Updated on Jun 30, 2022 | Diet and Nutrition, OB/GYN, Women's Health
Despite what your mother or grandmother may have told you, pregnancy is no excuse to eat whatever and however much you want. The theory of eating for two is no longer acceptable in today’s society of overweight and obesity. Too much weight gain during pregnancy can be detrimental to you and to your baby.
One Size Does Not Fit All
The Institute of Medicine’s guidelines for weight gain during pregnancy are based on pre-pregnancy body-mass-index (BMI). Therefore, if you are overweight or obese before becoming pregnant, it is recommended that you gain less weight during your pregnancy. On the other hand, if you are underweight before becoming pregnant, it is recommended that you gain more weight. A weight gain of 25 to 35 pounds does not fit all.
With the exception of women carrying multiples, minimal to no weight gain is recommended during the first trimester. On average, only 300 to 500 additional calories are needed during the second and third trimesters to support adequate weight gain. That is just a couple of snacks above a healthful intake, or an after-dinner dessert.
Snacks Allowed!
Snacks are necessary. Just as they are important for metabolism and weight control when not pregnant, healthy snacks help curb cravings throughout the day, and thereby control weight gain during pregnancy. Snacks are especially important for controlling blood sugar in women who are diabetic.
Cereal and Eggs Provide Important Nutrients
Eat your breakfast! Not only is breakfast the most important meal of the day to kick-start your metabolism, it also is a great opportunity to include folic acid (vitamin B9) in your diet. Folic acid is essential in nervous system development and the prevention of neural tube defects, and is best absorbed through fortified foods and supplements. Thus, a bowl of cereal is a great way to add this B vitamin to your diet.
Think twice before ordering egg whites. Choline, though often forgotten in comparison to folic acid, is also essential in nervous system development and such functions as memory and muscle control. The best source of choline for the fewest calories is a full egg.
Include Healthful Fats
Include healthful fats in your diet. DHA, an omega-3 fatty acid, is found in fish and shellfish in a ready-to-use form. It is essential for your baby’s brain development during pregnancy, nursing and the first few years of life. Many women do not even consume a quarter of their recommended DHA requirements.
Healthy Choices Are Key
Remember, the choices you make before and during pregnancy can affect you and your baby later in life. Making changes in your diet and eating behaviors now will help you prepare for pregnancy. For instance, be mindful of folic acid, choline and DHA, as these nutrients are important during the very early stages of pregnancy, even before many women learn they are pregnant. And, if you are not already at a healthy weight prior to pregnancy, get there! Include in moderation whole grains, low-fat dairy products, lean meats, fruits and vegetables for a healthy baby and a healthy you.
Updated on Jun 30, 2022 | Diet and Nutrition, Exercise, Men's Health, Popular, Women's Health
Some of you have probably thought about or written down a New Year’s resolution for 2013. All too often, we notice those resolutions fading as February 1st rolls around. We all have the ability to keep our New Year’s resolutions and to make important and healthy changes in our lives. The dilemma is that we often lack the strategies needed to stay on track. Here are some helpful tips to keep you focused and successful in 2015! (more…)
Updated on Jun 30, 2022 | Diet and Nutrition, Exercise, Men's Health, Women's Health
Picture it: The holidays have come and gone. A brand new year is here, and you’re feeling both positive and optimistic about 2013. Such optimism is reflected in your New Year’s resolutions, such as “buy a gym membership” or “lose weight.” This year, you’re actually going to follow through with your resolutions—right?
Well…maybe. A study published by the psychology department of the University of Scranton reported that of participants who made New Year’s resolutions, 31% planned to lose weight and 15% planned to join a fitness program. After following participants for 6 months, the study found that less than 50% of people who made resolutions were successful. This makes us wonder, what is the key to a successful resolution? Here are some tips to help you achieve your goals this year:
1. Be Specific – Goals should be measurable and have a time frame. For example, “buy a gym membership” is general whereas “work out for 60 minutes 3 or more days of the week through February” clearly defines the goal.
2. Be Realistic – Set an achievable goal for yourself. Instead of planning to “lose 50 pounds,” aim for a more realistic goal, such as “lose 1 to 2 pounds a week.” This weight loss is considered “healthy” for most people and allows you to have a weekly “success.”
3. Be Creative – There are many changes you can make in your life to become healthier. If you have a medical condition, you can also incorporate a goal this year to help you achieve better control. Examples include:
• Don’t skip meals – I will eat 3 meals a day.
• Get more sleep – I will go to bed 30 minutes earlier on weeknights.
