• Archives
  • Jan21

    Osteoporosis is thought of as a women’s disease, but osteoporosis in men can be even more dangerous.

    Men are at greater risk of complication and death when they fracture their hip than are women: men are twice as likely to die as women after a fracture.

    Up to 25% of men over the age of 50 will break a bone due to osteoporosis or because of low bone mass, and about 80,000 men break their hips each year. Bone is constantly changing and old bone is replaced by new bone.  But that’s not the way you want to remodel your bones.

    Osteoporosis, courtesy of Health News Updates

    As we age though, the rate of change of bone remodeling declines.

    Men in their 50s experience less bone loss than women of the same age. Somewhere between the ages of 65 and 70, the playing field is leveled and men lose just as much of their bone density as women, which makes them more prone to debilitating fractures.

    This is where healthy weight loss and muscle gain come into play.

    Being obese or overweight will put extra stress on your bones, but losing weight rapidly puts you in a position of greater risk for osteoporosis.

    When you drop weight rapidly, you lose important minerals and hormones such as testosterone.  A low testosterone level is one culprit behind osteoporosis in men. Too much alcohol, long term steroid use, smoking, and a low vitamin D level are four others.

    One way men can increase testosterone levels is by working out. Lifting weights twice a week will help your upper body, and a brisk walk for 30 minutes daily will begin to fortify your hip bones. Not only will exercising build your muscle mass and strength, but it will also help to increase your bone density, which will put you one step closer to preventing osteoporosis.

    Changing your diet will also help you lose weight and prevent osteoporosis. I suggest at least 600 IU of Vitamin D3, and up to 1000 (measure your level!)  and no supplement of calcium: you don’t need it if you get enough greens and dairy.

    Start with a gradual change in exercise and diet to give you a head start on preventing osteoporosis. See your doctor if you have any questions or want a bone density evaluation: if you have osteoporosis, and you’re over 40 and you’re a man, you need a testosterone level check.

     
  • Jan14

    Problems with weight control can be an issue for your health, but did you know overweight could also be causing depression?

    When a man gains those extra pounds around his waist, which is where men do, his testosterone levels may be reduced.

    DepressionTestosterone affects a man’s mood and outlook on life. It also helps build stamina, and increases sex drive, energy, and motivation. Testosterone levels in men commonly fall naturally over time through aging, though they don’t have to: testosterone decline is not necesarily part of normal aging.  Being overweight in the middle, with visceral fat, can also significantly decrease those levels. That can lead to depressed mood, irritability, a loss of vitality, and poor sex drive. And performance, not just in bed, but at work.

    A man as little as 30 pounds overweight can be affected. Studies have shown that if a man who is 6’1” gains 30 pounds he will suffer a drop in testosterone equivalent to adding 10 years to his current age.

    A male who displays any of the following behavior may be showing symptoms of undiagnosed depression.

    • Anger issues
    • Regular substance abuse
    • Constant controlling or violent behavior
    • Being overly involved in work or sports
    • Infidelity
    • Hazardous behavior or unnecessary risks

     
    I’d like to use this space on my Paging Dr. La Puma blog to let you know that depression can be treated. Drugs do help some people who are seriously ill, but for most people, there are reasons to consider food, fitness, sleep and mindset measures first.

    Try adding these foods to your diet to help give your mood a boost; walnuts, fish, dark chocolate, saffron, lentils, and chilies. An easy meal to help combat depression and is also easy on the waistline would be my Saffron Scallop, Shrimp, and Chickpea Paella recipe.

    Depression in males often goes undiagnosed. Anyone with symptoms is urged to seek out help, especially if you’re considering hurting yourself. If you’re depressed, need help and your doctor is unavailable, call the USA Depression Hotline- 630-482-9696

     

    Araujo, A. B., Travison, T. G., Bhasin, S., Esche, G., Williams, R., Clark, R., &     McKinlay, J., (2008, November). Association of Testosterone and Estradiol with Age-Related Declines in Physical Function in a Diverse Sample of Men. J Am Geriatr Soc.56(11), 2000-2008.

     
  • Jan4

    Consumer Reports’ ratings for top exercise equipment just came out, and the LA Times helpfully summarized the findings. I’ve subscribed to CR for years, and like the analysis: they are careful, test thoroughly on quality not price, and rate objectively. (photo courtesy of ellipticaltrainerexercise.com),

    In my opinion, the best machine is the one you’ll use. You can burn more calories on a treadmill if you take a full stride, and use your arms! Don’t hold on to the handrails.

