Podcasts about obesity silver spring

La deshidratación crónica leve es una epidemia, se calcula que hasta el 55% de la población joven puede padecerla. Es una condición con frecuencia pasada por alto y que tiene serios efectos negativos sobre la cognición, la salud cardiovascular, gastrointestinal, articular, entre otros. En este episodio explicamos de qué se trata la deshidratación crónica leve, los efectos que produce, cómo detectarla y cómo prevenirla.Enlaces a nuestras redes sociales:Instagram⁠⁠⁠@brainfulnesspod⁠⁠⁠⁠⁠⁠@ladoctoraneuro⁠⁠Youtube⁠⁠@brainfulness⁠⁠Twitter/X⁠⁠⁠@brainfulness⁠pod⁠⁠Página web⁠⁠www.brainfulnes.life⁠⁠Blog⁠⁠https://brainfulness.life/blogReferencias bibliográficasMitchell, H. H., Hamilton, T. S., Steggerda, F. R., & Bean, H. W. (1945). The chemical composition of the adult human body and its bearing on the biochemistry of growth. Journal of Biological Chemistry, 158(3), 625-637.Maroudas A. Fluid transport in cartilage. Ann Rheum Dis. 1975 Dec;34 Suppl 2:Suppl 77-81. PMID: 25330584.Kenney, E. L., Long, M. W., Cradock, A. L., & Gortmaker, S. L. (2015). Prevalence of inadequate hydration among US children and adolescents: A population-based analysis. Journal of the Academy of Nutrition and Dietetics, 115(6), 943-951.Valtin H. "Drink at least eight glasses of water a day." Really? Is there scientific evidence for "8 x 8"? Am J Physiol Regul Integr Comp Physiol. 2002 Nov;283(5):R993-1004. doi: 10.1152/ajpregu.00365.2002. PMID: 12376390.Sawka MN, Burke LM, Eichner ER, Maughan RJ, Montain SJ, Stachenfeld NS. Hydration and Performance. Sports Science Exchange. 2007;20(2):1-5.Benton D, Burgess N. The effect of the consumption of water on the memory and attention of children. Appetite. 2009;53(1):143-6.Benton D, Young HA. Reducing calorie intake may not help you lose body weight. Perspect Psychol Sci. 2017;12(5):703-714. (Nota: Este es un ejemplo más reciente; el estudio de 2016 mencionado en la respuesta no es accesible, así que se proporciona esta alternativa.)Palma L, Tavares L, Santos O, et al. Dietary water affects human skin hydration and biomechanics. Clin Cosmet Investig Dermatol. 2015;8:413-21.Dennis EA, Dengo AL, Comber DL, et al. Water consumption increases weight loss during a hypocaloric diet intervention in middle-aged and older adults. Obesity (Silver Spring). 2010;18(2):300-7.Manz F, Wentz A. The importance of good hydration for the prevention of chronic diseases. Nutr Rev. 2005;63(6 Pt 2):S2-S5.Dennis EA, Dengo AL, Comber DL, et al. Water consumption increases weight loss during a hypocaloric diet intervention in middle-aged and older adults. Obesity (Silver Spring). 2010;18(2):300-7.Boschmann M, Steiniger J, Hille U, et al. Water-induced thermogenesis. J Clin Endocrinol Metab. 2003;88(12):6015-9.Shirreffs SM, Maughan RJ. The effect of alcohol on athletic performance. Curr Sports Med Rep. 2006;5(4):192-6.Sawka MN, Burke LM, Eichner ER, et al. American College of Sports Medicine position stand. Exercise and fluid replacement. Med Sci Sports Exerc. 2007;39(2):377-90.Jeukendrup AE, Currell K. Should energy drinks be banned from sport? Int J Sport Nutr Exerc Metab. 2008;18(5):519-29.Rehrer NJ, Brouns F, Beckers EJ, et al. Physiological changes and gastro-intestinal symptoms as a result of ultra-endurance running. Eur J Appl Physiol Occup Physiol. 1992;64(1):1-8.Rosner MH, Kirven J. Exercise-associated hyponatremia. Clin J Am Soc Nephrol. 2007;2(1):151-61.Hew-Butler T, Ayus JC, Kipps C, et al. Statement of the Second International Exercise-Associated Hyponatremia Consensus Development Conference, New Zealand, 2007. Clin J Sport Med. 2008;18(2):111-21.Ayus JC, Arieff A. Pathogenesis and prevention of hyponatremia. Endocrinol Metab Clin North Am. 1993;22(2):437-49.

Today, Trista Chan discusses the complex relationship between PCOS and weight gain, addressing common misconceptions and the impact of weight stigma. She explores both extrinsic and intrinsic factors contributing to weight gain in individuals with PCOS, emphasizing the importance of understanding these factors rather than placing blame on personal habits. This episode also highlights the detrimental effects of weight stigma on mental and physical health, and offers practical strategies for individuals seeking to navigate their relationship with weight and health. Trista advocates for a body neutrality approach, encouraging listeners to focus on self-care and well-being rather than solely on weight loss. In this episode, you'll learn: Weight stigma can exacerbate health issues in those with PCOS Intrinsic factors like hormones play a significant role in weight gain Weight loss is often misprescribed as a treatment for unrelated health issues Body neutrality allows for a healthier relationship with self-image Diet and lifestyle changes can improve PCOS symptoms without focusing solely on weight Episode links: PCOS Recovery Program - starts February 12th! References Álvarez-Blasco F, Luque-Ramírez M, Escobar-Morreale HF. Diet composition and physical activity in overweight and obese premenopausal women with or without polycystic ovary syndrome. Gynecol Endocrinol 2011;27:978-81. Douglas CC, Norris LE, Oster RA, Darnell BE, Azziz R, Gower BA. Difference in dietary intake between women with polycystic ovary syndrome and healthy controls. Fertil Steril 2006;86:411-7 Georgopoulos NA, Saltamavros AD, Vervita V, et al. Basal metabolic rate is decreased in women with polycystic ovary syndrome and biochemical hyperandrogenemia and is associated with insulin resistance. Fertil Steril 2009;92:250-5. 220.  Helena Teede et al. International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome 2023. Monash University. https://doi.org/10.26180/24003834.v1Himmelstein MS, Puhl RM, Quinn DM. Intersectionality: An Understudied Framework for Addressing Weight Stigma. Am J Prev Med 2017;53:421-31. Hosseini MS, Dizavi A, Rostami H, Parastouei K, Esfandiari S. Healthy eating index in women with polycystic ovary syndrome: a case-control study. Int J Reprod Biomed 2017;15:575-82 Huijgen NA, Laven JS, Labee CT, Louwers YV, Willemsen SP, Steegers-Theunissen RP. Are dieting and dietary inadequacy a second hit in the association with polycystic ovary syndrome severityPLoS One 2015;10:e0142772. Moran LJ, Ranasinha S, Zoungas S, McNaughton SA, Brown WJ, Teede HJ. The contribution of diet, physical activity and sedentary behaviour to body mass index in women with and without polycystic ovary syndrome. Human reproduction 2013;28:2276-83. Moran LJ, Brown WJ, McNaughton SA, Joham AE, Teede HJ. Weight management practices associated with PCOS and their relationships with diet and physical activity. Human reproduction 2017;32:669-78 Moran LJ, Noakes M, Clifton PM, et al. Ghrelin and measures of satiety are altered in polycystic ovary syndrome but not differentially affected by diet composition. The Journal of Clinical Endocrinology & Metabolism 2004;89:3337-44.  Puhl RM, Heuer CA. The stigma of obesity: a review and update. Obesity (Silver Spring) 2009;17:941-64 Robinson S, Chan SP, Spacey S, Anyaoku V, Johnston DG, Franks S. Postprandial thermogenesis is reduced in polycystic ovary syndrome and is associated with increased insulin resistance. Clin Endocrinol (Oxf) 1992;36:537-43. 221.

A Rebelião Saudável nasceu da união de diversos profissionais de saúde que pensam diferente e cujo foco é promover saúde e bem estar, com comida de verdade e sem medicamentos. Semanalmente a Rebelião se reune no app Telegram para discussão de tópicos importantes relacionados a Nutrição Humana e Qualidade de vida. Nessa semana, conversamos sobre Agonistas de GLP-1. Referências citadas na transmissão: Itoh Y, Tani M, Takahashi R, Yamamoto K. Food-induced small bowel obstruction observed in a patient with inappropriate use of semaglutide. Diabetol Int. 2024 Sep 9;15(4):850-854. doi: 10.1007/s13340-024-00751-4. PMID: 39469548; PMCID: PMC11512937. Weiss T, Carr RD, Pal S, Yang L, Sawhney B, Boggs R, Rajpathak S, Iglay K. Real-World Adherence and Discontinuation of Glucagon-Like Peptide-1 Receptor Agonists Therapy in Type 2 Diabetes Mellitus Patients in the United States. Patient Prefer Adherence. 2020 Nov 27;14:2337-2345. doi: 10.2147/PPA.S277676. PMID: 33273810; PMCID: PMC7708309. Wharton S, Batterham RL, Bhatta M, Buscemi S, Christensen LN, Frias JP, Jódar E, Kandler K, Rigas G, Wadden TA, Garvey WT. Two-year effect of semaglutide 2.4 mg on control of eating in adults with overweight/obesity: STEP 5. Obesity (Silver Spring). 2023 Mar;31(3):703-715. doi: 10.1002/oby.23673. Epub 2023 Jan 18. PMID: 36655300. Wilding JPH, Batterham RL, Calanna S, Davies M, Van Gaal LF, Lingvay I, McGowan BM, Rosenstock J, Tran MTD, Wadden TA, Wharton S, Yokote K, Zeuthen N, Kushner RF; STEP 1 Study Group. Once-Weekly Semaglutide in Adults with Overweight or Obesity. N Engl J Med. 2021 Mar 18;384(11):989-1002. doi: 10.1056/NEJMoa2032183. Epub 2021 Feb 10. PMID: 33567185. Hengist A, Sciarrillo CM, Guo J, Walter M, Hall KD. Gut-derived appetite hormones do not explain energy intake differences in humans following low-carbohydrate versus low-fat diets. Obesity (Silver Spring). 2024 Sep;32(9):1689-1698. doi: 10.1002/oby.24104. Epub 2024 Aug 7. PMID: 39113385; PMCID: PMC11357890. B Liao, C Able, J Sonstein, T Kohn, (157) Prescribing Ozempic and Wegovy for Weight Loss is Associated with an Increased Risk of Erectile Dysfunction and Hypogonadism in Non-Diabetic Males, The Journal of Sexual Medicine, Volume 21, Issue Supplement_1, February 2024, qdae001.148, https://doi.org/10.1093/jsxmed/qdae001.148 Ajude a rebelião saudável! Seja um apoiador do nosso movimento e garanta que as informações transmitidas continuarão gratuitas para todos! Além de ajudar, você terá acesso a um post mensal exclusivo para apoiadores! Acesse https://apoia.se/rebeliaosaudavel e contribua com a quantia que puder! Ajude a manter esse conteúdo vivo! #facapartedarebeliao Você também pode participar da discussão e da Rebelião. Toda quarta feira, às 7:00, estaremos ao vivo no Telegram, basta acessar o nosso canal: https://t.me/RebeliaoSaudavel. Se você gosta de nosso trabalho, deixe um review 5 estrelas e faça um comentário no seu app de podcast. Essa atitude é muito importante para a Rebelião saudável e vai ajudar nosso movimento a chegar a cada vez mais pessoas. Você também pode nos acompanhar no instagram, http://www.instagram.com/henriqueautran. E em nosso canal do YouTube: https://youtube.com/c/henriqueautran.

Il digiuno intermittente è una strategia alimentare che alterna periodi di digiuno e alimentazione per favorire un deficit calorico. Analizziamo i vari tipi di digiuno, i benefici e i limiti, e scopriamo per chi è davvero indicato questo approccio. Un episodio utile per chi vuole capire se il digiuno intermittente può integrarsi nel proprio stile di vita. Segui Postura Da Paura su Instagram e Facebook per trovare altri consigli e informazioni per vivere una vita più equilibrata e serena. Per noi il movimento è una medicina naturale, visita il sito www.posturadapaura.com per trovare il programma di allenamento più adatto alle tue esigenze. Come promesso ecco le fonti citate durante la puntata: Barnosky AR, Hoddy KK, Unterman TG, Varady KA. Intermittent fasting vs daily calorie restriction for type 2 diabetes prevention: a review of human findings. Transl Res. 2014;164(4):302-311. doi:10.1016/j.trsl.2014.05.013 Hutchison AT, Liu B, Wood RE, et al. Effects of Intermittent Versus Continuous Energy Intakes on Insulin Sensitivity and Metabolic Risk in Women with Overweight. Obesity (Silver Spring). 2019;27(1):50-58. doi:10.1002/oby.22345 Rynders CA, Thomas EA, Zaman A, Pan Z, Catenacci VA, Melanson EL. Effectiveness of Intermittent Fasting and Time-Restricted Feeding Compared to Continuous Energy Restriction for Weight Loss. Nutrients. 2019;11(10):2442. Published 2019 Oct 14. doi:10.3390/nu11102442 Patterson RE, Sears DD. Metabolic Effects of Intermittent Fasting. Annual Review of Nutrition. 2017 37:1, 371-393

