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I'm a single mom and college student, currently studying for my RN. My goal is to help to circulate knowlege on subjects that I'm passionate about.
Showing posts with label Weight Loss. Show all posts
Showing posts with label Weight Loss. Show all posts

How to eat to Lose Weight, Raise Energy Levels, Decrease Risk for many disease including heart disease and Improve Quality of life

Don’t eat to lose weight, eat to be healthy and weight loss will happen at a healthy and moderate to fast rate.
This plan may seem complicated at a glance; it may seem like a lot to remember at first. I found that after about a week or two it becomes second nature and you just easily recall what you should eat next and when. After a little practice you will find that you’re not spending so much time measuring and reading labels.
The relationship between BMI and disease is simple. There is a range of “normal weight” where people live the longest and have the lowest susceptibility to disease. The farther the BMI above normal range the higher risk for diseases such as heart disease, high blood pressure, type 2 diabetes, gallstones, breathing problems, and certain cancers. Individuals with a BMI below normal range are also at increased risk for disease. These people tend to have decreased immune ability (U.S. Department of Health and Human Services, 2010). If you feel you are under weight, you should consult a physician.
Nutrition Plan
If you’re looking to lose weight or decrease your risk disease you should start by removing daily intake of refined carbohydrates. These foods include, but are not limited to, cookies, cakes, candies, biscuits and doughnuts. Next, avoid pan frying anything. Healthier alternatives include steaming, boiling, baking, broiling and grilling.
A healthy diet plan that would help most people lose weight and be healther would include 3 small to medium meals a day, 2 to 3 fairly large snacks and a dessert that is to be eaten before 8pm. It would include at least 2 cups of fruit where a cup equals approximately 2 servings; 3 or more cups of vegetables where a cup equals approximately 2 servings; about 3 servings of milk products; 3 to 4 ounces of grains; about 6 to 8 ounces of lean meat or beans; sometimes certain oils; and a lot of water. Other beverages would include caffeine free tea with low calorie sweetener, fruit juice that can replace a portion of fruit, and coffee with low calorie sweetener and fat free milk if desired which will account for a portion of the dairy for the day (MyPyramid.gov, 2010).
Breakfast should consist of either 2 eggs or 3 egg whites or a cup of granola cereal, 1 and ¼ cup of puffed Kashi™ cereal or the like; and a piece of fruit such as an apple or orange. To drink, breakfast will include caffeine free green tea or caffeine free coffee with low calorie sweetener if desired. It should also include one 6 to 8 ounce glass of low sodium tomato juice.
About 2 and a half hours after breakfast a snack should be scheduled that may consist of a piece of low fat piece of cheese; a 6 ounce non fat yogurt; or 2 to 3 slices of cold cut turkey breast and a piece of fruit. In other words, one serving of dairy and a fruit or one serving of protein and a fruit should be the first snack.
Lunch should include a salad with a variety of vegetables and sliced chicken breast. Or a whole wheat tortilla wrap with low fat and low sodium cold cuts (about 3 or 4 slices depending on size and thickness) and lettuce, spinach thinly sliced carrots, onions, cabbage or any vegetable that sounds appetizing to the patient. Either the salad or the wrap can have a maximum of 3 tablespoons of dressing for taste. Preferably low fat, oil based dressings. Even fat free salad dressing may contain a lot of sodium; hence it is important to use caution when pouring. Lunch should include one or two glasses of water and any other desired beverage in fat free or low calorie form such as low calorie Gatorade or Coke Zero.  
About 2 and a half hour after lunch a snack will be planned. This snack should include either a half a cup of cottage cheese, a handful of cherry tomatoes, gluten free rice crackers, baby carrots, a low fat protein bar or something similar to these items and the choice should depend on what was eaten earlier in the day. For example, if breakfast included tomato juice and an apple and the first snack included a plum, then this snack should include baby carrots; gluten free, rice crackers, whole wheat crackers or something similar, but it should not include a piece of fruit. If breakfast included milk and the first snack included a yogurt, then this snack should not include any dairy. This snack should also include a 6 to 8 ounce glass of water.
Everybody’s day is a little different. Some people eat dinner around 5pm, others are just getting off of work at 5pm and don’t eat dinner until 6:30 or 7pm. If dinner is after 6pm then I suggest putting another snack into the schedule. This should be considered when preparing dinner, or course. This snack should consist of either a serving of fruit (about one small apple), or a serving of veggies (about 10 baby carrots) and at least one 8 ounce glass of water. A one ounce block of fat free cheese may be all that is needed to get by until dinner.
Dinner should include 2 to 4 servings of vegetables or about 1 to 2 cups. I recommend providing two different vegetables or vegetable dishes so that it doesn’t seem redundant and to provide a variety of nutrients. For example, asparagus can be one half of the vegetable portion and a mix of steamed zucchini and squash can be the second portion. Dinner should also include 2 to 4 ounces of grains (for women, 1 to 3) depending on the amount of grains consumed earlier in the day. Healthy grains that go good in a variety of dinner recipes include bulgur wheat, couscous, wild rice, whole grain brown rice and quinoa. For example, if breakfast included my recommended amount of cereal and lunch included an 8 inch tortilla (which is equivalent to about 1.5 ounces of grain), then dinner should include about once more ounce equivalent of grain such as 5 whole wheat crackers or half a cup of prepared bulgur wheat. If no grains were eaten earlier in the day, then dinner should contain 1 cup of grains such as a long grain-wild rice mixture. Finally, dinner should include a lean source of protein such as chicken breast, fish or tofu. The portion should be about 5 to 8 ounces depending on how much protein was consumed earlier in the day (MyPyramid.gov, 2010). (Jegtvig, 2008).
Certain items can be eaten in any amount such as spinach, broccoli, cauliflower, asparagus and other green vegetables. Coming up with different way to eat the recommended servings will help to avoid loss of interest. If dinner contain half a cup of bulgur wheat or couscous mixing it with peas and carrots might make it all more desirable. Adopting healthy eating habits such as these will greatly decrease the risk of certain disease. Exercise is also a part of a healthy lifestyle and it also contributes to decreased risk for disease.

