Food Intake Suggestions For Weight Control, Weight Loss

Weight Control, Weight loss Suggestions

Don’t taste while cooking and don't lick the bowl when finished cooking. It has been said jokingly, but not without a grain of truth, that half the overweight.

 House wives in this country have tasted or licked themselves. Add a great deal in calories. Are they worth it? If you happened to be a "snacker," you can study the snack chart. Consider that a cup of tea or coffee, without cream, with, spoonful of sugar, contains only 16 calories; it may satisfy yourself or at least take the edge off it, and provide the quick energy you.

On the other hand, a chocolate sundae will run between 300 and 500 calories, and half a brick of plain ice cream is 200 (and even low-calorie ice cream is 100). Nibbling between meals does help some people to diet by decreasing their appetite at mealtime.

 If you try this, keep careful count of calories  you will know whether or not it is really helping you. Nibbling also may be suggested by a physician for some heart patients, since the body can manage five or six very small meals daily more easily than the customary three, one or two of which may be fairly heavy.

The idea that you are helping your children when you sample their dinners or finish their portions is one that ought to be dropped. It helps neither them nor you-and can become a fattening habit. 

Exercises for weight control

THE EXERCISE FACTOR

 For years, the role of exercise in reducing has been misinterpreted. Today, regular exercise is known to be essential for maintaining good health and preventing many diseases as well as being a vital adjunct to dirt for weight control. As some put it, diet is half the battle for weight control; it helps you on your way. Exercise provides the vitality and the drive; it helps take you where you want to go. There are still two widely prevalent misconceptions about exercise and weight control.

 One is that it takes great amounts of time and effort to use up enough calories to affect weight significantly. The other is that exercise increases the appetite and the end result is increase, not decrease, in weight. The misconception about time and effort stems from the impression that any exercise has to be accomplished in a single uninterrupted session. To be sure, it takes an hour's jogging to use up 900 calories, but one does not have to do all the jogging in one stretch. 

One must walk 35 miles to lose a pound of fat, but walking an additional mile a day for 35 days will take off the pound.

One can lose 10 pounds in a year by walking an extra mile a day. In one dramatic demonstration of the value of exercise, the daily food intake of a group of university students was doubled, from 3,000 calories daily to 6,000. At the same time, exercise each day was stepped up. 

There was no gain in weight. 68 / Building General Health as Preventive Therapy Another fact about exercise that deserves consideration: Body weight affects the amount of energy expended whatever the activity may be -walking, jogging, tennis playing, or anything else. For example, a 100- pound individual walking 3 miles per hour will burn about 50 calories in 15 minutes; someone weighing 200 pounds would use up as many as 80 calories in the same period. 

Weight reduction

IS A DOCTOR NECESSARY? 

Weight reduction on a sound basis calls for the special knowledge of a physician. He will make certain that you do not lose your health while losing excess weight; that you do not reduce too rapidly and thereby put a strain on your heart and circulation; that you do not find yourself with a cosmetic problem because you have lost weight but have not regained skin tone and end up with flabby masses of pendulous skin. He will suggest proper exercise. 

He will also prescribe vitamins, minerals, and other substances, if necessary, to prevent weakening of bones and organs and to maintain resistance to disease. For example, if you use a "no-calorie" salad dressing made of mineral oil, your doctor may want you to take some vitamins, because mineral oil lends to prevent adequate absorption of some of the vitamins your diet would ordinarily provide. Moreover, it helps considerably if you can have your diet suitably adjusted to your eating habits.

You may be one of those who will be miserable if deprived of a bedtime snack. You may prefer a substantial dinner and be willing to cut down on lunch to have it. A physician can help you establish a sound diet and one best suited to your needs. He may, if necessary, prescribe sedatives for your use during the toughest phase of dieting; the psychological aspects of a relationship with a sympathetic, encouraging physician also can be of great importance during dieting and later on in maintaining low weight. A doctor's encouragement and praise of a patient's efforts in reducing, we have found, can be of major value.

