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Bariatric Surgery Associated With Significant Weight Loss, Fewer Heart Attacks and Strokes – SciTechDaily

Posted: March 18, 2020 at 9:49 pm

Bariatric surgery is linked to significantly fewer heart attacks and strokes. Credit: European Heart Journal

A nationwide study of nearly 7,500 people who are obese or severely obese has found that bariatric surgery is linked to significantly fewer heart attacks and strokes.

The study, which is published in theEuropean Heart Journal [1] today (Thursday, March 19, 2020), found there were 60% fewer fatal and non-fatal heart attacks and stroke among 3,701 men and women who received bariatric surgery compared to the same number of patients who did not, during an average of 11 years following the surgery.

In addition, patients who had bariatric surgery lost significantly more weight (an average of over 10 kg more), and type 2 diabetes was more likely to improve to the point where the patients no longer required medication to maintain normal blood sugar levels.

Bariatric surgery involves restricting how much food the stomach can hold, usually by means of a gastric band that is placed around the stomach, or a gastric bypass that links the top part of the stomach to the small intestine. Both methods mean the patient does not need to eat so much to feel full, and the gastric bypass reduces the number of calories absorbed from food. [2]

Researchers at Imperial College London (UK) analyzed data from the Clinical Practice Research Datalink (CPRD) database, which holds information on over 11 million patients from 674 general practice surgeries in the UK, dating from 1987 to the present. They extracted data on 3,701 patients who had a body mass index (BMI) of 35 kg/m2 or more, who had not suffered a heart attack or stroke when the study started and who had undergone bariatric surgery. They also looked at a control group of 3,701 patients who matched the first group in age, BMI and gender but who had not had bariatric surgery.

They adjusted for factors that could affect the results, such as high levels of cholesterol in the blood, smoking, alcohol and cocaine use, exercise and use of medications, such as statins, beta-blockers and hormone replacement therapy. The average (median) age was 36 years in both groups; the average (median) BMI before surgery was 40.5 kg/m2 in the group that had bariatric surgery and 40.3 kg/m2 in the group that did not.

During follow-up, there were 37 fatal or non-fatal heart attacks or strokes in the bariatric surgery group and 93 in the non-surgery group.

Dr. Maddalena Ardissino, academic foundation trainee at Imperial and joint first author of the EHJ paper, said: The results of our study indicated that the rates of heart attacks and strokes were significantly lower in those who underwent bariatric surgery; specifically, we observed lower rates of heart attacks. This means that bariatric surgery was associated with a 1.5% reduction in the absolute risk of heart attacks or strokes; 62 patients would need to have bariatric surgery to prevent one heart attack or stroke. As this was a young group of patients, in whom we would expect to see fewer such events than in older patients, the reduction in the absolute risk has important clinical implications.

Rates of acute ischaemic stroke were similar across the two groups, though very few events were recorded.

There was a 60% reduction in new diagnoses of heart failure during follow-up, 22 in the bariatric surgery group and 46 in the control group, and death from any cause was 80% lower among patients who had bariatric surgery compared to those who did not: 45 versus 182 deaths respectively.

Co-author, Peter Collins, Professor of Clinical Cardiology at the National Heart and Lung Institute at Imperial, said: Its important to emphasize that this is a retrospective study and can only show there is an association between bariatric surgery and a reduced risk of heart attacks and strokes, not that the surgery causes the reduction in risk. Large, prospective trials are required to show causation. Nonetheless, the difference observed in cardiovascular events is striking, and it indicates that if a causative effect does indeed exist, its size has the potential to be very large and important.

These findings call for increased awareness and increased uptake of bariatric surgery as a treatment step for patients with obesity who do not achieve significant weight loss on lifestyle and pharmacological therapy alone. This is important, as only a small minority of patients are offered the surgery and, among these, a minority actually undergo it. The rate has been estimated to be as low as 1%. [3]

Senior author, Mr. Sanjay Purkayastha, a senior lecturer at Imperial and also a consultant bariatric surgeon at Imperial College Healthcare NHS Trust, said: The results of this study, taken together with the wealth of emerging evidence on the benefits of bariatric surgery, not only on weight loss but also on the management and prevention of obesity-related health problems, call for a definitive shift in the perception of bariatric surgery, from what used to be seen as a bonus or extra, almost as an aesthetic procedure undergone by only a minority of the eligible population, to a truly disease-preventing and standard of care procedure that should at least be offered sooner rather than later to eligible patients.

GPs should consider earlier referral to derive greater benefits in their patients. Especially for patients with type 2 diabetes, as several prospective randomized studies have shown that bariatric surgery is significantly better, currently, compared to best medical management. Similar studies should be designed to further investigate the impact on heart attacks and strokes.

This is the largest study of bariatric patients so far, and the findings are likely to be generalizable to the whole of the UK and most Western countries because of the diverse nature of the UK population within the CPRD database. However, limitations include that because the average age of the patients was relatively low, there were few heart attacks and strokes, so the effect of surgery may be underestimated. In addition, other factors that could affect the results may be unknown or unmeasurable.

[1] The effect of bariatric surgery on long-term cardiovascular outcomes: a nationwide nested cohort study, by Osama Moussaet al. European Heart Journal. DOI: 10.1093/eurheartj/ehaa069

[2] Risks of bariatric surgery are low: the chances of death are around one in 1400 patients; other rare complications include blood clots, infections and ulcers; the overall risk of complications is about one in ten, but most tend to be minor.

[3] In the UK, people are eligible for bariatric surgery if they have tried and failed other forms of weight loss for at least six month to a year, have a BMI of 40 kg/m2 or more or more if they have no other health conditions, or 35 kg/m2 if they do have other health problems. In patients of Asian or south Asian origin the qualifying BMIs are 2.5 kg/m2 less. However, there are large variations in awareness of and access to bariatric surgery, both within countries and between countries.

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Bariatric Surgery Associated With Significant Weight Loss, Fewer Heart Attacks and Strokes - SciTechDaily

Solving obesity: Could manipulating microbes offer an alternative to weight loss surgery? – ASU Now

Posted: March 18, 2020 at 9:49 pm

March 16, 2020

Four siblings who graduated Arizona State University with distinction from Barrett, The Honors College have created a scholarship to give back to the community that gave so much to them.

Brett, Chase, Scott and Jenna Fitzgerald recently established the Fitzgerald Scholarship with an initial $25,000 endowment. Scott, Jenna, Chase and Brett Fitzgerald have established the Fitzgerald Scholarship to benefit students in Barrett, The Honors College at Arizona State University. Download Full Image

Barrett gave my siblings and me a platform to succeed. We thought it was only right to give back to the school that gave us so much, Scott said.

Chase echoed his brothers thoughts: Barrett has enabled my entire family to find fast and frequent success in our careers and we thought it fitting to, in turn, start payingback early and often.

The common threads that bind the Fitzgerald siblings are high academic achievement, leadership in community service, competitive professional endeavors and an interest in study abroad.

