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Tofu Long Rice
Chicken long rice is a delicious local dish in Hawaii. We serve it at parties with other local favorites like laulau, poi, lomi salmon, and kalua pig. My mouth is watering just typing this right now. My grandma was doing an Ornish lifestyle program and we learned what she can and can’t really eat with this lifestyle and for the nine weeks she was doing the program, she made her own dinner and we…
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Heart health pioneer Dr. Ornish to visit Wilmington Tickets available for a book-signing event on Thursday, Sept. 20, with the best-selling author and doctor.
Today I took a huge leap of Fatih - as I am embarking a new career change , I was asked to do a trail run in #ornishdiet #ornishprogram for our new outpatient CVC program - All vegan all plant based and I the only on my department to be asked ! #wishmegoodluck - I will now on Thursday !#plantbased #veganrecipes #ornish #ornishlifestyle #hearthealthy #ucsdmedicalcenter #kitchenlove
All diets succeed at first, and eventually fail
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It is not very hard to find studies supporting one diet or another. Gardner and colleagues, for example, conducted a study in which the Atkins diet came out on top when compared with the Zone, Ornish, and LEARN diets (citeN=citeN+1;document.write(Number(citeN)) ). In Dansinger and colleagues’ study (citeN=citeN+1;document.write(Number(citeN)) ), on the other hand, following the Atkins diet led to relatively poor results compared with the Ornish, Weight Watchers, and Zone diets. Often the diets compared have different macronutrient ratios, which end up becoming the focus of the comparison. Many consider Sacks and colleagues’ conclusion, based on yet another diet comparison study (citeN=citeN+1;document.write(Number(citeN)) ), to be the most consistent with the body of evidence as a whole: “Reduced-calorie diets result in clinically meaningful weight loss regardless of which macronutrients they emphasize”. I think there is a different conclusion that is even more consistent with the body of evidence out there. This conclusion is highlighted by the findings of almost all diet studies where participants were followed for more than 1 year. But the relevant findings are typically buried in the papers that summarize the studies, and are almost never mentioned in the abstracts. Take for example the study by Toubro and Astrup (citeN=citeN+1;document.write(Number(citeN)) ); Figure 3 below is used by the authors to highlight the study’s main reported finding: “Ad lib, low fat, high carbohydrate diet was superior to fixed energy intake for maintaining weight after a major weight loss”.
But what does the figure above really tell us? It tells us, quite simply, that both diets succeeded at first, and then eventually failed. One failed slightly less miserably than the other, in this study. The percentage of subjects that maintained a weight loss above 25 kg (about 55 lbs) approached zero after 12 months, in both diets. This leads us to the conclusion below, which is always missing in diet studies even when the evidence is staring back at us. This is arguably the conclusion that is the most consistent with the body of evidence out there. All diets succeed at first, and eventually fail. In using the terms “succeed” and “fail” I am referring to the diets’ effects on the majority of the participants. This is in fact better demonstrated by the figure below, from the same study by Toubro and Astrup; it is labeled as Figure 2 there. Most of the participants at a certain weight, lose a lot of weight within a period of 1 year or so, and after 2 years (see the two points at the far right) are at the same original weight again. What is the average time to regain back the weight? From what I’ve seen in the literature, all the weight and some tends to be regained after 2-3 years.
The regained weight is not at all lean body mass. It is primarily, if not entirely, body fat. In fact, many studies suggest that those who diet tend to have a higher percentage of body fat when they regain their original weight; proportionally to how fast they regain the weight lost. Since the extra body fat tends to cause additional problems, which are compounded by the dieting process’ toll on the body, those dieters would have been slightly better off not having dieted in the first place. Guyenet and Schwartz have recently authored an article that summarizes quite nicely what tends to happen with both obese and lean dieters (citeN=citeN+1;document.write(Number(citeN)) ). Take a look at Figure 2 of the article below. The obese need to lose body fat to improve health markers, and avoid a number of downstream complications, such as type 2 diabetes and cancer (citeN=citeN+1;document.write(Number(citeN)) ). Yet, with very few exceptions, the obese (and even the overweight) remain obese (or overweight) after dieting; regardless of the diet.
