Wednesday, 9 October 2013

30 Diet Tips – To Help You Lose Weight Healthily

You could lose weight with that new crash diet, or opt for the ‘perfect 100 per cent of the time with your diet’ approach. But deep down you will know that these ‘all or nothing’ diets don’t last for long. Nor are they healthy – for body, mind or soul.
Dietitian Lyndel Costain gives her top diet tips to lose weight and keep it off.

1. Stay clued up

Knowledge is power. By arming yourself with the facts about healthy diet, and ignoring the fads, you are more likely to build confidence in your abilities and achieve your weight loss goals.
WLR can help! Long term weight control is about being realistic, and enjoying healthy eating and exercise habits for life – and reaping all the benefits.

2. Have clear motivations

Write down your reasons for wanting to lose weight. Having clearly identified reasons helps your feeling of commitment. Try to include reasons that aren’t just about appearance, for example, ‘will help me feel fit enough to do more of the things of I want to do’ or ‘will help my back pain’. Looking back on them can also be a very useful motivator if the going gets tough.

3. Keep a food diary

Writing down what you eat and drink and any thoughts linked to that eating helps you become more aware of your eating habits and problem areas. Recognising what is going on and understanding more about yourself is a powerful way to start planning changes to your diet and puts you in control.

Keeping a food diary, even intermittently, also helps you stay on track, and lets you look back to see the great progress you’ve made. (You can try WLR's online food diary free for 24 hours.)

4. Weight goals

Losing 5-10% of your weight is an ideal target, according to research. This can be broken down into smaller manageable steps, for example, 4-5lbs at a time. Remember too that just keeping your weight stable is a great achievement in itself these days. Losing modest amounts of weight are not just easier to keep off but bring big health benefits. For example, if you are overweight, losing 5-10% of your weight can halve your risk of type 2 diabetes.

5. Set realistic goals

When making changes to your diet and exercise habits start small and set a few realistic goals. If they are realistic, you are more likely to achieve and stick with them and feel successful, which in turn boosts your self-esteem and self-confidence for ongoing success.

6. Work out how to achieve your goals

Setting a goal ideally includes a plan for how to achieve it, and how to overcome things that might get in the way such as trigger eating (see below), poor food choices at work, eating the kid’s leftovers or too many takeaways. Writing your goals and action plans helps enormously.

7. Trigger eating

Much of the eating we do when we aren’t hungry, or the cravings we have, is a habit-like response to a variety of triggers. These can be external, such as the sight or smell of food, or internal and emotion-led, such as a response to stress, anger, boredom or emptiness.

A food diary helps you recognise this ‘trigger’ or ‘non-hungry’ eating, which in turn places you in a better position to deal with it. For example, make a conscious choice to eat (or not to eat - see below) a food. Or plan ways to avoid triggers in the first place, for example, keep ‘binge’ foods out of the house or join an evening class to keep you away from the TV, crisps and wine bottle!

8. Be a conscious eater

Try to make conscious choices about what you eat, especially when tempted to overeat. For example, ask yourself, ‘I can eat this if I want to, but do I really feel like it?’ You can then choose to eat it (or some of it), or not, as you will have considered the consequences. Not only will it help you feel in control and achieve your goals, it will stop you feeling deprived.

9. Coping with cravings

If unwanted food cravings do strike, acknowledge them – have a chat to them even – then distract yourself, for example, with a chore, a more involving task, go out for a walk, call a friend or colleague, play with the kids, or paint your nails. Like a wave, cravings rise then ebb away. By waiting 15 minutes and ‘surfing’ the craving, you should find they pass away – and your conscious choice becomes simple.

10. Eat regular meals

Regular meals, starting with breakfast, help you to regulate how much you eat by stabilising blood sugar levels and allowing you to recognise natural feelings of hunger and fullness. They also stop you worrying about hunger as you will know your next meal or snack is not far away! And a healthy breakfast, is not only linked to long term weight control success, but a healthier, more nutritious diet overall.

11. Plan ahead

Plan ahead to ensure the right foods are available at the right time. Think about breakfast, lunch, healthy snacks and an evening meal. Have some ready meals in the fridge (serve with extra veg) for those emergency moments. Planning can take extra time and effort, but it will soon become a habit that will really make a difference.
Losing weight healthily can be easy and doesn't have to cost a fortune if you plan ahead. Try our Budget Diet Plan to get you started.

12. Beware ‘all or nothing’ thinking’

You know that feeling when you really overdo the chocolate or a night out and think you’ve blown it so may as well give up – and keep on eating… The blow out isn’t a problem, but your reaction could be.
Lapses are a normal part of change. You can’t be, nor need to be perfect 100% of the time to lose weight. Doing well 80-90% of the time is great progress. Rather than feel you have failed and give up, look at what you can learn from a bad day or week and plan to do things differently in the future. Then forgive, talk positively to yourself about what you have achieved already, and get back on track.

