Archive for August, 2014

Inspirational Media Quote on beautyhigh.com

The best health and wellness advice.

Keep your eye on the prize
Focus on where you want to be and break it down into the smallest, most attainable steps you can achieve. Discipline takes care of the rest.
 Joey Gochnour, Registered Dietitian Nutritionist and Certified Personal Trainer

Read more: http://beautyhigh.com/fitness-and-wellness-experts-share-advice/#ixzz3Bhyc0RYO

I do not agree with the detox girl’s discussion on how nutrients are absorbed, or the guy who believes his dog lost weight from mental stimulation.  You will never hear me use the word “detox” in a good way because registered dietitians are supposed to promote evidence-based nutrition interventions according to our code of ethics.  She demonstrates a lack of understanding of digestive physiology and nutrient metabolism, which are classes I had to pass to hold my credentials.  I am not big on the trend with green smoothies, but the yoga instructor made a balanced one.  I would support that particular recipe.

I don’t know what super green powder is though.  If you’re going to make something with vegetables, make sure you start with vegetables and not supplement powder.  Supplements aren’t regulated until someone has an adverse side effect and reports the problem.  Until then, no one is guaranteeing that supplement has what it says it has in the bottle.  For all you know you could be getting GREEN SAND and saying you feel like your hair is shiny and skin vibrant, among other subjective claims.  Plus, vegetables are cheap.  The supplement powder is not.  I don’t understand the point of trying to go vegan/vegetarian and then increasing use of processed products.



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How Did We Get Overweight and How Do We Get Back?

If you haven’t been living under a rock, you probably have heard that everyone wants to lose weight these days.  The CDC states that 35.1% of adults over age 20 are obese and 69% are overweight or obese (2011-2012).   These numbers are slightly higher than they were when I finished school, meaning the trend isn’t stopping.  Overweight and obesity are trending.  So what do we do about it?

The correct answer is not to join the club.  It can be tough to go against the flow in society when everyone is encouraging you to use food as socialization.  There are office parties every other week, restaurants with huge portions, general lack of knowledge about nutrition, and peer pressure to drink more than you want.  People generally lack ideas on how to socialize without food.

Some also use food for reasons other than physiological nutrition.  It is a comforting.  It is rebelliousness.  It is something to have when you are happy.  It’s something you do when you watch TV.  There is pretty much always a reason to rationalize eating beyond what your body needs.

It is thought that weight gain occurs due to a reduction in physical activity with no change in diet over time.  Overeating and emotional eating are also reasons for weight gain.  Does this mean you can just increase exercise to take the pounds off?

Unfortunately, no.  It takes a LOT of physical activity to burn a small amount of calories according to a review.  Significant weight loss only happens with greater than 225-420 minutes (3 hrs and 45 min to 7 hrs) of physical activity a week (defined as 5-7.5 kg or 11-16.5 lbs).  Most people have trouble meeting the 150 minutes a week recommended in the Physical Activity Guidelines for Americans.

I know that when I run a mile on the treadmill in about 7-8 minutes as a 170 lb man with high lean mass, I get about 150 Calories burned.  Most people cannot do this unless you’re already in shape.  In comparison 12 fl oz of orange juice has 168 Calories and one 12 fl oz container of Coke has 140 Calories.  Which is easier to produce a caloric deficit with?

Additionally, unless you know how to cross train and periodize your workouts, you could risk an overuse injury from excessive exercise combined with trying to cut calories.  Now you’re out of commission and burning fewer calories than you typically do because you can’t exercise and still haven’t learned how to balance food intake.  This could lead to even more weight gain.  Combine the fact that most people are not in the best shape of their life and there is limited time in a week, we come to the conclusion that exercise is not the best way to lose weight.

Now don’t get me wrong!  Exercise is very good for you.  It can increase your lean mass, make you stronger, faster, more agile, make activities of daily living easier, increase bone density, reduce blood pressure, improve your good cholesterol, improve blood glucose sensitivity, reduce the symptoms of depression and anxiety, and help prevent weight gain.  It’s just not the best for weight loss.

Now we come back to the original question.  Should you hire a personal trainer or registered dietitian for weight loss?  Unless your personal trainer has formal training and experience working with people with nutrition, you’re more likely to get the number to go down on the scale with a registered dietitian nutritionist working with you.  Personal trainers are not trained to do nutrition work.  The minimum requirement in most NCCA accredited certifications is 1 chapter in a textbook that translates to a few random questions on an exam they took at one point in their life.

RDs on the other hand have a university education in nutrition, a rigorous 1200 hour supervised practice program working with individuals and groups on nutrition, and an exam that is not a joke.  They are trained to do nutrition counseling and work with people on making nutrition behavior changes as well as knowing the science behind it.

