Stress Reduction and Mindful Eating Curb Weight Gain

April 17, 2012
By Mark Fusco MD

The following article is a blog post from the Doctors of Weight Loss. It deals with the concept of mindful eating. Recently I heard Kristine (LifeShape Dietitian) give a very informative lecture. Among the topics she covered was mindful eating. This review of a recent study validates her views. She also recommended a book on the topic that is now listed on our recommended reading page.

Mindful eating

March 6, 2012Nutrition & Lifestyle
Mastering stress-reduction and mindful eating techniques can help prevent weight gain in women, even without dieting, found a new study published in the Journal of Obesity. The 47 overweight or obese women who participated in the study were not on calorie-restricted diets, but rather were randomly assigned to one of two groups–either a mindfulness training or control group. The women were all chronically stressed. For nine weeks, the women in the mindfulness training group attended a weekly 2 1/2 hour session, focusing on techniques to reduce stress, as well as how to be more aware of their eating by recognizing bodily sensations such as hunger, fullness and taste satisfaction. They were asked to meditate 30 minutes daily and to practice mindful eating throughout the day. During the sixth week they attended an intensive seven-hour, silent meditation retreat. To track stress, researchers administered a scientifically tested survey before and after the 9 week study and measured changes in levels of cortisol (a stress hormone), and changes in the amount of deep abdominal fat and body weight.

The study found that in the treatment group, there was an association between changes in body awareness, chronic stress, cortisol secretion and abdominal fat. The women with the best improvement in listening to their bodies’ cues, or greater reductions in stress or cortisol, had the highest reductions in deep abdominal fat. This type of belly fat is more dangerous than the fat beneath the skin and is associated with an elevated risk for developing heart disease or diabetes. Obese women who participated in the mindfulness training had significant reductions in cortisol after awakening and also maintained their total body weight, compared to the obese women in the control group who experienced stable cortisol levels and continued to put on weight. The study authors point out that this study is preliminary and larger studies need to be done to further investigate the relationship. They concluded that the purpose of the treatment is to “cultivate people’s ability to pay attention to their sensations of hunger, fullness and taste satisfaction as a guide for limiting how much they eat.” The goal was to reduce eating in response to emotions or external cues that typically drive overeating behavior.

“This article demonstrates developing techniques for reducing stress can prevent patients from gaining weight”, said Dr. Toby Broussard, expert weight loss surgeon in Oklahoma. “Stress eating is one reason why losing or maintaining weight is very difficult for some patients. This study confirms what we actually see in our practice, that is, patients that cope well with stress tend to be more successful after weight loss surgery,” Dr. Broussard concluded.

Gut feelings about diabetes

March 30, 2012
By Mark Fusco MD

New research has discovered something surprising: a study in mice found that issues with controlling blood sugar–the hallmark of diabetes–may start in the intestines. It has long been theorized that diabetes begins in the liver or pancreas, but researchers at the Washington University School of Medicine in St. Louis found evidence that may upend long-held theories about the disease’s causes. Sugar is stored in the liver and insulin is produced in the pancreas, so scientists have previously looked to those organs for the underlying causes of diabetes. For the study, researchers studied mice that are unable to make fatty acid synthase (FAS) in the intestines, which is a critical enzyme in the production of lipids. FAS is regulated by insulin, and people with diabetes have defects in FAS.
The findings indicated that the mice without the enzyme in the intestines developed chronic inflammation in the gut, a strong predictor of diabetes. They had lost the protective lining of mucus in the intestines that keeps microbes from direct exposure to cells, allowing bacteria to enter cells in the gut. This made the mice sick, and they experienced weight loss and diarrhea. The lead study author, Xiaochao Wei, PhD, explained that in order to keep the mucus layer intact, fatty acid synthase is required. Bad bacteria will invade cells in the colon and the small intestine without this mucus, creating inflammation which contributes to insulin resistance and diabetes. These findings are in agreement with some of the early signs of diabetes, which are often reports of stomach pain and diarrhea. More research is needed; however, FAS, as well as an important component of the intestinal mucosa called Muc2, might be potential targets for diabetes therapy. The researchers will next study diabetic people to see whether FAS is altered in a way similar to the mice.
Weight loss surgery has been shown in most cases to improve or even resolves diabetes. You can learn more about LifeShape Advanced Bariatric Center of Florida’s comprehensive weight loss program here.

