It so common for me to hear from clients that they know they need to count calories to be successful with weight loss.  Indeed - there is a loud drum beat for that "calories in/calories out" message where the assumption is that you have to burn more calories than you eat to lose weight.

That's been the dominant narrative in weight los for a long time.  It's taught in school, and in theory the math works.  But weight loss is so complicated that it's really inappropriate to distill the complexity down to a simple greater than/less than equation.  

A Weight-Loss Method That’s Hard to Sustain

For those who have followed this concept of “calories in, calories out,” has it been working? Many individuals I speak to have experienced hunger throughout the day and have low energy levels for daily activities. They find this eating method difficult to sustain for a long period of time and find themselves back into their old eating habits. Have you considered whether this eating method is the healthiest solution for you? Many individuals who follow this method are dissatisfied with the results. They tend to lose a majority of weight in lean muscle mass as opposed to fat loss. If that is the case, is counting calories an effective process for losing fat weight? Many share their frustrations of feeling tired and lethargic when focused on counting calories. They feel their health is jeopardized when the focus is on counting calories and exercising more.

Focusing on Food Quality

So how does one achieve good health and be content with their body composition without counting calories? One way to have a positive health outcome is to focus on quality of foods and how those foods affect your body. Quality foods will restore the body’s hormones and enable the body’s metabolism to work efficiently. The body will have the ability to break down stored fat for energy, providing a stable body weight for the long haul. Selecting quality foods keeps us full and satisfied throughout the day, and provides the body with the nutrition required to maintain good health.

Quality foods contain fiber, healthy fats, protein, and low levels of sugar. Fruits and vegetables are loaded with nutrients and contain natural sugars, which are the best choice for healthy eating without having to consider calorie counting. Healthy fats and proteins are the best choice for feeling full and satisfied throughout the day. When consumed they keep blood sugar levels stable, providing a healthy result.

So, which side will you take? The “calories in, calories out” approach, which does not provide long-term healthy results, or provide your body with quality foods rich in nutrients that enable your body’s metabolism to work efficiently and restore your body to good health? You choose. 

Stay active as you age by putting on your dancing shoes! Fred Astaire said “Dancing is a sweat job!” But you don’t have to break a sweat to obtain the benefits of dancing; they have been proven to be unsurpassable. Dancing can be a fun for your residents, it can add a social element to your community, and it's a really good way to keep exercise exciting!

Fitness Benefits of Dancing

Here is a list of some healthy reasons to dance your way to fitness:

• Improved cardiovascular, muscular strength, and flexibility.
• Promotes healthy blood pressure, cholesterol levels, triglyceride levels, and blood sugar.
• Coordination improves as you work through the different movements.
• Lung capacity can increase.
• Bone strength can increase; bone loss can be stopped or slowed down.
• Assists with weight control—half an hour of continuous line dancing can burn an average of 300 calories.
• The social aspects of line dancing are obvious. Your sense of well-being and the camaraderie you have with the other dancers is wonderful for your health.

In addition to the above, did you know that dancing is an excellent brain exercise? It integrates several brain functions at once, increasing connectivity. As people age, maintaining memory and continuing to challenge intelligence is a real priority. What better way than to dance? Dancing requires memorizing steps, and that provides mental challenges that are crucial for brain health. Consider the fact that to execute a dance you need to remember the specific steps that flow in a sequence, and the brain has to inform the body how to move in a timely manner.

Not only does the physical aspect of dancing increase blood flow to the brain, but the social aspect of the activity leads to less stress, depression, and loneliness, which can also cause memory issues.

What Dancing Can Do for Your Balance

Dancing is also all about balance. Dancing consists of changing up the steps, arm patterns, formations, speed, and rhythm. All of these factors play a significant role in maintaining balance. Just envision doing the grapevine movement, where you must maintain balance as one leg crosses behind the other all while in motion.

Read our blog [Balance Programs: Are you meeting your residents needs?]

