Tuesday, 9 August 2016

Stress Eating

Germans have a word to describe stress eating - kummerspeck. Its literal translation is "grief bacon." In the USA, there is a saying that bacon makes everything better.

Strictly speaking, stress is not a person, a situation, or an event. It's your unique perception of and reaction to a person, situation, or event. Just like beauty, stress is in the eye of the beholder. It's a symptom of negative feelings, such as anxiety or anger -feelings that stem from your perception of the stressor rather than the stressor itself. Left unchecked, chronic stress can do more than deplete your zest for life. It can actually increase belly fat, and it's associated with health problems such as type 2 diabetes and heart disease, an outcome that leads to even more stress.

To understand why you feel you must eat that cupcake the moment stress hits, it's essential to learn the fundamentals of stress biology. It's complex, but here's what you need to know.

More than seventy-five years ago endocrinologist Hans Selye, recognizing the link between stress and illness, broke the stress response into three stages.

In the alarm stage, which occurs when you're scared or under threat, your body enters fight-or-flight mode. Hardwired into your brain to help you identify a threat to your survival, the fight-or-flight response is your body's home alarm system. The area of the brain that controls the release of cortisol is called the HPA (hypothalamic-pituitary-adrenal axis). The instant it identifies danger, your body's sympathetic nervous system releases stress hormones, such as adrenaline and cortisol. These hormones take your body to a hyperarousal, so you're ready to fight the threat or run away.

When the body is in fight-or-flight mode, its key systems are amped up.  Breathing quickens, which helps disperse more oxygen throughout body. The heart beats faster, which increases the flow of blood to carry more oxygen to muscles. Blood sugar increases, so your body has the fuel it needs to fight or run. This is the kind of hyperarousal that allows a mother to lift a car to save her child.

After the immediate threat has passed, in the resistance stage your body tries to adapt to the continued stress. If the stress passes, you can start to rebuild your defences. 

In the short term, fight-or-flight responses can save your life. But if the stress never shuts off — if stress hormones stay elevated — your body moves into the exhaustion stage. Continued stress depletes your body, suppressing your immune defences and increasing your risk for disease.

Today, screaming kids, a ringing phone, or a beeping work pager can set off that primitive, powerful, automatic response designed to save your life.

Fat and sugar cravings

The stress-weight gain connection centres on cortisol, which mobilizes the body's storage of fat and sugar to fight or flee and directs you to search for calorie-dense foods —specifically, foods stuffed with dietary fat and sugar. Previous studies have found clear associations between altered stress responses and obesity.

Stress can inflate your middle. Research associates depression, anxiety, and tension — all markers of stress — with the accumulation of visceral fat. While you tend to eat more when you're stressed, what you eat is also a factor. Typically people under stress reach for what we call comfort foods and what researchers call reward foods: anything salty, sweet, or creamy. 

Once ingested, fat- and sugar-filled foods seem to have a feedback effect that inhibits activity in the parts of the brain that produce and process stress and related emotions. These foods really are "comfort" foods in that they seem to counteract stress — and this may contribute to people's stress-induced craving for those foods.

Another significant factor is the stress hormone response. Cortisol in particular seems to influence fat accumulation around the abdominal area.

Higher-than normal cortisol levels have been linked to weight gain even in the absence of a stressful event. In a small University of Michigan study, researchers boosted cortisol levels In people by directly stimulating their pituitary glands (no stress-inducing tasks involved) to see if it affected their eating behavior. It did; the participants ate more high-fat, sweet, and salty snacks. In essence, if a higher-than-normal amount of cortisol is pumping through your body, you're likely to be experiencing craving. No wonder it feels so difficult to say no to comfort foods!

Unknowingly, many of us live in a constant fight-or-flight state. We rarely go back into a state of relaxation and rest unless we intentionally do so. The better you get at managing fight-or-flight responses and stress in general, the better you'll protect your health and your well-being from its ravages and the smarter your eating decisions will become.
Of course, overeating isn't the only stress-related behavior that can add pounds. Stressed people also lose sleep, exercise less, and drink more alcohol, all of which can contribute to excess weight.

Steps to counter stress snacking

When stress affects someone's appetite and waistline, the individual can forestall further weight gain by ridding the refrigerator and cupboards of high-fat, sugary foods. Keeping those "comfort foods" handy is just inviting trouble.

Here are some other suggestions for countering stress:

Meditation. Countless studies show that meditation reduces stress, although much of the research has focused on high blood pressure and heart disease. Meditation may also help people become more mindful of food choices. With practice, a person may be able to pay better attention to the impulse to grab a fat- and sugar-loaded comfort food and inhibit the impulse.

