{"id":344345,"date":"2010-02-20T10:40:47","date_gmt":"2010-02-20T15:40:47","guid":{"rendered":"tag:typepad.com,2003:post-6a00e54fc8012e88330120a8a76a28970b"},"modified":"2010-02-20T13:36:08","modified_gmt":"2010-02-20T18:36:08","slug":"everything-you-ever-wanted-to-know-about-losing-weight-exercise-stress-and-cardiovascular-risk-from-an-expert-dr-sharon-alger-mayer-the-best-diet-how-much-exercise-the-hormone-stress-connecti","status":"publish","type":"post","link":"https:\/\/mereja.media\/index\/344345","title":{"rendered":"Everything You Ever Wanted to Know About Losing Weight, Exercise, Stress, and Cardiovascular Risk from an Expert, Dr. Sharon Alger-Mayer.  The Best Diet, How Much Exercise, the Hormone Stress Connection, the Best Phytonutrients, and the Healthiest Carbs"},"content":{"rendered":"<div style=\"text-align: center;\">\n<div style=\"text-align: center;\"><a href=\"http:\/\/www.happyhealthylonglife.com\/.a\/6a00e54fc8012e8833012877a9e47d970c-pi\" style=\"display: inline;\"><img decoding=\"async\" alt=\"DietExercise2\" class=\"asset asset-image at-xid-6a00e54fc8012e8833012877a9e47d970c \" src=\"http:\/\/www.happyhealthylonglife.com\/.a\/6a00e54fc8012e8833012877a9e47d970c-350wi\" style=\"width: 350px;\"><\/img><\/a> <br \/><\/br><\/div>\n<div style=\"text-align: left;\">\n<blockquote>\n<p><strong><span style=\"color: #bf5f00; font-size: 14px;\">&quot;Why is it so hard to to maintain a healthy weight and good eating habits?\u00a0 It&#8217;s multi-factorial.\u00a0 Genetics loads the gun &#8211; but the environment pulls the trigger. <\/span><\/strong><\/p>\n<p><strong><span style=\"color: #bf5f00; font-size: 14px;\">We are all different\u00a0 genetically in our hunger and satiety cues&#8211;the rate at which we burn off calories, our dietary patterns, and the stress-causing changes in our brains.&quot;<\/span><\/strong><\/p>\n<p style=\"text-align: center;\">-Dr. Sharon Alger-Mayer, Associate Professor of Medicine, Division of Clinical Nutrition, Albany Medical College, Albany NY-<\/p>\n<p><span style=\"font-size: 14px;\"><br \/><\/br><\/span><strong><span style=\"color: #bf5f00; font-size: 14px;\">&quot;A habit cannot be tossed out the window; It must be coaxed down the stairs a step at a time.&quot;<\/span><\/strong><\/p>\n<p style=\"text-align: center;\">-Mark Twain-<\/p>\n<\/blockquote>\n<p style=\"text-align: left;\">If you are receiving this post via email <a href=\"http:\/\/www.happyhealthylonglife.com\/happy_healthy_long_life\/2010\/02\/diet-and-exercise.html\">click here<\/a> to get to the web version with all the links.<strong><br \/><\/br><\/strong><\/p>\n<p style=\"text-align: left;\"><strong>Would you lose weight and start to exercise if it could save you money?<\/strong><\/p>\n<p style=\"text-align: left;\">Starting this year almost everyone at my place of work is getting with the <strong>Program<\/strong>.\u00a0 The diet &amp; exercise program.\u00a0 If lowering cardiovascular risk, and feeling great isn&#8217;t enough motivation&#8211;maybe money will work!\u00a0 If we want to pay 2009 rates for our health insurance in 2010 &amp; 2011 we need to show that we are either healthy, or we are taking serious steps to get healthy.\u00a0 <\/p>\n<p style=\"text-align: left;\">If you have hypertension, elevated cholesterol, diabetes, asthma, are a smoker, or you are overweight (BMI above 27) you need to join a free program (including Curves or Weight Watchers) and reach the set healthy goals by November 2010 to get your rebate.<\/p>\n<p style=\"text-align: left;\">Everyone, even those of us who are already in good shape&#8211;must still participate by joining a small &quot;team&quot; &amp; tracking one or more healthy behaviors:<\/p>\n<ul>\n<li>Weight loss<\/li>\n<li>Pedometer steps (and we&#8217;ve all received a free pedometer)<\/li>\n<li>Daily exercise minutes<\/li>\n<li>Cups of fruits &amp; vegetables consumed<\/li>\n<\/ul>\n<p>Yes, it feels &quot;big-brother-ish&quot;, but you aren&#8217;t forced to participate&#8211;and frankly, I don&#8217;t know anyone who isn&#8217;t.