"Me n my tummy "
- Thread starter nevedaw
- Start date
carotid artery intima media thickness-- latest tool
Impact of Obesity in Intima Media Thickness of Carotid Arteries
Vasilios T. Kotsis*,{dagger}, Stella V. Stabouli{ddagger}, Christos M. Papamichael* and Nikos A. Zakopoulos*
* Department of Clinical Therapeutics, Alexandra Hospital, National and Kapodestrial University, Athens, Greece;
{dagger} Department of Medicine Aristotle University of Thessaloniki, Thessaloniki, Greece; and
{ddagger} Department of Pediatrics, National and Kapodestrial University, Athens, Greece.
Address correspondence to Vasilios Kotsis, 4 Viotias Street, 16232 Athens, Greece. E-mail: bkotsis@med.uoa.gr
Objective: To explore differences in intima media thickness (IMT) of the carotid arteries induced by differences in BMI.
Research Methods and Procedures: Data from 3173 consecutive subjects, who were referred to our Hypertension Center from 1998 to 2004, were reviewed. Criteria for patients to be considered for further analysis included no past or concurrent antihypertensive medication, no concurrent medication with the potential to raise blood pressure (BP) (e.g., prednisone), and no clinical signs or laboratory evidence of secondary causes of hypertension. Our population was divided into four groups according to NIH criteria for obesity: underweight, normal weight, overweight, and obese. BMI, mean IMT of internal carotid arteries, and 24-hour BP values were available for all subjects. Five hundred thirty six subjects of the four groups, matched for age, gender, and mean 24-hour BP values, were included in the analysis.
Results: Mean IMT of internal carotid arteries was increased with increasing BMI. Mean IMT was significantly higher in obese subjects compared with normal-weight (p < 0.01) and underweight (p < 0.001) subjects. Mean IMT was significantly higher in overweight subjects compared with normal-weight ones (p < 0.05). Furthermore, multivariate regression analysis in obese subjects revealed that fasting serum glucose was independently associated with IMT.
Discussion: Obesity may be an important factor for carotid atherosclerosis, and at least some of the effects of obesity are independent of the BP levels. Fasting serum glucose levels in obese subjects may play an important role in carotid atherosclerosis.
Key Words: carotid artery intima media thickness • ambulatory blood pressure monitoring • fasting glucose • BMI
Impact of Obesity in Intima Media Thickness of Carotid Arteries
Vasilios T. Kotsis*,{dagger}, Stella V. Stabouli{ddagger}, Christos M. Papamichael* and Nikos A. Zakopoulos*
* Department of Clinical Therapeutics, Alexandra Hospital, National and Kapodestrial University, Athens, Greece;
{dagger} Department of Medicine Aristotle University of Thessaloniki, Thessaloniki, Greece; and
{ddagger} Department of Pediatrics, National and Kapodestrial University, Athens, Greece.
Address correspondence to Vasilios Kotsis, 4 Viotias Street, 16232 Athens, Greece. E-mail: bkotsis@med.uoa.gr
Objective: To explore differences in intima media thickness (IMT) of the carotid arteries induced by differences in BMI.
Research Methods and Procedures: Data from 3173 consecutive subjects, who were referred to our Hypertension Center from 1998 to 2004, were reviewed. Criteria for patients to be considered for further analysis included no past or concurrent antihypertensive medication, no concurrent medication with the potential to raise blood pressure (BP) (e.g., prednisone), and no clinical signs or laboratory evidence of secondary causes of hypertension. Our population was divided into four groups according to NIH criteria for obesity: underweight, normal weight, overweight, and obese. BMI, mean IMT of internal carotid arteries, and 24-hour BP values were available for all subjects. Five hundred thirty six subjects of the four groups, matched for age, gender, and mean 24-hour BP values, were included in the analysis.
Results: Mean IMT of internal carotid arteries was increased with increasing BMI. Mean IMT was significantly higher in obese subjects compared with normal-weight (p < 0.01) and underweight (p < 0.001) subjects. Mean IMT was significantly higher in overweight subjects compared with normal-weight ones (p < 0.05). Furthermore, multivariate regression analysis in obese subjects revealed that fasting serum glucose was independently associated with IMT.
Discussion: Obesity may be an important factor for carotid atherosclerosis, and at least some of the effects of obesity are independent of the BP levels. Fasting serum glucose levels in obese subjects may play an important role in carotid atherosclerosis.
