During the past three decades, obesity in America has been on the rise, in part due to increased calorie consumption and portion sizes. Did you know about half of this increase can be attributed to sweetened beverages? A recent study in the American Journal of Clinical Nutrition showed that around 37 percent of our total daily liquid calories come from sugar-sweetened drinks. Not only has the number and variety of calorically dense drinks been on the rise, but the average soft drink portion is now 20 ounces, a whopping 50 percent greater than the 12-ounce portion of thirty years ago!

So what exactly does this mean for our waistlines? One 20-ounce soda has about 250 calories and 68 grams of sugar — with no nutritional benefits. That’s like eating 17 teaspoons of sugar, much more than you would add on your own to your morning coffee or tea. Adding an extra 250 calories every day will lead to gaining 25 pounds in just one year!

In addition, studies suggest that when people consume more calories in the form of beverages, they do not compensate by eating or drinking less. This is because the calories are often “empty,” or nutrient-poor, and do not get your metabolism moving the same way a nutritious meal or snack would. Especially with these jumbo portions, it is easier to drink more than eat a greater amount of solid food, which would offer more satiation than the liquid calories.

With the increasing obesity rates, even the government is taking action on this matter. According to the Wall Street Journal, Senate leaders are considering new federal taxes on soda and other sugary drinks to help pay for an overhaul of the nation’s health care system. Its unclear how much the tax will be, but even at a proposed 3 cents per can, about $24 billion would be generated over the next four years. What would the government do with the money? Expand health insurance coverage to all Americans. Whether or not this would help decrease soda consumption is unclear, but it might make Americans think twice about what they are drinking.

The bottom line is if you’re just starting out on a weight loss plan, the easiest way to cut calories is to eliminate liquid calories from soda, juice, and sweetened teas. Stick to water, unsweetened teas/coffee and other zero-calorie beverages. Every pound is equal to 3500 calories so if you cut out that 250-calorie drink every day, you’d lose at least 2 pounds every month. And that’s without any other change in your diet!

Tanya Zuckerbrot, MS, RD is a nutritionist and founder of www.Skinnyandthecity.com.    She is also the creator of The F-Factor Diet™, an innovative nutritional program she has used for more than ten years to provide hundreds of her clients with all the tools they need to achieve easy weight loss and maintenance, improved health and well-being.  For more information log onto www.FFactorDiet.com.

Today I want to comment on a news piece from the New York Post about Dr. Malcolm Lloyd, a physician who seems to be recommending daily alcohol consumption as a preventative for a variety of ailments from the common cold to Alzheimer’s and certain cancers. He also seems to be indicating that people who drink regularly in moderation seem to live longer than those who don’t. Give me a break!

I know that there have been numerous publications exploring the correlation between alcohol consumption and heart health. For example, we all know that a chemical compound found in wine called resvesterol, is a potent antioxidant that has been shown to complement the stability of a healthy heart.

However, there have been many other studies that have clearly demonstrated increased cancer rates ― especially breast cancer ― in women who consume moderate amounts of alcohol.

Now trust me, I am not, by a long shot, a person who doesn’t enjoy a good drink once in a while. And I do acknowledge that there are cultures in various parts of the world where alcohol is an integral part of the local cuisine. However, these are also the cultures where healthy servings of vital nutrients, vegetables and proteins play a key role in their daily eating habits. They tend to be more physically active, and place a lot of importance on maintaining healthy sleep patterns.

But here in the U.S., we are a “fast-food nation.” For the last 3-5 years, we’ve been hearing about how the obesity rate has reached epidemic proportions – affecting both adults and our children.

Obesity significantly raises the risk for many diseases and conditions like:
          o          Coronary heart disease

          o          Type 2 diabetes

          o          Cancers (endometrial, breast, and colon)

          o          Hypertension (high blood pressure)

          o          Dyslipidemia (high total cholesterol or high levels of triglycerides)

          o          Stroke

          o          Liver and Gallbladder disease

          o          Sleep apnea and respiratory problems

          o          Osteoarthritis (a degeneration of cartilage and its underlying bone within a joint)

          o          Gynecological problems

 
Americans also deal with high rates of depression — another disease that when coupled with the effects of alcohol can have disastrous results.

We also have to remember that alcohol has addictive properties that for some folks can completely ruin the chances of future health and longevity.

