Tuesday, November 30, 2010
The Little Engine That Could?
by Carmin Iadonisi, N.D, E.P.
Adjunct Professor, School of Health SciencesRemember the old story about the "The Little Engine That Could"? His mantra was, "I think I can.", "I think I can." This story reminded me of a conversation I recently had. I was talking to one of my students and he told me about how he was able to lose almost 100 pounds by himself in high school. This was an impressive feat for anyone let alone a high school student. That was a few years ago and now the student is again overweight. We talked about losing weight and he looked at me and said, "I know I can lose the weight, because I have done it before." Although he had gained most of the weight back, I knew he could again lose weight because he had strong "Self-efficacy" in regards to losing weight.
What is self-efficacy? Besides being one of my favorite concepts to teach in Health and Wellness, it is the belief in oneself that you can accomplish a specific goal or achieve a certain outcome. Despite all the media coverage about the challenges of weight loss and the statistics that say that over 66% of the country is overweight or obese, my student has a belief and confidence in himself that will help him to succeed in his weight loss goals. Why do I know he has a great chance of being successful? His past mastery of his experience has given him a confidence that will greatly increase his chances of success. In a nutshell, he has done it before and he will do it again. But don't take it from just me, research confirms that those individuals with the highest self-efficacy are normally the most successful in achieving their goals.
So how do you gain self-efficacy in something you have never had success in? What if you have never been able to lose weight? You can still gain self-efficacy if you can think of any other change in your life you have been successful accomplishing. Maybe you have never lost weight, but you have been able reorganize your life. You can use the same steps you used to change that aspect of your life and apply it towards your new goals. The point is success builds success. If that does not help, then modeling people with similar situations who have accomplished the goals you want is another way to build self-efficacy. Pick someone you relate to and follow the steps they took to help you reach your goals. My take home message is that everyone has the ability to increase their self-efficacy, so either look to your past or find someone to inspire you - just do something and you could start seeing positive changes now.
Monday, November 29, 2010
Holiday Weight Gain Takes a HITT
by Carmin Iadonisi, N.D, E.P.
Adjunct Professor, School of Health Sciences
I don't think anyone can argue that most people gain weight between Thanksgiving and New Years. It used to be assumed that the average holiday weight gain was between 5-10 pounds. This estimate was a little high as newer research has found that the amount of weight gained is probably closer to 1- 2 pounds. Either way, I want to talk about an exercise technique that involves exercising "less" to help you lose more.
The technique I am talking about is called High Intensity Interval Training or "HITT" for short. It involves high intensity intervals of cardiovascular exercise interspersed between sets of moderate intensity rest periods. Why change your cardio workout in the first place? Go to any gym and you will see most people doing the same steady state cardiovascular workouts week after week. An example of steady state training is when someone does the same intensity or heart rate percentage for example 4.0 mph on a treadmill for a set time such as 30 minutes with no change in speed or incline.
The benefit to this type of training is that it burns calories while you are working out and it improves heart health. (It also feels good to do any type of sustained movement.) The calorie burn is actually smaller than most people guess for the amount of time and work put into it. For example, walking for 30 minutes can burn a miniscule 150 calories depending on your body weight. (To give you an idea what 150 calories equates to in food- one large bagel is almost 350 calories.) So why do HITT training?
HITT training involves training at a much higher intensity for a shorter duration. A sample HITT workout may include a 5 minute warm-up followed by eight 30 second intervals at 90-95% of your max heart rate with rest intervals between each interval where you train at approximately 50% of max heart rate. This is followed by a 5 minute cool-down. Total workout time is 18 minutes. So is there a major difference in the amount of calories burned when you do HITT training vs steady state training? Interestingly, because HITT training is of shorter duration, the answer is "not really". You may burn 200-250 calories depending on the intensity levels, so you have to ask yourself is 100 calories really worth the increaed workload? Well, the story gets a little more complicated...