What if the timing of your meals is as crucial as what you're eating? In today's episode, I dive into the powerful connection between meal timing and your body's natural rhythm—and why it matters more than most of us realize. Breaking down the science behind circadian rhythms, I look at how eating earlier in the day supports better digestion, metabolism, and even mental clarity. Studies show that eating late not only disrupts sleep but can also lead to weight gain and a slower metabolism. So, we're going to break down why shifting calories to the first part of the day—following the body's natural peak energy and digestive power—can transform your energy, mood, and long-term wellness. Drawing on ancient wisdom from Ayurveda and Traditional Chinese Medicine, we see how these systems have always advocated for aligning meal timing with nature's rhythms. Both recognize that eating in sync with your body's energy peaks and dips has the potential to support everything from digestion to balanced energy and stable weight. This episode is a return to basics: respecting the body's natural flow for real, sustainable health.  If you're looking to feel more in tune, support your metabolism, and bring ease to your routine, let's rethink not just what's on the plate, but when it hits the plate. We Also Discuss:   (01:57) — The Science of Meal Timing (05:08) — Circadian Rhythm's Influence on Metabolism and Energy Use (12:36) — Morning Calories for Weight Loss and Metabolic Support (18:23) — Ayurveda and Traditional Chinese Medicine on Meal Timing (25:22) —  Breakfast Like a King, Light Dinner for Energy Balance (29:01) — Practical Tips for Aligning Meal Times with Your Natural Rhythms   And more…   Don't forget: You can order now by heading to darinolien.com/fatal-conveniences-book or order now on Amazon.   Thank You to our Sponsors: Therasage: Go to www.therasage.com and use code DARIN at checkout for 15% off   Find more from Darin: Website: https://darinolien.com/ Instagram: https://www.instagram.com/Darinolien/ Book: https://darinolien.com/fatal-conveniences-book/ Down to Earth: https://darinolien.com/down-to-earth/   Bibliography:   Garaulet, M., Gómez‐Abellán, P., Alburquerque-Béjar, J., Lee, Y., Ordovás, J., & Scheer, F. (2013). Timing of food intake predicts weight loss effectiveness. International Journal of Obesity, 37, 604–611. Link Wehrens, S., Christou, S., Isherwood, C., Middleton, B., Gibbs, M., Archer, S., ... & Johnston, J. (2017). Meal Timing Regulates the Human Circadian System. Current Biology, 27(12), 1768-1775.e3. Link Xiao, Q., Garaulet, M., & Scheer, F. (2018). Meal timing and obesity; interactions with macronutrient intake and chronotype. International journal of obesity (2005), 43, 1701–1711. Link Ravussin, E., Beyl, R., Poggiogalle, E., Hsia, D., & Peterson, C. (2019). Early Time-Restricted Feeding Reduces Appetite and Increases Fat Oxidation but Does Not Affect Energy Expenditure in Humans. Obesity (Silver Spring, Md.), 27(8), 1244-1254. Link Gu, C., Brereton, N., Schweitzer, A., Cotter, M., Børsheim, E., Wolfe, R., & Jun, J. (2019). Effect of Dinner Timing on Nocturnal Metabolism in Healthy Volunteers. Sleep, 36(7), 981–990. Link Bray, M., & Young, M. (2009). The role of cell-specific circadian clocks in metabolism and disease. Obesity Reviews. Link. Mohawk, J., Green, C., & Takahashi, J. (2012). Central and peripheral circadian clocks in mammals. Annual Review of Neuroscience, 35, 445-462. Link. Finger, A.-M., Dibner, C., & Kramer, A. (2020). Coupled network of the circadian clocks: a driving force of rhythmic physiology. FEBS Letters. Link. Petrenko, V., Gosmain, Y., & Dibner, C. (2017). High-resolution recording of the circadian oscillator in primary mouse α- and β-cell culture. Frontiers in Endocrinology. Link. Summa, K. C., & Turek, F. (2014). Chronobiology and obesity: Interactions between circadian rhythms and energy regulation. Advances in Nutrition, 5(3), 312S-319S. Link. Puranik, A., & Patwardhan, B. (2012). Ayurveda and Metabolic Diseases. Link. Yang, S., Yang, H., & Zhang, Y. (2023). Yao-Shan of traditional Chinese medicine: an old story for metabolic health. Frontiers in Pharmacology. Link. Xu, L., Zhao, W., Wang, D., & Ma, X. (2018). Chinese Medicine in the Battle Against Obesity and Metabolic Diseases. Frontiers in Physiology. Link. Takahashi, M., Ozaki, M., & Kang, M. (2018). Effects of Meal Timing on Postprandial Glucose Metabolism and Blood Metabolites in Healthy Adults. Nutrients. Link.  

Two common questions we receive are: "Does my weight affect health?" and "Is fat bad?". In today's episode, Abbey brings in the research to answer these questions. And, as always, brings in a wee bit of humor and poor singing. JOIN the Fork Diet Culture Community! - Get access to the rest of this 40 minute video, more individualized support from Abbey, connect with like-minded people, and more! Mention: Episode 04: BMI Is Bizarre and Icky. Work with us 1-on-1 More about Abbey and the team References: Flegal KM, Kit BK, Orpana H, Graubard BI. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA. 2013;309(1):71-82. doi:10.1001/jama.2012.113905 Flegal, K., The obesity wars and the education of a researcher: A personal account, Progress in Cardiovascular Diseases, Volume 67, 2021,Pages 75-79, ISSN 0033-0620, https://doi.org/10.1016/j.pcad.2021.06.009. (https://www.sciencedirect.com/science/article/pii/S0033062021000670) Flegal KM, Ioannidis JPA, Doehner W. Flawed methods and inappropriate conclusions for health policy on overweight and obesity: the Global BMI Mortality Collaboration meta-analysis. J Cachexia Sarcopenia Muscle. 2019;10(1):9-13. doi:10.1002/jcsm.12378 Tobias DK, Hu FB. Does being overweight really reduce mortality?. Obesity (Silver Spring). 2013;21(9):1746-1749. doi:10.1002/oby.20602 Heymsfield SB, Cefalu WT. Does Body Mass Index Adequately Convey a Patient's Mortality Risk? JAMA. 2013;309(1):87–88. doi:10.1001/jama.2012.185445 Gibbs W. Obesity: An Overblown Epidemic? . https://www.scientificamerican.com/article/obesity-an-overblown-epidemic-2006-12/ Web site. . Updated 2024. Accessed May 18, 2024 Humphreys S. The unethical use of BMI in contemporary general practice. Br J Gen Pract. 2010;60(578):696-697. doi:10.3399/bjgp10X515548 Luli M, Yeo G, Farrell E, et al. The implications of defining obesity as a disease: a report from the Association for the Study of Obesity 2021 annual conference. EClinicalMedicine. 2023;58:101962. Published 2023 Apr 6. doi:10.1016/j.eclinm.2023.101962 Tylka TL, Annunziato RA, Burgard D, et al. The weight-inclusive versus weight-normative approach to health: evaluating the evidence for prioritizing well-being over weight loss. J Obes. 2014;2014:983495. doi:10.1155/2014/983495

O que você pensa, se eu te perguntar sobre qual é o peso que uma pessoa pode ser considerada saudável? Qual peso você espera ter para se considerar uma pessoa saudável? É comum associar um status de pessoa saudável a pessoas magras. Contudo, você sabia que a adoção de hábitos saudáveis diminui mais a mortalidade do que ter baixo IMC? Para entender melhor, assista esse episódio e confere a importância de sair do foco do peso. Aqui estão as referencias dos estudos que citei: Colocar o link da redes direto no anchor Referências LOPRINZI, Paul D.; BRANSCUM, Adam; HANKS, June; SMIT, Ellen. Healthy Lifestyle Characteristics and Their Joint Association With Cardiovascular Disease Biomarkers in US Adults. Mayo Clinic Proceedings, [S.L.], v. 91, n. 4, p. 432-442, abr. 2016. Elsevier BV.  MATHESON, E. M.; KING, D. E.; EVERETT, C. J.. Healthy Lifestyle Habits and Mortality in Overweight and Obese Individuals. The Journal Of The American Board Of Family Medicine, [S.L.], v. 25, n. 1, p. 9-15, 1 jan. 2012. American Board of Family Medicine (ABFM).  Ravussin E, Ryan DH. Three New Perspectives on the Perfect Storm: What's Behind the Obesity Epidemic? Obesity (Silver Spring). 2018 Jan;26(1):9-10. doi: 10.1002/oby.22085. PMID: 29265770; PMCID: PMC9048861. Healthy Lifestyle Characteristics and Their Joint Association With Cardiovascular Disease Biomarkers in US AdultsHealthy Lifestyle Habits and Mortality in Overweight and Obese Individuals . 4 Ah, lembrando que as matrículas para a formação em emagrecimento e comportamento estão abertas até 23:59 do dia 5 de fevereiro de 2024. única turma do ano. NÃO PERCA ESSA OPORTUNIDADE Formação: https://escolanbe.anniebello.com.br/cursos/formacao-intensiva-em-emagrecimento-e-comportamento/?utm_source=podcast Site: https://anniebello.com.br/ Cursos online: https://anniebello.com.br/cursos/ Facebook: https://facebook.com/anniebellophd Instagram: https://www.instagram.com/anniebellophd/ e https://www.instagram.com/escolanbe/ Youtube: https://www.youtube.com/channel/UCkObUosgnXgITV8iAwPRPcw

Are you ready to revolutionize your approach to weight loss? Join Maria and Tammie for an informative exploration where they reveal the truth about weight management and debunk the myths surrounding it. They share their professional and personal insight into the role of bariatric surgery, dispelling common fears and misconceptions. They emphasize that surgery isn't a quick fix, instead, it's a potent tool that aids in long-term weight loss and boosts overall health.Maria and Tammie present a detailed discussion on GLP-1 analogs that not only regulate blood sugar but also curb your appetite, making weight management a less daunting task. They also shed light on other medications and their effects, emphasizing the importance of understanding these treatments to find the one that suits you best.From exercise routines to the options of diet, medications, and surgery, they present a holistic picture of weight management options. Maria encourages you to explore and find a balance that works best for your individual needs. Maria and Tammie round off the discussion by highlighting the importance of long-term maintenance and addressing the mental aspects of weight management. Let's embark on this weight loss journey, equipped with the right knowledge and tools, and remember, your victories extend beyond the scale. Tune in and let's transform your weight loss journey together.Citations:1. Benaiges D, Goday A, Pedro-Botet J, Más A, Chillarón JJ, Flores-Le Roux JA. Bariatric surgery: to whom and when? Minerva Endocrinol. 2015 Jun;40(2):119-28. Epub 2015 Feb 10. PMID: 25665592.2. Christoffersen BØ, Sanchez-Delgado G, John LM, Ryan DH, Raun K, Ravussin E. Beyond appetite regulation: Targeting energy expenditure, fat oxidation, and lean mass preservation for sustainable weight loss. Obesity (Silver Spring). 2022 Apr;30(4):841-857. doi: 10.1002/oby.23374. PMID: 35333444; PMCID: PMC9310705.3. Eisenberg D, Shikora SA, Aarts E, Aminian A, Angrisani L, Cohen RV, de Luca M, Faria SL, Goodpaster KPS, Haddad A, Himpens JM, Kow L, Kurian M, Loi K, Mahawar K, Nimeri A, O'Kane M, Papasavas PK, Ponce J, Pratt JSA, Rogers AM, Steele KE, Suter M, Kothari SN. 2022 American Society of Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) Indications for Metabolic and Bariatric Surgery. Obes Surg. 2023 Jan;33(1):3-14. doi: 10.1007/s11695-022-06332-1. Erratum in: Obes Surg. 2022 Nov 29;: PMID: 36336720; PMCID: PMC9834364.4. Freedhoff, Y. (2014). No, 95 percent of people don't fail their diets. Retrieved from https://health.usnews.com/health-news/blogs/eat-run/2014/11/17/no-95-percent-of-people-dont-fail-their-diets5. Fuentes Artiles R, Staub K, Aldakak L, Eppenberger P, Rühli F, Bender N. Mindful eating and common diet programs lower body weight similarly: Systematic review and meta-analysis. Obes Rev. 2019 Nov;20(11):1619-1627. doi: 10.1111/obr.12918. Epub 2019 Aug 1. PMID: 31368631.6. MacEwan JP, Chiu K, Ahmad NN, Sacks N, Shinde S, Poon JL, Kan H. Clinical, economic, and health-related quality of life outcomes in patients with overweight or obesity in the United States: 2016-2018. Obes Sci Pract. 2023 Dec 13;10(1):e726. doi: 10.1002/osp4.726. PMID: 38263999; PMCID: PMC10804324.7. Mann T, Tomiyama AJ, Westling E, Lew AM, Samuels B, Chatman J. Medicare's search for effective obesity treatments: diets are not the answer. Am Psychol. 2007 Apr;62(3):220-33. doi: 10.1037/0003-066X.62.3.220. PMID: 17469900.8. Martínez-Gómez MG, Roberts BM. Metabolic Adaptations to Weight Loss: A Brief Review. J Strength Cond Res. 2022 Oct 1;36(10):2970-2981. doi: 10.1519/JSC.0000000000003991. Epub 2021 Mar 3. PMID: 33677461.9. Wolfe BM, Kvach E, Eckel RH. Treatment of Obesity: Weight Loss and BariatricSupport the show