Brett graduated in 2013 with concurrent bachelors degrees in finance and legal studies and an international business certificate. He was a Fulbright English teaching assistant in South Korea and a Tillman Scholar. While at Barrett, he studied abroad each summer, visiting Costa Rica, Peru and Ecuador. Additionally, he was a Barrett Honors Devils member and Barrett Mentor. He currently works as an account executive for Mulesoft, a Salesforce company, in Chicago.

Chase graduated in 2015 with a bachelors degree in biological and biomedical sciences. He was a Fulbright English teaching assistant in South Korea and a Tillman Scholar. During his junior year, he created Page Turners, a Barrett student organization that helps elementary school children develop reading skills. He also was a Barrett Ambassador, Barrett Honors Devils member and a Barrett Mentor. He participated in a China study abroad program and a clean water project in Honduras. This spring, he will graduate from the University of Arizona College of Medicine in Phoenix.

Scott graduated ASU in 2018 with bachelors degrees in finance and business data analytics. He was a Tillman Scholar, a Page Turners reader and a W. P. Carey School of Business office intern. He now works in information technology consulting with KPMG, a global professional services and accounting firm.

Jenna graduated in 2019 with concurrent bachelors degrees in marketing and psychology. She was a Tillman Scholar, an ASU Track and Field pole vaulter, a Barrett Ambassador, a W. P. Carey facilitator, ASU first year success coach and W. P. Carey office intern. She currently works in recruiting for Deloitte, a global accounting and professional services organization.

The Fitzgerald Scholarship is to support top honor students with financial need and an interest in national scholarships.

The Fitzgeralds prefer that scholarship recipients plan to apply through the Lorraine W. Frank Office of National Scholarship Advisement for a nationally-competed scholarship including Fulbright, Boren, Marshall, Rhodes and Truman.

In addition to scholarship funds, the Fitzgeralds will offer professional mentoring to recipients.

We hope to support Barrett students and help them achieve their amazing potential,just like our mentors have done for us, Jenna said.

We caught up with the Fitzgeralds to get their thoughts about Barrett, their fondest memories of the honors college and how their honors experience helped them get to where they are now. Heres what they had to say:

Question: What drew you all to ASU and Barrett?

Scott: Deciding on Barrett and ASU was a no-brainer. Given that I wanted to stay in-state for my college education there was really only ever one option. Barrett provided a liberal arts college feel with the shared resources of a large public university. Having two brothers already build their own legacies at ASU, there was never a doubt in my mind on where I wanted to attend school.

Jenna: Witnessing how happy and successful my three older brothers were at ASU opened my eyes to all the amazing opportunities that come with such an inclusive, well-supported university. In addition, pairing that large university feeling with the intimate community Barrett fosters, I knew it was the right place for me too.

Q: What are your favorite memories from Barrett?

Chase: Living and developing a community as an on-campus Barrett student set me up for much of my academic and extracurricular successes, which were all proud experiences. However, my most fond memories come from the pride and support my Barrett friends and I were able to contribute to our sports teams, including one time where we found ourselves camping for tickets outside Wells Fargo Arena while studying and taking our first semesters final exams.

Brett: My favorite memories from Barrett were developing my thesis with Pat Tillman Scholarship Program classmates, as well as study abroad trips with Professor (Ted) Humphrey and Associate Dean (Janet) Burke to Costa Rica, Peru and Ecuador!

Q: What was the most resourceful tool you utilized at Barrett?

Jenna: The community, hands down. Barrett selects such awesome community assistants (CAs) that live alongside freshman students and mentor them throughout their time at ASU. By integrating myself among them some of the smartest, most compassionate individuals I was able to discover a sense of self-worth and a worldly perspective that serves me to this day.

Scott:The Barrett dining hall will always hold a special place in my heart, but I think the most beneficial tool is the academic advisers. Cindy Patino was someone who I could go to for anything, whether it was concerns over my schedule or struggles in my personal life. Cindy provided me with continuous support throughout my college career.

Q: How did Barrett prepare you for life after college?

Brett:Barrett taught me how to think critically, balance a heavy workload and interact with students from all majors and backgrounds. The experience I had at Barrett and ASU has served as a microcosm of life and therefore, Ive been able to take my learnings and be a successful Fulbright ETA and tech salesman postgraduation.

Chase:Barrett challenged me to embrace academic rigor as a tool for self-empowerment. My time living within the academic community also reinforced my beliefs of the importance of collaboration and intentional action and seeking out highly motivated people with disparate interests in order to bring fresh ideas to the table.

To learn more about how to apply for national scholarships, visit theOffice of National Scholarship Advising website.

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Solving obesity: Could manipulating microbes offer an alternative to weight loss surgery? - ASU Now

Learn details of the Advances in Weight Loss Management Market Forecast and Segments, 2019-2025 – Daily Science

Posted: March 18, 2020 at 9:49 pm

The global Weight Loss Management market registered a value of ~US$ xx Mn/Bn in 2019 and is spectated to grow at CAGR of xx% during the foreseeable period 2019-2029. In terms of product type, segment holds the largest share, while segment 1 and segment 2 hold significant share in terms of end use.

The Weight Loss Management market study outlines the key regions Region 1 (Country 1, Country 2), region 2 (Country 1, Country 2), region 3 (Country 1, Country 2) and region 4 (Country 1, Country 2). All the consumption trends and adoption patterns of the Weight Loss Management are covered in the report. Prominent players, including player 1, player 2, player 3 and player 4, among others, account for substantial shares in the global Weight Loss Management market.

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In global market, the following companies are covered:Cybex InternationalEdiets.Com, Inc.Equinox, Inc.Amer SportsApollo Endosurgery, Inc.Jenny CraigJohnson Health Technology Co., Ltd.Atkins Nutritionals, Inc.Brunswick CorporationCovidien PLCHerbalife Ltd.Nutrisystem, Inc.Olympus CorporationTechnogym SPAKelloggWeight Watchers International, Inc.EthiconFitness First GroupGolds Gym

Market Segment by Product TypeWeight Loss DietFitness EquipmentSurgical Equipment

Market Segment by ApplicationFitness CentersSlimming CentersConsulting ServicesOnline Weight Loss Programs

Key Regions split in this report: breakdown data for each region.United StatesChinaEuropean UnionRest of World (Japan, Korea, India and Southeast Asia)

The study objectives are:To analyze and research the Weight Loss Management status and future forecast in United States, European Union and China, involving sales, value (revenue), growth rate (CAGR), market share, historical and forecast.To present the key Weight Loss Management manufacturers, presenting the sales, revenue, market share, and recent development for key players.To split the breakdown data by regions, type, companies and applications To analyze the global and key regions market potential and advantage, opportunity and challenge, restraints and risks.To identify significant trends, drivers, influence factors in global and regionsTo analyze competitive developments such as expansions, agreements, new product launches, and acquisitions in the market

In this study, the years considered to estimate the market size of Weight Loss Management are as follows:History Year: 2014-2018Base Year: 2018Estimated Year: 2019Forecast Year 2019 to 2025

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Learn details of the Advances in Weight Loss Management Market Forecast and Segments, 2019-2025 - Daily Science

Young Gucci Mane shows off massive weight loss in inspiring photos – Briefly.co.za

Posted: March 18, 2020 at 9:49 pm

- Young Gucci Mane has inspired many with his transformation photos

- Proud Mane moved from 229 pounds to 170 in just a year

- Mane's inspiring images have garnered massive reactions on Twitter

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At 170 pounds, Young Gucci Mane is proof that when one puts efforts at where they seek improvement, they could attain what initially seemed impossible.