\u00a0\u00a0 I&#8217;ve just logged in my exercise minutes, and how many fruits &amp; vegetables I&#8217;ve eaten&#8211;and I have to admit, it&#8217;s a great way to keep me honest&#8211;and motivated!<\/p>\n<p>So, now let&#8217;s bring on our diet and exercise expert&#8211;Dr. Sharon Alger-Mayer.<\/p>\n<p style=\"text-align: center;\"><strong><span style=\"color: #bf5f00; font-size: 14px;\">What&#8217;s Eating You?\u00a0 Food, Mood, and Cardiovascular Risk<\/span><\/strong><\/p>\n<p style=\"text-align: left;\">For the past weekend I&#8217;ve been &quot;up to my ears&quot; listening to a fascinating lecture by Dr. Sharon Alger-Mayer&#8211;all about how diet, exercise, stress, sleep, belly fat, and brain chemicals affect our cardiovascular risk. <\/p>\n<p style=\"text-align: left;\">The lecture title says it all:\u00a0<strong> &quot;What&#8217;s Eating You?\u00a0 Food, Mood, and Cardiovascular Risk&quot;<\/strong>, Audio-Digest Foundation&#8211;Family Practice\u00a0 58(8): Feb. 28, 2010.\u00a0 <a href=\"http:\/\/www.audio-digest.org\/pages\/start\/current\/results.html?ss=FP5808&amp;fromx=cme-ce\">Click here<\/a><\/p>\n<p style=\"text-align: left;\">I&#8217;m going to do my best to highlight some of the &quot;<strong>new to me&quot;<\/strong> research Dr. Alger-Mayer presents.\u00a0 Stick with me&#8211;there&#8217;s a lot to cover.<\/p>\n<p style=\"text-align: left;\"><strong>Here&#8217;s a chance to benefit from the knowledge, experience, and wisdom of a top-notch specialist without making an appointment.\u00a0\u00a0<\/strong><\/p>\n<p><span style=\"color: #bf5f00;\"><strong>If I had to sum it all up in 6 key points it would be:<\/strong><\/span><\/p>\n<ul>\n<li><strong>Eat a diet that is 750 calories less <\/strong>than what you need to maintain your present weight.\u00a0 Get a diet buddy or join a support group for the best chance of success<strong><br \/><\/br><\/strong><\/li>\n<li><strong>The type of carbohydrates you eat makes a big difference and they actually affect your insuling-signaling genes.\u00a0 Eat Low-Glycemic Carbs!\u00a0 <\/strong>That means foods like beans, legumes, oats, quinoa, dark rye bread, vegetables, &amp; fruits. <strong><br \/><\/br><\/strong><\/li>\n<li><strong>Exercise often<\/strong>&#8211;short bouts are best, enough to burn 2800 calories a week, including 11,000 steps a day (5.5 miles), &amp; 2 days of more intense exercise a week<strong><br \/><\/br><\/strong><\/li>\n<li><strong>Consider adding phytochemicals <\/strong>like (but not limited to) cocoa, green tea, resveratrol (grapes or wine), acai berries, or hops (rho-iso-alpha-acids)<\/li>\n<li><strong>Get enough sleep<\/strong>&#8211;at least 7.5 hours<\/li>\n<li><strong>Find a way to manage stress <\/strong>to reduce fat-causing hormones (like cortisol) that pack on belly fat and increase inflammation.\u00a0 Simplest stress reducers:\u00a0 Exercise and deep breathing&#8211;one deep abdominal breath, hold for count of 4, and repeat.<\/li>\n<\/ul>\n<div style=\"text-align: center;\">\n<p><strong><span style=\"color: #bf5f00; font-size: 13px;\">\u00a0Who Is At Risk?\u00a0 Who Needs to Get With the Program?\u00a0 Where Do You Begin? <br \/><\/br><\/span><\/strong><\/p>\n<p style=\"text-align: left;\"><strong><span style=\"color: #000000; font-size: 13px;\"><\/span><\/strong><span style=\"color: #000000; font-size: 13px;\">Lifestyle accounts for more than 50% of the deaths among middle-age women.<\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #000000; font-size: 13px;\">72% of cardiovascular mortality can be attributed to lifestyle factors.\u00a0 <br \/><\/br><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #000000; font-size: 13px;\">Metabolic Syndrome is what you want to prevent&#8211;or get rid of&#8211;if you have it.\u00a0 If you&#8217;ve got a little too much belly fat, elevated blood pressure, high triglycerides, elevated blood sugar, low HDLs, and\/or high triglycerides you&#8217;re at risk for heart attack, stroke, and type-2 diabetes.\u00a0 We&#8217;re talking Metabolic Syndrome&#8211;and with the right diet, exercise, stress management, and the addition of some potent phytochemicals you just might turn that ship around.