So what about those exceptions, what do they do to lose significant amounts of body fat and keep it off? Well, I rarely use myself as an example for anything in this blog, but this is something with which I unfortunately/fortunately have personal experience. I was obese, lost about 60 lbs of weight, and kept it off for quite a while already (citeN=citeN+1;document.write(Number(citeN)) ). Like most of the formerly obese, I can very easily gain body fat back. But I don’t seem to be gaining back the formerly lost body fat, and the reason is consistent with some of the studies based on data from the National Weight Control Registry, which stores information about adults who lost 30 lbs or more of weight and kept it off for at least 1 year (citeN=citeN+1;document.write(Number(citeN)) ). I systematically measure my weight, body fat percentage, and a number of other variables; probably even more than the average National Weight Control Registry member. Based on those measurements, I try to understand how my body responds in the short and long term to stimuli such as different exercise, types of food, calorie restriction, sleep patterns etc. And I act accordingly to keep any body fat gain from happening; by, for example, varying calorie intake, increasing exercise intensity, varying the types of food I eat etc. With a few exceptions (e.g., avoiding industrial seed oils), there is no generic formula. Customization based on individual responses and cyclical patterns seems to be a must. Looking back, it was relatively easy for me to lose all that fat. This is consistent with the studies summarized in this post; all diets that rely on caloric reduction work marvelously at first for most people. The really difficult part is to keep the body fat off. I believe that this is especially true as the initial years go by, and becomes easier after that. This has something to do with initial inertia, which I will discuss soon in a post on metabolic rates and their relationship with overall body mass. For people living in the wild, I can see one thing working in their favor. And that is not regular starvation; sapiens is too smart for that. It is laziness. Hunger has to reach a certain threshold for people to want to do some work to get their food; this acts as a natural body composition regulator, something that I intend to discuss in one of my next posts. It seems that people almost never become obese in the wild, without access to industrial foods. As for living in the wild, in spite of the romantic portrayals of it, the experience is not as appealing after you really try it. The book Yanomamo: The Fierce People (citeN=citeN+1;document.write(Number(citeN)) ) is a solid, if not somewhat shocking, reminder of that. I had the opportunity to meet and talk at length with its author, the great anthropologist Nap Chagnon, at one of the Human Behavior and Evolution Society conferences. The man is a real-life Indiana Jones (citeN=citeN+1;document.write(Number(citeN)) ). In the formerly obese, the body seems to resort to “guerrilla warfare”, employing all kinds of physiological and psychological mechanisms, some more subtle than others, to make sure that the lost fat is recovered. Why? I have some ideas, which I have discussed indirectly in posts throughout this blog, but I still need to understand the whole process a bit better. My ideas build on the notion of compensatory adaptation (citeN=citeN+1;document.write(Number(citeN)) ). You might have heard some very smart people say that you do not need to measure anything to lose body fat and keep it off. Many of those people have never been obese. Those who have been obese often had not cleared the 2-3 year “danger zone” by the time they made those statements. There are many obese or overweight public figures (TV show hosts, actors, even health bloggers) who embark on a diet and lose a dramatic amount of body fat. They talk and/or write for a year or so about their success, and then either “disappear” or start complaining about health issues. Those health issues are often part of the “guerrilla warfare” I mentioned above. A few persistent public figures will gain the fat back, in part or fully, and do the process all over again. It makes for interesting drama, and at least keeps those folks in the limelight.
Jilleen peeked around the corner of the pantry-room door, and seeing that there was no one present, she entered the large, chilly room. She kept her bare footsteps light and held her nightgown close to her body to keep it from rustling too loudly. Had anyone come upon her, she would certainly not have been sent away, but she preferred to sneak nonetheless. She strolled through the room, scanning the contents of each large wicker basket set out on the tables all around. She was looking for a snack, something sweet. She stopped directly in front of a large basket full of apples that had just been brought in that morning. At the very top of the mound of fruit lay just three golden-yellow apples, the morning light catching their skins just well enough to give them a divine shine. The golden ones were picked especially for Jilleen, since she was known to have a strong distaste for red apples. Usually, the harvest yielded enough to fill a smaller basket of their own, but not this time. Jilleen sighed and picked one up. She brought it to her mouth and sank her teeth into it. The resulting crunch echoed sharply. It wasn’t as delicious as she had hoped it would be.
Jilleen then heard the echo of a slight, quickening pitter-patter of footsteps in the hall to her right. She looked to the door. The shapes of four attendants rushed just past the opening, and they were all whispering urgently to each other. Jilleen couldn’t make out any of what they were saying. Curious, she walked slowly into the hall and followed behind them. After turning a series of corners in pursuit, she realized then that they were heading towards her father’s court, a place that she had successfully avoided for four days now and had intended on avoiding further, “familial duties” be damned. She stopped in place as the attendants ahead of her disappeared through the court doorway and diffused into the unusually thick crowd beyond it. Jilleen inched forwards, using the left side of the doorframe as cover and sticking her head out to assess the situation. She couldn’t see a thing. The tall, cloaked silhouettes of her three sisters’ backs blocked her view. While Jilleen was quite tall, Alis, Roseia, and Silia were all taller still.
Jilleen tried to peer into the spaces between her sisters’ shoulders, but she couldn’t quite see anything, so instead, she listened. Despite the amount of people in the room, it was deathly quiet, except for the very gentle sob of what sounded like a child. The somber atmosphere of the court indicated to Jilleen that the proceedings had already occurred, and the sentence had been delivered. Finally, Jilleen stood on her tiptoes and caught a brief glimpse of the crier: a young, brightly red-haired Dura girl who couldn’t have been older than ten. She was slumped on her hands and knees at the center of the court and gasping for air every few seconds to further fuel her sobbing. Jilleen reached for Roseia’s shoulder to ask for a summary of events, but she stopped herself. Instead, she let her hand rest on the shoulder of her younger sister, who jumped at her touch and span around as if a ghost had just passed through her. Appropriately, Silia gave Jilleen a look as if she had just returned from death. “Jilleen,” Silia whispered in a concerned voice, “How are you? Where’s your . . .” she was going to say “cloak,” but she stopped herself.