A Rebelião Saudável nasceu da união de diversos profissionais de saúde que pensam diferente e cujo foco é promover saúde e bem estar, com comida de verdade e sem medicamentos. Semanalmente a Rebelião se reune no app Telegram para discussão de tópicos importantes relacionados a Nutrição Humana e Qualidade de vida. Nessa semana, a Rebelião discutiu sobre Manteiga X Margarina. Artigos citados no podcast: Ramsden CE, Zamora D, Leelarthaepin B, Majchrzak-Hong SF, Faurot KR, Suchindran CM, Ringel A, Davis JM, Hibbeln JR. Use of dietary linoleic acid for secondary prevention of coronary heart disease and death: evaluation of recovered data from the Sydney Diet Heart Study and updated meta-analysis. BMJ. 2013 Feb 4;346:e8707. doi: 10.1136/bmj.e8707. Erratum in: BMJ. 2013;346:f903. PMID: 23386268; PMCID: PMC4688426. Khaw KT, Sharp SJ, Finikarides L, Afzal I, Lentjes M, Luben R, Forouhi NG. Randomised trial of coconut oil, olive oil or butter on blood lipids and other cardiovascular risk factors in healthy men and women. BMJ Open. 2018 Mar 6;8(3):e020167. doi: 10.1136/bmjopen-2017-020167. PMID: 29511019; PMCID: PMC5855206. Makhmudova U, Schulze PC, Lütjohann D, Weingärtner O. Phytosterols and Cardiovascular Disease. Curr Atheroscler Rep. 2021 Sep 1;23(11):68. doi: 10.1007/s11883-021-00964-x. PMID: 34468867; PMCID: PMC8410723. DiNicolantonio JJ, O'Keefe JH. Omega-6 vegetable oils as a driver of coronary heart disease: the oxidized linoleic acid hypothesis. Open Heart. 2018 Sep 26;5(2):e000898. doi: 10.1136/openhrt-2018-000898. PMID: 30364556; PMCID: PMC6196963. Ramsden CE, Zamora D, Majchrzak-Hong S, Faurot KR, Broste SK, Frantz RP, Davis JM, Ringel A, Suchindran CM, Hibbeln JR. Re-evaluation of the traditional diet-heart hypothesis: analysis of recovered data from Minnesota Coronary Experiment (1968-73). BMJ. 2016 Apr 12;353:i1246. doi: 10.1136/bmj.i1246. PMID: 27071971; PMCID: PMC4836695. Phytosterols may play role in atherosclerosis: https://www.ajmc.com/view/jun04-1804p3# Deol P, Evans JR, Dhahbi J, Chellappa K, Han DS, Spindler S, Sladek FM. Soybean Oil Is More Obesogenic and Diabetogenic than Coconut Oil and Fructose in Mouse: Potential Role for the Liver. PLoS One. 2015 Jul 22;10(7):e0132672. doi: 10.1371/journal.pone.0132672. PMID: 26200659; PMCID: PMC4511588. Dias CB, Wood LG, Garg ML. Effects of dietary saturated and n-6 polyunsaturated fatty acids on the incorporation of long-chain n-3 polyunsaturated fatty acids into blood lipids. Eur J Clin Nutr. 2016 Jul;70(7):812-8. doi: 10.1038/ejcn.2015.213. Epub 2016 Jan 13. PMID: 26757835. Spiteller G. Linoleic acid peroxidation--the dominant lipid peroxidation process in low density lipoprotein--and its relationship to chronic diseases. Chem Phys Lipids. 1998 Oct;95(2):105-62. doi: 10.1016/s0009-3084(98)00091-7. PMID: 9853364. Alvheim AR, Malde MK, Osei-Hyiaman D, Lin YH, Pawlosky RJ, Madsen L, Kristiansen K, Frøyland L, Hibbeln JR. Dietary linoleic acid elevates endogenous 2-AG and anandamide and induces obesity. Obesity (Silver Spring). 2012 Oct;20(10):1984-94. doi: 10.1038/oby.2012.38. Epub 2012 Feb 15. PMID: 22334255; PMCID: PMC3458187. Guyenet SJ, Carlson SE. Increase in adipose tissue linoleic acid of US adults in the last half century. Adv Nutr. 2015 Nov 13;6(6):660-4. doi: 10.3945/an.115.009944. PMID: 26567191; PMCID: PMC4642429. Penzo D, Tagliapietra C, Colonna R, Petronilli V, Bernardi P. Effects of fatty acids on mitochondria: implications for cell death. Biochim Biophys Acta. 2002 Sep 10;1555(1-3):160-5. doi: 10.1016/s0005-2728(02)00272-4. PMID: 12206909. Livros para Pesquisa: SHANAHAN, Catherine. The Fatburn Fix: boost energy, end hunger, and lose weight by using body fat for fuel. New York: Flat Iron Books, 2020. 352 p. TEICHOLZ, Nina. Gordura sem Medo: por que a manteiga, a carne e o queijo devem fazer parte de uma dieta saudável. São Paulo: Wmf Martins Fontes, 2020. 464 p. Você também pode nos acompanhar no instagram, http://www.instagram.com/henriqueautran.

We're covering a doozy of a topic this week - healthcare and weight. We chat about why this conversation is so crucial and provide strategies for navigating weigh ins in a health care setting. We break it down with tips for before and during your appointment to help you feel more prepared. Much of what we discuss comes from the one and only Ragen Chastain. You can learn more from Ragen here on her website https://danceswithfat.org/ or her newsletter https://weightandhealthcare.substack.com/. We also reference Ragen's appointment action plan, which you can access here: https://weightandhealthcare.substack.com/p/navigate-medical-weight-stigma-by. Check out these studies that specifically showcase the harm in weight loss: The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight Loss: Tracy L. Tylka, Rachel A. Annunziato, Deb Burgard, Sigrún Daníelsdóttir, Ellen Shuman, Chad Davis, Rachel M. Calogero, "The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight Loss", Journal of Obesity, vol. 2014, Article ID 983495, 18 pages, 2014. https://doi.org/10.1155/2014/983495 Changing the endpoints for determining effective obesity management: Ross R, Blair S, de Lannoy L, Després JP, Lavie CJ. Changing the endpoints for determining effective obesity management. Prog Cardiovasc Dis. 2015 Jan-Feb;57(4):330-6. doi: 10.1016/j.pcad.2014.10.002. Epub 2014 Oct 25. PMID: 25459976. Persistent metabolic adaptation 6 years after "The Biggest Loser" competition: Fothergill E, Guo J, Howard L, Kerns JC, Knuth ND, Brychta R, Chen KY, Skarulis MC, Walter M, Walter PJ, Hall KD. Persistent metabolic adaptation 6 years after "The Biggest Loser" competition. Obesity (Silver Spring). 2016 Aug;24(8):1612-9. doi: 10.1002/oby.21538. Epub 2016 May 2. PMID: 27136388; PMCID: PMC4989512. How dieting makes some fatter: from a perspective of human body composition autoregulation: Dulloo AG, Jacquet J, Montani JP. How dieting makes some fatter: from a perspective of human body composition autoregulation. Proc Nutr Soc. 2012 Aug;71(3):379-89. doi: 10.1017/S0029665112000225. Epub 2012 Apr 5. PMID: 22475574. To access selected annotated studies on Intuitive Eating, visit https://www.evelyntribole.com/wp-content/uploads/Intuitive-Eating-and-Selected-Studies-2022.pdf. Do you have a weight neutral or HAES aligned provider you work with that you think would make for a great guest on GTB? DM us on Instagram @giveemthebirdpodcast, email us at giveemthebirdpodcast@gmail.com, or if you're tuning in on Spotify engaging in our Q&A!  Enjoying the podcast? Feel free to rate, review, and subscribe on Apple or Spotify! --- Support this podcast: https://podcasters.spotify.com/pod/show/giveemthebirdpodcast/support

Die Waage ist ein stetiger Begleiter auf deinem Weg zum Wunschgewicht. Doch es gibt auch durchaus Erfolge, die keineswegs von einer Zahl auf einem Display diktiert werden - und auch die sollten unbedingt gefeiert werden. Hat sich die Lebensqualität verändert? Fühle ich mich gesünder? Bin ich aktiver oder sogar leistungsstärker? Schlafe ich besser? Viele dieser Ziele werden jenseits der Waage erreicht und sollten nicht vergessen werden. Melanie und Julia sprechen in dieser Folge von Vitamin W über genau diese Themen und haben außerdem Daniel als Gast mit dabei, der von seinem WW-Weg zum Triathleten berichtet. Bei „Fragen aus deiner WeightWatchers Community“ geht es dieses Mal darum, wie man das “doppelte Kochen” für die Familie am besten umgehen kann. Außerdem: Was sind eigentlich ZeroPoint Lebensmittel? Welche neuen Routinen Julia für sich entdeckt hat und wie Melanie auch mit gebrochenem Daumen etwas für ihre Gesundheit tun kann, hörst du in dieser Folge. SHOWNOTES Studien zum Thema WW Common Real Life Challenge Internal Research; Conducted with both WW members and non-WW members in 2022. Burke LE, Wang J, Sevick MA. Self-monitoring in weight loss: a systematic review of the literature. J Am Diet Assoc. 2011;111(1):92–102. doi:10.1016/j.jada.2010.10.008 Patel ML, Wakayama LN, Bennett GG. Self-Monitoring via Digital Health in Weight Loss Interventions: A Systematic Review Among Adults with Overweight or Obesity. Obesity (Silver Spring). 2021;29(3):478–499. doi:10.1002/oby.23088 Zheng Y, Klem ML, Sereika SM, Danford CA, Ewing LJ, Burke LE. Self-weighing in weight management: a systematic literature review. Obesity (Silver Spring). 2015;23(2):256–265. doi:10.1002/oby.20946 Rezepte für die ganze Familie https://www.weightwatchers.com/de/blog/ernaehrung/familienrezepte Mit Meal prep schnell und einfach kochen https://www.weightwatchers.com/ch/de/m/cms/blog/ernaehrung/meal-prep-schnell-und-einfach-kochen Julias Rezeptempfehlungen Italienische 0-Punkte-Gemüsesuppe https://cmx.weightwatchers.de/details/WWRECIPE:5fd1cd5640cfd90210f49f31 Penne mit Paprika-Estragon-Sauce https://cmx.weightwatchers.de/details/WWRECIPE:589074bd91822eaf0cd081bd Toskanischer Pennesalat https://cmx.weightwatchers.de/details/WWRECIPE:562a9ace873e1afb2a3c2d7f Wirsing-Nudel-Auflauf https://cmx.weightwatchers.de/details/WWRECIPE:5a953b0dec37ea306f2abc4f Klassisches Hühnerfrikassee https://cmx.weightwatchers.de/details/WWRECIPE:59dde1bb58d13f168e6a5c5b Toskanischer Reisauflauf https://cmx.weightwatchers.de/details/WWRECIPE:562a9a6e6ce99e4f2c18e038 Reis-Thunfisch-Salat https://cmx.weightwatchers.de/details/WWRECIPE:562a9b1f873e1afb2a3c5e0e WeightWatchers Deutschland Instagram: https://www.instagram.com/ww_deutschland Facebook: https://www.facebook.com/WW.Deutschland TikTok: https://www.tiktok.com/@ww_deutschland Produktion & Sounddesign: inside VOICE (https://www.inside-voice.de)

references Am J Physiol Regul Integr Comp Physiol2018. 314: R909–R915. Obesity (Silver Spring). 2008 Jun; 16(6): 1284–1288 Front. Immunol., 26 April 2019 Sec. NK and Innate Lymphoid Cell Biology Journal of Biological Chemistry 2018. 293: 2422-2437 --- Send in a voice message: https://anchor.fm/dr-daniel-j-guerra/message

Post przerywany (z j. ang. Intermittent fasting, w skrócie IF) to model żywieniowy nabierający coraz większej popularności. Ma poprawiać zdrowie i być niezawodnym sposobem na szczupłą sylwetkę. Ale o co chodzi i ile w tym prawdy? Dla kogo IF nadaje się idealnie, a kto powinien uważać? O wszystkim tym opowiadam w odcinku. Dowiesz się z niego także czym jest chronożywienie oraz co na temat IF mówi nauka, ponieważ odcinek przygotowałam w oparciu o kilkanaście prac naukowych. Zapraszam do wysłuchania!Mój Instagram: https://www.instagram.com/fit_gruszecka/ Mój Facebook: https://www.facebook.com/KarolinaGruszeckaDietetyk/ Moja grupa na FB Clean eating by Gruszecka: https://www.facebook.com/groups/1008891972485382/Źródła:1. Goo RH, Moore JG, Greenberg E, Alazraki NP. Circadian variation in gastric emptying of meals in humans. Gastroenterology. 1987;93(3):515-518.2. Qian, J, Dalla Man, C, Morris, CJ, Cobelli, C, Scheer, FAJL. Differential effects of the circadian system and circadian misalignment on insulin sensitivity and insulin secretion in humans. Diabetes Obes Metab. 2018; 20: 2481– 2485.3. Morris CJ, Garcia JI, Myers S, Yang JN, Trienekens N, Scheer FA. The Human Circadian System Has a Dominating Role in Causing the Morning/Evening Difference in Diet-Induced Thermogenesis. Obesity (Silver Spring). 2015;23(10):2053-2058.4. Morris CJ, Garcia JI, Myers S, Yang JN, Trienekens N, Scheer FA. The Human Circadian System Has a Dominating Role in Causing the Morning/Evening Difference in Diet-Induced Thermogenesis. Obesity (Silver Spring). 2015;23(10):2053-2058.5. J Qian, R Caputo, C J Morris, W Wang, F A Scheer, 0041 Circadian Misalignment Increases The Desire For Food Intake In Chronic Shift Workers, Sleep, Volume 41, Issue suppl_1, April 2018, Page A17.6. Munsters MJ, Saris WH. Effects of meal frequency on metabolic profiles and substrate partitioning in lean healthy males., PLoS One. 2012;7(6):e38632.7. Ohkawara K, Cornier MA, Kohrt WM, Melanson EL. Effects of Increased Meal Frequency on Fat Oxidation and Perceived Hunger. Obesity (Silver Spring). 2013 Feb;21(2):336-43.6. Leidy HJ, Campbell WW. The effect of eating frequency on appetite control and food intake: brief synopsis of controlled feeding studies., J Nutr. 2011 Jan;141(1):154-7.7. Perrigue MM, Drewnowski A, Wang CY, Neuhouser ML. Higher Eating Frequency Does Not Decrease Appetite in Healthy Adults. J Nutr. 2016 Jan;146(1):59-64.8. Alhamdan BA, Garcia-Alvarez A, Alzahrnai AH, et al. Alternate-day versus daily energy restriction diets: which is more effective for weight loss? A systematic review and meta-analysis. Obes Sci Pract. 2016;2(3):293-302. 9. Sutton EF i wsp. Early Time-Restricted Feeding Improves Insulin Sensitivity, Blood Pressure, and Oxidative Stress Even without Weight Loss in Men with Prediabetes. Cell Metab. 2018 Jun 5;27(6):1212-1221.e3. 10. Harris L, McGarty A, Hutchison L, Ells L, Hankey C. Short-term intermittent energy restriction interventions for weight management: a systematic review and meta-analysis. Obes Rev. 2018;19(1):1-13. 11. Headland M, Clifton PM, Carter S, Keogh JB. Weight-loss outcomes: A systematic review and meta-analysis of intermittent energy restriction trials lasting a minimum of 6 months. Nutrients. 2016;8(6).

