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Weight Loss A Naturopathic Approach

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Weight Loss A Naturopathic Approach Raza Shah, BSc, ND Doctor of Naturopathic Medicine St. Jacobs Naturopathic Clinic 519-664-1050 MAIN CAUSES OF MORBIDITY AND ... – PowerPoint PPT presentation

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Title: Weight Loss A Naturopathic Approach


1
Weight Loss A Naturopathic Approach
  • Raza Shah, BSc, ND
  • Doctor of Naturopathic Medicine
  • St. Jacobs Naturopathic Clinic
  • 519-664-1050

2
MAIN CAUSES OF MORBIDITY AND MORTALITY
DYSGLYCEMIA
3
Excess Adipokines are Pro Inflammatory, Pro
Oxidizing (Accelerate Aging) Oppose
Insulin, Potentiate Cortisol, Impair
Immunity, Dysregulate Appetite Contribute to
Morbidity and Mortality
August 23, 2004
Relentless and resilient, fat cells turn out to
be savvy survivors, able to multiply and thrive.
They are active entities, not static globs, and
produce chemicals that cause inflammation--a
chronic condition linked to heart disease,
diabetes and some kinds of cancer.? BELOW
4
Fat is a major source of SILENT INFLAMMATION, A
toxic waste dump site full of Arachidonic Acid
Toxins, Barry Sears, Ph.D.
Man on Fire!
(IL-1beta, IL-6, IL-8, IL-10, TNF-alpha,
TGF-beta,)
5
Breast Cancer
  • conditions causally related to obesity.
  • arthritis,
  • breast cancer,
  • heart disease,
  • colorectal cancer,
  • type 2 diabetes,
  • endometrial cancer,
  • end-stage renal disease,
  • gallbladder disease,
  • hypertension,
  • liver disease,
  • low back pain,
  • renal cell cancer,
  • obstructive sleep apnea,
  • stroke and
  • urinary incontinence.
  • Sexual Dysfunction
  • Infertility

ETIOLOGY genetic, endocrine and exogenous
factors (28).
http//www.kbsplit.hr/rakdojke/breastcancer.htm
Below
6
The Facts About Weight Loss Products and
Programs Presented as a Public Service
by Federal Trade Commission Food and Drug
Administration National Association of Attorneys
General FDA/FTC/NAAG Brochure 1992
The program at a glance produces dramatic, all
natural weight loss on any individual. This is
achieved through a series of daily events
(cause), in which the result (effect) is always
(99.5 success rate) major weight loss. You can
lose approximately 3 to 5 lbs. per day, 10 lbs.
in two days, or 10-27 lbs. Per week, naturally
and keep it off forever! http//www.bodyweightlo
ss.com/
  • Any claims that you can lose weight effortlessly
    are false.
  • Very low-calorie diets are not without risk and
    should be pursued only under medical supervision.
  • Fad diets rarely have any permanent effect.
  • To lose weight safely and keep it off requires
    long-term changes in daily eating and exercise
    habits.

7
Naturopathic Medicine
  • Naturopathic Medicine is the art and science of
    diagnosis, treatment, and prevention of disease
    using natural therapies with a focus on
    optimizing health and well-being through
    individualized patient care.

8
GETTING TO THE ROOT OF THE PATHOLOGY
ABCs of Acute Medical Care
9
Naturopathic Medicine
  • Botanical Medicine
  • Homeopathy
  • Hydrotherapy
  • Acupuncture
  • Nutritional Supplementation
  • Lifestyle Assessment and Counselling

10
Naturopathic Medicine
  • Naturopathic Doctors are Primary Care Physicians
    able to treat a wide array of health concerns.
  • Naturopathic medicine is a flexible and
    comprehensive approach to overall health. It can
    be applied to virtually any health concern from
    acute to chronic conditions or from prevention to
    general well-being.