When Gucci Mane first decided to lose weight, nobody knew about his desire to 'shred off' some pounds.

In just a year, he moved from 229 pounds to 170 pounds. And the young black man appears to indicate that it doesnt hurt.

However, he didnt say it was an easy accomplishment.

Unlike many who suggest a change in lifestyle to enable a big-time fat loss, Gucci Mane only indicated that attaining 170 pounds was the ''hardest flex Ive been working on since leaving home for college.''

READ ALSO: Halala: Young man graduates Cum Laude with Master's degree in maths

Briefly.co.za learnt that Mane did not share major lifestyle changes for his current results but at 170, Mane has certainly burnt some calories through his everyday habits and healthy tweaks to lose weight.

Young Gucci Mane shared inspiring images saying: ''The hardest flex Ive been working on since leaving home for college. One year of progress. 297 pounds vs 170 pounds.''

''Diet:

Don't starve yourself that ain't really healthy. You start to lose energy and without no energy, you lose all motivation. I still ate everything just in moderation.

Foods that were very high in fat I would drink water and eat my veggies first before eating it,'' he shared his secret to losing massive weight.

The motivating images of Gucci Manes impressive weight loss have garnered massive response with over 324,000 reactions and more than 28,000 shares on Twitter.

Proud Mane was not selfish with the steps he followed to lose massive weight.

''First thing I had to realize is that I needed to move at my own pace and that eventually, the weight will come off. So back in February 2019 I would start going to the gym about 3 days outta the week for about 45 -1hr

20min treadmill

15 min elliptical,'' he added.

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Young Gucci Mane shows off massive weight loss in inspiring photos - Briefly.co.za

12 Burning Questions About Intermittent Fasting, Answered – Everyday Health

Posted: March 18, 2020 at 9:49 pm

Forget counting calories or swearing off carbs the latest dietfaddoesnt put limitations on what you eat. Rather, it focuses on the when. This way of eating is called intermittent fasting (IF), and in the past several years it has risen through the ranks of popular diets, until its now one of the most-searched diets on Google, racking up hundreds of thousands of searches on average each month.

Whats the reason for its popularity? It seems a lot easier for some people. Traditional lifestyle changes tend to rely a lot on calorie counting or point watching or rules, and for some people especially people with busy lives or who feel pulled in a lot of directions that feels like a lot of work and effort. So for this, where they literally have to do nothing but skip a meal, it's just a lot easier for them to maintain, says ElizabethLowden, MD, a bariatric endocrinologist at the Northwestern Medicine Metabolic Health and Surgical Weight Loss Center at Delnor Hospital in Geneva, Illinois.

RELATED: 12 Possible Health Benefits of Intermittent Fasting

Here, we explore the ins and outs of IF, andanswer all the questions youreprobably asking.

IFis a way of eating that calls for alternating between fasting(orsignificant reduction of calorie intake)and eating at specific times, according to Johns Hopkins Medicine. Its different from other diets in that its not about eating specific foods. IF is not about depriving yourself either. Rather, its about eating your meals during a certain time frame and fasting for the rest of the day and night.

Fasting has been around since ancient times andhaspredominantlybeen practicedwithin religions,according to a study published in the Journal of the Academy of Nutrition and Dietetics in August 2015. But the version of IF thats talked about today arose in the past eight years or so. According to Harvard Health, IF became more popular around 2012 when the documentary Eat, Fast and Live Longer aired.TheJournal of the Academy of Nutrition and Dietetics study says many books on the topic were published around that time as well, including 2013s The Fast Diet, which added to the buzz. Research followed. Over the past five years, rigorous research has shown the remarkable benefits of intermittent fasting, which is behind this sudden interest, says Sara Gottfried, MD, the Berkeley, Californiabased author of Brain Body Diet.

There are a few different versions of IF (outlined below), but each version follows the basic premise of designating a certain period of time during the week meant for eating and certain periods when food and drink should be restricted (or severely limited), according to Harvard Health.

The most popular are:

RELATED: 6 Types of Intermittent Fasting

The short answer: probably. IF gets a lot of press as a weight loss tool, and I recommend it in my practice for weight loss and weight management, Dr. Gottfried says. Its linked to weight loss because not eating between meals forces the body to turn to the fat stored in cells for energy, according to Harvard Health. Insulin levels decline through this process as the body burns fat.

Lowden believes what it really comes down to, though, is calorie restriction. Overall, people tend to consume fewer calories in a smaller window of time compared with eating all day, and that's what leads to weight loss, she says. A study published in June 2018 in Nutrition and Healthy Aging involving 23 obese adults found the study participants took in about 300 fewer calories per day when participating in the 16:8 approach to IF.

Versions of IF that restrict eating after a certain time,say7 p.m.,also helpeliminate nighttime eating, whichhas been shown tocontribute to metabolic syndrome and obesity, according to astudy published in December 2018 in BMC Public Health.

Some critics, however, say the amount of weight lossto expect fromIFisnt any more significant than what youd see withother calorie-restrictive diets.A study published in the AmericanJournal of Clinical Nutrition in November 2018 found that a diet that cut calories by 20 percent resulted in a similar amount of weight loss to the 5:2 version of IF after one year. Still, IF may be a good option if you find it easier to stick to than other diets.

Here are some of theproposedbenefits of IF:

RELATED: Intermittent Fasting Helped Me Lose 48 Pounds Heres What I Ate (and When)

The following types of people should avoid IF:

Also, people who need to take medication with foodshould eat at regularintervals so as not to miss a dose, according to Harvard Health.

Its a good idea for everyone whether you have any of the conditions listed above or not to check with a doctor before starting to fast, according to Johns Hopkins Medicine.

According to Harvard Health, one theory is that exercising in a fasted state may help burn fat. Lowden explains that the body needs sugar or some sort of energy to perform well while exercising. Normally, the energy comes from sugar molecules, which are stored as glycogen in the liver. If you start exercising, youre more likely to deplete those stores and then your body has no choice but to go into a more anaerobic breakdown to give you the energy you need, she says. Instead of burning through sugars that aren't available, your body is forced to burn through another energy source: fat.

But you may not have enough energy to exercise as intensely as you normally would. Peak performance or even feeling good while exercising it's much easier to do if you eat,Lowdensays.

