Focus on exercise: The most compelling studies favor physical activity for mental acuity, says Gary W. Small, M.D., the director of the UCLA Longevity Center and a coauthor of The Alzheimer’s Prevention Program ($14, amazon.com). A study from the Annals of Internal Medicine found that people who were fitter at midlife had a 36 percent lower risk of developing dementia later in life than did their less-fit peers. “When people exercise, the areas that control memory, thinking, and attention increase in the brain,” says Small. “Regular exercisers also have less of the abnormal protein deposits in the brain that have been linked to Alzheimer’s.” That’s not to say that diet has no impact, says Small: “It’s just that the effects of exercise are more pronounced based on the evidence we have now.” Foods rich in omega-3 fatty acids (such as fish, nuts, and flaxseed) and antioxidant-rich fruits and vegetables (like strawberries and spinach) have been shown to improve brain health, while refined sugars and processed foods can have the opposite effect.
The research lends strong support to the notion that diet quality, not quantity, is what helps people lose and manage their weight most easily in the long run. It also suggests that health authorities should shift away from telling the public to obsess over calories and instead encourage Americans to avoid processed foods that are made with refined starches and added sugar, like bagels, white bread, refined flour and sugary snacks and beverages, said Dr. Dariush Mozaffarian, a cardiologist and dean of the Friedman School of Nutrition Science and Policy at Tufts University.
Vitamin B12: Like folate, vitamin B12 is needed for producing and maintaining new cells. It is also needed to maintain the sheaths that surround and protect nerve fibers. An inadequate amount of B12 causes pernicious anemia. Signs of vitamin B12 deficiency are fatigue, weakness, constipation, loss of appetite, weight loss, and numbness and tingling in the hands and feet. An excess intake of folate can mask the symptoms of B12 deficiency, so it's important to have your levels checked by a blood test, especially if you consume a vegetarian diet. Vitamin B12 is found in animal products like trout, salmon, beef, and dairy foods. There are fortified cereals that provide B12 as well. Doctors do not routinely check vitamin B12 levels.
We do know that improved nutrition reduces risk of heart disease, cancer, diabetes and obesity, and usually improves overall quality of life. It’s estimated that a third of cancer deaths in the United States can be attributed to diet in adults, including diet’s effect on obesity. Additionally, a healthy diet helps to increase energy levels, facilitate recovery and enhance the immune system. According to the World Health Organization, a person with a body mass index (BMI) of 30 or more is considered obese.
If the diet is a quick fix rather than one that promotes lasting lifestyle changes, this could pose a problem. In particular, extreme diets that promise big weight loss up front aren’t always sustainable — and you may end up overeating or even binge eating if you feel deprived. “Consider if the diet’s habits are ones you can continue throughout your lifetime, not just 21 or 30 days,” says Angie Asche, RD, a sports dietitian in Lincoln, Nebraska.
Advocates for the diet recommend that it be seriously considered after two medications have failed, as the chance of other drugs succeeding is only 10%. The diet can be considered earlier for some epilepsy and genetic syndromes where it has shown particular usefulness. These include Dravet syndrome, infantile spasms, myoclonic-astatic epilepsy, and tuberous sclerosis complex.
HCG, or Human Chorionic Gonadotropin, is a hormone produced during pregnancy by the placenta after implantation, and doctors sometimes prescribe it for fertility issues. But this hormone has also gained popularity as a weight-loss supplement — and using it as such can be dangerous. In fact, the U.S. Food and Drug Administration (FDA) warns against purchasing over-the-counter hCG, as these supplement products are illegal. (34)
Just this week, a 25,000-person study presented at the European Society of Cardiology Congress in Munich suggested that people on the lowest-carb diets had the highest risk of dying from cancer, cardiovascular conditions, and all other causes. Another study, published this month in the Lancet, also found that people who followed diets that were low in carbs and high in animal proteins had a higher risk of early death compared to those who consumed carbs in moderation. (The opposite was true, however, for low-carb dieters who opted for plant-based proteins over meat and dairy.)
The day before admission to hospital, the proportion of carbohydrate in the diet may be decreased and the patient begins fasting after his or her evening meal. On admission, only calorie- and caffeine-free fluids are allowed until dinner, which consists of "eggnog"[Note 8] restricted to one-third of the typical calories for a meal. The following breakfast and lunch are similar, and on the second day, the "eggnog" dinner is increased to two-thirds of a typical meal's caloric content. By the third day, dinner contains the full calorie quota and is a standard ketogenic meal (not "eggnog"). After a ketogenic breakfast on the fourth day, the patient is discharged. Where possible, the patient's current medicines are changed to carbohydrate-free formulations.