Key Words: carotid artery intima media thickness • ambulatory blood pressure monitoring • fasting glucose • BMI
as per the software, i need 2 eat 716 cal per day to lose weight to 180 lbs by 3th june.. damn.. this is really bad. lets see.
mebbe after another week i wud add a chicken sandwich in my diet.
JULY AND AUGUST MTH I WUD TRY TO LOSE 2 LBS PER MTH. my GOAL IS TO REACH 167 TO 162 WITHIN 2 MTH. AMT OF CAL DIET INTAKE WUD BE AROUND 1500. wHICH WUD BE AWESOME.
THAT MEANS I CAN EAT WHOLE CEREALS TWICE ( WITH SOY/SKIMMED MILK) AND CAN START ON CHICKEN SANDWICH EVERYDAY..THAT WUD BE YUMMY..
BY THAT TIME, I WUD HAVE TO STOP SMOKING AS WELL.. LETS SEE..
I KNOW I CAN DO IT..
mebbe after another week i wud add a chicken sandwich in my diet.
JULY AND AUGUST MTH I WUD TRY TO LOSE 2 LBS PER MTH. my GOAL IS TO REACH 167 TO 162 WITHIN 2 MTH. AMT OF CAL DIET INTAKE WUD BE AROUND 1500. wHICH WUD BE AWESOME.
THAT MEANS I CAN EAT WHOLE CEREALS TWICE ( WITH SOY/SKIMMED MILK) AND CAN START ON CHICKEN SANDWICH EVERYDAY..THAT WUD BE YUMMY..
BY THAT TIME, I WUD HAVE TO STOP SMOKING AS WELL.. LETS SEE..
I KNOW I CAN DO IT..
couldnt sleep the whole night..
terrible...
Now i have make a honest attempt of staying alert the whole day without the afternoon nap...
I have to straighten out my weakness.
plans for today..finish rhemat n start cardio..lets see how much i can manage.
i have whole weekend to finish cardio n rhemat.
Menu for today- Eggs n protein shake again.. ( i guess i wud never get tired of that).
terrible...
Now i have make a honest attempt of staying alert the whole day without the afternoon nap...
I have to straighten out my weakness.
plans for today..finish rhemat n start cardio..lets see how much i can manage.
i have whole weekend to finish cardio n rhemat.
Menu for today- Eggs n protein shake again.. ( i guess i wud never get tired of that).
A controlled comparison of three very-low-calorie diets: effects on weight, body composition, and symptoms
GD Foster, TA Wadden, FJ Peterson, KA Letizia, SJ Bartlett and AM Conill
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia.
To determine the optimal energy intake of very-low-calorie diets (VLCDs), 76 obese women were randomly assigned, in a double-blind fashion, to one of three liquid-formula diets: 1758 kJ/d (420 kcal/d), 2763 kJ/d (660 kcal/d), or 3349 kJ/d (800 kcal/d). Weight, body composition, symptoms, mood, and acceptability of the diet were assessed throughout the 6-mo study. There were no significant differences in weight losses or changes in body composition among the three dietary conditions at the end of treatment, nor were there significant differences among conditions in acceptability of the diet, symptoms, or mood. These results suggest that there is no clinical advantage to using VLCDs that provide less than 3349 kJ/d (800 kcal/d).
There may be a limited role for VLCDs providing < 3349
kJ/d (800 kcal/d) for the control of certain medical conditions,
particularly diabetes (38). Other than these potential diseasespecific
interventions, this study suggests that there is no advantage
to using VLCDS providing < 3349 Id/d in terms of weight
loss, body composition, symptoms, acceptability of the diet, or
mood. Additional studies are needed to determine whether the
significant weight losses associated with VLCDS may be due to
their narrowing offood choices, which may improve adherence,
rather than to their extremely low energy intakes.
GD Foster, TA Wadden, FJ Peterson, KA Letizia, SJ Bartlett and AM Conill
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia.
To determine the optimal energy intake of very-low-calorie diets (VLCDs), 76 obese women were randomly assigned, in a double-blind fashion, to one of three liquid-formula diets: 1758 kJ/d (420 kcal/d), 2763 kJ/d (660 kcal/d), or 3349 kJ/d (800 kcal/d). Weight, body composition, symptoms, mood, and acceptability of the diet were assessed throughout the 6-mo study. There were no significant differences in weight losses or changes in body composition among the three dietary conditions at the end of treatment, nor were there significant differences among conditions in acceptability of the diet, symptoms, or mood. These results suggest that there is no clinical advantage to using VLCDs that provide less than 3349 kJ/d (800 kcal/d).