RELATED: Skipping Breakfast Before Exercising May Help You Lose Weight

You will likelyfeel hungry as your body adjusts to IF,but Gottfried says it will adjust. From my own experience and feedback from my patients, it gets easier, she says.According to Harvard, research has found that IF doesnt increase overall appetite. Gottfried says the 16:8 diet (or some variation thereof) seems to be the easiest for most people to integrate into their lives without feeling too hungry.

For many people, transitioning to eating this way is not easy. Per the April 2019 Nutrients research, IF can lead to migraine, dizziness, nausea, and insomnia. It can also make people feel hungry and weak in general, limiting their activity throughout the day.

Some women might stop menstruatingas a result of calorie restriction,according to the same Nutrients study.If you miss three periods in a row, its time to see a doctor, says the Mayo Clinic.

In addition to considering your health goals, follow these steps before diving into IF:

RELATED: Intermittent Fasting Offers Benefits Beyond Weight Loss, Article Suggests

Dont take the end of your fast as an excuse to go wild with unhealthy foods thatll undermine the potential success of the diet. The principles of healthful eating and breaking a fast are the same whether or not it's a normal overnight fast or time-restricted eating, Lowden says. Focus on breaking your fast with a healthy, balanced meal filled with lean proteins, healthy carbohydrates,andhealthy fats.

Pay particular attention to protein, especially if you have diabetes. In order [for people with diabetes] to maintain normal sugar levels and avoid worsening insulin resistance, we always recommend eating a form of protein with every meal, particularly when you're breaking a fast, Lowden says. Protein doesnt break down into glucose as efficiently as carbs, so it has a slower, less immediate effect on blood sugar levels, according to Diabetes.co.uk.

Gottfried says having a healthy source of carbswhen breaking your fast will help restore depleted glycogen levels.She recommends a Mediterranean-stylemeal with40 percentcarbohydrates, 30 percentprotein,and 30 percentfat.

Lowden also says your timing when breaking the fast could make a difference as well. There are studies that show people who eat their calories later in the day even if its the same amount of calories they weigh more than people who do that earlier in the day, Lowden says. According to a study published April 2015 in Nutrients , sleep-restricted adults with late bedtimes are more susceptible to weight gain because the foods eaten at night tend to be higher in fat compared with those eaten earlier in the day. Take that into consideration when youre determining your eating window.

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12 Burning Questions About Intermittent Fasting, Answered - Everyday Health

Not Losing Weight? 20 Possible Reasons That The Scale Is Stuck, According To A Weight-Loss Expert – Pulse Ghana

Posted: March 18, 2020 at 9:49 pm

As it turns out, there are a slew of factors that affect weight lossdiet and exercise are only two of them. It also depends on your starting weight, your age, and your gender, says obesity expert Matthew Weiner , MD, bariatric surgeon at Tucson Bariatric. Dr. Weiner explains that the best way to predict how much weight you can reasonably lose with basic dietary and exercise adjustments "is by calculating 10 percent of your total body weight."

For example, if youre starting weight is 150 pounds, you can expect to lose about 15 pounds at first through diet and exercise alone. Beyond that, weight loss can become a tad tougher (though not hopeless!). Your body naturally will begin to resist losing much more weight than around 10 percent thanks to its caveman impulses, explains Dr. Weiner. It will work to maintain your fat and energy stores to preserve your body.

Dr. Weiner notes that younger adults can sometimes lose up to 20 percent of their body weight through straightforward diet and exercise. But for postmenopausal women, for example, it might only be 5 to 7 percent.

Weight loss is also generally less speedy for women compared to men, alas. Men do tend to lose weight faster than women, but when you look at the total amount of weight loss [over time] its not as different as you might think, Dr. Weiner explains. It might take men two to three months to lose 10 percent, while it takes women five to six months. (*Glares.*)

Now that you understand those major physiological influencing factors, here are 20 possible behavioral reasons for why your weight just isn't changingand what you can do to overcome each one. (Psstt, you may be doing one or even a few of these!)

Raise your hand if youve ever thought something like the following after weighing yourself: Im still losing fat, Im just strength training really hard and gaining muscle.

Most of us have done it, but the problem is, Dr. Weiner says it doesnt work that way: Muscle is similar in density to water (while fat has a higher density) so its not an apples-to-apples exchange. In other words, refusing to reevaluate your weight-loss strategy because youre working on building muscle can result in your fat composition staying put.

A good thought experiment is comparing one pound of muscle to a 16-oz. can of soda [which has a similar density], Dr. Weiner explains. Imagine adding that much muscle to your bodyyou would see it.

In other words, you would notice yourself actively building enough muscle to tip the scale toward a higher number...so if you basically look the same, think about something other than muscle gain. Consider tweaking your diet a bit to create a caloric deficit to move the needle, or try HIIT workouts to get your heart rate up and burn fat.

If you consume fewer calories than you expend, Dr. Weiner says its definitely possible to lose about 10 percent of your total body weight through dieting alone. But if you want to lose more, you cant just keep cutting calories. You have to change the type of food you eat, he says, focusing more on the quality of calories versus the quantity.

For example, if you order in delivery for dinner every night, eating fewer restaurant-prepared meals every week for lunch will probs help you shed some pounds at first...but eventually, the weight loss is going to stop unless you make the switch to even healthier lunches (like made with fewer oils, dressings, etc.) on a consistent basis. Once youve changed the quality of your caloriesand are consuming better-for-you foods with more satiating poweryoull also naturally eat less calories, which can make weight loss continue past the 10 percent point.

Dr. Weiner says that its human nature to judge ourselves favorably, dismissing or underestimating our bad decisions and emphasizing our good ones.

Translation? Youre likely to pat yourself on the back for eating a salad on Tuesday, while overlooking the fact that you ate two bowls of B&J for dessert (and then still wonder why youre not losing weight). Tracking your caloric intake in a visible, tangible waylike in a food journal or on an app can help keep you accountable, and help you eliminate the bias we all have toward ourselves, says Dr. Weiner.

Generally speaking, protein has benefits: it fills you up (which means youll eat less food over time) and also helps you build muscle, skin, and healthy bones . But when it comes to weight loss, not all protein is created equal. Dr. Weiner warns about over-consuming animal proteinand the fat that typically comes with itbecause too much can lead to weight gain, and other health problems like diabetes.

Plant-based protein, on the other hand, is different (think: legumes, nuts, seeds, and whole grains). Dr. Weiner says you can eat higher amounts of these foods without worrying about negative effects on your health. Ive literally never seen a study suggesting that [sources of plant protein like nuts] cause weight gain, he adds.

Frustrated because youve been on your diet for three months and youve only lost, like, eight pounds? Before you freak out and try some new fad diet, think about whether your goal is just to lose as much weight as possible right this second, or to slim down healthfully over time, so you can keep the weight off permanently.

We tend to look at weight loss in the short-term, when its actually a long-term problem, says Dr. Weiner. There will be individual ups and downs every day, just like there are in the stock market.