<\/span><\/p>\n<p style=\"text-align: left;\"><strong><span style=\"color: #000000; font-size: 13px;\">Dr. Alger-Mayer&#8217;s Prototype Patient:<\/span><\/strong><\/p>\n<ul>\n<li>\n<div style=\"text-align: left;\"><span style=\"color: #000000; font-size: 13px;\">52 year old woman<\/span><\/div>\n<\/li>\n<li>\n<div style=\"text-align: left;\"><span style=\"color: #000000; font-size: 13px;\">High stress job, long hours, finds it hard to find the time to exercise<\/span><\/div>\n<\/li>\n<li>\n<div style=\"text-align: left;\">Travels for work, eat too many restaurant meals, breakfasts on bagels or pastry, drinks 2-3 glasses of wine at night to wind down<\/div>\n<\/li>\n<li>\n<div style=\"text-align: left;\">Poor quality sleep, wakes up frequently<br \/><\/br><\/div>\n<\/li>\n<li>\n<div style=\"text-align: left;\">Feeling depressed, trouble concentrating, anxious, worried about her memory, worried about her health<\/div>\n<\/li>\n<li>\n<div style=\"text-align: left; color: #000000;\">Insulin-resistance, high blood pressure, <span style=\"color: #000000; font-size: 13px;\"> high cholesterol, family history of early heart attack, a history of weight issues, <\/span>loses weight and puts it right back on.<\/div>\n<\/li>\n<li>\n<div style=\"text-align: left;\">5&#8217;6&quot;, 228 lbs, BMI of 37, waist circumference of 42&quot; (&gt;35&quot; increases risk), elevated fasting glucose, HDLS <span style=\"color: #000000; font-size: 13px;\">&amp; triglycerides are OK, LDL is elevated, C-Reative Protein (inflammation marker) is elevated at 3.4\u00a0 <a href=\"http:\/\/www.nhlbi.nih.gov\/guidelines\/obesity\/bmi_tbl.htm\">Click here<\/a> for BMI tables\u00a0 <a href=\"http:\/\/www.happyhealthylonglife.com\/happy_healthy_long_life\/2008\/11\/inflammation-statins-crp.html\">Click here <\/a>for CRP tables &amp; &quot;The Inflammation Connection&quot;<br \/><\/br><\/span><\/div>\n<\/li>\n<li>\n<div style=\"text-align: left;\">Meets criteria for Metabolic Syndrome even though none of her values are super high<\/div>\n<\/li>\n<li>\n<div style=\"text-align: left;\">She is ready to get serious about losing weight and making a change<span style=\"color: #000000; font-size: 13px;\">\u00a0\u00a0\u00a0\u00a0<\/span><strong><span style=\"color: #000000; font-size: 13px;\"><\/span><\/strong><\/div>\n<\/li>\n<\/ul>\n<div style=\"text-align: left;\">\n<p><strong>Before getting started, here&#8217;s what Dr. Alger-Mayer asks all her patients to do, because &quot;knowledge is power&quot;.<\/strong><\/p>\n<ul>\n<li>Keep a 3 day food record of what they are eating day-to-day<\/li>\n<li>Record how they are feeling&#8211;emotions &amp; moods.\u00a0 What&#8217;s driving their food choices<\/li>\n<li>Wear a step counter for 3 days&#8211;not to change anything, but to see how active they are during the day<\/li>\n<li>Keep a 7 day record of their sleep cycle<\/li>\n<li>What are they doing for fun?\u00a0 What do they have to look forward to?\u00a0 What helps to diffuse their stress?<\/li>\n<\/ul>\n<div style=\"text-align: center;\"><strong><span style=\"color: #bf5f00; font-size: 14px;\">Getting Started When You&#8217;re Feeling Overwhelmed &#8211; Where Do You Begin?<br \/><\/br><\/span><\/strong><\/p>\n<p style=\"text-align: left;\">Dr. Alger-Mayer&#8217;s typical patient is an intelligent bright woman who has struggled with this weight issue for many years.\u00a0 <\/p>\n<p style=\"text-align: left;\">It&#8217;s not just about knowing the issues.\u00a0 She feels totally overwhelmed &amp; challenged by life &amp; finding the time &amp; energy to make big changes is extremely difficult.<\/p>\n<p style=\"text-align: left;\">Alger-Mayer says you need to break down the process into a manageable set of goals.\u00a0 Here&#8217;s what Ms. Typical Patient wants to know from Dr. Alger-Mayer:<\/p>\n<\/div>\n<div style=\"text-align: left;\">\n<ul>\n<li>\nIs there one diet that would be best for her particular medical risk factors?<\/li>\n<li>What about exercise? She knows she has to exercise, but how much does she need to do?