There may be a limited role for VLCDs providing < 3349
kJ/d (800 kcal/d) for the control of certain medical conditions,
particularly diabetes (38). Other than these potential diseasespecific
interventions, this study suggests that there is no advantage
to using VLCDS providing < 3349 Id/d in terms of weight
loss, body composition, symptoms, acceptability of the diet, or
mood. Additional studies are needed to determine whether the
significant weight losses associated with VLCDS may be due to
their narrowing offood choices, which may improve adherence,
rather than to their extremely low energy intakes.
American Journal of Clinical Nutrition, Vol 41, 533-539, Copyright © 1985 by The American Society for Clinical Nutrition, Inc
ORIGINAL RESEARCH COMMUNICATIONS
A comparison of two very-low-calorie diets: protein-sparing-modified fast versus protein-formula-liquid diet
TA Wadden, AJ Stunkard, KD Brownell and SC Day
This study investigated the acceptability of two very-low-calorie diets in 16 moderately overweight persons participating in a weight reduction program. Subjects were prescribed a 1000-1200 kcal balanced diet the first month and asked to complete appetite and mood scales on a weekly basis. They were then randomly assigned to either a protein-sparing- modified fast (PSMF) or a protein-formula-liquid diet, each of which provided about 400 kcal daily. Analysis of the appetite data showed that PSMF subjects reported significantly less hunger and preoccupation with eating than did liquid diet subjects during 2 of the 4 weeks on a very-low-calorie diet. Subjects in both conditions reported significant reductions in anxiety. Results are discussed in terms of possible advantages of PSMF.
ORIGINAL RESEARCH COMMUNICATIONS
A comparison of two very-low-calorie diets: protein-sparing-modified fast versus protein-formula-liquid diet
TA Wadden, AJ Stunkard, KD Brownell and SC Day
This study investigated the acceptability of two very-low-calorie diets in 16 moderately overweight persons participating in a weight reduction program. Subjects were prescribed a 1000-1200 kcal balanced diet the first month and asked to complete appetite and mood scales on a weekly basis. They were then randomly assigned to either a protein-sparing- modified fast (PSMF) or a protein-formula-liquid diet, each of which provided about 400 kcal daily. Analysis of the appetite data showed that PSMF subjects reported significantly less hunger and preoccupation with eating than did liquid diet subjects during 2 of the 4 weeks on a very-low-calorie diet. Subjects in both conditions reported significant reductions in anxiety. Results are discussed in terms of possible advantages of PSMF.
Comparison of carbohydrate-containing and carbohydrate-restricted hypocaloric diets in the treatment of obesity: effects of appetite and mood
JC Rosen, DA Hunt, EA Sims and C Bogardus
After a weight-maintaining diet base-line, obese female inpatients were provided with either a carbohydrate-restricted diet (827 kcal; 35% protein, 64% fat, 1% carbohydrate) or a carbohydrate-containing diet (827 kcal; 35% protein, 36% fat, 29% carbohydrate) for 6 wk. When compared with the psychological adjustment during the base-line diet, there was a temporary increase in appetite and a tendency toward dysphoric moods and attitudes during the 1st wk of both treatment diets. After adaptation to the treatment diets, appetite and other psychological states were similar to those during the pretreatment weight-maintaining diet. There was no support for the idea that a carbohydrate-free protein-supplemented fast decreases appetite and elevates mood in comparison with an isocaloric carbohydrate-containing diet. Thus, suppression of appetite alone does not appear to be sufficient reason in itself for using diets of this type.
JC Rosen, DA Hunt, EA Sims and C Bogardus
After a weight-maintaining diet base-line, obese female inpatients were provided with either a carbohydrate-restricted diet (827 kcal; 35% protein, 64% fat, 1% carbohydrate) or a carbohydrate-containing diet (827 kcal; 35% protein, 36% fat, 29% carbohydrate) for 6 wk. When compared with the psychological adjustment during the base-line diet, there was a temporary increase in appetite and a tendency toward dysphoric moods and attitudes during the 1st wk of both treatment diets. After adaptation to the treatment diets, appetite and other psychological states were similar to those during the pretreatment weight-maintaining diet. There was no support for the idea that a carbohydrate-free protein-supplemented fast decreases appetite and elevates mood in comparison with an isocaloric carbohydrate-containing diet. Thus, suppression of appetite alone does not appear to be sufficient reason in itself for using diets of this type.
