JANUARY 2003
IN THIS ISSUE:
RESEARCH UPDATE
RECIPE MAKEOVER
FOOD OF THE MONTH
RECIPES OF THE MONTH
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ere you afraid to get on the scale
this morning after all the eating and celebrating you've done over the last 6 weeks?
You're not alone. Most people gain weight during the holidays (certainly nobody loses
any) and then either spend the next year dieting to lose it or ignore it and let it build
up year after year. If you've ever lost or gained weight, do you ever wonder what you're
actually losing and gaining? Is it water? Is it muscle? Is it FAT???
Fear of fat in our food is waning, but our desire for lean bodies is not. Most people
weigh themselves to judge their "fatness," since being overweight usually means
"overfat." But your body weight is really the sum of your muscles, bones, fluid, and
fat. It doesn't give you much indication of your true body composition. Body Mass
Index (BMI), a person's weight in kilograms divided by their height in meters, is
often used to assess health status and risk of disease based on weight. It does not
however, take fat into account. Case in point: two men, both 5'9", 250 pounds, and
BMI of 36.9. One's a body builder; the other's a couch potato. You get the idea…
Healthy body fat ranges differ for men and women, since women naturally carry
more fat than men in order to synthesize reproductive hormones, prevent infertility
and depression, and support fetal growth. Most women distribute their fat around
their hips and thighs (pear-shaped), while most men carry fat around their middle
(apple-shaped). Abdominal fat is a greater risk factor for weight-related diseases
than lower body fat. Therefore, men have lower acceptable fat cut-off ranges than
women. A pear-shaped woman would have to have a much higher body fat percentage
than an apple-shaped man in order to have the same level of health risk (apple-shaped
women have a similar level of risk as apple-shaped men). Athletes can also have
lower acceptable ranges since they are more muscular and fat can hinder their
performance. The following chart shows estimated healthy and unhealthy body
fat ranges based on BMI cutoffs for healthy weight for height.
The relationship between food and mood can get pretty complex, so to keep things
simple, I'm going to talk about 5 major food-mood situations that you might be able
to identify with.
| Females age |
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Underfat % |
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Healthy % |
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Overfat % |
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Obese %
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20 - 39
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> 21
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21 - 32.9
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33 - 38.9
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< 39
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40 - 59
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> 23
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23 - 34.9
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35 - 40.9
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< 41
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60 - 79
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> 25
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25 - 37.9
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38 - 42.9
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< 43
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| Males age |
|
|
|
|
|
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20 - 39
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> 8
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8 - 20.9
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21 - 25.9
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< 26
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40 - 59
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> 11
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11 - 22.9
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23 - 28.9
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< 29
|
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60 - 79
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> 13
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13 - 24.9
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25 - 30.9
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< 31
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Knowing your body fat is not essential, but it is useful for several reasons:
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Body fat percentage is a good indicator
of disease risk. Having a high
percentage of body fat greatly
increases the risk of developing type
2 diabetes, high blood pressure,
heart disease, sleep apnea,
osteoarthritis, certain cancers, hernias,
varicose veins, and incontinence, to
name a few. Losing body fat helps
reduce the risk of these weight-
related diseases and can control
some of the symptoms if one of
these diseases has already developed.
If you want to lose weight, knowing
how much of your total weight is fat
can be useful for setting realistic
goals. When you begin a weight loss
plan, you can't just pick a goal
weight out of thin air. You need to
base it on something and your body
composition is a good place to start.
Take for example an athletic 35-year-
old woman who is 5'6", weighs 150
pounds, and has 22% body fat.
Conventional weight-for-height charts
would recommend that she weigh
130 pounds. However, only 33 of
her 150 pounds are fat. If she were
to reach her "recommended" weight
of 130 pounds, she'd be only 10%
body fat-too low to menstruate or
conceive a child. This would be an
unrealistic weight goal for this
individual.
When you lose weight, you want to
lose mostly fat and as little muscle
as possible. Preserving muscle
should be a top priority, since your
metabolism depends on your muscle-
to-fat ratio. The more muscle
compared to fat you have, the higher
your metabolism. Often when people
lose weight too quickly or without
exercising, they lose mostly muscle
and water, and just a little fat,
increasing their body fat percentage
and effectively lowering their
metabolism. This is where monitoring
your weight loss with intermittent
body fat measurements can
be useful. If you find that
you are losing pounds, but
not fat, it might be time to
reassess your weight loss
plan and try a different
approach.
Knowing your body fat might be
discouraging at first, but monitoring
it throughout the weight loss
process can be inspirational. I
strongly recommend taking a moderate
approach to losing weight by reducing
calories slightly for slow loss and by
including weight lifting in your
exercise routine. (See following article:
Lose Fat, Boost Your Metabolism for
specifics.) If you take this approach,
you might not see a large weight
loss in pounds, since you'll be gaining
muscle weight as you lose fat.
Seeing your body fat percentage
drop is an encouraging sign that
you're becoming leaner.
Now that I've convinced you that you should know your body fat percentage, you
might be wondering how you find it out. There are many different methods of
determining body fat, some more accurate than others. The "gold-standards"
are underwater weighing and DEXA (dual energy x-ray absorptiometry), but
these methods are cumbersome, are not readily available to the public (some
hospitals and universities have the equipment), and can be pretty expensive.
A fairly accurate and more accessible option is bioelectrical impedance (BIA).
This method is based on the principle that fat-free body mass, like muscle and
bone, conducts electricity better than fat because it contains water. A painless,
weak electrical current is passed through the body to determine the amount of
fat-free mass present (by how well the body conducts the current), and then the
amount of fat is determined. If a person is well-hydrated, the margin of error is
about 4 or 5 % (gold standards have about 2-3%). You can buy your own body fat
scale to monitor your body composition changes at home, but only check it every
2 months, since body fat tests aren't sensitive to small changes.
This month, I'll be traveling to all Gelson's locations with a BIA monitor* to help you
assess your body fat percentage and set realistic weight-loss goals. It's important to
remember that body fat is just one component in determining your health status. If
you are in a healthy range, pat yourself on the back, but remember: it's still important
to eat right and exercise to keep your cholesterol and blood pressure in healthy
ranges and your whole body in optimal working order.
* People with pacemakers and other implanted electrical devices
are advised NOT to use BIA monitors.
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Start the New Year off with a complimentary body fat test and food journal. Visit
me this month at your local Gelson's and I'll answer your questions about food
and nutrition, too.
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The nutrition recommendations found in our newsletters are general in nature
and are not tailored to specific health problems. Talk to your physician or
other qualified health care practitioner concerning particular health issues
or before beginning any nutritional program.
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