<\/li>\n<li>Are there any nutritional supplements that would help?<\/li>\n<\/ul>\n<div style=\"text-align: center;\"><strong><span style=\"color: #bf5f00; font-size: 14px;\">Let&#8217;s Talk Diet &#8211; What&#8217;s the Best One?<\/span><\/strong><br \/><\/br><\/div>\n<ul>\n<li style=\"color: #000000;\"><strong>When it comes to weight loss&#8211;it doesn&#8217;t matter.\u00a0<\/strong> According to a<a href=\"http:\/\/content.nejm.org\/cgi\/content\/abstract\/360\/9\/859\"> 2009 New England Journal of Medicine study<\/a> that compared four different weight-loss diets (low vs. higher fat; low carb vs. higher carb; low protein vs. higher protein)&#8211;it just didn&#8217;t make any difference.\u00a0 All the diets achieved weight loss, and lowered cardiovascular risk factors, decreased waist circumference, and triglycerides.\u00a0 The fasting insulin level dropped in all the diets except the 65% carb diet.\u00a0 All 4 diets were basically healthy&#8211;they emphasized adequate fiber and low-glycemic carbs, were low in cholesterol, and participants were asked to do 90 minutes of exercise a week.\u00a0 Most weight loss occurred in the first 6 months of this 2 year study that followed over 800 overweight adults.\u00a0 <strong>Final conclusion:<\/strong> &quot;Reduced-calorie diets result in clinically meaningful weight loss regardless of which macronutrients they emhasize.&quot;<\/li>\n<li><strong>What did make a difference?\u00a0 <\/strong>The patients who attended at least 66% of the group support sessions lost the most weight&#8211;an average of 20 pounds over 2 years.<\/li>\n<li>To lose weight, you need to eat 750 less calories than you would need to maintain your present weight.<\/li>\n<li>Dr. Alger-Mayer emphatically points out that this study <strong>DOES NOT MEAN<\/strong>, that diet doesn&#8217;t matter&#8211;and that you can eat whatever you want to, as long as you cut calories.\u00a0 High fat and simple sugars are not good for you, and will not reduce your cardiovascular risk factors.<\/li>\n<li><strong>My opinion: Go for plant-based, minimal to no added fats, low-glycemic carbs like beans, oats, legumes, fruits &amp; vegetables, whole-grains, and minimal sugar.\u00a0 No worries!<\/strong><\/li>\n<\/ul>\n<div style=\"text-align: center; color: #000000;\">\n<p><strong><span style=\"font-size: 14px; color: #bf5f00;\">A Calorie is Not Just a Calorie.\u00a0 Carbs Affect Our Genes.\u00a0 What?<br \/><\/br><\/span><\/strong><\/p>\n<div style=\"text-align: left;\">\n<p><span style=\"color: #000000; font-size: 13px;\"><strong><span style=\"font-size: 13px; color: #000000;\"><\/span><\/strong><\/span>Some recent landmark studies have confirmed that the kind of carbohydrates we consume actually affect the genes in our abdominal fat&#8211;which has a tremendous impact on developing or curbing Metabolic Syndrome.<\/p>\n<ul>\n<li><strong>The Carbohydrate\/Gene Study.\u00a0 Here&#8217;s how the the low vs high glycemic carb study played out <\/strong>in 2 groups of people with Metabolic Syndrome.\u00a0 One group was fed carbs that were high fiber low-glycemic (think oats, beans, quinoa).\u00a0 The others group was fed carbs that were high fiber high-glycemic (think potatoes, whole wheat bread).\u00a0 Both carbs had the same amount of protein and fat.\u00a0 The low-glycemic carb meal produced a low insulin response, and the insulin-signaling genes in the abdominal fat were actually down-regulated.\u00a0 <strong>But after the high-glycemic carb meal,\u00a0 insulin shot up, and 62 different genes that are linked to the stress response, insulin-signaling and cytokine-mediated immunity were turned on.<\/strong>\u00a0 Pretty amazing!\u00a0 This study prompted endocrinologist Dr. David Ludwig to write an editorial called, <a href=\"http:\/\/www.ajcn.org\/cgi\/content\/full\/85\/5\/1169\">&quot;Putting your genes on a diet: the molecular effects of carbohydrate.&quot;<\/a><\/li>\n<li><strong>Take away point:<\/strong>\u00a0 The kind of carbs we eat have a significant effect on the gene regulation that affects how our bodies handle insulin&#8211;and don&#8217;t forget that abdominal fat is a marker for an insulin response that is out of whack.