Author: Andrea Antczak, RN Student



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References

Jegtvig, S. (2008, July 24). What is a serving of fruits or vegetables? Retrieved Dec. 4, 2010,         from About.com: http://nutrition.about.com/od/fruitsandvegetables/f/servingfruit.htm
MyPyramid.gov. (2010). Home. Retrieved Dec. 4, 2010, from MyPyramid.gov:             http://www.mypyramid.gov/index.html
U.S. Department of Health and Human Services. (2010). Assessing Your Weight and Health         Risk. Retrieved Dec. 2, 2010, from U.S. Department of Health and Human Services:             http://www.nhlbi.nih.gov/health/public/heart/obesity/lose_wt/risk.htm

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Obesity

My weight has fluctuated a lot over the past few years. As a result I understand the difficulties associated with weight loss and maintaining a healthy weight. I'm happy to report now that I'm very close to MY ideal weight (not to be confused with my "IBW" which is what "they" say I'm supposed to weigh. But anyway, here's a paper I'm working on for my nutrition class. It's a fairly organized compilation of the results of my research. Sources are cited. I hope you like it and learn something from it :) If you, yourself, are not struggling with obesity, chances are you know someone who is. Circulate the knowledge.
(I'm working on my transitions and conclusion still :)


Overview

Obesity is a condition of excess fat deposits accumulated around the body. Obesity reduces one’s overall quality of life and poses many health risks. Everyone is at risk for obesity, but some are more so than others. Obesity is a common concern in the United States and cases of childhood obesity are rising rapidly. Treatment of obesity requires more than taking a pill or eating some vegetables. It requires construction and maintenance of a healthy lifestyle. Nursing for the obese patient requires special considerations and a thorough understanding of what it is and how it’s affecting the patient’s life. The first step in understanding a patient’s weight problem is figuring out how many pounds overweight they are.
  
