weight loss: not to be take lightly

Weight LossNot to be Taken Lightly

Why Losing Weight in a Healthy Mannerand Keeping it Off is Not

Just About Calories

Presented By;

Dr. Don HarrisClinical Nutritionist

Disclaimer

The information given and discussed in this presentation is for information and research

purposes only and is not intended to prescribe treatment

Dr. Don E. Harris

Bridgewater State College 1986

BS Biology

BS Psychology

Brandies University 1987

Nutrition

National College of Health Science 1992

BS Human Biology

Doctor of Chiropractic

American/International Society of Clinical Nutritionists Expected 2010

1992 to Present

President of Initium Center for Integrative Health Care

2006 to present

President of Harris: Advantage Health

> 2,000 hours in Post Doctoral Nutrition

20 Years in Practice Specializing in Clinical Nutrition and

Inflammatory Conditions Related to Aging

Professional Affiliations

•American Academy of Anti-Aging Medicine

•Institute for Functional Medicine

•American Academy of Environmental Medicine

•Academy of Anti-Aging Research

•American Preventive Medical Association

•American College of Nutrition

•American College of Sports Medicine

A Functional Medicine/Clinical Nutrition health care practice dedicated to assisting clients learn how each individual can alter their Lifestyle to

live a life. Longer/Healthier

Goals of This Presentation

Understand physiological processes if unbalanced lead to illness and weight gain.

America’s Health Crises and it’s relationship with obesity and weight management.

Obesity trends in the United States.

Understand what Metabolic Syndrome is and it’s relationship to weight gain.

Understand why a toxic environment can lead to weight gain.


Reasons for Complicated Weight Loss• Metabolic Syndrome/Insulin Resistance• Toxic Environment/Liver Detoxification

• G.I. Dysfunction• Inflammatory Conditions• Auto-Immune Disorders• Endocrine Disorders

– Thyroid– Adrenal– Testes/Ovary

• Nutritional Deficiencies– Essential Fatty Acids– Vitamins/Minerals– Pro-Biotics

• Excessive Caloric Intake/Lack of Caloric Expenditure• Allergies

Endocrine Disorders

Inflammatory Conditions

Excessive Caloric Intake

Lack of Caloric Expenditure

Insulin Resistance/Metabolic Syndrome

Nutritional Deficiencies

G.I. Dysfunction

Allergies

Toxic Environment/Liver Detox

Auto-Immune Disease

Weight Loss; Not to be Taken Lightly

Digestion

&

Absorption

Detoxification

&

Elimination

Immune

Imbalances

Endocrine

Imbalances

DIET

EnvironmentDaily Activities

Chronic Inflammatory Disease and Weight LossDigestion& Absorption

Detoxification& Elimination

Endocrine Dysfunction

Immune Imbalance

MouthStomach

Sm/Lg Intestines Liver

Pancreas

Liver & KidneysSystemic Cells

Small IntestinesBladderColon

PituitaryThyroid

/Adrenals Testes/Ovaries

Pancreas

ThymusLymph Nodes

White Blood CellsMacrophages

T-Cells

Minimal ChewingDigestive Enzyme DeficiencyDysbiosisLeaky Gut

Increased Free RadicalsToxinsDecreased EFA’sStress

Exo/Endo ToxinsDecrease Vitamin IntakeDecreased Mineral Intake

Depression/Anxiety

Obesity

Sexual Dysfunction

Kidney/Liver Disease

Bowel Dysfunction/Inflammation

Cognitive Disorders

Arthritis

Neuro-Cognitive Disorders

Allergies

Daily Activities Environment

Diet

GeneticsHeart Disease

Cancer

Stroke

Lung Disease/Pulmonary Dysfunction

Diabetes/Metabolic Syndrome

Cognitive Disorders

Chronic Fatigue/Fibromyalgia

Auto-Immune Disease

Reproductive Disorders

Skin Disorders

Osteoporosis

Viral/Bacterial Infections

•More people have autoimmune diseases such as; multiple sclerosis, lupus, rheumatoid arthritis, celiac disease, than ever before•More people have acid reflux, ulcers, and stomach problems than ever before

•More women have menopause problems than ever before

•More women have more frequent PMS and more severe PMS than ever before

•More people suffer from allergies, asthmas, arthritis than ever before

•More people have diabetes than ever before

•More people have pre-diabetic conditions (Insulin Resistance, Metabolic Syndrome), than ever before