LifeShape How to Fitness Video – Shoulders

March 30, 2012
By Mark Fusco MD

LifeShape HOW TO FITNESS – BICEPS

March 30, 2012
By Mark Fusco MD

 

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

March 22, 2012
By Ashley

Spring officially began March 20th. We hope you are enjoying the warm weather and getting outside! Through our monthly newsletter, the LifeShape team aims to continue to provide you with current information as your guide to maintain and reignite your healthy ambitions. We hope you find the articles below informational and inspirational.

In the news, obesity can be linked to chronic pain (NEWS). And Kristine, our nutritionist, provides interesting information on reducing disease in our bodies with diet and a great recipe (NUTRITION). Christie, our Senior Trainer at the LifeShape Fitness Center, sheds light this month on the common misconceptions many people have about exercise. Also, Kathy Blair and several other inspirational LifeShape patients will be participating in the “3rd Annual Cycle Jam for the Kids”. There are several different bike ride lengths to choose from, so we hope you participate on the LifeShape team (EXERCISE & BIKE RIDE)!

This month our featured article will focus on raising awareness this April for Esophogeal Cancer. This type of cancer is rapidly becoming more common. Please mark your calendars to attend the April event to learn about prevention (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 and will be hosting one in Orlando in April. Please remember to check the schedule below if you are interested in attending (SEMINARS).

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!

Food for Thought: Help Reduce Disease Risk, By: Kristine Van Workum, Registered Dietitian

March 22, 2012
By Ashley

Inflammation in our bodies can be a a normal, healthy immune system response. However, chronic
inflammation due to stress, poor diet, etc. have been shown to be linked to heart disease, cancer, diabetes,
osteoporosis, Alzheimer’s disease, depression and mood disorders. Take care of yourself and your body by
staying active, managing stress, getting adequate sleep, and eating a balanced diet. A balanced diet means
enjoying all foods in moderation, without focusing on dieting or deprivation. Planning adequate amounts of
healthy fats, lean proteins and high fiber carbohydrates can help you stay healthy and manage your weight.
Remember food variety is also important, and play close attention to the foods below since they have been
shown to help decrease inflammation in our bodies:

• Fruits & Vegetables – the more colorful and more variety, the better. These foods are rich in
antioxidants and phytochemicals which have a protective affect on our bodies.
• Omega 3 Fatty Acids – salmon and fatty fish, avocados, canola oil, walnuts, and flaxseed are some of
the most commonly eaten foods which contain these heart healthy fats.
• Spices – ginger, garlic, rosemary, turmeric, oregano, cayenne, clove, nutmeg, etc. Spices are a great
way to add flavor to your food without adding salt or extra calories.
• Dark Chocolate – dark chocolate is high in antioxidants and also contains fiber. A dark chocolate
Hershey’s Kiss is only ~26 calories, so enjoy this treat in moderation!
• Salicylic Acid – the active component of willow-bark (used as a folk remedy for pain), and it’s
synthetic derivative forms aspirin. Foods high in salicylic acid include: berries, grapes, broccoli,
spinach, chili peppers, cinnamon, ginger, rosemary, nutmeg, sage, basil.
• Olive Oil – healthy source high in unsaturated fats, but if used in cooking, keep temperature below
325°F (smoke point) to keep the greatest nutrient benefits and prevent flavor breakdown. Smoke
points of oils: Avocado – 510°F, Almond – 495°F, Sesame – 445°F, Canola – 425°F, Walnut – 400°F,
Olive – 325°F, Flax – 225°F

Happy Eating!

