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Tag: Advice

The GP weight loss advice and programmes that help keep size down ‘for years’

You don’t even have to be trying to lose weight to be overwhelmed by the cacophony of diet advice out there.

It certainly doesn’t help when so many weight loss ‘experts’ and diets contradict one another.

Dieters would be right to be wary about who to trust, which is why researchers set out to review the most effective programmes as led by GPs.

Indeed, your GP can help you lose weight and keep it off, according to a review just published in the medical journal The BMJ.

The research examined different GP-led weight loss programmes and what made them successful.

Read on for the findings, as explained by two of the study’s co-authors – Claire Madigan, a senior research associate of Loughborough University, and Liz Sturgiss, a senior research fellow of Monash University.

Researchers found GP-led weight loss programmes worked
(Image: Getty Images/iStockphoto)

For people looking to lose weight, it can be hard to know where to start.

Not only are there scores of commercial weight loss programmes to choose from, there’s also plenty of confusing and contradictory advice to be found online or in magazines.

But the best person to help you lose weight may actually be your family doctor, as our recent review showed.

We found that weight loss programmes delivered by general practitioners (GPs) and their teams can help people lose weight and reduce their waist size.

We also found that people were able to maintain their weight loss even after two years.

What weight loss programmes work?

The review found those who received help from their GP lost more weight
(Image: Getty Images/iStockphoto)

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To conduct our review, we looked at 27 studies with data from 8,000 people. There was a lot of variation in the weight loss programmes offered by GPs.

Some studies involved participants who only had one short advice session with a doctor, while others involved multiple visits with their GP.

The length of the programmes also varied – from three months to three years.

Most sessions were conducted in person, while some were done over the phone or online. In some studies, nurses, dieticians and health coaches also gave weight loss advice to participants.

The advice GPs gave to participants usually included education about increasing physical activity and reducing calorie intake through self-monitoring.

Sometimes weigh-ins and feedback was also included to motivate patients. Some studies also had GPs give patients specific diets or structured workout plans.

We found that, after a year, people who received help from their doctor lost an average of 3.7kg – 2.3kg more than people who did not receive help from their GP.

While this difference in weight loss may seem small, even losing 2{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c}-5{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of body weight can have a range of health benefits, such as improved blood sugar levels.

We also showed that people who lost weight with help from their GP kept around 80{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of it off when followed up two years later.

Weight loss success

The right help and advice can make it easier to stick with a weight loss programme – and keep weight off long term
(Image: Getty Images/iStockphoto)

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Perhaps unsurprisingly, we found that the more contact a person had with their GP the better.

Patients who saw their GP at least 12 times during the programme lost the greatest amount of weight.

We also found that the two programmes that had the greatest weight loss in a 12-month period were those that used a total diet replacement plan.

Total diet replacements involve replacing foods with a number of formula products such as shakes and provide between 800-1200 calories per day.

These are mostly used in people with high sugar levels to try and reverse type 2 diabetes. However anyone with obesity may use them to lose weight quickly.

The third best programme involved weekly sessions for the first six months, followed by monthly sessions for 18 months thereafter.

For the first month, participants were given prepackaged foods and meal replacement shakes.

Replacement of foods may be easier to stick to at first as participants don’t need to decide what foods to make.

Our findings indicate that having the right kind of help and advice can make it easier for people to stick with a weight loss programme – and keep this weight off long term.

We know from other research that having a weight loss plan can help people lose weight better than those who follow self-guided programmes.

We know from other research that commercial weight loss programmes (such as Weight Watchers or Slimming World) can also help participants lose between 0.8kg and 2.7kg on average in a year compared to those who didn’t attend such a programme.

While these programmes may be moderately successful in helping people lose weight, the downside is that they’re often conducted in a group setting, may only be offered in more populated communities, and be costly, all of which could be off putting for some people.

But almost everyone has access to a GP, which may be another reason why weight loss advice given by them can be helpful for people looking to lose weight.

Research also shows that having a trusting relationship with your GP may also make treatments – such as weight loss programmes – more successful.

