Sunday, February 10, 2013

Should I Eat If I Am Not Hungry?


Should I Eat If I Am Not Hungry?

There are many misconceptions about weight control and weight loss.
I addressed a few in recent posts such as one on “starvation mode” and one on how to lose a pound.

A recent publication by 20 weight control researchers pointed out other common misconceptions, myths and unproven beliefs.

One commonly held belief is that we must not skip meals and that skipping meals, like skipping breakfast, will make you fat.
That belief holds that if you want to lose weight, you should eat regularly and not skip meals. It turns out there is no good evidence to support these beliefs.

I have seen patients with Type 2 Diabetes who typically eat twice a day, forcing themselves to eat an extra meal. 
Why?  A dietitian told them they had to.
Of course, they all gain weight in the process.

Many people who skip breakfast do so because they eat late at night so they’re not hungry in the morning.
Others skip breakfast for other reasons.

But skipping meals does not translate into obesity and making an overweight person eat more frequently has not been proven to aid in weight loss.

One thing is clear, the more calories you take in, the harder it will be to take off weight. Eating based upon what time it is seems silly to me and is not supported by good evidence.

So don't eat if you’re not hungry. 
And most important: reduce those calories and get more physical.

Daniel Weiss MD CDE FACP PNS CPI

Sunday, February 3, 2013

Making the World A Better Place: Sanitation


Making the World A Better Place: Sanitation

Several years ago I read a book by economist Bjorn Lomborg called “How to Spend $50 Billion to Make the World a Better Place”. The book describes the conclusions of 38 world-class economists who met to come up with the so-called Copenhagen Consensus. They answered the question: if you had 50 billion U.S. dollars how should it be spent to make the world a better place? These economists struggled to find the best return on this investment. They ranked many different proposals.

The best use of that money was for the control of communicable diseases such as HIV and malaria. In the top ten proposals were various approaches to improve sanitation and provide clean water. Among the worst proposals, the most wasteful, were the use of the funds to address “climate change”, previously known as global warming.

I thought of the extraordinary suffering caused by lack of sanitation when I read a recent article in the British Medical Journal called “More temples than toilets?”. India takes the lead when in comes to open defecation: India has 60% of those in the world who defecate in the open, 626 million people.
Open defecation leads to contamination of groundwater and agricultural produce and contributes to multiple parasitic illnesses. Worldwide, each year 2.2 million people die of diarrhea, 90% are children.These deaths are largely preventable.

In 2010, of 423 cities surveyed in India, none received a “healthy and clean” designation. But poverty is not the only reason for this sickening lack of adequate sanitation.
Watch this informative video, if you dare, to learn more.

And be thankful for our sanitation!

Daniel Weiss MD CDE FACP PNS CPI