Exercise. Intense exercise increases cortisol levels temporarily, but low-intensity exercise seems to reduce them. University of California researchers reported that exercise — and this was vigorous exercise — may blunt some of the negative effects of stress. Some activities, such as yoga and tai chi, have elements of both exercise and meditation.

Social support. Friends, family, and other sources of social support seem to have a buffering effect on the stress that people experience. For example, research suggests that people working in stressful situations, like hospital emergency departments, have better mental health if they have adequate social support. But even people who live and work in situations where the stakes aren't as high need help from time to time from friends and family.

Wednesday, 3 August 2016

When it comes to body fat, location counts.

No matter what your body shape, excess fat is not good for your health. But when it comes to body fat, location counts, and each year brings new evidence that the fat lying deep within the abdomen is more perilous than the fat you can pinch with your fingers.

In most people, about 90% of body fat is subcutaneous, the kind that lies in a layer just beneath the skin. If you poke your belly (the pinchable stuff!), the fat that feels soft is subcutaneous fat. The remaining 10% — called visceral or intra-abdominal fat — lies out of reach, beneath the firm abdominal wall. It's found in the spaces surrounding the liver, intestines, and other organs. 

It's also stored in the omentum, an apron-like flap of tissue that lies under the belly muscles and blankets the intestines. The omentum gets harder and thicker as it fills with fat.

Although visceral fat makes up only a small proportion of body fat, it's a key player in a variety of health problems.

As women go through their middle years, their proportion of fat to body weight tends to increase — more than it does in men — and fat storage begins favoring the upper body over the hips and thighs. Even if you don't actually gain weight, your waistline can grow by inches as visceral fat pushes out against the abdominal wall.

The trouble with visceral fat
Body fat, or adipose tissue, was once regarded as little more than a storage depot for fat blobs waiting passively to be used for energy. But research has shown that fat cells — particularly visceral fat cells — are biologically active. "One of the most important developments [since the mid-1990s] is the realization that the fat cell is an endocrine organ, secreting hormones and other molecules that have far-reaching effects on other tissues," says Dr. Barbara B. Kahn, chief of the division of endocrinology, diabetes, and metabolism at the Beth Israel Deaconess Medical Center in Boston.

Before researchers recognized that fat acts as an endocrine gland, they thought that the main risk of visceral fat was influencing the production of cholesterol by releasing free fatty acids into the bloodstream and liver. We now know that there's far more to the story. Researchers have identified a host of chemicals that link visceral fat to a surprisingly wide variety of diseases.

Subcutaneous fat produces a higher proportion of beneficial molecules, and visceral fat a higher proportion of molecules with potentially deleterious health effects. Visceral fat makes more of the proteins called cytokines, which can trigger low-level inflammation, a risk factor for heart disease and other chronic conditions. It also produces a precursor to angiotensin, a protein that causes blood vessels to constrict and blood pressure to rise.

Researchers at Harvard have discovered that, compared with subcutaneous fat, visceral fat secretes more of retinol-binding protein 4 (RBP4), a molecule that increases insulin resistance. As the volume of visceral fat increases, so do levels of RBP4. The connection is so strong that researchers are developing a blood test for RBP4 as a way for physicians to measure an individual's store of visceral fat.

Subcutaneous fat produces more of certain beneficial molecules, including the hormone leptin, which acts on the brain to suppress appetite and burn stored fat. Adiponectin, another hormone produced mainly by subcutaneous fat, helps protect against diabetes by regulating the processing of fats and sugars; it also has an anti-inflammatory effect on the linings of blood vessels. (Adiponectin is made by visceral fat, too, but production falls as fat volume increases.)

More than skin deep
While calculating body mass index (BMI) is a helpful tool to assess the overall health of an individual’s weight, determining a waist-to-hip ratio with a measuring tape is a better method to pinpoint belly fat. Calculate waist-to-hip ratio by dividing the waist’s circumference at its narrowest point (use the belly button as a guide) by the hips’ circumference at their widest points (near the top of the bony protrusions). Ratios of 0.8 and below are healthy, and those above 0.8 suggest an increased risk for heart disease and diabetes. 

Some studies have found waist circumference to be a better determinant and to better express the amount of belly fat present. 

Ready to battle the bulge? 
Thankfully, visceral fat responds to the same diet and exercise strategies that can help you shed pounds and lower your total body fat.