It turns out that HITT training creates something called EPOC which stands for Excess Post Exercise Consumption which basically means that you burn extra calories for up to 24 hours post HITT training. This is a major difference between the two types of training. When you stop steady state training- you stop burning calories. HITT creates this afterburn effect and it has been found to increase VO2 max, which means it makes your body more efficient at using oxygen. (Another great benefit- since it builds a better athlete.) Finally, studies have found that HITT training helps the body burn fat better than steady state training. So if you only have limited time and you want to fight that holiday weight gain- why not give HITT training a try?
Thursday, November 25, 2010
Being Thankful Beyond Thanksgiving
by Carmin Iadonisi, N.D, E.P.
Adjunct Professor, School of Health Sciences
It is Thanksgiving morning and the turkey is stuffed and in the oven, the pies have been made and the smell of homemade cranberry orange bread is wafting through our home. To top it off, we woke up early enough to see the sun rise. I could not be happier at this moment. On this day, where many will spend it with their loved ones, I want to elaborate a little more on the power of gratefulness.
Recent research on the psychology of happiness has found that 50% of our happiness is due to genetics, while 40% of our happiness is determined by the way we think. Surprisingly, only 10% of our happiness is linked to life circumstances such as socioeconomic status, jobs, living circumstances or our appearance. Does this surprise you?
Initially it surprised me, but then I thought about all the people I have met, the students, patients, coworkers, friends and family. I have seen students get "A's" on exams and barely muster a smile, while other students will celebrate triumphantly barely passing an exam with a "C-". We live in a society, where many believe that money buys happiness, yet glance at any tabloid and see another story of some celebrity's life going down in flames. I once lived in one of the most affluent cities in New England and what I will remember most about this place was that it had some of the most miserable people I have ever met.
So how do we change our brains? How do we affect that that 40% that we can change? It all starts with being grateful. Take a moment today and everyday to be grateful for what you have. Create a journal and everyday write 5 different things you are grateful for. Research has found that just spending time every day focusing on things that make you happy can actually change your brain in as little as two weeks. A happier brain is truly something to be thankful for. : ) .
Five things I am grateful for at this moment:
I am fortunate to enough to be a teacher and share my knowledge everyday.
I am grateful to have this special day to spend with those I love.
I am grateful that I am always open to learning new experiences.
I am grateful for my two dogs that lie at my feet.
I am grateful that I love to eat and this is a good day to eat!
Monday, November 22, 2010
The Newest Holiday Tradition
Everyone has their unique family traditions during the holiday season . From the use of a special pie recipe to using the family china , the holidays are a wonderful time for families to bond . Each family makes the time their own through special activities and events . I have found that the holidays are a wonderful time for the family to “ get active “ together and avoid those extra holiday pounds. With a diversity of ages and activity levels in my household, I needed to come across some activities that everyone could participate in . Here are two of the most popular activities that we enjoy as a family .
The easiest group activity is the post-feast stroll. Younger children can be wheeled in a wagon if they become tired along the way. Older children may want to ride their bikes or scooters. Bringing along the family pet can help make sure that even Fido is part of the activity. Post –Thanksgiving ,this is a wonderful opportunity to see how people’s homes have been decorated , or a chance to perhaps bump into neighbors who may have been out of touch or away at college.
With a little planning , these walks can become a scavenger hunt , with younger children looking for items based on color and older children solving riddles or clues to complete their checklist . Pairing older and younger children together can help to foster a sense of responsibility between family members. One year, I took the initiative to research our neighborhood and turned the family walk into a tour. Even Nana partook of the scavenger hunt , trying to guess which local buildings were once the site of a grist mill or Colonial burial ground.
Depending on location and weather, a post-feast walk may not be feasible. A great group activity could be a wonderful game of freeze dance . Either using CDs you already own or the music channels available for free on many cable networks, you can get the young and old up and “ grooving “ . The key here is to assort the music selection and make sure that everyone has the opportunity to “cut loose”. For those with physical disabilities , you can encourage them to move around by using a tambourine , or letting them use their feet to tap out a rhythm on a squeaky pet toy . I have found that plugging the video camera up to the TV during the activity not only provides giggles as the family sees themselves on TV , but also can provide a video record of the fun that was had during the holiday.