So how did we get overweight in the first place?  It was likely decreased physical activity while eating similar to how you used to.  It could also be overeating, mindless eating, or emotional eating.  How can weight come off?

Eat a bit less than you usually do over time.  Pretty much, you do the opposite of what you did to gain the weight.  There is no crash dieting, complete food group restriction, bad foods, or fasting necessary.  It’s all about decreasing calories from dietary sources while adding exercise to keep it off and increase your physical capacity to keep it off.

It can be pretty hard to do this on your own.  Accountability for your actions is a huge part of weight loss.  The weight didn’t come on overnight.  It takes time to lose it in a healthy way.  Additionally, if you lose it too fast, you may not allow time for your skin to readapt to your body.  If you do it without exercise to build up lean mass, it can also leave some excess skin.

In future posts, we will discuss why sometimes exercise interferes with weight loss through dieting and how that happens.  Be sure to follow and share if you liked this post!



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Can You Create Sexy Back Dimples Through Exercise?

A number of trainers were quoted in WorldLifestyle: health+fitness, including me!  I agree that the shape of your muscles is genetically determined, but you can maximize what you have by lowering body fat percentage through a healthy AND consistent eating plan as well as building up the muscles underneath the skin in the area such as the erector spinae and gluteus maximus muscles.  Everyone has Venus dimples, but the shape of your back dimples is determined by genetics, where some people have more prominent ones thanks to the shape of their connective tissue.

The same goes for abs.  Everyone has abs, but the shape of them pops for people at different levels of fitness.  Some have to really build them up with heavy weight while maintaining a low body fat percentage to be able to have great abs, but they won’t be symmetrical if you were born with asymmetrical ones (like me).

My back dimples never popped until I started deadlifting heavy.  I highly recommend deadlifts.

1. Start light

2. Learn the form

3. Progress on weight slowly over time

4. …

5. Profit!  Enjoy your butt dimples 🙂



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Protein Blend as Good as Whey: Cheap Alternative Idea

A number of studies released in the past year1,2,3 have investigated the effects of various processed milk proteins such as casein and whey on muscle protein synthesis after resistance training.

One of these studies (1) found that a combination of the three proteins, whey, soy, and casein is just as effective as whey at increasing amino acid transporter expression, transport, and myofibrillar protein synthesis, due to the varying rate of digestion of the proteins and their release into the blood stream, affecting the availability of the amino acids (building blocks of protein).

This would make it seem that you don’t have to go buy whey or bust; instead, you could just go cheaper with protein blends in supplements.  Not so fast.  The researchers were able to control the leucine content of the beverage more than anyone trying to mix the stuff up himself or herself probably would.

Whey and soy are both high in leucine, with whey slightly higher.  Whey is a more expensive ingredient though.  Soy is not as expensive.  Milk protein is udderly (ha) 20% whey and 80% casein naturally out of the cow udder.  Whey is considered a fast digesting protein, soy is considered almost as fast (medium), and casein is considered a slower protein to digest.

Since dietary supplements are not regulated until after they reach the market, often when someone experiences an adverse effect, it is unlikely that the supplement manufacturer is also rigorously testing the leucine content unless it is third party certified by ConsumerLab or NSF.  Knowing this, what can you do if you don’t want to go spend money on supplements that aren’t regulated?

Make your own next-best post-workout smoothie!  Try some chocolate soymilk, nonfat dry milk (NFDM) aka powdered milk, and stir it up.

homemade post workout smoothie

Probably cheaper than that supplement, too.

A 1-cup serving of chocolate soymilk has 17g sugar and 5g protein while 1 serving of NFDM has 12g sugar and 8g protein.  Total, you get 13 grams of protein and 29g of sugar, which is roughly a 1:2.2 ratio of protein to carbohydrate.  Make it a smoothie by adding a serving of frozen berries and you’ll be closer to the optimal 1:3 ratio of protein to carbohydrate that is recommended post-workout.  Only 200-250 Calories, depending on whether you use berries.  Double or halve it depending on your calorie needs.

Now you have a homemade smoothie consisting of a protein blend of soy, whey, and casein!  Sounds too good to be true, huh?  Of course, we’re not controlling the leucine content either, nor likely are the manufacturers of the supplements.

Why, then, are researchers allowed to create such artificial situations that aren’t able to be transferred into practice?  It may have something to do with the fact that supplement manufacturers want to make money by processing simple, cheaper ingredients into something that may be demonstrated to be marginally better in an artificial, unrealistic, quixotic lab test than the original foods for the largest profit margin.  Or, just for the sake of SCIENCE!



