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Joan Endyke: Senior kicks diabetes in Diet Boot Camp

You are never too old to learn something new and make changes. Seniors who believe this and adjust their eating routines can significantly improve their health.

His doctor said his fasting blood sugar was too high and he needed to lose weight or start diabetes medication. Being “stubborn,” as he wryly describes himself, Paul McDonough, a 73-year-old retired Boston police officer from Hingham, Mass., chose not to take medicine.

He’d seen other people start on diabetic pills, then use insulin, and “next thing you know, they lose a leg.” He had other plans for his retirement, like walking and enjoying nature and spending time with friends in Florida and his grandchildren.

He had exercised all his life, but now he knew he had to tackle his diet. His friend Bob Keyes encouraged him to join Diet Boot Camp, an eight-week program offered by the Hingham Recreation Department. Think of it as basic training for healthy eating.

In late February, the 6-foot-tall McDonough weighed 231 pounds and had a fasting blood sugar in the diabetic range at 144 mg/dL. He received a wake-up call in the first Diet Boot Camp class when he assessed the calories his body required and learned how going over that amount not only increases weight but also blood sugar and cholesterol.

Week after week, as he got lesson after lesson on the ins and outs of healthy eating, McDonough adjusted his diet and steadily lost weight. Eight weeks later, he lost 21 pounds and dropped his blood sugar 40 points, putting him outside of the diabetic range. His tremendous effort in changing his diet has put him in control of his health.

How did he do it? He faithfully kept a food journal to improve the quality of his diet and to avoid a daily calorie intake of more than 1,700 calories.

He pared down his portions. Over the years, as a police officer, he had acquired a “grab and go” attitude toward food. Regardless of his hunger level, if food was available, he ate it, and a lot of it.

He planned healthy meals and snacks and ate sensibly. He changed from cranberry juice and ginger ale to club soda. He ate more fruit and stayed away from cookies, scones and ice cream.

He changed the way he cooked (his passion) and began making more meals with generous portions of vegetables and fish instead of meatloaf, kielbasa and potatoes.

He kept his sense of humor –– “looking forward to wearing a Speedo in Florida” –– and a positive attitude.

“I am thankful for what I have. I want to take care of myself and be healthy,” he said.

McDonough, at 73, was “the biggest loser” in Diet Boot Camp, outdoing some people half his age.

Joan Endyke is a registered dietitian with a master’s degree in food and nutrition. Send your questions to her at www.wickedgoodhealth.com. This column is not intended to diagnose or treat disease. Check with your doctor before changing your diet.

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From bling to diets, image shapes French campaign

Should you judge a book by its cover? France’s presidential candidates certainly think voters do, and more than ever have tried to get their political message across through their image.

With unemployment and economic woes topping voter concerns, incumbent Nicolas Sarkozy has sought to change from a Rolex-wearing president with a supermodel wife to a more humble, discreetly dressed man listening to the needs of the people.

Almost conversely, Francois Hollande — the Socialist who tops polls ahead of Sunday’s first-round voting and admits to a penchant for hamburgers — saw his popularity surge after he went on a strict diet, modernized his glasses, and went from baggy, shapeless suits to darker, sharper designer cuts.

Image is important in politics almost everywhere. But striking the right visual tone is especially crucial in France, capital of the luxury and cosmetics industries, home to the world’s premier fashion shows, and whose Parisian salons have set global style trends for centuries.

And with candidates’ every public move now under scrutiny of smart phones and Twitter, observers say maintaining a good presidential image in 2012 is harder, and more paramount, than ever.

Hollande, described six months ago by satirists as an indecisive marshmallow, summed it up best himself, declaring in his February autobiography that: “Style makes the man, we say. Style also makes the president.”

“People here are incredibly critical and demanding of the image of the politicians … You can’t be too drab, and too showy is seen as vulgar,” said Rebecca Voigt, a Paris-based fashion writer.

As he campaigns, Sarkozy has been trying to shed the much-lampooned perception that he courts the rich in a country where wealth is meant to be discreet.

Five years ago, on the night of his election victory, Sarkozy wined and dined at Paris’ exclusive Fouquet’s restaurant and then vacationed on a French billionaire’s private yacht.

