• Jun22

    Dr Oz says “break it down and make it simple”.  Dr. Roizen says “diet smart, not hard: small changes make a big difference.” They recommend in their new YOU: Losing Weight

    * Recruit your team. You need someone to cheer for you and take the fries from you.
    * Plan Your Plate.
    * Take a You-Turn. We all make mistakes: take an authorized U-turn and turn things around.
    * Keep moving! Walk just 30 minutes a day.

    They’re right, especially for women who want to lose weight.

    But for men and women, there’s something to add to this advice, which I also give often to my own patients.

    It taps into something we all care about: sex, sex drive, performance and looks. Not to mention hormones.

    I’m for it. Whatever my patients care about most will help them make the changes that are best for their energy level, heart, liver, kidneys and their family.

    Here is a clip I’ve shown at recent talks: it’s a little risque, but it’s national TV.

    When I show it to audiences, I ask people if they think it is frivolous, unprofessional, meaningful or important.

    I also ask whether it changes their view of belly fat. Does it for you?

     
  • Jan10

    No one writes down on my medical practice questionnaires that they eat because they are stressed.

    People say that they eat for a reward, or are lonely or bored, or are happy or angry or frustrated, or because they want to.

    Scientists who study workplace health group say those feelings can mean “chronic stress.”

    But senior management see those feelings as something else: as overtime pay, temporary help, quality lapses, and higher health care, drug and health plan costs.

    Inside companies, health-related lost work time is barely noticed, because it is camouflaged as wanting to eat.

    When you drill down and look at the science, you find that some (acute) stress is helpful in the workplace.  And that learning to manage chronic stress boosts productivity and saves money.

    The place between acute and chronic stress is the razor’s edge. The science of job stress tells us that individualizing help at work is part of a successful program, with evidence-based interventions.

    Medical science now studies what works in stress management: behavioral therapy, exercise, relaxation and nutrition.  A few examples:

    Relaxation: a controlled trial of one 45 minute Swedish massage versus light touch measurably reduced cortisol levels and inflammatory markers (these levels and markers which are high in obese people too).

    Exercise: a randomized controlled trial of yoga postures measurably improved mood, increased GABA levels and decreased anxiety more than calorie-equivalent walking.

    Simple behavioral changes (breathing exercises) and dietary changes (chewing gum) also have scientific theory and data.

    There are many excellent resources online for individuals and companies that want to manage stress well. I’ve just taped an instructional DVD on the subject, and it’s fascinating!

     
  • Nov3

    I am getting more calls about managing stress among employees. Thoughts impact physiology in about 1/18th second, so it’s worth preparing for them.

    What many companies, now asking employees to do with more with less, don’t know is that stress can be measured, reduced and managed.  And that their health care costs will go down, and their productivity rates will likely go up.

    Chronic stress interferes with memory, concentration, judgments and decisionmaking.  It is the most common cause of absenteeism and a prime cause of job turnover. It’s probably the most important benefit of corporate wellness.

    And it boosts health costs.  A lot.  But HeartMath has found $1200 per employee per year in correctional officers’ annual cost savings with simple training programs over time.

    Stress is a complex emotional and physiological reaction.  It is a natural feeling, one that involves hundreds of biochemical changes which are fatiguing.

    Stress can be controlled with practiced actions

    • Communicate clearly (does not mean shouting)
    • Diminish the drama (helps reduce biochemical impact)
    • Practice a positive emotion on purpose: appreciation, care, compassion or gratitude (verbalize or write these, every day)

    This looks pretty simple. And it is.

    But like eating healthfully, people know what they should do, but don’t usually have the tools or skills to do it.  That’s why teaching tools are essential.

    For example, rhythmic breathing can be relaxing.  But it doesn’t neutralize stress over the long term  What does is actively adding a positive feeling like those above.

    I’m going to be teaching on-the-job ways to manage stress around the country next year, and I can’t wait. Because effectively managing stress can:
    1. Increase resilience  – ability to prepare for, and recoup from challenge
    2. Improve blood pressure, depression, asthma
    3. Reduce fatigue, burnout, hostility, anxiety, distress and anger.
    4. Increase brain clarity, focus, attention span, accuracy and learning ability
    5. Improve decision‐making, (reduction of decision fatigue)
    6. Improve communication skills
    7. Improve work/life balance

    This means lower health care costs, better presenteeism (defined as the level of performance on the job), less abseenteeism and improved employee satisfaction.

    Learning the tools–in even a single hour, and even better, a single day–may be the ticket to less tired, less worried, less annoyed, less anxious employees.

     
  • Oct5

    Chronic stress affects productivity and the bottom line.  It also increases and worsens heart disease, stroke, impotence, hypertension, back problems and depression. Obesity and flu go up too.

    Stress can kill…or at least injure.  It causes rigidity and diminishes the ability to help others.

    Working well under acute, short-term pressure is one thing, and can be entirely helpful and healthy.

    Working well under constant, unremitting, long term stress is another thing altogether. It means higher cortisol levels, a constant-fight-or-flight-response, and burn-out. Not healthy.

    The most powerful and easiest interventions workers can learn are small, focused interventions to minimize stress and balance work and family.

    This leads to lower employee turnover and improved productivity…just what I teach in seminars.

    Consider these facts from the Business Group on Health: 

    • “Each year, an estimated 39 million work days are lost to obesity-related illnesses.4

    • Influenza-attributable illness for adults aged 18 to 64 years accounts for $5.6 billion in lost productivity resulting from 17 million missed workdays.2

    • Depression is estimated to cause 200 million lost workdays each year at a cost to employers of $17 to $44 billion.5

    • Hypertension complications are a major cause of preventable absenteeism, reduced productivity and disability, making it one of the most expensive health conditions for employers.6″

    The answers to these conditions is not more work, more medication, more hunkering down or “company fun days.”

    Instead, it’s breathing techniques to stop the stress barrage. It’s teaching resilience. It’s permitting more control over time, and giving people time away to recharge…for their sake, for the company’s sake, and for the work’s sake.

     
  • Aug17

    Several sneak peaks–including my statement to the Information Hearing on Diabetes and Obesity in Sacramento 8.25.10 are in the newsletter tomorrow (quick sign-up to get it, top right!).

    It was challenging to say something new, practical, and responsible…to decisionmakers about policy.   Let me know what you think.

    The news that the average American ingests 3366 mg sodium daily, over 2x what’s recommended is not shocking.

    Ditto that 90% of sodium comes not from the table or cooking, but from prepared foods.

    What is shocking is that dropping from 3366 to 2166mg daily could prevent 32-66000 cases of stroke, and up to 120000 cases of heart disease every year. The top 5 foods for salt by how much and how often we eat them in the U.S.?

    1.  Meat pizza
    2.  White bread
    3.  Processed cheese
    4.  Hot dogs
    5.  Spaghetti w/sauce

    Lastly,  I answer 10-20 emails weekly at ChefMD.com and on FB. But I feel as if I don’t really have the space or time to give you as complete an answer as you deserve.  And need. And for many people, the time and cost involved in traveling to Santa Barbara to see me is too much.

    Please take our Discussion Survey (not a medical consultation).  If you even might be interested, please take it…it’s a quickie, no contact info, no e-mail required.

    And if there’s enough interest in one-on-one discussions with me on weight loss, medication, cholesterol, more…we’ll do it!