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Nothing Else Matters

April 2, 2019/in Memos/by Chet Zelasko

“Where health is at stake, nothing else should be considered.”

Jane Austen’s Emma

Health today is a serious matter. My observation is that we spend a lot of time worrying, maybe even obsessing, about our health; this is not to be confused with disease. If we have a serious medical condition that requires treatment, we’re right to be concerned. But even our treatment and recovery can be impacted by excessive worrying. It’s our attitude toward health that can be improved. For that, we’re going to visit Jane Austen’s novels.

I recently read an article by the author of “The Jane Austen Diet.” He talked about the health nuggets in Austen novels that are often overlooked. Three things caught my attention: the Austen approach to food, exercise, and self image.

The characters and heroines in Austen’s novels seemed to enjoy their food. While the diet was heavy in meats and vegetables, the focus was to enjoy the company of others while eating and not allow one’s feelings to dictate how much one ate. Can we say that today? We worry about the carb count or the fat grams. Stress causes many people to eat more, sometimes a lot more, than they otherwise might. Enjoy a meal with others can be a rare event. How many of our meals happen in our cars as we hustle from one place to another?

The message seems to be to slow down and enjoy food. Food is not just to nourish our body; it should nourish our souls as well.

What are you prepared to do today?

Dr. Chet

Reference: https://wapo.st/2UeaSiZ

The Science Behind the Weight Loss Cycle

January 10, 2019/in Memos/by Chet Zelasko

One of the tenacious problems with weight loss is that people don’t lose all the weight they want to lose and then don’t keep it off. In trying to find out why that happens, I narrowed it to two studies that pointed the way to a solution.

The first was a study that attempted to develop an app for people to provide help exactly when they needed it. In reviewing studies to create the app, they used data from four studies on weight loss and weight gain. While they couldn’t identify the precise point for every individual, they could identify a time frame in general where people start to hit a plateau: about week 11 of any diet. That’s the point where people begin to stop paying attention to their meal plan as closely as they did when they began, and their weight gets stuck.

Another study used was the Minnesota Starvation Experiment from World War II in which lead investigator Ancel Keys severely limited calories for a group of conscientious objectors who volunteered to be starved; much of what we know about calorie restriction and helping famine victims comes from that study. It’s the only study ever in which every subject lost weight in a linear fashion. How? Researchers adjusted the subjects’ calories the following week to keep weight loss on track.

Using those two studies, I developed the Weight Loss Cycle, a way to responsibly get to your ultimate weight loss goal and then maintain it, and as far as I know, this approach is unique. What makes the Weight Loss Cycle different is that it’s not a diet with good foods and bad foods, no meal plans or recipes. You can use whatever eating plan you want; the Weight Loss Cycle shows you how to use it to achieve your goals and stay there.

If you’ve hit plateaus in the past or gained back the weight you’ve lost, the Weight Loss Cycle in the Optimal Performance program could be your key to success.

What are you prepared to do today?

Dr. Chet

References:

1. Am J Clin Nutr 2014;100:787–95.

2. Keys A. The biology of human starvation. University of Minnesota Press, 1950.

Life Expectancy Is More Than Living Longer

June 2, 2018/in Memos/by Chet Zelasko

What’s more important to you: living longer or living better with the years you have? Think about it as you read this Memo and I’ll come back to that later.

The Upside of the Study

There were three important lifestyle variables that clearly stood out (1). The more exercise you get, the better off you are. Of those who got perfect 5s, they averaged over an hour per day of exercise. Second, the lower the BMI, the better; researchers didn’t track who might have lost weight over the years to get in the lowest BMI category, but it’s clear that carrying fewer pounds helps.

Finally, the Alternate Healthy Eating Index (AHEI) is a score of the quality of the diet, not the quantity. The highest quintile was below 60 out of 100 possible points. That means you don’t have to eat perfectly; just eat your vegetables and fruit and fewer refined carbohydrates and sugars, and you’ll see benefits.

The Downside of the Study

The subjects were overwhelmingly white and they were nurses and doctors for the most part. Whether that translates to other races and professions, we just don’t know.

The biggest issue for me is the Food Frequency Questionnaire used in the original studies as well as the AHEI scores. Trying to remember what you’ve eaten in so many categories over a year never made sense to me; there’s just too much potential for error. There were also differences in AHEI scores between the Nurses Study (all women) and the Health Professionals Follow-Up Study (all men). The men had an AHEI of 59 while the women in the nurses study had an AHEI of 37.5 in the groups assigned a 5. That makes no sense to me. I know the FFQ were slightly different, but the way the data are extracted to arrive at the AHEI score should have accounted for that. Are men so much better with the quality of their diet? Not buying it.