Episode 100: Sexercise. Written by Valerie Civelli, MD. Comments by Namdeep Grewal, MD; and Hector Arreaza, MD. Have you ever wondered if sex is a good workout? Drs. Civelli, Grewal and Arreaza discuss the topic based on evidence offered by science. The following episode is not recommended for young children or people who consider sex a sensitive topic. This is the Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.___________________________Sexercise. Written by Valerie Civelli, MD. Comments by Namdeep Grewal, MD; and Hector Arreaza, MD. A: If I say “bow chika wow wow” what's the first thing that comes to mind? The Chipmunks movie right?B: Yes, exactly, I can hear Alvin in his high-pitched voice, [higher tone] “bowchicka wow wow”. For those of you unfamiliar with this movie, don't feel too left out because even Alvin was hinting to exactly what you're thinking.A: Yep, we're going there today people.  Let's talk about sex.  Medically speaking of course. B: That's right because 1. If you're doing it, your risk for heart attacks and strokes are decreased after age 50 and 2. If you're not doing it, ask you're doctor, we should be discussing it and why not.A: Yes, that is the guideline-directed recommendation actually. We're recognizing more and more the importance of sexual activity in medicine and its impact on overall health, quality of life and even level of risk for mortality. However, given the sensitive nature of sexuality, few studies have been done to better correlate and define exactly what this means for our health specifically. Sex can be an embarrassing topic to discuss by patients, doctors and researchers which has been largely influenced by culture, religion and other societal norms.  Well, today let's break this proverbial glass. B: I agree, let's talk about sexuality activity and what research do we have.A: It has been said that Dr. Masters and Dr. Johnson were the earliest pioneers of this type of investigation. They published the first study of its kind in 1966, which examined the physiological responses of sexual activity. This was an 11-year observational study involving 382 females, ages 18 to 78, and 312 male volunteers, 21 to 89 years of age. The study identified a progressive increase in respiratory rates, up to 40 per minute, an increased heart rate 110 to 180 beats/min and an increase in systolic blood pressure by 30 to 80mmhg during sexual activity. In 1970, Hellerstein and Friedman identified the mean heart rate at the time of orgasm was 117.4 beats per minute with a range of 90 to 144. This was done in middle-age men, average age 47.5. Interestingly, the 24-hr ekg monitoring also identified a lower peak post coital heart rate, which was usually lower than the heart rates achieved with normal daily activities (around 120.1 beats per minute). In 1984, Bohlen et al. did a racier study with 10 couples using ECG, oxygen consumption (measured using a fast-responding polarographic O2 gas analyzer), heart rate and blood pressure monitoring before and during 4 types of sexual activity. This study obtained data during self-stimulation, partner stimulation, man-on-top and woman-on-top coitus.  The men were aged 25 to 43 years of age.  Results showed that self-stimulation increased the heart rate by 37 % from baseline to orgasm compared with a 51 % increase with man-on-top coitus. B: So already it was clear in 1966 to 1984 that physical exertion in the bedroom correlates to physiologic responses like increased heart rate, blood pressure, etc.  However, our question of the day is, does sexual activity count as exercise, and to that question we ask why or why not?A: When I think about exercise, I think about heart rate and blood pressure.  I think about indicators of energy expenditures and/or intensity. And specifically, while I'm working out…I'm talking about at the gym, and I'm running on the treadmill for example, my mental state is, how much longer until I can quit.  Duration and level of intensity while under this physical exertion feels most important. And according to the AHA, this has been heavily studied.  That's why 150 active intentional minutes of exercise are recommended per week to improve cardiovascular health. Does this translate to sexual activity? B: Well before we answer this, let's first mention the Bruce protocol. Have you ever heard of this? The Bruce protocol is a standard test of cardiovascular health, comprised of multiple stages of exertion on a treadmill, with three minutes spent per stage. Also at each stage, the incline and speed of the treadmill are elevated to increase cardiac work output, which is called METS. Stage 1 of the Bruce protocol is performed at 1.7 miles per hour and a 10% incline. Stage 2 is 2.5 mph and 12%, while Stage 3 goes to 3.4 mph and 14%. If you're a pilot for example, the FAA expects testing to achieve 85-100% of Maximum Predicted Heart Rate (220 minus your age) for a 9-minute duration.  With the Bruce protocol in mind, we circle back to our question of the day, does sex count as exercise?A: In 2007, Palmeri et al. reported that in 19 men and 13 women aged 40-75 years old, the intensity of sexual activity was comparable to stage II of the standard multistage Bruce protocol (moderate intensity) on a treadmill for men and stage I (low intensity) for women. In addition, maximal heart rate and blood pressure during sexual activity was approximately 75 % of that attained during maximum treadmill stress testing of the Bruce protocol. Collectively, based on these above studies, the physiological responses of sexual activity seem to be at a moderate intensity. B: Okay, so “you're saying there's a chance.” Right, one in a million Lloyd. Another movie reference, if you've seen the American classic Dumb and Dumber, you can appreciate it.  The point is, the level of intensity was identified by Palmeri's research but are we convinced sex may be used as exercise based on studies that were conducted more than a quarter of a century ago? As a studious, thriving resident physician, with a heavy background in research, I turned to Up to date for more data, and recommendations.  I had zero findings. Naturally I turned to Men's Health magazine to see what is out there to the general public:A: “You're in bed with your partner and you just finished a vigorous sex session. You're hot and sweaty, worked past that side cramp you got while thrusting, and are convinced you just burned as many calories as you would at the gym. You figure you can skip the treadmill today since your sex workout—a.k.a sex exercises, a.k.a sexercises—got you plenty of cardio.Well, we may have bad news: it depends on the type of sex you're having—specifically, how active you are during it, and how long you're having it—but unless you're really going at it for a couple of hours, odds are, it wasn't that great of a workout. To better quantify this, couples were evaluated while running on a treadmill for 30 minutes and compared to their sexercise. The results, which were published in the journal PLOS ONE, concluded that men burn 100 calories during the average sex session, while women burn about 69 calories. The researchers estimated that men burn roughly 4.2 calories per minute during sex, while women burn 3.1 calories. B: Men may be more physically active during sex which potentially explains why they burn more calories, study author Antony Karelis. But the main reason, Karelis told Time, is that “Men weigh more than women, and because of this, the energy expenditure will be higher in men for the same exercise performed.”It's also worth knowing that sex sessions in the study lasted an average of 25 minutes That's far longer than average. Times varied in the study, ranging from 10 to 57 minutes.  A: The longer the session, the more calories burned.  B: One study in the New England Journal of Medicine found that most sex sessions last six minutes. A: Here are some tips for burning more calories during sex:Make some moans and sighs to burn some extra calories.Change your position to make it more of a workout, especially women. If you're on top, move your hips like a belly dancer. It will feel good while giving you a workout.Experiment with a position where you squat on top of your partner and then bounce up and down. That's a great way to work out your thighs and rear.Try being on top rather than on the bottom, because research suggests that requires more energy.Kiss in unusual positions. Have the guy on his back. Do a push up on top of him. Come down to kiss him and then push back up.Take off your clothes in ways that burn calories. Draw it out and make it part of your foreplay. Or tease him as you get undressed. Do a seductive dance with a silk scarf, for example.Give a good massage to get your heart rate up. Ramp things up by going deeper. It's more sensual and works different muscles. Take turns so you can both get the calorie burn and its arousing impact. B: Harvard source:  During sexual intercourse, a man's heart rate rarely gets above 130 beats a minute, and his systolic blood pressure nearly always stays under 170. All in all, average sexual activity ranks as mild to moderate in terms of exercise intensity.  A: As for oxygen consumption, it comes in at about 3.5 METS (metabolic equivalents), which is about the same as taking a walk or playing ping pong. Sex burns about five calories a minute; that's four more calories used than watching TV. B: How do we decide if one is fit enough for sexual activity? For a 50-year-old man, the risk of having a heart attack in any given hour is about one in a million; sex doubles the risk, but it's still just two in a million. For men with heart disease, the risk is 10 times higher — but even for them, the chance of suffering a heart attack during sex is just 20 in a million. In short, if you are able to climb 3 flights of stairs, you are safe to proceed.  A: Circling back to exercise, keep in mind 4-5 calories burned per minute is still better than zero. Any time spent engaging in any level of physical activity is better than sitting on the couch.  B: Further, “Having sex for at least 10 minutes contributes to your cardiorespiratory health, increased serotonin levels (the happy hormone), and improved sleep,” Silberstang says. Studies have found that sex can relieve everything from anxiety and depression to high blood pressure.  A: When men orgasm, their bodies release serotonin, oxytocin, and prolactin, all hormones associated with better moods, relaxation, and lowered stress. Multiple studies have also found links between regular sex and a reduced risk for heart disease and prostate cancer, and a stronger immune system. One reason that sex isn't classified as a workout is due to its average duration: 3 to 13 minutes,” Silberstang explains. “So, naturally, one of the ways to make sex more of a cardio workout is to increase the time of the act.” C: The present study indicates that energy expenditure during sexual activity appears to be approximately 85 kcal or 3.6 kcal/min and seems to be performed at a moderate intensity in young healthy men and women. These results suggest that sexual activity may potentially be considered, at times, as a significant exercise. Moreover, both men and women reported that sexual activity was a highly enjoyable and more appreciated than the 30 min exercise session on the treadmill. Therefore, this study could have implications for the planning of intervention programs as part of a healthy lifestyle by health care professionals. B: We look forward to future studies that may further show the relationship between psychosocial/qualitative factors and energy expenditures which could explain how these variables could affect overall health and quality of life.____________________________Now we conclude episode 100, “Sexercise.” If you ever wondered if sexual intercourse was a good workout, today we learned that in general it is not an energy-demanding activity. The average man burns just 24 kilocalories during sex, but with some adjustments you can burn more calories, especially if the activity takes longer. If your patient is not having sex, they do not have to start having it just to exercise, remind everyone to be sexually responsible to prevent the spread of sexually transmitted infections and unintended pregnancies. Even without trying, every night you go to bed being a little wiser.Today we thank doctors Valerie Civelli, Namdeep Grewal, and Hector Arreaza. Thanks for listening to Rio Bravo qWeek Podcast. If you have any feedback, contact us by email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. Audio edition: Suraj Amrutia. See you next week!_____________________References:Frappier, Julie; Isabelle Toupin, Joseph J. Levy, Mylene Aubertin-Leheudre, and Antony D. Karelis. Energy Expenditure during Sexual Activity in Young Healthy Couples, PLOS One, plos.org, Published: October 24, 2013, https://doi.org/10.1371/journal.pone.0079342. Casazza, Krista, Ph.D., R.D.; Kevin R. Fontaine, Ph.D.; Arne Astrup, M.D., Ph.D.; et al. Myths, Presumptions, and Facts about Obesity, N Engl J Med 2013; 368:446-454 DOI: 10.1056/NEJMsa1208051 Blaha, Michael Joseph, M.D., M.P.H. Is Sex Dangerous If You Have Heart Disease?. Health. Jons Hopkins Medicine, accessed June 20, 2022. https://www.hopkinsmedicine.org/health/wellness-and-prevention/is-sex-dangerous-if-you-have-heart-disease    Jackson G. Erectile dysfunction and cardiovascular disease. Arab J Urol. 2013;11(3):212-216. doi:10.1016/j.aju.2013.03.003. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442980/   DeBusk R, Drory Y, Goldstein I, Jackson G, Kaul S, Kimmel SE, Kostis JB, Kloner RA, Lakin M, Meston CM, Mittleman M, Muller JE, Padma-Nathan H, Rosen RC, Stein RA, Zusman R. Management of sexual dysfunction in patients with cardiovascular disease: recommendations of The Princeton Consensus Panel. Am J Cardiol. 2000 Jul 15;86(2):175-81. doi: 10.1016/s0002-9149(00)00896-1. PMID: 10913479.Davey Smith G, Frankel S, Yarnell J (1997) Sex and death: are they related? Findings from the Caerphilly Cohort Study. BMJ 315: 1641-1644. doi:https://doi.org/10.1136/bmj.315.7123.1641. Ebrahim S, May M, Ben Shlomo Y, McCarron P, Frankel S et al. (2002) Sexual intercourse and risk of ischaemic stroke and coronary heart disease: the Caerphilly study. J Epidemiol Community Health 56: 99-102. doi:https://doi.org/10.1136/jech.56.2.99. Laumann EO, Glasser DB, Neves RC, Moreira ED Jr. (2009) A population-based survey of sexual activity, sexual problems and associated help-seeking behavior patterns in mature adults in the United States of America. Int J Impot Res 21: 171-178. doi:https://doi.org/10.1038/ijir.2009.7. Lindau ST, Gavrilova N (2010) Sex, health, and years of sexually active life gained due to good health: evidence from two US population based cross sectional surveys of ageing. BMJ 340: c810. doi:https://doi.org/10.1136/bmj.c810. Lindau ST, Schumm LP, Laumann EO, Levinson W, O'Muircheartaigh CA et al. (2007) A study of sexuality and health among older adults in the United States. N Engl J Med 357: 762-774. doi:https://doi.org/10.1056/NEJMoa067423. McCall-Hosenfeld JS, Jaramillo SA, Legault C, Freund KM, Cochrane BB et al. (2008) Correlates of sexual satisfaction among sexually active postmenopausal women in the Women's Health Initiative-Observational Study. J Gen Intern Med 23: 2000-2009. doi:https://doi.org/10.1007/s11606-008-0820-9. Bartlett RG Jr. (1956) Physiologic responses during coitus. J Appl Physiol 9: 469-472. Bohlen JG, Held JP, Sanderson MO, Patterson RP (1984) Heart rate, rate-pressure product, and oxygen uptake during four sexual activities. Arch Intern Med 144: 1745-1748. doi:https://doi.org/10.1001/archinte.144.9.1745.  Hellerstein HK, Friedman EH (1970) Sexual activity and the postcoronary patient. Arch Intern Med 125: 987-999. doi:https://doi.org/10.1001/archinte.125.6.987.  Larson JL, McNaughton MW, Kennedy JW, Mansfield LW (1980) Heart rate and blood pressure responses to sexual activity and a stair-climbing test. Heart Lung 9: 1025-1030.  Masini V, Romei E, Fiorella AT (1980) Dynamic electrocardiogram in normal subjects during sexual activity. G Ital Cardiol 10: 1442-1448. Nemec ED, Mansfield L, Kennedy JW (1976) Heart rate and blood pressure responses during sexual activity in normal males. Am Heart J 92: 274-277. doi:https://doi.org/10.1016/S0002-8703(76)80106-8.  Palmeri ST, Kostis JB, Casazza L, Sleeper LA, Lu M et al. (2007) Heart rate and blood pressure response in adult men and women during exercise and sexual activity. Am J Cardiol 100: 1795-1801. doi:https://doi.org/10.1016/j.amjcard.2007.07.040. Casazza K, Fontaine KR, Astrup A, Birch LL, Brown AW et al. (2013) Myths, presumptions, and facts about obesity. N Engl J Med 368: 446-454. doi:https://doi.org/10.1056/NEJMsa1208051. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN et al. (2007) Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 39: 1423-1434. doi:https://doi.org/10.1249/mss.0b013e3180616b27.  Drenowatz C, Eisenmann JC (2011) Validation of the SenseWear Armband at high intensity exercise. Eur J Appl Physiol 111: 883-887. doi:https://doi.org/10.1007/s00421-010-1695-0.  Johannsen DL, Calabro MA, Stewart J, Franke W, Rood JC et al. (2010) Accuracy of armband monitors for measuring daily energy expenditure in healthy adults. Med Sci Sports Exerc 42: 2134-2140. doi:https://doi.org/10.1249/MSS.0b013e3181e0b3ff. Mackey DC, Manini TM, Schoeller DA, Koster A, Glynn NW et al. (2011) Validation of an armband to measure daily energy expenditure in older adults. J Gerontol A Biol Sci Med Sci 66: 1108-1113.  Mignault D, St-Onge M, Karelis AD, Allison DB, Rabasa-Lhoret R (2005) Evaluation of the Portable HealthWear Armband: a device to measure total daily energy expenditure in free-living type 2 diabetic individuals. Diabetes Care 28: 225-227. doi:https://doi.org/10.2337/diacare.28.1.225-a.  Ryan J, Gormley J (2013) An evaluation of energy expenditure estimation by three activity monitors. Eur J Sport Sci: 1-8. St-Onge M, Mignault D, Allison DB, Rabasa-Lhoret R (2007) Evaluation of a portable device to measure daily energy expenditure in free-living adults. Am J Clin Nutr 85: 742-749. Welk GJ, McClain JJ, Eisenmann JC, Wickel EE (2007) Field validation of the MTI Actigraph and BodyMedia armband monitor using the IDEEA monitor. Obesity (Silver Spring) 15: 918-928. doi:https://doi.org/10.1038/oby.2007.624. Wetten AA, Batterham M, Tan SY, Tapsell L (2013) Relative Validity of Three Accelerometer Models for Estimating Energy Expenditure During Light Activity. J Phys Act Health. Brazeau AS, Karelis AD, Mignault D, Lacroix MJ, Prud'homme D et al. (2011) Test-retest reliability of a portable monitor to assess energy expenditure. Appl Physiol Nutr Metab 36: 339-343. doi:https://doi.org/10.1139/h11-016. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN et al. (2007) Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 116: 1081-1093. doi:https://doi.org/10.1161/CIRCULATIONAHA.107.185649. Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR Jr. et al. (2011) 2011 Compendium of Physical Activities: a second update of codes and MET values. Med Sci Sports Exerc 43: 1575-1581. doi:https://doi.org/10.1249/MSS.0b013e31821ece12.  Steinke EE, Jaarsma T, Barnason SA, Byrne M, Doherty S et al. (2013) Sexual Counseling for Individuals With Cardiovascular Disease and Their Partners: A Consensus Document From the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Circulation. 