•More people have heart disease than ever before

•More people have chronic fatigue and fibromyalgia than ever before

•More kids have attention deficit disorder and hyperactivity than ever before

•More people have skin problems than ever before

•More people have insomnia than ever before

•More men and women suffer from sexual dysfunction and infertility than ever before

•More people suffer from depression, anxiety, migraine headaches, and stress than ever before

•More People get colds and flues than ever before

•More men suffer from prostate problems and more women get yeast infections than ever before

•More people are obese than ever before

More People Have… Than Ever Before

Leading Causes of Death in the United States

1900 Infectious Illness

1.Pneumonia/Flu

2. Tuberculosis

3. Dysentery

4.Heart Disease

8. Cancer

7. Accidents

6. Kidney Infections

5. Stroke

10. Diphtheria

9. Senility

1.Heart Disease

2.Cancer

3.Stroke

7.Pneumonia/Flu

5. Accidents

4.Lung Disease

8.Alzheimer’s

9.Kidney Infection

10. Liver Disease

6.Diabetes

2008 Chronic Inflammation

70% 66%

1.8%

Over 65 % of Deaths are Related to Poor Nutrition/Environment/Lifestyle

•Accidents 3.6%

•Pulmonary Disease 4.6%

•Pneumonia/Flu 1.8%

•Diabetes 2.8%

•Suicide/Alzheimer’s 1.5%

•Kidney Disease 1.1%

•Liver Disease 1.0%

•Cardiovascular Disease (stroke) 7.1%

•Cancer 22.3%

•Heart Disease 36.4%

65.8%

“The United States spends 2X more per person on health care than any other country, yet in D.A.L.E. its care ranks in the world.”

World Health Organization

Disability-Adjusted Life Years

24th•WHO scientists have developed a new way of calculatingthe number of years that a person can be expected to live in full health.

•It is known as the DALE (Disability-Adjusted Life Years) system,and gives a truer picture of the health of a country than simplystudying death rates.

•To calculate DALE, the years of ill-health are weighted according to severity and subtracted from the expected overall life expectancy to give the equivalent years of healthy life.

"Basically, you die earlier and spend more time disabled if you're an American rather than a member of most other advanced countries."

Overall Male FemaleJapan 74.5 71.9 77.2Australia 73.2 70.8 75.5France 73.1 69.3 76.9Sweden 73.0 71.2 74.9Spain 72.8 69.8 75.7Italy 72.7 70.0 75.4Greece 72.5 70.5 74.6Switzerland 72.5 69.5 75.5Monaco 72.4 68.5 76.3Andorra 72.3 69.3 75.2San Marino 72.3 69.5 75.0Canada 72.0 70.0 74.0Netherlands 72.0 69.6 74.4United Kingdom 71.7 69.7 73.7Norway 71.7 68.8 74.6Belgium 71.6 68.7 74.6Austria 71.6 68.8 74.4Luxembourg 71.1 68.0 74.2Iceland 70.8 69.2 72.3Finland 70.5 67.2 73.7Malta 70.5 68.4 72.5Germany 70.4 67.4 73.5Israel 70.4 69.2 71.6United States of America 70.0 67.5 72.6


Obesity $92 Billion

United States spends 2.1 TRILLION on health care annually

United States spends $7,900/person on health care annually78%, or $1.6 trillion annually – are for the treatment ofpreventable, lifestyle related conditions such as type II diabetes,obesity, and heart disease.

United States spends 16% of GDP on health care annually

Australia spends 8.8% of GDP on health care annually

France spends 11.2% of GDP on health care annually

Sweden spends 9.2% of GDP on health care annually

Japan spends 8.2% of GDP on health care annually

Spain spends 8.2% of GDP on health care annually

http://www.photius.com/rankings/healthy_life_table2.html

GDP of the United States 14.3 Trillion

Bio Markers Related to Aging

• Muscle Mass Related to Body Composition• Aerobic Potential

• Muscular Strength• Flexibility• Cardiovascular Endurance• Resting Energy Expenditure• Total Cholesterol-to-HDL Cholesterol Ratio• Glucose Tolerance• Blood Pressure• Bone Density

There is a very strong correlation between increased fat-free mass, aerobic oxidative potential and lower biological or functional age.