The interesting thing is that many people are willing to spend a lot of time, money, and energy on expensive gym memberships and boutique fitness classes—and then say they’re too busy to cook. Even if you only spend 15 minutes driving to and from the gym every day, that’s 30 minutes that you could have put toward cooking a healthy dinner. And if you spend $30 a pop, 3 times per week on fancy circuit or spin classes, that’s $90 you could dedicate to your grocery budget. That wild salmon doesn’t sound quite so outrageous now, right?
Note: Are you a vegetarian or vegan and want to go on a ketogenic diet? It’s still possible! Just keep in mind that the dietary restrictions can sometimes be a little bit intense. Make sure to plan ahead and prepare to aid your success. To help out, we’ve published articles (with 7 day meal plans included) for both the vegetarian ketogenic diet and the vegan ketogenic diet.
Another year, another chance to look back at the diet and wellness trends that captured our attention in 2018. It's not a surprise that the keto diet was the most-searched diet term on Google this year, according to their latest “Year in Search” report. Also near the top of the list: The carnivore diet and intermittent fasting. Keto recipes occupied five out of the top 10 food searches, and at least partially explains the popular craze of subbing veggies for starchy carbs. In 2018, cauliflower catapulted onto the scene—in menus, recipes and packaged foods. Case in point: The search for cauliflower gnocchi was up 2,300 percent. Veggie spirals also made a splash, and this year, it wasn’t necessary to own your own spiralizer. Now, these pasta replacements are widely available both fresh and frozen at your grocery store, as well as on many menus nationwide.
About 20% of children on the ketogenic diet achieve freedom from seizures, and many are able to reduce the use of anticonvulsant drugs or eliminate them altogether. Commonly, at around two years on the diet, or after six months of being seizure-free, the diet may be gradually discontinued over two or three months. This is done by lowering the ketogenic ratio until urinary ketosis is no longer detected, and then lifting all calorie restrictions. This timing and method of discontinuation mimics that of anticonvulsant drug therapy in children, where the child has become seizure-free. When the diet is required to treat certain metabolic diseases, the duration will be longer. The total diet duration is up to the treating ketogenic diet team and parents; durations up to 12 years have been studied and found beneficial.
Fairly recently, the diet was introduced as a weight-loss diet by an Italian professor of surgery, Dr. Gianfranco Cappello of Sapienza University in Rome. In his 2012 study, about 19,000 dieters received a high-fat liquid diet via a feeding tube inserted down the nose. The study showed an average weight loss of more than 20 pounds in participants, most of whom kept it off for at least a year. The researchers reported a few minor side effects, like fatigue.
The first modern study of fasting as a treatment for epilepsy was in France in 1911. Twenty epilepsy patients of all ages were "detoxified" by consuming a low-calorie vegetarian diet, combined with periods of fasting and purging. Two benefited enormously, but most failed to maintain compliance with the imposed restrictions. The diet improved the patients' mental capabilities, in contrast to their medication, potassium bromide, which dulled the mind.
In terms of weight loss, you may be interested in trying the ketogenic diet because you’ve heard that it can make a big impact right away. And that’s true. “Ketogenic diets will cause you to lose weight within the first week,” says Mattinson. She explains that your body will first use up all of its glycogen stores (the storage form of carbohydrate). With depleted glycogen, you’ll drop water weight. While it can be motivating to see the number on the scale go down (often dramatically), do keep in mind that most of this is water loss initially.
The FDA and United States Department of Agriculture (USDA) regulations require that ingredients be listed in order of their predominance in a food. This means that the ingredient used in the highest amounts will be listed first. This poses a problem when a perceived unhealthy ingredient was the predominant ingredient. For example, when people see sugar as the first ingredient in a cereal, they may be more likely to consider it unhealthy. The way that food manufacturers have gotten around this is to use different sources of sugar in smaller quantities. For example, a food containing 1 cup of sugar may have to have the sugar listed as the first ingredient, but smaller amounts of different sources of sugar could be listed throughout the ingredients.
Dietary fat is a necessary nutrient in our diet. Many people have turned to fat-free products, assuming that they are healthier, but this is not always the case. Fat-free products are often high in sugar. You may find that you actually need to increase the amount of fat that you consume. You will need to cut back on another nutrient to avoid going above your calorie needs. It is also important to focus on the kinds of fat that you are consuming. Making the change from consumption of saturated and trans fat to monounsaturated and polyunsaturated fats could be lifesaving.
