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This Diet May Lead to More Weight Loss Than Cutting Calories, New Study Finds – Yahoo Lifestyle

Posted: September 11, 2020 at 8:01 pm

One diet typically doesn't work for all but those who have type 2 diabetes may fare better following one specific diet than othersespecially programs that only target calorie restriction. New research suggests that reducing carbohydrate intake coupled with increased exercise may be the ticket to weight loss for people with this condition.

The 2019 studywhich was conducted by a team of researchers in the Netherlands but just recently presented at the 2020 European and International Obesity Congressaddressed that calorie restriction alone may not be an effective weight-loss method for those who have insulin resistance caused by type 2 diabetes.

Insulin resistance occurs when your pancreas has to make more insulin to help glucose (sugar) enter into cells in your muscles and fat, and it's often associated with prediabetes which can lead to type 2 diabetes if not managed through diet and exercise. Having this condition can prevent weight loss depending on the types of food you eat. As many as 75% of people with obesity may also have insulin resistance. (Related: What Happens to Your Body When You Drink a Smoothie Every Day)

The study compared three types of diets geared toward promoting weight loss in 344 patients with obesity and type 2 diabetes. The three diets included a calorie-restriction diet, a low-carb diet, and the 66 dieta low-carb program that occurs in three phases. After monitoring participants for a year, researchers found the 66 diet was twice as effective as just calorie-counting alone. On this diet, not only did patients lose more weight, but they also reduced insulin resistance and lowered blood pressure.

So, what does the 66 diet look like exactly? Over the course of three phases, you keep your carb consumption low as well as your overall intake of processed foods. At the same time, you increase the amount of protein and fiber in your diet and incorporate vegetables into every meal. When following the 66 diet, the emphasis isn't around the number of calories you consume, but rather the quality of your calories.

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In phase one, patients limit their carb intake to just 36 grams per day while also increasing their protein intake to 1.2 grams or more per kilogram of body weight. The goal here is to cut alcohol and get protein from fish and plant-based sources such as nuts and beans. Note, this preliminary phase parallels the keto diet except the main objective with this low-carb diet is to increase protein intake. The keto diet on the other hand focuses more on elevating fat consumption.

Things change pretty dramatically in phase two because then you can slowly start introducing more carbs into your diet. By phase three, you can increase your carb intake even more. When patients stop losing weight, that indicates they've reached the carb intake that's best for them to maintain a healthy weight.

"This is a very individual need," said Ellen Grovers, registered dietitian and lead author of the study, in an online presentation. "Everyone has their own carbohydrate need, and this also counts for healthy people."

All patients were also instructed to exercise at least two to three times per week for an hour a day for the duration of this study.

At least 43.2% of patients who followed this special diet lost at least 5% of body weight in one year and 40% stabilized their blood glucose levels. For those who followed a standard low carb diet, 41.7% lost at least 5% of their body weight whereas only 23.3% of participants in the calorie-restricted group lost the same.

What's even more telling is that nearly 23% of participants who followed the 66 diet lost 10% or more from their weight at baseline, compared to just 17.3% and 10%, respectively, in the low-carb and calorie-restricted groups.

So, as you can see not only did patients following the 66 diet lose the most weight, but they also improved their blood glucose levels.

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This Diet May Lead to More Weight Loss Than Cutting Calories, New Study Finds - Yahoo Lifestyle

Spouses More Likely to Hit Weight-Loss Goals Together – Muscle & Fitness

Posted: September 11, 2020 at 8:01 pm

If you have a goal that youre looking to achieve, especially one that requires lifestyle changes, it stands to reason that having your significant other or spouse on board would make it easier. And thats exactly what researchers found when they looked at the success rates of heart attack survivors who were advised to lose weight, change their physical activity habits, and quit smoking.

The research, which was presented at European Society of Cardiologys Congress 2020, found that people who lived with their partners were more likely to change their ways, especially with weight loss.

Lifestyle improvement after a heart attack is a crucial part of preventing repeat events, study author Lotte Verweij, a registered nurse and Ph.D. student at the Amsterdam University of Applied Sciences in the Netherlands, said in a press release. Our study shows that when spouses join the effort to change habits, patients have a better chance of becoming healthier particularly when it comes to losing weight.

The study analyzed a total of 824 patients, with 411 assigned to the group that would take on lifestyle intervention programs on top of typical post-heart attack care. The interventions included up to three programs depending on the patients needs and preferences: weight loss, physical activity, and smoking cessation.

Partners were encouraged to attend for free alongside those referred to the programs, and participation was defined as attending at least once.The programs were as follows, the release noted:

In all, 48 percent of partners took part in the lifestyle interventions, and the patients with involved partners were more than twice as likely to improve in at least one area within a year. Partner involvement made the biggest difference when it came to weight loss.

