Obesity Year End Review, March 2013

As the year is rapidly growing to an end, time for a review of my favourite posts of 2013: When Bad Things Happen To Good People: The Neurobiology of Resilience (Part 1) The Importance of Secure Attachments: The Neurobiology of Resilience (Part 2) The Importance of Positive Emotions: The Neurobiology of Resilience (Part 3) Purpose in Life and Spirituality: The Neurobiology of Resilience (Part 4) Fostering Resilience: The Neurobiology of Resilience (Part 5) @DrSharma Edmonton, AB

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Obesity Year End Review, February 2013

As the year is rapidly growing to an end, time for a review of my favourite posts of 2013: Obesity Myth #2: Importance of Realistic Goals Obesity Presumptions #1: The Benefits of Breakfast Obesity Fact #2: Diets Rarely Work in the Long-Term Obesity Fact #5: There is No Cure For Obesity Obesity Presumption #3: Eating More Fruit and Veggies Will Lower Your Weight @DrSharma Edmonton, AB

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Obesity Year End Review, January 2013

As the year is rapidly growing to an end, time for a review of my favourite posts of 2013: Successful Weight-Loss Maintainers: Mark, the Golden Boy of Weight Loss Successful Weight-Loss Maintainers: Julie, the Fitness Enthusiast Successful Weight-Loss Maintainers: Gertrude, the Poor Eater Successful Weight-Loss Maintainers: Janice, the Struggler Why Are Some People Successful At Maintaining Weight Loss? @DrSharma Edmonton, AB

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Low Carb No Better Than High Protein For Weight Loss

When I finished medical school in 1986, restricting protein intake in patients with reduced kidney function was still part of standard practice. This practice, has since been long abandoned (having probably done more harm than good), but notions about higher protein intake somehow being harmful to kidneys lingers on. Thus, I was interested by a recent study by Pedersen and colleagues from the University of Adelaide, Australia, published in Nutrition, Metabolism and Cardiovascular Disease, which examined the effect of of a high-protein calorie restricted diet on overweight individuals with type 2 diabetes, albuminuria and reduced kidney function (estimated GFR of >40 ml/min/1.73m2). Subjects were randomised to 12 months of a standard-protein diet (protien:fat:carbohydrate ratio 20:30:50 % of energy) and one where energy from carbohydrates was reduced and replaced by protein (30:30:40 % of energy). Both groups lost a significant amount of weight over 12 months (6.6 Kg on the standard-protein diet, 9.7 Kg on the high-protein diet). The diets had no impact on kidney function despite improvements in diabetes control. Of note, only 45 of the 76 volunteers completed the study – a drop-out rate of over 40% Overall, the study shows that differences in carb to protein ratios matter neither in terms of weight loss nor in their impact on kidney function. Perhaps, even more importantly, the study shows that trying to keep people on diets – even in clinical trials – is challenging, with almost half the subjects abandoning their diet within 12 months. As I have noted before, diets only work when you stick with them. Rather than obsessing about the exact composition of your diet, it may be best to chose the one you like best and can actually stay on. @DrSharma Edmonton, AB

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Obesity Weekend Roundup, December 13, 2013

As not everyone may have a chance during the week to read every post, here’s a roundup of last week’s posts: Do Shame And Blame Tactics Make The Obesity Problem Worse? How Long Can Healthy Obese People Stay Healthy? Are There Merits To Subtyping Obesity? The Challenge of Obesity In Children With Physical Disabilities The Stress Bomb – How Bombesin-Like Peptides Affect Appetite Have a great Sunday! (or what is left of it) @DrSharma Frankfurt, Germany

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