June 26, 2008 on 3:01 pm | In Uncategorized | No Comments
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Dear Hungry Girl,
I love iced coffee, and I’ve noticed that many fast food places are now offering their own versions (including flavored ones!). Are these good for me?
Coffee Fiend |
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Dear Coffee Fiend,
I love iced coffee as well and tend to think I can make the best-tasting, diet-friendly versions at home with some key ingredients (instant coffee, Unsweetened Vanilla Almond Breeze, unsweetened cocoa powder, Torani Sugar Free Syrups, Coffee-mate fat-free flavored powders, etc.). But when you’re out and about, it’s easy to be tempted by what you see at the drive-thru. Since you don’t have complete control of what goes in those things (like you might at a coffee shop), you really need to do your research (in this case I’ve done a little for you!). Som e of those iced coffees are far higher in calories and fat than others. Take a look…
Jack in the Box:
Regular (avg. all varieties) = 96 calories & 1.7g fat (POINTS® value 2*)
Large (avg. all varieties) = 150 calories & 3g fat (POINTS® value 3*)
McDonald’s:
Small sugar-free vanilla = 60 calories & 5g fat (POINTS® value 2*)
Large sugar-free vanilla = 120 calories & 11g fat (POINTS® value 3*)
Small (all other varieties, including regular vanilla) = 130 - 140 calories & 5g fat (POINTS® value 3*)
Large (all other varieties, including regular vanilla) = 270 - 280 calories & 11g fat (POINTS® value 6 - 7*)
Burger King:
Mocha BK Joe Iced Coffee = 380 calories and 10g fat (POINTS® value 8*)
Those JITB iced coffees are NOT BAD considering they aren’t even marketed as light! (They’re made with 2% milk.) But watch out for that crazy Burger King one — it’s actually made with vanilla shake mix and chocolate shake syrup! There are a few key ways to know what you’re getting into when it comes to iced coffee at fast food joints (or anywhere, for that matter). 1. You can (and definitely SHOULD!) check the websites for the scoop on the nutritionals and ingredients — a quick search showed me all that info above. 2. Always ask for fat-free milk (if given the choice), request sugar-free syrup (if available), ask to sweeten it yourself (with no-calorie sweetener, if possible), and go without whipped cream. 3. If the beverage is premixed and/or can’t be altered, ask what’s in it. If it’s flavored, is the syrup full of sugar? If it’s creamy, is it made with full-fat milk or cream? Don’t be shy! |
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Dear In Need,
Here’s the deal with egg drop soup. For starters, it probably doesn’t have as many calories as you think. A cup of the stuff sans noodles typically has about 70 calories and 3g fat (POINTS® value 2*). Not bad! As far as the cholesterol is concerned, that number is slightly high (after all, egg drop soup IS made with real eggs!). Each cup clocks in with around 100mg of cholesterol (an average egg alone contains about 200mg of the stuff). The DV of dietary cholesterol is actually less than 300mg. So if cholesterol is a concern, you may want to watch your consumption of that soup. We’ve got a great recipe in the HG cookbook called Egg Flower Power Soup (1 generous cup = 50 calories, <0.5g fat, 1g fiber -- POINTS® value 1*). Since that’s made wit h egg whites and no yolks, it’s definitely far lower in cholesterol than the average egg drop soup. As for those fried noodles — well — THOSE are the real enemy. They are LOADED with grease and oil. Just a teeny half-cup serving contains around 200 calories and as much as 10g fat (POINTS® value 5*). HORRENDOUS! Plus, the bag typically contains more than 1 serving, and it’s too easy to down the entire sack of ‘em in one sitting. Here in California, luckily, most restaurants don’t include those things with your order. But when I lived in NYC, I wouldn’t even remove those crispy noodles from my takeout bag! I kept them tucked away with the crazy-spicy mustard and mystery condiments, and I only rescued the soy sauce and plasticware! Be strong — skip the noodles! And happy slurping…
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June 24, 2008 on 6:34 pm | In Uncategorized | No Comments
Breakfast is the most important meal of the day, says Jennifer. “I eat breakfast like a queen, lunch like a princess, and dinner like a pauper – dwindling my calories down from morning to night.”

