Friday, May 6, 2011

'Night owls' eat more and eat worse, study finds

CTV.ca News Staff

Date: Thursday May. 5, 2011 12:25 PM ET

Regularly staying up late at night and sleeping in the next day could put you at risk for gaining weight.

A new study finds that "late sleepers" tend to eat more, weigh more, and eat more low-quality food – even if they get roughly the same amount of sleep as people who hit the hay at a more normal time.

For the small study, which appears in the journal Obesity, scientists from Northwestern University looked at 51 adults: 23 late sleepers and 28 normal sleepers.

The participants recorded their eating and sleep habits in logs for at least seven days. They also wore a wrist actigraph, which monitors sleep and activity cycles.

Late sleepers went to sleep at an average time of 3:45 a.m. and woke up by 10:45 a.m. They ate breakfast at noon, lunch at 2:30 p.m., and dinner at 8:15 p.m. They also ate a "final meal" at 10 p.m.

Normal sleepers on average were up by 8 a.m., ate breakfast by 9 a.m., lunch at 1 p.m., dinner at 7 p.m., a late snack at 8:30 p.m. and were asleep by 12:30 a.m.

Both groups got roughly the same amount of sleep: 7 hours in the late sleep group, and 7.5 in the regular sleepers.

The researchers found that late sleepers took in 248 more calories a day, twice as much fast food and half as many fruits and vegetables as those with earlier sleep times. They also drank more full-calorie soft drinks.

Co-lead author Kelly Glazer Baron, a health psychologist and a neurology instructor at Northwestern University Feinberg School of Medicine, suggested those extra 248 calories can add up over time.

"The extra daily calories can mean a significant amount of weight gain – two pounds per month – if they are not balanced by more physical activity," she said in a news release.

Indeed, the late sleepers had an average higher body mass index, or BMI, than normal sleepers.

The study authors say that the calories that were taken in after dinner were the most problematic.

"Calories consumed after 8:00 p.m. predicted BMI after controlling for sleep timing and duration," they write.

Senior author Dr. Phyllis Zee, a professor of neurology and director of the Sleep and Circadian Rhythms Research Program at Feinberg and medical director of the Sleep Disorders Center at Feinberg and Northwestern Memorial Hospital says eating when the body expects to be sleeping may disturb our circadian rhythms.

"Human circadian rhythms in sleep and metabolism are synchronized to the daily rotation of the earth, so that when the sun goes down you are supposed to be sleeping, not eating," Zee said.

"When sleep and eating are not aligned with the body's internal clock, it can lead to changes in appetite and metabolism, which could lead to weight gain."

The research findings could be relevant to people who have trouble losing weight, suggesting that going to bed early could prevent overeating at night.

The findings also have relevance for night-shift workers, who eat at the "wrong" time of day related to their bodies' circadian rhythms.

"It's midnight, but they're eating lunch," Zee said. "Their risk for obesity as well as cardiovascular, cerebrovascular and gastrointestinal disorders is higher."

Northwestern researchers are now planning more studies to test the findings in a larger group. They also want to try to understand the biological mechanisms that link the relationship between circadian rhythms, sleep timing and metabolism.

The research was supported by the National Heart, Lung and Blood Institute of the National Institutes of Health.

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Sunday, April 24, 2011

Bryant McKinnie turning to Venus Williams for help slimming down

By Sean Leahy, USA TODAY

Minnesota Vikings OT Bryant McKinnie is intent on getting slimmer this offseason. And he's turning to tennis' Williams sisters for help.

McKinnie has been working with both Venus Williams and Serena Williams in the Miami area as he endeavors to slim down from 360 pounds to 340.

By Jim McIsaac, Getty Images

He's currently at about 355, he told the St. Paul Pioneer Press. (Via PFT)

In the video below, McKinnie shows off some of his tennis experience with Venus.

"One thing I learned with Venus, you have to be ready to work for a long lesson," McKinnie told the Pioneer Press. "She tires you out."

Whom does he enjoy working with more, Venus or Serena?

It's Venus, McKinnie joked: "She's a better teacher."


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Sunday, April 17, 2011

The Proposed Arizona “Obesity Fine” Focuses on Overweight Medicaid Recipients

The Fat, as They Say, is in the Fire

Arizona is rapidly overtaking Florida and Texas in the race to generate news items that make late-night talk show gag writers dance with joy. Latest example: Governor Janet Brewer, who has firmly established the fact that illegal immigrants are not on her Good People list, is apparently looking to add the very overweight to the tally.

In specific, she has proposed levying a surcharge of $50 on obese Arizonans who are enrolled in Medicaid unless they adopt a supervised weight-loss program prescribed by their doctor. A similar fee would apply to enrollees who are smokers. As Jay Leno might (and perhaps will) observe, “Evidently if you’re a hopeless alcoholic or a heroin addict, you’re not a health problem.”

This is a story tailor-made for America’s chat rooms. Among the aspects of interest:

  • Most of Brewer’s political moves thus far have brought cheers of support from the Tea Party folk, but how will they react to the notion of state government fining people for unhealthy behavior? According to a spokesperson for Arizona’s Medicaid program, that was one express goal of the surcharge, along with driving home the point that obesity is a drain on health care resources. How will Brewer respond to charges that she’s engaging in that anathema to conservatives, “social engineering”?
  • This is would be the first such “irresponsibility” fee (or fine, or surcharge) in Medicaid history, and more than a few state governments, absolutely desperate for revenues, will seriously consider following Arizona’s lead, if it becomes law. Given that over 25 percent of Arizonans were obese as of 2009, and roughly 45 percent of the state’s Medicaid enrollees are smokers, at $50 a head, we’re talking some serious change. Imagine how much revenue a “fat fee” could generate in Mississippi, Alabama or Arkansas.
  • On the one hand, as liberal opponents of the proposal point out, the fee could unfairly penalize those whose weight is, for whatever reasons, genuinely beyond their control. On the other hand, obesity carries with it very definite and significant health care costs above the norm, and in most cases is due to lifestyle behavior, not genetics or biochemistry.
  • Ultimately, the proposed fee will wind up in court, first because such tinkering with Medicaid rules generally requires permission from Washington, which is already unhappy with Governor Brewer’s infringing on the federal government’s immigration turf, and second because such details as the definition of “obesity,” and who decides whether a weight-loss program is being adequately followed, have yet to be hashed out.

Our advice to the Governor and her Medicaid administrators: Don’t start counting the fee revenues just yet.

(By Robert S. Wieder for CalorieLab Calorie Counter News):

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