Kristine Van Workum
LifeShape Registered Dietitian & owner of Brevard Nutrition

Quinoa and Black Bean Salad
(Source: American Institute for Cancer Research, www.aicr.org)

Ingredients:
1½ cups quinoa ¼ teaspoon cayenne pepper
1½ cups canned black beans, rinsed and drained ¼ cup fresh coriander leaves, chopped fine
1½ Tablespoons red wine vinegar ⅓ cup fresh lime juice
1½ cups cooked corn (fresh, canned or frozen ½ teaspoon salt
1 red bell pepper, seeded and chopped 1¼ teaspoon ground cumin
4 scallions, chopped ⅓ cup olive oil
1 teaspoon garlic, minced fine

Instructions:
• Rinse quinoa in a fine sieve under cold running water until water runs clear. Put quinoa in a pot with 2¼
cups water. Bring to a boil, then cover and simmer 20 minutes or until water is absorbed and quinoa is
tender. Fluff quinoa with a fork and transfer to a large bowl and allow to cool.
• While quinoa is cooking, in a small bowl toss beans with vinegar and salt and pepper to taste, then add
beans, corn, bell pepper, scallions, garlic, cayenne and coriander to the quinoa. Toss well.
• In a small bowl whisk together lime juice, salt, cumin and add oil in a stream while whisking. Drizzle
over salad and toss well. Salad may be made a day ahead and refrigerated, covered. Bring to room
temperature before serving.

Nutrition Per Serving (makes 16 servings): Calories: 140, Total Fat: 6 g (< 1 g Sat. Fat), Sodium: 153 mg,
Total Carbohydrate: 19 g, Dietary Fiber: 3 g, Protein: 4 g

Common Misconceptions About Exercise, By: Christie Piontkowski, Senior Trainer CPT

March 22, 2012
By Ashley

Thinking cardio is enough: Although cardiovascular activity burns more calories per minute than strength training, you will continue to burn calories for a longer period of time after your workout is over because of the strength training.  Building lean muscle will also reduce injury because the body is stronger and will decrease the recovery time if you do get injured.

Catching up on your reading: You may find your workout a great time to catch up on the latest best- seller or an old tv show that you have dvr’d, however if you are focusing on reading or watching tv you are not focusing on your workout.

Doing outdated exercises: Are you still doing the exercises you learned in high school, like windmills and sit ups? Some of these oldies are a waste of time; others can cause injury. Take an exercise class or work with a personal trainer to freshen your routine in order to maximize the benefits of your exercise and to reduce unnecessary injury.

Getting stuck in a rut: Remember that every 4-6 weeks your exercise routine needs to be changed to reduce the risk of hitting a plateau and to continue to build the muscles effectively.  When you do the same routine day in and day out, the muscles will stop responding, thus creating the plateaus you are trying to avoid.  So, mix it up and keep the routines interesting to keep your body “paying attention”.

Taking on too much at first: There are no quick fixes in the exercise and weight loss industry.  Hard work pays off, and it takes time to see and feel the desired results.  The risk of injury increase when you push too hard too fast.  Give yourself enough time to build up to a good, solid workout that will prove realistic results.

Skipping the warm-up: Without a warm up, you’re asking your body to work before the oxygen and blood flow reach the muscles.  You increase the risk for injury, and with cardiovascular exercise, you raise the heart rate too fast. Before you exercise in earnest, spend 5-10 minutes going through the motions of your workout at an easy pace to raise your body temperature from the inside out.

Forgoing the cool-down: Don’t come to sudden stop at the end of your workout. If you do not allow the body to cool down, you risk muscle soreness because you haven’t flushed the lactic acid out of your system.  It takes approximately five to 10 minutes at a slower pace, depending on your fitness level, to let your heart rate come down to a safe level.

Skimping on water: Muscles need fluid to contract properly, so if you don’t drink enough water, you can get muscle spasms or aches.  If you’re thirsty, you have already started the dehydration process.  Drinking water well before your workout will help in keeping the body hydrated not only during your exercise, but throughout the entire day.

In Health and Happiness,

Christie Piontkowski

Join the LifeShape team for the “3rd Annual Cycle Jam for the Kids”

March 22, 2012
By Ashley

Several of our inspirational LifeShape patients are joining together and riding as a team for the “3rd Annual Cycle Jam for the Kids”.

Join Space Coast Early Intervention Center for the
3rd Annual Cycle Jam for the Kids
presented by JD Bowen Financial Group

Registration is now open for the 3rd Annual Cycle Jam for the Kids cycling event slated for Sunday, April 22, 2012 at Florida Institute of Technology!!!