Changes in Food Cravings during Low-Calorie and Very-Low-Calorie Diets
Corby K. Martin, Patrick M. O’Neil and Laura Pawlow
Weight Management Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina.
Address correspondence to Corby K. Martin, Pennington Biomedical Research Center, 6400 Perkins Road, Baton Rouge, LA 70808. Email: martinck@pbrc.edu
Objective: This study examined food cravings during a primarily food-based low-calorie diet (LCD) and a supplement-based very-LCD (VLCD).
Research Methods and Procedures: The Food Craving Inventory (FCI) was used to measure general cravings and cravings for specific types of foods (sweets, high fats, carbohydrates/starches, and fast food fats). The FCI was completed by participants in the LCD and VLCD programs at baseline and after 11 weeks of dieting. The VLCD group also completed the FCI at Week 6 and after 5 weeks of a refeeding phase, when their diet consisted primarily of solid food.
Results: From baseline to Week 12, craving decreases were greater for the VLCD group than for the LCD group on all measures. All craving measures decreased significantly for the VLCD group. The LCD group experienced a marginally significant decrease in sweet cravings. Within the VLCD group, all craving measures decreased significantly by Week 6 and did not change thereafter, including after resumption of solid food intake, and craving scores during all dieting points were lower than baseline. Changes in cravings were not related to weight loss.
Discussion: Cravings did not increase during either diet; all changes represented decreases. Compared with a primarily food-based diet (LCD), a more restrictive supplement-based diet (VLCD) resulted in significantly larger decreases in food cravings that occurred by the end of the 5th week of supplement use and did not rebound with resumption of solid food intake. The results of this study suggest that food cravings diminish with calorie restriction.
Corby K. Martin, Patrick M. O’Neil and Laura Pawlow
Weight Management Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina.
Address correspondence to Corby K. Martin, Pennington Biomedical Research Center, 6400 Perkins Road, Baton Rouge, LA 70808. Email: martinck@pbrc.edu
Objective: This study examined food cravings during a primarily food-based low-calorie diet (LCD) and a supplement-based very-LCD (VLCD).
Research Methods and Procedures: The Food Craving Inventory (FCI) was used to measure general cravings and cravings for specific types of foods (sweets, high fats, carbohydrates/starches, and fast food fats). The FCI was completed by participants in the LCD and VLCD programs at baseline and after 11 weeks of dieting. The VLCD group also completed the FCI at Week 6 and after 5 weeks of a refeeding phase, when their diet consisted primarily of solid food.
Results: From baseline to Week 12, craving decreases were greater for the VLCD group than for the LCD group on all measures. All craving measures decreased significantly for the VLCD group. The LCD group experienced a marginally significant decrease in sweet cravings. Within the VLCD group, all craving measures decreased significantly by Week 6 and did not change thereafter, including after resumption of solid food intake, and craving scores during all dieting points were lower than baseline. Changes in cravings were not related to weight loss.
Discussion: Cravings did not increase during either diet; all changes represented decreases. Compared with a primarily food-based diet (LCD), a more restrictive supplement-based diet (VLCD) resulted in significantly larger decreases in food cravings that occurred by the end of the 5th week of supplement use and did not rebound with resumption of solid food intake. The results of this study suggest that food cravings diminish with calorie restriction.
The Evolution of Very-Low-Calorie Diets: An Update and Meta-analysis
Adam Gilden Tsai and Thomas A. Wadden
Department of Psychiatry, Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.
Address correspondence to Thomas A. Wadden, Department of Psychiatry, Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3029; Philadelphia, PA 19104. E-mail: wadden@mail.med.upenn.edu
Objective: Very-low-calorie diets (VLCDs), providing <800 kcal/d, have been used since the 1970s to induce rapid weight loss. Previous reviews of the literature have disagreed concerning the relative efficacy of VLCDs vs. conventional low-calorie diets (LCDs) for achieving long-term weight loss.