11
Overview
  • Definition
  • What Contributes to Increased Weight
  • Emotional and Physical Hunger
  • Impact of Nutrition and Lifestyle
  • Body Composition
  • Insulin Resistance

12
Overview
  • Eating for weight loss
  • Exercise for Life
  • General Tips

13
Definition of Obesity
  • Body Mass Index Greater than 30
  • Body Weight greater than 20 of Normal
    Population

14
Body Mass Index (BMI)
  • BMI Weight (in kg) Height2 (in
    meters)
  • Tables of BMI values are readily available
  • A BMI of
  • lt25 desirable
  • 25 29.9 overweight
  • gt30 obese

15
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16
What Contributes to ? Weight
17
Healthy Parents Healthy Babies
18
Minimal Self regulation?
Raw materials lacking for Brain Development
(Omega 3) Neurotoxins Malnourished
Stressed Moms Sugar Babies (2 generation rule)
http//ohmary.com/michelin.html
19
Serving Sizes
20
Wrong Molecules Medicine
21
Emotional and Physical Hunger
22
Thereby, pleasure is described as a state or
feeling of happiness and satisfaction resulting
from an experience that one enjoys. We examine
the neurobiological factors underlying reward
processes and pleasure phenomena. Further, health
implications related to pleasurable activities
are analyzed. With regard to possible negative
effects of pleasure, we focus on addiction and
motivational toxicity. Pleasure can serve
cognition, productivity and health, but
simultaneously promotes addiction and other
negative behaviors, i.e., motivational toxicity.
It is a complex neurobiological phenomenon,
relying on reward circuitry or limbic activity.
These processes involve dopaminergic signaling.
PLEASURE PROMOTES ADDICTION
promotes addiction
Esch T, Stefano GB. The neurobiology of
pleasure, reward processes, addiction and their
health implications. Neuro Endocrinol Lett. 2004
Aug25(4)235-51. PMID 15361811
23
Tips to stop Emotional Hunger
  • Have a 15-minute cool-off period
  • Because you are experiencing mouth hunger (you
    want to taste the food), brush your teeth, rinse
    with mouthwash, drink a glass of water.
  • Identify your emotions causing you to eat
    (stress, tension, impatience, anxiety, fear,
    tired/low energy, depression,)
  • Self-Love!!

24
MAIN CAUSES OF MORBIDITY AND MORTALITY
TOXICITY
25
Nutrition and Lifestyle
  • What is a therapeutic lifestyle?
  • -living your life in a way that improves your
    health
  • -possible for everyone, but to achieve it you
    need to know which choices are good for you and
    which ones are not
  • -helping adopt a therapeutic lifestyle is the
    first and possibly the most important therapy we
    can use to treat many chronic diseases.

26
Nutrition and lifestyle Goals
27
Body Composition
  • Improving body composition is the most powerful
    lifestyle change that you can make to reduce your
    risk of common chronic diseases.
  • You may be obese even if youre not overweight
  • How do we lose muscle and gain fat?
  • -lack of exercise
  • -insulin resistance

28
Insulin Resistance
  • Glycemic Index and the Insulin Response

29
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30
Glycemic Index of foods

31
Several recent developments aided by major
improvements in an array of techniques have
served to emphasize the key role glucocorticoid
overdrive may play in the paythophysiology of
major depressive disorders (MDD). For instance,
using high-resolution magnetic resonance imaging
(MRI), volumetric reductions of the hippocampus
in MDD corresponding to the duration of the
condition have been reported.38 Positron
emission tomographic studies with MRI have
revealed dysfunction of the medial prefrontal
cortical areas, such as the subgenual cortex in
familial MDD. These and other studies have led
to a stronger emphasis toward the recognition of
cortisols - and possibly CRFs neurotoxic
effects on central nervous system neurons in
areas relevant to stress responsivity and affect
regulation.
Cortisol is Neurotoxic and is related to
depression.
Age 25
Age 40
Gohil, B., MD, et al. Hypothalamic-Pituitary-Adre
nal Axis Function and the Metabolic Syndrome X of
Obesity CNS Spectrums, Vol. 6, No. 7, July 2001
page 584.
32
High Glycemic Index Foods
  • Beer/Alcohol
  • Potatoes
  • Flours/Refined Grains
  • Honey
  • Cooked carrots, turnips
  • Refined cereals
  • Chocolate bars
  • Cookies
  • Colas
  • White rice
  • Noodles
  • Raisins
  • Beets
  • Bananas, Cantaloupes
  • Well cooked white spaghetti