\u00a0 This process has nothing to do with how many calories we consume, or how much we weigh&#8211;but it has everything to do with what kind of carbs we are consuming.<\/li>\n<li><strong>The effect of whole grains vs refined grains on the risk of cardiovascular disease in Metabolic Syndrome.<\/strong>\u00a0\u00a0 In this study the two groups being compared both reduced their calories by 500\/a day for 12 weeks&#8211;but one group ate whole grains while the other consumed refined grains.\u00a0\u00a0 After 12 weeks both groups had the same weight loss&#8211;but the whole grain group had lost more belly fat, and had a 38% decrease the their C-reactive protein levels (inflammation marker).\u00a0 The magnitude of the this C-reactive protein reduction was similar to the reduction achieved with statins.\u00a0\u00a0\u00a0<\/li>\n<li><strong>Why do we want to eat foods that discourage belly fat&#8211;and that will down-regulate the genes in our belly fat?<\/strong>\u00a0 Belly fat is completely different from the subcutaneous fat that<br \/>\nsurrounds our bodies. It&#8217;s called omentum, and it acts just like an<br \/>\norgan, secreting its own chemicals and hormones like adipokines that<br \/>\nproduce angiotensin II, that raises blood pressure. It also secretes<br \/>\ntumor necrosis factor, interleukin 6, and C-reactive protein which lead<br \/>\nto high blood pressure, insulin resistance, high cholesterol and<br \/>\ninflammation that damages our brains &amp; blood vessels. To read more about why you want to ditch the belly fat, <a href=\"http:\/\/www.happyhealthylonglife.com\/happy_healthy_long_life\/2008\/04\/this-belly-fat.html\">click here.<\/a><\/li>\n<li><strong>How do I find out which foods are low-glycemic?\u00a0<\/strong> The University of Sydney maintains the most reliable database.\u00a0 Look for foods that have a glycemic index of 55 or under.\u00a0<a href=\"http:\/\/www.glycemicindex.com\/\"> Click Here for the database.<\/a>\u00a0 <a href=\"http:\/\/ginews.blogspot.com\/\">Click Here for their excellent newsletter.<\/a> <strong>Bottom line:<\/strong> you want very grainy &quot;kibbled&quot; least-processed breads &amp; carbs that move slowly through your digestive system.<\/li>\n<\/ul>\n<div style=\"text-align: center;\"><strong><span style=\"color: #bf5f00; font-size: 14px;\">Why Exercise Matters If You Want to Keep Your Weight Off Forever!<\/span><\/strong><br \/><\/br><\/div>\n<p>The best data out there on the effect of exercise on weight loss comes from the <a href=\"http:\/\/www.nwcr.ws\/\">National Weight Control Registry <\/a>that was started in 1994 by Dr. James Hill and Dr. Rena Wing in Denver, Colorado.\u00a0 The registry tracks over 5,000 people who have successfully lost an average of 60 pounds and have successfully kept it off for 5 years or more.\u00a0 It aims to find out why these people are successful at keeping their weight off.<\/p>\n<ul>\n<li>The most powerful predictor of successful long-term weight loss is movement!\u00a0 aka Exercise.<\/li>\n<li>On average people who have successfully maintained their weight loss, burn off 2800 calories a week which is quite a lot.\u00a0 <\/li>\n<li>The calorie burn comes mostly from walking, 11,000 steps a day (that&#8217;s 5.5 miles), and a higher intensity exercise for 2 days\/a week&#8211;at an average of 6 METS&#8211;which is about an hour of jogging, bicycling, tennis or aerobics.\u00a0 800 calories of the 2800 were burned as high intensity exercise.<\/li>\n<li>The exercise doesn&#8217;t have to be in the form of long workouts&#8211;like 60-90 minutes at the gym.\u00a0 People who had multiple short bouts of exercise on more days lost more weight and achieved similar cardiovascular benefits.<\/li>\n<\/ul>\n<p><strong><span style=\"color: #bf5f00; font-size: 14px;\">What Nutritional Supplements Can Help with Weight Loss and Reduce My Cardiovascular Risk?<\/span><\/strong><\/p>\n<p>It turns out that Metabolic Syndrome is tremendously impacted by the quality of our diet.