I know that everyone is looking for an excuse to justify their daily cocktail, but I find it irresponsible for one physician to give us a free pass to drink myself to “an everlasting life.”

A week ago, when I first heard the story about the so-called fat virus, I was suspicious. What medical commentator wouldn’t be. Was this yet another science fiction story masquerading as science? So I contacted the principle researcher in the field, Dr. Nikhil V. Dhurandhar at the Pennington Biomedical Research Center in Baton Rouge, LA. Dhurandhar was kind enough to immediately email me his last several studies on the subject, published in the International Journal of Obesity, Diabetes, Archives of Virology, and elsewhere. The studies convinced me of several things:

* Dhurandhar’s research, conducted over the past 6 years, is impressive but it is not entirely new — though the news media has suddenly attached to it.

* The previous research conducted in animals is substantial. The virus in question, a respiratory adenovirus known as AD-36, one of 50 adenoviruses to cause cold-like symptoms, has shown that mice, chickens, and monkeys all put on greater than two times more body fat than normal in the months following infection with this virus.

* The virus causes this effect by stimulating adipose (fat) cells in the body to replicate, and by improving the sensitivity of these cells to insulin, so more sugar is absorbed. Over time, resistance to the virus should occur as antibodies develop, but long-term studies haven’t yet been done.

* It is unethical to inject this virus into humans, but Dhurandhar has checked humans for the presence of this virus and has found that almost a third of obese people have been exposed to it, three times the number of thin people who have antibodies to the virus. This associated finding doesn’t prove that the virus leads to weight gain in humans, but it is suspicious.

* A vaccine may one day be developed against AD-36. In the meantime, the technology exists to check people at risk for obesity to see if they have the virus.

* The focus on this virus should NOT take needed attention away from the most common causes of obesity including sedentary lifestyle, poor diet, and low thyroid (found in 1/3 women). AD-36 may be a contributing factor in a minority of patients, but it is not an explanation or an excuse for the growing obesity epidemic.

Dr. Marc Siegel is an internist and associate professor of medicine at the NYU School of Medicine. He is a FOX News medical contributor and writes a health column for LA Times, where he examines TV and movies for medical accuracy. Dr. Siegel is the author of “False Alarm: The Truth about the Epidemic of Fear“ and “Bird Flu: Everything You Need to Know About the Next Pandemic.”  Read more at www.doctorsiegel.com

Well it’s Super Bowl weekend – a great American tradition – and everyone is very excited thinking about where they will be spending their weekend having fun and watching the game.

Typically around this season, I always get asked “Hey Dr. Manny, what are the healthiest snacks for me to serve during my party.” And of course I go through the panoply of things like veggies and other low-fat treats. And of course, I always advise people to drink in moderation.

But I’ve recently started getting a lot of phone calls from my male friends saying, “You know, we just read that a new study out of Australia that’s reporting that alcohol is good for your sex life.”

According to the researchers who interviewed over 1,500 men – those men who regularly consumed alcohol reported less erectile dysfunction. It seems that every time there is a study that comes out linking alcohol to good health, everybody wants to jump on the bandwagon and join the party.

But let’s be careful here. True erectile dysfunction is a vascular problem, and there is no evidence that alcohol improves vascular conditions. If anything, alcohol can worsen vascular conditions, especially when they’re associated with diabetes and obesity.

Looking at studies that survey outcomes can lead to many biases from the subjects involved in the study — and let’s face it, erectile dysfunction is not a topic that most men feel comfortable talking about!

So when I see headlines in newspapers saying that alcohol can be good for your sex life, I wonder what a “good” sex life is? Because last time I checked, it was far more complex than having an extra couple of beers.

America has been called a “fast food nation” and for good reason. Every day, one out of four Americans eats a fast-food meal. Eating just one fast-food meal can pack enough calories and fat for an entire day. With that said, an obesity epidemic has indeed overtaken the United States, with some two-thirds of Americans now considered overweight, and about one-third categorized as obese.

Studies have indicated eating out as one factor contributing to the spread, and Americans are demeaning restaurants more than ever.  These days, at most fast-food restaurants, they have a menu that is dedicated to eating healthier foods. You will see items such as grilled chicken, salads, baked potatoes, reduced-fat desserts, and many other menu items that can be healthier for you to order. So you can still go to your favorite fast-food restaurants and order tasty, but healthy dishes.

Fast Food Facts:

• According to studies at the University of Minnesota, fast-food consumption has increased in the United States over the past three decades.

