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Let food be thy medicine and thy medicine be thy food. |
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| FREE THOUGHTS | |
They say that love is blind. I think that love sees very well and it always sees goodness and beauty where imperfection exists.
Dr. M
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| PRIMETIME | 
For all teenagers and college students interested in a new medical experience, pay attention.
Salisbury Pediatrics has opened a new wing dedicated to you. In Primetime we are only focused on your needs as an emerging adult.
From the music when you enter, to the autonomy of your visit, we are sure that you will love a new way to see your doctor.
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Please reply with feedback or questions here. I will try to answer as many questions via the newsletter as possible. As always be well and love your children!
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| Dr. Magryta |  | |
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Issue: #6
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January 27, 2014
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Volume 4, Letter 6
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January 27, 2014
NEAT - non exercise activity thermogenesis - aka, fidgeting.
NEAT is another piece of the obesity puzzle. All of the activities that we do on a daily basis that are not overt exercise, sleep or eating fall into the category of NEAT. Walking, sitting, fidgeting, sewing, cooking, standing, hammering, etc....account for most of our energy expended on a daily basis. NEAT can vary between persons by up to 2000 kcal per day. (1)
The apparent difference between obese and skinny humans is partly explained by their difference in NEAT. Have you ever noticed that obese humans do not fidget? Skinny people often fidget and seem to be kinetic by nature.
These random motion based events accumulate over a 24 hour period and require calories to perform. The more NEAT one has the more caloric requirements are needed to satisfy the energy demand.
If two people consume the same diet and perform the same exercise rituals daily, it will be their NEAT difference that causes one to be overweight while the other is skinny. In one study by Levine et. al., they noted that obese participants had on average 2.5 hours more sedentary behavior in a 24 hour period.
As always, this is only a piece of the obesity puzzle. However, there are great implications for our children. Having children stand when they do some activities where they used to sit would change NEAT. For example, reading while walking around the house, pacing while studying, climbing stairs where escalators or elevators are available, hand blending food, cleaning up yard debris manually instead of just mowing it down and so on.
NEAT stuff.
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| Post prandial Walking |
Walking within 30 minutes of a meal is associated with decreased insulin activity and decreased fat deposition.
In a study by Colberg et. al., we see the benefits of minimal post meal exercise on insulin activity in type II diabetics. This small study of 12 individuals noted that walking before eating had less overall benefit to glycemic control than walking 20 minutes after a meal.
Walking after a meal causes insulin mediated glucose transport and also recruits more GLUT4 receptors that push glucose into the cells independent of insulin thereby blunting the overall glucose burden and improving glycemic control. I.e. walking and exercise decrease fat deposition and glucose spikes after a meal.
Walk,
Dr. M
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| Recipe of the Week | Gumbo - adapted from The Food Network
Ingredients:
3 tablespoons EVOO
3 tablespoons brown rice flour
1 small onion, chopped
1/2 green bell pepper and 1/2 red bell pepper, chopped
3 carrots, peeled and chopped
2 stalks celery, chopped
3 cloves garlic, chopped
Kosher salt and freshly ground pepper
1 tablespoon Worcestershire sauce
1 teaspoon smoked paprika
2 cups organic low-sodium vegetable broth
1 pound kale or Swiss chard, stemmed and chopped
1 10-ounce package frozen black-eyed peas
Brown rice, for serving (optional)
Directions:
Heat the oil in a large pot over medium heat. Add the flour and cook, stirring, until golden, about 3 minutes. Add the onion, bell pepper, celery, garlic, 3 tablespoons water and 1/4 teaspoon each salt and pepper. Reduce the heat to medium, cover and cook, stirring occasionally, until the vegetables soften, about 8 minutes.
Add the Worcestershire sauce and paprika and cook, stirring, 30 seconds. Stir in the vegetable broth, scraping up any browned bits from the bottom of the pot, then cover and bring to a boil.
Add the greens and black-eyed peas to the pot. Reduce the heat, cover and simmer, stirring occasionally, until tender, about 15 minutes. Season with salt and pepper. Serve with the rice, if desired.
Read more at: http://www.foodnetwork.com/food/cda/recipe_print/0,1946,FOOD_9936_518242_RECIPE-PRINT-FULL-PAGE-FORMATTER,00.html?oc=linkback
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If you have any pictures of your family that you wish to share for the header of this newsletter -
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Newsletter@salisburypediatrics.com
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The newsletter archive can be found in the links section. New readers can now go back in time to learn about the future!
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Copyright � 2010-2014 Christopher J. Magryta, MD. Readers, please note: The information provided in this newsletter is for educational and informational purposes only. It is not a substitute for advice and treatment provided by your physician or other healthcare professional and is not to be used to diagnose or treat a health issue.
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Chris Magryta
Salisbury Pediatric Associates
Touchstone Pediatrics |
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