Northeast Ohio Bariatric Medicine Newsletter
June 2010
In This Issue
Saturated Fats
Exercise: How Much Will It Help
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Greetings!
Ready for summer? This is a great season for outdoor activity. Bicycling, walking, hiking, birdwatching, kayaking, and on and on.
 
With all this activity, you would think the pounds would just drop off. Sometimes that just doesn't work. If you have been losing or maintaining your weight lost, keep it up. Fo those of you who have regained a few pounds, maybe it's time to re-evaluate your plan and gear things up a notch or two.
FatsSaturated Fats:
 
Are They Safe? 
 
 It seems like we never know exactly what to eat. First we hear that fats cause heart disease. Then we hear that we should avoid saturated fats. Next we hear that carbohydrates cause disease. The debate about the perfect diet rages on.
 
Recently the WHO (World Health Organization) released a statement that there was "probable evidence" that reducing saturated fat by itself has no effect on coronary heart disease or stroke.
 
It appears that certain monounsaturated fats (e.g., olive oil) and some polyunsaturated fats may reduce heart disease and stroke risk. However, while saturated fats don't seem to lower the risk as much, they don't appear to increase the  risk.
 
So what is the best advice. Blend in a modest amount of saturated fats in your diet, supplemented by other health fats such as olive oil, nut oils, canola oil, flaxseed oil, fish oil, and a few others. Strictly avoid saturated fats. If the ingredient label says "hydrogenated..." don't eat it. It may be a bad transfat.
scale
 
How Much Does Exercise Really Help?
 
 
 
 
 
 
 
 
Can Physical Activity Prevent Weight Gain? This is the question that has puzzled researchers for years. There is a wide range of opinions regarding this issue, but there appears to be some increasing evidence which may help answer these questions.
 
Since the mid-1990s, federal guidelines have recommended at least 30 minutes per day of moderate-intensity exercise on most day. However, in 2002 the IOM (Institute of Medicine) issued an opinion that 30 minutes per day "is insufficient to maintain body weight" in the normal range. The IOM guidelines suggested that 60 minutes per day is needed to prevent weight regain. In another large study of 38,000 women, it was found that over the 13 years of follow up, the women in the study gained an average of 5.7 pounds. The benefit of exercise was seen only in women with a starting BMI under 25 who exercise the equivalent of 60 or more minutes daily.
 
While these data may be discouraging to many of you fighting obesity, the benefits of exercise extend well beyond just losing or maintaining weight. Exercise reduces the risk of heart disease, diabetes, hypertension, certain cancers, the most common type of arthritis, and Alzheimers dementia. Even depression risk may be reduced by regular exercise.
 
It seems pretty clear that exercise is very important--it just doesn't work well if it is the only technique applied for weight loss. Exercise must be combined with behavioral modification, nutritional education, and occasionally weight loss medication. It takes a comprehensive, committed approach to lose weight and sustain that weight loss.
 
HaystacksRecipe of the Month
 
Low Carb Haystacks
 
 
 
These no-bake cookies are chock full of chocolate and coconutty goodness. For a cookie, they can be filling because of the coconut oil, so I like to make them bite-sized. I tried to make them without the erythritol, just using Splenda, since it's more readily available. However, they taste a LOT better with the powdered (not granulated) erythritol.
Prep Time: 10 minutes
Total Time: 10 minutes
Ingredients:
  • 1/2 cup coconut oil
  • 2 teaspoons vanilla extract
  • 2/3 cup powdered (not granulated) erythritol
  • 2/3 cup unsweetened cocoa powder
  • artificial sweetener to taste (about 1/2 cup sugar equivalent)
  • 1 cup unsweetened coconut
Preparation:
1) Melt the coconut oil. I use a microwave-safe bowl, and heat for 30-45 seconds. Then I mix the rest of the ingredients in the bowl.

2) Whisk in the vanilla, erythritol, and then the cocoa powder. Add the rest of the artificial sweetener (I like liquid sucralose, such as Sweetzfree) to taste. The amount will depend partly on the strength of the cocoa powder.

3) With a spoon, mix in the coconut.

4) Use a small melon ball scoop, or Tablespoon measure to form cookies. If desired, garnish with a sprinkling of coconut and pat into the top.

Chill before eating. Makes 20 cookies.

 
 Nutritional Information: Each serving has 1 gram effective carbohydrate plus 2 grams fiber, 1 gram protein, and 85 calories.

Some reviewers suggested adding protein powder and substituting stevia. One reviewer added fiber to enhance fullness.
 
Recipe from: Laura Dolson www.about.com
 
http://lowcarbdiets.about.com/od/cookies/r/haystacks.htm
If you have any questions, comments, or suggestions for future newsletters, please contact me. Have a great March...I hope it goes out like a lamb!
 
Sincerely,
 

Robert Hart, MD
Northeast Ohio Bariatric Medicine
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Most of our patients come to us upon the advice of other successful patients. Have you referred someone to us in the recent past? As a way of showing our appreciation for your referrals, we would be happy to extend a 25% discount off your next office visit. This applies to the visit fee and does not include any supplements. Also, this does not apply to visits billed to insurance.
 
Just mention this promotion to our office manager along with the name of the patient your referred at the time of your next visit.
 
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