\u00a0\u00a0 We are now beginning to understand that the phytonutrients in our food&#8211;which have nothing to do with calories or weight loss&#8211;are metabolically active, and have profound\u00a0 effects on our signaling systems&#8211;and work through the same kinase systems that pharmaceutical drugs work on.<\/p>\n<p>These phytonutrients can affect the insulin-signaling pathways which are closely linked to the inflammatory pathways in our body.<\/p>\n<p><strong>Here are a few examples of some of these active dietary phytonutrients:<\/strong><\/p>\n<ul>\n<li>Green tea<\/li>\n<li>Ginseng<\/li>\n<li>Cinnamon<\/li>\n<li>Resveratrol<\/li>\n<li>Hops &#8211; used as the bitter flavoring for beer<\/li>\n<li>Cocoa<\/li>\n<\/ul>\n<p><span style=\"color: #bf5f00;\"><strong>What happens when you add phytonutrient supplements to a high quality Mediterranean Diet?\u00a0 Magic!!<\/strong><\/span><\/p>\n<p>Dr. Robert Lerman compared two groups of dieters on a super healthy Mediterranean diet high in omega-3s, low glycemic carbs, high quality proteins, and fruits and vegetables for 12 weeks.\u00a0 One study group was supplemented with the phytonutrient hops (rho-iso-alpha acids) and an extract of acai berries.<\/p>\n<p><strong>Here&#8217;s how the groups compared after 12 weeks:<\/strong><\/p>\n<ul>\n<li><strong>Resolution of Metabolic Syndrome<\/strong>:\u00a0 43% of the phytochemical group vs. 22% of the diet only group<\/li>\n<li><strong>Reduction of Framingham 10-year risk scores<\/strong>\u00a0 dropped by 5.6% in the phytochemical group vs. 2.9% in the diet only group<\/li>\n<li><strong>Weight loss<\/strong> was the same in both groups<\/li>\n<li><strong>LDLs <\/strong>were reduced by 17% in the phytochemical group vs. 8.4% in the diet only group<\/li>\n<li><strong>HDLs <\/strong>were increased by 7% in the phytochemical group vs. 3% in the diet only group<\/li>\n<li><strong>Triglycerides<\/strong> dropped by 35% in the phytochemical group vs. 14% in the diet only group<\/li>\n<\/ul>\n<p><strong>Take away point:<\/strong>\u00a0 The optimum way to use phytochemicals is to consume them as part of a healthy diet in whole foods (think lots of fruits &amp; vegetables), rather than thinking, &quot;I&#8217;ll just go the health food store &amp; buy some rho-iso-alpha acid pills &amp; then just keep eating my regular diet<strong>.&quot;\u00a0 <\/strong>I don&#8217;t think so.<strong><br \/><\/br><\/strong><\/p>\n<p><strong>According to Alger-Mayer, diets high in saturated fat have a negative effect on those protein kinase pathways, and just may wash out the beneficial effects of these phytochemicals.<\/strong><\/p>\n<p style=\"text-align: center;\"><strong><span style=\"color: #bf5f00; font-size: 14px;\">What Other Whole Food Phytochemical Supplements Does Alger-Mayer Recommend?<\/span><\/strong><\/p>\n<p style=\"text-align: left;\"><strong>Resveratrol<\/strong><\/p>\n<p style=\"text-align: left;\">This is the phytonutrient found in the skins and seeds of grapes and of course, in wine.\u00a0 <\/p>\n<ul>\n<li>It&#8217;s known to reduce cardiovascular risk by lowering blood pressure.<\/li>\n<li>It improves endothelial function (the lining of blood vessels) by increasing that &quot;magic gas&quot; nitric oxide&#8211;which makes blood vessels flexible and improves dilation.\u00a0 Nitric oxide production increased 3-fold in endothelial cells that were &quot;incubated&quot; in red wine.<\/li>\n<li>It decreases blood platelet aggregation, which means less clumping and clotting<\/li>\n<li>It&#8217;s known to activate cell proteins that prevent cell death in bacteria&#8211;suggesting a &quot;possible&quot; increase in human longevity.\u00a0 Who knows?<\/li>\n<\/ul>\n<p><strong>Cocoa<\/strong><\/p>\n<p>The Greek name for cocoa means, &quot;Drink of the Gods&quot;.\u00a0 Maybe they were on to something.\u00a0 Epichatechin is the polyphenol in cocoa that does its magic on the cardiovascular system.<\/p>\n<ul>\n<li>It lowers blood pressure<\/li>\n<li>It reduces insulin resistance and improves platelet function<\/li>\n<li>It increases nitric oxide production&#8211;that &quot;magic gas&quot; that improves endothelial function, and it has anti-oxidant and anti-inflammatory properties.