Not to mention that when you are dancing you are also dual-tasking. Dual-tasking has shown to improve gait and balance because everyday life involves doing one or more things simultaneously (walking and talking, or moving forward and looking to the side as examples). Therefore, when you’re moving your feet one way and arms or head the other in a dance routine, you are dual-tasking. Also don’t forget the fact that you’re having to think which steps come next.

Try the Grapevine Movement

Want to get started? Here’s the simple grapevine movement. Safety always comes first. Designate a place where you can reach to hold on if necessary, and modify your movements if crossing one foot behind the other is too challenging.

A grapevine is a series of steps in one direction, stepping to the side. Count 1, 2, 3, 4 to the beat of the music and do the following:

• Step to the right with the right foot.
• Cross the left foot behind the right foot. (You can modify by just slightly stepping back and not crossing entirely.)
• Step right with the right foot, uncrossing your feet.
• Close your feet together.
• Repeat stepping to the left with your left foot as well.

See how NIFS Premier Balance Redefined Programming enhances resident wellbeing. Download our Media Kit below.

It's hard for me to believe that the first season of the reality show Biggest Loser aired in 2004. The popularity of that show has inspired all manner of weight loss competitions held under the banner of workplace health. Over the years, as a corporate fitness partner for businesses across the US, we've hosted our share of weight loss challenges. Sometimes the program was straight up 100% about weight loss. Other times, the challenge would have a lot of pieces and participants could choose a weight loss component or another element as their focus.

All of it was well-intentioned, but as I've come to learn, we may have done more harm than good. That said, we don't offer those kinds of programs anymore, and here's why:

Weight loss challenges are based on bad science.

Such programs are typically short term (6-8 weeks) and focus almost exclusively on calories. The idea is that if you consume fewer calories than you burn, you'll lose weight. (Or, as we fitness folks prefer: burn more calories than you take in.) On paper, the math makes perfect sense. But the reality of calories in versus calories out as it relates to body weight is far more complicated. Fitness professionals often assume that people are fat because they either aren't moving their bodies enough or they're eating too many calories. Fix one or both of those and the weight will come right off.

In fact, the weight may come off for the duration of the challenge. Sustained weight loss is also a possible outcome (there are success stories out there), but it's not a likely one.  

[Read More: The Long Strange History of Fad Diets]

Weight loss challenges motivate the wrong health behaviors.

Early in my career one of my most memorable encounters with a fitness center member occurred when she came in for her appointment to talk about an exercise plan tailored to her goals. Weight loss was her primary goal so we started talking about what might be a reasonable initial target. Quickly into the appointment, she dissolved into tears and through the rest of our conversation, we didn't talk about exercise, we talked about her body image and how deeply connected that was to her self worth.

That kind of desperation lends to poor health behavior choices when we're talking about weight; it's not a stretch to go from a weight loss challenge at work to dysfunctional eating habits. The restrictive nature of the challenges often leaves participants grumbling about when they can eat their next cheeseburger. I'd cringe when I heard something like that. I'm not anti-cheeseburger, cheesecake, or cheese for that matter. I am against the idea of labeling foods into good/bad categories as a strategy for eating better, and I am against the idea of restriction as a tactic for improving health.

Weight loss challenges perpetuate a negative body image narrative.

The story I shared above about the member crying in my office because of her weight wasn't an isolated incident. It happened regularly. And while I was honored that people would feel comfortable getting real with me, I also felt horribly ill-equipped to counsel, recommend, or even respond. (There was no training for this in my bachelor's or master's programs). So I practiced empathetic listening because it was the only tool I had in my toolbox. After several consults like this, I adopted a mantra: "Your weight on the scale is not related to your value as a human being" in the hopes that my members would internalize a tiny piece of that to understand that regardless of their weight, body fat, jean size, or relationship to food they had immense value to me and others in their lives.

When we focus on excess weight as something that MUST be addressed, we imply that individuals who aren't at a "healthy body weight" must need fixing. That's a pretty rich message coming from a group of professionals who love exercise so much, we choose to do it for a living.

So what do we do when someone comes to us with weight loss questions?