Couples often have comparable lifestyles and changing habits is difficult when only one person is making the effort, Verweij explained. Practical issues come into play, such as grocery shopping, but also psychological challenges, where a supportive partner may help maintain motivation.

Quitting smoking and getting active, on the other hand, didnt seem to be improved when a partner participated in the program. These lifestyle issues might be more subject to individual motivation and persistence, but this hypothesis needs more investigation, she said.

So if youre looking to lose weight but cant seem to avoid the junk food your partner has around the house, try getting them on board to boost your odds of success.

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Spouses More Likely to Hit Weight-Loss Goals Together - Muscle & Fitness

New Study Suggests Oranges Are the Ultimate Weight-loss Food – Men’s health UK

Posted: September 11, 2020 at 8:01 pm

Alexander SpatariGetty Images

The golden-age movie star WC Fields used to fantasise about watering the orange trees in his garden with gin. Then, he said, all Id have to do is squeeze the juice into a glass. The Citrus sinensis, or the humble orange, is so closely linked to everyday health and well-being think of all those vitamin tablets given its flavour that itd take the kind of sabotage Fields dreamed up to ever give it a bad name.

Somehow, though, we take it for granted. From maca root to rambutan, we all too easily assume that the more exotic a food is, the more potent its health benefits will be. But dont dismiss the ubiquitous sweet orange as a mere vitamin-C fix, or a retro mid-match refreshment: scientists have discovered that a chemical compound it contains can put the squeeze on body fat and juice up your mood.

In a recent study, researchers at the University of Western Ontario introduced nobiletin extracted from oranges to the diet of morbidly overweight mice. Not only did the flavonoid reverse symptoms of obesity in test mice, but it also reduced the harmful build-up of plaque in their arteries, known as atherosclerosis.

Separate research found that the molecule binds to the proteins responsible for stabilising our circadian rhythm and regulating our metabolism, a process that helped rodents that were given a high-calorie diet over 10 weeks to stay lean, even as members of the control group gained nearly twice their bodyweight. Nobiletin has also been linked to reversals in age-related ailments, such as declines in exercise endurance and poor sleep, which can lead to feelings of anxiety and depression.

So, drop those high-priced superfoods with names you can never quite remember and unpeel a 30p orange or at least do as Fields and Snoop Dogg did and sip on gin and juice.

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New Study Suggests Oranges Are the Ultimate Weight-loss Food - Men's health UK

Weight loss story: "I lost 32 kilos after I started drinking Kombu honey and lemon water" – Times of India

Posted: September 11, 2020 at 8:01 pm

31-year-old Shivakumar realised that his unhealthy lifestyle was not only impacting his health as he slowly gained more weight, but was also affecting his confidence levels. Determined to lose weight and get back in shape, he completely changed his dietary habits and lost a massive 32 kilos over a span of one year. Here is his immensely inspiring weight loss journey. Read on!

Name: Shivakumar

Occupation: Senior Contracting Supervisor in Travel and Tourism Company

Age: 31 years

Height: 5 feet 10 inches

City: Dubai, United Arab Emirates

Highest weight recorded: 96 kg

Weight lost: 32 kg

Duration it took me to lose weight: Approximately 1 year

The turning point: As I continued to pile on kilos, I slowly began to lose confidence. Be it corporate presentations or any other kind of social gatherings, I started feeling shy and uncomfortable. Furthermore, I was not able to sit on my office chair for a long duration of time.

I realised that I needed to lose weight and get back in shape. So, I gradually changed my eating habits and even started dieting. I also went ahead and joined a gym, but I wasnt able to continue it for more than a month. At this point, my uncle suggested me to include Kombu Thaen honey (forest honey) in my weight loss regime to kickstart my weight loss journey. Slowly and gradually, I actually started to lose weight.

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Weight loss story: "I lost 32 kilos after I started drinking Kombu honey and lemon water" - Times of India

Carole Baskin Unrecognizable After Insane Weight Loss Ahead Of ‘Dancing With The Stars’ – Talent Recap

Posted: September 11, 2020 at 8:01 pm

Tiger King is taking over the ballroom as star Carole Baskin is gearing up for the season 29 premiere of Dancing With The Stars. And, shes showing off her slimmer figure two years after the hit Netflix show was filmed.

Carole is the CEO of Big Cat Rescue. It made global headlines after people assumedshe killed her husbandDon Lewis for money after he disappeared. However, authorities never found enough evidence to prove this. Carole has definitely been a controversial figure, but being on Dancing With The Stars will show people another side of her. Plus, she even looks different than she did in Tiger King. [Rehearsals] made me aware of muscles that I didnt have. Theres an awful lot of things that ache! she said as a picture of her new slimmer body was posted on fellow DWTS competitor Chrishell Staruses Instagram story. The pair wore face masks as they posed side by side.