Why Ride Cycle Jam?

  • We are a non-competitive, fully- supported ride through scenic Brevard Co. and parts of Indian River Co.
  • We’ve got distances to satisfy any level rider – 10 mile, 33 mile, 66 mile or 100 mile…push your limits!!!
  • Cycle Jam supports the beautiful children at SCEIC (learn more about them at www.sceic.com), so you’re riding for an amazing cause!
  • Live music and delicious food at the after-ride “jam”
  • Because it’s groovy, man!  Get your ride on!

Get REGISTERED for the “3rd Annual Cycle Jam for the Kids” by clicking here. AND TO JOIN LIFESHAPE’S TEAM, CONTACT KATHY BLAIR AT 321-728-7553.

To learn more, visit http://www.firstgiving.com/sceic

Esophageal Cancer Awareness Month

March 22, 2012
By Mark Fusco MD

What do Humphrey Bogart and Robert Kardashian Sr. have in common? By: Dr. Mark Fusco

Humphrey Bogart was an actor who became an icon of American film. Even to this day, nearly 60 years since his last film, his roles are recognizable to the point that there is virtually no one that can’t do a serviceable “Boggie” impression. Robert Kardashian was a lawyer and businessman that was part of O.J. Simpson’s “dream defense team”. Oh, and he is also responsible for all those other Kardashian’s that are always on cable TV. What they have in common is that they both died of esophageal cancer before they turned 60.

Esophageal cancer patients

 

The esophagus is a muscular tube that brings food from the throat to the stomach. Unlike some cancers such as lung and stomach, esophageal cancer is rapidly becoming more common. (400% increase in the last 20 years!) Most of the increased frequency is occurring in middle age white males like Bogart, Kardashian…. and me.  There are two types of esophageal cancer. The first type is called squamous cancer  which is associated with tobacco, alcohol, and injury to the esophagus from ingesting chemical irritants. (Ingesting drain cleaner tragically is a not uncommon method of attempting suicide). A very high incidence of this cancer was also found in the Calvados region of France. It is thought that this is potentially linked to the ingestion of a very strong type of apple brandy of the same name which has lead some to believe that there may also be dietary factors involved. The second type, and the type that is most significantly increasing, is Adenocarcinoma.

Adenocarcinoma occurs mostly at the bottom of the esophagus. It occurs when the normal esophageal cells transform into cells that look more like glandular intestinal cells. This transformation is called Metaplasia. Intestinal Metaplasia of the esophagus is also called Barrett’s Esophagus. Adenocarcinoma of the esophagus is more common in people with Barrett’s esophagus, acid reflux, and obesity. Over one third of the US population have chronic Acid Reflux Disease. In this group about 16% have Intestinal Metaplasia (Barrett’s Esophagus).  Of those patients with Barrett’s the have a 25  to 130 fold increased likelihood of developing esophageal cancer.

Barrett's Esophagus

Unlike the tremendous strides the medical community is making curing many cancers, the cure rate for esophageal cancer has not increase significantly since Humphrey Bogart had his surgery in 1957. (Open thoracotomy, removal of the esophagus, removal of a rib). The five year survival rate for esophageal cancer is only approximately 17%. Additionally, obese patients have twice the risk of recurrent cancer than those not afflicted with obesity.

The poor prospects for patients with esophageal cancer make the prevention of the disease of paramount importance. Follow this link to read a very personal account from the wife of an  esophageal cancer victim.

April is Esophageal Cancer Awareness Month. Save the date for this important event.

In support of esophageal cancer awareness I will be writing additional blog posts on subjects related to this topic. I also will be hosting an patient awareness event on Saturday, April 14th from 9:30-11:30 am. Call 321-728-7553 to sign up.

 

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

March 22, 2012
By Ashley

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

Thursday, April 5, 2012 at 6:30 PM
Thursday, May 3, 2012 at 6:30 PM

On Saturday, April 21, 2012 at 9:30 AM, we will be offering a seminar in Orlando:
Radisson Hotel Orlando UCF
1724 N Alafaya Trail
Orlando, FL 32826

For all other upcoming seminar dates and locations (including in Vero Beach), 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.