate misconceptions to justify your change of heart.

I wrote a blog a while back about all the excuses I hear why people don’t exercise.  Well here are some popular misconceptions I hear when it comes to starting or sticking with healthy habits.  The following ideas might seem like reasonable assumptions, but the research suggests otherwise. Here are eight misconceptions that might be getting in the way of your healthy resolution.

1.      My doctor will tell me if I have a weight problem

If you think your doctor will alert you that your weight is putting your health at risk, think again.  You’re better off looking at yourself in the mirror for an accurate assessment. And be honest with what you see.  A study in the Archives of Internal Medicine found that less than half of those who were overweight and only two-thirds of those who were obese were told during the past year by their doctor that they were too heavy.  Doctors are trained to treat illness, not prevent it, so don’t expect them to tell you to lose the weight until you have a weight related crisis to deal with.  And by then it could be too late.

Furthermore, according to Dr. Christine Gerbstabt MD, spokesperson for the Academy of Nutrition and Dietetics and author of “Doctor’s Detox Diet”, “weight is a touchy subject, especially for women, which might partially explain why female physicians are less likely to bring up weight with their patients. Plus, doctors sometimes figure that their patients have the resources to address weight issues on their own because there's so much diet and fitness information available to the public domain."  Which we also know is untrue.

2.      I'll eat less calories if I skip breakfast

Please drill this into your head: Skipping breakfast won't save you calories. "People have this notion that if they don't eat breakfast they'll save calories, or can cheat-eat later in the day, but it really doesn't work that way," says Gerbstadt. "Your body needs food in small increments throughout the day to stay powered, and research shows that people who eat 400 to 600 calories at breakfast are less likely to be overweight." Starting your day with a morning meal can help jump-start your metabolism by 10 percent and prevents you from overindulging on snacks and large meals later in the day because you're ravenous.

If you typically don't feel hungry in the morning, I suggest you skip dinner - just once or twice - to reset your appetite clock.  Many people say they're just not hungry when they wake up, but this is because they ate too much at dinner, or ate unhealthy snacks all through the evening up until bedtime. Another suggestion is to stop eating after 7:30pm in the evening, this way, you'll be sure to wake up hungry.

3.      Taking the stairs takes too long

Sorry, but taking the elevator at work isn't just lazy, it's inefficient, too.  Nothing frustrates me more than seeing a person take the elevator for one to five floors.  Worse still, if they're overweight and holding a can of Coke or a bag of chips.  I work with a guy that almost never takes an elevator, (only if he has to climb greater than 20 flights of stairs!).  And it should be no surprise that he’s in amazing shape.  A Canadian study calculated that when you factor in the time you spend waiting for an elevator to arrive; taking the stairs will actually save you about 15 minutes each workday. Researchers timed hospital workers making trips between one and six floors, and found that it took 2.8 times longer per floor to travel by elevator than by stairwell. So the next time you catch yourself complaining about being too busy to work out, taking the stairs is a healthy way to gain a few minutes to your day.

4.      I lost 10lbs, that’s good enough

Don’t settle with mediocrity.  Losing 10 pounds may feel good, but if you're overweight or obese, a small dip in weight is only the beginning and not the finish line.  Your goal weight should be very close to your graduating high school weight, (assuming you weren’t overweight when you graduated). 

I’m training a 50+ year old fellow right now who had a starting weight of around 240lbs and when asked what his goal weight should be, he was somewhat surprised when I suggested his high school weight, which was around 170lbs.  Six months after starting, his weight is a very healthy 179lb, with only 9lbs to go!  When we started, I said we would focus on healthy lifestyle choices (Diet, Exercise, Rest, Reduced Stress) and the weight will take care of itself.  The results below speak for themself:

While short-term studies have concluded that obese people can see significant improvements in their heart health after a 5 percent weight loss, a new 10-year Swedish study found that you most likely need to lose twice this much to yield meaningful results. Obese people who lost 4 percent of their body weight showed no significant improvements in terms of major health risk factors, like blood pressure, diabetes, or any of a number of weight related degenerative diseases. 

5.      I’ll just work off that extra Big Mac

You probably know a thing or two about calories; like you need to eat less of them and burn more of them if you want to see the number on the scale go down, but chances are you may underestimate the effort associated with "burning" those extra calories off your body.