Research Methods and Procedures: We sought to update findings on the clinical use, safety, and efficacy of VLCDs and to perform a meta-analysis of randomized trials that compared the long-term efficacy of LCDs and VLCDs. Original research articles were retrieved by a Medline search and from prior reviews of VLCDs. Trials were included only if they were randomized comparisons of LCDs and VLCDs and included a follow-up assessment at least 1 year after maximum weight loss. Data were abstracted by both authors regarding: duration of VLCD, total length of treatment, attrition, short- and long-term weight loss, changes in weight-related comorbidities, and adverse effects.
Results: Six randomized trials were found that met inclusion criteria. VLCDs, compared with LCDs, induced significantly greater short-term weight losses (16.1 ± 1.6% vs. 9.7 ± 2.4% of initial weight, respectively; p = 0.0001) but similar long-term losses (6.3 ± 3.2% vs. 5.0 ± 4.0%, respectively; p > 0.2). Attrition was similar with VLCD and LCD regimens.
Discussion: VLCDs did not produce greater long-term weight losses than LCDs. In the United States, the use of liquid meal replacements as part of a 1000 to 1500 kcal/d diet may provide an effective and less expensive alternative to VLCDs. In Europe, VLCDs are used with less intensive medical supervision than in the United States, which reduces the cost of this approach.
Adam Gilden Tsai and Thomas A. Wadden
Department of Psychiatry, Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.
Address correspondence to Thomas A. Wadden, Department of Psychiatry, Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3029; Philadelphia, PA 19104. E-mail: wadden@mail.med.upenn.edu
Objective: Very-low-calorie diets (VLCDs), providing <800 kcal/d, have been used since the 1970s to induce rapid weight loss. Previous reviews of the literature have disagreed concerning the relative efficacy of VLCDs vs. conventional low-calorie diets (LCDs) for achieving long-term weight loss.
Research Methods and Procedures: We sought to update findings on the clinical use, safety, and efficacy of VLCDs and to perform a meta-analysis of randomized trials that compared the long-term efficacy of LCDs and VLCDs. Original research articles were retrieved by a Medline search and from prior reviews of VLCDs. Trials were included only if they were randomized comparisons of LCDs and VLCDs and included a follow-up assessment at least 1 year after maximum weight loss. Data were abstracted by both authors regarding: duration of VLCD, total length of treatment, attrition, short- and long-term weight loss, changes in weight-related comorbidities, and adverse effects.
Results: Six randomized trials were found that met inclusion criteria. VLCDs, compared with LCDs, induced significantly greater short-term weight losses (16.1 ± 1.6% vs. 9.7 ± 2.4% of initial weight, respectively; p = 0.0001) but similar long-term losses (6.3 ± 3.2% vs. 5.0 ± 4.0%, respectively; p > 0.2). Attrition was similar with VLCD and LCD regimens.
Discussion: VLCDs did not produce greater long-term weight losses than LCDs. In the United States, the use of liquid meal replacements as part of a 1000 to 1500 kcal/d diet may provide an effective and less expensive alternative to VLCDs. In Europe, VLCDs are used with less intensive medical supervision than in the United States, which reduces the cost of this approach.
Effects of a Low–Glycemic Load Diet on Resting Energy Expenditure and Heart Disease Risk Factors During Weight Loss
Mark A. Pereira, PhD; Janis Swain, MS, RD; Allison B. Goldfine, MD; Nader Rifai, PhD; David S. Ludwig, MD, PhD
JAMA. 2004;292:2482-2490.
Context Weight loss elicits physiological adaptations relating to energy intake and expenditure that antagonize ongoing weight loss.
Objective To test whether dietary composition affects the physiological adaptations to weight loss, as assessed by resting energy expenditure.
Design, Study, and Participants A randomized parallel-design study of 39 overweight or obese young adults aged 18 to 40 years who received an energy-restricted diet, either low–glycemic load or low-fat. Participants were studied in the General Clinical Research Centers of the Brigham and Women’s Hospital and the Children’s Hospital, Boston, Mass, before and after 10% weight loss. The study was conducted from January 4, 2001, to May 6, 2003.
Main Outcome Measures Resting energy expenditure measured in the fasting state by indirect calorimetry, body composition by dual-energy x-ray absorptiometry, cardiovascular disease risk factors, and self-reported hunger.
Results Resting energy expenditure decreased less with the low–glycemic load diet than with the low-fat diet, expressed in absolute terms (mean [SE], 96 [24] vs 176 [27] kcal/d; P = .04) or as a proportion (5.9% [1.5%] vs 10.6% [1.7%]; P = .05). Participants receiving the low–glycemic load diet reported less hunger than those receiving the low-fat diet (P = .04). Insulin resistance (P = .01), serum triglycerides (P = .01), C-reactive protein (P = .03), and blood pressure (P = .07 for both systolic and diastolic) improved more with the low–glycemic load diet. Changes in body composition (fat and lean mass) in both groups were very similar (P = .85 and P = .45, respectively).