Your weight is largely determined by how you balance the calories you eat with the energy you burn. Overeating and lack of physical activity are the main reasons why people pack on excess pounds. However, aging also can contribute to weight gain as well as to an increase in body fat. That’s because as you age, you gradually lose muscle and fat accounts for a greater percentage of your weight. Less muscle mass also leads to a decrease in the rate at which your body uses calories, which can make it more challenging to lose or stay at the same weight.

Therefore, trim the fat with the four pillars of a healthy middle: exercise, diet, sleep, and stress management. 

While core exercises such as the plank and crunches will firm up abs, they won't blast the belly fat that lies underneath. Instead, try moderate or vigorous intensity aerobic activity. Complement aerobics with diets low in saturated fat, cholesterol, and carbohydrates (beer lovers, beware), and consider protein-rich meals and low-fat snacks. 

And don’t forget to manage life stressors and catch plenty of Zzzs — increased cortisol levels (the stress hormone) and lack of sleep are both tied to abdominal weight gain.

Belly (aka visceral) fat can be more harmful than other types in terms of leading to bigger health issues. But the good news is that it also surrenders more easily to improved fitness and diet than other types!

Tuesday, 26 July 2016

Sickeningly Sweet?

Here's what we know: Eating sugar in excess, as many currently do, is unhealthy.

The American Heart Association and the World Health Organization recommend that women consume no more than 24 grams of "added sugar" (basically, sugar not found in fruits or non-sweetened milk) each day. For men, that number is 37 grams. 

Currently, conservative estimates indicate that Americans consume roughly twice the recommended amounts. Much of that sugar comes from nutrient-deficient soft drinks, luxurious desserts, processed food, or candy. Eating too much of any of that stuff increases the risk of fatty liver disease, heart disease, diabetes, and being overweight. 


Even if Lustig is wrong to saddle fructose with all the blame for obesity and diabetes, his most fundamental directive is sound: eat less sugar. Why? Because super sugary, energy-dense foods with little nutritional value are one of the main ways we consume more calories than we need, albeit not the only way. The fact is that many of our favorite desserts, snacks, cereals and especially our beloved sweet beverages inundate the body with far more sugar than it can efficiently metabolize. Milkshakes, smoothies, sodas, energy drinks and even unsweetened fruit juices all contain large amounts of free-floating sugars instantly absorbed by our digestive system.

For a quick source of bodily fuel, nothing tops sugar. That's the primary reason sugary sports drinks like Gatorade have been consistently shown to enhance athletic performance.

In short, sugar is a substance meant to be used strategically and enjoyed occasionally. As usual it all comes down to balance.

Saturday, 23 July 2016

Four Different Ways To Make Salmon For Dinner This Week


See: https://youtu.be/l96aJe_OQVc

Tomato Pesto Salmon
Servings: 1

INGREDIENTS
Parchment paper or aluminum foil, 12×18 inches
3 ounces green beans
Olive oil to taste
Salt & pepper to taste
6 ounces skinless salmon
2 tablespoons pesto
10 cherry tomatoes, halved

PREPARATION
1. Preheat oven to 350°F/180°C.
2. Fold the parchment paper in half, then open up.
3. On one half, lay down the green beans. Drizzle on oil and sprinkle on salt & pepper.
4. Lay the salmon on the green beans, and spread on the pesto. Top with tomatoes.
5. Fold the parchment paper over the salmon, and cinch the paper together by folding it over itself along the edges. 

6. Bake for 20 minutes or until internal temperature of salmon reaches 145˚F/63˚C.

Teriyaki Salmon
Servings: 1

INGREDIENTS
Parchment paper or aluminum foil, 12×18 inches
½ cup carrots, thinly sliced
1 cup broccoli florets
Olive oil to taste
Salt & pepper to taste
6 ounces skinless salmon
2 tablespoons teriyaki sauce

PREPARATION
1. Preheat oven to 350°F/180°C.
2. Fold the parchment paper in half, then open up.
3. On one half, lay down the broccoli and carrots. Drizzle on oil and sprinkle on salt & pepper.
4. Lay the salmon on the veggies, and pour on teriyaki sauce. 
5. Fold the parchment paper over the salmon, and cinch the paper together by folding it over itself along the edges. 

