Welcome to the LifeShape Advanced Bariatric Center of Florida May Wellness Newsletter!

We hope this newsletter finds you healthy and happy. With our monthly newsletter, we aim to provide you with up-to-date inspiring information to continue to create, achieve and maintain overall optimum health. As always, LifeShape is here to help you accomplish your wellness goals.

In the News section this month, I share information of how weight loss surgery, specifically the LapBand, can offer patients a significant overall improvement of metabolic syndrome (NEWS). I still find it amazing the change LapBand can offer a person regarding quality of life, longevity and overall health.

In the Nutrition section, our LifeShape Dietician Kristine shares the details of the much debated fruit and fat: the avocado. Learn about the wonder fruit’s health benefits (NUTRITION). And in our Exercise section,  LifeShape Trainer Beth Whalen, CPT, shares motivation through the importance of embracing forbearance and discipline in respect to your health (EXERCISE). Also in LifeShape Fitness Center news, Christie will be leaving the fitness industry to pursue other goals. We wish her the best of luck in her future endeavors.

In our Featured section this month, we have a guest health contributor, Sarah Fudin, from George Washington University’s online public health Masters program, offering a helpful guide to online information resources for weight loss (FEATURED).

LifeShape is here to offer you a way to achieve long-term weight loss success, while regaining your health. As a multidisciplinary full service weight loss center, LifeShape offers a surgical program specializing in the Adjustable Gastric Band, a medical program utilizing Optifast ®, and personalized fitness programs at the LifeShape Fitness Center in a private and supportive environment. Our team will provide you with the support you need to achieve your weight loss, fitness and wellness goals.

We have lots of Seminars to choose from. Please remember to check the schedule below if you are interested in attending (EVENTS).

I hope you enjoy our helpful tips. We hope to inspire you with motivation, encouragement and support to begin your journey today!

Dr. Mark A. Fusco
Medical Director
LifeShape Advanced Bariatric Center of Florida
Office: 321-728-7553
www.lifeshape.net
If you have received this email from a friend, and would like to receive the LifeShape Wellness Newsletter monthly, subscribe by clicking here!

Lap-Band Study Demonstrates Long Term Improvement in Metabolic Syndrome. By: Dr. Mark A. Fusco, LifeShape Medical Director & Board Certified General Surgeon

The findings of a new study presented at the American College of Cardiology conference this month showed that the majority of 50 obese patients who had laparoscopic gastric banding (Lap-Band) saw resolution of metabolic syndrome that was sustained for five years after the procedure. Metabolic syndrome is a cluster of conditions – increased blood pressure, a high blood sugar level, excess body fat around the waist or abnormal cholesterol levels – that occur together, increasing the risk of heart disease, stroke and diabetes. Being overweight and inactive are major contributors to the syndrome.

The 50 patients included in the study had a body mass index (BMI) of between 30 and 40, with an average of 35 and at least 1 obesity-related co-morbidity. Almost half of the patients met metabolic syndrome criteria at the start of the study, and most had resolved at one year post-surgery and persisted throughout year 5. In addition to great improvement in metabolic syndrome, the study reported great weight loss results, with the mean BMI dropping from 35.1 to 27.9 at 5 years. Total cholesterol, LDL cholesterol, triglycerides, and HDL cholesterol all improved at years 1 and 2 and fasting blood glucose was significantly reduced and sustained out to 5 years. The researchers concluded that “laparoscopic gastric banding produces significant weight loss and resolution of metabolic syndrome by improvement in multiple diagnostic criteria and reduces use of diabetes and blood pressure medications. These changes persist over 5 years following surgery.”