We will still work with individuals on reasonable weight loss goals if they come to us 1:1 for that kind of support. But, we do it from the foundation message that good health is primary. If weight loss occurs as a natural outcome of healthy choices, then so be it.

We do still get asked by businesses if we'll help them run their weight loss challenge. The answer is no. Sometimes they'll respond to other creative health-related programming and other times, they're committed to their Biggest Loser-style weight loss competition and we have to bow out.

* * *

If you're looking for a corporate fitness partner who is committed to helping your employees live well and work well, click below to find out how we can help.

For years, fitness professionals have been trained to use Body Mass Index (BMI) as a prescreening tool when individuals join a fitness program. It was part of the recommendations by the American College of Sports Medicine (ACSM) for evaluating health risks; tobacco use, cholesterol profile, and family history for cardiovascular disease were also part of that process. In 2015, the ACSM updated their guidelines, and guess what? No BMI screening was included.

(Find out more about the changes to exercise prescreening in this FAQ.)

Why Is BMI No Longer a Screening Tool?

The changes to the ACSM guidelines were positioned largely around decreasing barriers for individuals to start an exercise program. After years of research, what they found was that BMI was not a driver of cardiovascular events during exercise. Anecdotally, I can say from experience that I had a lot of (sometimes angry) individuals wanting to join the corporate fitness center who needed a medical release because their BMI was "too high" and they had one other risk factor, such as not knowing their cholesterol or current tobacco use. So for our staff and their members in corporate fitness environments across the country, I thought this was a positive change.

But it leaves me wondering if we should be looking at BMI at all. There's a lot of back and forth in the wellness community about the "value" of BMI. The screening tool was always meant to be a field test to determine appropriateness of weight for a given height. And truly, it's an easy measure to determine; there are BMI calculators all over the internet. But that may be the end of its utility as a screening tool. There are a lot of questions about how meaningful the information really is to either the individual being assessed or the practitioner with whom they're working.

If We Don't Use BMI, What Should We Use?

This is something of a loaded question and points to our cultural obsession with "healthy" body weight. Do we need to screen for fatness? What's the value in those figures? Certainly measuring percent body fat or circumference might provide more meaningful ways to track an individual's desire to lose weight. But there are caveats on providing that information, too. Our staff members are providing those measures as field tests in our clients' corporate fitness centers, and the accuracy can be questionable, particularly for body fat assessed by skinfold testing.

We have a responsibility in our clients' fitness center environments to help the members live well in the ways that are meaningful to each individual. That might mean helping someone work on gradual, healthy weight loss. It might also mean working with someone to help them learn to appreciate the difference between feeling good when they move their body and feeling bad when they step on the scale.

The goal for our staff is to help the members they serve improve their health in all the ways that are articulated. When tools like BMI are so limiting (and potentially harmful to the psyche), we have to take a hard look at whether those tools are helping us achieve that goal. With so many other fantastic programs in our books to help people move more, try new areas of healthy living, and even remember what it felt like to play at recess, I think we have just what we need to create positive, successful, healthy environments for our corporate and senior living clients.

Check out our creative and effective programming to help keep your members active.

These days it seems there is one new health or weight-loss diet out every week. My clients are constantly saying to me:

• “Is worth it?”
• “My friend lost a gazillion pounds on it, so it must work!”
• “I saw on TV how this diet cures diabetes.”
• “But Dr. Oz says…”

And before I knew better, I fell into the trap of these diets myself! Back then it was SlimFast and the Richard Simmons plans that were all the rage. Nowadays, we see the Fasting Diet plans, Paleo, Whole30, and Weight Watchers. And while I don’t think all of these plans are horrible or unsafe, I do believe that for the most part you should save your time and money if the diet does any of the following things.

Tells You to Follow Strict Meal Plans

Life is already complicated enough. Limiting food choices or following rigid meal plans can be an overwhelming, unrealistic feat. With any new diet, always ask yourself: "Can I eat this way for the rest of my life?" If the answer is no, the plan is not for you.

