Internal Medicine World Report Diet Article ... concerning daily calories and meals

Shelly H.
on 6/22/08 7:10 am, edited 6/22/08 7:13 am - Norman, OK

OK, so I'm trying my best to figure out the optimum way for me to shed these extra pounds. On the VSG board, a member wrote about her surgeon's SEVERE post op diet rules ... the first time I'd heard one this strict. It boggles my mind that there are so many variations.

I've been doing some researching on specifically how many calories we should consume in a day to prevent metabolism slowing.Here's the article that seemed to be from a very reliable source. It is not divided into the needs of men vs. women, but seems quite clear.

It is from the March 2007 issue of *Internal Medicine World Report*:

Issue: March 2007
 
 
 
 
 

Top 9 Reasons why Diets Don't Work, and how you can Begin to Lose Weight

There's a good reason most diets don't work, according to nutritional coach and weight-loss expert Deborah Arneson, BS, MS, LCN.

Most people do them wrong! Having helped hundreds of clients achieve their goal weight for the first time, Ms. Arneson cites the top 9 diet bloopers that prevent people from losing weight, and what you can do about it:

1. Poor sleep habits. Going to bed too late and sleeping too little prohibit nightly adrenal regeneration and add toxic load in the liver, leading to slow metabolism, which promotes weight gain.

What you should do: Be asleep by 10 pm, and aim for 8 hours of sleep each night.

2. Not enough calories. Eating less than your body's minimum daily requirement actually causes your body to store fat rather than lose it. This feast-or-famine response kicks in the moment your daily calorie intake drops too low.

What you should do: Don't starve yourself, and don't skip meals. Eat at least 1,200 calories each day.

3. Under-hydration. Drinking too little water slows down your metabolism and the body's ability to burn fat. To calculate your daily water allowance, use the following formula:

Weight (in pounds) X .075 = cups of water/day.

Interpretation: Multiply your weight (in pounds) by .075; the number you get is the number of cups of water your body needs each day to maintain good metabolism, which is the key to weight loss.

What you should do: Drink a cup of water when you wake up, before each meal and snack, and before bed. Drink from a large bottle of water throughout the day at work. This is an easy way to hydrate adequately.

4. Exercising fewer than 25 minutes. Exercising 25 minutes or less helps you maintain your current weight, but not lose weight or excess fat. The first 25 minutes of aerobic exercise burns glucose (sugar), but not fat. The exercise that counts as far as losing weight only kicks in at 26 minutes, at your target heart rate.

What you should do: Do aerobic exercise, such as stationary bike or brisk walking, more than 25 minutes, 5 times a week. Even if you only do 30 minutes each time, that's 5 minutes of fat-burning, 5 times a week, or 25 minutes of pure fat-burning, weight-loss exercise.

5. Eating too little protein. Too little protein in your daily diet slows down fat processing in the body. Use the following formula to calculate your body's daily protein requirements:

Weight in pounds ÷ 2 = grams of protein/day.

Interpretation: Divide your body weight (in pounds) by 2. The number you get is the number of grams of protein you need daily.

What you should do: Figure out how much protein your body needs, and make sure you eat it every day. Eat high-quality protein, such as lean meat or poultry, fish, soy, or beans plus whole-grain—protein that does not have trans fat or saturated fat.

6. Not enough fiber. Eating fiber helps the body burn fat, stabilize insulin, and drop pounds. Fiber is found in many fresh fruit and vegetables.

What you should do: Eat 2-4 pieces of fresh fruit and 2-4 cups of steamed or raw vegetables daily.

7. Watching the wrong numbers. You're looking at the wrong numbers. The important numbers you need to know for fat loss are: body-fat percentage, body-mass index, waist-to-hip ratio, and your daily calorie allowance.

What you should do: Ditch the scale. Learn how to find these numbers, and use them correctly. A clinical nutritionist or doctor can give you a test for your body-fat percentage and these other numbers, and show you how to use them correctly.

To calculate your body mass index, click here: www.nhlbisupport.com/bmi

To calculate waist-to-hip ratio: Divide your waist circumference by your hips circumference. Ideal ratios are:
For women: less than 0.80.
For men: less than 0.95.
Example: waist = 26 inches; hip = 30 inches: 26:30 = 0.87.
Or click here: www.ahealthyme.com/WaistHip.do

To calculate your daily calorie allowance, multiply your current weight X 12 hours of active living. This is the amount you can eat each day and not gain weight.

8. Ignoring the clock. Not paying attention to the time of day or how often you eat is detrimental to weight loss. Eating late at night promotes weight gain.

What you should do: Don't eat after 7 pm. An easy way to lose weight is to eat small meals, eat soon after rising, and then every 2-3 hours.

9. Not budgeting calories. Most dieters are clueless about how many calories they consume in a day. What you should do: Once you calculate your daily calorie allowance, budget for 500 calories fewer than that, if you want to lose 1-2 pounds per week.

