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10 Tips for Healthy and Safe Holiday Travels

Wednesday, 16 December 2015






















As we travel to spend time with loved ones during the holidays, it’s absolutely important to stay healthy and safe while on the road. Whether you’re in search of tropical climes like Southeast Asia and the Caribbean or snowy ski slopes in New Zealand, these 11 tips will help keep you a healthy, happy traveler!



1. Stay hydratedAlong with all the sightseeing activities on your itinerary, staying hydrated with water—not coffee, soda, or tea—should be a priority. If you’re dehydrated, you might feel more than thirst: dizziness, lightheadedness, and headaches are common signs of dehydration. More severe cases, according to Dr. Kenneth Cheng, can lead to confusion and even serious health consequences, including organ damage. To stay on top of your hydration levels, look at the color of your urine! Dr. Swati Avashia says, “The less hydrated you are, the more yellow your urine is. If you are well hydrated, urine is pale yellow to colorless.” Staying hydrated is even more important if you’re pregnant.



2. Eat healthyEven with differences in world cuisines, eating healthy is still totally doable. Dr. Martin Fried sums it up with “MVB“:Moderation in all thingsVariety of foodsBalanceSpecifically, he says, “Try to choose from all food groups, including fruits, vegetables, legumes, beans, whole grains, proteins, dairy, and healthy fats [with portion control in mind].” Half of your plate should be fruits and veggies, as suggested by ChooseMyPlate.gov. They should also be in a variety of colors—red bell peppers, orange carrots, purple eggplants, white cauliflower—because a colorful diet is a healthy one!



3. Avoid food and water of questionable quality
While it’s great to explore culture through food, make sure you aren’t getting the bad kind of culture—bacterial cultures that lead to common foodborne illnesses like salmonella, botulism, E.Coli food poisoning, and listeria. Besides the terrible traveler’s diarrhea that’ll keep you confined to your hotel room, foodborne illnesses can also lead to vomiting or worse. If you have a weaker or weakened immune system (infants, children, pregnant women, and the elderly), take even more precaution. In the United States, FoodSafety.gov has up-to-date information about the latest outbreaks and recalls.


To be safe when traveling, avoid foods that are raw, undercooked, unwashed, unpasteurized, fermented, or cured—and stick with bottled and filtered water. For more on food safety, check out our detailed blog post 5 Simple Ways to Practice Food Safety.




4. Wash your hands regularlyWashing your hands isn’t just for flu season! It’s a year-round health commitment, and even more important when you’re traveling. According to Dr. Terri Graham, the first thing to do when eating at any restaurant, exiting any crowded public space, or after using public transportation is to thoroughly wash your hands as it’s the best way to prevent infection. It’s also just good general hygiene. Dr. Geoffrey Rutledge, HealthTap’s Chief Medical Officer, suggests following the CDC’s guidelines for hand washing:Wash your hands with soap and running water.Rub your hands together for at least 20 seconds (singing Happy Birthday or Twinkle Twinkle is a great way to time it, says Dr. Charles Barnhart)Pay special attention to your wrists, the backs of your hands, and under your fingernails.Leave the water running while you dry your hands on a paper towelUse the paper towel as a barrier between the faucet and your clean hands when you turn off the waterIf soap and water aren’t available, use gel hand sanitizers or alcohol-based hand wipes containing 60–90% ethyl alcohol or isopropanol. When using it, rub your hands until the gel is dry.


5. Make sure your vaccinations are up-to-date
While most preventable diseases have been eradicated or nearly eradicated in the United States and other first-world countries, that isn’t necessarily the case everywhere else. Besides your regular vaccinations (MMR, Hepatitis B, Polio, Tetanus, etc.), some countries require particular vaccinations before you enter. For example, you might need the Yellow Fever vaccine or the Typhoid Fever vaccine if you’re traveling to Africa, Latin America, or Asia. For more destination-specific information, check out the CDC’s website. These blog posts on Measles and Immunizations can help too!



6. If you take prescription medication, stay organizedDr. Linda Gromko‘s Staying Healthy while Traveling checklist includes these key points:Take a list of all prescription medicationsTake medications in bottles with labelsTake meds, including emergency inhalers, in carry-on bagTake your physician’s contact informationThis checklist also applies to other medication needs, like emergency inhalers or an epinephrine pen for serious allergic reactions.