The stuff that people saw inTiger Kingwasfilmed in 2018, she said. This has been a two-year process, it wasnt just from this. As for the most challenging thing about the experience, Carole said its herself. Ive always been really determined and extremely competitive within myself, she said. I think the most challenging aspect is that Im a workaholic I work seven days, 70 hours a week. To be limited to three to four hours of rehearsals has been so difficult for me. I want to rehearse all day, every day until I get it right.

SEE ALSO: TYRA BANKS TEASES DEREK HOUGHS DANCING WITH THE STARS RETURN WILL IT BE AS A JUDGE OR A PRO?

Obviously, Caroles first performance is going to have some kind of Tiger King reference. She will be dancing to Survivors hit 1982 single, Eye of the Tiger. Will she be wearing a tiger costume or animal print during this performance? Im actually sitting in my car outside of costuming right now. And I gave them the instructions that no fur, no feathers, no leather, and anything else, she said. So while we wont be seeing Carole showing off her love for animal print and big cats, at least we have the perfect song to go with her performance. Carole also posted on Instagram that she converted her Los Angeles apartment into a huge dance studio so you know she will be practicing up a storm. Seriously, the place is enormous and you need to see it for yourself.

RELATED: SEASON 29 DANCING WITH THE STARS CAST REVEAL IS THE MOST SHOCKING ONE YET

The premiere of Dancing With The Stars is set for September 14th. The show will obviously look a little different this season because there will be no studio audience amid the coronavirus pandemic. But you can totally cheer on cool cat Carole from the comfort of your own home. Watch the premiere to find out which pro Carole will be partnered up with.

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Carole Baskin Unrecognizable After Insane Weight Loss Ahead Of 'Dancing With The Stars' - Talent Recap

This 5-Ingredient Green Juice May Do Wonders For Your Immunity And Weight Loss – NDTV Food

Posted: September 11, 2020 at 8:01 pm

Spinach combined with goodness of lemon juive, ginger, mint and apple

Highlights

It is true that 2020 has not been the kindest year so far, we dread reading newspapers and looks like the situation is only getting grimmer by the way. But the year has managed to put plenty of things into perspective. For instance, we have never been more serious about our health and immunity now, and a lot of us have also gotten time to take our diet seriously. Our healthy diet is a mishmash of several components; it should have the right amount of carbs, protein and fats. However, many a times we do not have the luxury of sitting down for a proper meal or grabbing the most nutritious snack, in those rushed times you can always rely on fresh, home-made juice. This green juice comes with the combined goodness of not one or two but five superfoods . Here they are.

(Also Read: 5 Food Hacks to Manage Weight and Boost Immunity)

(Also Read: Healthy Diet: Whip Up Bengali-Style Saag With Spinach (Palak) For A Wholesome Meal )

Spinach is loaded with B vitamins

How To Make Green Juice:

Ingredients:

Method

In a blender, blend all the ingredients until you get desired consistency.

(This content including advice provides generic information only. It is in no way a substitute for qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.)

About Sushmita SenguptaSharing a strong penchant for food, Sushmita loves all things good, cheesy and greasy. Her other favourite pastime activities other than discussing food includes, reading, watching movies and binge-watching TV shows.

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This 5-Ingredient Green Juice May Do Wonders For Your Immunity And Weight Loss - NDTV Food

Weight Loss: Yogurt, Chaas And Pickle May Help Manage Childhood Obesity – Experts Reveal – NDTV Food

Posted: September 11, 2020 at 8:01 pm

Health benefits of probiotic foods are no secret to the world. These live micro-organisms promote gut-health, boost digestion and metabolism. Probiotics are also known to reduce the severity of certain allergies and support overall immunity. This nutrient is easily found in food items like yogurt, butter milk, pickle, kombucha, kimchi and many other fermented foods. A new study has found that these probiotics may promote weight loss in children and adolescents suffering from obesity. The findings were presented at e-ECE (European Society Of Endocrinology) 2020.

As per the research, obese children who were given probiotics Bifidobacterium breve BR03 and Bifidobacterium breve B632 along with a diet with controlled calorie intake, lost more kilos and better insulin sensitivity, compared to the ones who were just on diet. For the uninitiated, Bifidobacteria are a group of probiotic bacteria that protect us from other infection causing bacteria. They also promote better digestion. Insufficient numbers of Bifodobacteria may affect digestion and metabolism, further leading to body's weight gain and obesity.