<\/li>\n<li>In a recent meta-analysis in the journal <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19289648?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&amp;ordinalpos=1\">Circulation<\/a>, 75 grams of dark chocolate for 3 weeks increased HDLs by 14% and decreased LDL oxidation. Lowering blood pressure took even less cocoa to do the job.<\/li>\n<li>How does cocoa do all this?\u00a0 It&#8217;s probably because it increases the availability of nitric oxide, and it also increases arginase&#8211;which prevents nitric oxide from breaking down.\u00a0 It&#8217;s a 2-for-one!<\/li>\n<li><strong>Cocoa&#8217;s best benefit?\u00a0<\/strong> It inhibits the kind of inflammation that creates atherosclerotic plaque.<\/li>\n<li><span style=\"font-weight: bold;\">This study will give you a<\/span><strong> good reason to drink cocoa daily.<\/strong>\u00a0 One of the tests for a healthy vasculature is the ability of our blood vessels to dilate.\u00a0 This study looked at the dilation of arteries after drinking a high flavanoid cocoa drink, compared to a low flavonoid drink.\u00a0 There was a significant increase in vasodilation with the high flavonoid drink&#8211;and nitric oxide levels increased as the level of flavonoids in the cocoa increased.<\/li>\n<li><strong>Watch out!<\/strong>\u00a0 Avoid cocoa or dark chocolate that is &quot;Dutch-Processed&quot; or is treated with an alkali to decrease its bitterness&#8211;that destroys the flavonoids!<\/li>\n<\/ul>\n<div style=\"text-align: center;\">\n<p><strong><span style=\"color: #bf5f00; font-size: 14px;\">What Does Stress Have to Do with Diet and Weight Loss?<\/span><\/strong><\/p>\n<p style=\"text-align: left;\">Plenty!\u00a0 Stress decreases leptin&#8212;and low levels of the hormone leptin will increase food cravings even if you aren&#8217;t hungry.\u00a0 Stress also increases ghrelin&#8212;the hormone that keeps you eating even when you aren&#8217;t hungry.<\/p>\n<p style=\"text-align: left;\">Alger-Mayer says that stress reduction is a key factor in managing our food intake&#8211;and it even plays a role in our ability to exercise.<\/p>\n<div style=\"text-align: left;\">\n<p><strong>What effect does cortisol have on weight loss?<\/strong><\/p>\n<ul>\n<li>Stress increases cortisol, which increases the likelihood\u00a0 of snacking&#8211;especially high calorie snacks.\u00a0 <br \/><\/br>\n <\/li>\n<li>It increases belly fat<\/li>\n<li>Cortisol increases significantly in women who are &quot;high stress reactors&quot;&#8211;snacking is strongly associated with daily stressers in women who are &quot;high stress reactors&quot;.<\/li>\n<li><strong>Cortisol-Abdominal Fat Connection.<\/strong> Men &amp; women with a high waist-to-hip ratio had greater cortisol release when under stress than those with a low waist-to-hip ratio&#8211;suggesting the release of cortisol in response to stress contributes to abdominal fat.\u00a0 <a href=\"http:\/\/www.bmi-calculator.net\/waist-to-hip-ratio-calculator\/waist-to-hip-ratio-chart.php\">Click here<\/a> for a waist-to-hip calculator &amp; chart.<\/li>\n<li>Rats fed a high-fat, high sugar diet and exposed to long-term stress had a 50% increase in visceral (belly) fat<\/li>\n<\/ul>\n<\/div>\n<p style=\"text-align: left;\"><strong>Top ways to reduce stress<\/strong><\/p>\n<ul style=\"text-align: left;\">\n<li><strong>Exercise<\/strong>.\u00a0 It reduces stress, anxiety, depression, and raises dopamine&#8211;the feel good brain chemical&#8211;which may also reduce the craving for high fat, high sugar foods.<\/li>\n<li>Many of Alger-Mayer&#8217;s patients tell her that when they exercise they are better able to stick to their meal plan and avoid cravings.\u00a0 When they get knocked off track, their cravings come back.<\/li>\n<li>Turns out that wheel-running in rats is a protection against stress, anxiety, and depression.\u00a0 It also affects their serotonin and noradrenaline (fight or flight hormone) levels, and increases their dopamine&#8211;the feel-good hormone.