33
Low Glycemic Index Foods
  • Whole wheat/Bran Bread
  • Brown rice
  • Canned peas
  • Sweet potatoes
  • Whole wheat pasta
  • Spaghetti (al dente)
  • Oatmeal
  • Beans Legumes
  • Pumpernickel Rye Bread
  • Quinoa
  • Raw Carrots
  • Dairy Products
  • Chickpeas
  • Fresh Fruit
  • Green beans
  • Dark chocolate (gt70 cocoa)
  • Green vegetables, tomatoes, eggplant, zucchini,
    garlic, onions, etc.

34
Eating for Weight Loss
  • Proteins
  • 15-25g per meal
  • Low fat protein
  • Avoid processed meats
  • Carbohydrates
  • Unlimited Low Glycemic Foods
  • Eliminate High Glycemic Foods

35
Eating for Weight Loss
  • Unsaturated Fats
  • Cold water fish, nuts/seeds, olive oil
  • Water 8-12 glasses of water per day
  • Eat up to the point where your stomach is 80-90
    full

36
Food pyramid old and new http//us.i1.yimg.com/us.
yimg.com/i/he/ostimages/ost_food_pyramid.gif
If there were a terrorist-like-plot designed to
bring the U.S. healthcare system to its knees
this would be it. Barry Sears, Ph.D. 9-3-5 IAACN
Conference, Orlando Fl
37
Balancing Your Plate
  • Divide your plate into 3 sections
  • 50 is vegetables, salad
  • 25 is mixed whole grains or starch
  • 25 is protein source poultry, fish, beans, soy
    products

Whole grains
Veggies
Protein
38
Eating for Weight Loss
39
A Sample Hypo-Allergenic Diet
  • Cereals - cream of rice, puffed rice, puffed
    millet
  • Grains - rice (brown), millet, quinoa, amaranth,
    teff
  • Flours - brown rice, millet, quinoa, amaranth,
    teff, chick pea, bean flours (except soy),rice
    cakes, brown rice pasta, and breads made from
    these flours
  • Fruit - all fresh, canned (no sugar added),
    dried fruits (no sulfur added
  • Protein - lamb, lentils, peas, chickpeas, navy
    beans, kidney beans, black beans, string
    beans, rice or whey protein powder, chicken.
  • Nuts - sunflower seeds, pumpkin seeds, tahini,
    sunflower butter, pumpkin butter, cashew
    butter.
  • Vegetables - all except potato, tomato,
    eggplant, peppers, corn, (sweet potatoes are
    ok), limit broccoli and cauliflower.
  • Oils - olive oil, flaxseed oil (flaxseed oil
    should not be cooked, but can be stirred into
    already cooked foods and is a good salad
    dressing base)
  • Sweeteners - maple syrup, brown rice syrup
  • Beverages - spring water, pure pear juice with no
    sugar added, rice milk.

40
Physical Exercise and Weight Loss
  • Both Aerobic and Anaerobic training
    lowers/moderates blood insulin levels.

41
Why Exercise?
  • Prolongs life
  • Improves mood
  • Achieves metabolic balance
  • Promotes sustainable weight loss
  • Strengthens heart and blood vessels
  • Increases bone density
  • Decreases risk for chronic conditions

42
Metabolic Balance
  • Muscles use blood sugar for fuel
  • Exercise helps transport blood sugar into body
    cells
  • Keeping blood sugar and insulin in healthy range

EXERCISE
BLOOD SUGAR
INSULIN
Metabolic Balance
43
Weight Management
  • Burns excess calories
  • Increases lean body mass (LBM)
  • Strengthens this muscle mass
  • Increases basal metabolic rate (BMR)