Supplements

Here’s something I found interesting. The use of a baby aspirin went up as the overall scores went up. In contrast, multivitamin use went up as the overall scores went down. To me, that means that healthcare professionals in all professions know that taking a baby aspirin is good for you. It also means that the poorer the diet, the more people try to compensate with supplements. The goal should be to complement a good diet with a multi, not try to make up for a poor one.

Amount of Time Living with Disease

I asked you a question at the beginning of this memo: what’s more important to you: living longer or living better? Right now, the average number of years spent living with some form of disease is almost 12 years (2). Not every condition is as debilitating as others, but would you rather live longer no matter what your health is or would you rather live well right up to the day you check out? Only you can answer that one. The study didn’t examine quality of life so we don’t know how the subjects did.

Here’s my guess: I would wager that the more healthy lifestyle variables you can add to your life, the longer and better you will live. Eat less. Eat better. Move more. It all starts with those six words.

What are you prepared to do today?

Dr. Chet

References:
1. https://doi.org/10.1161/CIRCULATIONAHA.117.032047.
2. https://ourworldindata.org/life-expectancy.

Energy Thieves: Medications

February 2, 2017/in Memos/by Chet Zelasko

Another class of energy thieves is medications. This may not apply to everyone but based on the latest CDC stats, close to 50% of all American adults take at least one prescription drug and almost one-quarter take three medications or more. There are three ways medications can steal your energy when you need it to perform your best.

Some medications can directly affect energy levels. Beta-blockers used for hypertension are an example; they’re supposed to slow down heart rate. They can also affect beta-receptors in other areas of your body. The net effect saps energy.

Other medications indirectly steal energy. An extreme example would be chemotherapy and radiation during cancer treatment, but some medications such as statins can cause muscle discomfort which can also steal energy levels.

Not taking the medications as directed can also steal energy. The simplest example is thyroid medication for hypothyroidism. It’s designed to be taken in the morning (unless otherwise specified by your doctor). If it’s not taken when it’s supposed to be taken, it can’t help with energy levels.

There are numerous medications that can impact energy. The first step is a discussion with your physician to address your concerns; schedule that today. I’ll be discussing strategies to minimize energy loss due to medications in the Super Bowl Webinar on Sunday, but it all begins with a discussion with your doctor.

What are you prepared to do today?

Dr. Chet

Reference: https://www.cdc.gov/nchs/fastats/drug-use-therapeutic.htm

Energy Thieves: Food

January 31, 2017/in Memos/by Chet Zelasko

This week I’m focusing on potential energy thieves, and I’ve identified three areas that can hinder performance; one of those is the foods we eat. The two primary food thieves that affect me and many others are refined carbohydrates and deep-fat fried food, but the reasons are polar opposites:

Refined carbohydrates and some starchy foods raise blood sugar quickly, but then you suffer a rebound drop. Eating too many refined carbs can put you in a carb coma.

High-fat foods, especially deep-fat fried foods, can take hours to digest, redirecting blood from the rest of the body to the digestive system to digest and absorb the fatty foods. Less blood to the brain means your mental acuity drops.

All this week, I’m using the techniques I developed for Energy on Demand in the Optimal Performance Program to have all the energy I need to focus and work 14-hour days through the end of the next webinar. My goal is to eat to perform at a high level, and part of that is knowing what not to eat. If you participate, either live or by listening within the following week, you’ll get the complete story.

Spend some time thinking about how the foods you eat affect your energy levels. There may other foods and dietary factors that affect you in addition to the two I’ve listed; for example, maybe it’s not so much which foods as when you eat them. How food affects energy for the times you really need to be at your best will be one of the topics this Sunday in the Super Bowl Webinar. I hope you’ll join me.

What are you prepared to do today?

Dr. Chet

The Last Word on Sugar

December 20, 2016/in Memos/by Chet Zelasko

The sugar war continues in the health headlines these last few days of 2016. Here’s a summary of what was said and my opinion.

Researchers reviewed the science behind the nutritional guidelines that fewer than 10% of calories should come from sugar (1), a position held by the World Health Organization and the USDA. After examining the science behind those guidelines, they concluded that the guidelines are not trustworthy.

Experts responded by calling what the researchers did junk science (2). The researchers were funded by a group composed of soda, candy, and fast-food companies. The experts said that . . .