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8 Adar 5766 - March 8, 2006 | Mordecai Plaut, director Published Weekly
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Home and Family

Your Medical Questions Answered!
by Joseph B. Leibman, MD

Director, Emergency Services, Bikur Cholim Hospital

Fad diets in the news again. First it was low fat, then high fat-low carbohydrates, now it is — according to an article I received — bread and vegetables. The diets will come and go, but some things never change and these are the facts: If your parents are overweight — you will likely be too, so be careful early.

Exercise is very healthy, but it causes only moderate weight loss. Eat frequent small meals. Do not make every day a celebration, but once in a while is OK. Eat all the vegetables you want. Fruit is good but be careful here too — dates have a lot of calories. Fiber helps.

Many overweight people should be pitied. Unlike smoking there is often little that can be done, but make sure that becoming overweight was not because of emotional eating such as is seen in unhappy people. I do not believe that bread or pasta are particularly good for you, although moderation is the key. The best diet in the world — according to the British Medical Journal — is indeed the Middle Eastern diet.

Getting older hurts according to another article, which makes the very good point that we should readjust our exercise as we get older. I laughed heartily when I saw the entertainment director of the now defunct Saxony hotel doing exercise class with the older set that frequented that hotel. His unmistakable European accent made the calls of "feel better, feel stronger" ring in my ears. But it is true - I now can no longer do the exercises that I did when I was younger. Why? Joints get stiffer and less well lubricated. Muscles sag. Backs hurt.

So here are the rules for a good exercise program: start slow and get checked out by a physician first. Do not be a weekend warrior. And when pain starts — stop immediately. Supervised exercise in a gym is a good idea and now there are many places that have separate hours. Find something that is enjoyable (swimming, brisk walking to the Kosel) and keep at it.

I do my stationary bike for 45 minutes a day. I feel better and feel stronger. Write me in care of the Yated.

A message from GlaxoSmithKline, sponsor of this column. Hepatitis A is a devastating disease that rarely leaves long- term problems, but can wash you out for a couple of months. Who needs it? A simple vaccine from Glaxo takes care of this problem. It is now recommended by the American Association of Pediatrics.

 

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