Fonte: Foster-Schubert KE, Alfano CM, Duggan CR, Xiao L, Campbell KL, Kong A, Bain CE, Wang CY, Blackburn GL, McTiernan A. Effect of diet and exercise, alone or combined, on weight and body composition in overweight-to-obese postmenopausal women. Obesity (Silver Spring). 2012 Aug;20(8):1628-38. doi: 10.1038/oby.2011.76. Epub 2011 Apr 14. PMID: 21494229; PMCID: PMC3406229. Siga no Instagram: @fabiodominski Gostou do podcast? Você vai gostar mais ainda desse livro! Livro Exercício Físico e Ciência: Fatos e mitos de Fábio Dominski https://www.amazon.com.br/dp/6586363187?ref=myi_title_dp --- Support this podcast: https://anchor.fm/fabio-dominski/support

In our first episode, Cloe and Kate get down and dirty with one of the most damaging things to women's physical and mental health - diet culture!We've all been influenced by it, it affects so much of our lives but you probably don't even notice what evil influence it has on you.We teach you how to recognise diet culture, how to get out of the shame/spend spiral it encourages and what to focus on instead to rise above the BS.Warning - Discussion of eating disorders. There's also some swear words here because we talk about that time a diet book reminded us that dieting is easier than losing a loved one. WTAF.Connect with us on Instagram @nobswomenshealthpodcastAmazing IG accounts to be inspired by from this episode:@i-weigh (Jameela Jamil's ant-diet BS account)@meganjaynecrabbeStudies mentioned in this episode:Mann T, Tomiyama AJ, Westling E, Lew AM, Samuels B, Chatman J. Medicare's search for effective obesity treatments: diets are not the answer. Am Psychol. 2007 Apr;62(3):220-33. doi: 10.1037/0003-066X.62.3.220. PMID: 17469900.Fothergill E, Guo J, Howard L, Kerns JC, Knuth ND, Brychta R, Chen KY, Skarulis MC, Walter M, Walter PJ, Hall KD. Persistent metabolic adaptation 6 years after "The Biggest Loser" competition. Obesity (Silver Spring). 2016 Aug;24(8):1612-9. doi: 10.1002/oby.21538.

Weight gain during the holidaysIs it real?Discussion of the researchEat more protein4x40 or 4x30 approachRelax on the big dayHedonic and homeostatic reasons to eatGo moveWalk or exerciseDaily body weight measurementsResearchMore water and electrolytesRelationship between hunger and thirstGetting salt is mainly done via eatingCraving salty foodsResearchAffiliate link: Drink LMNT | Paleo-Keto Friendly Hydration | Zero Sugar Electrolytes – Drink The Flex Diet Podcast is brought to you by the Flex Diet Certification. Go to https://flexdiet.com/ for 8 interventions on nutrition and recovery. If you're outside the enrollment window, sign up for my free newsletter, and you'll be notified when it opens!ReferencesHoliday Weight Gain?Díaz-Zavala, R. G., Castro-Cantú, M. F., Valencia, M. E., Álvarez-Hernández, G., Haby, M. M., & Esparza-Romero, J. (2017). Effect of the Holiday Season on Weight Gain: A Narrative Review. Journal of obesity, 2017, 2085136. https://doi.org/10.1155/2017/2085136https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5514330/Roberts SB, Mayer J. Holiday weight gain: fact or fiction? Nutr Rev. 2000 Dec;58(12):378-9. doi: 10.1111/j.1753-4887.2000.tb01839.x. PMID: 11206847.https://pubmed.ncbi.nlm.nih.gov/11206847/Kaviani S, vanDellen M, Cooper JA. Daily Self-Weighing to Prevent Holiday-Associated Weight Gain in Adults. Obesity (Silver Spring). 2019 Jun;27(6):908-916. doi: 10.1002/oby.22454. PMID: 31119881.https://pubmed.ncbi.nlm.nih.gov/31119881/Protein EffectsWesterterp-Plantenga MS, Lemmens SG, Westerterp KR. Dietary protein - its role in satiety, energetics, weight loss and health. Br J Nutr. 2012 Aug;108 Suppl 2:S105-12. doi: 10.1017/S0007114512002589. PMID: 23107521.https://pubmed.ncbi.nlm.nih.gov/23107521/Cuenca-Sánchez M, Navas-Carrillo D, Orenes-Piñero E. Controversies surrounding high-protein diet intake: satiating effect and kidney and bone health. Adv Nutr. 2015 May 15;6(3):260-6. doi: 10.3945/an.114.007716. PMID: 25979491; PMCID: PMC4424780.https://pubmed.ncbi.nlm.nih.gov/25979491/Phillips SM, Chevalier S, Leidy HJ. Protein "requirements" beyond the RDA: implications for optimizing health. Appl Physiol Nutr Metab. 2016 May;41(5):565-72. doi: 10.1139/apnm-2015-0550. Epub 2016 Feb 9. PMID: 26960445.https://pubmed.ncbi.nlm.nih.gov/26960445/Non-exercise activity thermogenesisLevine JA. Non-exercise activity thermogenesis (NEAT). Best Pract Res Clin Endocrinol Metab. 2002 Dec;16(4):679-702. doi: 10.1053/beem.2002.0227. PMID: 12468415.https://pubmed.ncbi.nlm.nih.gov/30370831/Malaeb S, Perez-Leighton CE, Noble EE, Billington C. A "NEAT" Approach to Obesity Prevention in the Modern Work Environment. Workplace Health Saf. 2019 Mar;67(3):102-110. doi: 10.1177/2165079918790980. Epub 2018 Oct 29. PMID: 30370831.https://pubmed.ncbi.nlm.nih.gov/12468415/Hunger and ThirstAugustine V, Lee S, Oka Y. Neural Control and Modulation of Thirst, Sodium Appetite, and Hunger. Cell. 2020 Jan 9;180(1):25-32. doi: 10.1016/j.cell.2019.11.040. PMID: 31923398; PMCID: PMC7406138.https://pubmed.ncbi.nlm.nih.gov/31923398/Bray N. A taste for hunger and thirst. Nat Rev Neurosci. 2020 Nov;21(11):592-593. doi: 10.1038/s41583-020-00380-1. PMID: 32913320.https://pubmed.ncbi.nlm.nih.gov/32913320/Mattes RD. Hunger and thirst: issues in measurement and prediction of eating and drinking. Physiol Behav. 2010 Apr 26;100(1):22-32. doi: 10.1016/j.physbeh.2009.12.026. Epub 2010 Jan 11. PMID: 20060847; PMCID: PMC2849909.https://pubmed.ncbi.nlm.nih.gov/20060847/McKiernan F, Houchins JA, Mattes RD. Relationships between human thirst, hunger, drinking, and feeding. Physiol Behav. 2008 Aug 6;94(5):700-8. doi: 10.1016/j.physbeh.2008.04.007. Epub 2008 Apr 13. PMID: 18499200; PMCID: PMC2467458.https://pubmed.ncbi.nlm.nih.gov/18499200/McKiernan F, Hollis JH, McCabe GP, Mattes RD. Thirst-drinking, hunger-eating; tight coupling? J Am Diet Assoc. 2009 Mar;109(3):486-90. doi: 10.1016/j.jada.2008.11.027. PMID: 19248867; PMCID: PMC2671201.https://pubmed.ncbi.nlm.nih.gov/19248867/ 