According to the Mayo Clinic, one MacDonalds Big Mac (540 calories) requires over an hour of stationary rowing to burn it off.  A study in the American Journal of Public Health found that when teens read a sign that said it takes 50 minutes of jogging to burn off a bottle of Coca Cola, sales fell 50% compared with those teens who just read the number of calories, suggesting that people have a false sense about how many calories they consume versus the exercise required to burn off those extra unhealthy calories.  People I speak with have a false understanding how easy it is to consume calories and how hard it is to burn them off.  So, my advice is to always be mindful of what you eat, because unless you’re training for an Ironman, exercise alone won’t address your weight gain associated with the consumption of unhealthy high calorie foods. choices

6.      I'm in control of what I'm eating

Sure you're in control and you have no one to blame for eating that extra cookie, or slice of apple pie but yourself, but no matter how strong your willpower, you may be consuming more food without even knowing it. A number of studies show that there are sneaky, subliminal factors that affect how much we serve ourselves. Not only do people dish out and eat larger portions when using bigger spoons, plates and bowls, as I spoke about in my Portion Control blog post a few months ago, but they also tend to eat more when their food is a similar color to their plate, say researchers from Cornell University.  Mindless-eating expert Brian Wansink found that people were more likely to dish out a big helping of pasta Alfredo on a white plate than a red one. No wonder when I vacation in Tuscany the Itialians serve their pasta in those brightly colored bowls in reduced quantities. 

7.       It's too expensive to eat healthy

I often get the excuse from all income brackets that it’s too expensive to eat healthy.  Times may be lean, but eating healthy doesn't have to be a luxury.  A 2011 study in Health Affairs calculated that following the USDA's MyPlate guidelines would only cost an extra $380 a year in groceries, or $1.04 a day. Also, findings from George Washington University researchers show that obese women earned $5,826 less per year than their thinner counterparts - so maybe eating right is worth the investment, both physically and financially.

Eating healthy doesn't have to be exotic or gourmet.  To see just how much it would cost to shape up your eating habits, try tallying a week's worth of food and meal receipts – count everything and don’t cheat.  Include your $15 lunch to your $4 Starbucks cappuccino - and then compare it with 7-day's worth of well planned healthy groceries.  Studies say it’s usually less expensive compared with how much you're spending dining out and eating on the run.

8.       A little snack won't hurt

Well, that depends on your perception of what qualifies as a snack and how often you're noshing between meals.  Remember point #5 above, and it’s not just what you eat that counts, but when you eat it.  Investigating the snacking habits over the course of a year, researchers found that healthy midmorning snackers lost 7 percent of their body weight compared with those who ate their healthy snack later in the day, who lost 11 percent of their body weight. Why? Midmorning snackers usually didn't stop at just one snack and tended to eat another later in the day too, as opposed to afternoon snackers.

The problem with snacking is that people don't know what a snack is.  A snack is nutritious and filling; it bridges meals and is no more than 200 calories.  Snack packs, cookies and candies aren't snacks - they're treats. You need to know the difference and know that there is a limit.

Summary

Hopefully, those of you that started down the path of healthy choices back in January are still committed to those resolutions as the day you started.  If not, hopefully this little post will re-focus your commitment and get you back on track. 

Enjoy the Ride….Rob

Happy Valentine’s Day - Top tips for a Healthy Heart

It’s Valentine’s Day and I felt it was only appropriate to share my top 10 tips to for maintaining a healthy heart. There are many steps you can take to prevent heart disease and concentrating on key lifestyle areas such as eating, exercise, smoking and drinking, and considering other factors like diabetes and stress are all great places to start. Here are my 10 top tips for a Happy Valentine heart

1. Stop smoking. Quitting smoking is the single most important thing you can do to live longer. If you are a smoker, you are twice as likely to have a heart attack than a non-smoker. But from the moment you stop smoking, the risk of heart attack starts to reduce. With public smoking bans introduced just about everywhere, there has never been a better time to give up.
2. Cut down on salt. Too much salt can cause high blood pressure, which increases the risk of developing coronary heart disease. Avoid foods like chips, salted nuts, canned and packet soups and sauces, baked beans and canned vegetables, pork pies, pizzas and processed meals from a package. Many breakfast cereals and breads that appear healthy also contain high levels of salt, so keep your eye on these too.
3. Watch your diet. A healthy diet can help to reduce the risk of developing heart disease, and can also help increase the chances of survival after a heart attack. You should try to have a balanced diet, containing plenty of fresh fruit and vegetables, oily fish and limit you consumption of starchy foods. Avoid foods like cookies, cakes, pastries and dairy products that are high in saturated fats and most importantly, all forms of sugar.
4. Monitor your alcohol. Too much alcohol can damage the heart muscle, increase blood pressure and also lead to weight gain. Binge drinking will increase your risk of having a heart attack, so you should aim to limit your intake to one (for women) and two units a day for men.
5. Get active. The heart is a muscle and it needs exercise to keep fit so that it can pump blood efficiently round your body with each heart beat. You should aim for a minimum of 30 minutes of exercise a day. If this seems too daunting, start off gently and build up gradually. Keeping fit not only benefits your physical health - it improves your mental health and wellbeing too.
6. Manage your weight. The number of people who are overweight in Canada and the United States is rising fast - already more than half of the adult population is overweight or obese. Carrying a lot of extra weight as fat can greatly affect your health and increases the risk of life-threatening conditions such as coronary heart disease and diabetes. If you are overweight or obese, start by making healthy changes to what you eat, and try to become more active.
7. Get your blood pressure and cholesterol levels checked by your Doctor. The higher your blood pressure, the shorter your life expectancy. People with high blood pressure run a higher risk of having a stroke or a heart attack. High levels of cholesterol in the blood - produced by the liver from saturated fats - can lead to fatty deposits in your coronary arteries that increase your risk of coronary heart disease, stroke, and diseases that affect the circulation. You can help lower your cholesterol level by exercising and eating high-fiber foods such as porridge, beans, lentils, nuts, fruits and vegetables.
8. Learn to manage your stress levels. If you find things are getting you down, you may fail to eat properly, smoke and drink too much and this will increase your risk of a heart attack.
9. Make sure you can recognize the early signs of coronary heart disease. Tightness or discomfort in the chest, neck, arm or stomach which comes on when you exert yourself but goes away with rest may be the first sign of angina, which can lead to a heart attack if left untreated.
10. Know your Numbers. Monitor the top ten health indicators and take the necessary action if they trend negatively. Knowledge is Power, but it takes Action to flick the Switch.