<\/li>\n<li>Exercise is actually an antidote for high sugar intake!<\/li>\n<li><strong>How deep breathing helps reduce stress.<\/strong>\u00a0\u00a0 Try the &quot;mini&quot;&#8211;a simple technique developed by Dr. Herbert Benson, an interventional cardiologist who founded the Mind-Body Institute at Harvard.<\/li>\n<li>Within one minute of deep breathing you increase the calming parasympathetic system kicks in, the heart rate drops, blood pressure drops, and &quot;yeah&quot;,\u00a0 cortisol drops, too.<\/li>\n<li><strong>Here&#8217;s how to do it.<\/strong>\u00a0 Take a deep breath, expanding into the abdomen.\u00a0 Hold it for the count of 4, and breathe out.\u00a0 Repeat.\u00a0 Doing this simple technique when you start to feel stressed may reduce cortisol, and prevent our cells from being bathed in cortisol, increases our risk of belly fat. To learn more about Benson&#8217;s technique&#8217;s <a href=\"http:\/\/abcnews.go.com\/video\/playerIndex?id=7392433\">click here.<\/a><\/li>\n<li><strong>Figure out a step-by-step plan.<\/strong>\u00a0 Be clear &amp; specific.\u00a0 When will you eat?\u00a0 When will you walk or exercise?\u00a0 How long?\u00a0 Find an exercise and diet buddy.\u00a0 Alger-Mayer recommends <a href=\"http:\/\/www.sparkpeople.com\/\">Spark People<\/a>&#8211;an online weight-loss community to help you find a group with similar ages and goals as yours.<\/li>\n<li><strong>Get enough sleep!\u00a0<\/strong> Less than 6.5 hours of sleep causes increased hunger, impairs glucose tolerance.\u00a0 Alger-Mayer suggests going to sleep 20 minutes earlier to start.<\/li>\n<li>Give yourself rewards for your diet or exercise success.<\/li>\n<\/ul>\n<div style=\"text-align: left;\">\n<p><strong><span style=\"color: #bf5f00; font-size: 14px;\">What am I now going to change after my &quot;appointment&quot; with Dr. Sharon Alger-Mayer?\u00a0 <\/span><br \/><\/br><\/strong><\/p>\n<ul>\n<li>I&#8217;m definitely going to to think twice about eating any high-glycemic carbs. <\/li>\n<li>I&#8217;m going to try very hard to get at least 7.5 hours of sleep.<\/li>\n<li>I&#8217;m going to program the free step counter I got from my workplace&#8211;and start using it.\u00a0 I wonder how many steps I&#8217;m walking a day?<\/li>\n<li>I&#8217;m going continue with my daily cup of cocoa.<\/li>\n<li>I&#8217;m going incorporate Benson&#8217;s mini&#8217;s&#8211;the deep breathing technique&#8211;as needed.<\/li>\n<li>And that&#8217;s enough for now!<\/li>\n<\/ul>\n<p>Please let me know what you think of this summary.\u00a0 I really appreciate feedback!<br \/><\/br>\n<\/div>\n<div style=\"text-align: left;\"><\/br><\/div>\n<\/div>\n<p><strong><br \/><\/br><\/strong><\/p>\n<p><\/br><\/p>\n<\/div>\n<p><span style=\"color: #000000; font-size: 13px;\"><strong><\/p>\n<p><\/strong><\/p>\n<p style=\"text-align: left;\">\n<p><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&quot;Why is it so hard to to maintain a healthy weight and good eating habits?\u00a0 It&#8217;s multi-factorial.\u00a0 Genetics loads the gun &#8211; but the environment pulls the trigger. We are all different\u00a0 genetically in our hunger and satiety cues&#8211;the rate at which we burn off calories, our dietary patterns, and the stress-causing changes in our [&hellip;]<\/p>\n","protected":false},"author":2896,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-344345","post","type-post","status-publish","format-standard","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/344345","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/users\/2896"}],"replies":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/comments?post=344345"}],"version-history":[{"count":0,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/344345\/revisions"}],"wp:attachment":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/media?parent=344345"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/categories?post=344345"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/tags?post=344345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}