Instead of taking a short-term POV on weight loss, consider looking at how your weight has changed over the last several years and how you would like to feel several years from now, too.

If youre blowing off diets focused on eating whole, clean foods (think: the Mediterranean diet) you might want to reconsider. Nutrition experts have known for a long time that diets full of whole foods, like fruits, vegetables, grains, and protein, are associated with better weight-loss results than diets packed with processed foods (like cereal, crackers, and prepackaged meals).

A 2019 study in Cell Metabolism further emphasized the benefits of a whole food diet; when participants ate diets similar in nutrients (e.g., similar amounts of protein, fat, sugar, and fiber), the group consuming processed foods showed higher levels of caloric intake and weight gain than the group consuming whole foods.

Yes, sometimes too much of a good thing can be not so good. Just because you swapped your nightly bowl of ice cream for Greek yogurt doesnt mean you can eat twice as much. The basic rule of " fewer calories in, more calories out " still applies, even when what youre eating is healthy.

The one exception? Dr. Weiner says you really cant overeat vegetables (seriously, the more you eat, the better). If you ate a pound of them every day, you would still lose weight because it would change your other eating behaviors, he explains, referring to the fact that if you filled up on veggies, you would reduce your appetite for other less healthy foods.

Remember the info about quality and quantity of calories above? The same applies to exercise, says Dr. Weiner, who suggests focusing on intensity versus duration when youre trying to lose weight by incorporating exercise.

If you want to walk for weight loss, you would have to walk 10 to 12 miles per day, he explains. Walking one or two miles, like so many people do, is good for you in a million waysbut weight loss isnt one of them.

Instead, if you want your exercise to yield weight loss, you could benefit from choosing activities that will boost your heart rate like boot camps, cycling classes, CrossFit sessions, or other high-intensity workouts that maximize cardio.

Gonna hit you with something totally shocking here: If youre drinking even one soda per day, you will never lose weight, says Dr. Weiner. Ummm, back up for a sec...is soda really that bad for you? Sorry, but yes: Dr. Weiner says when you drink sugar it drives up weight gain far more than when you eat it.

If youre hungry and eat a cookie you will be less hungry, or youll eat less at lunch; but when you drink 150 calories it doesnt impact your hunger at all, he explains. So you drink a soda, then you still eat a normal lunch, and all youve done is add 150 calories to your daily intake (versus splurging on a cookie and naturally course-correcting by eating 150 calories less later on).

Dr. Weiner also says working the night shift puts you at a major disadvantage. The disruption to your circadian rhythm, he explains, can lead to weight gainand switching back and forth between night and day shifts, like many people do in order to spend more time with family, is the worst of all. Its just nonstop disruption to an otherwise healthy, normal sleep-wake pattern.

For example, a 2019 study in the International Journal of Obesity observed weight loss over the course of 12 months in nearly 2,000 participants and found that those with less variability in sleep patterns were more likely to be more successful in their weight loss efforts.

Of course, not everyone has the luxury of choosing their work schedule or having a flexible boss. But if you are able to tweak your work schedule or work with your manager to avoid this, you should.

Never underestimate the power of keeping your body moving regularly throughout the day. Overly sedentary lifestyles make it harder to lose weight, says Dr. Weiner. If you wake up every morning and then sit at a desk for work, then come home and sit on the couch to watch TV, [weight loss] won't happen.

There was a time when eating frequent, small portions of food throughout the day was promoted as a way to lose weight, but science is beginning to show that the whole concept behind intermittent fasting might lead to better results. Dr. Weiner agrees, saying that getting the right amount of calories in a short period of time followed by a longer period of time where you get little to no calories can be more beneficial to your health than eating all day long (even if its small, healthy meals or snacks).

You should talk to your doctor or a nutritionist before trying an intermittent fasting diet, this way they can help you figure out a schedule that makes sense for you. There are also some groups of people for which intermittent fasting is not recommended, like anyone with blood-sugar regulation issues (e.g., diabetes) and pregnant people.

Can drinking water really help with weight loss, or is that just an urban legend? Its for real: A 2014 review of studies published in the Journal of the Academy of Nutrition and Dietetics found several links between water consumption and weight-loss results.

Basically? Yeah, you should be drinking more water.

Not to be a killjoy, but your bi-weekly happy hour could also be interfering with your goals. Alcohol is connected to weight gain for a few reasons: For one, it contains empty calories (which can grow astronomically high when you start drinking cocktails), and two, it changes your relationship to food.

People typically eat more when they drink because their appetite is increased and they stop paying close attention to calorie consumption. Drinking alcohol may also negatively change the way your body burns fat .

Any medical condition that affects your hormones (like hypothyroidism or polycystic ovary syndrome), your insulin levels (like diabetes), or your blood pressure (like heart disease) will make it more difficult to lose weight.

Dr. Weiner adds that any injury which results in limited mobility can also contribute to weight gain, partly because it can lead to muscle lossand less muscle means you are burning less when your body is at restand partly because it will reduce your ability to exercise regularly.

All the diet and exercise in the world wont cancel out the fact that its just plain harder to lose weight the older you are. In your 20s, you might be able to cut back on booze and cake for a few weeks when you want to lose five pounds, but in your 40s, its gonna take more effort.

Focus on resistance training to build muscle mass, which can ultimately help you burn more at rest, and in turn, jumpstart your weight loss if you're stuck.

Major life changes, like divorce or a death in the family, are often a trigger for weight gain. Stress-eating is a real thing , and when youre depressed youre typically not focused on counting calories or exercising (because it takes so much effort just to make it through the day).

Weiner recommends finding holistic ways to manage your stress, even if its simply low-impact cardio. And of course, if youre feeling depressed, dont hesitate to get help from a mental health provider .

While this is heavy stuff, it's important to be aware of the correlation between abuse and weight gain. A history of sexual abuse is often linked to weight gain , in particular, and the number of people who have been sexually abused, especially at young ages, is staggering: According to the National Sexual Violence Resource Center, one in three American women report experiencing some kind of sexual violence in their lifetime.

Whether youre a child or an adult (and whether or not your history is affecting your weight), there are resources that can help victims of sexual violence or other abuse.

A possibly hidden reason why youre struggling to lose weight: Youre on a medication that can cause weight gain as a side effect. This includes diabetes medications, antidepressants, and steroid medications, among others .

Dr. Weiner suggests talking to your physician about your medications; sometimes they can be adjusted to make weight loss more possible.

If you find yourself desperately craving food at all costsand its sabotaging your diet and exercise effortsyou could be dealing with a food addiction . This doesnt mean youre not motivated or strong enough to defeat your cravings and lose weight; you may have developed an emotional reliance on food.

If you are prone to binging or gorging, focus nonstop on food, have trouble functioning in your job or personal life, or suffer from anxiety, depression, or insomnia, reach out to a health-care provider ASAP to be evaluated for food addiction. Its a type of eating disorder, and there is help available .

