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Manage Your Weight

Obesity Spreads Through Social Ties

February 15, 2011 By Penny Klatell, PhD, RN 2 Comments

Take a good look around you – at your family and friends.  Do the bulk of them seem to be overflowing their chairs?

A study published in the New England Journal of Medicine (N Engl J Med 2007;357:370-9)  seems to indicate that if you’re struggling with your weight, there is a good chance that your friends and family are, too.

Using data collected over 22 years from a “densely interconnected social network” of 12,067 people who took part in the Framingham Heart Study, the researchers found identifiable clusters of obese people, determined by a body mass index ≥30, present in the study’s network at all times.  The clusters and the risk of obesity extended to three degrees of separation.

Here’s what they found:

  • A person’s chance of becoming obese increases by 57% if he or she has a friend who becomes obese. In a mutual friendship, the person’s risk of obesity increases by 171% if the friend becomes obese.
  • Among pairs of adult siblings, if one sibling becomes obese the chance that the other becoming obese increases by 40%.  This is more prevalent among siblings of the same sex (55%) than among siblings of the opposite sex (27%).  Among brothers, the chance of becoming obese increases by 44% if a brother becomes obese, and among sisters there’s a 67% increased risk if a sister becomes obese. Obesity in a sibling of the opposite sex doesn’t seem to affect the obesity risk of the other one.
  • Among married couples, when one spouse is obese the other is 37% more likely to become obese. Husbands and wives appear to affect each other similarly (44% and 37%, respectively).
  • Neighbors in the immediate geographic location don’t seem to have an effect on a person’s obesity.
  • Pairs of friends and siblings of the same sex seem to have more influence on the weight gain of each other than pairs of friends and siblings of the opposite sex. In same sex friendships, the probability of obesity in one person increases by 71% if the friend becomes obese.  For friends of the opposite sex there’s no significant association.  In same sex friendships, a man has a 100% increased chance of becoming obese if his male friend becomes obese.  For female friends, the spread of obesity is a non-statistically significant 38%.

As the researchers conclude, “obesity appears to spread through social ties.” Makes you think, doesn’t it?

Filed Under: Eating with Family and Friends, Manage Your Weight Tagged With: eat out eat well, friends, obesity, siblings, social ties, spouse, weight, weight management strategies

Stick With It

February 4, 2011 By Penny Klatell, PhD, RN Leave a Comment

Are you always looking for the next best thing – the next miracle cure for sugar or caffeine addiction, the best way to motivate yourself to exercise, or the best way to lose the most weight in the shortest period of time?

You try, try, and try again. You step on the scale. “That can’t be right – no way – I starved myself all week – I was soooo good! I went to the gym everyday and sweated like a pig!

Sound Familiar?

We’ve all been there. So what do we do? Toss out the baby with the bath water, give up, screech that the diet is a scam, scream that the scale is broken, swear the trainer has no clue what he or she is doing.

Bottom line is that so many of us start with a plan, don’t stick with it, and change course right away. Your body gets confused, your head gets confused, and the scale is probably cringing from the verbal threats you have thrown its way.

Time And A Chance

Give yourself and all of your good efforts a chance. Ask yourself: are your goals realistic? Despite the Biggest Loser, most people are not capable of losing massive amounts of weight in a week. Are your expectations realistic? Do you expect to see the numbers on the scale drop each and every day? The scale might not be moving right away (by the way, minor fluctuations are to be expected – extra salt in last night’s meal needn’t send you into a tailspin) – but perhaps your measurements are changing and your clothes feel looser. Or maybe your body is taking some time to readjust to a new healthy eating plan.

Give it some time before you declare a lost cause, jump ship, totally change direction, or plain old give up. You’ve got to stick with it. As hard as it may be, think logically and rationally — not with your emotions. Change is hard and it takes time. Give it a chance.

Filed Under: Eating with Family and Friends, Manage Your Weight Tagged With: diet, eating plan, emotional eating, goals, holidays, weight management strategies

Do Fat Free Calories Count?

January 18, 2011 By Penny Klatell, PhD, RN Leave a Comment

Do you think you are being oh-so-virtuous by grabbing the reduced fat cookies or crackers off of the supermarket shelf?  I hate to disillusion you, but sometimes there isn’t a big difference in calories between the low or fat free version and the regular version of the same food.

In many reduced and fat free foods the fat is replaced with flour, sweeteners, or other starches and fillers which make the reduction in calories very small or, sometimes, nonexistent.

