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Lose to Live Challenge: Week One

By Mary Powers
October 2nd, 2008

Week one of the Memphis Health Center's Lose to Live weight loss challenge and Deborah Golston's off to a slow start.

She lost a pound, dropping from 193 to 192.

Golston, 50, was pleased. She arrived at the health center in South Memphis on Thursday for the second weigh-in of the 12-week contest fearing she'd gained weight. After a good start, Golston's appetite got the better of her and started eating more, including more meat. Cutting down on beef and pork was part of her strategy for dropping eight to 10 pounds a month during the challenge.

She made some strides. Golston fulfilled her pledge to stop the middle of the night meals. She still wakes at 2 or 3 a.m., but now fills up on raw vegetables. She's also eating smaller portions, just too many of them, she said with a laugh.

Her goal for this week? "Get more exercise," she said. The center staff recommended 15 to 20 minutes a day.

Golston is one of roughly 150 health center patients and staff who signed up for the competition. The winner will receive $300 and a year's membership to the Hope & Healing Center.

 We'll check in with Golston regularly during the challenge. 

You can also join share weight loss goals and struggles with other Commercial Appeal readers. Sign up to post your pictures and share your goals at focus.commercialappeal.com.   


Enrollment Underway for a Free Adolescent Health Program

By Mary Powers
August 28th, 2008

Enrollment is underway for a free weight-control program targeting adolescents and their families.

The 12-week program, called Strong Me, is designed for those age 6 through 15. At least one parent must also participate. It will be offered beginning in October at Shady Grove Presbyterian Church, 5530 Shady Grove, and at Caritas Village, 2509 Harvard.

Developed by Dr. Janice Pride Boone, a Memphis pediatrician, the program is designed to help families change their daily routine, particularly their eating and exercise. The goal is to help participants increase their exercise and stabilize their weight. Each session includes exercise and a healthy meal as well as other activities. “We walk participants through what change looks like,” explained Boone, who is also a licensed family therapist.

The Caritas Village program is funded with a grant from the United Way of the Mid-South. The East Memphis program is a ministry of the church. Enrollment is limited to 25 families at each location.

For more information, call (888) 495-6555.


Make It a Slimmer Summer

By Mary Powers
June 9th, 2008

Report cards have arrived. Sunset is inching toward 8:15 p.m. Vacation Bible schools are opening their doors. This week The Commercial Appeal's Health & Fitness section is marking summer's start with a story about summer time weight gain. Mid-South physicians said too many young people spend summers snacking in front of a screen.

This week Dr. Pedro A. Velasquez of the University of Tennessee Health Science Center and Le Bonheur Children's Medical Center will answer reader questions related to childhood obesity and the risk of summer weight gain.

 Send in a question and then check back for his reply. He will periodically check the blog and post answers.

 Here is a question to start the chat. Where do you place diet sodas in the hierarchy of healthy or unhealthy drinks? Would you always chose the diet option for children and adolescents? 

Dr. Velasquez sent in this answer: "In regards to health, neither one will be my first choice. It is associated with increased intake of caffeine, fructose, sodium, phosphates etc.. It also may promotes long-term abnormal mineral changes in bone. Soda has become the preferred drink for the youth.It is the substitute for water, milk and healthier drinks. In our clinic we have children that soft drink represents a significant amount of the extra calories (300-2000 cal/day). It is really hard to promote healthier weight in patients drinking sodas. There are studies that supporting sodas are the best predictor of obesity in children regardless if the are diet or regular. There is very limited information suggesting that drinking diets drinks promote weight loss.

However, in patients with diabetes, drinking diet drinks may help to control the increase in glucose values but it does not mean that it is healthy. My inclination is to include soda in the unhealthy category and limiting their consumption is my strong suggestion."


Chocolate Heart Healthy…You Bet! By, Kathy Kastan

By Kathy Kastan
June 3rd, 2008

One delectable super food that is good for our overall health including our hearts is dark chocolate or more specifically cocoa and bittersweet chocolate (which must contain at least 60% cocoa). It is appropriately coined "food for the gods". Studies show that the flavonoids found in dark chocolate can do such remarkable heart healthy tasks as increasing HDL (good cholesterol), lower LDL (bad cholesterol) as well as lower blood pressure and your triglycerides, which in turn lowers your risk for atherosclerosis, type 2 diabetes and heart disease.  Below is a recipe for an unbelievably delicious Chocolate Almond Biscotti. I was lucky enough to sample this recipe in Altoka, Tennessee where a book club baked the biscotti for a talk I gave there. See if you can find the 4 super foods in the recipe below. ENJOY!

Chocolate Almond Biscotti

11/2 cups all-purpose flour

1/3 cup unsweetened cocoa powder

11/2 teaspoons baking powder

1/2 teaspoon ground cinnamon

6 tablespoons butter, softened

3/4 cup sugar

2 eggs

1 tablespoon pure vanilla extract

1/2 cup chopped slivered almonds

2 ounces bittersweet (60% cocoa or more) chocolate, chopped

1. Preheat the oven to 400 degrees F. Line a baking sheet with parchment paper.

2. In a small bowl, stir together the flour, cocoa, baking powder, and cinnamon. In a large bowl, with an electric mixer on high speed, cream the butter and sugar until fluffy. Beat in the eggs, one at a time. Beat in the vanilla extract. Add the flour mixture and beat on low just until combined. Fold in the almonds and chocolate.