But this year, Sarkozy declared he would be “a different president.” He allowed himself to be personally approached at rallies, and modified the way he dressed.

“Gone are the severe black suits with patterns, replaced by light blue shirts, navy blue jackets and ties with hardly any decoration,” says Diane-Monique Adjanonhoun, a political marketing strategist. “This is intentional, blue is a color that makes people think you’re more open.”

But will this change of image convince?

Voigt doesn’t think so: “He came into office with a Rolex, the ultimate symbol of money. Though he’s changed his watch to a slightly less showy Patek Philippe, that unpopular showy side is not forgotten. (U.S. President) Barack Obama’s very calculating in how he dresses, he looks so quiet and everyday. Obama would never wear a Rolex, with people suffering the financial crisis.”

Footage circulating online of Sarkozy removing his expensive gold watch before speaking to voters at a rally Sunday in central Paris did not go down well: Was it due to fear of theft, French media asked, or of recalling the “bling bling” period the President had been trying to bury?

Controversy has also courted Carla Bruni-Sarkozy: French media drew comparisons between the French first lady and Marie Antoinette earlier this year, when she declared on France 2 television she and her husband “are modest people.”

However, the millionaire former supermodel and singer has indeed dressed down her image — and, some say, with political gain. In March, she was featured on the front cover of Paris-Match magazine clutching her new baby Giulia in a baggy gray cardigan, flat UGG boots and no make-up.

“She’s showing she is normal, and this is sure to win him votes,” says fashion consultant Isabelle Dubern.

In the Socialist camp, many were concerned that their candidate, Hollande — a middle-aged man viewed more as manager than visionary — was not considered sufficiently presidential.

That was before the crash protein-based Dukan diet that reportedly saw him shed 15 kilograms (33 pounds) by cutting down on wine, cheese and chocolate. Hollande is now slim enough to don the more fashionable, fitted and structured jackets more associated with Elysee Palace residents.

“It might have been unconscious but French people saw his round face and did not think of a leader,” said Adjanonhoun. “He dressed like he was from the country with cheap material. Now he has completely changed.”

Hollande’s language has changed, too, more often saying “myself, I,” which some observers say signals self-affirmation and a growing confidence that’s perceived as presidential.

His unmarried partner Valerie Trierweiler, a well-dressed and impeccably coiffed political journalist, is also seen as an asset to the presidential ticket.

Other candidates, too, have pushed the style button to make statements about their politics.

Marine Le Pen, the leader of France’s extreme right National Front and daughter of party founder Jean-Marie Le Pen, has helped soften the anti-immigrant party’s image.

Being a woman — and at a relatively young 43 years old — she’s seen as less offensive than her aging, hard-line father. Her campaign poster shows her looking directly forward, relaxed and with an unforced smile.

“She has succeeded in seducing many with her natural expression, and even the wrinkles she allows on the poster. She has a navy blue jacket on a sky blue background, which is soothing but also symbolizes the color of the party,” said Adjanonhoun.

Another perceived style coup came from the firebrand left wing candidate Jean-Luc Melenchon. His trademark fashion statement is a red scarf or red tie — representing not only his leftist stance, but drawing a direct link with the only Socialist ever elected president in modern France, Francois Mitterand, who also wore red.

The Greens Party candidate, 68-year-old Norwegian-French Eva Joly has been the source of mockery as well as admiration for her eccentric spectacles. For many weeks she sported some flashy red glasses, only to swap them for a color perhaps more tasteful to her political convictions: a more ecological-looking green.

Whatever the outcome of the first round of the presidential poll Sunday or the second round May 6, political author Valerie Domain says that in France, while “a politician is meant to have ideas and conviction, the first (priority) is what you wear.”

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The Joy Fit Club – Cookbook, Diet Plan & Inspiration

(HealthNewsDigest.com) – New York, NY — Millions of us face overwhelming challenges with food and weight that seem impossible to overcome. But Joy Bauer has found throughout her four-year series on TODAY and hundreds of success stories that the real solutions for weight issues are much simpler. Filled with motivational stories, satisfying recipes and strategic meal plans, THE JOY FIT CLUB: Cookbook, Diet Plan Inspiration (Wiley Hardcover; April 23, 2012; $27.99) offers powerful encouragement and real-world advice for reaching your healthiest, happiest weight.