PILLS AS PROPS

 Should you take drugs to reduce? Without a doctor's supervision, never. If, in an individual case, a physician feels that an anti-appetite drug as a temporary prop is justifiable, he will prescribe it-and it should be taken exactly as prescribed. Most physicians, however, prefer to have a patient Weight Control / 67 rely on willpower and determination rather than on drugs and to adjust the diet so this is feasible. In the past, medicines for weight reduction generally were based on amphetamine and so stimulated patients that physicians were reluctant to use them. Now, a number of appetite-reducing agents are available, free of the side effect of overstimulation.

These apparently safer agents are available only on prescription. Over-the-counter reducing preparations are big business. At worst, they can be risky business because of the possibility of side effects; at best, the money is foolishly spent because in and of them the medicines are not to be relied upon for effective permanent weight reduction. The problem with even safe reducing agents is that they are only supports that help temporarily. 

It makes much more sense-s-and has far greater chance of permanent success-to regulate your diet by a healthy change in eating habits which, once desired weight reduction is achieved, can be continued with some upward shift in calorie intake, to maintain you at proper weight. 

Weight Control - THE DANGERS OF UPS AND DOWNS

Weight Control  

 THE DANGERS OF UPS AND DOWNS 

The frequent weight gains and losses indulged in by. The many obese people who practice what one writer calls the "rhythm method of birth control" may actually be more harmful than maintenance of a steady excess weight. For example, it has been shown that serum cholesterol is elevated during periods of weight gain, thus increasing the risk that it will be deposited on artery walls? 

We have no evidence to show that once cholesterol is deposited it can be removed by weight reduction. And it is possible that a person whose weight has fluctuated up and down a number of times has been subjected to more Atherogenic (artery- hardening) stress than a person with stable though excessive weight- and such stress increases the danger of heart attack and stroke.

 Animal experiments have shown that animals of normal weight have a longer life expectancy than obese animals. They have also shown that if an animal has been obese and has been repeatedly reduced, it will have a shorter life expectancy than the obese animal that has never been reduced. Such evidence adds further question to the advisability of undertaking weight reduction that cannot be sustained.

 THE ONLY SCIENTIFIC WAY TO REDUCE

There is nothing complicated about the principles for safe, sound, and effective weight reduction and they are principles that rest on solid scientific study.

1.       There are no healthy substitutes for them, and any attempts to circumvent them are only invitations to frustration and failure.

2.       Without any equivocation but rather as forcibly as we can, we wish to emphasize that all else is bunk, junk, profitable only to the purveyors and never truly so to the believer-buyers-and this is the set of principles upon which you must, and can reliably, pin your hopes for safe and effective weight control: If the number of calories you eat averages more than the number your body uses, you gain.

3.      

        If calorie intake totals less than calorie use, you lose weight. If you are to lose one pound of fat, you will have to take in 3,500 calories less than you expend. And while a sound reducing diet should, of course, lead to weight loss, it must, in addition, have three basic characteristics:

It must produce loss of weight at a safe pace.

 It must offer variety so that it maintains health and provides some pleasure in eating as well as some satisfaction of hunger.

Building General Health as Preventive Therapy

It must teach new, and enjoyable, eating patterns so that you do not promptly slip back into old, weight-gaining eating habits. And, in most cases, coupled with a good reducing diet having such characteristics there must be a sound program of exercise or other physical activity that will increase the calorie expenditure level, ease the dieting regimen, and contribute to general health in the process. 

Penicillin overdose side effects! How to avoid it?

A Special Word about Medicine Taking of many people that if a little is good, more is better. With potent agents, excessive dosage can produce real trouble. Similarly, under dosage can cause problems. Inadequate antibiotic dos- age, for example, carries its own risk. One common example is the patient with a "strep" throat who takes penicillin, improves, stops treatment, then gets the sore throat back again.

Once more, he takes some penicillin but not the full prescribed amount. Again the sore throat dis- appears only to recur after a short time. And so a disease that can be eradicated by continued administration of penicillin for eight to ten days is converted into one that drags on with repeated remissions and relapses. Physicians have, in fact, long suspected that many failures of anti- biotic treatment stem simply from failure of patients to keep taking medication as prescribed. A recent study uncovered disturbing evidence that many parents may be risking their children's health by failing to make certain they take their medication as long as necessary.