3. Place the dough on the prepared baking sheet and shape into a loaf about 9" X 5". Bake for 20 minutes, or until the top springs back when lightly touched. Remove to a rack to cool, about 15 minutes.

4. Reduce the oven temperature to 300 degrees F. Cut the loaf crosswise into 18 (1/2 inch thick) slices. Place the slices cut side down on the baking sheet. Bake, turning once, for 25 minutes, or until dry and crisp. Remove to rack to cool completely.

Makes 18

Per serving: 145 calories, 65 calories from fat, 7 g total fat, 3 g saturated fat, 2 g monounsaturated fat, 1 g polyunsaturated fat, 34 mg cholesterol, 81 mg sodium, 19 g carbohydrates, 1 g fiber, 10 g sugar, 3 g protein.

SOURCE: “WomenHeart's All Heart Family Cookbook; Featuring the 40 Foods Proven to Promote Heart Health,” by Kathy Kastan and Suzanne Banfield (Rodale, $29.95, 301 pages).


Summer shape up Part 2

By Peggy Winburne
April 7th, 2008

We’re having an online conversation with registered dietitian Ashley Hofeditz and certified personal trainer Judy Oros this week. The topic is shaping up for bathing suit season.

Got a question about exercise or nutrition?
Here's your chance to ask it.

They’ll  check the blog and respond.


Am I Really Hungry?

By Ashley Hofeditz, RD, LDN
April 6th, 2008

Can you remember the last time you sat down to a meal really hungry?  Or are you eating dinner because it is 6:30 and you always eat dinner at that time? 

The American Dietetic Association offers these insights regarding eating and hunger:  Read the rest of this entry »


Eating well

By Peggy Winburne
March 10th, 2008

We’re hosting an online conversation this week with Anita Vincent, a registered dietitian with The West Clinic and Memphis Heart Clinic. She also helps restaurants create heart-healthy menu options, as  the registered dietician for Heart Builders Dining Out, a Healthy Memphis Common Table program.
 Vincent will answer questions about food choices when dining at home, restaurants, schools, churches and work.
Got a question? Ask it here.


Healthy Hearts

By Peggy Winburne
February 11th, 2008

We’re hosting an online conversation with author and women's heart health advocate Kathy Kastan this week. If you haven't read about the new "WomenHeart's All Heart Family Cookbook,"  she co-authored, check out the story at http://commercialappeal.com/news/lifestyle/health-fitness/

Do you have a question or comment about heart disease, the symptoms and how it affects  women?
Interested in learning more about heart-healthy recipes?
Click on comments and join the conversation.
(Kastan will be an occasional blogger on the Healthy Memphis Blog on women’s heart-health issues in the future.)


February is Heart Month!

By Kathy Kastan
February 8th, 2008

Hi. I am honored to have been asked to blog for the CA. I want to wish everyone a Happy Heart Month! As an emergency bypass  surgery survivor at age 42, psychotherapist and a advocate my hope is that everyone who sees this blog will take a few steps to reduce their risk(s) for heart disease. But first you will need to know what your risk factors are and your numbers. You can go to www.womenheart.org or www.goredforwomen.org to learn what risk factors are and see if any of them apply to you. The reality is that 80% of women ages 40-60 have one or more risk factors for heart disease but the vast majority don't know it. That's why it's so important to have this discussion with your health care provider. However, doctors on average spend 15 minutes per patient, so frequently they're too busy to discuss your risk factors at length and to create an action plan to reduce these risks. That's why we need to learn to be our own best health care advocates and take the bull by the horns. One cardiac patient I have in mind, couldn't get her doctor to answer her questions. So the next time he came in to the examining room, she sat in front of the door until he answered her questions. Read the rest of this entry »


Another Weight Loss Option

By Mary Powers
February 1st, 2008

Saint Francis - Memphis Center for Surgical Weight Loss made regional news Friday when a medical team used a recently-approved adjustable band to treat three patients by dramatically reducing the size of their stomachs.

All were at least 100 pounds heavier than their recommended weight. All underwent the procedure hoping that the band, sold as the Realize Adjustable Gastric Band, will help them lose weight. The band, which won federal approval in September, joins similar devices already on the market.

“Gastric bypass is still the gold-standard. But a lot of people are still scared of gastric bypass because they are scared of changing their anatomy and rerouting their intestines,” said Dr. Virginia Weaver, the center’s medical director. Surgeons commonly use staples to create a dramatically smaller stomach pouch and then link it to a surgically shortened section of the digestive system.

For those willing to accept more gradual weight loss, Weaver said research suggests adjustable bands are as effective for weight loss and in curing type-two diabetes. The bands go around the stomach. The resulting stomach can hold just a half-cup of food or liquid.

Patients who opt for bypass surgery typically lose 60 to 80 percent of excess body weight within 18 months, Weaver said. In comparison, patients who choose the band take two to three years to lose 55 to 60 percent of excess weight. After five years, the weight loss is comparable, Weaver said.

Complication rates for both procedures are low and death rates even lower.

Weaver predicted interest in the adjustable band will grow following a recent study that showed it helped people lose enough weight to send their type-two diabetes into remission.

Have you had surgery to help you lose weight?

One of my sisters-in-law took the plunge and late last year underwent gastric bypass surgery. She's already dropped nearly 40 pounds, but it hasn't been easy. The surgery itself wasn't difficult. But she said it's been unexpectedly tough to join everyone at the dinner table and be able to eat just a bite or two.

If you took the plunge, let us know about your experience with the surgery. If you are considering it, how will you decide?


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