• In 1972, we spent 3 billion a year on fast food — today we spend more than $110 billion.

• Harvard Medical Center reported that currently, Americans eat 200 calories more food energy per day than they did 10 years ago; that alone would add 20 pounds annually to one’s weight.

• Portion sizes offered by fast food chains are now two to five times larger than when first introduced in 1950.

• 40 percent of American meals are eaten at chain restaurants.

Tips to help you dine out healthfully:

• Steer clear of large, jumbo and king size orders. Even a medium portion can be big, so share it with a friend. Better yet, opt for the small. The government recommends a three-ounce portion of protein. A great way to make sure you have the correct portion size is by using the “deck of cards” rule. The correct portion size should be about the size of a deck of cards.

• Eat half of what you order. Ask for a doggie bag and take it home. 

• Have a bottle of water or diet soda instead of a regular soda or fruit drink.

• Start your meal with a soup and salad.

• Order vegetables as your side dish.

• Savor your food and put your fork down between bites — this will help you eat less.

Red Lobster
Seafood is a great source of heart-healthy omega-3 fatty acids, but when prepared in butter and sauces, it adds an extra 21g of fat. When ordering dishes at Red Lobster ask for a lemon wedge or cocktail sauce as a healthier compliment to your fish.

Best Appetizer
• Chilled Jumbo Shrimp Cocktail: 6 shrimp = 138 calories, 2g fat, 0g fiber
Shrimp Cocktail is probably one of the best appetizers to order at a seafood restaurant. It is a lean protein, and for 138 calories, you can enjoy six succulent pieces of shrimp.

Worst Appetizer
• New England Clam Chowder: 940 calories, 65g fat, 6g fiber
This bowl of cream, milk and butter contains as many calories as 4 custard filled donuts.

Best Entrée
• Broiled Flounder: 240 calories, 5g fat,0g fiber
Lean white fish, like flounder is one of the healthiest fish in the sea. Fish provides protein, vitamins and minerals. Most of the health benefits of sea bass can be attributed to the presence of Omega 3 essential fatty acids.

Worst Entrée
• Cajun Chicken Linguini Alfredo: 1,828 calories, 117.2g fat, 1g fiber
You will be hard-pressed to find any Alfredo dish that isn’t packed with fat and calories. Once this sauce is soaked over the pasta, this dish must be ordered with a side or Lipitor and a heart pump.

Olive Garden
The Olive Garden is one of the most popular Italian food chains in America. When dining at Italian restaurants, pasta is usually the main focus. A main course of pasta in the United States can have as much as 1,000 calories — that’s more than half your total calories for the day.  Therefore, pasta-rich dishes probably aren’t on the menu for you, but there are many yummy dishes to order instead. But you can shave roughly 200 calories off any pasta dish by ordering a lunch portion (any time of day). To its credit, Olive Garden offers unlimited salad or soup with all entrees. Ask for half the dressing and it’s an offer you can’t refuse. Another plus: a side of vegetables comes with most dishes.

Best Appetizer:
• Minestrone Soup: 120 calories, 1.5g fat, 1g fiber
Ordering minestrone soup can be a great starter during these cold winter months. One cup contains a whopping amount of fiber, allowing you to fill up without filling out. Starting a meal with a vegetable-based soup will enable you to eat less of your entrée while remaining full and satisfied.  Your best bet is to always start your meal with a soup and a small salad with the dressing on the side. This combination helps to provide both fiber and protein, and fills you up while adding a minimal amount of calories.

Worst Appetizer:
• Hot artichoke and Spinach Dip: 1099 calories, 94g fat, 4g fiber
Don’t be fooled by the fact that this dish has vegetables in it.  Most dips are made with regular mayonnaise and/or sour cream, which contain ample amounts of calories and fat. This appetizer is the highest in calories and fat on the menu.

Best Entrée:
• Venetian Apricot Chicken: 380 calories, 4g fat, 8g fiber
This dish is a scrumptious twist to a classic chicken cutlet. The apricots provide you with a boost of fiber, making this a great fiber and protein combination.

Worst Entrée:
• Stuffed Chicken Marsala with Garlic Mashed Potatoes: 1315 calories, 86g fat, 8g fiber
While you may think you’re choosing to be healthy because you not ordering pasta, any chicken drenched in a buttery sauce with a side of mashed potatoes, will only put you at greater risk for a heart attack.