In the future we are going to look at whether these programmes are effective for different ethnic groups, genders and people that live in deprivation.

Many studies don’t report some of these characteristics so we must make sure we are reducing inequalities by offering these programmes.

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An important consideration in all of this is that doctors are already overworked – and often don’t have the time to deliver weight loss programmes.

But our study also showed that advice given by a member of the GP team – such as a nurse or health coach – worked just as well.

If you’re someone looking to lose weight, the best weight loss programme is the one you’re likely to stick with. But speaking with your GP may helpful, especially if you don’t know where to get started.

Claire Madigan, Senior Research Associate, Centre for Lifestyle Medicine and Behaviour, Loughborough University and Liz Sturgiss, Senior Research Fellow, Monash University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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June 4, 2022
Expert Offers Advice on Maintaining a Healthy Lifestyle Before, During and After Cancer Treatment

Kristie L. Kahl: Can you clarify how preserving a wholesome way of life assists right before a analysis, throughout therapy and over and above that?

Dr. Navya Nair: Certainly. So preserving a nutritious way of life is just so significant in all levels, most cancers avoidance, and even following a diagnosis and although someone’s going through cure. So a healthier eating plan. So properly balanced food plan with heaps of fruits and vegetables, lean meats, having typical cardiovascular work out, staying away from toxins like tobacco, restricting alcohol use can lessen your possibility of ever having a cancer prognosis. So for instance, we know that tobacco use is straight linked to lung cancer risk. Possessing a healthier BMI cuts down your hazard of receiving endometrial cancer. So these are how some of these healthy life can reduce you from getting a most cancers.

Now, you also asked how this can enable when somebody has a diagnosis and they’re in cure. You know, possessing a wholesome system permits you to get by some of these truly tricky therapies. And, you know, I often explained to my people that a major cancer surgical procedures typically is like managing a marathon and acquiring a really fit body just before will allow you to get by that improved and have less troubles. And significantly like surgical treatment, chemotherapy, radiation, these are all things quite tough on the body that having a robust system. And the other critical component that I didn’t chat about yet is owning a healthier head and owning powerful help techniques stores for strain and nervousness. In some form of apply of reflection, regardless of whether you do yoga meditation, is psychological wellbeing is just as critical as actual physical overall health, particularly when working with cancer.

Kahl: Absolutely. So from the training standpoint, we know workout is great. But can you give some examples of how folks can keep energetic due to the fact I imagine you will find often a misperception that you know, we you need to run a mile or two miles but I believe we can go simpler than that. So can you give us some illustrations for our individuals?

Nair: Unquestionably. Certainly, so it really is vital to get a heart level up. So on the other hand you like to do that. So for some folks they like to operate. Some people today detest to run possibly you choose to swim or both equally. Go for vigorous walks. Go for a bicycle trip. The goal is to get your coronary heart charge up for 30 to 60 minutes about three to 4 instances a 7 days.

Kahl: Absolutely. And then in the same way with diet, why is diet plan vital when it arrives to when you might be in remedy, but also those lengthy-expression outcomes? And are there examples of the forms of diets that our patients should be trying to get?

Nair: So definitely, it is a very well-well balanced food plan with, you know, stability of the unique foods groups. And particular factors like if we are seeking at patients, challenges and outcomes related to surgery, having a wholesome quantity of protein in your diet regime increases your capacity to get better from operation. But the goal is seriously acquiring a nicely-well balanced diet and preserving that as considerably as you can all through and just after therapy.

Kahl: Unquestionably. And so to carry it all jointly, what is your major piece of information for a affected individual with a gynecologic cancer who is possibly interested in producing improvements toward a more healthy life style, now that they’ve acquired a prognosis?

Nair: I would say my most significant suggestions would be to decide on 1 or two points that that you want to try out to modify. Never try to adjust almost everything at after. Because it is really way too tricky on any just one man or woman. So pick one or two points that you happen to be intrigued in modifying. Test to do that. It frequently will work greater when individuals make a modify as a family members unit. So if you are trying to try to eat much healthier, or go for far more normal exercising, check out to make that a loved ones activity, mainly because it’s much more possible to stick if you do that alongside one another.