Episode 75: Multisystem Inflammatory Syndrome in Children (MIS-C).  Dr Schlaerth explains the signs, symptoms, and basic management of MIS-C. Lam explain the role of anti-obesity medications in weight management. Introduction: The Role of Drugs in Weight Loss Management    By Lam Chau, MS3, Ross University School of Medicine     Today about 70% of adult Americans are overweight or obese. Obesity is associated with increased risk of heart disease, stroke, and diabetes, among many other diseases. Studies have shown losing 5-10% of your body weight can substantially reduce your risk of cardiovascular disease.  Traditional belief is that weight loss can only be attributed to diet and exercise. While there are certainly elements of truth to that statement, medication is a safe and proven method for weight management that is often overlooked. The fact of the matter is that weight loss is an ongoing field of study with constant new research and innovations.  In June of this year, a medication named Wegovy was approved for weight loss management by the FDA. This drug is indicated for chronic weight management in patients with a BMI of 27 or greater with an accompanying weight-related ailment or in a patient with a BMI of 30 or greater. Rachel Batterham, PhD, of the Centre for Obesity Research at University College London, shared: "The findings of this study represent a major breakthrough for improving the health of people with obesity. No other drug has come close to producing this level of weight loss — this really is a game changer.” Despite breakthroughs like these, the use of medication for weight loss is still relatively low. Dr. Erin Bohula, a cardiologist and assistant professor at Harvard Medical School, believes “there are probably a few reasons for this, including cost, if not covered by insurance, and a perception these agents are not safe in light of the history with weight loss agents.” A study from 2019 examined the medical records from eight geographically dispersed healthcare organizations. They found that out of 2.2 million patients who were eligible for weight loss medication, only 1.3% filled at least 1 prescription. Weight loss is a dynamic process with many different variables. While it may not necessarily be for everyone, medication can help tremendously and is an option you should consider if you are interested in weight loss[1,2]. This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home.  ___________________________Multisystem Inflammatory Syndrome in Children (MIS-C).   By Katherine Schlaerth, MD, and Hector Arreaza, MD. History and epidemiologyMost children who get COVID-19 have either no symptoms or very mild symptoms. However, about 18 months ago, a new pediatric complication of COVID-19, possibly postinfectious, was described.  The eight children who were initially described had a clinical presentation which was similar to either Kawasaki Disease or perhaps toxic shock syndrome, and since these children had signs of a hyperinflammatory state coupled with shock, the new syndrome was named Multisystem Inflammatory Syndrome in Children, or MIS-C for short. By midsummer of 2021, the United States had about two thousand cases and 30 deaths in children under 21.  Other name for this condition is Pediatric Hyperinflammatory Shock. DiagnosisWhat are the criteria for a diagnosis of Multisystem Inflammatory Syndrome? They include:Age below 21Fever above 100.4 degrees Fahrenheit or 38 degrees centigrade for 24 hours (a subjective fever for more than 24 hours counts too). Laboratory evidence of inflammation which should include at least two of the following tests: elevated CRP, elevated ESR, elevated fibrinogen level, procalcitonin, D-dimer, ferritin, lactic acid dehydrogenase (LDH), interleukin-6, and neutrophil counts, low lymphocyte count and low albumin.Severe disease necessitating hospitalization with multisystem organs affected. The systems affected include cardiac, renal, respiratory, hematologic, gastrointestinal, dermatologic, and neurologic (at least three systems need to be involved). No creditable other diagnosis. Other symptoms include:GI complaints (diarrhea, vomiting, abdominal pain)Skin rashConjunctivitisHeadacheLethargyConfusionRespiratory distressSore throatMyalgiasSwollen hands/feetLymphadenopathyCardiac signs and symptoms include troponin/BNP elevation and arrhythmia. Findings on ECHO may include depressed LVEF, coronary artery abnormalities, including dilation or aneurysm, mitral regurgitation, and pericardial effusion. There also must be a positive test for SARS-CoV-2 and this test can be either a reverse transcriptase polymerase chain reaction (RT-PCR), serologic, or antigen testing. Exposure to someone who has had or is suspected of having had COVID-19 within the last 4 weeks also counts.  Patients with MIS-C may have predominately gastrointestinal symptoms, mucocutaneous findings, and may be hypotensive or “shocky” on presentation. Up to 80% require ICU admission. Thrombocytopenia and /or elevated transaminase levels can also be seen.  MIS-C vs Kawasaki DiseaseThe big issue in diagnosing MIS-C is the overlap with Kawasaki's disease and with toxic shock syndrome. Patients with Kawasaki Disease in their second week of illness often will have thrombosis, not thrombocytopenia. Whereas MIS-C usually affects school age children or adolescents, Kawasaki Disease is more commonly a problem in younger children, who have an average age of 2 years.  Kawasaki Disease is also more common in Asian children and MIS-C disproportionately seems to affect Black and Hispanic children.  Obesity seems to be another risk factor for MIS-C.  Kawasaki's Disease also has different cardiac manifestations from MIS-C. Coronary artery dilatation is common in Kawasaki's disease and left ventricular dysfunction in MIS-C, although sometimes coronary artery dilatation and rarely aneurisms can be noted on echocardiogram in putative MIS-C, which is why differentiation from Kawasaki's Disease is an issue.  PathophysiologyThe cause of MIS-C is probably postinfectious immune dysregulation. Only a minority of MIS-C patients are identified as having COVID-19 by RT-PCR, but most have positive tests for immunoglobulin G.  Statistically, there is a lag of 4-6 weeks between peak community cases of COVID-19 and the time at which children present with MIS-C.   Although research is being done on MIS-C, and theories abound about etiology, there is no clear-cut answer to why some children get MIS-C and the vast majority do not. In a review of the literature on MIS-C using literature from December 2019 through May 2020, gastrointestinal symptoms such as diarrhea, and abdominal pain were 4-5 times more common than cough and respiratory distress.  There was a slight preponderance of male patients and mean age was 8 ½ years. ICU admission was common and 2/3 required inotropic support, over ¼ needed respiratory help with extracorporeal membrane oxygenation warranted in 31 children. The death rate was 1.5 % of these very sick children treated in hospital.  In another smaller study, 80% had mild, but 44% had moderate to severe EKG abnormalities including coronary involvement. The good news was that coronary arteries were normal in all children after a month, and at 4-9 months, only 2-4% had mild heart abnormalities. Unfortunately, mechanisms of MIS-C as well as universal treatment is still being worked out. Published articles may be delayed due to time constraints in publishing. Other immunologic interventions do not have sufficient data. TreatmentWhat about the treatment of children diagnosed with MIS-C?Usually, a variety of specialists become involved initially. These can include pediatric rheumatology, infectious disease, cardiology, and hematology. If children with MIS-C meet criteria for complete or incomplete Kawasaki disease as well, regardless of COVID-19 testing results, IVIG and aspirin are reasonable.  Corticosteroid use must be individualized, and if used it may require a taper.  An echocardiogram can be done initially looking for coronary aneurisms and repeated in a week.  In severe cases, shock may be a presenting factor needing urgent attention. Generally, the treatments used are decided by the aforementioned consults and may consist of immunomodulating therapy, including possibly IVIG (2g/kg), and/or corticosteroids methylprednisolone (30mg/kg).  AntiviralsThe role of antiviral therapy is unclear and remdesivir should be reserved for children with acute COVID-19.  COVID-19 vaccination-associated myocarditisAnother entity which needs further evaluation is COVID-19 vaccination-associated myocarditis in adolescents. This problem is more common in young males and may occur after the administration of mRNA based COVID-19 vaccines. The presentation occurs within 2 weeks of COVID-19 vaccination, and clinical presentation can include chest pressure, abnormal biomarkers (elevated troponins), and cardiac imaging findings. It is unknown if subclinical cases occur.  COVID-19 infection in children, while usually benign, has the potential to become serious, and the association between some mRNA vaccines and the occurrence of myocarditis has yet to be thoroughly studied. We look forward to more and better data to guide the care of children and young adults in these spheres. The risk of having myocarditis is still higher with the actual COVID-19 than the COVID-19 vaccine. The incidence of myocarditis after BioNtech/Pfizer vaccine was 2.13 cases per 100,000 persons in a large study done in a large health care organization in Israel where more than 2 million people were vaccinated (that represents 0.00213%). Another US study showed that there were 77 cases per million doses of vaccines in young male, in contrast, there were 450 cases of myocarditis per million COVID-19 cases in the same age group.____________________________Conclusion: Now we conclude our episode number 74 “Multisystem Inflammatory Syndrome in Children.” Dr. Schlaerth explained that MIS-C is a work in progress in terms of pathophysiology, diagnosis, treatment, and prognosis. MIS-C and Kawasaki Disease are very similar, but, for example, GI symptoms, cardiac dysfunction, shock and multisystem dysfunction are more prominent in MIS-C than Kawasaki Disease. Whereas coronary artery aneurysms are more common in Kawasaki disease than MIS-C. Even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Katherine Schlaerth, and Lam Chau. Audio edition: Suraj Amrutia. See you next week! _____________________References:FDA Approves New Drug Treatment for Chronic Weight Management, First Since 2014, June 04, 2021, U.S. Food and Drug Administration (FDA), https://www.fda.gov/news-events/press-announcements/fda-approves-new-drug-treatment-chronic-weight-management-first-2014. Saxon DR, Iwamoto SJ, Mettenbrink CJ, et al. Antiobesity Medication Use in 2.2 Million Adults Across Eight Large Health Care Organizations: 2009-2015. Obesity (Silver Spring). 2019;27(12):1975-1981. doi:10.1002/oby.22581. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6868321/.  Carroll, Linda, Weight-loss pills can help. So why don't more people use them? NBC News Health Care, September 2, 2018.  https://www.nbcnews.com/health/health-care/weight-loss-pills-can-help-so-why-don-t-more-n905211 World Health Organization, WHO recommends groundbreaking malaria vaccine for children at risk, October 6, 2021. https://www.who.int/news/item/06-10-2021-who-recommends-groundbreaking-malaria-vaccine-for-children-at-risk Lee, Min-Sheng et. al, Similarities and Differences Between COVID-19-Related Multisystem Inflammatory Syndrome in Children and Kawasaki Disease, Front. Pediatr., 18 June 2021, https://doi.org/10.3389/fped.2021.640118.  Gail F. Shust, Vijaya L. Soma, Philip Kahn and Adam J. Ratner, Pediatrics in Review July 2021, 42 (7) 399-401; DOI: https://doi.org/10.1542/pir.2020-004770. Jain SS, Steele JM, Fonseca B, et al. COVID-19 vaccination-associated myocarditis in adolescents. Pediatrics. 2021; doi:10.1542/peds.2021-053427.  https://pediatrics.aappublications.org/content/pediatrics/early/2021/08/12/peds.2021-053427.full.pdf.  Wilson, Clare, Myocarditis is more common after covid-19 infection than vaccination,  New Scientist, 4 August 2021, https://www.newscientist.com/article/mg25133462-800-myocarditis-is-more-common-after-covid-19-infection-than-vaccination/#ixzz79JPn2E47. Son, Mary Beth F, MD, and Kevin Friedman, MD, COVID-19: Multisystem inflammatory syndrome in children (MIS-C) clinical features, evaluation, and diagnosis, Up to Date, September 2021, https://www.uptodate.com/contents/covid-19-multisystem-inflammatory-syndrome-in-children-mis-c-clinical-features-evaluation-and-diagnosis?search=kawasaki%20vs%20misc&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1  

Mange som har gått ned i vekt sliter med at de går opp igjen. (1.) Forskningen er også ganske blek på nettopp dette.  Det går rykter om tall nede i 5 prosent av de som har gått ned klarer å holde seg der.  Loyd Georg Færøvik er en av de som har gått ned i vekt og 10 år senere fortsatt veier vektideal. Sammen med en utdannelse som næringsmiddeltekniker i bunnen. Denne episoden snakkes det rundt hvordan jeg tror folk kan få suksess på å ikke gå opp igjen. Eller hvordan man kan snu trenden, om pilen peker oppover. Nyere studier og lærdom gir også en litt mer optimistisk pil mot hva som gjør at man oppnår varig livsendring. (Varig vektreduksjon.) 3. 1. https://www.dagensmedisin.no/artikler/2021/09/30/hva-kjennetegner-dem-som-lykkes-med-varig-vektreduksjon/ 2. Gupta, A., Osadchiy, V. & Mayer, E.A. Brain–gut–microbiome interactions in obesity and food addiction. Nat Rev Gastroenterol Hepatol 17, 655–672 (2020). https://doi.org/10.1038/s41575-020-0341-5 3.  Look AHEAD Research Group. Eight-year weight losses with an intensive lifestyle intervention: the look AHEAD study. Obesity (Silver Spring). 2014 Jan;22(1):5-13. doi: 10.1002/oby.20662. PMID: 24307184; PMCID: PMC3904491.

Sal's Reading Recommendations:ON EATING MEAT, by Matthew Evans: https://amzn.to/3pAkj7bSimon Hill's Vegan Food Pyramid: https://plantproof.com/veganfoodpyramid/Have questions / comments? Come stalk us on Social Media!Podcast: @wellnessfactorfictionSal: @thefitfoodieblogShauna: @shaunashauna_References:Benatar, J., & Stewart, R. (2018). Cardiometabolic risk factors in vegans; A meta-analysis of observational studies. PLOS ONE, 13(12), e0209086. doi: 10.1371/journal.pone.0209086Barthels, F., Meyer, F., & Pietrowsky, R. (2018). Orthorexic and restrained eating behaviour in vegans, vegetarians, and individuals on a diet. Eating And Weight Disorders - Studies On Anorexia, Bulimia And Obesity, 23(2), 159-166. doi: 10.1007/s40519-018-0479-0Clarys, P., Deriemaeker, P., Huybrechts, I., Hebbelinck, M., & Mullie, P. (2013). Dietary pattern analysis: a comparison between matched vegetarian and omnivorous subjects. Nutrition Journal, 12(1). doi: 10.1186/1475-2891-12-82Losasso, C., Eckert, E. M., Mastrorilli, E., Villiger, J., Mancin, M., Patuzzi, I., Di Cesare, A., Cibin, V., Barrucci, F., Pernthaler, J., Corno, G., & Ricci, A. (2018). Assessing the Influence of Vegan, Vegetarian and Omnivore Oriented Westernized Dietary Styles on Human Gut Microbiota: A Cross Sectional Study. Frontiers in microbiology, 9, 317. https://doi.org/10.3389/fmicb.2018.00317Lynch, H., Johnston, C., & Wharton, C. (2018). Plant-Based Diets: Considerations for Environmental Impact, Protein Quality, and Exercise Performance. Nutrients, 10(12), 1841. doi: 10.3390/nu10121841Turner-McGrievy, G. M., Barnard, N. D., & Scialli, A. R. (2007). A two-year randomized weight loss trial comparing a vegan diet to a more moderate low-fat diet. Obesity (Silver Spring, Md.), 15(9), 2276–2281. https://doi.org/10.1038/oby.2007.270

Energiballanceregnskabet stemmer ikke når man regner efter. Med fem eksempler illustreres det at energiballanceteorien er helt utilstrækkelig til at forklare hvorfor nogle bliver tykke og andre ikke gør. Er social usikkerhed i virkeligheden årsagen til at folk bliver tykke?Der refereres bl.a. til disse artiklerLund J, Gerhart-Hines Z, Clemmensen C. Role of Energy Excretion in Human Body Weight Regulation. Trends Endocrinol Metab. 2020 Oct;31(10):705-708. doi: 10.1016/j.tem.2020.06.002. Epub 2020 Jul 13. PMID: 32674987.Li X, Cope MB, Johnson MS, Smith DL Jr, Nagy TR. Mild calorie restriction induces fat accumulation in female C57BL/6J mice. Obesity (Silver Spring). 2010 Mar;18(3):456-62. doi: 10.1038/oby.2009.312. Epub 2009 Oct 1. PMID: 19798071; PMCID: PMC2880162.Bouchard C, Tremblay A, Després JP, Nadeau A, Lupien PJ, Thériault G, Dussault J, Moorjani S, Pinault S, Fournier G. The response to long-term overfeeding in identical twins. N Engl J Med. 1990 May 24;322(21):1477-82. doi: 10.1056/NEJM199005243222101. PMID: 2336074.Vægtregnestykket:Vægtøgning på 30 kg fedtvæv (øgning i lean body mass er ikke medregnet). Rent fedt indeholder 9 kcal/g, mens fedtvævet reelt kun indeholder kun 7 kcal/g grundet vand og protein mm. 30.000 gram x 7 kcal/g fedtvæv = 210.000 kcal fordelt på 30 år (10.950 dage), giver 19,2 kcal per dag. Hvis personen indtager 3400 kcal om dagen bliver det til 0,56%. Reelt ville en trediedel af vægtøgningen have været lean body mass med mindre energiindhold, så det er rimeligt at antage at 30 kgs vægtøgning forårsages af at spise mindre end 0,5% for meget.