Promises Rapid Weight Loss

Slow, steady weight loss is more likely to last than dramatic weight changes. Healthy plans aim for a loss of no more than 1 to 2 pounds per week. If you lose weight quickly, you are 100% more likely to gain it back just as quickly.

Says to Consume Foods in Excess or Cut Them Out Completely

Ditch diets that allow unlimited quantities of any food, such as grapefruit and cabbage soup. It's boring to eat the same thing over and over and hard to stick with monotonous plans. Avoid any diet that eliminates or severely restricts entire food groups, such as carbohydrates. These aren’t necessary or realistic; you can lose weight without these nutrition extremes.

Requires Supplements Like Pills or Powders

Might as well take your money and just throw it in the trash. Not only are these supplements not necessary, they are not proven safe or effective. Ask a trusted professional and learn the consequences for yourself.

Conflicting claims, testimonials, and hype by so-called experts can confuse even the most informed consumers. The bottom line is this: If a fad diet or product sounds too good to be true, it is.

Unsure of where to start or what is right for you?  Grab our free download on the benefits of meeting with a nutrition coach, click below!

If it’s the most important meal of the day, why do about 31 million people or 10% of the population still skip breakfast? Here are the top three reasons people give for skipping breakfast and how you can overcome those excuses to make eating a high nutrition breakfast be a part of your daily routine.

• I’m just not hungry in the morning. You should wake up in the morning and be hungry. Your body has gone at least 8 hours without food, so it should be ready for some fuel. If not, take a look at your before-bedtime habits and check to see whether you are constantly having snacks like chips and ice cream late into the evening. If so, this can affect your hunger levels in the morning. Don’t go to bed hungry, but instead choose a reasonable snack around 100–150 calories like Greek yogurt or an apple with 1 Tbsp of peanut butter.
• I don’t have time for breakfast. If you would rather hit the snooze button a few more times than prepare breakfast for yourself, you might find yourself without enough time to eat in the morning. The key is to aim for three food groups at a meal, so even if you grab a turkey sandwich and a banana as you run out the door, you are still starting your day right. The key is to combine some protein and whole grains to help give you energy and keep you full. Breakfast is also a great time to get in a dairy or fruit serving too! If time is an issue, use this recipe for Breakfast Egg Muffins to prepare breakfast for the whole week. Add an egg to an English muffin and grab a glass of milk or piece of fruit to go with it and you are set!
• I want to save my calories for later in the day. Some people think if they skip breakfast it will help with their weight-loss efforts or it gives them more calories to consume at lunch and dinner. Unfortunately, this is not the case. A recent study compared two groups: one ate more for breakfast and the other ate more at dinner, with both consuming the same amount of calories. The breakfast group lost more weight and inches than the dinner group. Typically people who skip breakfast overcompensate the rest of the day by eating more calories than if they had started their day with a balanced meal.

Whatever your reason for skipping breakfast is, try to break that habit and start eating something every day for better nutrition all day. Start small with a glass of 100% juice or a piece of fruit and then work up to a balanced meal between 400 and 500 calories and at including least three food groups.

Lots of research has been done over the years to figuret out the best recipe for success when it comes to weight loss. Diet alone? Exercise alone? Or a combination of both? It should come as no surprise that the key for weight loss and keep it off is to combine a low-fat, lower-calorie diet with an exercise routine.

Results of a Weight-Loss Study

In a study funded by the National Cancer Institute in 2011, 439 overweight to obese postmenopausal women were assigned to four different groups: exercise only (45 minutes of moderate-vigorous activity five days per week), diet only (1,200–2,000 calories per day, depending on starting weight, and less than 30% of calories from fat), exercise and diet, and no intervention.

The yearlong study found that the exercise-only group lost 2.4% of their starting body weight, with the diet-only group losing 8.5% of their weight. However, the group that incorporated both a lower-fat and caloric diet and exercise lost 10.9% of their starting weight, which was an average loss of 19.8 pounds. One other thing that was significant in this study was that the women who lost the most amount of weight and body fat kept a daily food journal, writing down everything they ate and drank.