Transcription edited for clarity and conciseness.

May 31, 2022
Fitness Corner: The most useful health and fitness advice I’ve ever received

20 yrs in the past, I started out my profession in the health and fitness marketplace, but physical exercise was already an integral section of my daily life for long ahead of that. I have been exposed to a excellent offer of official and informal discovering over the many years, together with guidance, ideas, tricks, methods, methodologies and a number of schools of thought about anything at all and anything to do with diet and health.

But the best assistance I ever got, and retained long-phrase, was from the mouths of professional, proficient and palms-on trainers and coaches, most of it early on or prior to my physical fitness career. Occasionally you listen to some thing and it just clicks. In this article are some of the words of knowledge that have been exceptionally helpful all over my individual conditioning progress and my specialist teaching and coaching profession.

“Lean and green”
Just one of the very first parts of advice I ever obtained from Mentor Dan Potts, in solution to my issue of how to lean out (reduce fat and acquire muscle). This is the abbreviated version of “Lean protein and inexperienced greens.” Born and elevated vegetarian, feeding on protein was under no circumstances at the forefront of my exercise ambitions. I ate wholesome, of course, but I was confined in my muscular gains by a lack of protein. This was early on in my profession, and the initially time I definitely understood the worth of focused having to reach specific fitness aims. This was prior to counting macronutrients (protein, carbohydrates, fats) became a popular apply. I have suggested purchasers, and revisited it myself yet again and again—making nutrient-dense but reduce-calorie lean protein and (mostly) green vegetables the basis of an taking in prepare to return to a leaner overall body composition.

“Fitness is like the stock market”
At the starting of my occupation, I was operating out tough and setting up to burn off out due to the fact I was not enabling enough time to for my entire body (and mind) to get better. I believed that if I backed off in any facet of my program it would suggest that I was not making an attempt challenging sufficient. (I didn’t however actually understand how important rest and restoration are to a profitable exercising software and irrespective, I was not about to implement that to myself.) This advice arrived from a person of my first mentors in the exercise industry. She reminded me that when you make investments in the inventory current market, you may perhaps see the value of your investment decision increase and tumble. But as very long as you continue to be in, you are very likely to appear out ahead. Her exceptional place was that I didn’t need to regularly get the job done out tricky to get the very long-phrase added benefits of operating out. Mixing up diverse intensities, taking days off and doing lighter weight with bigger reps and vice versa would allow my human body to recuperate even though nevertheless being energetic. For the most part, I have stayed in the “market” ever considering that.

“Hunger is your body burning calories”
It was at a stage in my everyday living in which my body’s rate of metabolism was totally raging. I was young and performing daily long/intense strength exercise routines as properly as countless biking and operating. I ate all working day just about every working day nonetheless I was frequently hungry. I was also very lean (some may possibly say a little too slender.) When a coach at my fitness center gave me this suggestions, it clicked for the reason that it helps make perception physiologically. My human body was burning serious energy and my foods ingestion couldn’t match it, ensuing in my extreme leanness. I wouldn’t suggest that any person make it possible for by themselves to be hungry all the time (with the exception of reaching some pretty specific short-expression goals) but starvation is a resource that can be utilized intentionally to support with pounds reduction and altering entire body composition. These times, permitting hunger is frequently applied by way of intermittent fasting or no snacking.

“Dan Potts Leg Day story”

Lots of yrs ago, Dan used to do heavy leg workouts on Fridays. He would work out so really hard and tactic it with this sort of depth that he came to strain about it beforehand, to the place where he commenced acquiring issues sleeping every single Thursday night time. Till one working day, he was driving to his gymnasium, on his way to his leg exercise session, dreading it as regular. At a stoplight, he looked above and saw a Vietnam veteran in a wheelchair. The veteran’s legs have been missing. In an quick, Dan skilled a complete mindset adjustment. Not only did he end stressing about or dreading his leg exercise routines, from that minute ahead he embraced Leg Day with the realization that each instant he was equipped to do the job out his legs was a blessing and a reward. And it was his selection alone to operate that tough and endure tremendous soreness to comprehend the gains and ambitions he wished to accomplish. (I do not have a picture of him squatting 600 kilos, but I am together with the physical fitness gear advert, over, that his legs starred in.) As another person who has labored out intensely but also bemoaned a lot, this story gets me every time I assume of it. I am reminded that I have the energy to change my perspective and my viewpoint at any time, and often I genuinely want that reminder. Never we all.