Actually, in acute "strep" infections, penicillin treatment for 10 days is considered essential to prevent rheumatic fever. Yet in a follow-up of 59 children for whom a 10-day course of penicillin had been prescribed, investigators found that 56 percent of the youngsters had stopped taking the drug by the third day, 71 percent by the sixth day, and 82 percent by the ninth day. When a doctor prescribes medication, the first thing to do is to get the prescription filled immediately. The value may be lessened, or even lost completely, if you delay.

Then follow directions of the doctor to the letter. If you are not certain you understand them, ask him for clarification-even for instructions in writing as to exactly what you are to do. Take all the medicine pre- scribed, not some amount you arbitrarily settle on. Don't decide, if you begin to feel better, that you can stop or reduce dosage. Sometimes, illnesses require several prescriptions. Very much worth noting here is an old principle taught to nurses: read every label three times. You can use that principle to advantage at home. 

How to manage Infections, overdoses, side effects in modern medicine

Friendly bacteria keep under control harmful organisms that also are natives of the digestive tract. When friendly bacteria are killed off in large numbers, there is less competition for the harmful residents and they have a chance to multiply. The result may be super infection-a new and different infection that develops as a result of another's being treated. Again, the super infection is often mild and disappears once antibiotic treatment stops. 

But super infection sometimes can be severe.

What it comes down to is this: use of potent modern medications, not only antibiotics but many others, involves a calculated risk and alertness. Ideally, the physician uses them after careful consideration and upon arriving at the decision that the good to be gained outweighs any risks along the way-and uses them with caution, keeping alert to the earliest indications of any new trouble from the drugs which he may be able to overcome by change of dosage, switch of medication, addition of other medication, or when necessary discontinuance of treatment.

One of the major problems, though, has been the insistence of many patients upon willy-nilly prescription of medication. They may demand penicillin, for example, for a cold or any fever. They have the feeling that a visit to the doctor is not complete unless the doctor "gives" them something. Too often, this has put physicians on the spot; and to please patients, some have prescribed medication against their better judgment.

So far as your own health is concerned, you can do much to preserve it not just by seeking timely medical advice but by taking it-by avoiding insistence upon medications, by indicating to your physician that you are aware of the values and also limitations of medications, the need to use them wisely not indiscriminately, to use them when they are required and not otherwise.

DOSAGE PROBLEMS

A man who took double the prescribed dose of an anticoagulant-a drug that, in effect, acts to thin the blood to prevent clot formation-found himself in the hospital a few days later with severe nosebleedsand vomiting of blood.

 A woman with bronchial asthma was admitted to the hospital with heart palpitations after she had used, contrary to instructions, an isoprenaline (isoproterenol) spray repeatedly for several hours. Another patient, a 29-year-old man, who had decided to take 50 percent' more than his prescribed dose of a cortisone like drug, came- to the hospital with changed personality, considerable weight gain from fluid retention, and other effects. 

Fever : Temperature to measurement and prevention of diseases

 If there is a severe chill or a rash, then no matter how mild the temperature elevation, medical help is needed. A stiff neck, even if the fever is slight, may be an early indication of meningitis. A fever that develops after an accidental cut or other injury which could have become infected may mean blood poisoning (septicemia). 

When a fever, even mild, is accompanied by nausea and pain in the abdomen, especially in the lower right part of the abdomen, the problem could be appendicitis. Appendicitis often progresses rapidly, and whereas it can be treated effectively early in its course, it may become a major problem if neglected for even a few hours. One final note about slight fever: If you have a chronic disorder such as rheumatic heart disease, asthma, diabetes, or nephritis, your physician may warn you to let him know the minute you discover a fever or even a common cold coming on.

PAIN

All of us have occasional headaches. And there are mild and fleeting aches and pains from unaccustomed exertion and even family arguments and business or other anxieties. These are certainly no medical emergencies. But any new or unusually acute pain in the chest or abdomen should call for medical consultation. Pain in the chest accompanying exertion may be due to heart trouble-but not invariably. Pain at its worst when you take a deepbreath may be due to pleurisy. Chest pain that develops upon bending over after eating may be due to a hernia of the diaphragm. Many relatively mild abdominal pains are associated with gas in the bowel; some stem from constipation; some are associated with fatigue, depression, or anxiety. 