Breakfast: Cage-free egg whites with spinach, mushrooms, olive oil and garlic. Half a cup of cooked multigrain hot cereal (blend of rye, barley, oats and wheat) with two tablespoons of coconut oil and two tablespoons of wheat germ.
Mid-morning meal: Protein shake blended with water, two tablespoons ground flax seed, one tablespoon of coconut oil, one tablespoon enriched flax oil and one tablespoon of evening primrose oil.
Lunch: Either grilled chicken or four percent ground beef burger, served as an open-face sandwich on dark-sprouted German wheat bread topped with hummus, alfalfa sprouts, spinach, matchstick carrots and Roman tomatoes.
Late-afternoon meal: Protein shake blended with water, two tablespoons of ground flax seed mix, one tablespoon of coconut oil, one tablespoon enriched flax oil and one tablespoon of evening primrose oil.
Dinner: Steamed wild cod marinated with soy and wasabi, served with mixed steamed veggies, and a side salad with ginger dressing.
*Late night snack: “If I get super hungry and can’t sleep, I’ll have a protein shake made with water,“ Jennifer says.
Jennifer Nicole Lee’s weekly training schedule:
Monday: Legs
“Leg day is always the hardest for me,” she says. “I love to work out my lower body with weights, but I also push myself to the max with plyometrics to see the results I want.” Perform 3 sets, 8-12 reps of each: lunge, squat, leg extension, weighted step-ups. Perform in a circuit: snap jumps (an alternative for jumping rope), lateral jumps, box jumps.
Tuesday: Back and Biceps
“Nothing is sexier than a toned back, especially if your dress is backless,” she says. “Make sure your posture is perfect when you’re training your back!” Perform 3 sets, 8-12 reps of each: bent over row, cable row, cambered bar lying row.
“When working your biceps, make sure you squeeze at the top of the curling motion, slowly lowering to work the entire move.” Perform 3 sets, 8-12 reps of each: incline dumbbell curl, barbell curl, cable hammer curls.
Wednesday: Cardio and Core
“I train for speed and agility,” says Jennifer, who will do cardio and core work for 45 minutes each week. Perform in a circuit: hanging abs, reverse crunch, twists.
Thursday: Shoulders and Calves
Jennifer says she loves having “sleek and sexy muscular mushroom caps” for shoulders. “They’re essential to creating that perfect symmetry and V-taper. I aim to hit my supraspinatus and anterior, medial and posterior deltoids each time I work my shoulders,” she adds. Perform 3 sets, 8-12 reps of each: Arnold press, lateral raise, lying row, cable raise.
Calf muscles are stubborn and often neglected. Stick with it – you’ll see gains soon, Jennifer says. Perform 3 sets, 8-12 reps of each: standing calf raise, seated calf raise.
Friday: Chest and Triceps
“There are many benefits to working chest, including an instant lift! Perform 3 sets, 8-12 reps of each: bench press, incline press, incline dumbbell flye.
“You’ll get jiggle-free arms with these moves,” says Jennifer. Perform 3 sets, 8-12 reps of each: kickback, triceps extension, triceps press, dips.
Saturday: Cardio and Core
(Same as Wednesday)
Sunday: Active Rest
“I don’t necessarily work out per se,” says Jennifer. “However, I stay active by swimming in my pool or kicking the soccer ball around with my sons.”
June 24, 2008 on 6:30 pm | In Uncategorized | No Comments
In the last decade or so the popularity of Cosmetic and Plastic surgery has increased. It’s not just celebrities or the rich who are getting work done anymore either! Everyday people - men, women, and even teens are having procedures done to fix problem areas or in some cases to boost their self esteem.I’m a nurse and I used to work for a plastic surgeon. After seeing so many people come in to everything from signs of aging to lopsided breasts treated I even began to consider the possibility of having some work done. I never did have any treatments, but I did consider trying Botox to get rid of a few lines and some of the other products that fill in lines or that are used to plump lips.