7. Get enough sleepWhile it’s awesome to cram in as much sightseeing as possible, don’t forget to rest up. Psychiatrist Dr. Amanda Itzkoff warns that sleep deprivation has a generally negative effect on physical health, mental health, weight management, alertness, anxiety, and blood pressure—and the list goes on! Dr. Sarah Kohl, a specialist in travel medicine, suggests this to help your sleep schedule match local time during/after travel: “Your internal clock is set and reset daily by sunlight and melatonin (your body’s sleep hormone). Get out into the morning sunlight and take melatonin before bedtime. Melatonin is available over the counter. Additionally, you will want to eat at the appropriate times on your new schedule. You will be adjusted in a few days.”



8. Protect yourself against mosquitoes and other bugs (like ticks!)Mosquitoes are arguably the world’s most annoying pest—and also the cause of several mosquito-borne infections like Dengue Fever (something to watch out for if you’re traveling to Hawaii), Malaria, West Nile Virus, and more. To deter mosquitoes from biting, Dr. Michael Ein suggests using insect repellents that contain 20–50% DEET (10–30% for young children, according to Dr. Mary Lambe) or picardin are very effective mosquito repellants. Permethrin-treated clothing is also highly effective. Dr. Heidi Fowler also suggests using bed netting when sleeping, spraying the walls with insecticide, staying inside or wearing long pants and long-sleeved shirts from dusk to dawn. For natural bug deterrents, she suggests using aloe vera and basil.



9. Practice safe sexUntil you and your partner are working to have children, you should always practice safe sex, which prevents both disease and pregnancy. Dr. Richard Bensinger says, “Safe sex is the wisest choice when any encounter with a person that is not completely known to the other partner is undertaken.”In other words, if your travels turn romantic, and you choose to become intimate, make sure you’re prepared. While there are several birth control options, condoms are typically the most readily available one—and they’re also the only method that protects against sexually transmitted infections. For more tips, check out our doctor-created checklists on practicing safe sex.



10. Monitor the CDC’s Travel Health NoticesThe best way to stay informed with current travel health advisories is to check with the CDC (Centers for Disease Control) and the WHO (World Health Organization). Both are excellent sources of international travel health information, including disease information, vaccines, and other travel health risks.

3 Feel-Good Reasons to Be Giving this Season



Are you excited for the holiday season? We are! Whether it’s warm and sunny in your part of the world (we’re looking at you, New Zealand!) or chilly and overcast, we can all share in the joy and cheer the holidays bring. December and January—the end of one year and the beginning of the next—are a great time to reflect on the generosity of the past year and how we can bring it with us to the new year.

One way to bring 2015’s blessings to 2016 is to be generous and give of yourself—whether by volunteering your time and talents or by donating your treasure to charity. After all, care and kindness is for anyone and everyone, no matter how old you are or where you’re from! Here are 3 reasons why you should be more giving this holiday season:





1. It feels good!Clinical psychologist Dr. Andrew Berry says that volunteering and doing service work for others makes you feel good! This is because you do it because you wish to, and not out a sense of moral obligation, which can nothing whatsoever to do with actual desire. For example, not everybody likes the holiday season because you can feel morally obligated to spend time or money with family or friends. Volunteering, on the other hand, is a way to give to others on your own time in your own way at your own speed.Dr. Vythi Alagappan, a specialist in Bariatrics, notes that when you do something as satisfying as volunteering, your body produces endorphins—which boosts your mood and makes you feel good. Volunteering in groups can even increase this impact, says clinical psychologist Dr. Bernard Seif. Family medicine specialist Dr. Gerardo Guerra Bonilla adds that this kind of generosity, helping and being concerned about others, prevents you from thinking about and getting mired in your own problems.




2. It nurtures your empathy and caring skills.Empathy and caring are real skills that you won’t learn in a classroom. Clinical psychologist Dr. Arthur Ciaramicoli says empathy is like a muscle: We all have the capacity for it, but if it isn’t developed, it’s similar to not using a muscle and allowing it to atrophy. Empathy is the ability to understand and respond to the unique experiences of another. If you expand your empathy with practice, you’ll be developing one of the most important abilities for personal and professional success. As Dr. Randy Baker, a specialist in Holistic Medicine, notes, doing volunteer work allows you to help people in need—which is also excellent training if you want to be a doctor or otherwise work and succeed in a field that requires strong interpersonal skills.