The study was conducted on 100 obese children and adolescents between six and 18 years old, for eight weeks. They were put on calorie-controlled diet and were randomly given the probiotic supplement.

The results suggested that "supplementation with probiotics could modify the gut microbiome environment and beneficially affect metabolism, helping obese children or adolescents who are also undergoing a restricted diet to lose weight", read a report in ANI.

These findings might further reduce several health risks in children such as heart diseases and diabetes.

"The next step for our research is to identify patients that could benefit from this probiotic treatment, with a view to creating a more personalised weight-loss strategy. We also want to decipher more clearly the role of diet and probiotics on microbiome composition. This could help us to understand how the microbiota is different in young people with obesity," stated lead researcher Dr Flavia Prodam from the University of Piemonte Orientale.

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Weight Loss: Yogurt, Chaas And Pickle May Help Manage Childhood Obesity - Experts Reveal - NDTV Food

Animals are picky eaters too scientists are trying to discover if parents teach them what’s safe to eat – ZME Science

Posted: September 11, 2020 at 7:59 pm

Credit: Camille Troisi, Author provided.

The internet is filled with blogs and articles offering advice for parents who are trying to coax children into eating greens. Anyone with kids can relate to stories of mealtimes becoming a succession of attritional confrontations, where you cycle through ineffectual strategies before accepting the reality of the situation and plead with your toddler to simply take one bite of broccoli. In the end, it doesnt matter how much gravy you pour on fish, or cheese you melt on cauliflower fussy toddlers know what youre up to.

If we could converse with animals, they would also relate to these stories, as many species have a seemingly irrational dislike of anything unfamiliar and are more likely to eat new food after watching other individuals try it. Fussy eating can be an important way of avoiding toxic food, as witnessing other individuals eat new foods might tell them that its safe.

But fascinatingly, fussy eating may also indicate the presence of teaching in animals. Despite 30 years of research on the topic, there are still few examples of teaching in other species, making it difficult to understand how such behaviour might have evolved. My colleagues and I recently conducted research in the Atlantic forest of Brazil that provides new evidence that some animals may effectively teach their young what foods are safe to eat.

There are plenty of examples of fussy eating among animals. Young marmoset monkeys are slow to eat new food when alone, but are more willing to take a risk and try it if they are surrounded by family. Similarly, capuchins eat more unfamiliar food when group members also do so.

There are instances where food handling is linked to teaching in animals. The way in which meerkats show their young how to safely handle scorpions for eating is one well-known illustration. At first, young pups are given dead scorpions to familiarise them with the dangerous insect. As the meerkats grow up, adults remove the sting from live scorpions so that the pups can learn how to deal with the prey. Then intact animals are gradually introduced.

As a behaviour, this meets the three criteria scientists use to identify teaching in animals. An individual changes its behaviour in the presence of an observer, at a cost or no benefit to themselves, and this change leads to learning in another individual. In the case of the meerkats, although an escaped scorpion might represent a lost lunch, the exercise leads to learning in the young observer.

This kind of research has helped challenge the long-held assumption that teaching is a uniquely human practice. But the overall dearth of evidence means there is still debate.

In particular, its not always clear that instances where animals learn to eat new foods because of other individuals around them really meet the criteria for teaching. For example, there is limited evidence that adult golden lion tamarin monkeys, which are known to have a varied diet that includes insects and fruits, might teach their young about diet by sharing and transferring food.

If such food transfers do have a teaching function, we would expect them to meet the three criteria I mentioned before. The tamarins would transfer more unfamiliar food than familiar food because this would create the opportunity for learning.

On two recent visits to Brazil, we studied this behaviour by introducing familiar and unfamiliar foods to wild groups of tamarins. Initially, we introduced these foods when young tamarins were dependent on their family, enabling us to look at how adult tamarins transferred food within their family group.

Six months later, when the young tamarins were independent, we returned to find that their food choices were influenced by their parents. The tamarins did not, as we had expected, transfer more unfamiliar food than familiar food. But they did transfer more food they had grown accustomed to than the food they had never tried.

Despite not clearly demonstrating teaching because it doesnt meet all the criteria, this evidence appears to show that adult tamarins assess new food first before passing it on to others. This is still significant for juveniles, as they learn about what to include in their diet from the food that they receive from adults.

It is possible that food transfers in golden lion tamarins serve several functions simultaneously, depending on the identity of the individual receiving the food, and the food type being transferred. Further research could look at how tamarins transfer insects to see if there is a general pattern.

We also need to investigate whether adult tamarin gain any benefit, such as decreased harassment or increased social bonds, by transferring food to their young. Such information would help us come closer to understanding whether some animals really can be taught to overcome their fussy eating.