Taking the TODAY series a step further, THE JOY FIT CLUB expands on the individuals featured so that viewers and readers alike can draw inspiration from their unique strategies – how they really coped on a day-to-day basis, how they overcame the obstacles on their long journeys, what they ate, where they found support, how they got back on track when they slipped up and how they overcame particular challenges. These practical personal insights on exercise, nutrition and overcoming setbacks are the ultimate takeaway lessons, in addition to Joy’s expert health advice, including:

Joy’s Winning Weight Loss Rules: 10 principals to live by that will help losers become winners. These rules are common to all successful dieters, regardless of how much weight they want to lose.

Tried-and-True Food Strategies: Joy’s 3-Week Meal Plan broken down into breakfast, lunch, snacks and dinner made with a variety of delicious, nourishing and simply prepared ingredients.

Bonus Recipes from Joy’s Kitchen: In addition to recipes sprinkled throughout the book, Joy includes bonus recipes like Lemon-Ginger Beef and Broccoli Stir-Fry, Chipotle Chicken Tortilla Soup, Sweet Sesame-Crusted Salmon and Eggplant Lasagna.

Featuring the personal stories of 30 courageous men and women who have lost 100, 200, even 300 pounds, THE JOY FIT CLUB represents a transformation in the way people view losing weight. After trying every quick-fix out there, these dieters didn’t want to fail again, and are proof that realistic and balanced eating and exercise plans work (now and for the long haul) if you have the right approach and the core motivation. Of the strategies common to her Joy Fit Club members, Joy identified the specific tactics that resulted in success every time – from A-list celebrities to soccer moms, as well as CEOs, young children, elite athletes and couch potatoes, “Joy’s Rules” have worked for tens of thousands of her personal clients to help them achieve their personal best.

Weight-loss principles often seem simple, but no single weight-loss solution works for everyone. THE JOY FIT CLUB serves to present a foundation of strategies to build on for weight loss, and thirty different maps to follow to get there; a unique approach that allows readers to see healthy principals and winning methods in action, so that they can find success as well.

ABOUT JOY BAUER:
Joy Bauer, MS, RD, CDN, is the long-time on-air diet and nutrition expert for NBC’s TODAY and the author of several New York Times bestselling books. She is also a monthly columnist for Woman’s Day magazine, as well as the exclusive nutritionist for the New York City Ballet. Learn more about her online diet program at www.JoyBauer.com.

ABOUT TODAY:
NBC News pioneered the morning news program when it launched TODAY in 1952 with Dave Garroway as host. The live broadcast provides the latest in domestic and international news, weather reports, and interviews with newsmakers from the worlds of politics, business, media, entertainment and sports. The program is unparalleled in its ratings dominance in the morning news arena, serving as America’s overwhelming favorite since 1995.

THE JOY FIT CLUB
Cookbook, Diet Plan Inspiration
Joy Bauer
Wiley Hardcover | April 23, 2012 | $27.99 | ISBN: 978-1-118-18139-3 | 288 pages

Wiley eBook | April 23, 2012 | $27.99 | ISBN: 978-1-118-28065-2 (epub); 978-1-118-28066-9(mobi)

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KE Diet: Does It Work?

Ke Diet

Since it was featured in a New York Times article last week, the K-E Diet (short for Ketogenic Enteral Nutrition) has been a source of curiosity. Do some people (most notably, brides) really use a nasogastric tube — more commonly known as a “feeding” tube — to lose weight?

The plastic or rubber tube, which enters the body through the nose, is snaked through the esophagus and into the stomach and is a common tool for surgical patients and anyone else with an obstructed ability to eat. The K-E diet, by contrast, is its first known weight loss application in the United States.

“It’s pretty unique,” Christine Ren-Fielding, M.D., associate professor in the Department of Surgery and director of the weight management program at NYU Langone Medical Center, told The Huffington Post. “Typically, when you put a tube in the nose, it’s for making people gain weight.”