3. It seriously feels good!Regardless of your beliefs, clinical psychologist Dr. Fred Gallo notes that contributing to the welfare of others is among the highest spiritual needs—and while helping others is not self-centered, you do get to feel good about yourself as a result of your actions. Dr. Steven Griggs, also a psychologist, echoes that sentiment. “Serving others is one of the surest ways to feel good,” he says. “It goes to altruism, selflessness, and genuinely aiding another human being (or animal or organization). It’s paradoxical because you benefit as much as those who serve, even though your intent is not to serve yourself. It taps into a higher cause and elevates us out of our daily struggles.”Psychiatrist Dr. Pacita David highlights that selfless actions can enhance one’s sense of purpose and connection with a community larger than oneself. It can also result in what’s called the “Mother Theresa effect,” which Dr. Bernard Seif explains as this: When we see others doing good works for others, such as Mother Theresa who worked with the sick and poor in Calcutta, it prompts others to do the same.





Be the biggest loser weight naturally 1

Saturday, 24 October 2015




1-Cinnamon Tea:

Blood sugar has a direct impact on your weight as it affects how hungry and how energetic you are (if you have energy you’re much more likely to exercise!) If your blood sugar is balanced you are less likely to have a disproportionately large appetite, and your body will be more apt to use fat (energy) rather than storing it. While debate about its effectiveness drags on, more and more preliminary studies are coming out showing that cinnamon can help manage blood sugar levels, so why not whip up a spicy cinnamon tea?
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You will need…
......
     1 teaspoon of ground cinnamon
     1 cinnamon stick
     8 ounces of fresh water
Directions....
Place the cinnamon in a mug and cover with 8 ounces of boiling water. Steep for 15 minutes before straining. Drinking 1-2 times a day.

2-Green Tea & Ginger:

Green tea has long been debated as a weight loss aid, and more research is needed to confirm or deny how well it works. While some studies have turned up nothing, others have identified three main components in green tea that could help manage weight-caffeine, catechins, and theanine. Caffeine is just an overall boost to your system, and speeds up a number of bodily processes, including metabolism related to weight (technically speaking, metabolism refers to any and all biological processes in a living organism needed to sustain life.)

Catechins are considered anti-oxidant flavonoids, and are superior in green tea rather than black tea due to a difference in processing (black tea is fermented.) While the mechanism is yet to be determined, in vitro and in vivo studies have shown that catechins can help lower the absorption of lipids (fats) via the intestinal track. Theanine is an amino acid in green tea that can encourage the release of dopamine, the chemical that makes you “happy” and relaxed. If you tend to eat due to stress, this may be useful. It also counters the caffeine so you don’t get all jittery. The ginger added to green tea will help improve digestion and add a little flavor-no sugar or milk in this tea!
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You will need…
.....
   1/2 inch of fresh ginger root, peeled and finely chopped OR ½          teaspoon ground ginger
   1 teaspoon of green tea
   8 ounces of fresh water
   Raw, organic honey (optional)
Directions..
Place green tea and ginger in a strainer or sieve and cover with 8 ounces of boiling water. Steeping green tea for too long can leave it with a bitter taste, so don’t exceed 3-4 minutes. You can stir in a little raw honey if you really need to sweeten it, but avoid milk or sugar at all costs. Drink 1-2 cups daily on an empty stomach.
3-Rose Petal Water:

The benefits of rose petal water are backed more by anecdotal evidence than anything, but that’s no reason to shrug off this mild yet refreshing drink. Rose petals act as a very gentle diuretic. Diuretics encourage your kidneys to put more sodium (salt) into your urine. This excess salt in turn draws water from your blood, decreasing the amount of water in your circulatory system. This is not “permanent” weight loss-just water weight-but the action encourages you to drink more and keep your system flushed clean and hydrated. Staying hydrated, believe it or not, can be hugely beneficial to losing weight.
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You will need…
..
    Handful of fresh or dried rose petals
    Distilled water (roughly 1-2 cups)
    A pot with a tightly fitting lid
Note: Be sure, especially if using fresh rose petals, that they have not been treated with any sort of chemical (insecticides, pesticides, herbicides, fertilizers, etc.)
Directions....
Place the pot on the stove, put in the rose petals, and add just enough distilled water to completely cover them. If some float to the top it’s not a big deal. Cover the pot with a tightly fitting lid and simmer until the petals lose most of their color, about 15-20 minutes. Strain the liquid into a glass jar and keep in the refrigerator for up to 6 days. Drink about ½-1 cup every morning on an empty stomach.