One of the reasons that I never tried any of the popular treatments while I worked with the plastic surgeon was that I really didn’t need it at the time nor could I justify the cost. Sure I probably would have had a great discount since I worked at the clinic, but it still would have been expensive!
I wasn’t that big on the idea of having injections in my lips either. Ow! I can only imagine how painful that would be! Plus, what if the treatment went wrong? We’ve all heard stories of people with lumpy lips or frozen expressions after some of these treatments. I’ve even seen the results of treatments gone bad! Oh not by the doctor I worked with … no, it was clients coming in to see if a treatment that they’d had done elsewhere could be fixed.
Luckily for those of us who want to have fuller sexier lips there’s a topical product that we can try. Think about it … you can have fuller lips without the pain of having injections! Oh and the price is more than reasonable too.
So what product am I talking about? Well, it’s called celebrity sexy lip plumper. It will give you a sexy pout just like many of your favorite celebrities. Think perhaps Angelina Jolie’s lips … full, beautiful and very sexy.
I’ve never tried any of the lip plumping products that are on the market, but I’ve heard that some can cause a stinging or cause dry chapped lips. Luckily this lip plumper doesn’t cause any drying or chapping nor does it cause burning or irritation. Just apply it as you would lip gloss and the active ingredients will draw moisture in to plump your lips while also protecting and nourishing your lips at the same time.
Sounds like it’s worth trying, doesn’t it? The website states that Celebrity Sexy Lips is the only plumper with both immediate and long term results. They also have a fantastic guarantee. If for any reason you aren’t completely satisfied with their lip plumper you can return it for a full refund. No questions asked.
Celebrity Sexy Lip plumper has also been discussed over at Something Stylish, OH! Oxygen, E Entertainment Television, Extra, Ok! Weekly, Style and VHR. This lip plumper must be gaining in popularity if all of these celebrity and entertainment related companies are buzzing about it.
This review has been sponsored via ReviewMe and Celebrity Sexy Lip Plumper.
June 15, 2008 on 11:36 am | In Uncategorized | No Comments
The Bitter Side of Sweet
Another day, another co-worker’s birthday (and the obligatory cake in the break room). Elaine Benes was right: this is insanity.
You’re into the Primal style of eating, so it’s easy to resist this stuff, right? You ignored the dirty looks when you turned down that piece of fudge-smothered bundt cake offered by your boss’s wife at their employee open house. You don’t mind gnawing on the few anemic carrot sticks left at the annual holiday party. Dessert just isn’t part of your vocabulary.
But would it hurt to indulge this once? This guy’s birthday? Well, you like him well enough, and the cake is a lemon cream after all. And it’s the end of the work day. Seriously, it’s not like you’ll suddenly burst into flame and melt in a fiery, torturous death, leaving nothing but a smoldering spot on the carpet. You’re disciplined. You can more than make up for this later. The worst that can happen is a sugar rush, and you spent half your time at summer camp walking (well, running) around in that state. Those were good times. Oh what the heck, gimme a slice. Yeah, sure, a little ice cream too.
So, what will happen? To your body, we mean. Once the plastic fork (with its spongy contents) hits your mouth. What goes on in there anyway? And why are you suddenly thinking of Willy Wonka and that kid who gets sucked down the garbage chute?
First off, the good news. There’s no purple suited man to pull an ominous lever. Nor is there any other permanent fate awaiting you. You’ll leave work a live, generally functional human being. They’ll be no curse or pox on your house or even truly long-term risk elevation for that matter. Nonetheless, you’ll likely regret your decision.
Within a matter of 10 quick forkfuls, you’ve gone from small doses of quality carbs wisely spread throughout the day to possibly 100 or more grams of pure sugar in one sitting. O.K., some guilt is setting in…. But that’s not all that’s happening.
The Domino Effect