Camille Troisi, Postdoctoral Researcher in Behavioural Ecology, University College Cork

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Animals are picky eaters too scientists are trying to discover if parents teach them what's safe to eat - ZME Science

Safe to dine?: Dining Services navigates on-campus meals during a pandemic The Review – University of Delaware Review

Posted: September 11, 2020 at 7:59 pm

Tara Lennon/THE REVIEWA limited number of students have now moved back to campus for the Fall 2020 semester, and the duty once again falls on Dining Services to provide them with meals.

BY KELSEY WAGNERAssociate News Editor

In March of 2020, there were three dining halls operating on campus. Each was consistently bustling with activity, sometimes even fielding lines out the door as students crammed in to grab a bite to eat. Now, only one dining hall remains in operation and is usually mostly empty.

Even after campus shut down for the latter half of the Spring 2020 semester, Dining Services was obliged to provide meals to students who were living on campus and on the universitys dining plan. A limited number of students have now moved back to campus for the Fall 2020 semester, and the duty once again falls on Dining Services to provide them with meals.

The summer provided time for Dining Services to monitor and evaluate the status of coronavirus and to look at Centers for Disease Control (CDC) guidelines, university procedures and state policy. They also began utilizing Aramarks EverSafe program. Aramark is a company that partners with the university to provide food for its dining halls. According to Aramarks website, EverSafe provides guidelines for safe reopening and sustainable management of Aramark locations.

For this spring, we had to be very reactive, and for the fall we had an opportunity to be proactive, Amanda Steiner, Dining Services vice president of operations, said.

According to Steiner, this proactivity included engaging with students to ensure continuing satisfaction, adapting operations and safety procedures and ensuring employee cooperation and commitment to new policies and regulations.

Because the number of students living on-campus is small, only Pencader Dining Hall is currently in operation. Other on-campus dining options include the Trabant Student Center, the Nest in Morris Library, and the Provisions On Demand (POD) market on North Campus.

Tara Lennon/THE REVIEWThis group of students prepares to eat in Pencader Dining Hall.

Steiner said the university also expanded its partnership with food delivery services GrubHub and Good Uncle, with an option to add these services to a meal plan. The goal in this expansion is for students to not have to be physically present in the universitys dining areas. Even if students must enter the dining facilities in Trabant, GrubHubs mobile ordering service and the recently installed kiosks limit cashier contact and stop large crowds from forming as students wait for their food.

According to Steiner, the POD on North Campus is the only place where students collect their own items and pay with a cashier system.

Dining Services has also worked to monitor density and traffic in Pencader Dining Hall. The density tracker can be accessed through the Dining Services website. Steiner said that the density tracker is in real time to allow students to decide when and where they would like to eat.

Even though Pencader is currently the only dining hall in use, the density tracker was installed in Caesar Rodney and Russell dining halls as well.

Pencader Dining Hall has not seen full capacity so far this semester because of the low campus population, but Steiner sees it as a tool that could be used well into the future to help students make an educated decision without having to walk all the way across campus. She also hopes to gain a better understanding of dining hall traffic patterns to educate students on peak times.

It really gave us a better sense of helping the students be able to see where they could dine and what would be open and available, Stefanie Gilreath, the marketing manager for Dining Services, said. If we did have to restrict occupancy more, it is definitely a tool that we knew we would use heavily.

Some students currently living on campus have been monitoring the density tracker to determine when to eat.

Sophomore environmental science major Alexis Cervantes is immunocompromised, and therefore especially susceptible to coronavirus. She does not like to go to the dining hall when it is too crowded.

I was even scared to go at thirty percent, but I think when I went it was under 10, Cervantes said.

Sophomore public policy and criminal justice double-major Maggie Buckridge has also paid attention to the density tracker.

One thing I noticed is that the occupancy thats outside of the dining hall is definitely not accurate, Buckridge said.

Buckridge also pointed out other experiences in which she felt that the density tracker seemed inaccurate.

The other day it said two percent, and I went upstairs, Buckridge said. It was pretty empty but I dont think this was two percent, I mean there were definitely people there.

Another time, Buckridge said, the density tracker was at zero percent but the dining hall was not empty of students.

Since the spring, self-service has been eliminated, and there has also been a complete division between dine-in and take-out portions of Pencader. According to Steiner, Dining Services made these changes to remove the risk of cross-contamination of containers and to better control occupancy.

Buckridge sees the separation between dine-in and take-out as one of the most significant changes in on-campus dining since the spring.

I think the difference between dining in and dining out is kind of big, but regardless of if Im doing dine-in or take-out, it has all been tasting pretty good, Buckridge said.

Despite being content with the options available to her, Buckridge said that there are limited take-out options available to students who have dietary restrictions.