4-Ginseng:
Ginseng is any one of 11 perennial plants with fleshy roots belonging to the genus Panax. While there are different kinds of ginseng, the two that you should use –also the ones that have had the most controlled double-blind studies done on them-are American ginseng (Panax quinquefolius) and Asian or Korean ginseng (Panax ginseng.) While widely known as a stimulant to speed up a sluggish metabolism, that description doesn't do it justice. Ginseng greatest quality is that it can help fight fatigue and boost energy as well as mental alertness (in a randomized double-blind study in 2010 290 cancer patients at the Mayo Clinic were given ginseng daily and it was found to fight even the crippling fatigue caused by chemotherapy.) This is huge when it comes to weight loss-without energy, it’s hard to exercise. Without exercise, it’s near impossible to lose weight-at least in a healthy way. In addition to boosting energy, there is tentative evidence that it can help manage blood sugar, which also affects energy levels as well as appetite.
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You will need…
....
    1 teaspoon of chopped American or Korean ginseng
    8 ounces of fresh water
     raw honey/lemon to taste (optional)
Directions...
Roughly chop the root and measure out 1 teaspoon per cup of water. Bring water to a boil and then pour over the ginseng, allowing it to steep for 5-9 minutes. Strain, add honey or lemon if you like, and drink 1-2 times daily.
5- Dandelion and Peppermint:
Dandelion and peppermint tea is a fabulous drink that will help keep your liver healthy. The liver is an incredible organ. Not only is it the only way to truly detoxify your body, it is also plays a central role in many metabolic processes-a lot of which affect weight. In terms of fat metabolism, the liver is full of cells that break down fats and turn them into usable energy. These cells are also responsible for the flow of bile, which helps breakdown and absorb fats. In the metabolism of carbohydrates, the liver helps keep your blood sugar steady, therefore keeping energy levels up and regulating appetite. The list goes on, but the point is helping your liver helps your weight, as it plays a crucial role in managing fats and their absorption. Dandelion and peppermint both help your liver. Dandelion has hepatoprotective constituents, with hepatoprotection meaning an ability to prevent damage to the liver. Peppermint and dandelion both automatically stimulate the production of bile in the liver, helping with digestion and the absorption of nutrients. Mix these two together, and you have a powerful liver protecting tea!
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You will need…
..
    1 teaspoon of dried dandelion leaves
    1 teaspoon dried peppermint leaves
    8 ounces of boiling water
    Lemon to taste (optional)
Directions...
Pour a cup of boiling water over the dandelion and peppermint and steep, covered, for 5-10 minutes. Strain, add lemon to taste if you like, and drink a cup twice daily. You can also make this with fresh dandelion leaves/roots and fresh peppermint, just use a rough handful of the fresh leaves for the amount. If you do use fresh, be absolutely certain that there have been no chemicals applied to them- this is especially important for dandelion. If you use dandelion on a regular basis, I suggest growing your own.

6-Sip on Sage:
We live in a hectic world, and most of us are stressed about one thing or another on a daily basis. The thing is, our bodies weren't made to handle constant stress, and it can have damaging effects on a wide variety of functions-including weight gain/loss. When under stress, the body releases cortisol, a steroid hormone that is part of the fight-or-flight response. Cortisol can effect blood sugar level (therefore appetite), and cause energy to be stored more readily as fat. Neuropeptide Y is a neurochemical that is also related to stress. When released, it causes growth of fat tissue (energy is stored easily as fat around the abdomen) as well as an increase in appetite. One way to fight this underlying stress can be to ingest more sage, which has calming effects on both the body and mind. Making a calming sage tea, or even just adding it in dishes you cook, is one way to help combat your stress levels.
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You will need…
..
    A handful of fresh sage OR 2 teaspoons of dried sage
    8 ounces of boiling water
    Lemon to taste (optional)
Directions...
Pour boiling water over sage and steep for 4-5 minutes. Strain, add lemon to taste if you like, and drink 1-2 times daily.