“Unique” is one word for it. Other words that have been used since the story appeared include “Gross” and “disturbing.” But is it dangerous? And does it work?

So far, the diet is offered exclusively at a Florida clinic run by Dr. Oliver R. Di Pietro, its creator and an internal medicine specialist. A brochure promises that, over 10 days, the diet can lead to about 20 pounds of weight loss — or about 1 percent of a patient’s total weight.

A patient is intubated with the feeding device and given a 10-day supply of a powdered food supplement (to be mixed with water), made entirely of protein and fat and amounting to 800 calories per day. Patients may drink water, unsweetened tea and black coffee during their treatment, but nothing else can pass their lips. They carry the solution in a tote bag at all times, where it provides a steady 24-hour drip of nutritional supplementation.

There’s nothing particularly invasive about a nasogastric tube, though there is a slight risk of choking. Any surgeon knows that intubated patients can sometimes experience aspiration. In fact, a 2003 review of clinical nutritional care established how common this complication can be. That’s because the tube leaves open the upper and lower esophageal sphincters that normally close to separate the stomach from the esophagus. This prevents acidic stomach fluids from eroding the esophagus – and prevents debris from entering the pharynx, which can lead to obstructions and choking. Bacteria from the stomach can also, according to the study, colonize in the upper respiratory tract, causing infection.

Other side effects, according to Di Pietro, include bad breath and constipation (another approved substance: Miralax laxitive), as well as potential kidney problems. Those with kidney disease, high blood pressure or diabetes may not be good candidates. And, as with any restricted calorie diet, there are risks of headaches, weakness, dehydration and fatigue.

Despite this — and the tube’s dramatic appearance — the K-E Diet isn’t the most dangerous weight loss fad on the block, according to Ren-Fielding. That doesn’t mean it’s a good solution for excess weight.

Any quick weight loss scheme — whether via tube, straw or fork — is a short-term solution. It will result in dropped pounds, but those come from lost water and muscle mass, rather than fat. The trouble with weight loss of this type is that it returns as soon as the diet ends — and, it is more likely to return as fat, rather than muscle.

“To lose weight from fat takes several weeks,” says Ren-Fielding. “The liver stores energy, muscle stores energy. Only once you’ve depleted that, will you get into fat.”

She added that exercise can help to preserve muscle tissue in this scenario, but that major levels of exertion would be complicated by a feeding tube and bag.

Di Pietro asserts that the diet leads to fat loss only. He told ABC News that the combination of protein and fat leads to a process called ‘ketosis’ that leaves muscle tissue intact. But according to the literature, ketosis simply suppresses appetite — it cannot control where weight loss comes from.

In the end, this quick fix might work in the short term — but it’s no panacea for major weight loss. And it certainly doesn’t address the underlying factors that lead to a healthy body: healthful, mindful eating and exercise.

“It seems to be illogical to do this for one fairy-tale day when most brides have plenty of time before their weddings to lose weight in a healthy way,” said Suzy Weems, a Baylor University professor and a former chair of a public policy committee for the American Dietetic Association. “The long-term solution to maintain a good weight is eat right and exercise.”

Ren-Fielding had a different take: “It’s a sad commentary,” she said. “It’s a reflection of how desperate so many people are to lose weight. So many people that would pay money for this, even when it seems so absurd.”



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Kim Shin Young shares her successful diet plan on ‘Strong Heart’

On the April 17th episode of SBS TVStrong Heart‘, comedian Kim Shin Young who successfully lost a significant amount of weight revealed her diet plans to the world.

Kim Shin Young started things off by sharing the stories of her peers who failed to lose weight in the past. She also admitted that she also failed to lose weight in the past because she could not control her eating habits.

Yang Sae Hyung shared, “Kim Shin Young was always on a diet, but she would always eat two bowls of rice, but leave only one spoonful because she said she was trying to control her portions. When we went out to drink, she would stick to anchovies. But she ate I think close to 2,000 anchovy pieces.”