Sometimes, aches and pains that appear to be originating inside the abdomen or chest are actually coming from the abdominal or chestwall as the result of fibrositis of muscles. Peptic ulcer pain usually comes with hunger and is relieved by food or an acid- neutralizing agent. Gallbladderpain often starts under the lowest right ribs in front and runs up under theright shoulder blade. 

How taking body temperature helps to prevent certain diseases?

FEVER

Fever most commonly signals infection or inflammation somewhere in the body. The temperature is likely to be highest during a bacterial or severe viral infection. With a mild infection such as a cold, temperature elevation may be slight and fleeting. When fever is high, there is usually no hesitancy about calling the physician. But there may be other occasions when the physician should be consulted.

First

A few facts about taking temperature

Aspirin and aspirin-containing medications bring down elevated temperature and tend to keep it down for as long as four hours. So for accurate determinations, temperature should be taken before use of such medications or four or five hours afterward. Remember, too, that if temperature is taken immediately after smoking, it may be higher than normal; and conversely, if taken by mouth just after a cold drink, it may be lower than normal. Before taking temperature, rinse the thermometer in cool water and shake it until the mercury falls below the 95-degree mark. If you use an oralthermometer, hold it under the tongue, with mouth shut, for at least three minutes.

A rectal thermometer, after lubrication, should be inserted up to the 98.6-degree line while the patient lies on his side. It should remain in place for three to five minutes. For the average person, mouth temperature normally is 98.6 degrees, and rectal tends to be about one degree higher. When fever is mild-under 100 degrees orally or 101 rectally-and the only other symptom is nasal congestion, a slight cough, or a scratchy throat, there is no urgency about calling the physician. But take the temperature every three or four hours and note the severity of symptoms. If symptoms become worse or if the temperature moves up to 101 orally or 102 rectally, then notify your physician. Always when fever is present it is important to note the accompanying.

How AUTOMATED MULTI-PHASE SCREENING helps to check diseases in health care

One of the relatively recent developments that is almost certain to bring striking changes in the practice of medicine, adding further to the emphasis on and practicality of preventive medicine, is automated multi- phase screening. The idea is to link electronic detection devices, large numbers of chemical tests, and computer science together to screen or check, at low cost, large numbers of apparently healthy people, looking for the most subtle signs of early disease and even of pre-disease states, doing far more routine testing than physicians have time for, providing them with the results of the tests, and giving them more opportunity to counsel patients and practice preventive medicine.

In a periodic checkup that may run two to three hours, a patient moves from one station to another for checks of hearing, visual acuity, respiration rate, lung capacity. An electrocardiogram is made; a measurement of pressure within the eye is quickly made for detection of glaucoma, a major cause of blindness. A chest x-ray is taken and, in the case of women, a three-dimensional breast photograph (mammography). Pulse and blood pressuremeasurements are included. The patient answers a self-administered questionnaire on health history. And blood and urine samples are taken and automatically checked for indications of infection, gout, diabetes, and other diseases and also for a variety of biochemical values that may give some indications of pre disease changes. A computer summarizes the findings and produces a printed record for the patient's personal physician to evaluate. Automated multiphase screening is moving rapidly out of the experimental phase. Much of the pioneering work in its development was done by physicians at the Kaiser Foundation Health Plan in northern California with some financial assistance from the U.S.Public Health Service

The Public Health Service has awarded funds to set up pilot programs in Milwaukee, New Orleans, Brooklyn, and Providence-some affiliated with health centers in poverty areas, others with universities, and still others with city health departments. Already, some large industries are planning automated multiphase screening facilities as part of their occupational health programs. And there are plans for forming medically directed private companies which would provide automated screening service for patients referred by physicians.

Automated screening facilities may not be available in your community yet. Ask your doctor about them. Tell him you are interested. If the facilities are not available, you will be doing a public service by encouraging your doctor to push for their establishment in the near future.