Be the biggest loser step by step

 be the biggest losser



  1. Relieve bloating: Eating salty foods like hot dogs and chips can make you look and feel puffy, but you can trick your body into letting go of excess liquid by noshing on natural diuretics. For a triple dose, try tossing half of a sliced cucumber with ¼ cup parsley and 1 Tbsp lemon juice, says Jackie Keller, a celebrity nutrition expert who has worked with stars such as Reese Witherspoon, Angelina Jolie, and Charlize Theron.
  2. Eat fish to burn fat: Put more fish on your dish to get more out of your next sweat session. Astaxanthin, a powerful antioxidant that gives salmon, shrimp, and other seafood its pink color, may boost fat burning and exercise endurance. In fact, mice who ran on a treadmill lasted 20 percent longer and burned about 7 percent more fat when taking an astaxanthin supplement compared to those who didn't, discovered researchers at Kyoto Prefectural University of Medicine in Japan. It wards off oxidation in the cell's energy powerhouse, known as the mitochondria, to increase endurance and fat burning, speculates Susan Kleiner, PhD, RD, author of The Good Mood Diet. Kleiner says to eat 6 ounces of wild salmon at least three times a week to max out your exercise.
  3. Divide and conquer: A stay-slim trick may be as simple as dividing food into smaller packages. Study participants who were given 24 individually wrapped cookies ate them in an average of 24 days, while those who received a box of 24 without the partitions polished them off in just 6 days, according to the Journal of Marketing Research. “Partitioning food prevents you from eating larger portions because stopping to open another package forces you to pay attention to how much you’re actually consuming,” says Amar Cheema, study co-author and associate professor, McIntire School of Commerce, University of Virginia. But before you stock up on bulk boxes of 100-calorie pack treats, know that partitions may lose their effect over time if ripping into another package becomes a routine task. Instead, try switching it up by using plastic bags as well as different types and colors of containers.
  4.  Limit your food choices: If you want to ward off overeating, stock your cupboards and lunch bag with a smaller variety of healthy foods because having too many choices may actually sap your willpower. “The act of choosing requires energy, and that depletes your reserves to lower self control,” says Kathleen Vohs, PhD, from the University of Minnesota. So stay away from those all-you-can-eat buffets and stick to your go-to meal—you’ll conserve your willpower for those times when it really counts (like when your cubicle mate brings in her addictive brownies).
  5. Get popping: Having good-for-you comfort food may help you drop weight. Popcorn eaters get a whopping 250 percent more whole grains and about 22 percent more fiber than those who don’t eat the fluffy white snack, reports the Journal of the American Dietetic Association. Eating more whole grains and fiber keeps blood sugar from spiking and then crashing so you'll feel full longer than if you downed a bag of chips. Avoid soaking up extra fat from butter and oil by popping your own kernels rather than buying the ready-made kind.
  6. Pinpoint your eating style: Despite the common notion that eating regularly helps you shed pounds, people having six mini-meals lose no more weight than those showing three regular ones, say researchers from the Dietitians Association of Australia. “It’s what—not when—you eat that matters, and making too many changes to your eating habits could actually sabotage your weight loss efforts,” says Judith C. Rodriguez, PhD, RD, author of The Diet Selector. “It’s best to stick to your normal eating schedule, but cut back on portions.” Whether you’are a grazer or prefer a substantial dinner, consume less overall by switching to smaller utensils and plates—it’ll trick you into feeling as if you ate more than you actually did.
  7. Ward off dehydration: Sometimes hunger is triggered by thirst rather than your body needing more calories. Try filling up on low-calorie foods that keep you hydrated to keep hunger at bay. “Fruits and vegetables are natural hydrators since they’re 60 to 95 percent water,” says Keller. “Melons, papaya and mangos are especially good because they also contain potassium, which helps regulate your body’s balance of fluids and minerals.” Cut a cantaloupe in half, scoop out the seeds, and fill with sliced papaya or mango for a quenching treat.
  8. Smile to lose more fat: Healthy eating and regular exercise are tried-and-true methods to melt fat, but feeling happy may also make it easier to slim down. Worms given a boost of serotonin, a chemical linked to improved mood, cut their fat levels by up to 50 percent, finds a study in Cell Metabolism. “Serotonin signals the brain to speed up metabolism, which hinders fat storage in both worms and humans,” says study author Kaveh Ashrafi, PhD, of the University California, San Francisco. Though there aren’t any studies proving that serotonin alone can blast a significant amount of fat in humans, recent studies have found that stress triggers changes in metabolism that increase your odds of obesity. A simple smile could do your body good.
  9. Eat more mindfully: Studies show keeping a food diary helps you lose weight because it prevents mindless eating. Rather than carrying around a food diary, try texting or emailing yourself right after you nosh. “What’s even more important than having a solid journal is committing to yourself to recording what you’re eating,” says Molly Morgan, RD, owner of Creative Nutrition Solutions in Vestal, New York and author of The Skinny Rules (Harlequin Non-Fiction, 2011).  “Texting and e-mailing [yourself what you eat] increases accuracy,” she says. “If you immediately record what you ate, you’re less likely to forget and underestimate calories at the end of the day.

