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22 Av 5762 - July 31, 2002 | Mordecai Plaut, director Published Weekly
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Home and Family
Good Health & Weight Management
By Dr. Reuven Bruner, Ph.D.

The significance of obesity as a risk factor for poor health can be assessed from the alarming increase in the incidence and severity of this condition in America (and, of course, Israel). Roughly half of the population is overweight and almost 20 percent are obese. There has been a corresponding increase in the incidence of health disorders directly related to obesity, such as Type-2 diabetes mellitus, elevated blood lipids and systemic hypertension, and these conditions contribute to arteriosclerosis and arteriosclerotic heart disease. Obese people have more sick days, more health care claims and earlier death than non- obese people. Obesity is also a contributing factor to the development and accentuation of health problems such as arthritis and urinary incontinence. Taken in this context, obesity can arguably be designated as the number one health disorder in America!

Many people and some experts have advocated overall calorie restriction as the solution for weight management. Although this results in weight loss, it's associated with dehydration and loss of muscle mass. Carried to an extreme, calorie restriction may lead to electrolyte imbalance and even death. Hunger usually overwhelms this approach to weight management, and the weight is regained.

Other popular approaches for weight loss have been to restrict dietary intake of fat or carbohydrates, and increase dietary intake of proteins. Each of these approaches has merit, but when implemented in isolation, or in the extreme, have compounded obesity or other problems.

Obesity is the result of an unhealthy and imbalanced diet, and the answer is not another imbalanced diet. Although it may sound too simple, the answer to weight management and good health is a diet of lean protein, fruits, vegetables and beans, combined with regular exercise that is as strenuous as possible. Lean protein should consist of several servings per week of cold-water fish for the Omega-3 essential fatty acids. Omega-6 and omega-3 essential fatty acids are the precursors of powerful hormones in our body that regulate such functions as blood pressure and inflammatory response. One class of omega-3 essential fatty acids (DHA) is located largely in our central nervous system and supplementation by means of oil from cold-water fish has been associated with relief from chronic depression and bipolar disorder.

Due to lower sugar content, vegetables should be eaten in greater amounts than fruits and beans. However, the micronutrients plus fiber in beans and fruits make them an essential part of a healthy diet. Bread (high fiber) and dairy products are not essential and should be limited.

Exercise does more than stimulate the "burning" of calories. There is also the activation of muscle enzymes that metabolize fat, the increased sensitivity to insulin, the stimulation of growth hormone activity that promotes protein synthesis and fat metabolism, and the increased capacity of heart and lungs. Remember to practice balance and moderation in all things and nothing will need to be absolutely forbidden.

Dr. Reuven Bruner, Ph.D. is a health, fitness, and nutrition consultant. For information call 02-652-7684; 052-865-821 or fax 02-652-7227 or email: dr_bruner@hotmail.com.

 

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