Boston Market
Boston Market has been highly praised for its home-style menu. They are known for their rotisseries and side dishes, but choose wisely as the calories and fat can definitely throw you. Dark meat with the skin can even be as fattening as prime rib, so go with the breast meat, no skin.

• Usually the meals come with 2 side dishes so try to choose at least one healthy side like steamed veggies and the other not so healthy.

Best Entrée:
• White Rotisserie Chicken with 2 sides: 210 calories, 2g fat
White meat chicken is one of the leanest proteins you can choose.  Ordering two sides of vegetables provides you with the ultimate combination of fiber and protein. Fiber and protein are the two nutrients that take the longest to digest and have the fewest calories.  These foods keep your serum glucose levels consistent, leading to improved energy throughout the day

Worst Entrée:
• Pastry Top Chicken Pot Pie: 780 calories, 47g fat, 2g fiber
A flaky crust plus a rich, gravy-like filling, chicken, potatoes, carrots, and onions, probably sounds like the closest thing to heaven. However this artery clogging dish is one of the worst items on the menu. 

Best Sides:
• Fresh Steamed Vegetables: 60 calories, 1g fat, 3g fiber
• Caesar salad with dressing on the side: 40 calories, 2g fat, 1g fiber

Worst Sides:
• Sweet Potato Casserole: 460 calories, 17g fat, 3g fiber
• Market  chopped salad: 450 calories, 43g fat, 4g fiber (dressing: 360, 39)
Steer clear of the word casserole. Casseroles are loaded with butter, cream and sugar — nothing good to maintain a healthy weight.

You may also be surprised to learn that the market chopped salad is the highest caloric and most fattening side on their menu. This is because it is dressed in cream based dressing that contains a whopping 360 calories. To avoid salad sabotage, ask for the dressing on the side and always dip your fork lightly in the dressing before digging into each bite. This will drastically reduce your dressing consumption.

PF Chang’s
PF Chang’s is a great Chinese restaurant that exists in so many malls throughout the nation. It is known for its large-style portions because you can dip in to every plate on the table. What makes Chinese cuisine so tasty is usually their delicious sauces. Be cautious of the fact that each tablespoon of oil contains 120 calories and 14g of fat. Limit your intake of fatty meats, fried wontons, egg rolls, shrimp toast, and fried rice (loaded with oil).  Anything labeled “sweet and sour” invariably means fried and coated in a sugary sauce. 

Best Appetizer:
• Seared Ahi Tuna: 210 calories, 9g fat, 1g fiber
You can never go wrong starting a meal with a lean protein, like tuna.

Worst Appetizer:
• Chang’s Spare Ribs: 1356 calories, 89g fat, 1g fiber
While spare ribs are a tempting and tasty menu item, be aware that they can contain more calories than half the entrées on this menu, and this is just a starter.

Best Entrée:
• Cantonese Shrimp: 330 calories, 12g fat, 4g fiber
Shrimp is a healthy and tasty seafood, and paired with veggies or a salad is great combination of fiber and protein which will keep you full on the fewest calories.

Worst Entrée:
• Pork Lo Mein = 1820 calories, 127g fat, 8g fiber
This dish alone contains more calories and fat than the average American eats in one day.

T.G.I.Fridays
When dining at T.G.I. Friday’s, you might have to skip some of the typical appetizers. Most, if not all, are fried, breaded and soaked in sauces. Fried foods are very rich, tasty and crispy. Nowadays, almost all food is fried for added taste and flavor. However, they are high in calories and eating them increases the risk of obesity. They now offer a “lighter” side on their menu. This will help you choose healthier dishes than those loaded with excess calories and fat, and we’re sure your taste buds will be tantalized.

Best Appetizer:
• Strawberry Fields Salad with Chicken: 390 calories, 2g fat, 3g fiber
This salad will satisfy both your sweet and savory cravings. The addition of fresh strawberries adds an extra boost of fiber, making this a one of a kind salad. Ask for the dressing on the side.

Worst Appetizer:
• Cheese and Broccoli Soup: 540 calories,
Although soup may have a reputation as a low-calorie meal option, heavy cream-based soups are most certainly not. This dish may seem like a “fiber and protein option,” but due to its high fat content from the cheese, butter and cream will only provide you with unwanted calories and fat. When ordering soups, opt for broth-based soups or ones filled with vegetables.

