Northeast Ohio Bariatric Medicine Newsletter

June 2011

In This Issue
Living with Hunger
Do Friends Make us Fat
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 Living with Hunger
Part II 
    by Robert Hart, MD
  Living with Hunger

In the last newsletter we looked at some simple steps to help prevent hunger from becoming a powerful urge. 

 

While those techniques (frequent meals, adequate protein, adequate sleep, etc) all help keep the lid on hunger, there are times when you may still get quite hungry no matter what you try. Learning how to cope with feelings of hunger is critical to long term success. Here are some suggestions.

 

1) Keep the long term goal in mind. It is important to remind yourself every single day why you want to lose weight. I suggest writing down at least the top ten reasons you want to lose weight and put the list in your food diary, or some other conspicuous location (refrigerator, computer monitor, car dashboard). Studies of human behavior have shown that daily reminders significantly increase our odds of success.

 

2) Get away from food. Don't underestimate the importance of this simple suggestion. It's hard to fight hunger and stay in the kitchen. I recommend leaving the food area and starting another activity. Take the dog out for a walk. Run an errand. Go to the store (not the grocery store). Food researcher Brian Wansink found that when food is left in plain view, you will eat more of it. Don't trust yourself. Put high calorie foods well out of sight. Even if you know where they are, you will eat less of them if you can't see them. When making meals, only put the salad, vegetables, and fruit on the table. Leave the bread and desserts off the table.

 

3) Use smaller plates. No matter how smart you are (even if you are a dietician), you are likely to eat less if you use smaller plates. It seems almost silly, but this has been clearly shown from multiple studies. Divide high calorie foods like nuts into smaller portions. Put them into baggies or small Tupperware containers. 

 

 

Do Friends Make Us Fat?
by Robert Hart, MD
        

Recently, my wife and I traveled to Fort Wayne, Indiana to visit with my youngest daughter who is in college there. The following weekend we visited my oldest daughter who lives in San Francisco. I was struck at the incredible difference between the appearance of people in Fort Wayne and those living in San Francisco. It seemed that nearly everyone in Fort Wayne was overweight or obese. In contrast, most of the poeple in San Fancisco seemed appeared to be fairly lean and trim. What accounts for this dramatic difference in weight between different geographic regions?

 

 Scientists have been puzzled by these differences. While ethnicity and climate contribute, there appears to be more to it than these simple factors.

 

In 2007, a couple of well known social scientists attempted to answer this question: Is obesity contagious?

 

Surprisingly, the answer appears to be yes.

 

While we don't really know the whole answer to this questions, it appears that heavier friends may encourage us to eat more food and less healthy foods. Also heavier friends may choose food activities over physical exercise when it comes to recreation. Do your friends say "Let's go out to eat" instead of "Let's go for a hike". If your friends are couch potatoes, you are significantly more likely to begin to look like them.

 

I'm not advocating abandoning your life long friends, but perhaps you should begin to pursue some new friendships with people who enjoy eating well and being more active. It may just save your life!

 

If you have any questions, comments, or suggestions for future newsletters, please contact me. Have a great summer...get outside and keep moving on to wellness!

 

Sincerely,

 


Robert Hart, MD
Northeast Ohio Bariatric Medicine
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