Some other great family activities that incite movement and laughter are hula hoop contests and (of course) , hide and seek ! With a reminder that the emphasis is not on winning , even the most reluctant family member is likely to join in . In addition to the family time together, I have seen these new and active holiday traditions to be a wonderful way to give less healthy family members a way to see exercise as more fun than dreadful .
Do you have any fun family activities that gets the family moving ? I would love for you to share !
Friday, November 19, 2010
Socially Thankful
Mary Oleksowicz , M. S. , L.Ac.
The holidays are inevitably upon us. The candles are barely extinguished in the jack-o-lanterns when Christmas carols are playing in the stores. For me and many others this is frustrating. I have jokingly pondered if global warming has caused us to lose our sense of holiday timing. Is the declining distinction between seasons part of the reason why it has become acceptable to hang snowflakes before the clocks have even had a chance to “fall back" ? Sadly, the truth is that consumerism has become the driving force of the holidays. “Sale it, and they will buy", was a phrase that I often heard as a teenager working retail.
As Thanksgiving approaches, I have mulled over ways to not give into the inevitable grasp of consumerism. Even charitable acts such as creating food baskets for the less fortunate have been preyed upon by major retailers. Bouncy castles and inflated prices for soon to be donated cranberry sauce met me at a local Thanksgiving fundraiser. My stomach was more nauseated by this then an extra slice of pecan pie. For myself, Thanksgiving was inevitably becoming another reason to spend large quantities of money all in the name of a holiday.
That was until the other day. A Facebook friend had posted that she was also sick of the current expectations of Thanksgiving. Over-consumption, Black Friday ads, and inflated gas prices during the biggest travel week of the year had also “cooked her goose" (pun intended)! She was going to take a stand against what Thanksgiving has become, a singular day of the year to pronounce your gratefulness amongst family and friends. Instead, she suggested that we pronounce our thanks, daily in our Facebook status. The rules are simple. Select two things that you are grateful for, big or small, without repeats and state that you are thankful for them.
I found this to be a wonderful exercise. Some friends are grateful for similar experiences and these comments have allowed me to get to know them better. Who would have known that my former first grade teacher was also grateful that her cat greets her in the morning purring despite his recent bout with cancer? Others may be experiencing more difficult times. When things are not as hopeful for them, they have let me know. My cousin had not even told his wife that he had lost his job, when he responded to my post praising my boss. Admittedly, without my post, he would have told no one. While sad, these responses increase my appreciation. Not only for my own blessings but also for the strength and wit of all those I have called friends.
It amazes me that somehow technology has even invaded my indebtedness. I presume as a “techie”, it was unavoidable. However, despite all of the advancements, electronics has brought me back to the roots of this holiday. I think that it is this equilibrium of tradition and innovation, a modern day balance of yin and yang that has allowed me to become socially thankful.
The holidays are inevitably upon us. The candles are barely extinguished in the jack-o-lanterns when Christmas carols are playing in the stores. For me and many others this is frustrating. I have jokingly pondered if global warming has caused us to lose our sense of holiday timing. Is the declining distinction between seasons part of the reason why it has become acceptable to hang snowflakes before the clocks have even had a chance to “fall back" ? Sadly, the truth is that consumerism has become the driving force of the holidays. “Sale it, and they will buy", was a phrase that I often heard as a teenager working retail.
As Thanksgiving approaches, I have mulled over ways to not give into the inevitable grasp of consumerism. Even charitable acts such as creating food baskets for the less fortunate have been preyed upon by major retailers. Bouncy castles and inflated prices for soon to be donated cranberry sauce met me at a local Thanksgiving fundraiser. My stomach was more nauseated by this then an extra slice of pecan pie. For myself, Thanksgiving was inevitably becoming another reason to spend large quantities of money all in the name of a holiday.