This is some of the finest wellbeing and health and fitness tips I’ve ever obtained, words and phrases of knowledge and encounter that continue to resonate with me individually, and that I’ve used and expanded on to guidebook and suggest other individuals in my expert job. I should really be so lucky if, about the years, I have been able to effect as deeply any one of my have purchasers, athletes, buddies, family members and you, my audience.

— By Pritam Potts

Mentor Pritam Potts is a author and toughness mentor. Just after 16-additionally years of education athletes and consumers of all ages as co-proprietor of Edmonds-based Superior Athlete LLC, she now lives in Dallas, Texas. She writes about well being & physical fitness, grief & reduction, love & daily life at www.advancedathlete.com.

April 5, 2022
Tardive Dyskinesia and Your Mental Health: Tips, Advice, and More

Up to 1 in 3 people today who choose antipsychotic or neuroleptic medications to deal with mental wellbeing problems like schizophrenia, key melancholy, or bipolar disorder knowledge a assortment of uncontrollable actions.

This is a medicine side effect identified as tardive dyskinesia. Tardive dyskinesia brings about jerky motions of the confront, neck, arms, and legs.

On leading of controlling a mental health and fitness problem, encountering these styles of uncontrollable movements can impact your quality of daily life in numerous ways. The far more significant these actions are, the far more of an effects tardive dyskinesia can have.

Here are just a couple of the possible outcomes tardive dyskinesia can have on your life and how to manage them.

With tardive dyskinesia, your lips could possibly instantly pucker, your experience could crinkle into a frown, or you could possibly stick out your tongue at a stranger. People today who really do not know what’s heading on could possibly stare, whisper, and inquire queries.

Folks who expertise tardive dyskinesia say that the impression on their social daily life is just one of the hardest areas of residing with it. Humiliation can be a massive difficulty. Panic of undesirable attention causes some men and women to withdraw from good friends and family members, in particular if signs are extreme.

A person way to regulate the stigma of tardive dyskinesia is to understand every thing you can about it. Then when you fulfill a person who asks concerns, you’ll know how to response them.

Surrounding you with supportive men and women can assist relieve some of the embarrassment. Think about opening up to family and friends about what it’s like to dwell with tardive dyskinesia. You may possibly also contemplate joining a movement issues support team to connect with other folks who have an understanding of particularly what you are going by.

When scientists reviewed social media posts from folks dwelling with tardive dyskinesia, 64 p.c of people posts had been negative. Persons wrote about getting annoyed with their signs. Several described owning tardive dyskinesia as a really distressing encounter.

If you really feel indignant or pissed off, get to out to a person for assist. You could discuss with a therapist or counselor who operates with folks who have persistent conditions. Or contact an group like the Countrywide Alliance on Psychological Health issues or the Melancholy and Bipolar Assist Alliance for suggestions.

Insecurity is one more frequent theme people today dwelling with tardive dyskinesia mention on social media. They say that they truly feel unpleasant, unaccepted by other people, and uncomfortable in their possess skin. Some folks have explained that living with tardive dyskinesia is so discouraging that they’ve had ideas of suicide.

If tardive dyskinesia has influenced your self-self confidence, examine with your medical professional to make positive you’re on the suitable treatment method. Lean on pals and family for assist. Nevertheless it can be hard to have a sense of humor about these movements, some folks uncover that laughing at themselves assists reduce panic.

And if you ever have thoughts of hurting you, contact 911 or the National Suicide Avoidance Lifeline (800-273-8255) ideal absent.