                               
Calculating Ideal Body Weight
           
Obesity is diagnosed in people who weight 30 or more pounds over their ideal body weight (IBW). People who weigh 40 or more pounds over their IBW are considered morbidly obese. Ideal body weight is calculated in men by starting with a base weight of 110 pounds and adding 5.06 pounds for every inch the man is over five feet in height. In women, IBW is calculated by using 100.1 pounds as a base weight and adding 5.06 pounds for every inch in height the woman is over 5 ft. For example, a woman who is five feet and three inches tall has an IBW of 115.28 pounds. If this woman weighs 168 pounds she is 52.72 pounds overweight and is considered morbidly obese. (ManuelsWeb.com, 2006). What causes this to happen?
Complications
Calories are converted into energy by the human body. If the intake of calories is higher than the body needs for the person’s activity level, the calories will be converted into and stored as fat. The more fat that is stored the greater the risk for complications. Complications that may be caused by obesity include, but are not limited to, low energy level, high blood pressure, heart disease, stroke, high levels of cholesterol and triglycerides, type 2 diabetes, liver disease, pancreatitis, gastroesophageal reflux disease, gallstones, cataracts, certain cancers, worsening arthritis, gout, joint problems, back pain, infertility, sleep apnea, urinary incontinence, depression caused by a poor self image, and death. (Carson-DeWitt, 2010).  Many people are facing these risks and ailments due to obesity.
Statistics

There are over 1 billion overweight adults in the world. At least 300 million of them are obese. In 2006 the National Health and Nutrition Examination Survey (NHANES) estimated that 32.7 percent of U.S. adults 20 years and older where overweight; 34.3 percent are obese and 5.9 percent where morbidly obese. By 2008 that number rose to 33.8 percent; 32.2 percent of men and 35.5 percent of women. In 2008 18 percent of adolescences; 20 percent of children ages 6 to 11; and 10 percent of children ages 2 to 5 were obese in the United States. (Obesity in America, 2010). Obesity rates in America have slowed in recent years compared to the dramatic increase in obesity in previous decades. This may be because so many American’s are already overweight. Obesity rates among children are still increasing at an alarming rate.

Childhood Obesity

Obesity in children has more than tripled in the past 30 years. A child who is obese has a greater chance of being obese as an adult and has a shorter life expectancy. Obesity in children and adolescence increases the risk for stigmatization, low self-esteem and depression. These kids also have greater risk for bone and joint problems, cardiovascular disease, and sleep apnea. Parents greatly influence the dietary intake of their children which is directly linked to their body weight. It is important for parents to provide their children with a variety of different meals and healthy snacks to help ensure the development of good lifestyle choices. A child daily diet should include fruit, vegetables, grains, meat and dairy. A child should not be expected to completely avoid junk foods that cause obesity, but he/she needs to learn moderation and how to compensate with healthy food. For example, a child should not be instructed to not eat a piece of cake at a birthday party, this may cause the child to feel singled out or humiliated. Instead, the parent should provide fruit for dessert that night. (National Center for Chronic Disease Prevention and Health Promotion, 2010). There are many more things that can be done to fight obesity.

The Fight

To begin the fight against obesity one must make changes in their lifestyle. These changes should not be viewed as temporary and need to be maintained after the weight is lost. A slow, steady decrease in calorie consumption while maintaining or even increasing nutrient intake will help to decrease body weight. Physical activity needs to be implemented into the weight loss and lifestyle plan as well. The chances of acquiring an obesity related complication will decrease by doing these things. An obese patient should eat approximately two cups of fruit and two and a half cups of vegetables a day. The fruits and vegetables chosen each day should vary. At least 3 ounces of whole grains should be eaten daily and about 3 cups of fat-free milk. Only lean meats should be eaten during the weight loss process such as turkey and chicken breast. After the desired weight is achieved other meats, such as beef, should be consumed in moderation. The obese patient should eat about 2000 calories a day and less than 10 percent of those calories should be from saturated fats. Daily cholesterol intake should be less than 300 mg. Trans fats should always be avoided. Alcohol consumption should be avoided all together during the weight loss process. (U.S. Department of Health and Human Services; U.S. Department of Agriculture, 2005).