The bottom line: Clearly, there are a ton of reasons you might be struggling to lose weight, even if you are dieting and exercising more. If you feel you're dealing with any of the issues above, it's worth talking to your doctor, a therapist, or a dietitian to get help so you can reach a weight you feel comfortable and healthy at.

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Not Losing Weight? 20 Possible Reasons That The Scale Is Stuck, According To A Weight-Loss Expert - Pulse Ghana

North America Nutraceuticals Market to 2027 – Regional Analysis and Forecasts by Type ; Application – GlobeNewswire

Posted: March 18, 2020 at 9:49 pm

New York, March 18, 2020 (GLOBE NEWSWIRE) -- Reportlinker.com announces the release of the report "North America Nutraceuticals Market to 2027 - Regional Analysis and Forecasts by Type ; Application" - https://www.reportlinker.com/p05875906/?utm_source=GNW

Nutraceuticals are medically or nutritionally active food.This functional food is enriched with probiotic and prebiotic ingredients and are consumed for maintaining the gut health.

It helps in reducing the risk of diabetes and cardiovascular diseases.It also provides physiological benefits.

The North America nutraceuticals market is segmented on the basis of type as functional food, functional beverages, dietary supplements, personal care and pharmaceuticals.The functional beverages segment in the North America nutraceuticals market is estimated to garner the fastest-growing segment in the market.

Functional beverages are known for their benefits such as joint health, energy-boosters, better heart health, help in improving immunology and digestion. The functional beverages industry is targeting on different health-related concerns among the people. The application of Nutraceuticals on functional beverages has proven to enhance the sharpness of the mind and improve memory. Other benefits of the introduction of Nutraceuticals in functional beverages are weight loss, beauty enhancements and energy boosters.

The North America nutraceuticals market is segmented based on application as general wellness, beauty and anti-aging, weight management, digestive health, sports and energy.The general wellness segment holds the largest share in the North America nutraceuticals market, while the sports and energy segment is estimated to garner the fastest-growing segment.

The use of Nutraceuticals by the athletes and sportsmen is being increased swiftly due to the rising awareness of the nutritional benefits and the acceptance of Nutraceuticals supplements.Branched-chain amino acids (BCAA) are the most widely consumed Nutraceuticals supplement among the athletes.

The main function of BCAAs is the stimulation of protein synthesis, which promotes muscle building.

North America nutraceuticals market is segmented based on country as US, Canada, and Mexico.The US holds the largest share in the North America nutraceuticals market, which is followed by Canada.

The rising awareness of the health benefits attributed to the Nutraceuticals has led to an upsurge in the market in Canada.The consumers in Canada are being educated about the health benefits of Nutraceuticals, coupled with the increasing demand for functional foods.

The implementation of Nutraceuticals in personal care and cosmetic products has been another contributing factor for the expansion of the Nutraceuticals market in Canada.

Some of the players present in North America nutraceuticals market are Amway, The Natures Bounty Co., Herbalife International of America, Inc., General Mills, Inc., Kellogg Co., Abbott, Nestle SA, Danone S.A., GlaxoSmithKline plc., and Helion Nutraceuticals, LLC. amongst the others.

The overall North America nutraceuticals market size has been derived using both primary and secondary source.The research process begins with exhaustive secondary research using internal and external sources to obtain qualitative and quantitative information related to the North America nutraceuticals market.

Also, multiple primary interviews were conducted with industry participants and commentators in order to validate data and analysis. The participants who typically take part in such a process include industry expert such as VPs, business development managers, market intelligence managers, and national sales managers, and external consultants such as valuation experts, research analysts, and key opinion leaders specializing in the North America nutraceuticals market.Read the full report: https://www.reportlinker.com/p05875906/?utm_source=GNW

About ReportlinkerReportLinker is an award-winning market research solution. Reportlinker finds and organizes the latest industry data so you get all the market research you need - instantly, in one place.

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North America Nutraceuticals Market to 2027 - Regional Analysis and Forecasts by Type ; Application - GlobeNewswire

High Protein Diet: This Boiled-Egg Salad Is Bursting With All Things Nice And Nutritious (Recipe Inside) – NDTV Food

Posted: March 18, 2020 at 9:49 pm

Highlights

What do you love the most about salads? In addition to its role in healthy and sustainable weight-loss, we love the fact how it does not take much time and effort to put together a salad. You can throw in your favourite fruits and veggies, toss it all up in your favourite dressing, some herbs and spices to elevate the flavour- and you are good to go! It is a myth that salads are always bland and boring, and it is also not entirely correctto say that salad is the healthiest thing you can have in the day. Everything depends upon the ingredients you choose. If you choose flavourful, fresh veggies, you would not find your salad boring. Similarly, if you cut down on fatty ingredients like creamy mayonnaise, bacon, extra cheese shavings and fried croutons, you can make your salad much healthier.

(Also Read:Street Food Of India: Craving Vada? Here Are 5 Quick And Easy Vada Recipes To Try At Home)

If you are trying to lose weight or gain muscle, it is a good idea to sneak in more protein to your diet. Consuming protein-rich foods helps induce satiety. If you are feeling full, there are fewer chances of you inching closer to high-calorie foods, thereby preventing weight gain. Protein also helps check cravings. We have a quick high-protein salad you can make in a matter of few minutes. This salad is made without any mayonnaise and the star ingredient here is the egg. Did you know, egg is touted as the best bio-available source of protein out there. In other words, it is very easy for our body to assimilate protein from eggs.

(Also Read:Healthy Diet: How Much Protein Is Enough? Celeb Nutritionist Rashi Chowdhary Reveals All About Protein)

Egg is touted as the best bio-available source of protein

Here's the recipe of boiled egg salad. Try it at home and let us know how you liked it.

2 Boiled eggs, chopped1 tsp salt1 tsp black pepper tsp red chilly flakes tsp lemon juice1 tsp olive oilHalf cup of boiled green beans, chopped cup of tomatoes, choppedCoriander leaves, as needed

1. In a bowl take eggs, beans and tomatoes.2. Now add olive oil, black pepper, red chilly flakes, salt and lemon juice. Give it a good mix.3. Add some coriander leaves on top for freshness. Serve it.

Try this salad at home; you can also have it for a low-carb dinner. Let us know how you liked the recipe in the comments section below!

(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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High Protein Diet: This Boiled-Egg Salad Is Bursting With All Things Nice And Nutritious (Recipe Inside) - NDTV Food

The B1G teams that will be hurt most by the loss of spring practice – Saturday Tradition

Posted: March 18, 2020 at 9:47 pm

With spring practices and several games either postponed or canceled, theres a good chance that college football teams wont have the chance to start working together until summer, or perhaps even August. It puts every team in the same situation heading into the 2020 season.

But we can all agree that spring practice is a little more important to some teams than others. Those 15 spring practices can be essential for programs ushering in new coaches, replacing a ton of key players or even helping incoming recruits gain a little experience before the start of the season.