You shouldn't buy kicks that hurt, bottom line! "Your shoes should feel comfortable from the first step," says Andrew Kastor. So shop in the evening—your feet swell during the day and stop in the late afternoon, so you want to shop when they're at their biggest. Also make sure the sneaks are a little roomy—enough so that you can wiggle your toes, but no more than that. They should be comfy from the get-go, but Kastor says they'll be even more so once you have a good 20 to 40 miles on 'em.
It's easy to get in a diet rut, even if you're loading up on flavorful fruits and veggies. The solution? Have plenty of spices, fresh herbs, and lemons at your cooking beck and call. "It's amazing what a little dash of spice, sprinkle of herbs, pinch of lemon zest, or squirt of lime juice can do to liven up a dish—and your diet," says Newgent. The best part: They contain almost no calories. Experiment with your dinner, tonight!
^ Freeman JM, Vining EP, Pillas DJ, Pyzik PL, Casey JC, Kelly LM. The efficacy of the ketogenic diet—1998: a prospective evaluation of intervention in 150 children. Pediatrics. 1998 Dec;102(6):1358–63. doi:10.1542/peds.102.6.1358. PMID 9832569. https://web.archive.org/web/20040629224858/http://www.hopkinsmedicine.org/press/1998/DECEMBER/981207.HTM Lay summary]—JHMI Office of Communications and Public Affairs. Updated 7 December 1998. Cited 6 March 2008.
As for the mantra? Turoff thinks they are good words to live by, saying, “I kind of like it — it’s a pretty good description of balance, and people should include fun foods in their diet.” Also, Turoff adds, it’s a much better line than what model Kate Moss once said: “Nothing tastes as good as skinny feels.” (Though Elle has since reported that the veteran model now regrets saying that.)
You maintain your weight by consuming the right amount of calories, gain weight with larger amounts, and lose weight with a lesser amount. Your calorie needs are determined by your age, height, weight, gender, and activity level. You can use the Harris-Benedict Equation or the Mifflin-St. Jeor equation to calculate the number of maintenance calories you require. The Mifflin-St. Jeor calculation is best for someone who is overweight or obese. Once you know how many calories you need to maintain your weight, you can determine what it will take to lose or gain weight. When you go above or below your maintenance calories by 3,500 calories, you will either gain or lose 1 pound. For example, if you consumed an extra 500 calories per day, you would gain 1 pound in a week (500 x 7 = 3,500). The same is true for weight loss. This is why every calorie counts when it comes to your weight.
Though not always followed for weight loss per se, an anti-inflammatory diet is rich in whole foods (including fresh fruits and veggies), and low in packaged, processed ones (like french fries and pastries), so there is a chance you will still shed pounds with this approach. But usually, folks follow this diet to help prevent or treat chronic diseases, such as multiple sclerosis, rheumatoid arthritis, Alzheimer’s, and cancer. And that’s smart, considering there’s a bounty of research to support this notion. Adopting this diet is relatively simple. It isn’t focused on counting calories or carbs, or following any sort of specific protocol. Instead of constantly thinking about the quantity of food you are eating, an anti-inflammatory is all about prioritizing the quality of what is on your plate.
In the past, eggs were vilified because they contain cholesterol, says Alix Turoff, RDN, a New York City–based dietitian in private practice and a National Academy of Sports Medicine–certified personal trainer. Many health professionals thought that eggs would raise a person’s cholesterol levels, but that’s not the case for the majority of people, says Turoff. Instead, they’re a great source of protein (which likely gives Hadid energy for long photo shoots), plus they contain essential vitamins and nutrients, like B vitamins, folate, and choline.
A computer program such as KetoCalculator may be used to help generate recipes. The meals often have four components: heavy whipping cream, a protein-rich food (typically meat), a fruit or vegetable and a fat such as butter, vegetable oil, or mayonnaise. Only low-carbohydrate fruits and vegetables are allowed, which excludes bananas, potatoes, peas, and corn. Suitable fruits are divided into two groups based on the amount of carbohydrate they contain, and vegetables are similarly divided into two groups. Foods within each of these four groups may be freely substituted to allow for variation without needing to recalculate portion sizes. For example, cooked broccoli, Brussels sprouts, cauliflower, and green beans are all equivalent. Fresh, canned, or frozen foods are equivalent, but raw and cooked vegetables differ, and processed foods are an additional complication. Parents are required to be precise when measuring food quantities on an electronic scale accurate to 1 g. The child must eat the whole meal and cannot have extra portions; any snacks must be incorporated into the meal plan. A small amount of MCT oil may be used to help with constipation or to increase ketosis.