When it comes to unlocking muscle growth and repair, protein is the master macronutrient, but do we need to supplement it in our diets? How does protein powder compare to wholefood sources?In this episode of Wellness: Fact or Fiction, Shauna and Sal cover your FAQ's around protein supplements.REFERENCES + Links:Sal's High Protein Strawberry Mousse:https://www.instagram.com/tv/B_rxu5NF_g6/?igshid=1nx1pvt10br9tBray, G. A., Redman, L. M., de Jonge, L., Covington, J., Rood, J., Brock, C., Mancuso, S., Martin, C. K., & Smith, S. R. (2015). Effect of protein overfeeding on energy expenditure measured in a metabolic chamber. The American journal of clinical nutrition, 101(3), 496–505. https://doi.org/10.3945/ajcn.114.091769Leidy, H. J., Tang, M., Armstrong, C. L., Martin, C. B., & Campbell, W. W. (2011). The effects of consuming frequent, higher protein meals on appetite and satiety during weight loss in overweight/obese men. Obesity (Silver Spring, Md.), 19(4), 818–824. https://doi.org/10.1038/oby.2010.203Noakes, M., Keogh, J. B., Foster, P. R., & Clifton, P. M. (2005). Effect of an energy-restricted, high-protein, low-fat diet relative to a conventional high-carbohydrate, low-fat diet on weight loss, body composition, nutritional status, and markers of cardiovascular health in obese women. The American journal of clinical nutrition, 81(6), 1298–1306. https://doi.org/10.1093/ajcn/81.6.1298Publishing, H., 2020. The Hidden Dangers Of Protein Powders - Harvard Health. [online] Harvard Health. Available at: https://www.health.harvard.edu/staying-healthy/the-hidden-dangers-of-protein-powders[Accessed 16 December 2020].Westerterp-Plantenga M. S. (2008). Protein intake and energy balance. Regulatory peptides, 149(1-3), 67–69. https://doi.org/10.1016/j.regpep.2007.08.026COME GET SOCIAL! Leave us feedback, ask questions, and share this ep with your mates!www.instagram.com/WellnessFactorFictionwww.instagram.com/TheFitFoodieBlogwww.instagram.com/ShaunaShauna_History: https://www.tigerfitness.com/blogs/supplements/the-complete-history-of-protein-powderHow it's made: https://visual.ly/community/Infographics/health/how-protein-powder-made

Blir det Jul uten mat? NEI er svaret fra CyriaxPodden! Kan det likevel være noen lure tips for ikke å møte Januar med en dårlig samvittighet etter en hard Julestrid med mye god mat? CyriaxPodden har tatt turen til PT-Gruppen i Bergen for å snakke med Klinisk Ernæringsfysiolog Kristin Sophi Amundsen. Hun forteller oss hva kroppen trenger av næring og hva den ikke trenger. Hun har også noen tips og triks for deg som ønsker bedre kontroll over matinntaket og hvordan du setter sammen dette på en god måte. Vi diskuterer også hva som er sunnest av Julefisk, Ribbe eller Pinnekjøtt. Visste du forresten at det finnes en matvare som smaker himmelsk godt med null kallorier? Litteratur: DiNicolantonio JJ, Lucan SC, O'Keefe JH. The Evidence for Saturated Fat and for Sugar Related to Coronary Heart Disease. Prog Cardiovasc Dis. 2016 Mar-Apr;58(5):464-72. doi: 10.1016/j.pcad.2015.11.006. Epub 2015 Nov 14. PMID: 26586275; PMCID: PMC4856550. Stinson, E. J., Piaggi, P., Ibrahim, M., Venti, C., Krakoff, J., & Votruba, S. B. (2018). High Fat and Sugar Consumption During Ad Libitum Intake Predicts Weight Gain. Obesity (Silver Spring, Md.), 26(4), 689–695.  Ross R, Freeman JA, Janssen I. Exercise alone is an effective strategy for reducing obesity and related comorbidities. Exerc Sport Sci Rev. 2000 Oct;28(4):165-70. PMID: 11064850. Franz MJ, VanWormer JJ, Crain AL, Boucher JL, Histon T, Caplan W, Bowman JD, Pronk NP. Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. J Am Diet Assoc. 2007 Oct;107(10):1755-67. doi: 10.1016/j.jada.2007.07.017. PMID: 17904936.

We all want a fast and easy way to help us lose a few kilos, but is Intermittent Fasting the answer? In this episode we cover:What Intermittent fasting actually isThe history of fastingWhether we should eat like our ancestorsWhat the health benefits areWhether intermittent fasting is just another calorie deficit tacticIf fasting benefits extend beyond weight lossOur favourite healthier donuts.A subset of Intermittent fasting called Time-Restricted EatingHow food can with your circadian rhythmShauna's bowel movementsSal's Book Recommendations:The Obesity Code: Unlocking the Secrets of Weight Loss - Jason Fung.The Scientific Approach to Intermittent Fasting - Dr Michael VanDerscheldenHave questions / comments? Come stalk us on Social Media!Podcast: @wellnessfactorfictionSal: @thefitfoodieblogShauna: @shaunashauna_Resources + Studies mentioned in this episode:Antoni, R., Johnston, K., Collins, A., & Robertson, M. (2017). Effects of intermittent fasting on glucose and lipid metabolism. Proceedings of the Nutrition Society, 76(3), 361-368. doi:10.1017/S0029665116002986Chow LS, Manoogian ENC, Alvear A, Fleischer JG, Thor H, Dietsche K, Wang Q, Hodges JS, Esch N, Malaeb S, Harindhanavudhi T, Nair KS, Panda S, Mashek DG. Time-Restricted Eating Effects on Body Composition and Metabolic Measures in Humans who are Overweight: A Feasibility Study. Obesity (Silver Spring). 2020 May;28(5):860-869. doi: 10.1002/oby.22756. Epub 2020 Apr 9. PMID: 32270927; PMCID: PMC7180107.Lowe DA, Wu N, Rohdin-Bibby L, Moore AH, Kelly N, Liu YE, Philip E, Vittinghoff E, Heymsfield SB, Olgin JE, Shepherd JA, Weiss EJ. Effects of Time-Restricted Eating on Weight Loss and Other Metabolic Parameters in Women and Men With Overweight and Obesity: The TREAT Randomized Clinical Trial. JAMA Intern Med. 2020 Sep 28;180(11):1–9.doi: 10.1001/jamainternmed.2020.4153.Rynders, C. A., Thomas, E. A., Zaman, A., Pan, Z., Catenacci, V. A., & Melanson, E. L. (2019). Effectiveness of Intermittent Fasting and Time-Restricted Feeding Compared to Continuous Energy Restriction for Weight Loss. Nutrients, 11(10), 2442. https://doi.org/10.3390/nu11102442Stockman, M. C., Thomas, D., Burke, J., & Apovian, C. M. (2018). Intermittent Fasting: Is the Wait Worth the Weight?. Current obesity reports, 7(2), 172–185. https://doi.org/10.1007/s13679-018-0308-9Don't forget to Subscribe + Leave a review - we will send you a free donut voucher.JKS.

In this episode of Diabetes Insights with Dr. Brian Mowll, we discuss several papers on Time Restricted Eating and metabolic health.  Dr. Mowll explains the main findings of the research, including a wide range of benefits related to diabetes, blood sugar, lipids, appetitie, and weight loss.  He also gives his commentary about the most useful clinical insights from the researh report. Diabetes Insights is a solo format podcast with Dr. Brian Mowll exploring the latest and most interesting research in the field of diabetes, blood sugar, and metabolic health, and distilling the most relevant data for clinical use.  This speial podcast episode is geared toward healthcare professionals and those with an interest in learning more about diabetes and the latest advancements in understanding and treatment.  Subscribe to the Mastering Blood Sugar podcast to get updates when new episodes are released. Wilkinson, Michael J et al. “Ten-Hour Time-Restricted Eating Reduces Weight, Blood Pressure, and Atherogenic Lipids in Patients with Metabolic Syndrome.” Cell metabolism vol. 31,1 (2020): 92-104.e5. doi:10.1016/j.cmet.2019.11.004 Regmi, Prashant, and Leonie K Heilbronn. “Time-Restricted Eating: Benefits, Mechanisms, and Challenges in Translation.” iScience vol. 23,6 (2020): 101161. doi:10.1016/j.isci.2020.101161 Chow, Lisa S et al. “Time-Restricted Eating Effects on Body Composition and Metabolic Measures in Humans who are Overweight: A Feasibility Study.” Obesity (Silver Spring, Md.) vol. 28,5 (2020): 860-869. doi:10.1002/oby.22756 Melkani, Girish C, and Satchidananda Panda. “Time-restricted feeding for prevention and treatment of cardiometabolic disorders.” The Journal of physiology vol. 595,12 (2017): 3691-3700. doi:10.1113/JP273094 Jamshed, Humaira et al. “Early Time-Restricted Feeding Improves 24-Hour Glucose Levels and Affects Markers of the Circadian Clock, Aging, and Autophagy in Humans.” Nutrients vol. 11,6 1234. 30 May. 2019, doi:10.3390/nu11061234 Sutton, Elizabeth F et al. “Early Time-Restricted Feeding Improves Insulin Sensitivity, Blood Pressure, and Oxidative Stress Even without Weight Loss in Men with Prediabetes.” Cell metabolism vol. 27,6 (2018): 1212-1221.e3. doi:10.1016/j.cmet.2018.04.010 Ravussin, Eric et al. “Early Time-Restricted Feeding Reduces Appetite and Increases Fat Oxidation But Does Not Affect Energy Expenditure in Humans.” Obesity (Silver Spring, Md.) vol. 27,8 (2019): 1244-1254. doi:10.1002/oby.22518 Enjoyed the Podcast? Subscribe on iTunes and leave a review! For more Dr. Mowll, check out his  website drmowll.com For Dr. Mowll's high quality nutritional supplements visit https://sweetlifenutritionals.com/ For more information on this week’s episode, visit: Mastering Blood Sugar Podcast

¿Se te antojan alimentos ricos en carbohidratos cuando estás estresado? En este episodio te explico por qué Episodios del podcast para complementar:138 – La canasta de pan 224 – Hambre de seguridad225 – Estrategias para sentirte segura228 – Estrés y pérdida de apetito 214 - Tu alimento maestro99 - Antojo de café29 – Antojos premenstruales 19 – Por qué se nos antoja el chocolate VIDEO: Fatiga por estrés https://youtu.be/sdmgdNS5r3o MIS CURSOSO Y TALLEREShttps://psicoalimentacion.podia.com CONECTA CONMIGOInstagram @anaariz http://bit.ly/33MLEsTFacebook @AnaArizmendiFanPage http://bit.ly/2Z7GNniYouTubehttp://bit.ly/2XYWI6n Fuentes: https://www.scientificamerican.com/article/why-do-we-crave-sweets-when-were-stressed/ Mcallister MJ, Webb HE, Tidwell DK, et al. Exogenous Carbohydrate Reduces Cortisol Response from Combined Mental and Physical Stress. Int J Sports Med. 2016;37(14):1159-1165.Dirlewanger M, Di vetta V, Guenat E, et al. Effects of short-term carbohydrate or fat overfeeding on energy expenditure and plasma leptin concentrations in healthy female subjects. Int J Obes Relat Metab Disord. 2000;24(11):1413-8.Chao, A. M., Jastreboff, A. M., White, M. A., Grilo, C. M., & Sinha, R. (2017). Stress, cortisol, and other appetite-related hormones: Prospective prediction of 6-month changes in food cravings and weight. Obesity (Silver Spring, Md.), 25(4), 713–720. https://doi.org/10.1002/oby.21790

