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Chatelaine Interview - Should Women Fear 'Bulking Up' At The Gym?

>> Saturday, August 10, 2013








Check out James Fell's recent Chatelaine article, with his current quest being to answer the question as to whether women who work out should be concerned that their muscles may bulk up too much.  In addition to asking for my thoughts on this, strength & conditioning coach Nia Shanks, and fitness expert Jen Sinkler weigh in on the subject as well.

@drsuepedersen
www.drsue.ca © 2013

(photo by Getty Images)

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The World's First All-Diabetic Professional Athlete Team!

>> Thursday, July 18, 2013






Here's an inspirational story to make you smile today: The recent BC Superweek's cycling race included an all diabetic racing team!

Anyone who lives with diabetes or cares for people with diabetes knows that managing diabetes in the context of exercise can be a challenge.  Managing diabetes in the context of a gruelling multi-day race is nothing short of impressive and admirable.

The attitude of this go-get-em team reflects exactly how we guide and teach our patients with diabetes:  to learn adapt their diabetes medications to fit their lifestyle, rather than have to change or restrict their lifestyle to fit their diabetes medications or insulin regimen.   Learning how to adjust certain diabetes medications or insulin doses to fit differences in activity levels and eating patterns from day to day can be a very freeing and satisfying experience!

Dr Sue Pedersen www.drsue.ca © 2013 drsuetalks@gmail.com

Follow me on Twitter for daily tips! @drsuepedersen 

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Google's New Nutrition Search

>> Thursday, June 13, 2013





This week, Google has added a new feature to its search engine - a new nutrition database.

Now, if you type in for example 'chicken breast nutrition', you'll see the usual list of links pop up, but now, in the right of the screen, you'll also see nutrition information automatically pop up.  From there, there is a drop down menu if you want to select a different type of chicken (eg chicken thigh), and there's also a drop down box to select the desired portion size (eg per 100g, per half breast, etc).

The data is pulled mainly from the US Department of Agriculture's database.

My review so far?  Mixed at best.  It appears to be a fairly accurate (based on my searches so far) and convenient resource for searching singular/simple food products such as 'halibut', 'orange', and so forth.   However, if you search for example 'hamburger', it spits out 354 calories for 1 burger.  Of course, we know that the number of calories in a burger varies wildly, depending on the size, patty thickness, where it is purchased from, etc.  They have also not yet added any brand information, so if you try to search 'All Bran nutrition' or 'Starbucks nutrition', nothing comes up (other than the usual links).

I do give kudos to Google for taking this step in helping the public find nutritional information, but their database is currently only really useful for ingredients for recipes or very simple, singular food products.  I'd suggest not relying on any meal information (eg burger, burrito, taco etc), as these cannot be relied on due to the huge variation in the marketplace.

I know Google is working hard to improve the database, and hopefully it will become more useful for combination meals as their hard work continues.

Dr Sue Pedersen www.drsue.ca © 2013 

Follow me on Twitter for daily tips! @drsuepedersen

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What the World Eats

>> Thursday, June 6, 2013






I'm excited to share with you an article from The Daily Mail UK which very poignantly shows the difference in how different families eat (and what they spend on food) around the world.   Journalists visited 30 countries and asked regular families to take photos of what they would bring home from the grocery store to eat in a typical week.


One of the top scores for a balanced diet, in my books, goes to the Egyptian family pictured above.  Note the proportion of veggies relative to meat!  Leaner cuts of meat (or fish) would be preferred, and I'd switch up the pop for water (or diet pop at least), but overall they are doing pretty well.  I must say that when I travelled Egypt years ago with my best friend Deb, I remember enjoying lots of healthy (and very tasty) meals - it's amazing what Bedouins can whip up in the middle of the desert under a starlit sky.




Now let's visit a family in Bhutan (above).  Again, lots of veggies, but definitely lacking in protein sources, likely due to lack of accessibility.  (Thankfully, the WHO Bhutan program has been working on improving nutritional issues in this country including anemia and protein energy malnutrition.)





Family Japan (above) is doing a great job, with excellent protein sources (lots of fish), though they could go a little heavier on the vegetables.  Japan has one of the lowest obesity rates in the world. There are many things we can learn from how the Japanese prepare their food as well, and how this thoughtful preparation can result in lower calorie intake - see my thoughts re the bento box here.