Best Entrée:
• Shrimp Key West: 225 calories, 7g fat, 5g fiber
This is a tasty, light dish that will keep you feeling full for less calories.

Worst Entrée:
• Chipotle Grilled Steak Sandwich: 1509 calories, 98g fat, 8g fiber
Some cuts of red meat may contain the highest amount of fat from all other proteins. Within one bite of this sandwich, your arteries will be instantly clogged!

Starbucks
Starbucks is one of the biggest coffee franchises in America today.  They serve the most yummy and unique blends of coffees. Don’t drink your calories. Research shows that our bodies do not register calories from fluids.  Meaning that the amount of calories that your drink contains has absolutely no effect on your satiety level. Starbucks will adapt to your healthy lifestyle by making their tasty beverages in low-fat versions.

Best Beverage:
• Café Misto with Skim milk(grande)70 calories, 0g fat, 0g fiber
Choosing low-fat or skim milk and no cream, will instantly cut your calories in half. Whole milk and skim milk have the same amount of protein, yet 1 cup of whole milk contains 160 calories and 5g of fat versus skim milk which contains 80 calories and 0g fat.

Worst Beverage:
• Strawberries and cream blended frappucino (grande) 570 calories, 15g fat,1g fiber
This drink contains as many calories as a slice of NYC pizza. Instead of ordering regular frappucinos, opt for the light, blended versions, for a savings of over 400 calories. 

Tanya Zuckerbrot, MS, RD is a nutritionist and founder of Skinnyandthecity.com.    She is also the creator of The F-Factor Diet™, an innovative nutritional program she has used for more than ten years to provide hundreds of her clients with all the tools they need to achieve easy weight loss and maintenance, improved health and well-being.  For more information log onto www.FFactorDiet.com.

For years I have lived my life compromising — always trying not to upset the status quo, and I wondered how long I could go on like this. Years ago, I was respected as a medical professional for my scientific writings. Now-a-days, I am quoted as a “blogger” (Dr. Manny, a blogger said…) But I guess that’s the price you pay for being in the media.

This morning, I read a story about a lovely couple in England who wanted to adopt a child, but was denied because the potential father was “too fat.” Medical advisors for the adoption agency expressed concerns over 37-year-old Damien Hall’s health when their risk assessments concluded that his height of 6-feet, 1-inch tall, weight of 343 pounds and BMI of 42 deemed him morbidly obese, and therefore not eligible to adopt at the present time. Now I know my words don’t matter that much anymore, but when is the madness going to end?

Today I saw a beautiful child with Down syndrome in my office. He couldn’t have been more than 10 years old. So sweet and kind, I was moved by his presence. His innocence was refreshing, and he unknowingly turned my day around. I could only hope to make such a simple difference in someone else’s life. And these hopeful parents in England, were trying to do just that.

Even though I write these short blogs, I hope that someone out there begins to realize, that people can make a difference, and certain rules must be forgotten. As Dale Carnegie used to say, “The perfect way to conquer worry is to pray.”

The only over-the-counter, federally approved weight loss pill in the U.S. isn’t exactly flying off shelves, but it’s not because Americans are getting any slimmer.

GlaxoSmithKline said Wednesday that 4 million people have tried alli since the drug hit shelves a year ago. Alli is the only nonprescription weight loss pill approved by the Food and Drug Administration.

As a drug that should theoretically trigger huge sales, the preliminary figures are “pretty underwhelming,” said Steve Brozak, an analyst with WBB Securities.

A mother has defended feeding her 18-month-old daughter a diet of French fries – even though the child weighs as much as a four-year-old.

Angela Boswell, 33, from Manchester, England, insisted Courtney, who weighs 30 pounds, will grow up to be healthy.

The youngster occasionally extends her diet to take in chocolate, crisps, cereal and Coca-Cola – but steers clear of her greens.

The percentage of American children who are overweight or obese appears to have leveled off after a 25-year increase, according to new figures that seem to offer a glimmer of hope in an otherwise dismal battle.

“That is a first encouraging finding in what has been unremittingly bad news,” said Dr. David Ludwig, director of an obesity clinic at Children’s Hospital Boston. “But it’s too soon to know if this really means we’re beginning to make meaningful inroads into this epidemic. It may simply be a statistical fluke.”

The study, conducted by the Centers of Disease Control and Prevention, found that roughly 32 percent of children were overweight but not obese, 16 percent were obese and 11 percent were extremely obese.