Be the biggest Loser


One of my family’s favorite shows is “The Biggest Loser.” Although some viewers don’t appreciate how it pushes people so hard to lose weight, the show probably inspired some overweight people to regain control of their lives.

But one of the most frustrating parts of the show, at least for me, is its overwhelming emphasis on exercise. Because when it comes to reaching a healthy weight, what you don’t eat is much, much more important.

Think about it this way: If an overweight man is consuming 1,000 more calories than he is burning and wants to be in energy balance, he can do it by exercising. But exercise consumes far fewer calories than many people think. Thirty minutes of jogging or swimming laps might burn off 350 calories. Many people, fat or fit, can’t keep up a strenuous 30-minute exercise regimen, day in and day out. They might exercise a few times a week, if that.

Or they could achieve the same calorie reduction by eliminating two 16-ounce sodas each day.

Proclamations that people need to be more active are ubiquitous in the media. The importance of exercise for proper weight management is reinforced when people bemoan the loss of gym class in schools as a cause of the obesity epidemic. Michelle Obama’s Let’s Move program places the focus on exercise as a critical component in combating excess weight and obesity.

Exercise has many benefits, but there are problems with relying on it to control weight. First, it’s just not true that Americans, in general, aren’t listening to calls for more activity. From 2001 to 2009, the percentage of people who were sufficiently physically active increased. But so did the percentage of Americans who were obese. The former did not prevent the latter.

Studies confirm this finding. A 2011 meta-analysis, a study of studies, looked at the relationship between physical activity and fat mass in children, and found that being active is probably not the key determinant in whether a child is at an unhealthy weight. In the adult population, interventional studies have difficulty showing that a physically active person is less likely to gain excess weight than a sedentary person. Further, studies of energy balance, and there are many of them, show that total energy expenditure and physical activity levels in developing and industrialized countries are similar, making activity and exercise unlikely to be the cause of differing obesity rates.
Moreover, exercise increases one’s appetite. After all, when you burn off calories being active, your body will often signal you to replace them. Research confirms this. A 2012 systematic review of studies that looked at how people complied with exercise programs showed that over time, people wound up burning less energy with exercise than predicted and also increasing their caloric intake.

Other metabolic changes can negate the expected weight loss benefits of exercise over the long term. When you lose weight, metabolism often slows. Many people believe that exercise can counter or even reverse that trend. Research, however, shows that the resting metabolic rate in all dieters slows significantly, regardless of whether they exercise. This is why weight loss, which might seem easy when you start, becomes harder over time.


This isn’t to say that exercise plays no role. There are many studies that show that adding exercise to diets can be beneficial. A 1999 review identified three key meta-analyses and other randomized controlled trials that found statistically significant, but overall small, increases in weight loss with exercise.

A meta-analysis published last year found that, in the long term, behavioral weight management programs that combine exercise with diet can lead to more sustained weight loss (three to four pounds) over a year than diet alone. Over a six-month period, though, adding exercise made no difference. Another systematic review from last fall found similar results, with diet plus exercise performing better than diet alone, but without much of an absolute difference.

All of these interventions included dietary changes, and the added weight-loss benefit from activity was small. Far too many people, though, can manage to find an hour or more in their day to drive to the gym, exercise and then clean up afterward — but complain that there’s just no time to cook or prepare a healthful, home-cooked meal. If they would spend just half the time they do exercising trying to make a difference in the kitchen, they’d most likely see much better results.

Many people think of dieting as a drastic and rigid change, with a high risk of putting the pounds back on. What is more likely to succeed is gradual change, made in a much more sustainable way. I also don’t mean to make it seem that weight loss with diet is easy and exercise is hard. They’re both hard. The challenge of a slowing metabolism, and the desire to eat more, occurs in both cases, although dietary change still works better than exercise.

But I can’t say this enough: Exercise has a big upside for health beyond potential weight loss. Many studies and reviews detail how physical activity can improve outcomes in musculoskeletal disorders, cardiovascular disease, diabetes, pulmonary diseases, neurological diseases and depression. The Academy of Medical Royal Colleges declared it a “miracle cure” recently, and while I’am usually loath to use that term for anything in medicine, a fairly large evidence based corroborates that exercise improves outcomes in many domains.

But that huge upside doesn't seem to necessarily apply to weight loss. The data just don’t support it. Unfortunately, exercise seems to excite us much more than eating less does. After all, as a friend said to me recently, “The Biggest Loser” would be really boring if it were shot after shot of contestants just not overeating.

 

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