13. Build in some fave foods

It’s fine to build some fave foods into your healthy diet plan. Successful slimmers do it as it helps them avoid feeling deprived. Make sure you choose quality foods that you really feel like eating (do you fancy sweet, savoury, crunchy, creamy at that time?), sit down, eat slowly and savour them.
Deciding on what you will truly enjoy (and knowing that you can have it again another time if you want to) adds satisfaction and means you’re likely to be happy with a small amount.

14. Reward yourself

If you have set yourself some specific goals, for example, to have regular meals, or lose 3lbs in 2 weeks or eat your 5 a day, reward yourself when you have achieved it for example, with a new CD, seeing a movie, a new hairstyle, or outfit. It will also help to plan a big reward for when you have achieved your longer term weight goal. You will definitely deserve it.

15. Get some support

It could be from a friend, partner, colleague at work, self-help group, health professional, health club, slimming group, book, tape or video, diet ‘buddy’ orchat room. Have a good chat with your supporters about how they can best help you. Getting the right support is a vital part of long term slimming success.

16. Keep it balanced

Make meals automatically healthy, balanced and satisfying. Half fill your plate with plenty of vegetables and salad and divide the other half between lean protein-rich foods such as lean meat, chicken, fish, pulses, Quorn or tofu and healthy carbs such as pasta, new potatoes, Basmati or brown rice.

17. Eat without distractions

Don’t let your best efforts to control how much you eat be sabotaged by doing something else during meals. A study in the American Journal of Clinical Nutrition found that women who ate while listening to a story on the radio ate 70 calories more than women who ate with no distractions.

18. Avoid crash diets

They may be tempting, but a crash diet ultimately leads to rebound weight gain and feelings of failure.
The American Heart Association has "declared war" on crash diets, which they say "can undermine people’s health, can’t be followed for long, cause physical discomfort, and lead to disappointment when people regain the weight soon after." Still tempted?

19. Be active

Being more active and staying that way is one of the key strategies for long term success. Finding something you enjoy, and can fit into daily life helps ensure you keep it up. Walking suits many people (see below), but gardening, dancing, team sports, gym workouts, martial arts, any active hobby all count. Doing it with someone else boosts motivation too.

20. Step 10,000

Aim to walk briskly for a total of 45 minutes each day to burn around 2000 calories a week (250 to 300 calories a day). Or buy a pedometer from a sports’ shop or via the internet and build up to doing 10,000, then if you can 15,000 steps – over the day. Research now shows that this level of daily activity is most effective for weight control.

21. More good reasons to be active

Regular physical activity, especially if you include some strength training, not only burns calories and boosts mood and energy levels but can build muscle. Muscle burns loads more calories than body fat, and just a 3 pound increase in the amount of muscle in your body can potentially burn enough extra calories to lose an extra 10lbs over a year.

22. Spice up your cooking skills

Cut fat but not flavour with herbs, spices, lemon juice, tomato paste, wine, low fat fromage frais, olives, capers, chilli, and sauces with less than 5g fat per 100g. Grill, stir fry, bake, steam, char-grill, BBQ or microwave. A low fat cook book helps too – not to mention WLR’s fab recipes.

23. Read food labels – carefully

Check portion size, numbers of portions per package, and calorie content to make sure you aren’t getting more than you bargained for. Check and compare similar products too – as there can be big calorie differences between brands. And remember that ‘low fat’ doesn’t mean ‘low calorie’.

24. Fill up on low energy density foods

Foods like vegetables, salad, fruit, chunky soups, low fat pasta sauces, low fat dairy foods, porridge, vegetable-based casseroles, beans, fish and lean meat are great building blocks of every meal and snack. They have a low energy density (low number of calories per bite), most have a low GI (glycaemic index) and all are not only healthy but help you feel fuller for longer.

25. Drink plenty

Have at least 6-8 glasses or cups of low calorie drinks over the day – more if you are hot or exercising.
The aim is to keep your urine a light straw colour – if it’s dark you need to drink more. Drinking plenty helps you feel fuller and stops you confusing thirst with hunger, and eating when you really just need a drink. Spicy tomato or vegetable juice or a berry fizz (puree some fresh berries and top up with fizzy mineral water) are great, low cal between meal (or early evening) satisfiers to stop the nibbles – or the wine, if you want to cut back.

26. Practise saying ‘no’

We are often pressured to eat when we aren’t hungry. If you really don’t want to eat something, learning to say ‘no, thank you’ takes practise as we may feel we are upsetting others. But you are in fact looking after your own needs. First practice saying ‘no’ at home by yourself. It will soon get easier.