Within a few minutes, your pancreas kicks into overdrive and sends out a flood of insulin to try to sop up all the excess glucose that’s suddenly rushing through your bloodstream. Remember, while glucose is muscle fuel when it’s in the muscles, it’s toxic sludge when it stays in your bloodstream. Your body knows that and does everything it can to get it out of there. Perhaps you’re feeling flushed, a little high, spastic, or nauseous depending on how much you ate, how big you are, what your normal carb load is, and how acutely you tend to “feel” the effects of sugar and other substances. Ironically, if you were insulin resistant, you might not even notice these sensations, but you’re not. You’re a clean-fuel-burning primal specimen.
And it continues. The gush of insulin now creates a see-saw effect. If your glycogen stores have room, some of the sugar goes into muscles. If there’s no more room, the excess goes into fat cells, where it is stored as fat. In reaction to this quasi-emergency that looks like another life-threatening stress, the body steps up its efforts to achieve homeostasis by releasing both epinephrine (adrenaline) and cortisol from your adrenals. Your heart is racing, and you’re starting to feel uncomfortable, maybe even sweating. And we’re still likely within the first hour after you finished off that cake!
A bit more time passes. Burnout settling in yet? That’s called a sugar crash - when all the glucose is gone from the bloodstream and you start to feel sluggish, off-kilter, like the internal circuits are all fried after sparking in a heap of now smoldering wires. Hmm. Maybe that spontaneous combustion image wasn’t so far after all.
But there’s more…. The havoc that sugar rush set off - the swing of glucose and insulin, the cortisol and adrenaline - they’ve sent your immune system into a tailspin. Research has shown that the function of immunity-related phagocytes is impaired for at least five hours after intake of simple sugars. Free radicals have their heyday as well within the first few hours after sugar increases oxidative stress on the body. Your blood even thickens as a response to the stressors.
Wait, you aren’t out of the woods yet. You get home and try to sleep it off, but you toss and turn as your heart continues to beat faster than normal. Hmm. Little surprise there. The old hormonal system is confounding in its interconnectedness. You lay there cursing not just that cake but the entire cultural custom of birthday celebration. As the sun comes up and you roll out of bed, you think you should be done with this sugar business by now. Maybe. Maybe not. Unfortunately, a hefty dose of sugar can compromise the immune system for more than 24 hours. Groan. The images flash before you. The flu your daughter brought home earlier this week. The miserable cold (that incessant cough!) your boss has. Passing plans or reports around the meeting room. Shaking hands with the new clients who came by yesterday. Your toddler’s insistence on drinking from your cup last night. Suddenly you’re seeing your week in a new (and dimmer) light. Your immune system might have handled it all quite easily before the sugar incidence/insult. That’s one birthday cake that keeps on giving!
As bad as this sounds, it could be worse. If you follow the Primal Blueprint regularly and the lemon cream was just a detour, you’re a generally healthy person. You’ll experience the effects, and you may feel them more acutely than you did before you chose the low-carb path. (This isn’t a bad thing.) Nonetheless, after the dust settles, the worst thing you can end up with is maybe a cold you wouldn’t have gotten otherwise. Your system will realign itself pretty readily. Within a couple of PB style days you’ll be as good as new.
But if this is a normal day? Sigh. This presents a much bleaker picture. That see-saw of insulin and glucose? The process breaks down in your body until you develop insulin resistance. That rush of adrenaline and cortisol? That hormonal havoc over time fries your adrenal system. Your body is constantly in a state of “fight,” and inflammation becomes a constant state of affairs. Enough sugar over enough time (with the lack of exercise to boot), and you’ve gotten yourself into quite a pickle. (Maybe a pickle would’ve been a better snack choice….)
The Primal Blueprint offers up a plan to help guide our everyday choices as well as information to help us weigh the compromises we choose to make along the way. How we take care of ourselves each and every day can ameliorate the more taxing damage from occasional concessions we make for personal and social reasons.
And so we conclude the Willy Wonka journey.