Yes, every team in the B1G and college football, for that matter is experiencing the same situation this spring. A few will be hurt by the delay of team activities than others, though. It could seriously alter the expectation for six teams in the conference in 2020.

Credit: Mike Carter-USA TODAY Sports

Mike Locksley needed all the time he could get with his team this spring after a dreadful first season at Maryland. After such a hot start to the 2019 campaign, the Terps quickly fell from grace, ending the year with a 3-9 record, just one B1G win (against Rutgers) and getting blown off the field several times.

Theres some reason for optimism moving forward with Locksley bringing in the nations 31st-ranked recruiting class, which includes heralded five-star wide receiver Rakim Jarrett. Several players from the 2020 class would likely get the chance to see early playing time and possibly make significant contributions for the Terrapins.

Maryland had 11 players enroll early, hoping to get an early jump on the transition from high school to the college game. Theres a good chance a handful still see plenty of snaps this fall, but the experience of spring practice wouldve been extremely beneficial, especially with so many skilled players graduating or leaving for the NFL Draft.

A lot of things need to be addressed in College Park, and its going to be tough to clean up so many areas without the spring season.

Spring is vital for a recently-hired head coach and his new team. And with Rutgers essentially in the cellar since it joined the B1G in 2014, there are no expectations for a quick turnaround, even for Greg Schiano, who worked miracles during his first run with the Scarlet Knights.

Rutgers has been behind in recruiting, so it lacks the talent that can sometimes hide a teams underlying issues. To magnify the situation, players are learning new schemes and styles on both sides of the football and will now have to learn quickly in the summer and fall. Obviously, thats not ideal for a team with three wins in the last two seasons and hasnt won a B1G contest since 2017.

If theres one bright spot, its that Schiano has done an excellent job poaching from the transfer portal, bringing in experienced players who can (somewhat) hit the ground running. Names like Aron Cruickshank, Michael Dwumfour and Malik Barrow could provide a spark for the Scarlet Knights in 2020 (if Cruickshank is granted immediate eligibility). Still, its hardly enough to counter the loss of those 15 spring practices.

Considering what Schiano inherited, the loss of the spring season doesnt really delay the process or hinder the long-term plans at Rutgers, but it could result in another painful fall for the program.

Much like Rutgers, Michigan State is entering a brand new era for its football program. Spring wouldve allowed Mel Tucker to get players accustomed to his coaching style and new scheme implementations. Now, the Spartans will have to wait to make those adjustments.

The good news for Michigan State is that Tucker retained most of Mark Dantonios defensive staff, and was able to bring former assistants and players back to East Lansing to aid in the transition to the programs fresh look. It wouldnt really be all that surprising if MSUs defense is still fairly strong though it will see at least some drop-off with Kenny Willekes, Joe Bachie and Josiah Scott gone.

Perhaps the biggest concern is the offense which has been a big issue for the last three seasons. Not only is Jay Johnson the new play-caller at MSU, but the Spartans are looking to replace an experienced quarterback in Brian Lewerke and searching to find playmakers at wide receiver. A team that lost its most talented offensive pieces needed the spring to put together its depth chart.

It was going to be interesting to see what the Spartans looked like in 2020 anyway, but the end of spring practice could really hinder the teams bowl hopes in the fall.

Jeff Brohms situation isnt quite as concerning as some of the other teams mentioned on this list, but again, a roster full of young talent couldve benefited significantly from those 15 days of spring practice. This is a team that will rely heavily on underclassmen again, which likely includes a handful of recruits from the 2020 class.

The two challenges for Purdue will be at quarterback and essentially the entire defense. The Boilermakers were hoping to utilize spring to create a competition between quarterbacks Aidan OConnell and Jack Plummer, who both played significantly after losing the starting job to Elijah Sindelar, who later lost his season to injury.

Purdue is also ushering in a brand new defensive style, hiring Bob Diaco to replace Nick Holt after three seasons. The defense has been a nightmare for the Boilers the last two seasons and need a lot of help in that department.

At the very least, Purdue will have the spring to recover and rehabilitate from injuries last season. And, for some, perhaps thats better than getting in a few extra workouts.

Credit: Bruce Thorson-USA TODAY Sports

Really, Nebraska is in a similar situation with Purdue. Missing spring doesnt completely derail the goals the Huskers have for the 2020 season, but its the idea of the younger talent and early enrollees who couldve sped up the transition process.

Nebraska did make a change at offensive coordinator, hiring Matt Lubick. And while having the spring to get adjusted to having him on the sidelines wouldve been nice, its hard to imagine anything drastically changes on that side of the football with Scott Frost in charge. The skill position players should be fine, but its the offensive line that couldve used a little extra work.

The biggest area of concern will be Nebraskas defensive line, which lost all of its starters from a year ago. Obviously getting guys acclimated into more prominent roles up front wouldve been a serious advantage for the Huskers. Now Erik Chinander will have to wait until summer or fall to get his depth chart solidified up front.

With Nebraska having a gauntlet on the back end of the schedule, the Huskers really needed to hit the ground running in 2020. But it may take a few weeks for the team to find a rhythm in the third year under Frost.

Northwestern was a worthy candidate to land on this list simply because of a 3-9 record from last season and it could use spring to eliminate some of the uncharacteristic issues it endured last season penalties, turnovers, miscommunication, etc. On that front, yes, Pat Fitzgerald absolutely needed the spring.

On the other hand, the Wildcats are always pretty sound defensively and, when the offense isnt stagnant, keeps the team in games pretty frequently. Even though it was a down year in Evanston, Fitzgerald has earned the benefit of the doubt when it comes to fielding a defense that can hold its weight against anyone in the conference.

The big question is on offense, with new coordinator Mike Bajakian stepping in for Mick McCall. Northwestern desperately needed time to get things right on that side of the ball, learn the new offense and produce something better than 2019. The addition of Peyton Ramsey should counter some of those problems, as hes been one of the most accurate passers in the B1G the last two seasons and has a knack for moving the chains.

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The B1G teams that will be hurt most by the loss of spring practice - Saturday Tradition

Lawrence school employees will be paid during closure; plans still in works for others affected by shutdowns – Lawrence Journal-World

Posted: March 18, 2020 at 9:47 pm

photo by: Journal-World File Photos

Story last updated at 6:06 p.m. Wednesday

After orders to close school facilities, Lawrence public school employees will continue to be paid through the end of the academic year, the district announced late Wednesday afternoon.

But long-term plans are still being developed for some other area government and school district employees affected by closures related to the COVID-19 outbreak.

Douglas Countys health department ordered local public and private schools, indoor parks and recreation facilities and public libraries closed for two weeks in response to the spread of the new coronavirus. The order took effect immediately upon the announcement late Friday and will last until at least Sunday, March 29.

Schools, however, will be closed much longer. Gov. Laura Kelly on Tuesday ordered all Kansas schools closed for the rest of the academic year, adding some uncertainty to the pay for their employees.