Dr. Christine Ren Fielding of NYU was involved with the study. She explained that the purpose was to examine the effect of early intervention bariatric surgery, specifically using the Lap-Band, on metabolic health in obese patients with BMI 30-40. She said, “Many people, including some physicians, have felt that bariatric surgery should be reserved for people with a BMI well over 40. However, as bariatric surgeons we know that people with a BMI as low as 30 suffer from metabolic syndrome and benefit from bariatric surgery.”
metablolic syndrome
The image on the right is a poster that was produced by a company to hang in exam rooms to educate waiting patients about the metabolic syndrome. Interestingly, I once met the man pictured in the poster. Subsequent to the production of the poster, he underwent successful lap-band surgery and resolved his metabolic syndrome.

LifeShape Advanced Bariatric Center of Florida specializes in laparoscopic gastric banding. You can learn more about laparoscopic adjustable gastric banding on our website, or by attending one of our free informational seminars held at various site around Brevard and Indian River counties, and in Orlando.

Learn more about the LifeShape program by attending a free informational seminar!

Our long term weight loss success is changing people’s lives daily! Come learn more about how Adjustable Gastric Band Surgery may help you regain your life. Choose from one of the upcoming dates and locations.

The following seminars will be held at the MIMA location:
1130 Hickory Street
Melbourne, Fl

Wednesday, June 5th, 2013 at 6:30 PM
Thursday, July 11th, 2013 at 6:30 PM

For all other upcoming seminar dates and locations click here: http://www.lifeshape.net/contact_us_for_free_seminar.html

For questions and registration, please contact Kerry Owens by calling 321.728.7553 or by emailing kerry.owens@mima.com.

And remember as a LifeShape Patient, you have the opportunity to attend our monthly support groups. Call us to learn more and to find out dates at 321.728.7553.

5 Weight-Loss Resources. By: Sarah Fudin, Health & Wellness Contributor

There are thousands of weight-loss plans available online — many of which promise more than they can actually deliver. Fad diets offer quick results, but the real key to long-term weight-loss is the right combination of healthy eating and exercise. Making permanent lifestyle changes might not be a quick or easy way solution, but it’s the best way to lose weight and keep it off.

There’s a saying that a journey of a thousand miles begins with a single step. Fortunately, you don’t have to take that journey on your own when it comes to weight-loss. There are helpful online resources that provide information and inspiration to get you started on the right foot.
Here are five weight-management websites that offer some of the best resources available online:

ChooseMyPlate
In 2011, the U.S. Department of Agriculture introduced the “Choose My Plate” initiative as a replacement for its Food Pyramid. Instead of illustrating a balanced daily diet in pyramid form, My Plate shows a plate divided into four sections: proteins, grains, fruits and vegetables, with dairy represented as a glass to the side. The Choose My Plate website explains the My Plate concept and provides interactive tools for assessing your nutrition, counting calories consumed and determining how many calories are burned by different types of physical activity. In addition, the website provides links to a variety of other health-related resources.

WIN
The Weight Control Information Network website provides science-based information on nutrition, weight control, obesity and physical activity. Sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases, the website is a clearinghouse for current information related to weight management. Publications are categorized according to their target audience (the public, healthcare professionals, legislators or the media) and can be viewed online or downloaded. Print copies can also be ordered, with up to 10 copies of each publication provided free of charge.

Keep the Beat – Deliciously Health Eating
You can read articles, watch videos, find healthy recipes and download cookbooks on this website, which is sponsored by the National Heart Lung and Blood Institute (part of the U.S. Department of Health and Human Services). Links to publications related to the prevention and treatment of heart and vascular diseases are also provided. In addition, the website features tools for community organizers who want to plan a healthy eating event.

USDA Food and Nutrition Information Center
Sponsored by the U.S. Department of Agriculture, this website provides links to dozens of healthy lifestyle resources. A wealth of food-related information for both the general public and health care professionals is provided. An “Interactive Tools” section of the website provides access to tools that help you assess your knowledge, check your health risks and design a healthy diet. Links to calculators for counting calories, tracking exercise, determining body mass index and other health indicators are also provided.