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Food Stamp Challenge: Eating Balanced, Nutritious Meals Isn’t Expensive

As part of my training to become a registered dietitian nutritionist, I was required to attempt the Food Stamp Challenge.  For five days, I was allowed $21.90 to spend on all food for all meals and snacks.

At the time of the assignment, $22.50 was the actual amount you would get on food stamps for that time period.  Currently, the USDA thinks you can get by on $189/month as a household of 1, which translates to $31.50 for 5 days, if I were to do this assignment now.

To do the assignment, I assessed what I was currently eating in terms of calories and protein and figured out what I would need to go for if I made a meal plan with other foods.  If you are interested in this data, I can email it to you for a nominal fee of $20, as I did it the old fashioned way: food log + nutritiondata.self.com + Excel.  Considering that I am a single man who lives alone, eating similar foods every day, this is pretty much human experiment data.

Typical food bill

Typical week of groceries

The first thing I learned was that I was eating between 3200-4000 calories a day as a very active person and not-so-strict lacto-vegetarian (cheap food for grad school, but it was not my philosophy on life when eating out).  Buying this many calories was going to be a challenge, as I did not want to lose hard-earned muscle mass or feel lethargic while at my internship.  My preceptors can vouch that I actually did this.

I spent a good hour and a half at the grocery store weighing out the cheapest fruits and vegetables to meet needed servings of fruits and vegetables based on nutrient needs such as vitamin C and vitamin A.  I learned that broccoli was one of the more expensive vegetables.

I went to the bulk food aisle and filled up on salted peanuts and salted sunflower seeds.  Other foods I bought were a white onion, green bell peppers, small peaches, bulk carrots, small limes, jalapeño peppers, dried split peas, dried kidney beans, brown rice, and non-fat dry milk from the cooking aisle.  My total bill was $20.65.

Food Stamp 5-day Receipt

Food Stamp 5-day receipt

I cooked all the food on Sunday: pressure cooked the beans, peas, and rice separately.  When finished, I weighed the products so I could calculate how much of a serving I could give myself to spread the food out over the 5 days into regular meals and snacks.  I also dispensed the fruit and vegetables into similar servings.  The salted peanuts and sunflower seeds were definitely the best part in terms of flavor.

The food was incredibly bland because I did not purchase seasonings on my budget.  Even with buying high calorie, nutritious foods, I was only getting 2970 Calories per day.  I did not sign up to lose weight on this assignment, so…I cheated a bit by adding oats (another cheap food I didn’t buy but already had) and spices to the food.  I also slipped in some chocolate soymilk after a workout.

Maybe if I didn’t continue to workout, I could have found the calories on this diet sufficient for that period of time and wouldn’t have had to cheat.  From a taste perspective though, I had to.  It was so bland.

The assignment taught me how difficult it is to follow a meal plan.  Even if it is well constructed, you cannot predict how well you will like the foods on it, whether you will be hungry or full, etc.  I also learned that the capsaicin in jalapeños does not cook away as fast when cooking in water vs oil…I sweated that meal out!

I also learned what foods are cheap and nutritious.  I did not buy organic and, when putting my meals into choosemyplate.gov, I was doing well meeting my quotas for micronutrients, not just carbohydrates, fat, protein, and total calories.  The distribution of the macronutrients was also acceptable.

Foods I thought would be hard to afford on food stamps while having high calorie needs and still wanting to eat healthy included: organic foods, oils like olive oil and canola oil, packaged foods, broccoli, and fresh milk.  Dry milk was my most expensive purchase.  It doesn’t spoil and was slightly cheaper than fresh milk at the time.  Last I checked it is about the same as fresh in the current market, unfortunately.  At least it doesn’t spoil as fast.

Of course, the supplemental nutrition assistance program (SNAP), formerly called food stamps, is supposed to be supplemental.  You also aren’t allowed to buy a multivitamin on it.  In real life, you would not be limited to $21.90 and could afford to purchase spices, cooking oils, and other things that make food taste better.  You also probably wouldn’t break your budget doing so.

Ever since attempting the Food Stamp Challenge, I have viewed eating out at restaurants and food stands as a social luxury.  Yea, it is convenient and fun, but financially you are paying not only for the food but for the experience of eating out, the employees’ wages, the manager’s salary, overhead, supplies, etc.  You also are paying to not be in control of your portion sizes and ingredients, but that’s another topic!

The point of this post is not to encourage anyone who doesn’t need to eat on food stamps to go try; rather, the point is to counter the idea that eating healthy is expensive or that the meal plans to be fit and active are expensive.  I was still meeting my nutrition needs with adequate protein and calories for a fit and active person.



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