I imagine like if youre vegan or vegetarian, or even if youre just a picky eater or if you have allergies, its probably pretty hard to do take-out just because there are limited options, Buckridge said. There always is a vegan option, but it might be like one or two things so like hummus, for example, and [if] youre vegan thats kind of it.

Buckridge also pointed out that there are many more options that are available to students when they are dining in.

Although she has only visited the dining hall a few times since arriving on campus, Cervantes also feels that the options are limited as someone who follows a vegan diet. Instead, she looks to Main Street for alternative dining options.

They just dont have a lot of options, and then coming from [Caesar Rodney Dining Hall], like, just a whole different world up here because I used to have that entire vegan station, Cervantes said. Now, I just feel like my options are super limited.

Unlike Buckridge, Cervantes prefers the options offered by the take-out section of the dining hall.

The vegan options that I would have are only in the to-go section, so I dont mind taking it to-go since I am immunocompromised, Cervantes said.

Because Dining Services is providing food during a pandemic, they must ensure that they are doing so safely. Mike Diener, the safety director for Dining Services, was hired for this exact purpose.

Diener called hand sanitation a critical procedure for the safe functioning of a food service operation. He also said that Dining Services has increased the number of hand-washing and sanitizing stations available to students and has put up signage to promote hand hygiene.

According to Diener, Dining Services employees also had to undergo training in hand hygiene procedures and are observed to ensure they are washing their hands, as well as wearing gloves and masks. All employees were tested for coronavirus before returning to work and also undergo daily health screenings.

Gilreath also ensured that Dining Services employees are taking precautions against coronavirus.

Everyones been very committed to doing what we need to do to stay safe, from our management teams through our employees, Gilreath said. Everyones been very cooperative and have been taking all the precautions that we can.

Diener said that dining services also reviewed its safety measures with resident assistants, who could then communicate the guidelines with their residents.

Social distancing markers have been placed six feet apart throughout campus, including in Pencader Dining Hall. Diener said that Dining Services works to ensure social distancing by telling students to wait for their food in the dining room, rather than near the line.

Tara Lennon/THE REVIEWDining Services verified that tables are eight feet apart and sanitized when students leave.

Even though masks are required elsewhere on campus, students cannot eat with their masks on. To mitigate this problem, Diener said, tables only allow for six students to sit at a time and are spread eight feet apart. After students leave, tables and chairs are immediately disinfected.

Buckridge said that the students typically follow social distancing guidelines when eating in the dining hall.

Youre pretty much six feet apart from people when youre like walking around getting your food, which feels safe, Buckridge said.

When it comes to seating, however, Buckridge is concerned that the groups of students joining together for meals may be too large.

I mean, I dont feel super hopeful with people being able to eat in like groups of like eight people in the dining hall, Buckridge said.

Buckridge also finds inconsistencies between residence hall policies and dining hall policies. While she cannot go into a residence hall that is not her own, she can still eat with people who live there, potentially spreading coronavirus across residence halls through interactions in the dining hall.

It sort of makes the Res Life restrictions feel a little obsolete, Buckridge said. How meaningful and impactful are those gonna be when you can eat inside with a group of eight people without your mask on, at one table, socially distanced from other tables, but not from the people youre sitting with?

Both Diener and Gilreath believe that awareness is key to enforcing policies aimed to prevent the spread of coronavirus.

Its really [about] educating and communication and making sure that those materials and guidelines are out there, so students know what the expectations are when theyre dining on campus, Gilreath said.

Both Buckridge and Cervantes believe that there is not enough signage conveying dining hall expectations. Cervantes said that even though there are arrows, there is still some confusion.

I just dont want to accidentally go somewhere that Im not supposed to or grab something Im not supposed to, but theyre not really telling us what to do, Cervantes said.

Buckridge is most concerned about students spreading coronavirus by sitting with people whom they are not already in close contact with.

Theres like no signage; theres no encouragement or expectation, like it doesnt say, Oh, eat with people you live with or you know, only eat with people in your building, or something, Buckridge said. Theres none of that. You can eat with whoever.

For those looking for more information regarding safety guidelines for returning students, including a list of safe dining rules, please refer to the universitys published campus guidelines here.

Correction: A previous version of this article, published Sept. 10 at 12 noon, introduced and referred to the safety director for Dining Services as Mike Diner or Diner throughout the piece. This was a misspelling. His last name is spelled Diener. This article was updated Sept. 11 at 12 noon to correct this factual error.