YOUR ROLE

You AS the patient in preventive medicine have a role to play that goes far beyond cooperating in regular checkups. You can build and maintain your health, taking advantage of the latest knowledge in such areas as nutrition, weight control, physical activity, rest and relaxation (to be covered in later sections of this posts). You can be alert, too, between checkups for any danger signals.

How Blood tests helps in finding Urinary problems

Today there are sensitive blood tests for this; they measure the amounts in the blood of certain chemicals, called enzymes, released when the heart is damaged. Urine tests are helpful in detecting kidney disease and other urinary tract disorders and may provide clues to problems elsewhere in the body, such as diabetes. Today, radioactive isotope scanning is a sophisticated and vast new area of testing, useful for the detection of disorders in many different organs. Such scanning is based on the fact that certain chemical elements tend to be deposited in specific organs, and these elements can be made slightly and briefly radioactive; then their distribution in the body can be established with scanning instruments that can pick up their radio-activity and record it on film or paper.

Abnormalities become visible as areas of increased or decreased radioactivity. Scanning now can be used to pick up thyroid problems; brain tumors and abscesses; liver cancer, cysts, and abscesses; lung clots; bone tumors; kidney tumors, cysts, and abscesses; and many more abnormalities including those of the pancreas, spleen, parathyroid glands, and the heart as well. Judicious use of tests has always distinguished the best physicians. It would be a simple matter, of course, for the physician to just order, indiscriminately, a whole battery of tests-at considerable cost of time and money for the patient.

Rather than this, physicians have been selective, using the patient's case history and their personal examinations as guides, determining, from them what problems if any the patient might be likely to have, and, when justified, using supplementary tests to explore these problems. 

How Supplementary Tests are useful along with Blood tests to determine and eradicate diseases?

A chest x-ray to disclose abnormality of the lungs is commonly made. X-ray studies are also used, when considered necessary, to check on heart size and, with the help of barium' either taken by mouth or given by enema, to study the upper and lower gastrointestinal tract. In addition, with the aid of injections of special dyes, x-rays today can be used to study the chambers within the heart and the condition of blood vessels. There is a method of using x-ray, after injection of a dye into an artery leading to the brain, to detect a brain tumor; this technique shows the blood vessel architecture of the brain and where tumor growth has pushed one or more vessels out of normal position. Blood studies have many values.

For a blood count, blood is drawn from a vein in the arm or fingertip, mixed with a diluting fluid, placed in a glass chamber so the number of red and white blood cells can be counted. Red pigment (hemoglobin) in the blood can be determined by comparison with color standards. The proportion of red cells in relation to the rest of the blood can be established by whirling the blood in a centrifuge so that heavier red cells settle in the bottom of a small measured tube called a hematocrit.

 Any departures from normal-such as too little hemoglobin indicative of anemia, too few white cells indicative of inability to combat infection, too many white cells indicative of body response to an infection not otherwise apparent-can are noted quickly.

Blood, usually taken from a vein in small amounts, also may be checked for sugar content as a test for diabetes and for the level of a substance, uric acid, as a test for gout. And sophisticated new blood tests often are valuable for heart problems, supplementing the information provided by the electrocardiogram. The electrocardiogram, a record of the electrical activity of the heart, is useful for analyzing any disturbances of heartrhythm, detecting inflammation, showing damage to the heart muscle, and making other determinations. An electrocardiogram, taken in good health, is of value because it provides a baseline for the future; it establishes what is normal for the individual and allows better interpretation of any changes that occur later. When a heart attack occurs-and many heart attacks are silent-an electrocardiogram will show that it has occurred. But it may not show accurately how much of the heart has been damaged. 

How a Patient History Can be used in Preventive Health Care? follow 1000 posts

It is not essential that you have a detailed knowledge of modern examining and testing procedures. But some awareness of the basic, long-established methods and tests and the newest x-ray and laboratory tools, and what they can do, will be useful.

THE CASE HISTORY

The patient's history, always an invaluable guide in disease diagnosis, is equally valuable in prevention. We have mentioned earlier, in passing, some of the reasons. Occupational data-facts about the work you do and possibly the circumstances under which you do it-may reveal some hazards, physical or psychological, to which you are exposed. An account of family health-the illnesses of parents and grandparents, their longevity, the state of health of brothers and sisters-can provide clues to hereditary strengths and weaknesses.