The President’s Challenge
This is the official website for the President’s Challenge Program, a national physical activity and nutrition initiative sponsored by the President’s Council on Fitness, Sports and Nutrition. The goal of the program is to help Americans increase their physical activity and improve their fitness. Founded in the 1960s to help children and teenagers become physically fit, the program has been expanded to include all ages. In addition to providing information about fitness, the website features tests for measuring physical fitness in children and adults, tools for setting and tracking exercise goals, and the opportunity to win awards for completing different challenge programs. Resources for schools and teachers who want to implement a Presidential Youth Fitness Program are also available.

SarahHeadShot

Sarah Fudin works in community relations for the George Washington University’s online public health Masters program which provides students the opportunity to earn their MPH degree online. In her free time, Sarah enjoys running, reading, and connecting with people passionate about making positive change to the world.

Fruit and Fat? By: Kristine Van Workum, Registered Dietitian

Yes, that is the avocado. It is considered a fruit by definition but according to nutritional values and dietary exchange lists, it falls under the “fats” category. So what are the health benefits of this delicious yet odd fruit?

Time appropriate for the month of May since avocados are associated with Cinco de Mayo celebrations as well as May being International Mediterranean Diet Month! Avocados and other healthy fats are an integral part of the Mediterranean Diet. For meal plans, recipes and more info on the Mediterranean Diet, click here.

Avocados provide nearly 20 essential nutrients, including fiber, potassium, Vitamin E, B-vitamins and folic acid. A 1-ounce portion consists of 2 Tbsp or 2-3 thin slices (or ~1/5 of an avocado) and contains 50 calories, 4.5 g total fat (3 g of monounsaturated fat), 0 mg cholesterol, 0 mg sodium, 3 g total carbohydrate, 2 g fiber, 0 g sugar. It’s a tasty spread to use in place of butter or margarine and packs a powerful nutrition punch. So get creative with your avocado. While guacamole is delicious, there are many other ways to serve up this creamy green fruit. Here are just a few to get you started:

-     spread mashed avocado on whole grain toast in place of butter or jam

-     use as a spread in place of mayo on a sandwich or wrap

-     add diced avocado to your salads

-     add to smoothies or soups

-     add chopped avocado and veggies to your eggs or omelets

-     use to make deviled eggs (in place of yolks), see recipe

-     eat with whole grain crackers or as a dip with veggies for a snack

-     avocado makes a great first food for babies & a fun food for toddlers; click here for recipe ideas

-     avocado for dessert? Yes! Try them as a fat replacement in baking; here’s a couple recipes

Kristine Van Workum, RD, CSSD, LDN
LifeShape Registered Dietitian & Owner of Brevard Nutrition (www.brevardnutrition.com)

May 2013 Recipe – Baked Eggs in Avocado

Source: http://whiteonricecouple.com/recipes/baked-eggs-avocado/ 

 

Ingredients:

·     1 medium or large avocado

·     2 small eggs

·     2 sliced of bacon, cooked then crumbled

·     2 slices of toast

·     sea salt, to taste

·     fresh cracked black pepper, to taste

·     hot sauce, optional

·     fresh chopped tomatoes, optional

 

Directions:

·     Pre-heat oven to 425 degrees

·     Crack the eggs in a medium bowl, careful to not puncture the yolks & set aside

·     Cut avocado in half and carefully remove seed. Depending on how big the seed is, the hole in the avocado should be big enough for one small egg. But if the hole looks too small, scoop out a little at a time till it matches the amount of egg.

·     In a medium baking dish, try to rest the avocado half inside the edge of the dish so that the avocado doesn’t tilt over. You need to keep the avocado from tilting so that the raw egg does not spill out.

·     You can crack the egg directly in the avocado, but it might overflow and make a mess. So this technique will be useful: With a medium spoon, gently scoop out one of the yolks and place it into the hole of the avocado. Then continue spooning the egg whites into the avocado hole till it’s full. Repeat for both avocado halves.

·     Add salt and fresh cracked black pepper on top of the eggs, to taste.

·     Gently place the baking dish in oven and bake for about 15 minutes. Baking time will vary depending on how much egg you have and how big your avocado is. So keep checking the egg to see if it’s cooked to your desired consistency.