Kim Shin Young eventually managed to lose a significant amount of weight and shared her meal plan with the other guests. “In the morning, I eat a bowl of brown rice with stir-fried vegetables. 2 hours later, I eat 10 almonds, soy milk, and a quarter of an apple. In the afternoon, I eat calamari or any another protein source with vegetables, and 2 hours later I once again eat 10 pieces of almonds and an apple.”

Her secret to success was sticking to this plan religiously. Her colleague Song Eun Ee remarked, “She sticks to her diet even while we’re filming. While we order our own food, Kim Shin Young eats the food she packed for herself.”

Kim Shin Young also admitted that after hearing MC Lee Dong Wook lost weight after walking up and down the stairs, she tried it herself but wasn’t successful.

Source Image: TVReport via Nate


City considers mobile food truck program



SAN ANTONIO –

For decades, mobile food trucks have been a staple of the San Antonio diet. On any given night there are dozens of taco trucks and other vendors selling all types of food on street corners all across the city.

As the popularity of gourmet food truck continues to grow city leaders are now considering a pilot program that would allow the trucks to sell their culinary treats in the central business district downtown.

While other cities like Austin and El Paso have embraced the virtual kitchens-on-wheels, San Antonio has sort of been stuck in the past. The trucks have been banned from downtown due to concerns about traffic and safety problems.

Since December the city has been holding meetings about mobile food truck vending in the downtown area and now they are ready to present a six month pilot program to city council for approval.

“The advantage of coming sort of late to the program is that we’ve seen some of the programs that haven’t worked in other cities and we’ve seen what programs have worked,” said Mark Brodeur, Director of the Center City Development Office. “We’ve developed the rules and regulations to allow mobile food truck vending on public streets in downtown.”

Brodeur is trying to create a “culinary master plan” for the food trucks. Right now, the pilot program calls for allowing preselected vendors to set up in three locations; Hemisfair Park, Maverick Park on Broadway and at the Civic Center Annex parking lot across from City Hall.

Interested vendors will be able to apply to take part in the program. Brodeur said the vendors would need to submit pictures of their truck and a sample menu which will be used to select the vendors that will be allowed to set up in the designated areas.

The city would charge the vendors a onetime $225 fee which would defray the costs of reserving parking spots and support the administering of the program.

The goal is to select a variety of food trucks for each location and keep them rotating.

“The locations will have various food vendors on different days at different times and those mobile food vendors will either circulate to another site or they’ll move of out of downtown and mobile food vend on their own,” Brodeur said.

Another concern being addressed by the program is cutting down on the amount of competition with existing brick and mortar restaurants.

“So if we have let’s say a Mexican restaurant, we’re going to try not to put a Mexican food truck out in front of the store,” Brodeur said, adding variety will be key to the program’s success. “We don’t want to have a lot of cheeseburger trucks in one place, we don’t want to have a lot of Italian trucks in one place.”

At least one spot in the city, Alamo Street Eat Bar located on South Alamo, has already become a haven for trendy foodies. The location has room for 6 trucks and has a permanent bar. Regular vendors at that location said they would be interested in taking part in the downtown pilot program.

“I think it’s great, I think the public is going to respond to it well and I think it’s going to give young entrepreneurs a great chance to get started,” said Christopher Cullum, owner of Attaboy Burgers. “We need more creative thought in this city and this exactly what it’s going to do for it.”

Anna Fernandez owns a truck that serves chili and other Tex-Mex inspired dishes. She calls her mobile restaurant the Chili Queens which ties into some San Antonio history. For more than 100 years, women would cook chili over open fires in the city’s plazas. Their customers were soldiers, cattlemen, tourists and business men working in the downtown area. In a way they were the first mobile food venders in the city, but they disappeared in the 1940’s when new health laws were passed.

Fernandez is on board with the pilot program and believes it could benefit the tourism industry.

“Part of the experience of being in the downtown area is being able to have the experience of having food from the street made by people who are from the city,” Fernandez said. “So I think it’s really great, I think it’s going to enhance the tourist experience.”

This Thursday, Brodeur will present the food truck pilot program to city council for approval. If they sign off on it the trucks could start selling food in the approved locations by the first of May. The program would run through the end of October when it would be reconsidered as a permanent program.

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