Blessings and Best Wishes! Shelly


I'm a 52.5 yr. old female with chronic illness ... exercising and riding a bike daily! : )


GlitterGal
on 6/22/08 8:19 am - Edmond, OK
Shelly, This was very interesting.  I'm going to bookmark it!  Thank you for taking the time to post.  I really appreciate it! Kim
Shelly H.
on 6/22/08 8:56 am - Norman, OK

Kim, thanks and welcome back home!

I'm just very burdened by all the variety of diet suggestions and strategies being discussed on the VSG board. Extreme deprivation of any healthy nutrient isn't sound as far as I can find. And when that one surgeon told his patient on the VSG forum that *she should subsist on protein shakes only for weeks and only eat if she needed to chew*, it just blew me away! 

A few years ago my dear husband decided to go on the Adkins diet ... one of our friends had done it and lost weight (although he gained it right back since it's nearly impossible to live on that diet) ... so hubby decided it was for him. Well, yes, he  lost weight for a short time. But, the result was tremendously high cholesterol which had always been normal before. Several doctor visits, cholesterol lowering medications, and other complications later ... he's now much better. To do that type of dieting, you need to be a very healthy person to begin with ... a body maintained in a ketotic state for any prolonged time will put tremendous stress on the function and health of kidneys and liver. If you have any problems with either kidneys or liver  (possibly undiagnosed or having a genetic predisposition to a problem) exercise caution in going on a diet that highly restricts even healthy carbs and relies on protein. With any illness, or if you are on any medications that may already have your kidneys or liver stressed, please be careful. Follow up with your physician or surgeon and have your lab work done regularly.

Here's a very balanced article, but you'll need to read all 5 pages.

In my situation, with lupus and being on many drugs that already stress my liver and kidneys, plus occasional bouts of lupus nephritis (lupus that attacks kidneys), if I were to go on Adkins I would push my liver and kidneys to the breaking point. I've already had to lower my daily protein goal just in healthy daily protein intake .. as advised by my nephrologist after recent testing.

We're all adults and can certainly make our own dietary decisions, but let's share information ... how we're doing, what's working for us, and new info. we have found. I want all of us to succeed and be healthy! Shoot, we may be forming our own triathlon team from this group in a year or two! ; ) 

Blessings and Best Wishes! Shelly


I'm a 52.5 yr. old female with chronic illness ... exercising and riding a bike daily! : )


Happycat
on 6/22/08 8:31 am - Midwest City, OK
That doctor is a kook!  What a bunch of hooey!  Thanks for the info, Shelly. Denise
I have maintained for one year at this point.  I am steady at -120 pounds.  =)
40 pounds lost pre-op    
HopefulDiana
on 6/22/08 10:55 am - Oklahoma City, OK
I had to say that I NEVER get a congratulations when it comes to anything to do with weight/body size etc...but when I did the waist/hip test...this is what I got... Your waist-to-hip ratio is 0.75 You're a "pear" Congratulations! At this ratio (0.76 and below) you have the lowest risk of heart disease and diabetes.  And I always hated being a pear before!!!! hmmm


  
ONEDERLAND!!!! FINALLY!!!!  WHOOOO HOOOOO!

Shelly H.
on 6/22/08 11:06 am - Norman, OK
Woo Hoo!!!! Congratulations!!! : )
Blessings and Best Wishes! Shelly


I'm a 52.5 yr. old female with chronic illness ... exercising and riding a bike daily! : )


HopefulDiana
on 6/22/08 11:35 am, edited 6/22/08 11:51 am - Oklahoma City, OK
That ghetto booty comes in handy sometimes...huh....I am going to totally crack you up right now.  We bought a new sink and faucet for our kitchen and my hubby was messing with the garbage disposal and I was scraping old caulk off the countertop.  He accidentally dropped the garbage disposal.  It wasn't hurt and neither was our tile floor because my ghetto booty BROKE THE GARBAGE DISPOSAL'S FALL!!!  OMG!!!  Twice in one day my butt has come in handy!  LMAO (I WISH!!!)  My poor hip/buttocks is a little sore but it will survive!!!


  
ONEDERLAND!!!! FINALLY!!!!  WHOOOO HOOOOO!

Anna R.
on 6/22/08 10:47 pm - Yukon, OK
Diana - I am a pear too!! Pretty cool - You can see my butt from a mile away!! To me now it seems even bigger because my top got way smaller faster than my posterior! - Anna
(50 lbs lost pre-op)
 
 
HopefulDiana
on 6/23/08 10:17 am - Oklahoma City, OK
I know what you mean!  I always hear that I should accentuate my smaller waist but to me that just points out the fact that my rear and hips are massive in comparison!  lol  My hubby likes it so I guess it's all good!!!


  
ONEDERLAND!!!! FINALLY!!!!  WHOOOO HOOOOO!

Michelle S.
on 6/22/08 12:00 pm - Ada, OK
Wow, according to that article, I should be drinking 2 gallons of water per day and eating 112.5 grams of protein per day. There would be no way to get in anything else if I had to do that lol


Never allow someone else to be your priority, when you are only their option. ~ Rita
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