A person way to decrease tardive dyskinesia signs is to lessen the dose of your antipsychotic or neuroleptic treatment. It’s crucial to verify with your medical professional prior to generating any changes to your remedy. In advance of earning the final decision to lessen the dose, you need to look at your mental well being, far too.

Even though changing your dose may possibly boost the actions, it could also lead to a relapse of the underlying mental well being ailment. Far more than fifty percent of persons living with schizophrenia who cease having their medication relapse inside 9 months.

A intense relapse could direct to a clinic remain. One particular analyze identified that a tardive dyskinesia analysis caused up to a 19 p.c raise in healthcare facility visits and admissions.

If you need to have to keep on your treatment, there are other therapies you could possibly attempt for tardive dyskinesia. Valbenazine (Ingrezza) and deutetrabenazine (Austedo) are two medications that modify levels of dopamine in your mind to reduce the actions.

Even if the despair, bipolar ailment, or schizophrenia is perfectly-controlled, you might locate it tougher to get or continue to keep a work due to tardive dyskinesia. Folks who experience this aspect influence are much less likely to be utilized than those people who do not.

The stigma of tardive dyskinesia can get in the way of getting a work. Some persons are also ashamed to utilize for employment. Other folks discover that the movements make it hard to meet up with the specifications of their task.

Tardive dyskinesia makes perform far more demanding but not unattainable. You could possibly have to make clear the actions to your manager and co-employees. At the time they’re knowledgeable, you may possibly be in a position to established up lodging to help you do your position a lot more quickly.

If tardive dyskinesia helps prevent you from performing, you may perhaps be capable to go on incapacity go away until finally indications enhance. You could also take a look at operate-from-house possibilities.

When you’re residing with tardive dyskinesia, it is essential to find emotional support. Talking with other folks about what you are going by means of can enable you come to feel less by yourself and make improvements to your quality of daily life.

Think about opening up to close friends, loved ones, and other liked kinds so that they know how to help and assistance you.

Look into joining a help group, regardless of whether in individual or online, to hook up with other folks who have an understanding of firsthand what lifestyle with tardive dyskinesia is like. Talk to your medical doctor about out there means near you.

The National Corporation for Tardive Dyskinesia provides opportunities to read through stories from other individuals and share your personal encounters. The National Alliance on Psychological Disease presents numerous aid groups and on the net discussion groups. Social media teams like this one particular on Fb can also link you with other folks who are living with tardive dyskinesia.

The uncontrollable actions of tardive dyskinesia can have an effects on your high quality of life. Help is accessible to alleviate the movements themselves and the results they can have on your emotions, function, and social everyday living.

If you experience not happy or confused, achieve out to beloved types, a help group, or a psychological wellbeing skilled for guidance.

April 3, 2022
Huddersfield boss awaiting medical advice on four players before Nottingham Forest clash

Huddersfield Town boss Carlos Corberan is to request health care assistance on no matter if four gamers will be ready to perform in opposition to Nottingham Forest in the FA Cup.

© Getty
Waiting recreation… Huddersfield Town manager Carlos Corberan

The two sides fulfill in the fifth round on Monday night time with a plum household tie against Liverpool the reward for the victors.

Huddersfield place three aims earlier Championship basement side Peterborough United without having reply on Friday evening, and Corberan is expected to manage his policy of rotating his crew in the FA Cup.

Central defender Levi Colwill and wideman Josh Koroma ended up each absent from Friday’s win thanks to disease, whilst Lewis O’Brien picked up a knock late in the initially 50 percent – however he was in a position to play 32 minutes of the second half before staying changed by Jordan Rhodes.

Tino Anjorin manufactured his long-awaited debut from the bench having invested five months on the sidelines with a damaged metatarsal.

All 4 gamers will need to have to be assessed to see how a lot of a section they can participate in versus Forest.

O’Brien had taken an accidental kick just below his knee against Peterborough while he cleared the ball and obtained health-related focus on the pitch in advance of continuing.

Corberan explained to YorkshireLive : “We know he is a incredibly crucial participant for us, so I hope we can not miss him.

