Social conditions such as poverty, social isolation and inability to get or prepare preferred foods can cause unintentional weight loss, and this may be particularly common in older people. Nutrient intake can also be affected by culture, family and belief systems. Ill-fitting dentures and other dental or oral health problems can also affect adequacy of nutrition.
My moment of clarity came when I went on a trip to the funfair with my eldest son – he wanted to ride on the roller-coaster, it was his first time and he was so excited, but when the safety bar came down it wouldn’t fit over me. We both had to get out of the car in front of everyone – people I knew and who my son went to school with. Humiliating (for me and for him) is an understatement.
It’s not as simple as calories in, calories out. Some calories adversely affect your hormones, your taste buds, and your health. Eating sugar and processed food, even in small amounts, leads to craving more food and feeling less energetic. You can eat more if you eat healthy, high-quality food that gives you energy and turns on the hormones that affect metabolism.
Well, almost. One of the really good things about being a public person was that animal rights groups were hearing about my passion for their cause and began soliciting my help. I worked on all sorts of campaigns: antidissection, antifur, spay and neuter, as well as animal rescue. All of that stuff made perfect sense to me; in an otherwise chaotic life, these gestures were simple and straightforward and good. But, at that point, nobody had talked to me seriously about vegetarianism, and I was still doing my little dance back and forth.
The theory behind the diet is not the reason you will lose weight if you follow this plan. Weight loss can only occur when you consume fewer calories than your body needs. In the introduction chapter the author makes numerous claims that you do not need to limit the quantity of food that you consume and then provides portion restrictions on many high calorie foods, such as nuts. It's appealing to hear you can eat unlimited quantities, but weight loss will not be achieved without limitations.
In two studies1 2 done in Holland, Lidy Pelsser, Ph.D., demonstrated that an elimination diet (eliminating sugar, gluten, dairy, eggs, certain meats, and food dyes) improved symptoms in 70 percent of children with ADHD. (That was without eating some of the best foods for ADHD, the powerful brain-focusing foods that I will tell you about later.) As someone who knows what it’s like to grow up in an ADHD household filled with drama, this little food fact got my attention.
Many patients will be in pain and have a loss of appetite after surgery. Part of the body's response to surgery is to direct energy to wound healing, which increases the body's overall energy requirements. Surgery affects nutritional status indirectly, particularly during the recovery period, as it can interfere with wound healing and other aspects of recovery. Surgery directly affects nutritional status if a procedure permanently alters the digestive system. Enteral nutrition (tube feeding) is often needed. However a policy of 'nil by mouth' for all gastrointestinal surgery has not been shown to benefit, with some suggestion it might hinder recovery.
Useful goals should be (1) specific; (2) attainable (doable); and (3) forgiving (less than perfect). "Exercise more" is a great goal, but it's not specific. "Walk 5 miles every day" is specific and measurable, but is it doable if you're just starting out? "Walk 30 minutes every day" is more attainable, but what happens if you're held up at work one day and there's a thunderstorm during your walking time another day? "Walk 30 minutes, 5 days each week" is specific, doable, and forgiving. In short, a great goal!