    Expect to pay $900 up to $3k+ for something that will last.

    Top non-folding treadmill: The Precor 9.31. Number is the Landice L7 Cardio Trainer at $3,800 and third is the True PS300. Number 4, and less than half the price of the Precor, is the Sole S77.

    Top folding treadmill: the LifeSpan TR4000i.
    Top folding treadmills (budget): NordicTrak C900 and the ProForm Power 995.

    On ellipiticals, use your arms! Try interval training: fast for a minute, slow for a minute. High intensity workouts burn calories faster and more efficiently. And with a lower impact exercise comes lower risk of injury and the ability to prevent injury.

    Top elliptical trainer (also $900 to $3k): Octane Fitness Q37ci (though at 1/3 the price, the Smooth CE 3.6 is #3)

    Happy cross training!

     
  • Mar12

    I’ve been thinking about ways to make weight loss fun. What’s missing from most programs is just that.

    My most successful group program was Chef Clinic, which our contestants (we had contestants, like Jillian Michaels!, back in ’98) called “Camp for Adults.” No panty raids, but a lot of campfires, and incredible success.

    Now I’m preparing to do a weight loss program for overweight kids, at the YMCA here in Santa Barbara. With a 8 week easy Chef Clinic, for parents, nearly all online. To give parents the cooking/healthy eating/fitness/coping skills they don’t have, to take the pressure off overweight and obese kids, to make the best choices easy choices. At home, at school, on weekends, at night.

    My friend Mark Palmer sent me the video below, from thefuntheory.com, part of Volkswagen. Bugs have always been fun, and Vanagons too (I learned to drive in a parking lot, grinding the gears of Julie P’s bright yellow VW). Boy, was that fun.

    And Mark has it right: creating a environment helps people do the right thing in that environment. But even in a suboptimal environment, parents can help kids, especially kids under 12 years old with more dependence and less autonomy than teens, make the right choices by making them for the family. Without blame or finger pointing, but instead with a wink and a nod.

    How does your family have fun eating to lose weight?

     
  • Dec7

    My patient Jill is carrying 40 pounds she didn’t have 20 years ago. She was going to lose it when she retired, but now she didn’t have time.

    Jill is also newly re-married, and her new younger hubby wants to have sex all the time. It is killing her, and isn’t satisfying him.

    “Is there anything I can do to keep up other than take hormones, Doc?” she asks me when I see her in my office. “Those things scare me. Do you have a diet that can help?

    Note that it wasn’t her low HDL (healthy) cholesterol or high blood pressure or 44 inch waist or 219 pounds that Jill was worried about. It was her sex life.

    Satisfying, insulin sensitizing, totally crave-able Mediterranean meals that help her lose weight, not flavor is what she needed.

    With barely 3 grams of saturated fat, my Spaghetti Frittata with Toasty Walnuts and Flax was just the ticket for Jill.

    Its omega-3 rich flax meal and omega-3 rich eggs are deeply anti-inflammatory. Omega-3s help fight the body’s inflammation, improving blood flow.

    The recipe’s whole grains lower insulin resistance, unlike white pasta, crackers and most bread.

    Plus, its walnuts can protect the arteries from constricting, especially after a fatty meal, especially during exertion.

    The research study proving this, by the way, was done with salami and cheese on white bread. But walnuts eaten at the right time help protect your arteries from being slammed into concrete pipes by drive-through fast food too.

    I suggested to Jill that she take eight walnuts with any high saturated fat meal she might have to eat, just to keep her options open and, well, flexible.

    I also pointed her in the direction of beans, legumes and seeds, especially kidney beans, peanuts and sunflower seeds, which are rich in arginine. This amino acid allows blood vessels to widen and increase blood flow to the sexual organs.

    Jill also began a simple treadmill walking regimen, for aerobics and weight loss. After 12 weeks, she found a 5k to walk with a friend. With phone calls every week to me, and after losing 16 pounds, she was an unqualified success.

    “Doc, I just want to thank you. I really didn’t know whether to believe you about the walnuts helping my sex life. But something sure did!”

    Has an eating pattern or weight loss helped you restore your sex drive?