Roseia looked over her shoulder at Jilleen, but aside from that gave not one indication that she was aware of her presence. Alis seemed not to notice anything at all, or at least feigned it.
“What’s going on?” Jilleen asked Silia timidly, ignoring her questions. Jilleen’s voice was unpracticed, and her words came out hoarse.
“She was separated from her tribe,” Silia said sympathetically, “she says they all just disappeared, but who knows what happened. Father let her stay here, in the prison.”
“the prison?” Jilleen asked, furrowing her brow.
“There’s no one in there right now; she’ll be safe,” Silia said, “He’s going to send a ranger at sunrise to find another nearby Dura tribe, and then she’ll be left with them.”
The girl didn’t seem satisfied with that solution, as far as Jilleen could tell.
Silia turned back around to watch the guards awkwardly attempt to usher the crying girl out of the courtroom.
Jilleen looked down towards her feet. She realized that she had forgotten that she was still holding an apple in her hand, so she absentmindedly brought it to her mouth for another bite. She remembered the loud crunch only as her teeth sunk through the skin and the sound echoed sharply off the walls, piercing the still, tense air of the courtroom. Her heart leapt and, thinking fast, she pushed off the doorway and started off down the hallway to escape the looks she knew she would have received. She walked hurriedly in the direction of her bedchamber and took another bite of the apple.
* * *
Aoife stirred under her blanket, failing, yet again, to find a comfortable position in which to sleep on top of the stone slab she found herself on. She brought her bright orange locks over the front of her face and around her ears, hoping to block out the incessant drip drip drip that echoed from some crack in the dungeon’s ceiling. A piercing shriek broke the monotony — the prison door being pushed on its hinges. Aoife was sat up in a second.
Jilleen removed her hood and lowered her arms to her sides. “Hello,” she said softly, stepping slowly and cautiously into the cell that Aoife had been given to sleep in.
“Who’re you?” Aoife bit back. Jilleen stopped. under ordinary circumstances, Aoife thought it always appropriate to greet and welcome a stranger, but she didn’t consider her present circumstances quite ordinary.
“My name is Jilleen. I saw you in my father’s court earlier today. Do you remember me?”
“You’re one of the tall ones with the white hair, one o’ Lord Nymeris’s daughters. Right?”
“It’s Nymerr — nevermind,” Jilleen sat on the floor a good distance away from Aoife. She rested her sheathed sword against her leg and set her satchel on the ground. “Yes, that’s me,” She said, “My father’s the genius who decided this was an appropriate place for an eight-year old to stay.”
“I’m nine,” Aoife replied.
“what?”
“I’m nine years old.”
Jilleen found herself lost for a response for just two seconds too long.
“Uh, I didn’t catch your name earlier,” She mustered.
“It’s Aoife,” she said, “EE-FUH.”
“Do you have a family name, Aoife?” Jilleen asked.
“No. Dura don’t do those,” Aoife responded, still cautious.
“Well, that’ll make finding your family a bit more difficult,” Jilleen replied with a cheeky smile, “Won’t it?”
Aoife’s eyes lit up, and she jumped off her poor excuse for a bed and onto the floor with Jilleen. “Is that what you’re here for?” She asked enthusiastically, beaming with a sense of immediate trust. However, she remained at a slight distance.
“Yes,” Jilleen said, averting her gaze from Aoife’s, “but we need to hurry if we want to find them; we need to leave now, Aoife. Can you do that?”
“Of course I can!” Aoife exclaimed, jumping up onto her feet, “Do you know where they are?”
Jilleen paused. “No,” she said. She realized then that she should have clarified earlier.
Aoife was visibly disappointed. She sat back down. The drip drip drip returned for a few somber seconds.
Jilleen stood up and offered her hand to Aoife.
Reluctantly, she grasped it and rushed with her up the stairs and into the night.
Go to this link for blog post: http://www.rikmedia.nz/rant/weight-lifting-one-hundred-days-052 #RiKmedia #weightloss #diet #purewater #nzpure #purenz #heartdisease #dehydrated #ornish #drinkwaterdaily
Mari Mengenal Tentang Metode Diet Ornish Mari Mengenal Tentang Metode Diet Ornish - Cara ini pertama kalinya diketemukan oleh Dr. Dean Ornish, yakni cara yang mengutamakan pada pola makan rendah lemak serta didesain spesial untuk menangani permasalahan pada masalah jantung.
Atkins, Ornish, Zone Diet? 3 Vital Things to Consider When Choosing a Diet Plan
Atkins, Ornish, Zone Diet? 3 Vital Things to Consider When Choosing a Diet Plan
One of the longest and most thorough studies was carried out by Stanford University who compared Atkins, Ornish, Zone and a standard no frills diet based on good dietary advice. “What happened in our study was a very modest weight loss in all four groups” concluded Christopher D Gardner a nutrition scientist. (Published in March 2007 in the Journal of the American Medical Association) Another…
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