Most employees working for the Douglas County school districts were set to be paid during the previously ordered two-week closure.

Prior to Kellys announcement, teachers of all three school districts were set to receive pay for their salaries in line with their negotiated contracts. Public school teachers are often paid through union-negotiated contracts, which can spread their earnings for nine months of work over a 12-month period.

During her press conference announcing the long-term closures, Kelly said school employees will be paid both the salaried employees and the hourly employees. But Kelly did not provide any details on how that would happen, and it was not outlined in her signed executive order.

Teachers are expected to be asked to teach their students in some virtual-school fashion for the rest of the school year. Julie Boyle, spokeswoman for the Lawrence school district, said in a news release that the school district is currently working to implement a continuous learning plan for students that will begin on March 30.

The status of long-term pay within the Lawrence school district was undetermined for most of Wednesday, but at about 4:30 p.m., Boyle said in an email to the Journal-World that all employees would be paid through the end of the school year.

Current contracted and at-will employees of the Lawrence Public Schools will be paid through the end of the school year, according to their regular payroll schedule, she said. The district is working now on plans to communicate this information to all of its employee groups.

Melissa Johnson, Lawrence school board president, said Wednesday that the board appreciated Kellys comments, as paying hourly employees was one of its concerns and priorities amid the ordered closure.

Were grateful that Governor Kelly has addressed this at the state level so that we are able to communicate that with (hourly) staff and hopefully put their mind at ease as we tackle this new normal for the remainder of the school year, Johnson said.

Additionally, the hourly staff for the Eudora school district will be paid during the extended closure. After Kellys announcement, Eudora school district spokesman Mark Dodge told the Journal-World in an email that the school districts work agreements with hourly staff would be honored for the rest of the school year.

However, the Baldwin City school district is still up in the air. Superintendent Paul Dorathy on Monday said the school board approved paying hourly workers during the original two-week closure, but he added the board would need to make another decision if the closure was extended.

All employees would still receive pay during this closure, Dorathy said Monday. Our board would have to discuss extending the pay past the two weeks.

After Kellys announcement of extended closure, Dorathy said Wednesday the board will need to meet in the near future to make a decision on pay for the rest of the school year. He said a special board meeting will be scheduled, but a date for that meeting has not yet been determined.

Lawrence board member Shannon Kimball, who is also the president for the Kansas Association of School Boards, said Wednesday that there were many details to be worked out, but she believed it was the states intention for all school hourly staff to be paid for the remainder of the school year.

There is still a lot of moving parts that everybody is trying to put together to make sure we cover all the bases, she said. Everything Ive heard and read indicates that the intention is that districts will be able to pay those hourly staff. The details about what you have to do to make that happen are still in the works.

For the city of Lawrence, the two-week closure affects the citys four recreation centers, the Indoor Aquatic Center and the Prairie Park Nature Center. The Lawrence Public Library has also closed. For now, all of those employees can continue to receive paychecks.

Parks and Rec Director Derek Rogers said Tuesday the department currently employs about 80 full-time staff and 125 part-time workers, which include lifeguards, park maintenance staff, front desk receptionists, recreation instructors and sports league officials. Rogers said the city is sympathetic to how employees are affected by the closure orders and cancellations, and that the city is providing options for them to continue working.

Specifically, Rogers said the closure and cancellations require a lot of customer support, and even those employees whose jobs are directly affected still have the option to come into work through March 29.

It was very quickly how this happened, Rogers said. As we adjust to the consequences and how we operate in response to the coronavirus and the speed of closing our rec facilities, we are supporting our part-time workers with continued, consistent employment over the next two weeks.

Apart from handling customer service-related tasks for all the cancellations, Rogers said the department will soon begin a deep cleaning of all its buildings. In addition to the indoor pool and the nature center, the four recreation centers include basketball courts, indoor soccer fields, locker rooms, cardio equipment, weight rooms, game rooms, gymnastic areas and multipurpose rooms.

However, Rogers said if the departments facilities are ordered to remain closed beyond March 29, it has not yet been determined how that will affect staffing or whether the department can continue to employ everyone. He noted that the coronavirus outbreak will affect both indirect and direct revenue for the department and the city. Rogers said indirect revenue comprises sales tax and alcohol tax revenue that will take a hit from slow sales citywide and the cancellation of the NCAA basketball tournament.

The closure order directly affects the departments revenue for pool entrance fees, class and activity fees, and facility rentals, among other revenue. For example, Assistant Director Lee Ice said that the closure has so far required the cancellation of two volleyball tournaments at Sports Pavilion Lawrence, which Ice estimated would have generated around $30,000 total for the department. Ice said that last March the department generated $350,000 in direct revenue, including fees for tournaments, recreation classes, swimming pool entrances, sports league registrations and facility rentals, among other fees.

The department employs up to 700 part-time workers in the summer to staff additional activities such as the outdoor pool, day camps and summer sports leagues. Ice said the direction right now is for the department to continue to recruit part-time workers for the summer season so that the department is prepared to open recreation facilities and offer activities.

The library is much less dependent on vulnerable revenue sources and will continue to pay all staff members, including those who will not be working during the closure. Executive Director Brad Allen said the library has about 90 employees, about half of whom are part-time. Allen said on Monday that the library is still determining which employees will continue to work during the closure, but that all employees would be paid for the schedule they normally work regardless.

Basically we are in a position to where everybody is getting paid for their normal work, whether they are able to come in and do it or not, Allen said.

Allen said that since property tax revenue supports the librarys operations, there is little to no revenue loss due to the closure. Allen said the only impacts on revenue were the minimal charges for photocopies and renting the librarys auditorium. The library does not charge late fees for overdue materials.

As the pandemic continues, the Journal-World will be making coverage of COVID-19 available outside of the paywall on LJWorld.com.

Find all coverage of city, county and state responses to the virus at: ljworld.com/coronavirus/

Patients who have symptoms difficulty breathing, cough and fever should stay home, immediately isolate themselves from others and call their health care providers. Patients should never show up unannounced at a medical office or hospital. Instead, they should call ahead to explain their symptoms and give health care workers the ability to minimize the risk to others.

If patients do not have health care providers, they may call the Lawrence Douglas-County health departments coronavirus line, 785-856-4343.

For updated information on the outbreak, Kansas residents can email COVID-19@ks.gov or call 866-534-3463 (866-KDHEINF), which is staffed 8 a.m. to 7 p.m., Monday through Friday; 10 a.m. to 2 p.m. Saturday; and 1 p.m. to 5 p.m. Sunday.

More information can be found through the Centers for Disease Control and Preventions website, the Kansas Department of Health and Environments website or the Lawrence-Douglas County Public Health website.

Have a story idea, news or information to share? Contact reporter Rochelle Valverde:

Have a story idea, news or information to share? Contact reporter Dylan Lysen:

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Lawrence school employees will be paid during closure; plans still in works for others affected by shutdowns - Lawrence Journal-World


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