Author: Consumereports editorial team

Families like practical wellness program – and lose weight

Many children are obese these days, but what can be done about it? Research-proven treatments for obesity exist, but they rely on regular one-on-one meetings with a trained health coach. So these “behavioral” treatments are seldom available outside of research studies in specialty medical centers. It’s feasible and acceptable to give this same kind of behavioral treatment to groups of families in primary care, Paula Lozano, MD, MPH, found. She published results of the Family Wellness Program in the Permanente Journal. She is a Group Health pediatrician and assistant medical director of preventive care – and a Group Health Research Institute senior investigator. The U.S. Preventive Services Task Force (USPSTF) recommends screening children for obesity from age 6 years – and referring children who are obese to intensive behavioral treatment. This kind of treatment provides information about healthy eating and physical activity. It also gives parents and children a place to share their experiences and get social support. But that’s not all.

Miriam Hospital study shows how to make statewide health campaigns more effective

Researchers from The Miriam Hospital have found that adding evidence-based weight loss strategies to a statewide wellness campaign improves weight loss outcomes among participants. The study and its findings are published online in advance of print in the American Journal of Public Health. Lead researcher Tricia Leahey, Ph.D., and her colleagues chose to conduct a study among participants in Rhode Island’s annual, three-month statewide health campaign. Called Shape Up Rhode Island (SURI), the campaign was founded in 2005 and takes a grass roots approach in reaching Rhode Islanders. Leahey says, “Given their reach, statewide wellness initiatives like Shape Up Rhode Island have the potential to improve health in large numbers of individuals; however, weight losses produced are typically modest. Thus, we examined whether adding evidence-based weight loss strategies to a statewide wellness campaign improves weight loss outcomes. We found that such an approach was effective and could, therefore, significantly improve the public health impact of these campaigns.” As a researcher with the Weight Control and Diabetes Research Center of The Miriam Hospital, Leahey led the randomized trial. For the study, 230 participants were recruited from the 2011 SURI campaign and were randomly assigned to one of three groups: the standard SURI program, the SURI program plus an evidence-based internet behavioral weight loss program, or SURI plus the evidence-based internet program with the option to attend weekly group weight loss sessions.

Eating prunes can help weight loss

Research by the University of Liverpool has found that eating prunes as part of a weight control diet can improve weight loss. Consumption of dried fruit is not readily recommended during weight loss despite evidence it enhances feelings of fullness. However, a study by the University’s Institute of Psychology, Health and Society of 100 overweight and obese low fibre consumers tested whether eating prunes as part of a weight loss diet helped or hindered weight control over a 12-week period. It also examined if low fibre consumers could tolerate eating substantial numbers of prunes in their diet, and if eating prunes had a beneficial effect on appetite.

3 extra ways to burn fat

Need help losing weight? Here are 3 key fat burning tips from the experts.

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1. Get more sleep
You’re less likely to hit your maximum intensity if you feel like crawling into a hole. Melanie McGrice, from the Dietitians Association of Australia, says tired people are less likely work out.

“It makes it really easy to think of an excuse not to go to the gym.” There’s also a good physiological reason to get enough kip. “We know that lack of sleep decreases the production of leptin, which is a hormone that helps us to know when to stop eating, and we know that it increases the production off ghrelin, which is a hormone which increases our appetite,” McGrice warns.


Meditation can help with fat loss - Women's Health & Fitness
2. Meditate
If you’re stressed, you may find fat loss harder. Stress hormone cortisol “triggers the brain chemical neuropeptide Y that increases food cravings, and high levels of cortisol causes us to hold onto abdominal fat,” O’Neil says. “I’ve seen really good weight loss results when people address their stress. It’s like the cortisol was hanging on to all the fat and when cortisol was lowered the gates opened and the fat flowed out.”


Protein can help you lose weight - Women's Health & Fitness
3. Eat more protein
Here’s where those protein shakes come into their own. Of all the macronutrients, protein ‘costs’ the most calories to digest. In other words, a higher proportion of the calories in a protein shake are used up just to digest it than those in a muesli bar.

“Thermogenesis is basically the production of body heat,” explains McGrice. “Thermo, relates to temperature, and genesis to production. So if you think of the body as a machine, when it’s working and active it produces heat and burns kilojoules. When we are exercising or digesting food our body undertakes thermogenesis.”

But beware ‘thermogenic enhancers’, which often claim to stimulate fat loss. “The commonly promoted thermo bars and drinks and products that target brown fat and increase metabolism have no substance,” says Matt O’Neil, exercise physiologist and dietitian.

Next: 20 sure-fire ways to lose weight>>

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Alkaline diet review

 The Alkaline diet promotes a healthy pH balance within the body. But does it help with weight loss?

The lowdown
The theory is that you need an optimal pH balance (balance between acid and base, also known as alkaline) in your body to help you lose weight and avoid certain diseases. Doing the Alkaline Diet is meant to help you create this balance. In reality, this means cutting out ‘acid-producing’ foods, including meat, dairy, sugar, alcohol and wheat.

What’s it doing to your body?
“I’ve not seen any data that [this diet] is useful,” says Dr Stephen Thornley, endocrinologist at Southern Endocrine in Sydney. He says organs such as our kidney and liver help to create our acid-base balance naturally. “So we do a pretty good job of maintaining that balance ourselves without going on that sort of a diet.”

Nutritionist Zoe Bingley-Pullin says there are good bits to cherry pick. “What they’re encouraging you to do is eat more of a raw-style diet,” notes Bingley-Pullin, who doesn’t object to the raw bit. But you won’t necessarily lose weight because you’ve got a ‘better’ acid-base balance going, she cautions.  

Besides, Bingley-Pullin notes, we need an acidic environment in our gut to aid digestion.

Verdict?
While neither expert thinks this diet can do much harm, they don’t think you’ll benefit much from it either.

NEXT: We review the Paleo diet>>

Author: Dr Evelyn Lewin