27. Keep food out of sight

Food is everywhere – on TV, magazines, shops, petrol stations - and can trigger cravings. At home, keep weakness foods out of sight, or out of the house! Serve meals onto plates rather than from dishes on the table. And steer clear of buffet meals – studies show they encourage us to eat more.

28. Watch portion sizes

Keep a careful eye on portion sizes, when eating out or serving up your own meals at home.
The WLR approach will automatically help you with this, while you keep your calorie tally over the day. It isn’t always what you eat that can make weight loss tricky, but how much. This can be especially true for dishes like bowls of pasta or fruit smoothies – their intrinsic ‘healthiness’ makes it easy to forget the portion size and calorie content.

29. Eat out wisely

  • ‘Bank’ some calories for your meal out
  • Try not to view every meal out as an indulgent treat – eating out is now a regular part of life and restaurant food can be high in calories
  • Skip high fat butter, dressings, garlic bread, cream or cheese sauces, pastry, deep fried, battered foods and indulgent pudds (unless served with 4 spoons!)
  • Pile your plate with vegetables or salad
  • Watch the booze – quench thirst with water

30. Believe in Yourself

This final diet tip is just as important as the tips about eating and exercise.
If things go wrong don’t panic. Learning new habits takes time. Think back to when you learned to ride a bike. No-one expected you to do it the first time. You no doubt fell off a lot and needed picking up, with help along the way. Step by step you took control of that bike and learned how to keep it on course.
How you think, affects how you feel, and in turn the actions you take. Believe in yourself every day. Focus on what you want – being fitter, healthier – rather than how unfit you are. Setting realistic goals and having positive expectations will make all the difference.

All About CaloriesCalories and Kilocalories (kcal)

It's easy to get confused about calories and kilocalories since, in a nutrition context, values are actually given for the number of kilocalories in a food, but referred to simply as calories.

In scientific terms:

1000 calories = 1 kilocalorie = 1 kcal = the energy it takes to raise the temperature of 1kg of water by 1°C.

In nutrition terms:

ie. What you'll find on food packaging, calories = kilocalories and are used interchangeably.
In some instances food energy is measured in kilojoules - mostly by the scientific community - though some food packaging also gives kilojoule (kJ) values. 1 kilocalorie = 4.2 kilojoules.

Counting Calories

Most medical professionals agree that making sure that calories consumed are less than calories expended is the best way to lose weight - find out more about calorie counting.

How Many Calories Do You Need?

Daily calorie requirements vary from person to person - find out more aboutcalorie intake

How to Burn More Calories

There are three ways the body burns calories - here's how you can make your body burn more calories

Calories in Popular Food

A browse through our mini calorie counters will give you an idea of how many calories there are in different types of food. Popular foods calorie counter

Tuesday, 1 October 2013

Could eating broccoli slow the onset of arthritis?

Broccoli may block an enzyme involved in arthritis
"Broccoli could hold the key to preventing painful arthritis," the Daily Mail reports. But while the study the Mail reports on had promising results, it did not involve humans. The story is based on tests of a compound called sulforaphane on human and cow cartilage cells and artificially induced arthritis in mice.
Cartilage is the protective tissue found on the surface of joints that helps them to move smoothly. Damage and breakdown of cartilage can lead to osteoarthritis, which often causes severe symptoms of joint pain and swelling.
Sulforaphane is found in broccoli, and previous studies have suggested that it might help stop the breakdown of cartilage.
In this study, the researchers found that sulforaphane helped reduce the production of the enzymes that contribute to human cartilage breakdown. It was also found to protect bovine cartilage tissue from damage in the lab. The mice fed a sulforaphane-rich diet also had fewer signs of arthritis in their cartilage than controls.
Researchers now plan to study people with osteoarthritis who are awaiting joint surgery, testing the effects of eating "super broccoli", specially bred to release large amounts of sulforaphane. The results of this study will better indicate if eating broccoli can have a beneficial effect on osteoarthritis in people.

Is broccoli a 'superfood'?

Aside from its alleged arthritis-busting properties, some dietitians claim that regularly eating broccoli can bring a range of benefits, including reducing cancer risk, lowering blood pressure and preventing heart disease. However, the evidence for many of these claims is flimsy at best. 

But broccoli does contain many nutrients needed for numerous functions in the body, such as folate, soluble and insoluble fibre, vitamins C and A, and calcium. It may be worth adding broccoli to your 5 A DAY.

For more information, see Is broccoli a nutritional showstopper? and read more about other allegedsuperfoods.

Where did the story come from?