• Eat more fruits and vegetables – I will have at least one serving of fruit or vegetables with every meal.
• Eat out less during the week – I will bring lunch from home 4+ days a week.
• For my high cholesterol – I will switch to low-fat dairy products (e.g., 1% or non-fat milk, low-fat yogurt).
• For my diabetes – I will eat a piece of fruit in the morning instead of drinking juice (e.g., have a small orange or banana)
• Drink more water (and fewer sweetened beverages) – I will drink 8 glasses of water a day.
Remember, these are only suggestions. Think about what works best with your lifestyle, and what is realistic for you to change. Spending the time to really think about your resolution will ensure that you’ve picked something meaningful and achievable.
Good luck in 2013!
References:
Norcross JC, et al. Success predictors, change processes, and self-reported outcomes of New Year’s resolvers and nonresolvers. Journal of Clinical Psychology. 2002; 58(4) 397–405.
Updated on Jun 30, 2022 | Diabetes, Diet and Nutrition, Exercise, Health Tips, Men's Health, Popular, Women's Health
Every year at the end of December, I reflect on the past year’s highs and lows, and the goals I set and didn’t achieve along with those I did. Most of them involve going to the gym and eating better, and 90% of the time I haven’t come close to meeting them. As inconceivable as it sounds, I find myself again making the exact same New Year’s resolutions I wasn’t able to accomplish last year! Sound familiar?
Resolutions Need a Reason
Many people get stuck in this same loop, making the same New Year’s resolutions year after year: “I will work out at least three times a week,” “I will lose 10 pounds,” “I will go to sleep by midnight,” etc. Most of us enter the new year determined to achieve our goals, but the changes never last to March. Why? Because most New Year’s resolutions are emotionless and without any motivating or driving force behind them.
To change a behavior or daily habit for a week or two is easy, but it is incredibly difficult to sustain that change over a long period or for the rest of your life if you don’t have a good reason to do it (and knowing you should do it isn’t a good enough reason for most of us). We all know we should exercise and eat better, but most of us don’t do it. So, how do you make a New Year’s resolution that sticks? Make it personal and important.
How to Make and Keep Yours
If you want to change your behavior or lifestyle, here are some steps that can help you start 2013 on the right track.
1. Think of a New Year’s resolution and write it down.
Example: I want to have better blood sugar control.
2. Look at the resolution and ask yourself why it is important to you. List your reasons.
Example: I want to live a long time and watch my son graduate high school; I don’t want to lose my toes or feet; I watched my mother die from the disease and I don’t want to go through the same thing.
3. Rate your reasons (1 being the most important, 10 the least).
Example: 1) My son’s graduation; 2) Don’t want my Mom’s end of life; 3) I want to keep my toes.
4. Now that you have solid and important reasons to change your behavior and achieve your goal, think about how you can go about it.
Write down what you will have to change on a daily or weekly basis to make the goal work. Be very detailed.
Example: I will put out my finger sticks by the bedside table so I can test my blood sugar as soon as I wake up. I will make an appointment with a dietitian to make a meal plan. I will keep a log of my sugars every day. I will switch from juice to diet soda.
5. Set-up some mini milestones and rewards (not food related) for when you meet them.
This will help your motivation continue through the year until it becomes routine.
Example: If my blood sugar stays below 200 for one month I will take my family ice-skating. If I keep my blood sugar below 180 for three months, I get to book my summer vacation.
Remember, you can make goals and revise goals throughout the year and use the same method to meet them. What are you waiting for? Get started on your New Year’s resolutions now and have the faith and belief that this time you are knocking them out of the ballpark!
Nov 27, 2012 | Diabetes, Diet and Nutrition, Endocrinology, Men's Health, Women's Health
We have all heard of “beauty sleep,” but the impact of sleep quality and quantity goes way beyond our physical appearance. Research has begun to clearly delineate the importance of getting a good nights rest on health, so maybe we should start talking about “healthy sleep.”
A few facts for you from a National Sleep Foundation Poll:
* 1 in 3 American adults report having sleep problems.
* The percentage of young American adults sleeping less than 7 hours has doubled over the last 40 years.
* Cumulative sleep loss over the work week for many adults may account to one full night of sleep loss.
What do these statistics mean to me?
Research has demonstrated that sleep deprivation negatively affects several important hormones that directly regulate our appetite and metabolism. Our bodies are innately programmed to regulate our energy balance, essentially matching the energy we take in with the energy we expend.