“He been given a kick and it is really not common to see O’Brien inquiring for the health-related workers, so that was a little something that built us sense a tiny little bit anxious.

“He instructed me that he feels [OK] but let’s see how he progresses.”

Requested if possibly Colwill or Koroma experienced covid, Corberan replied: “Not that we know proper now from the checks that we have so much.

“The situation is that each ended up sick – Koroma with temperature, Colwill with no temperature but not emotion well – so now I want to wait around for the doctor’s affirmation of when both gamers are likely to be obtainable.”

On Anjorin, Corberan claimed: “It’s crucial he recovers his physical fitness levels and his football exercise degrees to be in good shape and enable the workforce.

“I know he is a player with a ton of talent but he’s however a participant who requirements to hold participating in and teaching much more to be able to help the crew.

“Of training course, he is likely to will need a interval of time of adaptation in which we have to have to be extremely patient to not provoke any damage that occasionally when you have an excess of minutes you can create, but at the exact time expose the player to obtain the degree we have to have to realize in him.”

Will Nottingham Forest make it into the quarter-finals of the FA Cup? Be part of the dialogue in the remarks part below…

March 6, 2022
Jane Brody: Here’s How Health Advice Changed Since I Joined The Times

Surgical procedures. Early in my occupation, radical mastectomy was the gold normal for dealing with breast cancer, and I recall saying that would be my preference if I received this ailment. Tiny by minor, by massive, high priced clinical trials, this overall body-deforming procedure has been just about entirely replaced by early detection and negligible surgical treatment, frequently adopted by radiation and chemotherapy, when survival premiums have soared.

Also, I’ve witnessed significant enhancements in operation to eliminate cataracts (now an outpatient technique) replace hips, knees, shoulders, elbows and even finger joints crippled by arthritis and protect against heart assaults and strokes by bypassing obstructed arteries. Not to point out the ability to transplant organs between genetically different individuals, or even from animals to human beings. Today, most recipients of coronary heart and lung transplants accomplish extensive-phrase positive aspects.

Pediatric surgeons now function to accurate or lessen big probably deadly defects, which includes spina bifida and obstructed airways, although infants are continue to in the womb. Intrauterine gene therapy, now currently being analyzed in fetal animals, is most likely subsequent. And bariatric surgeons can now properly facilitate significant excess weight decline in youngsters and older people with well being-threatening obesity when dietary modifications really don’t suffice.

Sexuality and gender. Our knowing of human sexuality has also undergone a cataclysmic shift towards health care and cultural acceptance of lesbian, gay, transgender and queer people today. It might shock you to learn that a Web site 1 article I wrote in 1971 recommended that psychotherapy could assistance homosexuals grow to be heterosexual, an concept that I, alongside with well being gurus, now scorn as abusive.

Medicine now acknowledges and accepts a broad selection of gender and sexual identities. Progressively, persons who recognize as transgender, for instance, are in a position to undertake a gender identity or gender expression that differs from what is usually involved with the “male” or “female” intercourse they were being assigned at beginning.

Mental wellness. The closing of most psychiatric hospitals and deinstitutionalization of folks with major emotional conditions through the 1950s and ’60s lit a fire beneath long-needed endeavours to develop greater therapies for mental disease. There are now a lot of helpful drugs and other therapies for widespread circumstances which include bipolar disorder, depression, anxiousness, focus deficit hyperactivity problem, write-up-traumatic strain ailment and psychosis.

The recognition of autism as a spectrum ailment is fostering better knowledge of kids and grownups with this condition. Leaders in their discipline, like the animal scientist Temple Grandin and the actor Sir Anthony Hopkins, who have talked brazenly about staying on the spectrum, are supporting other individuals locate acceptance in society.

More than nearly anything else, what is stored me crafting beyond age 80 is the comments I have gained from viewers with heartwarming personal accounts of life remodeled through the data and assistance my column supplied. May perhaps my successors glean as considerably pleasure as I have from researching and composing about whichever the potential retains.

February 21, 2022