Tips for Losing Weight

As I said, it shouldn’t come as a surprise that a combination of more balanced eating and movement will lead to the most amount of weight loss. So here are some tips to help make this become a lifestyle for success.

• Keep a food log. As the study showed, the most successful individuals logged what they ate. Grab a pen and jot it down, or use an app or an online program for tracking. Whichever way works for you, start today!
• Focus on low fat. Aim for 30% or less of your intake from fat. Fat helps to make food taste more flavorful and helps to keep you fuller longer. However, aim for those good-for-you sources of fat such as nuts, avocado, olive oil, and salmon.
• Move more. The individuals in the study did 45 minutes of exercise, 5 times per week, but any movement is better than nothing. Start walking, cycling, strength training, stretching, and just moving more each day.

More Help from NIFS

If you want to lose weight and are considering starting to decrease your calories or start exercising, hopefully this will help you to decide to do both! If you need more assistance getting started, please contact me at amitchell@nifs.org to set up a personal nutrition coaching session to help meet your goals.

Every year the American College of Sports Medicine (ACSM) conducts a survey across the United States to determine what trends will be seen in the coming year. Completed by over 1,800 fitness professionals, the survey has found the following to be the top 10 fitness trends for 2017. 

10. Wearable technology, such as activity trackers, smart watches, heart-rate monitors, smart eyeglasses, and GPS tracking devices.  Check out this blog post about the challenges with high tech wellness.

 9. Bodyweight training requires minimal to no equipment and can be done anywhere, which makes it an inexpensive way to stay fit.  Check out @NIFSquickfit on instagram for inspiration to use your bodyweight to train at home.

 8. High-Intensity Interval Training (HIIT) involves short bursts of exercise followed by a short period of rest or recovery and can take 30 to 60 minutes, or longer, to complete.

 7. Educated and experienced fitness professionals are becoming more available as the ways to get certified and educated grow. Finding professionals who have gotten certified through nationally accredited programs can help consumers make an important decision more easily.  Looking to staff your onsite fitness center, check out how you can get back to business and let the professionals handle your fitness center. 

 6. Strength training has been trending since the first survey was published by ACSM in 2006. Strength training can help many to improve or maintain current levels of strength.  Grab your co-workers and get fit at lunch.  

 5. Group training is designed for participants with varied levels of fitness. Group fitness instructors specifically program these classes for a fun, motivational, and effective large-group experience. 

 4. Exercise Is Medicine is a global health initiative based on the belief that exercise can be preventative as well as a way to treat diseases. This initiative brings health care professionals together with exercise professionals to include physical activity as treatment.

 3. Yoga can be practiced in many forms, including but not limited to Power Yoga, Yogalates, and hot Yoga. Yoga uses specific types of postures to help with flexibility, relaxation, and health.  Can't make it to Yoga?  Take a moment to stretch at your desk.  Making time for a five minute stretch break will help you ease tension and relax the mind.

 2. Personal training has not left the top ten since the first survey was published in 2006. Personal trainers will continue to be an integral part of the professional staff in all areas of health and fitness centers.

 1. Exercise and weight loss combine calorie restriction and exercise programming to control weight loss.

The full list of top 20 trends is available in the article "Worldwide Survey of Fitness Trends for 2017.”

Looking to improve the health and wellbeing of your employees this year?  Let us handle your program and you get back to doing what you love to do.  Click below for our quick read to find out how we make corporate fitness easy.

I love what I do—seeing people succeed with their weight-loss goals is one of the most rewarding feelings as a dietitian. However, it can also be very challenging when I see clients revert back to old habits and struggle to keep the weight off that they worked so hard to remove.

Best Weight-Loss Techniques

After checking out some research of highly successful dieters, I have found the best things that can be done to keep the weight off for good!