The yin and yang of energy balance are ghrelin and leptin. Ghrelin is a protein that is produced mainly by the stomach that stimulates appetite; it is why your stomach growls when you are hungry. On the other hand, leptin is a hormone released by fat cells that signals when you are full (sometimes it’s hard to listen to this one!). Several research studies on sleep deprivation have shown that leptin levels decrease and ghrelin levels increase in response to a lack of sleep, which causes an increase in appetite (specifically for high-calorie and high-salt food) throughout the day. In a review of long-term research studies, short sleep duration is associated with a risk of being overweight or obese in the future.
Lack of sleep has also been shown to increase the release of stress hormones, specifically cortisol, which decreases the body’s sensitivity to insulin (a regulator of blood sugar). An elevation in stress hormone levels may also elevate blood pressure, a risk factor for heart attacks and strokes. Just as lack of sleep may be risk factors for these conditions, it may also make them more difficult to control so improving sleep may also be a valuable treatment.
Living in the “city that never sleeps” can make it difficult to shut it down at night. The good news is that it will still be there when you wake up! If you have trouble falling asleep or staying asleep at night, please talk to your doctor to evaluate if there is a possible medical reason.
Good night and sleep tight!
Gregory B. Dodell, MD, is an Endocrinologist ta St. Luke’s and Roosevelt Hospitals.
Nov 12, 2012 | Diet and Nutrition, Exercise, Holistic Health, Integrative Medicine, Popular, Women's Health
Autumn in the Northeast is a time of dramatic change—cooling weather, a respite from the summer’s heat and humidity, the start of the new school year, beautiful colors, and a return to familiar routines at home and at work. This time of transition is also the perfect chance to pause, reflect, and take the opportunity to reconnect with and recommit to living your best life. When you live with authenticity, integrity and in the way that best serves you (and others), the rewards are immeasurable. Here are some easy steps to begin your journey:
* Become your own best health advocate. Make sure you have your annual physical exam, appropriate screening exams (mammogram, pap smear, colonoscopy, etc.), vaccinations, and dental exam and cleaning. Take your medication compliantly as prescribed. Stop smoking and drink alcohol in moderation.
* Exercise consistently. Walk to your destination and ditch the elevator and take the stairs instead. Invest in a bike and use it to explore the city. Join the gym and work out with friends. Practice yoga, jog along the riverbanks, move your body!
* Improve your diet and maintain a healthy weight. Replace fast food and processed snacks with healthful, fresh fruits and vegetables. Cook at home and use portion control. Be adventurous and try new foods. Plant a garden. Most importantly, eat mindfully and with intention.
* Ensure success and avoid failure by setting realistic, attainable goals. Replace “I can’t” with “I can!”
* Do one thing that scares you and reward yourself for embracing your fears. Challenge yourself to redefine your own limits and expand your own possibilities.
* Each year, check at least one thing off your personal “bucket list.” Don’t have a bucket list? Make one—a list of all the things you want to do in your lifetime.
* Set personal boundaries with others and speak your own truth…kindly and respectfully.
* Spend time with friends and family in person. Cell phone calls, texts, emails, Skype, Facebook and other social media tools serve a very real purpose, but they do not compare to quality time spent in the flesh with those we care about. So, call a friend and make a lunch date!
* Keep a journal and record your thoughts, experiences, goals, desires and dreams.
* Meditate and breathe. Set aside as little as 5 minutes daily to tune out the chatter and tune back into yourself and the power of your breath.
* Forgive yourself and give yourself permission to make mistakes. No one’s perfect and no one expects you to be. Forgive others their mistakes, too.
* Get involved with your community.
* Play with your kids and tell them “yes” more often than you tell them “no.”
* Make amends and end a feud. Holding onto anger and grudges serves nothing and no one.
* Make a donation and pay it forward. Give to those in need (money, time, your skills, gently used clothes, food).
* Build good karma and do at least one kind thing daily without expecting anything in return. It feels good to do good.
* Mind your manners. “Please”, “thank you” and “you’re welcome” are too often neglected.
* Engage your mind and heart. Turn off the television and computer and read a book or write a poem or letter. Take a walk. Watch the sun rise. Watch the sun set.
* Give thanks for the abundance that surrounds you and remember to see the good first and foremost
* Start each day by setting an intention.
* End each day by making an honest assessment. Remember, tomorrow gives you nothing but new opportunities.
* Enjoy your best life as you live in alignment with your most authentic and heart-centered self.
Jennifer Svahn, MD, FACS, is a Vascular Surgeon at Beth Israel Medical Center and a Registered Yoga Teacher.