Happy Valentines and Enjoy the Ride.....Rob

Paula Deen – Deceit and the Quick Fix

I’ve commented frequently about the unhealthy state of the average North American’s diet and how it’s accepted, and in some cases sensationalized through programs like Man vs. Food.  This past week, Paula Deen came out of the closest, so to speak. One look at her and it really shouldn’t be a big surprise what came walking out of the closet.  The cookbook author and television personality, known for her high-fat and fried foods, has been a closet Type 2 Diabetic for three years.  Keeping an illness like Diabetes private (especially Type 2 Diabetes, which is generally self inflected) is obliviously a personal choice that should be respected, but to continue to promote her unhealthy recipes to her loyal fans for three years when these very recipes are the source of her disease is unconscionable.

This kind of deceit is already low enough, but let's be clear, Ms. Deen is not coming out to inform her fans that all those years of eating her unhealthy recipes will increase their chances of becoming a Type 2 Diabetic like her.  No, she's come out of her closet for finaincial gains, as she is to become the official spokesperson for Novo Nordisk, the pharmaceutical company that manufactures her Type 2 Diabetes medication, Victoza.  So now in addition to promoting her unhealthy eating habits, it's Deen's new role to help us see "Diabetes in a new light," according to the company's website. Their sales slogan is: "Live a life that's delicious."  With a slogan like that, it almost makes you wish that you had Type 2 Diabetes like her.

As their new spokesperson with a loyal following of viewers; no doubt many of them will also have Diabetes.   I can already see them lining up to ask their doctors if the $500-a-month Victoza drug that Ms. Deen is promoting to manage her Diabetes is right for them.  Besides, isn't this why companies employ celebrities.

So let’s look at the “Delicious” hard facts of what Deen and her new employer are spinning.  Instead of promoting a healthy diet and regular exercise, which will prevent this disease, they’re suggesting that you continue with your reckless lifestyle, which consists of life-threatening complications like, heart disease, stroke, hypertension, blindness, kidney disease, nervous system disorder, amputations, dental problems, pregnancy complications, and the catchall other complications categories include coma, greater risk of death from pneumonia, trouble with physical activity, and no surprise depression, because Novo Nordisk has a drug fix that will mask the symptoms.

More than 28 million North Americans, have diabetes today, and at the current growth rate, 1 in 3 of us will have it by 2050, and 90 percent of these cases are Type 2 diabetes, which obesity is the # 1 risk factor.  Although recent obesity numbers may have flattened for the first time in 30 years, the poorer and minority groups are getting larger and are also the demographic that have less access to healthcare to manage their illness and won't be able to afford Deen's $6,000 a year drug fix.

I’m thinking many people that read this blog will like Ms. Deen’s spin of, I’ll eat whatever I want and take a pill to manage the negative consequences of my reckless behavior, over my message of healthy diet and regular exercise.   I know a number of people that suffer from Type 1 and Type 2 Diabetes and while a diabetic's life is manageable, it's anything but “delicious” .

The life of a diabetic is something less than what is being marketed by Deen and Novo Nordisk.  That said, they’re no different to other drug companies that promise to medicate away the symptoms associated with depression, gas, incontinence, clogged arteries, fibromyalgia and dozens of other preventable health conditions that result from our North American lifestyle. 

Paula Deen is actually an insignificant player in the bigger promotion and marketing of drug products made by multi-national pharmaceutical companies that believe in treatment over prevention (there’s no money in prevention).  Unfortunately, what Deen does represent is North America’s continued and growing love and acceptance with behaving recklessly just because there‘s a potential pharmaceutical fix that's just around the corner.  The only thing that’s healthy about this story is Paula Deen and Novo Nordisks’ income statements.

Enjoy the Ride …. Rob