Northeast Ohio Bariatric Medicine Newsletter
May 2012 
In This Issue
Pedometer Basics
Meal Replacements
In Search of a Good Protein Bar
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Greetings!
Have you been struggling with your weight loss journey. Spring is a great time to review and renew. Fire that food diary back up and start logging. Get out and start counting your steps. 

Have a great month!
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Pedometer

 

Pedometer Basics 
Why Count My Steps?

 

If you don't already have a pedometer, then consider buying one. People often wonder what is so special about this little step counting device. Simply put, a pedometer is one of the most effective tools for increasing physical activity. 

In 2004 Dr. Steven Stovitz and his research team at the University of Minnesota gave pedometers to a group of volunteers. They took another group of volunteers and simply gave them exercise instructions with no pedometer.

The results of the study were surprising. The group that monitored their steps with the pedometers walked about 2100 more steps per day than the control group. This is an amount equal to nearly a mile more of walking per day!

In 2007 Dr. Dena Bravata at Stanford analyzed 26 different studies on the use of pedometers to increase exercise. Nearly all studies demonstrated a marked increase in steps walked per day when using a pedometer. The average increase in steps among the different studies was 2100. Pedometer users increased their physical activity by 26.9% on average! The most successful groups were those that had a specific step goal such as 10,000 steps per day.

Start by purchasing a good computerized pedometer like the Omron HJ-112 in the photo. This pedometer doesn't make a clicking sound and can be carried in the pocket. It also resets automatically and remembers your steps for up to 7 days. These pedometers can be purchased for less  than $25 in most places. 

 

 

Meal Replacements 

 Simplify For Success

by Robert A Hart, MD

Meal replacements (generally protein shakes or bars) have been used for many years to help people lose weight effectively. But do they work?

A review of multiple weight loss studies was conducted by a group of weight loss researchers. Their goal was to review the best studies available that evaluated meal replacements.

It seems like a simple strategy. Just don't eat one meal or two meals per day and replace them with a fixed calorie drink or bar. This strategy is employed by many weight loss programs. Very aggressive weight loss programs may replace all meals with supplements, while milder weight loss programs may just use them once daily. Most meal replacements, whether bars or shakes, consist of a high protein supplement with added vitamins and minerals. Usually the carbohydrate and fat content is low. 
 
The researchers found that subject who used a PMR (partial meal replacement) diet lost about twice as much weight as those who followed a conventional low calorie diet using only regular foods. It seems from this analysis that adding simplicity and structure to a diet helps persons lose more weight. Sometimes having less choices in a diet makes weight loss more attainable.
 
While there are many meal replacement options available, don't get lured into choosing very expensive options. Usually a basic, good quality meal replacement will be adequate. At NEO Bariatric Medicine, we use quality meal replacement bars and shakes and provide them at reasonable cost. If you are interested in a custom designed diet utilizing meal replacements, let us know.

 You can reach our office at (330) 473-4525 or (800) 673-5340.
In Search of a Good Protein Bar
by Robert Hart, MD
 Bars

 Protein bars are one of the most commonly used forms of meal or snack replacement. Using a protein bar can help to provide satiety (fullness) while keeping your calories in control. Also, the additional protein helps to minimize the loss of valuable muscle tissue during periods of weight loss.

 

People often ask me what is the best protein bar. While is there is no single answer that would apply in every case, I can suggest some guidelines that may be helpful.

 

First, check the amount of protein in the bar. I would suggest using a protein bar with no less than 10 grams of protein and no more than 20 grams. If the bar is replacing an entire meal, then aim on the high end of the range. For "snack" bars, a lower protein amounts are sufficient.

 

Second, look at the type of protein used in the bar. Commonly used proteins are soy, whey, and casein. Each of these proteins may produce a slightly different flavor and sometimes can give an "off taste" to the bar.

 

Third, check to see how many grams of carbohydrate are in the bar. Many bars use fiber and sugar alcohols to minimize the effect of the carbohydrates. Sugar alcohols are slowly absorbed and generally do not contribute to blood sugar elevations. Fiber is listed in the total carbohydrate count, but does not contribute to weight gain. These grams are often subtracted from the total carbs to give the "net carb" or "effective carb" count. Avoid bars with too much sugar or fat.

 

The total calorie count of protein bars is quite variable. Snack bars vary from 100-150 calories, while meal replacement bars may contain from 150-250 calories. While protein bars can be a very useful part of a weight loss program, too many protein bars may actually contribute to weight gain. Other side effects from excess consumption may include gas, bloating, and diarrhea.

 

If you have any questions, comments, or suggestions for future newsletters, please contact me. Have a great summer. Stay active and healthy.

Sincerely,

 


Robert Hart, MD
Northeast Ohio Bariatric Medicine
Free Protein Bars
Do you read our monthly newsletters? As a way of showing our appreciation for your continued interest in our newsletters, we would like to offer you a free box of protein bars (flavor of your choice) by simply saving these coupons and redeeming them at our office. For each 7 coupons that you bring to the office (each coupon must come from a different newsletter), we will give you one box of 7 bars for free. Start saving your coupons today!

 

May 2012 Protein Bar Coupon