Sarcopenia

•Muscle Loss

“ No decline with age is as dramatic or potentially more significant than the decline in . In fact, there may be no single feature of age-related decline more striking than the decline in Lean Body Mass in affecting ambulation, mobility, energy intake, intestinal function, overall nutrient intake and status, immune function, inflammatory control.”

Lean Body Mass

Total Weight Loss

Lean Body Mass

-11 -13

+4 -11

DSP OTC

Health Care Professional Vs.

Over the Counter Weight Loss Programs


Obesity Trends Among U.S. Adults BRFSS 1990, 1998, 2007

Definitions:

Obesity: Having a very high amount of body fat in relation to lean body mass, or Body Mass Index (BMI) of 30 or higher.

•Body Mass Index (BMI): A measure of an adult’s weight in relation to his or her height, specifically the adult’s weight in kilograms divided by the square of his or her height in meters.

•In 1990, among states participating in the Behavioral Risk Factor Surveillance System, 10 states had a prevalence of obesity less than 10% and no states had prevalence equal to or greater than 15%.

•By 1998, no state had prevalence less than 10%, seven states had a prevalence of obesity between 20-24%, and no state had prevalence equal to or greater than 25%.

•In 2007, only one state (Colorado) had a prevalence of obesity less than 20%. Thirty states had a prevalence equal to or greater than 25%; three of these states (Alabama, Mississippi and Tennessee) had a prevalence of obesity equal to or greater than 30%.

Obesity Linked to Specific Cancers By Nanci Hellmich, USA TODAY (October, 2009)

• About 100,500 new cases of cancer are caused by obesity every year, according to the most comprehensive attempt ever to estimate the cancers attributed to extra weight.

• The analysis, released today by the American Institute for Cancer Research, is based on updated cancer data and a report released earlier this year by a panel of experts. Among the types of cancer most strongly linked to excess body fat:

•Breast, 33,000 cases a year caused by obesity.•Endometrial, 20,700 cases a year.•Kidney, 13,900 cases.•Colorectal, 13,200 cases.•Pancreas, 11,900.•Esophagus, 5,800.•Gallbladder, 2,000.

"The list of cancers affected by obesity will almost certainly increase as more research is completed," says Michael Thun, emeritus vice president of epidemiological research at the American Cancer Society. "Several other types of cancer – liver, multiple myeloma and certain leukemias – have been linked to obesity in some studies, but this needs confirmation.“

Overall, about one-third of U.S. adults are obese, roughly 30 or more pounds over a healthy weight. Obesity also increases a person's risk of diabetes, heart disease and other diseases.

Excess weight raises cancer risk in different ways, says Tim Byers, director of the University of Colorado Cancer Center in Denver. For breast and endometrial cancer, it seems to be an estrogen problem, he says. Women who are overweight after menopause have more estrogen circulating in their blood, which increases cancer risk. For esophageal cancer, obesity leads to acid reflux, which damages the lower part of the esophagus.

Donna Ryan, an oncologist and president of the Obesity Society, says several hormones and factors involved in obesity may lead to cancer. "Insulin is a prime suspect," she says. "Insulin resistance and elevated insulin levels frequently occur in obese people. Insulin is a very powerful cellular growth factor, and it affects cancer cells."

http://www.usatoday.com/community/tags/reporter.aspx?id=480



http://content.usatoday.com/topics/topic/Organizations/Non-profits,+Activist+Groups/American+Cancer+Society

1998

(*BMI 30, or about 30 lbs. overweight for 5’4” person)

2007

1990

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%


Obesity Trends Among U.S. Adults BRFSS 1990, 1998, 2007


Obesity Trends Among U.S. Adults BRFSS 1985-1989

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%




No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Height/WeightBased on the North American Association for the Study of Obesity

Males5’ 00” 1225’ 01” 1265’ 02” 1315’ 03” 1355’ 04” 1395’ 05” 1445’ 06” 1485’ 07 1525’ 08” 1575’ 09” 1615’ 10” 1665’ 11” 1716’ 00” 1756’ 01” 1796’ 02” 1846’ 03” 1896’ 04” 195

Females4’ 10” 1144’ 11” 1185’ 00” 1215’ 01” 1245’ 02” 1285’ 03” 1315’ 04” 1345’ 05” 1375’ 06” 1405’ 07 1445’ 08” 1475’ 09” 1505’ 10” 1535’ 11” 1576’ 00” 161