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Safe to dine?: Dining Services navigates on-campus meals during a pandemic The Review - University of Delaware Review

Psoriatic Arthritis-Friendly Weight Loss Tips – Everyday Health

Posted: September 11, 2020 at 7:59 pm

Maintaining a healthy weight plays an important role in managing psoriatic arthritis. Obesity causes low-grade inflammation, as fat tissue churns out inflammatory proteins, including cytokines, chemokines, and adipokines. Being overweight or obese has been linked to an increased risk of developing psoriatic arthritis, an inflammatory condition, and making it more difficult to manage.

Excess weight puts more pressure on your joints, which can lead to injury and inflammation. Whats more, excess weight can interfere with medications that treat psoriatic arthritis, so they dont work as well. A review published in May 2018 in the journal PLoS ONE found that obesity was linked to a 60 percent greater chance that a class of biologic drugs commonly used to treat psoriatic arthritis, called tumor necrosis factor (TNF) inhibitors, wouldnt work.

The link between obesity and psoriatic arthritis is very complex and not adequately understood, says John Davis, III, MD, a clinical rheumatologist who specializes in psoriatic arthritis at Mayo Clinic in Rochester, Minnesota. We believe that [obesity] drives inflammation, providing the link to the joint disease.

Psoriatic arthritis is also linked to other health conditions, such as heart disease, diabetes, and metabolic syndrome. For all of these, Losing weight and maintaining weight in a healthy range is important, says Melissa Ann Prest, DCN, RDN, a spokesperson for the Academy of Nutrition and Dietetics.

The good news: Weight loss has been linked to an improvement in psoriatic arthritis symptoms, including painful, swollen joints and fatigue. Its probably reducing the inflammatory burden, says Dr. Davis.

American College of Rheumatology and National Psoriasis Foundation (NPF) guidelines, published in November 2018 in the journal Arthritis & Rheumatology, recommend weight loss for all obese people who have psoriatic arthritis to help improve their response to medication. Losing weight helps psoriatic arthritis symptoms in other ways, as well, explains Rajat Bhatt, MD, a rheumatologist with Memorial Hermann Health System in Texas. It decreases inflammation and stress on the joints and lowers uric acid levels linked to gout another joint condition common in people who have psoriatic arthritis.

And weight loss doesnt have to be major. Research has found that overweight and obese people with psoriatic arthritis who lost just 5 percent of their body weight were more likely to have minimal disease activity.

Although psoriatic arthritis symptoms such as fatigue and stiff, achy joints can make it more challenging to move, its possible to drop extra pounds with the right strategies and support. Here are a some tips to help you lose weight and improve your symptoms.

Daviss number one tip for weight loss in people who have psoriatic arthritis is to eliminate added sugars. They provide extra calories that dont benefit your body and can increase chronic inflammation, upping your risk of related conditions, such as obesity and diabetes.

Another reason to cut back on sugar: A review published in April 2020 in the journal Rheumatology and Therapy found that people who have psoriatic arthritis are significantly more likely to have type 2 diabetes than the population at large, possibly because inflammation of the skin and joints may affect glucose metabolism. Davis recommends limiting simple sugars and carbohydrates in your diet. Sugar hides in processed foods, cereal, yogurts, and juices, he says.

The NPF also recommends cutting out the following:

Foods from these sources are typically going to be higher in calories and trans fat, which can contribute to weight gain and inflammation, says Dr. Prest.Because cutting out these foods helps reduce inflammation, which worsens psoriatic arthritis, it may also help reduce psoriatic arthritis symptoms, explains Dr. Bhatt.

Research suggests that eating lots of fruits and vegetables can help you lose weight by keeping you full and satisfied on fewer calories, according to the Centers for Disease Control and Prevention (CDC). People should definitely eat more fruits and veggies, adds Davis.

A plant-based diet can also help decrease inflammation levels, which may reduce psoriatic arthritis symptoms, adds Bhatt. He specifically recommends the Mediterranean diet, which is rich in anti-inflammatory omega-3 fatty acids.

Dietary guidelines from the medical board of the NPF published in August 2018 in JAMA Dermatology, also recommend a Mediterranean diet, consisting of at least:

Make vegetables the star of your meal by filling half of your plate with non-starchy vegetables, and go with a serving of fruit or a serving of a vegetable for snacks, says Prest.

Its easy to confuse thirst for hunger, according to the NPF. So be sure to drink enough water to help with your weight loss efforts. About eight 8-ounce glasses per day is a good goal, according to the Mayo Clinic. Youll know youre hydrated if your urine is clear to light yellow.

Physical activity helps reduce inflammation and pain. Weight loss guidelines from the CDC recommend at least 150 minutes of moderate physical activity per week. Exercise is great for your overall health and to break through those weight loss plateaus, says Prest.