How much physical activity do you need?
Calorie Calculations: The body burns approximately 4.5 calories per pound for every hour of running; about 3.6 calories per pound every hour of playing basketball; and about 2.7 calories per pound for every hour of weight lifting.
To Lose Weight: About 300 minutes of moderate physical activity a week (along with decreased calorie intake)
To Maintain Weight: About 150 minutes of moderate activity and 75 minutes of vigorous physical activity per week (along with a healthy diet that eats fats and sugars in moderation). Keep in mind that it varies from person to person.

Dietary Recommendations Children 

Dietary recommendations are different for children and adolescents. Obese children should gradually reduce their calorie intake as well with a goal of approximately 1500 to 2000 calories a day. But for kids, 30 to 35 percent of these calories should be from fat. The focus of fat intake for an obese child is making sure the fats are mostly monounsaturated and polyunsaturated. These types of fats can be obtained from fish, nuts and vegetable oils. Children who are trying to lose weight should avoid sodas, potato chips, cookies, pizza, sugary cereals and any other source of refined carbohydrates. After the desired weight is achieved, these foods should be eaten in moderation in addition to adequate physical activity. (U.S. Department of Health and Human Services; U.S. Department of Agriculture, 2005).

Nursing Care for the Obese Patient
 Learning how to eat healthy can be difficult process at first for the obese patient. It is the nurse’s job to understand the difficulties that an obese patient is dealing with on a daily basis. Besides physical health problems, they may be suffering from psychological health problems as well. They may be angry, embarrassed and/or depressed. A nurse should look for signs of depression and try to make the patient comfortable talking about it. The patient needs to be monitored closely during the first few weeks of treatment and encouragement should be given as much as possible. It is the nurse’s job to educate the patient on proper diet and activity to achieve the desired outcome. Also, the nurse must make sure that the patient understands the actions of the medications he/she is taking, how to take them properly and the possible side effects. (Harris RN, 2008).
           
Obesity is a danger to one’s health and a common problem in America. It is a struggle that many people deal with on a daily basis. Losing weight is not an easy process, especially in someone who is 30 pounds or more over weight. Adequate lifestyle changes need to be made in order to have a fighting chance against obesity. Education on how to eat and exercise properly should be obtained from a qualified health care professional. Obesity is a condition that is never considered safe and no one should strive to be overweight for any reason.




References

1. Carson-DeWitt, M. R. (2010, Oct. 15). Overweight (Obesity; Morbid Obesity). Retrieved Nov. 10, 2010, from AuroraHealthCare.org: http://www.aurorahealthcare.org/yourhealth/healthgate/getcontent.asp?URLhealthgate="11647.html"
2. Harris RN, M. H. (2008, June). Nursing care of the morbidly obese patient. Retrieved Nov. 10, 2010, from NursingCenter.com: http://www.nursingcenter.com/prodev/ce_article.asp?tid=788177
3. ManuelsWeb.com. (2006). IBW & ABW calculator. Retrieved Nov. 19, 2010, from            ManuelsWeb.com: http://www.manuelsweb.com/IBW.htm
4. National Center for Chronic Disease Prevention and Health Promotion. (2010, June 3). Childhood Obesity. Retrieved Nov. 20, 2010, from CDC.gov: http://www.cdc.gov/HealthyYouth/obesity/index.htm
5. Obesity in America. (2010). Statistics . Retrieved Oct. 28, 2010, from Obesity In America.:             http://www.obesityinamerica.org/statistics/index.cfm
6. U.S. Department of Health and Human Services; U.S. Department of Agriculture. (2005). Dietary Guidelines for American's . Retrieved Nov. 21, 2010, from cnpp.usda.gov:             http://www.cnpp.usda.gov/Publications/DietaryGuidelines/2005/2005DGPolicyDocumen t.pdf


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