That was until the other day. A Facebook friend had posted that she was also sick of the current expectations of Thanksgiving. Over-consumption, Black Friday ads, and inflated gas prices during the biggest travel week of the year had also “cooked her goose" (pun intended)! She was going to take a stand against what Thanksgiving has become, a singular day of the year to pronounce your gratefulness amongst family and friends. Instead, she suggested that we pronounce our thanks, daily in our Facebook status. The rules are simple. Select two things that you are grateful for, big or small, without repeats and state that you are thankful for them.
I found this to be a wonderful exercise. Some friends are grateful for similar experiences and these comments have allowed me to get to know them better. Who would have known that my former first grade teacher was also grateful that her cat greets her in the morning purring despite his recent bout with cancer? Others may be experiencing more difficult times. When things are not as hopeful for them, they have let me know. My cousin had not even told his wife that he had lost his job, when he responded to my post praising my boss. Admittedly, without my post, he would have told no one. While sad, these responses increase my appreciation. Not only for my own blessings but also for the strength and wit of all those I have called friends.
It amazes me that somehow technology has even invaded my indebtedness. I presume as a “techie”, it was unavoidable. However, despite all of the advancements, electronics has brought me back to the roots of this holiday. I think that it is this equilibrium of tradition and innovation, a modern day balance of yin and yang that has allowed me to become socially thankful.
Thursday, November 18, 2010
Pumpkins: A nutrition powerhouse
Pumpkins are here! I am most likely in the minority as I have never cared for pumpkin pie, but I do love a nice warm pumpkin muffin on a cool fall morning or a creamy pumpkin smoothie. Pumpkins are a nutritional powerhouse and are high in carotenoids, lutein, and zeaxanthin, all of which are antioxidants that can neutralize free radicals. This fruit, yes it is technically a fruit, is also a very good source of beta carotene/vitamin A, vitamin C, riboflavin, potassium, copper, manganese, dietary fiber, vitamin E, thiamin, niacin, vitamin B6, folate, iron, magnesium, and phosphorus. One cup of mashed pumpkin has just 50 calories, zero fat, 12g of carbohydrates, 3 grams of fiber, and 2 grams of protein. Wow!
Eating pumpkin pie is probably not the best way to include more pumpkin in your diet since it is traditionally made by combing pumpkin with heavy cream and whole eggs. When cooked in a “standard” pie crust, a slice gets ~50% of calories from fat. Healthier ways to add pumpkin into your diet are easy to do by utilizing canned pumpkin and it is actually one of the only canned foods that has no added salt or sugar. If you have the time to cook a whole pumpkin simply peel off the outer skin, cut it into pieces and boil. The seeds can be scooped out and roasted in the oven with a bit of oil for 30 minutes or even eaten raw.
Some easy ways to eat more pumpkin include: adding canned pumpkin to ready-to-eat butternut squash soup, stirring canned pumpkin into oatmeal, spreading pumpkin butter on bread and muffins, and snacking on pumpkin seeds. Pumpkin seeds, also called pepitas, are high in copper, iron, magnesium, manganese, phosphorus, and zinc. Pumpkin seeds are also high in phytosterols which are thought to strengthen the immune system. The seeds can be added to salads, hot or cold cereals, cookies, even homemade veggie burgers.
Pumpkin also makes a great, creamy smoothie and nutritious breakfast or post-workout recovery shake. There are endless variations on this smoothie recipe so have fun experimenting with other ingredients like yogurt, frozen bananas, etc. Pair this shake with some whole grain toast with peanut butter and you have a perfectly balanced breakfast/recovery meal chock full of vitamins, minerals, carbohydrates, fiber, and protein.