15%-20%20%-25%

Approximate Grams Potential CaloriesCarbohydrate

Glucose in Blood and Interstitial Fluids 20

Glycogen

Liver 85

Muscles 350

80

1,820

340

1,400

Fat (Assuming 15% Body Fat) 10,500

94,500

Protein 10,500

42,000

TOTAL 138,320


1. _____________ X __________ = ___________________ Healthy Weight 10(F) 11(M) Basic Calorie Needs (REE) (B)

2. ____________________ X______________ = _____________ Basic Calorie Needs (B) % Activity Level Activity Calorie Needs (A)

3. _________________ + ___________________ = _____________ Basic Calorie Needs (B) Activity Calorie Needs (A) (C)

4. ___________X .1 =________________ (C) Digestion Cal (D)

4. ________ + ________ + ________ = ___________________________ (B) (A) (D) TOTAL DAILY CALORIE NEEDS

How Many Calories Do You Need?

By the Numbers

Activity Level

Sedentary (20%) Sit, Drive, Stand Light Active (30%) Light WalkingModerately Active (40%) Dance, Exercise 3-4/Wk Very Active (50%) Exercise 4-6/Wk

130 10 1300

1300 26020%

1300 260 1560

1300 260 156 1716

1560 156

By The Numbers

Total Daily Calorie Needs (A) __________

__________ X ___________________ Divided By 4 = __________________ (A) Calories/Carbs/Day(40%) Grams/Carbs

1716

1716 686 171

__________ X ___________________ Divided By 4 = __________________ (A) Calories/Protein/Day(30%) Grams/Protein

1716 514 128

__________ X ___________________ Divided By 9 = __________________ (A) Calories/Fat/Day(30%) Grams/Fat

1716 514 57

How Many Calories Do You Need?

By The Numbers

Total Daily Calorie Needs (A) __________

__________ X ___________________ Divided By 4 = __________________ (A) Calories/Carbs/Day(50%) Grams/Carbs

2300

2300 1150/686 287(171)

__________ X ___________________ Divided By 4 = __________________ (A) Calories/Protein/Day(15%) Grams/Protein

2300 330/514 86(128)

__________ X ___________________ Divided By 9 = __________________ (A) Calories/Fat/Day(35%) Grams/Fat

2300 805/514 89(57)

How Many Calories Do We Eat?


Insulin Resistance and Weight Loss


Whenever we're angry, scared, anxious, or tense, the brain produces hormones that trigger the adrenal gland to secrete cortisol and adrenaline: hormones specifically designed to incite the fight-or-flight response that was once crucial to our survival. Adrenaline's main role is to make you alert and focused, with exceptional concentration and memory. Cortisol helps increase heart and respiratory rates and getting your muscles tensed and ready. Since, physiologically speaking, your body thinks you've run a mile or two or done something active in response to the 'threat', the hormone sends signals to refuel the body as soon as possible. It's a biological green light to indulge in foods loaded with carbs and fat that leads to weight gain in the chronically stressed. It's a vicious cycle of stress, followed by elevated cortisol, followed by that foods you don't need.

While those physiological processes worked well for our prehistoric ancestors, they're not as useful in a world where physical dangers are seldom. The trouble is, whenever we're stressed these hormones are released into your system. Though adrenaline levels plummet as the stress subsides, cortisol remains in the body much longer.


Your liver and muscles are not able to remove the increased blood sugar due to the increased cortisol. This also increases the output of insulin causing a condition known as insulin resistance. Research has found that fat cells deep inside the belly are especially good at attracting cortisol. Simply put, the cascade of responses caused by stress encourages the accumulation of excess 'stress fat', the layer of fat below the abdominal muscle. 'This creates "toxic weight" - or extra fat inside the abdomen - which is a type of fat on the body associated with death. This type of fat has been linked to heart disease, high blood pressure, stroke, cancer and diabetes.


Metabolic syndrome begins years before obesity appears; millions of people who are not obese have metabolic syndrome, while nearly everyone who is obese or diabetic has metabolic syndrome.


Metabolic SyndromeThis state of persistent increased levels of cortisol leads into insulin resistance. This is usually called metabolic syndrome, although some experts call it Syndrome X or prediabetes.

Characteristics that Identify Insulin Resistance

•Tendency to gain fat in the upper body Central Obesity

•Menstrual irregularities and polycystic ovaries.