Conclusions Changes in dietary composition within prevailing norms can affect physiological adaptations that defend body weight. Reduction in glycemic load may aid in the prevention or treatment of obesity, cardiovascular disease, and diabetes mellitus.
Author Affiliations: Department of Medicine (Drs Pereira and Ludwig) and Department of Laboratory Medicine (Dr Rifai), Children’s Hospital; General Clinical Research Center, Brigham and Women's Hospital (Ms Swain); and Joslin Diabetes Center (Dr Goldfine), Boston, Mass. Dr Pereira is now with the Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis.
Mark A. Pereira, PhD; Janis Swain, MS, RD; Allison B. Goldfine, MD; Nader Rifai, PhD; David S. Ludwig, MD, PhD
JAMA. 2004;292:2482-2490.
Context Weight loss elicits physiological adaptations relating to energy intake and expenditure that antagonize ongoing weight loss.
Objective To test whether dietary composition affects the physiological adaptations to weight loss, as assessed by resting energy expenditure.
Design, Study, and Participants A randomized parallel-design study of 39 overweight or obese young adults aged 18 to 40 years who received an energy-restricted diet, either low–glycemic load or low-fat. Participants were studied in the General Clinical Research Centers of the Brigham and Women’s Hospital and the Children’s Hospital, Boston, Mass, before and after 10% weight loss. The study was conducted from January 4, 2001, to May 6, 2003.
Main Outcome Measures Resting energy expenditure measured in the fasting state by indirect calorimetry, body composition by dual-energy x-ray absorptiometry, cardiovascular disease risk factors, and self-reported hunger.
Results Resting energy expenditure decreased less with the low–glycemic load diet than with the low-fat diet, expressed in absolute terms (mean [SE], 96 [24] vs 176 [27] kcal/d; P = .04) or as a proportion (5.9% [1.5%] vs 10.6% [1.7%]; P = .05). Participants receiving the low–glycemic load diet reported less hunger than those receiving the low-fat diet (P = .04). Insulin resistance (P = .01), serum triglycerides (P = .01), C-reactive protein (P = .03), and blood pressure (P = .07 for both systolic and diastolic) improved more with the low–glycemic load diet. Changes in body composition (fat and lean mass) in both groups were very similar (P = .85 and P = .45, respectively).
Conclusions Changes in dietary composition within prevailing norms can affect physiological adaptations that defend body weight. Reduction in glycemic load may aid in the prevention or treatment of obesity, cardiovascular disease, and diabetes mellitus.
Author Affiliations: Department of Medicine (Drs Pereira and Ludwig) and Department of Laboratory Medicine (Dr Rifai), Children’s Hospital; General Clinical Research Center, Brigham and Women's Hospital (Ms Swain); and Joslin Diabetes Center (Dr Goldfine), Boston, Mass. Dr Pereira is now with the Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis.
yesterday was a horrendous day for me.. I felt like i didnt have any appetite for any sort of food.. I had to reverse my condition.. So i ate 3 chicken sandwich and a huge salad + scrambled egg wth bread
600 cal chick
+ 300 cal egg
+ 100 cal salad with lots of raisins
===1000 cal diet
Today since morning i ate
3 chicken sand-- 700 cal
coffee-- 100 cal..
800.....
My appetite has reduced drastically..I dont feel like eating anything. i know, i can continue this forever..but, i need to break it in between to avoid myself in entering into Semi starvation mode.. As per studies i shldnt lower my cal intake below 720...around 800....
I doesnt make a huge difference to keep it as high as 1200..I wud start taking Vitamin pills to keep my Vitamin in check.. Usually it is said that vitmain like folate is in store in our body for 6 mths. So, i still have some time but i shldnt be taking any chances..
As regards to my studies, it has been miserable. No cardio no rhemat. i do feel guilty about it..
My weight today was 194.2. It seems i have lost any weight this week..but its okay. I have been working hard for the past 4-6 weeks and i was able enugh to bring it down to 195..That itself is an achievement.. And Over the past 1 week, i havent ate anything stupid..