Pumpkin Recovery Smoothie
6 ice cubes
1 cup light vanilla Silk soymilk (or rice, hemp, almond, cow)
1/3 cup canned pumpkin
1 tsp pumpkin pie spice (or substitute nutmeg and cinnamon)
½-1 Tbsp honey (or substitute stevia or splenda)
¼ tsp vanilla extract
1 scoop vanilla soy protein (or whey, rice)
Blend all ingredients in a blender until smooth. Makes 1 serving.
Nutrition analysis:
236 calories, 3 g fat, 24 g CHO, 3 g fiber, 30 g protein
The versatility of this fruit makes it a great addition to your diet, adding powerful antioxidants, vitamins, minerals, and fiber without a lot of calories.
Jennifer Koslo, PhD, RD, CSSD, CPT
Full time faculty
Health and Wellness
Eating pumpkin pie is probably not the best way to include more pumpkin in your diet since it is traditionally made by combing pumpkin with heavy cream and whole eggs. When cooked in a “standard” pie crust, a slice gets ~50% of calories from fat. Healthier ways to add pumpkin into your diet are easy to do by utilizing canned pumpkin and it is actually one of the only canned foods that has no added salt or sugar. If you have the time to cook a whole pumpkin simply peel off the outer skin, cut it into pieces and boil. The seeds can be scooped out and roasted in the oven with a bit of oil for 30 minutes or even eaten raw.
Some easy ways to eat more pumpkin include: adding canned pumpkin to ready-to-eat butternut squash soup, stirring canned pumpkin into oatmeal, spreading pumpkin butter on bread and muffins, and snacking on pumpkin seeds. Pumpkin seeds, also called pepitas, are high in copper, iron, magnesium, manganese, phosphorus, and zinc. Pumpkin seeds are also high in phytosterols which are thought to strengthen the immune system. The seeds can be added to salads, hot or cold cereals, cookies, even homemade veggie burgers.
Pumpkin also makes a great, creamy smoothie and nutritious breakfast or post-workout recovery shake. There are endless variations on this smoothie recipe so have fun experimenting with other ingredients like yogurt, frozen bananas, etc. Pair this shake with some whole grain toast with peanut butter and you have a perfectly balanced breakfast/recovery meal chock full of vitamins, minerals, carbohydrates, fiber, and protein.
Pumpkin Recovery Smoothie
6 ice cubes
1 cup light vanilla Silk soymilk (or rice, hemp, almond, cow)
1/3 cup canned pumpkin
1 tsp pumpkin pie spice (or substitute nutmeg and cinnamon)
½-1 Tbsp honey (or substitute stevia or splenda)
¼ tsp vanilla extract
1 scoop vanilla soy protein (or whey, rice)
Blend all ingredients in a blender until smooth. Makes 1 serving.
Nutrition analysis:
236 calories, 3 g fat, 24 g CHO, 3 g fiber, 30 g protein
The versatility of this fruit makes it a great addition to your diet, adding powerful antioxidants, vitamins, minerals, and fiber without a lot of calories.
Jennifer Koslo, PhD, RD, CSSD, CPT
Full time faculty
Health and Wellness
Sunday, November 14, 2010
When Mainstream Medicine Was CAM
When Mainstream Medicine was CAM
by Earon S. Davis, JD, MPH, NCTMB
Adjunct Professor, School of Health Sciences
There was a time, not so long ago, when American Medicine was a blend of folk medicines, home remedies and observational science supported by the scientific theories of the day. One of the prominent treatments of the 1800's was to drain blood from a patient. From these beginnings, tracing back to western medicine traditions thousand of years old, science has continued to evolve. Whereas most of what was accepted as the science of the day was eventually proved wrong, the process continued and improvements were gradually made. This process continues today; most of what we know as "science" today will be seen as primitive and woefully inadequate in 50 years.
It is natural for the child to criticize the parent, often ridiculing their elders' connections with the technologies and disproven scientific "truths" of their day. Adolescents in the 1930's were just as bemused by their parents' use of a horse and buggy as today's adolescents are bemused by their parents writing a letter and "mailing" it. This transition takes place within every generation, as "advances" are tested and those that hold up move into the future with pride, only to be replaced themselves by the next generation or the one after that. Of course, many of these "advances" are later disfavored because of unintended consequences (e.g., they cause too many illnesses, disabilities or deaths).