The second instalment of a wide-ranging conversation with associate professor of neuroscience, Christian Benedict on the fascinating, complex and still as yet fully unravelled associations between sleep, obesity, diet and weight gain. This Episode's Guest Christian Benedict Ph.D. is an Associate Professor in neuroscience at Uppsala University where he heads up a team of scientists at the Benedict lab, which studies the effects of circadian disruption and sleep loss on health and performance, with a particular focus on the relationship between sleep loss and metabolism.  Christian holds a Master's degree in nutritional science,  a Ph.D. in human biology, is a teacher in the medical and biomedicine program at UU and is also the author of the book "Sömn, Sömn, Sömn".  Benedict Lab: https://www.benedictlab.org/ ResearchGate: https://www.researchgate.net/profile/Christian_Benedict Uppsala University: https://katalog.uu.se/profile/?id=N9-480 The book: https://www.bonnierfakta.se/bocker/223532/somn-somn-somn/ Twitter: https://twitter.com/sleep_advocate Instagram: https://www.instagram.com/sleep_advocate/ Sleep Science Facebook Group: https://www.facebook.com/groups/495466987134152/ Episode Homepage: https://sleepjunkies.com/sleep-diet-obesity-part-2/ Studies mentioned in this episode: https://www.ncbi.nlm.nih.gov/pubmed/30870662 One night of sleep loss increases ’ideal’ portion size, Sleep loss may enhance snack intake, despite satiety Psychoneuroendocrinology. 2013 Sep;38(9):1668-74 https://www.ncbi.nlm.nih.gov/pubmed/30870662 https://doi.org/10.7554/eLife.49053.001 One night of sleep loss increases blood concentration of the hunger hormone ghrelin by about 15% Obesity (Silver Spring). 2014 Aug;22(8):1786-91 Recurrent partial sleep loss decreases mean blood concentration of the appetite hormone leptin by about 19% J Clin Endocrinol Metab. 2004 Nov;89(11):5762-71 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4119845/ https://www.ncbi.nlm.nih.gov/pubmed/31098615 More Episodes:

The second instalment of a wide-ranging conversation with associate professor of neuroscience, Christian Benedict on the fascinating, complex and still as yet fully unravelled associations between sleep, obesity, diet and weight gain. This Episode's Guest Christian Benedict Ph.D. is an Associate Professor in neuroscience at Uppsala University where he heads up a team of scientists at the Benedict lab, which studies the effects of circadian disruption and sleep loss on health and performance, with a particular focus on the relationship between sleep loss and metabolism.  Christian holds a Master's degree in nutritional science,  a Ph.D. in human biology, is a teacher in the medical and biomedicine program at UU and is also the author of the book "Sömn, Sömn, Sömn".  Benedict Lab: https://www.benedictlab.org/ ResearchGate: https://www.researchgate.net/profile/Christian_Benedict Uppsala University: https://katalog.uu.se/profile/?id=N9-480 The book: https://www.bonnierfakta.se/bocker/223532/somn-somn-somn/ Twitter: https://twitter.com/sleep_advocate Instagram: https://www.instagram.com/sleep_advocate/ Sleep Science Facebook Group: https://www.facebook.com/groups/495466987134152/ Episode Homepage: http://sleepjunkies.com/sleep-diet-obesity-part-2/ Studies mentioned in this episode: https://www.ncbi.nlm.nih.gov/pubmed/30870662 One night of sleep loss increases 'ideal' portion size, Sleep loss may enhance snack intake, despite satiety Psychoneuroendocrinology. 2013 Sep;38(9):1668-74 https://www.ncbi.nlm.nih.gov/pubmed/30870662 https://doi.org/10.7554/eLife.49053.001 One night of sleep loss increases blood concentration of the hunger hormone ghrelin by about 15% Obesity (Silver Spring). 2014 Aug;22(8):1786-91 Recurrent partial sleep loss decreases mean blood concentration of the appetite hormone leptin by about 19% J Clin Endocrinol Metab. 2004 Nov;89(11):5762-71 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4119845/ https://www.ncbi.nlm.nih.gov/pubmed/31098615 More Episodes:

Does a lack of sleep lead to a higher risk of obesity? Or does being overweight lead to more likelihood of sleep problems? Around the world,  scientists have been trying to unravel this chicken and egg problem for decades. What's clear so far is that to understand the associations between sleep loss, diet, obesity and weight gain, sleep scientists have to confront a dizzying array of knowledge domains including psychology, neuroscience, epidemiology, genetics, endocrinology and more. Today, in a two-part episode we speak to associate professor Christian Benedict, a  sleep research who has spent almost two decades in the field and now heads up his own team of researchers and doctors and Uppsala University.  We discuss the many associations that we currently know about sleep, diet and obesity, including how sleep loss impairs our cognitive ability to make good food choices, how sleep plays a role in our body's energy expenditure equation, the role of food in our circadian system, how 'hunger hormones' are impacted by sleep loss, which diets are more/less impactful on our sleep patterns and a whole bunch of other stuff.   This Episode's Guest Christian Benedict Ph.D. is an Associate Professor in neuroscience at Uppsala University where he heads up a team of scientists at the Benedict lab, which studies the effects of circadian disruption and sleep loss on health and performance, with a particular focus on the relationship between sleep loss and metabolism.  Christian holds a Master's degree in nutritional science,  a Ph.D. in human biology, is a teacher in the medical and biomedicine program at UU and is also the author of the book "Sömn, Sömn, Sömn".  Benedict Lab: https://www.benedictlab.org/ ResearchGate: https://www.researchgate.net/profile/Christian_Benedict Uppsala University: https://katalog.uu.se/profile/?id=N9-480 The book: https://www.bonnierfakta.se/bocker/223532/somn-somn-somn/ Twitter: https://twitter.com/sleep_advocate Instagram: https://www.instagram.com/sleep_advocate/ Sleep Science Facebook Group: https://www.facebook.com/groups/495466987134152/ Episode Homepage: http://sleepjunkies.com/sleep-diet-obesity-part-1/ Studies mentioned in this episode: https://www.ncbi.nlm.nih.gov/pubmed/30870662 One night of sleep loss increases 'ideal' portion size, Sleep loss may enhance snack intake, despite satiety Psychoneuroendocrinology. 2013 Sep;38(9):1668-74 https://www.ncbi.nlm.nih.gov/pubmed/30870662 https://doi.org/10.7554/eLife.49053.001 One night of sleep loss increases blood concentration of the hunger hormone ghrelin by about 15% Obesity (Silver Spring). 2014 Aug;22(8):1786-91 Recurrent partial sleep loss decreases mean blood concentration of the appetite hormone leptin by about 19% J Clin Endocrinol Metab. 2004 Nov;89(11):5762-71 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4119845/ https://www.ncbi.nlm.nih.gov/pubmed/31098615 More Episodes:

Does a lack of sleep lead to a higher risk of obesity? Or does being overweight lead to more likelihood of sleep problems? Around the world,  scientists have been trying to unravel this chicken and egg problem for decades. What's clear so far is that to understand the associations between sleep loss, diet, obesity and weight gain, sleep scientists have to confront a dizzying array of knowledge domains including psychology, neuroscience, epidemiology, genetics, endocrinology and more. Today, in a two-part episode we speak to associate professor Christian Benedict, a  sleep research who has spent almost two decades in the field and now heads up his own team of researchers and doctors and Uppsala University.  We discuss the many associations that we currently know about sleep, diet and obesity, including how sleep loss impairs our cognitive ability to make good food choices, how sleep plays a role in our body's energy expenditure equation, the role of food in our circadian system, how 'hunger hormones' are impacted by sleep loss, which diets are more/less impactful on our sleep patterns and a whole bunch of other stuff.   This Episode's Guest Christian Benedict Ph.D. is an Associate Professor in neuroscience at Uppsala University where he heads up a team of scientists at the Benedict lab, which studies the effects of circadian disruption and sleep loss on health and performance, with a particular focus on the relationship between sleep loss and metabolism.  Christian holds a Master's degree in nutritional science,  a Ph.D. in human biology, is a teacher in the medical and biomedicine program at UU and is also the author of the book "Sömn, Sömn, Sömn".  Benedict Lab: https://www.benedictlab.org/ ResearchGate: https://www.researchgate.net/profile/Christian_Benedict Uppsala University: https://katalog.uu.se/profile/?id=N9-480 The book: https://www.bonnierfakta.se/bocker/223532/somn-somn-somn/ Twitter: https://twitter.com/sleep_advocate Instagram: https://www.instagram.com/sleep_advocate/ Sleep Science Facebook Group: https://www.facebook.com/groups/495466987134152/ Episode Homepage: https://sleepjunkies.com/sleep-diet-obesity-part-1/ Studies mentioned in this episode: https://www.ncbi.nlm.nih.gov/pubmed/30870662 One night of sleep loss increases ’ideal’ portion size, Sleep loss may enhance snack intake, despite satiety Psychoneuroendocrinology. 2013 Sep;38(9):1668-74 https://www.ncbi.nlm.nih.gov/pubmed/30870662 https://doi.org/10.7554/eLife.49053.001 One night of sleep loss increases blood concentration of the hunger hormone ghrelin by about 15% Obesity (Silver Spring). 2014 Aug;22(8):1786-91 Recurrent partial sleep loss decreases mean blood concentration of the appetite hormone leptin by about 19% J Clin Endocrinol Metab. 2004 Nov;89(11):5762-71 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4119845/ https://www.ncbi.nlm.nih.gov/pubmed/31098615 More Episodes:

History of the Calorie: https://nutritionj.biomedcentral.com/track/pdf/10.1186/1475-2891-6-44 Institute of Medicine, Food and Nutrition Board. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, DC. National Academies Press. 2005 pp. 119–21. https://www.nap.edu/catalog/10490/dietary-reference-intakes-for-energy-carbohydrate-fiber-fat-fatty-acids-cholesterol-protein-and-amino-acids Ravussin E, Bogardus C. A brief overview of human energy metabolism and its relationship to essential obesity. Am J Clin Nutr. 1992; 55:S242S–45. https://www.ncbi.nlm.nih.gov/pubmed/1728837 Food and Nutrition Board. Dietary Reference Intakes for Energy, Carbohydrates, Fiber, Fat, Protein, and Amino Acids. Washington, DC: National Academy Press. 2002. https://www.nal.usda.gov/sites/default/files/fnic_uploads/energy_full_report.pdf Horton ES. Introduction: an overview of the assessment and regulation of energy balance in humans. Am J Clin Nutr. 1983; 38:972–77. 58. Jequier E, Acheson K, Schutz Y. Assessment of energy expenditure and fuel utilization in man. Ann Rev Nutr. 1987; 7:187–208. http://agris.fao.org/agris-search/search.do?recordID=US8501699 Galgani, J. E., Castro-Sepulveda, M., Pérez-Luco, C., & Fernández-Verdejo, R. (2018). Validity of predictive equations for resting metabolic rate in healthy humans. Clinical Science, 132(16), 1741–1751. doi:10.1042/cs20180317 https://www.ncbi.nlm.nih.gov/pubmed/29967004 Gropper, Sareen S.; Smith, Jack L.. Advanced Nutrition and Human Metabolism (Page 299). Cengage Textbook. Buchholz, A. C., Rafii, M., & Pencharz, P. B. (2001). Is resting metabolic rate different between men and women? British Journal of Nutrition, 86(06), 641. doi:10.1079/bjn2001471. https://www.ncbi.nlm.nih.gov/pubmed/11749674 Horton, T. J., Drougas, H., Brachey, A., Reed, G. W., Peters, J. C., & Hill, J. O. (1995). Fat and carbohydrate overfeeding in humans: different effects on energy storage. https://www.ncbi.nlm.nih.gov/pubmed/7598063/ Fabbri, Elisa et al. “Energy Metabolism and the Burden of Multimorbidity in Older Adults: Results From the Baltimore Longitudinal Study of Aging” journals of gerontology. Series A, Biological sciences and medical sciences vol. 70,11 (2014): 1297-303. Knuth ND, Johannsen DL, Tamboli RA, Marks-Shulman PA, Huizenga R, Chen KY, Abumrad NN, Ravussin E, Hall KD. Metabolic adaptation following massive weight loss is related to the degree of energy imbalance and changes in circulating leptin. Obesity (Silver Spring) 2014;22:2563–2569. https://onlinelibrary.wiley.com/doi/full/10.1002/oby.20900 De Cleva, R., Mota, F. C., Gadducci, A. V., Cardia, L., D’Andréa Greve, J. M., & Santo, M. A. (2018). Resting metabolic rate and weight loss after bariatric surgery. https://www.ncbi.nlm.nih.gov/pubmed/29628405 Bouchard C, Pérusse L, Dériaz O, et al. Genetic influences on energy expenditure in humans. Crit Rev Food Sci Nutr 1993;33:345–50. https://www.ncbi.nlm.nih.gov/pubmed/8357495 Westerterp-Plantenga, M. S., Nieuwenhuizen, A., Tome, D., Soenen, S., & Westerterp, K. R. (2009). Dietary protein, weight loss, and weight maintenance. Annual Review of Nutrition, 29, 21–41 https://www.ncbi.nlm.nih.gov/pubmed/19400750 Ravussin E., Lillioja S., Anderson T.E., Christin L., Bogardus C. Determinants of 24-hour energy expenditure in man. Methods and results using a respiratory chamber. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC423919/pdf/jcinvest00111-0160.pdf Stookey Jodi. Negative, Null and Beneficial Effects of Drinking Water on Energy Intake, Energy Expenditure, Fat Oxidation and Weight Change in Randomized Trials: A Qualitative Review. Nutrients. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728633/ LaForgia J., Withers R. T., Gore C. J. (2006). https://www.ncbi.nlm.nih.gov/pubmed/17101527/ Podcasts: goo.gl/X4H4z8 Email: info@barbellmedicine.com Newsletter: http://eepurl.com/cpqB3n