•Marginally elevated LDL cholesterol.

•Low HDL of 40mg/dl or lower

•Marginally elevated blood fats (triglycerides) greater than 150mg/dl.

•Marginally elevated blood pressure 130/85 or higher

•A “sweet tooth.”

•Symptoms that resemble hypoglycemia.

•A family history of type II diabetes.

Liver Detox/Toxicity and Weight Loss


For the first time in the history of the world, every human being is now subjected to contact with dangerous chemicals from the

moment of conception until death. In the less than two decades of their use, the synthetic pesticides have been so thoroughly

distributed throughout the animate and inanimate world that they occur virtually everywhere.


Today, experts are asking whether environmental factors may also play a role not only in weight gain but also in the difficulty so many people have in losing and keeping weight off. Interestingly, the biggest weight increases population-wise closely mirror the largest increases in synthetic chemical use. Since many of these chemicals actually cause weight gain, this similarity seems more than coincidental.


"One new chemical enters industrial use every 20 minutes only to join many hundreds of thousands of synthetic chemicals already in use.” As a result, the average person living in

the developed world is now contaminated with up to 500 industrial toxins, few of which have been properly tested for harmful effects." Indeed, the US has only recently begun long-term research to establish a baseline for toxins in a portion of our population.

A staggeringly large number of the most common diseases of the developed world [most kinds of cancer, hormonal disorders, and low energy including chronic fatigue syndrome, immune disorders, heart disease, and sexual problems] are related to or can be triggered by these toxins,"


•Environmental Pollutants

•Herbicides/Pesticides

•Heavy Metals

•Chemical Exposure

•Air/Water Pollutants

•Endotoxins

•Candidiasis

A liver overloaded with pollutants and toxins cannot efficiently burn body fat A liver overloaded with pollutants and toxins cannot efficiently burn body fat

•Cigarette Smoke

•Perfumes

•Pollens/Dust/Mold

•Exhaust Fumes

•Household Cleaners

•Out-Gassing of Paints,

•Dry Cleaning

The liver is the major fat burning organ in the body and regulates fat metabolism by a complicated set of biochemical pathways. The liver can also pump excessive fat out of the body through the bile into the small intestines. If the diet is high in

fiber, this unwanted fat will be carried out of the body via the bowel actions. Thus the liver is a remarkable machine for keeping weight under control, being both a

fat burning organ and a fat pumping organ.If the diet is low in fiber, some of the fats (especially cholesterol) and toxins that have been pumped by the liver into the gut through the bile will recirculate back

to the liver. If this recirculated fluid is high in fat and/or toxins, this will contribute to excessive weight.



Your weight is extremely important at keeping your liver healthy. This means avoiding as many damaging substances (like alcohol, caffeine, many medications, sugar, and trans fats) as possible, while embracing liver boosters. Strengthen your liver with milk thistle, and consider soluble fiber (pectin and psyllium seed) to help remove toxins from the body.

Many middle-aged people with excess fat in the abdominal area have a "fatty liver". In this condition the liver has stopped burning fat and has turned into a fat storing organ. It becomes enlarged and swollen with greasy deposits of fatty tissue. Those with a fatty liver will not be able to lose weight unless they first improve liver function.

Symptom Picture of General Toxicity

General Symptoms

• Malaise

- Chronic Fatigue

- Headache

- Joint & Muscle Pain

• Chronic Mucous Production

• Poor Exercise Tolerance

•Weight Gain

•Poor Concentration/Memory

•Digestive Complaints

Questionnaires

Assessments

Examination

Laboratory Analysis

•Blood•Urine•Saliva•Stool•Hair

Risk FactorsRisk Factors

Indicators of dysfunctions that may

lead to weight loss issues

0

33.3

66.6

99.9gastrointestinal

liver/gallbladder

endocrin

e

glucose

cardiovascular

mood

immune

urological

musculoskeletal

cns & brain

male

Phases of Treatment

Elimination Detoxification

Calorie Restriction/Low Glycemic Program

Nutraceaticals

Phase

I

Phase

IIPha

se II

I

OPTIMAL FUNCTIONAL HEALTH

Program

Digestion/AbsorptionDetoxification/Elimination

Endocrine Dysfunction

Immune ImbalanceStress

weight loss: not to be take lightly

Health & Medicine