The study was carried out by researchers from the University of East Anglia, the University of Oxford, and Norfolk and Norwich University Hospital. It was funded by the Biotechnology and Biological Sciences Research Council (BBSRC), Dunhill Medical Trust and Arthritis Research UK.
The study was published in the peer-reviewed journal, Arthritis and Rheumatism.
It was covered widely in the media, with many sources overplaying its results. Broccoli has not yet been found to be "key to beating [osteoarthritis]", as claimed in the Daily Express. BBC News took a more cautious approach, however, reporting that researchers believe broccoli may slow down arthritis.

What kind of research was this?

This was a laboratory and animal study. Researchers used three models to study the possible effect of the compound sulforaphane on cartilage. Sulforaphane is found in cruciferous vegetables, particularly broccoli.
The researchers say some research suggests a high intake of fruit and vegetables may prevent or slow down osteoarthritis. Sulforaphane has also been reported to:
  • have anti-inflammatory properties
  • protect against a form of inflammatory arthritis in mice
  • reduce the production of enzymes that contribute to the breakdown of cartilage
Their study investigated the impact of sulforaphane on chondrocytes. These are cells that produce and maintain the proteins that form the structure of cartilage in mammals. 

Sulforaphane supplements

Sulforaphane supplements are available from health shops, but concerns have been raised about their use. It is uncertain whether taking the supplements on a long-term basis is safe for everyone.

Sulforaphane supplements can also react unpredictably with other types of medicine, such as some types of antipsychotics and blood pressure drugs. Check with your GP before taking any type of supplement on a long-term basis, especially if you are currently taking other medications.

What did the research involve?

The researchers constructed three different models to test the effect of sulforaphane on cartilage:
  • They isolated and cultured chondrocytes taken from the cartilage of patients with osteoarthritis in the laboratory. They treated some of the cells with sulforaphane for 30 minutes, while some were left untreated. The cells were then treated with molecules called cytokines, which induce inflammation and normally increase the production of enzymes that break down cartilage. The researchers looked at whether the sulforaphane-treated cells produced as many of these enzymes as the untreated cells.
  • The researchers also took cartilage tissue from cattle and again either treated it with sulforaphane or left it untreated before adding cytokines. They then looked at indicators of how much cartilage damage had occurred in treated and untreated samples.
  • In the third model, they used two groups of mice: one group was fed a normal mouse diet and the other group a mouse diet plus sulforaphane. They were fed this way for two weeks before and after the researchers performed a surgical procedure on one of each mouse's knee joints to induce osteoarthritis-like changes. After two weeks the joints were then scored for signs of cartilage damage and osteoarthritis. 

What were the basic results?

The researchers found that:
  • In the human cartilage cells treated with cytokines in the lab, sulforaphane reduced the production of enzymes involved in cartilage damage.
  • Sulforaphane reduced the damage to bovine cartilage normally caused by cytokine treatment.
  • Mice whose diet was supplemented with sulforaphane showed less arthritis-like cartilage damage after arthritis-inducing surgery than mice fed a normal diet.

How did the researchers interpret the results?

The researchers concluded that sulforaphane inhibits the production of key enzymes implicated in osteoarthritis. It has also been shown to protect against cartilage destruction at the cellular, tissue and whole animal level.
They suggest that a diet high in sulforaphane may help prevent or slow down the progress of arthritis in humans. 
In an accompanying press release, Ian Clark, professor of musculoskeletal biology at UEA and the lead researcher, said: "The results from this study are very promising …We now want to show this [sulforaphane treatment] works in humans. It would be very powerful if we could.
"This study is important because it is about how diet might work in osteoarthritis. Once you know that, you can look at other dietary compounds which could protect the joint, and ultimately you can advise people what they should be eating for joint health."

Conclusion

The results of this study suggest that sulforaphane, a chemical found in vegetables such as broccoli, could help reduce cartilage damage. As the authors point out, there is no drug cure for arthritis and if a common vegetable such as broccoli was found to be protective it would be very good news.
However, it is important to remember that this was a laboratory study involving human cells, cartilage samples from cows, and mice. The mice were fed a diet high in sulforaphane, rather than broccoli itself. There is a long way to go before scientists know if a diet high in broccoli or similar vegetables can prevent or slow down arthritis in humans.
The researchers are now planning a small trial of sulforaphane-rich broccoli in people with osteoarthritis waiting to undergo knee joint replacement surgery. The results of this trial will allow researchers to determine if the treatment shows effects on cartilage in humans. If this is successful, a larger clinical trial would be needed looking at the effect of broccoli on arthritis symptoms.
There is evidence that taking regular exercise and maintaining a healthy weight both help prevent osteoarthritis. Broccoli is full of nutrients and can form part of a healthy diet, but we can't yet be certain if it slows down or prevents arthritis.

Analysis by Bazian. Edited by NHS Choices. Follow Behind the Headlines on Twitter.