Staying physically active is especially important for people who have psoriatic arthritis, as metabolic syndrome has been linked to psoriatic arthritis disease activity and medication effectiveness, says Bhatt. Exercise can help you tackle metabolic syndrome by reducing inflammation and improving muscular metabolism. And thats not all. Exercise can increase range of motion in the joints and maintain joint flexibility and muscle strength, says Bhatt. Physical activity also increases pain tolerance, helping psoriatic arthritis symptoms feel less debilitating, and decreases uric acid, which reduces joint pain in people who also have gout, he adds.

If youre experiencing a lot of joint pain in your lower extremities, Bhatt recommends swimming a few laps. Swimming is a good low-impact activity for those who have access to a pool and enjoy it, says Davis.

Walking is a great exercise for people with psoriatic arthritis to lose weight, says Davis. Maintaining daily activity and step counts [helps] to increase metabolism, he says. When combined with dietary changes, walking supports weight loss, according to the Mayo Clinic, and is especially important for weight loss maintenance.

A study published in December 2018 in the journal BioMed Research International suggests that weight-bearing aerobic exercises, such as walking, may help reduce the risk of bone loss. Thats important, as another study, published in July 2020 in Annals of the Rheumatic Diseases, suggests that psoriatic arthritis treatments may increase the risk of osteoporosis.

If you need extra motivation, use a fitness tracker to track your steps. Set small, manageable goals that slightly challenge you. And listen to your body: Its natural to feel a bit sore or tired the next day, but take it easy if you feel pain.

Once your routine is no longer challenging, consider increasing the intensity. The body always has to be challenged. Choose something you like, so you can stick to a long-term plan, says Bhatt.

Resistance training, which includes weight lifting and body weight exercises, such as squats, can help with both weight loss and overall fitness. One small study published in February 2018 in the journal Clinical Rheumatology found that people with psoriatic arthritis who did resistance training twice a week for 12 weeks reduced their disease activity and pain and improved their quality of life.

Whats more, building muscle helps with weight loss. Thats because muscle burns more calories than fat does, even at rest, according to the Mayo Clinic. Lifting weights may be even more important when youre cutting back on calories, because your body sheds some muscle mass along with fat when you lose weight. The CDCs weight loss guidelines recommend incorporating strength-training activities that use all the major muscle groups two days a week.

If joint pain makes this kind of exercise challenging, ask your doctor for tips on how to get started safely.

The dietary guidelines from the NPF recommend a reduced-calorie diet for people with psoriatic arthritis who are obese. Talk to your doctor to determine the right goal for you. Tracking your calorie intake can be especially helpful. Studies show that just keeping a simple food journal reduces intake, because it makes you more aware of what youre eating and helps you figure out a better choice, says Prest.A study published in February 2019 in the journal Obesity followed 142 people on their weight loss journey for 24 weeks and found that those who more often used an online food journal reported more weight loss after six months.

I have used the photo journal technique with many clients, and they have had great success in reaching their weight loss goals, says Prest. Free apps and online tracking tools also give you a great estimate of your overall diet, but keep in mind theyre not 100 percent accurate, she adds.

A lack of sleep is linked to impairments in glucose metabolism and an increased risk of type 2 diabetes, metabolic changes, and inflammation, according to a review published in March 2015 in the journal Diabetology and Metabolic Syndrome. This can affect not only your weight loss efforts but also your overall health, including psoriatic arthritis symptoms.

A good nights sleep helps with pain sensitization and improves pain tolerance, and therefore, psoriatic arthritis symptoms might be better, says Bhatt. When the body rests, it rids itself of toxins, which helps improve inflammation. And good sleep helps with weight loss. Davis suggests people with psoriatic arthritis aim for at least 7 to 8 hours of sleep each night.

A study published in October 2018 in the journal Reumatologia suggests that many people who have psoriatic arthritis have trouble sleeping. A few of Bhatts top sleep hygiene tips:

If [youre] struggling, seeing a dietitian is a good idea, says Davis. A dietitian can help you develop a customized meal plan, which can be especially helpful for people who have psoriatic arthritis. People with psoriatic arthritis may find that they have other food sensitivity issues that may contribute to problems with weight loss. Working with a registered dietitian nutritionist is a great way to ensure youre eating the right amount for weight loss, says Prest. You can search for a registered dietitian nutritionist near you at eatright.org.

If youre struggling with exercise, a physical therapist or personal trainer can develop a fitness routine suited to your needs.

Finally, keep at it, because even small changes can be powerful. We often overemphasize pharmaceutical therapies and underemphasize lifestyle changes, says Bhatt, but lifestyle changes are equally important for all arthritis patients.

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Psoriatic Arthritis-Friendly Weight Loss Tips - Everyday Health


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