·     Sprinkle crumbled bacon on top. Spread the avocado/egg onto toast. Add addition salt and pepper to taste, chopped tomatoes, hot sauce, if needed.

Forbearance and Discipline. By: Beth Whalen, Certified Personal Trainer

Forbearance is the act of deliberately not doing or saying something when you could do or say it. This involves being kind, tolerant, and patient. Discipline is to train by instruction and practice, especially to teach self-control. Of course, forbearance and discipline go hand-in-hand. I am really good at forbearing on others behalf, but not having that same grace upon myself. The truth is, we all want to control our lives.  When we acknowledge a weak area that needs to be transformed or changed, we tend to not trust ourselves to make the change. I know I have to change the way that I think, the way that I eat, the way that I exercise, and the way I view myself in order to obtain my overall health and wellness goals.

I have been running for 15 years.  Looking back through my journals and workout logs, they give me insight and a better understanding of the way I think, act, and react to circumstances in my life.  Forbearance and discipline were key principles in my success as an athlete.  I needed patience and tolerance toward myself because very few times did I completely surrender to the plan and finish it to completion. My patience and tolerance paid off when I ran with perseverance and faith in believing I was going to break my own personal record.  Discipline was very important.  I had to do the work; I had to stick to the plan no matter what life threw at me. I planned my day around my training and not the other way around.  I had to make many sacrifices and give up a lot of things that were fun but not conducive to my training.  I cut my late night hang-out sessions with my girlfriends to a minimum in order maintain balance and structure.  I was easily tempted and led astray, but I had a dream and it was my dream.  If I was going to live it out, I couldn’t live just like everyone else. The desire on my heart was mine for the taking. 

Today, forbearance and discipline apply to our exercise.  Exercise has been scientifically proven to have physical and mental benefits.  If we exercise on a regular basis or get some kind of physical activity every day, we’re more likely to feel better, look better, and be healthier.  Whether our goal is weight loss, happiness or more energy, daily exercise can help us get there. And let’s show forbearance toward ourselves—we are worth it, and we will get there!  We’ll need discipline because it feels like we’re making a lot of sacrifices compared to the way we used to live.  Now we’re waking up a little earlier to hit a work out; not going back for seconds just because it tastes good; and going home a little earlier when we go out with friends.  But we’re gaining happiness, energy, endurance and strength, less disease, sleep, a longer life…and of course, weight loss. 

In college I found being patient, kind, and tolerant easier than being disciplined. Saying “No” to cookies my roommate just baked; and “No,” to girl’s nights out was a difficult task. But I knew I had to put myself in situations where I wasn’t tempted to not train: to not fuel my body with energy rich nutrients; to not get a proper nights rest.  I wanted to so badly to just be like everyone else, but I wasn’t.  I would be happy living that way for the moment but it wasn’t sustainable because the plan for my life was so much greater than that.  I disciplined myself and obtained my goal, but I also gained forbearance and understanding to help others do the same thing.

Today I am blessed to work with both young and old, and have found we all extend forbearance towards others, but not necessarily to ourselves. Forbearance and discipline will always be key to meeting our goals. My passion is to watch each individual overcome their obstacles mentally, physically, and emotionally.  We all want to trust the plan, but we struggle with believing and accepting we are worthy of the transformation.  It is not easy to say no to eating the bag of skittles and soda like the girl in the cubical next door or the ice-cream the rest of my friends are grabbing. There is power in controlling oneself when provoked or offended. For some of us forbearance can seem like “long-suffering,” as we tolerate the circumstances to allow ourselves to be transformed inside and out. Most of my clients that are disciplined are fully confident I can help them achieve their goals, but may struggle with being kind, tolerant, and patient with themselves. We all have our struggles and need to practice. I believe we are all capable of holding back and enduring as we obtain and reach our goals!

Here is a photo of LifeShape Patient Lori R. and me after the 2013 Running Zone Gecko 5k.

lori and beth