44
Basal Metabolic Rate
  • Rate at which your body uses calories at rest
  • Lean body mass influences BMR
  • People with higher of lean muscle mass burn
    more calories

45
Strengthens Heart
  • Heart is a muscular pump
  • Beats 100,000 times per day
  • Beats 35 million times per year
  • Promotes oxygenation of tissues and delivery of
    nutrients
  • Promotes removal of waste products

46
Strengthens Bones
  • Weight bearing exercise and resistance training
    will strengthen bones

47
Decreases Risk of Common Chronic Conditions
  • Heart disease
  • Hypertension
  • Insulin resistance and diabetes
  • Arthritis
  • Depression
  • Cancer
  • Overweight/obesity
  • Osteoporosis

E X E R C I S E
R I S K
48
Body Composition
  • 3 Compartments
  • Lean Body Mass
  • Body Fat
  • Water

Fat
Lean Mass
Water
49
Effects of Aging on Body Composition
  • Body fat increases
  • Lean muscle mass decreases (referred to as
    sarcopenia)

LEAN MASS
BODY FAT
20 30 40 50 60 70 80 90
50
Exercise Effects on Body Composition
  • Body fat decreases
  • Lean muscle mass increases

BODY FAT
LEAN MASS
EXERCISE-------------gt
51
Measuring Progress
  • Weight for Height
  • Body Mass Index
  • Waist/Hip or Waist Circumference
  • Bioelectric Impedance

52
Weight for Height
  • Wide range of weights for given height
  • Doesnt address body composition
  • Crude measurement

53
Bioelectric Impedance
  • Measures body composition
  • Lean muscle mass predicts BMR
  • Body fat
  • Body water hydration status

54
Fitness 3 Components
  • Aerobic cardiovascular
  • Strength
  • Flexibility

AEROBIC
STRENGTH
FLEXIBILITY
55
Aerobic Exercise
  • Oxygen supply to muscle is constant
  • Exercise within target heart rate range
  • Walking, hiking, swimming, cycling, rowing,
    running

56
Aerobic Exercise
  • Great for metabolic balance
  • Uses fat and glucose for fuel
  • Tones cardiovascular system
  • 30 - 60 minutes most days of the week

57
Strength Training
  • The resistance in strength training
  • Increases lean body mass
  • Improves basal metabolic rate
  • Key point to remember
  • Exercise muscle until fatigued
  • Provide the calories and protein needed to build
    muscle

58
Strength Training Frequency
  • If your goal is to
  • Lose fat, 2 times per week maintain LBM
  • Increase LBM 3 4 times per week

59
Flexibility
  • Lose flexibility, agility with aging
  • Muscle fibers shorten
  • Joint connective tissue weakens

60
Stretching Improves Flexibility
  • Lengthens muscle fibers
  • Strengthens tendons and ligaments
  • Prevents injury
  • Mentally relaxing
  • Stretch 5 minutes after mild warm-up before
    exercise session and after

61
Stretching Properly
  • Go slow gradually stretch muscles
  • Dont bounce this may cause tears
  • Dont curve spine keep back straight
  • Hold stretches for 5 30 seconds
  • Stretch for at least 5 minutes after exercising

62
Physical Exercise and Weight loss
  • Increase Muscle Mass Correlates with decreased
    Insulin Resistance
  • Watching TV directly correlates to weight gain
  • Walking for 30min a day sustains weight loss

63
General Tips
  • Increase consumptions of fruits, vegetables and
    fiber, and low glycemic index foods
  • Document Exercise and Progress Always look for
    opportunities for positive feedback
  • Replace less Nutritious snacks with more
    nutritious options

64
General Tips
  • Last meal of the day should be at least 3hrs
    prior to bedtime
  • Eat slowly and chew food thoroughly
  • Drink 8-12 glasses of water

65
General Tips
  • Monitor appropriate Nutritional Intake (Protein
    Complex carbohydrates)
  • Avoid Gimmick Products
  • Avoid Stimulants Even if they are reported to be
    Natural and Safe
  • Work with a healthcare professional to design a
    specific nutrition program

66
(No Transcript)
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