6. Bake for 20 minutes or until internal temperature of salmon reaches 145˚F/63˚C.

Lemon Dill Salmon
Servings: 1

INGREDIENTS
Parchment paper or aluminum foil, 12×18 inches
7 ounces asparagus
Olive oil to taste
Salt & pepper to taste
6 ounces skinless salmon
3 slices white onion
2 slices lemon
1 sprig fresh dill

PREPARATION
1. Preheat oven to 350°F/180°C.
2. Fold the parchment paper in half, then open up.
3. On one half, lay down the asparagus. Drizzle on oil and sprinkle on salt & pepper.
4. Lay the salmon on the asparagus, and add more oil, salt, and pepper.
5. Place the onion, lemon, and dill on the salmon.
5. Fold the parchment paper over the salmon, and cinch the paper together by folding it over itself along the edges. 

6. Bake for 20 minutes or until internal temperature of salmon reaches 145˚F/63˚C.

Garlic Butter Salmon
Servings: 1

INGREDIENTS
Parchment paper or aluminum foil, 12×18 inches
1 white potato, thinly sliced
Salt & pepper to taste
6 ounces skinless salmon
3 tablespoons butter, melted
1 clove garlic
2 tablespoons fresh parsley, chopped

PREPARATION
1. Preheat oven to 350°F/180°C.
2. Fold the parchment paper in half, then open up.
3. In a bowl, combine the butter, garlic, and parsley.
4. On one half of the parchment, lay down the potatoes. Drizzle on half of the garlic butter mixture. Add salt and pepper as desired.
5. Lay the salmon on the potatoes, and drizzle the remaining garlic butter. Add salt and pepper as desired..
6. Fold the parchment paper over the salmon, and cinch the paper together by folding it over itself along the edges. 
7. Bake for 30 minutes or until internal temperature of salmon reaches 145˚F/63˚C.

8. Enjoy!

Stress - a socially acceptable form of mental illness?

Stress is one of the top complaints of old and young people. Many are also allowing their minds to bully their bodies into believing it must carry the burden of the worries. 

Therefore, it is worthwhile to understand how your body response to stress. Ignorance is not bliss.

When your mind perceives a real or imaginary stressor, the cerebral cortex, the region of the brain that interprets the nature of an event, triggers an automatic nervous system (ANS) response that prepares the body for action. The ANS is the portion of the central nervous system that regulates body functions that we do not normally consciously control, such as heart and glandular functions and breathing.
See the attached figure on the complex series of the body's involuntary physiological responses to exposure of stress of any kind.

Prolonged stress will lead to allostatic load, or exhaustive wear and tear on the body. The physical and emotional energy used to fight a stressor have been depleted.

As the body adjusts to chronic unresolved stress, the adrenal glands, located atop your kidneys, continue to release cortisol, the primary stress hormone. It remains in the bloodstream for longer periods of time as a result of slower metabolic responsiveness.

Cortisol, released in response to fear or stress, increases sugars (glucose) in the bloodstream, enhances your brain's use of glucose and increases the availability of substances that repair tissues as part of the fight-or-flight mechanism.

Cortisol also curbs functions that would be nonessential or detrimental in a fight-or-flight situation. It alters immune system responses and suppresses the digestive system, the reproductive system and growth processes.

While it is vital to health for the adrenals to secret more cortisol in response to stress, it is also very important that bodily functions and cortisol levels return to normal following a stressful event.

Unfortunately, in our current high-stress culture, the stress response is activated so often that the body does not always have a chance to return to normal. This leads to health problems resulting from too much circulating cortisol and/or from too little cortisol if the adrenal glands become chronically fatigued (adrenal fatigue).

The greatest weapon against stress is our ability to choose one thought over another.

Higher and more prolonged levels of circulating cortisol have been shown to have negative effects, such as:
  • Impaired cognitive performance
  • Dampened thyroid function
  • Blood sugar imbalances, such as hyperglycemia
  • Decreased bone density
  • Sleep disruption
  • Decreased muscle mass
  • Elevated blood pressure
  • Lowered immune function
  • Slow wound healing
  • Increased abdominal fat, which has a stronger correlation to certain health problems than fat deposited in other areas of the body. Some of the health problems associated with increased stomach fat are heart attacks, strokes, higher levels of “bad” cholesterol (LDL) and lower levels of “good” cholesterol (HDL), which can lead to other health problems.
Chronically lower levels of circulating cortisol (as in adrenal fatigue) have been associated with negative effects, such as:
  • Brain fog, cloudy-headedness and mild depression
  • Low thyroid function
  • Blood sugar imbalances, such as hypoglycemia
  • Fatigue – especially morning and mid-afternoon fatigue
  • Sleep disruption
  • Low blood pressure
  • Lowered immune function
  • Inflammation