Thus, the supposed duality of Mainstream Medicine vs. Alternative Medicine is culturally determined, as one generation's experiment is judged by the next. It is not absolute, but rather a reflection of where one is at a given point in time. From a systems perspective, there is no "mainstream" or "alternative" medicine - just medical ideas, diagnoses and treatments that are held in favor or not. In fact, the most advanced theories and technologies from our most gifted scientists remain unproven, "alternative" and non-mainstream for years - waiting to be accepted by the powers that decide whether a procedure will be taught in medical schools and/or be reimbursed by insurance companies. The same negotiating process goes on within our medical community deciding whether to accept a new infertility treatment - regardless of whether it is a high-tech, ultra-scientific breakthrough or an ancient remedy from Chinese Medicine or Shamanic Herbalism. Until it is accepted, everything is CAM. Once accepted, it simply becomes a medical option.
In an important way, it seems that the battle against "Alternative Medicine" has always combined scientific enlightenment with cult-ish ignorance and self-interest. Human nature applies to all of us. This is nowhere more apparent than the astounding refusal of mainstream medicine to put acupuncture to the test on their chronic pain patients for the past 100 years. How many patients have become addicted to painkillers and cost how much pain and grief to their families? How many billions of lost productivity have been caused by the ignorant proliferation of dangerous narcotics when safer alternatives were available - but would have risked acknowledging that the mainstream scientific establishment simply did not know everything.
The mind-body effect (also known in the pejorative as "pacebo effect") was scientifically proven by the 1940's. The powerful healing effects of meditation and prayer have likewise been proven for decades. What, aside from arrogance, could support the stigmatization of these important medicines by the medical community? To be sure, they would have been referred to as "experimental," but rejected as "voodoo" and "quackery?"
With the growing popularity of Complementary Medicine and Integrative Medicine models, new generations of physicians are open to the challenge of using ALL appropriate, safe and efficacious medicines. This only enhances their ability to help their patients. They are not fighting the old battles of their predecessors - obsessed with eliminating superstition and adhering only to an ill-defined, but rigid concept of grandfathered-in "science." They understand that the purging of ancient practices sometimes threw the baby out with the bathwater, sometimes perhaps motivated more by unconscious cultural factors such as racism, jingoism and bigotry than by science. And these physicians are also working to unshackle science from the vested interests that have dominated it for generations.
Yes, the culture of medicine is changing. In addition to being open to the latest patented medicines from big pharma, the new culture is taking a look at the riches that may be sitting in plain view, unpatentable and lower-cost, - no longer rejected as "alternative" and completely "off-limits," but seen instead as medicines that may just work. There's an old saying that "There's no saint like a reformed sinner." In the history of medicine, each generation has been proven, over time, to have been primitive and to see how their bad science had failed to help their patients - yet how the future may be better. This is one of the "dark sides" to being a physician, one of the most challenging and worthwhile of all human endeavors.
So, physicians are pushed along by science, forced to give up their old patterns and practices as scientific method is applied to test them. Some cling to the old, just as others push for improvements. Some of the visionaries of medicine may be too quick to put forth their improvements, perhaps because of the profit motive, perhaps because they are eager to ease suffering. Sometimes, the cures are worse than the illnesses they are treating. Sometimes the drugs that are pushed through the approval process prove to be terrible mistakes. And sometimes the old practices, the low-tech cures that have been around for centuries are proven to have been rejected too quickly.
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Professor Davis teaches Complementary and Alternative Medicine for Kaplan University's School of Health Sciences, in the B.S. Degree program in Health and Wellness. He is a former lawyer with a Master's of Public Health and is a CAM practitioner, performing Integrative Bodywork at NorthShore University HealthSystems, a major hospital network in the northern suburbs of Chicago.
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