600 cal chick
+ 300 cal egg
+ 100 cal salad with lots of raisins
===1000 cal diet
Today since morning i ate
3 chicken sand-- 700 cal
coffee-- 100 cal..
800.....
My appetite has reduced drastically..I dont feel like eating anything. i know, i can continue this forever..but, i need to break it in between to avoid myself in entering into Semi starvation mode.. As per studies i shldnt lower my cal intake below 720...around 800....
I doesnt make a huge difference to keep it as high as 1200..I wud start taking Vitamin pills to keep my Vitamin in check.. Usually it is said that vitmain like folate is in store in our body for 6 mths. So, i still have some time but i shldnt be taking any chances..
As regards to my studies, it has been miserable. No cardio no rhemat. i do feel guilty about it..
My weight today was 194.2. It seems i have lost any weight this week..but its okay. I have been working hard for the past 4-6 weeks and i was able enugh to bring it down to 195..That itself is an achievement.. And Over the past 1 week, i havent ate anything stupid..
the good part is I had lot of veggies in my sandwich.. lots of spinach Lettuce..tomato onion pepper and pickle . It wholesome meal..The grilled chicken pattie is precooked ..all ineed to do is warm it..
and Bread that i use contain only 80 cal (2 slices) So Overall its all yummy high protein high fiber yummy sandwich..Even One makes me Full...
and Bread that i use contain only 80 cal (2 slices) So Overall its all yummy high protein high fiber yummy sandwich..Even One makes me Full...
You all must be wondering whats wrong with me.. I know. I guess, iam unable to comprehend the magnitude of studies required to pass my exam. God give me courage to fight my quest. Its another few more days for me to go, for quitting smoking. Its a promise that i have to work on. And I wont give up.
Todays plan
try to avoid surfing
2. meet my boss at school
3. study
4. Start focusing on my dietary plan
I weighed 194 today. so, the past whole week, i might have lost like 0.6 lbs. Anyways, i wud write more tomorrow.
Todays plan
try to avoid surfing
2. meet my boss at school
3. study
4. Start focusing on my dietary plan
I weighed 194 today. so, the past whole week, i might have lost like 0.6 lbs. Anyways, i wud write more tomorrow.
i did well for the past few days.
yesterday, i ate veggie sub ( withour cheese or dressing) n lots of veggies and 3 chicken sandwich. ( wih lots of spinach).
studied for 6 hrs and went to the hospital for rounds( 6 hrs). iam happy with my progress.
today, since morning, i have been studying ..( 4 hrs)
ate chicken sandwich n boiled broccoli n green beans
n coffee.
Dietary wise, iam happy iam able to stick with my diet n i feel optmistic about my weight loss goals.
Studywise, i have started reading. Finished with GIT ..( gastro intestinal tract).today i was supposed to revise it and start a new topic..( Endocrine wud be the next one to go)
I watched couple of movies few days back, but now i guess iam in control. watched Heros yesterday, but it didnt excite me. I thou, they would somehow come up with some logical conclusion as on whos goona explode but nothing yet...
Namesake was a huge dissapointment as well..
Anyways i would write more tomorrow.
yesterday, i ate veggie sub ( withour cheese or dressing) n lots of veggies and 3 chicken sandwich. ( wih lots of spinach).
studied for 6 hrs and went to the hospital for rounds( 6 hrs). iam happy with my progress.
today, since morning, i have been studying ..( 4 hrs)
ate chicken sandwich n boiled broccoli n green beans
n coffee.
Dietary wise, iam happy iam able to stick with my diet n i feel optmistic about my weight loss goals.
Studywise, i have started reading. Finished with GIT ..( gastro intestinal tract).today i was supposed to revise it and start a new topic..( Endocrine wud be the next one to go)
I watched couple of movies few days back, but now i guess iam in control. watched Heros yesterday, but it didnt excite me. I thou, they would somehow come up with some logical conclusion as on whos goona explode but nothing yet...
Namesake was a huge dissapointment as well..
Anyways i would write more tomorrow.
pinkydolly
New member
Hihi, pardon me but u seem really engrossed in research. Is that part of your studies?
hope u dun get too stressed out. kinda worrying to see u 'talking' to yourself. Remember to be nice to yourself k! Dun let yr calories go too low! take care!
hope u dun get too stressed out. kinda worrying to see u 'talking' to yourself. Remember to be nice to yourself k! Dun let yr calories go too low! take care!