What are your thoughts on sugar shock? PB compromise? Questions? Stories to share?
June 15, 2008 on 11:32 am | In Uncategorized | No Comments
 Specially formulated cocoa very well might soon be considered part of a treatment plan for the prevention of cardiovascular disease in diabetics.
According to new research, after diabetic patients drank a special high-flavonol cocoa for one month, blood vessel function went from severely impaired to normal. Flavanols are natural plant compounds also found in tea, red wine, and certain fruits and vegetables. They are responsible for cocoa’s healthful benefits.
The improvement was as large as has been observed with exercise and many common diabetic medications.
The cocoa used in this study is not sold in the supermarket.
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June 9, 2008 on 5:38 am | In Uncategorized | No Comments
A study on juices made from apples or purple grapes showed that both the juices and the fruits themselves can help prevent clogged arteries.
Researchers fed hamsters fruit and juice along with a fatty diet. The animals who were fed grape juice had the lowest risk of developing artery problems. The benefits came from the fruits’ high levels of phenols, a potent antioxidant. Antioxidants in various foods are already known to be beneficial to heart health. In this case, the team wanted to see how juicing affected the phenol content, because most studies have looked at raw fruit.
The hamsters were given an amount of fruit equivalent to three apples, or three bunches of grapes for a human weighing 154 pounds (70 kg), and drank the equivalent of four glasses of juice daily.
Compared to the control group that was given water, those given fruit or fruit juice experienced several health benefits, including:
- Lower cholesterol
- Less oxidative stress
- Less fat accumulation in their aorta
Purple grape juice was the most potent, followed by purple grapes, apple juice, and apples. Other antioxidants, such as vitamin C and carotenoids may also contribute to their overall effect.
May 28, 2008 on 7:22 am | In Uncategorized | 1 Comment
Callum Roberts, professor of marine conservation at York University, predicts that by 2050 half the world population will have to go without fish; all that will be left for them may be “jellyfish and slime”.
Ninety years of industrial-scale exploitation of fish has led to an ecological meltdown, and whole biological food chains have been destroyed.
North Atlantic fish stocks have been in decline for well over a century. Fish catch records from the 1920’s onwards show that, despite the enormous improvements in technology, catches of the great Atlantic species have remained constant or slowly declined.
Why has the international community failed so badly in its attempts to stop this long-heralded disaster?
“Quite simply,” Roberts says, “agreements and deals brokered by politicians will never be satisfactory. They always look for the short-term fix.” Quotas for fishing fleets are on average 15 to 30 percent higher than those recommended as safe by scientists. And often, for less threatened species, the quotas are set 100 percent higher than the science recommended.
May 21, 2008 on 2:30 pm | In Uncategorized | No Comments
I advocate the Primal Blueprint Lifestyle, that is, a health philosophy that in large part acts to mimic the diet and physical activity of our pre-agricultural ancestors.
And, while we’ve explained in the past what it means to “Get Primal,” we figured what’s not to love about a bulleted list that reminds us how to incorporate these methods into our everyday lives.
Read on to learn how you can get primal on every level on every occasion:
Hike:

Whether it was searching for food, shelter or just greener pastures, our ancestors spent a lot of time taking the heel-toe express! (Though, it wasn’t exactly heel-toe in those days.) These days, of course, we have planes, trains and automobiles to get us from A to B, which means hoofing it has become our least likely mode of transport. To get back to the Primal Blueprint, set aside some time every week to participate in sustained activity as a way to return your body to its natural state (that is, being in a constant state of motion). And, although hiking was the primary modality for sustained exercise for our predecessors, feel free to substitute it for biking or any other low-level physical activity you can do for a long period with little interruption.
Sprint:

Although eat or be eaten is no longer really considered a threat in today’s society, for our ancestors, it was a pretty big (and potentially lethal) deal. The solution? Run fast, run hard, and run for your life! You can incorporate these same theories by adding a series of short sprints into your exercise routine (see Mark explain his sprint routine here). The idea here isn’t necessarily to be the fastest kid on the block (although that would be awesome), but rather to give all you’ve got for a brief period of time. Also, bear in mind that this concept of going hard and fast for a few seconds isn’t limited to the act of sprinting; you could try water sprints, power cycling, jump rope intervals or any other activity that requires short, intense bursts of energy.
Lift Hard:

Think Cavemen killed time pounding weights in a dingy gym? Think again! Our ancestors tested their strength only in real-life situations (as opposed to having a pose-off with the meathead in the cut-off shirt!) and grew strong by doing, for the most part, weight bearing exercises. Naturally, they focused on activities that would help them carry out real life functions. Want to work out like your primal ancestors? Try weight bearing activities such as squats or dead lifts, which our ancestors did when lifting a heavy rock or log for building; lunges, which mimic the action of transversing steep terrain or stepping into a throw; pull-ups and standing rows to mimic the movement of pulling a heavy object towards the body; pushing, to mimic the motion of… well, pushing things; and twisting motions such as medicine ball throws or cable woodchoppers, which our ancestors did when throwing spears or hoisting objects. For a new challenge (and an exercise that combines just about all of the above motions, try the Turkish get-up:
Ditch Grains and Sugar:

With the tagline “so simple even a caveman could do it,” the commercial suggests that our ancestors were, well, not the sharpest tools in the shed. But, clearly they were smart enough to shun grains and sugar (a feat that the majority of current day Americans have yet to accomplish). In fact, according to some anthropologists, our ancestors only consumed about 80 g of carbohydrates per day, largely because sources of carbohydrates – such as grains, beans and potatoes – are toxic in raw form. To keep it primal, avoid all grains, including bread, pasta, rice and noodles, and all refined sugar. It should also probably be noted that the majority (if not all) of processed foods are packed with carbs - either in the form of a grain, sugar, or both - so it’s best to cut those out too!
Eat Meat and Fish:

When dinner time rolled around for our ancestors, they weren’t exactly reaching for the yellow pages! Instead, they were reaching for a spear, ax or some other weapon to catch their meal. While we’re certainly not advocating that you begin hunting for your own entrees (people might talk!) we do recommend that you begin thinking about your diet in a way that resembles their dietary habits. That is, if you can’t catch it or find it in nature, you can’t eat it. In short, opt for meat and fish and don’t get hung up on the fat content. Not only is fat integral to health, it will also help keep you feeling satiated longer!
Eat Berries, Nuts and Unbridled Amounts of Veggies:

Again, when selecting foods, remember that you’re playing the role of the hunter and gatherer, so feel free to indulge in foods you would find in nature. Specifically, the Primal diet recommends berries, which are low in sugar and packed with vitamins, antioxidants and other beneficial nutrients, and nuts, including walnuts, brazil nuts, macadamias and almonds (but not peanuts which are a legume and should also be avoided for fear of aflatoxins). When it comes to vegetables, seek out root vegetables including carrots, turnips, parsnips, rutabagas and Swede (but not potatoes or other starchy, high-carb varieties), leafy greens, tomatoes and other brightly-hued vegetables (which not only add color to dishes, but also seriously improve the nutrition value).
Drink Water:

Although there is some back and forth about how much water our early ancestors actually consumed (with some anthropologists suggesting that early man got most of his water from the vegetables he consumed as opposed to risking his life standing in line with the other predators and prey at the local waterhole), the reality is that even if early man didn’t consume that much pure water, he certainly wasn’t reaching for a Coke. Get back to your primal roots by ditching the Gatorade, the soda (including the diet ones – they’re nearly as bad!) and especially the juice. All you really need is water, and lucky for you, it’s as easy as turning on the tap.
Sleep Smart:

When the sun went down, early man started prepping for bed. When the sun sets today, most men (and women) will do the dishes, watch Grey’s Anatomy, finish up paperwork, pay bills and check their email before falling asleep with the television blaring Conan O’Brien. No offense to Mr. O’Brien, but when nature starts heading to bed, so too should you. To catch Zzzs like our ancestors, remove all electronics from the bedroom and focus on creating an environment that is dark, quiet and serene. Also, while it might seem counterintuitive to not close the blinds, allowing natural light to be your wake-up call is far more refreshing (and natural) then waking to the shrills of an alarm clock.
Relax:

As much as we harp on about how hard early man had it (what with having to work hard to survive and all that), make no mistake, early man liked his downtime too! Unlike our ancestors, however, many of us tend to spend our downtime plunked in front of the TV or computer engaged(?) in mindless activity for hours on end. To get back to our primal roots, select an activity that will clear your mind and help you recharge and refocus. And don’t forget that part of this getting up and moving around a bit.
Crack a Coconut, Spear your Dinner and Sleep in a Cave:

Ok, maybe we’re kidding on this last one. But imagine how primal it’d make you feel!
mutbka, Jasmic, hrtmnstrfr, Bern@t, Genista, paurian, Snap, jahdakine, Mai, OnuRoca Flickr Photos (CC) and nightowl27 YouTube Clip
May 15, 2008 on 2:54 pm | In Uncategorized | No Comments
The size of your waist can tell you far more about the state of your health than the number on a bathroom scale. Studies have linked larger waist sizes to higher risk for heart attack, cancer, diabetes, dementia and even incontinence.
Last month, Harvard Medical School researchers reported on a study of 44,000 nurses that showed even normal-weight women face twice the risk of premature death from heart disease or cancer if they are thick around the middle. Other studies have shown similar risks for men.
The notion of waist size as a barometer of health has been around for years, but the vast majority of doctors still put patients on a scale and calculate their body mass index, which measures weight relative to height.
But many studies of both men and women now suggest that it is not how much you weigh but where you carry your weight that matters most to your health.
In March, an analysis in The Journal of Clinical Epidemiology showed that body mass index is the “poorest” indicator of cardiovascular health, and that waist size is a much better way to determine, for both sexes, who is at a higher risk for hypertension, diabetes and elevated cholesterol.
Studies suggest that health risks begin to increase when a woman’s waist reaches 31.5 inches and her risk jumps substantially once her waist expands to 35 inches or more. For men, risk starts to climb at 37 inches, but it becomes a bigger worry once their waists reach or exceed 40 inches.
However, those numbers are based on averages and are not always useful for very tall or short people, children or certain ethnic groups. Among the Japanese, for instance, health risks start to increase for men with a waist size above 33.5 inches, but for Japanese women, risk does not increase until their waists expand to 35.5 inches.
Last month, The International Journal of Obesity suggested that, particularly for young people, the waist-to-height ratio might be a better indicator of overall health risks. Put simply, your waist should be less than half your height.
But a thick waist does not always correspond with poor health. One extreme example is the Japanese sumo wrestler who despite his massive size still might have the cardiovascular health of a slimmer athlete. Sumo wrestlers typically store fat just beneath their skin, where it doesn’t cause harm, rather than deeper in their abdomen.
Still, for most people, waist size is important. “We’ve known for a long time that people who tend to deposit fat inside their abdomen are the ones who have the highest risk for diabetes and heart attacks,” said Dr. Arya M. Sharma, chairman of obesity research and management at the University of Alberta. “For most people who are not sumo wrestlers, it’s actually quite a good indicator.”
Having a large waist means you are more likely to have fat around your heart, liver and even ordinary muscles, and it signals that you should be screened for other health problems, like insulin resistance and high cholesterol — particularly high triglycerides.
Losing even a little weight can have a big effect. In a small study, 20 severely obese patients who were put on a very low-calorie diet lost an average of 20 percent of their body weight. That translated into only a 19 percent drop in body mass index, but waist size fell 23 percent. Inside the body, the effect was even greater. Using imaging technology, researchers found that the layer of fat around the heart shrank by an average of 32 percent, according to a report this month in the medical journal Obesity.
Stress hormones have also been linked to abdominal fat. In one study, researchers used blood and saliva tests to measure the stress response of 67 women, ages 18 to 25, who were subjected to speech and math tasks. Women who experienced the most stress during the tasks were more likely to have a thicker waist than the women who were not stressed, according to the March report in The International Journal of Obesity.
Doctors say that while diet and exercise can help shrink your waist, most people find it tough to succeed.
If you have a large waist, your first goal should be to stop gaining weight, Dr. Sharma said. Exercise and improving the quality of the food you eat will lower your risk for heart and other problems, even if you never lose pounds or inches.
“You might want to focus on being as healthy as you can and not obsess about your weight,” Dr. Sharma said. “Obesity management is not about treating numbers on a scale. It’s about improving people’s health.”
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