Now let's contrast family USA (above) with family Egypt (at the top).  Note the dramatic difference in prepackaged foods, sore lack of vegetables in the US family's weekly shop, and the carbs, fat, and fast food that dominate the American diet.  Notice also how much food the US family of 4 consumes in a week, compared to the food consumed by Egyptian family of 12!  USA has one of the highest obesity rates on the planet.



And how did family Canada do?  Interestingly, the journalists chose a family from Nunavut, represented above.  I'm pleased to see not too much packaged food, some great fish protein, but again, vegetables fill far less of the table than many other countries' families studied.


Clearly, these families are just one from each country, and what different families consume in each country will vary greatly.  What families around the world are able to purchase also depends heavily on both physical accessibility, as well as the cost of food.  Note from the article that the cost of family Egypt's food was 43 GBP (about $66 USD) for the week, whereas the green peppers and tomatoes on that table alone would cost at least that much in Canada. (This cost has to be balanced against the typical income in each country as well, so.... it's complicated!)  However, it is very interesting and educational to have a flip through all of the countries studied in the article itself, and to ponder how the typical food choices of each family relate to the prevalence of obesity in each of their countries.


Enjoy!

Dr Sue Pedersen www.drsue.ca © 2013 

Follow me on Twitter for daily tips! @drsuepedersen

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New York Soda Size Ruling - Politics Win Over Sound Health Policy

>> Sunday, April 7, 2013









In the midnight hour (literally), a restriction on sugary drink size that was about to go into effect in New York was struck down by a judge.  Health care providers across the continent heaved a sigh of disappointment and sadness, as this move was widely viewed as a leadership step in making some important societal changes to help manage the obesity endemic.

The New England Journal of Medicine published an excellent editorial discussing the decision.  I'd love to hear what you think about this - please submit your comments and ideas by clicking on the comments link at the bottom of this blog! (subscribers, you'll need to click on the title link of this email to go to my website to do this)

Dr Sue Pedersen www.drsue.ca © 2013 

Follow me on Twitter for daily tips! @drsuepedersen

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Type 2 Diabetes in Children

>> Tuesday, October 23, 2012






Along with the rise in obesity, so too are we witnessing a growing epidemic of type 2 diabetes in children.  I was recently interviewed along with my colleague Dr Bernie Zinman for an article in Today's Parent about type 2 diabetes in children - I thought I'd share it with you here.


Enjoy!

Dr Sue Pedersen www.drsue.ca © 2012 drsuetalks@gmail.com

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FDA Approves Second New Weight Loss Drug

>> Thursday, July 19, 2012




Hot on the heels of the first obesity drug approval in USA in 13 years just a few weeks ago, the American FDA has now also approved a new combination drug for the treatment obesity.

Dubbed 'Qsymia', it is a combination of two medications:  an extended release version of topiramate (which is currently used to treat seizure disorders and to prevent migraines), and a stimulant agent called phentermine, which was already in use for short term weight loss in the United States.

The studies that have been done have shown that this combination treatment for obesity results in an average of 6.7% weight loss after one year on the lower dose, and 8.9% weight loss after one year on the higher dose.   These numbers are more impressive than the recently improved lorcaserin, which results in a one year weight loss of just under 4% (though the two agents have not been studied head-to-head).

There are several important considerations in terms of potential side effects of Qsymia.  It can increase heart rate, and should therefore not be used by people who have unstable heart disease, or who have had a heart attack or stroke in the last 6 months.  It can also cause harm to a fetus, so it's essential that pregnancy is strictly avoided while using this medication.  There are other issues as well - you can read about these on the FDA website.  


As always, it's about assessing the benefit versus the risk of any medication, as a team of patient and doctor, to decide what the best treatment approach is. 


Perhaps the most exciting thing about this approval is that the tides are finally turning in the world of obesity - medications are finally starting to become available in an area where there is such desperate need.  Having a variety of agents available will improve our ability to find the best treatment approach for each individual.

Dr Sue Pedersen www.drsue.ca © 2012 drsuetalks@gmail.com

Follow me on Twitter for daily tips! @drsuepedersen 

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