Your own past illnesses are 'an. important part of the record. Some childhood episodes of illness, if severe, may have left a mark. Rheumatic fever, for example, may strike a child at 15 or earlier and may produce some heart damage. Yet, very often, the effects of the heart damage are not felt until age 35, 40, or even later. A record of the rheumatic fever incident may be of vital importance in accurate diagnosis of a heart condition. 

The case history-which includes what the patient reports about present problems-sometimes, provides the first indication of onset of a serious illness. For example, angina pectoris (chest pain) is associated with coronary heart disease. In coronary heart disease, the coronary arteries feeding the heart muscle become narrowed. There are sophisticated techniques now-including x-ray movies of the coronary arteries -to show up the narrowing. But in some early cases, angina may occur before there are sufficient changes to show up on the x-ray studies.

If in taking the history the physician determines that there have been angina episodes-perhaps after some sudden unusual exertion, perhaps upon leaving the house on a particularly cold morning-he can confirm the anginadiagnosis by giving the patient some nitroglycerin tablets to take when the next incident occurs; and if there is immediate relief of pain, the diagnosis is virtually 99.9 percent certain. During history taking, be accurate, don't make wild guesses, but do report things you may think are only minor, like a sense of just not feeling well. It's important to indicate any change because it may be an early warning of something potentially serious. 

DISEASE SCENARIOS in body care, and how to cure or prevent it? 1000 posts following

Bacterial diseases and preventive medical care

In Preventive medical care new discoveries and inventions make great changes in the human life.
Another important development has been the discovery that death is really a slow intruder, that diseases do not suddenly spring up full-blown but often have long scenarios. In the Korean War, autopsies of young American soldiers revealed that in 54 percent of these youths, many of whom had only very recently attained manhood, coronary heart disease was already starting. We see- of the disease germinate in the early years and the ultimate heart attack is the end result of a long process in time, then here is a problem that can be combatted, for there is time to combat it. And there is evidence of what factors are involved, there are mere to fight; to retard, and perhaps even to prevent it from getting started Some of the most impressive preventive work recently has been the result of advances in the understanding of body chemistry-and of chemical abnormalities that may be inborn. It has now become possible to detect early in life, even almost immediately after birth, such inborn errors as phenylketonuria and galactosemia.

Detection of diseases

They involve inability to properly handle certain specific food elements, and simply by avoiding such elements it has become possible to prevent development of mental retardation, growth failure, and other serious problems. Understanding of the chemistry of disease is expanding rapidly, and there is growing confidence that the principles of early detection and treatment of diseases due to inborn chemical errors can be extended to many common chronic diseases. That 'can make it possible for the doctor in his practice to have to deal less-with severe complications triggered while a disease smoulders under the surface before calling attention to itself with obvious symptoms, and he can be concerned instead with The early detection of the still symptom-free but predisposed patient and correction of the basic problem before complications have a chance to Develop..

Already, for example, promising work is being done in detecting people with prediabetes-those who have no symptoms of diabetes but do have changes in body chemistry that may forecast eventual onset of overt diabetes. Early results of treating such patients with antidiabetic agents are regarded by some investigators as promising, suggesting it may be possible to prevent the development of diabetes and such complications as visual disturbances, circulatory disturbances, and increased risk of coronary heart disease. As we have noted earlier, kidney machines can be lifesavers for pa- tients with kidney failure-but it would be far 'better to prevent the failure. And there is growing hope now that in many cases failure may be prevented by attention to asymptomatic bacteria.

Bacteria detection

Asymptomatic bacteria simply means the presence of sizable numbers' of bacteria in the urine without causing symptoms. The condition may occur at any age and in either sex but is especially frequent in females, affecting 1.2 percent of schoolgirls and 6 percent of pregnant women. There is ovi- dence that if left untreated bacteria may eventually cause the kidney disease pyelonephritis, which in turn may result in kidney failure. Bacteria can be treated effectively once detected, and newer tests now make its detection simpler and more practical. Today, as the next chapter will show, many testing procedures are available to make it possible for the physician increasingly to anticipate and prevent disca rather than wait for it to appear.