• Keep a food journal. Individuals who keep food logs tend to eat 40% less because they are writing it down. Also, a recent study found women who kept a food journal lost 6 pounds more than those who didn’t. Some excellent online food tracker sites include MyPlate and ChooseMyPlate. Highly rated free apps for your smartphone include My Fitness Pal and Lose It.
• Practice portion control. As a society, we are terrible at eyeballing portions. The secret to success is consistently measuring food items to make sure you are eating the same amount you are journaling. The simplest way to do this is to use measuring utensils to dish out your meals and associate common items with certain portions. For example, a serving of meat should be the size of a deck of cards, a baked potato should be the size of a computer mouse, a half cup of pasta is the size of a tennis ball, and a teaspoon of oil is the size of one die (from a pair of dice).
• Don’t skip meals. Lots of people think if they skip a meal they will be decreasing the total calories they are taking in for the day. In reality, the opposite usually happens. When someone skips a meal, they typically end up overeating at a different time of day to compensate for missing out on the food that their body needed. Also, whenever you skip a meal it makes your metabolism work at a slower rate; and therefore, makes it harder to lose weight. Eating balanced meals and snacks throughout the day is the best way to stay on track.

Set Up a Personalized Nutrition Appointment

The more you follow these rules, the higher your chance of success in keeping off the weight. For more information or to set up an individualized nutrition coaching appointment, contact me at amitchell@nifs.org or click below for more information.

The holidays are right around the corner, and the first thing that comes to mind is all that food! You don’t want to look like a Santa at the start of the New Year! Well, don’t feel guilty about consuming the goodies; just get smart! If you have an understanding of what it takes to properly fuel your body, specifically as you age, the healthy eating process doesn’t seem so daunting. Older adults have different needs, and there are some key nutrients that are really important to maintain.

Let’s get back to the word SMART. Here’s a simple way to eat healthy using this acronym for healthy eating during the holidays.

Servings

When you put food on your plate, divide that plate into four serving sections:

• The first section is whole grains (wheat bread, brown rice, fortified whole-grain cereals).
• The second section is protein (lean meats, eggs, fish, beans, cheese, tofu, peanut butter).
• The third section is vegetables (fresh, frozen, dried, low-sugar canned).
• The fourth section is fruits (fresh, frozen, dried, low-sugar canned).

This is true for every plate at every meal. Eliminate processed foods as much as possible. If you must open a package or can, be sure to check the ingredients. Examples of things to look for are words such as “whole” for grains and “low sugar” for canned fruits. Remember to also control salt intake and instead flavor your food with herbs and spices. Think of the holiday lights and create a colorful plate! The more color found in veggies and fruits, the more nutrients to fuel the body!

Maintain Important Nutrition 

Here is a list of the key nutrients (and examples of foods that provide them) an older adult needs:

• Calcium and Vitamin D (leafy greens, cheese, milk, yogurt, seafood)
• Vitamin B12 (lean meats, eggs ,fish)
• Fiber (beans, cereals, fruits and vegetables)
• Potassium (bananas, prune juice, mangos, pears)

The majority of these nutrients are found in the above foods. Supplements are also important to ensure that we obtain them, but the word is supplement, meaning “in addition to”; therefore, take supplements in addition to getting these nutrients through food.

Allow Some Fun Food

It’s fine to eat a slice of cake or have a cookie, but be mindful of how many. Remember to lower your intake of saturated fat and sugary treats that can lead to heart disease and unwanted pounds (and here are some healthful baking substitution tips). When you think of your plate, consider that 90% is the food that will provide your nutrients and 10% can be that “occasional” brownie or piece of pumpkin pie.

Reach for Water

Drink plenty of fluids! No, the holiday punch doesn’t count, so limit your alcohol intake. Drink water and realize that you can also obtain your fluids from juice, low-fat milk, and even soups.

Take the Time to Exercise

Physical activity is also important in maintaining a good digestive system, and the good fuel from food will be used to restore muscle and burn fat for weight loss.  Get your body moving after those holiday meals.

Be SMART this holiday season! Happy holiday eating!

Need help getting your eating habits on track?  Use NIFS Dietitian, Angie Mitchell to get your habit in line with personal nutrition coaching.  Click below for more information.