Reduced Fat Snack Food Hits The Supermarket Shelves

When fat free and reduced fat foods – especially snack foods like cookies, crackers, and chips hit the market — they were touted as products to help with the rising tide of obesity. Even things like pretzels, marshmallows, and gummy bears, foods that never contained fat to begin with, had “fat free” plastered all over their labels.

These fat and reduced fat foods certainly were not a panacea and consumers began to realize that they weren’t the magic bullet they were hoping for. Consumers choosing these foods were eating less fat  — but — they were still eating too many calories.

Calories Are Calories

Whether they’re from fat or carbs or protein, a calorie is a calorie.  If you eat more calories than you need you probably will gain weight. Reducing the amount of fat that you eat is one way to limit your overall calorie intake – as long as you don’t replace those fat calories with calories from another source.

Fat Free Is Not Calorie Free

Unfortunately, many people interpret “fat free” as “calorie free.”

Eating reduced or fat free foods isn’t always the answer to losing weight –especially when you eat more of the reduced fat food than you would of the regular one. And, because a lot of fat free foods aren’t very filling, it’s easier to eat a lot of calories and not feel full.

How Many Calories?

Compare the calories in the reduced or fat free versions to the regular version:

  • Reduced fat peanut butter, 2 tablespoons:  187 calories;  Regular peanut butter, 2 tablespoons:  191 calories
  • 3 reduced fat chocolate chip cookies, (30 g):  118 calories;  3 regular chocolate chip cookies, (30 g): 142 calories
  • 2 fat free fig cookies:  102 calories;  2 regular fig cookies:  111 calories
  • 1 small (2½ inch) low fat blueberry muffin:  131 calories; 1 small (2 ½ inch) regular blueberry muffing:  138 calories
  • 2 tablespoons fat free caramel topping:  103 calories; 2 tablespoons homemade (with butter) caramel topping:  103 calories
  • ½ cup fat free vanilla frozen yogurt (<1% fat):  111 calories;  ½ cup whole milk vanilla frozen yogurt (3-4% fat):  133 calories
  • Low fat cereal bar: 130 calories;  Regular cereal bar: 140 calories
  • 16 Low Fat Wheat Thins:  130 calories;  16 regular wheat thins: 150 calories
  • 3 low fat Oreo cookies: 150 calories;  3 original Oreo cookies: 160 calories

Filed Under: Calorie Tips, Healthy Eating, Food Facts, Manage Your Weight, Shopping, Cooking, Baking Tagged With: calorie fat, calorie tips, calories, fat, fat free, food facts, reduced fat, shopping, snacks, sugar

What’s In Your Cupboards — And Why Is It There?

January 14, 2011 By Penny Klatell, PhD, RN Leave a Comment

Take a look in your fridge and in your cupboards.  What’s in there?  Why did you buy it and when? Sometimes figuring out what to buy and eat is really tough.  Here are a baker’s dozen categories.  Which do you fall into most frequently?

1.     Are you a bargain shopper looking to get the largest amount of food for your money —  so you buy a dozen of what’s on sale or two of the gigantic size at Costco?  Check your cupboard or the back of your fridge there still might be some “bargains” left over from two years ago.

2.     Do you look for the most calories for your money (supersize me) — the biggest bang for your buck?  This often goes hand in hand with #1 above.

3.     Do you want the best nutrition for your money so you shop in CSAs (Community Supported Agriculture) or go on the hunt for country farm stands? Do you then end up with so much produce that some of it rots and you have to toss it –- or, you’re so overloaded with kale or spinach that you never want to look at it again?

4.     Do you buy only what you want to eat – with no regard to cost, calories, or meal planning of any kind? My guess is that most people in this group are younger than 35.

5.     Do you buy food that you think, in the interest of your health or your family’s, that you and/or they should eat?  The problem is that a lot of these foods may not be what you want to prepare and what no one wants to eat.  The food you and your family like probably disappears quickly and the stuff that no one really likes ends up feeding the garbage pail.

6.     Do you buy special or celebratory food because it’s someone’s birthday, or Thanksgiving, or Easter, or Halloween?  Do you really buy it because of holiday traditions or because the holiday has given you an excuse to buy – and indulge – in what you ordinarily wouldn’t?

7.     How about the food you’ve always wanted to try and you bought on the spur of the moment because you happened to see it in the store. Then you got the food home and realized that you didn’t know how to prepare it or found out that the preparation is way too complicated – or that your spouse or partner really hates it.

8.     What about the product of the moment – which might fall into any number of categories.  It could be trendy, the latest low-fat wonder, or the cake mix your neighbor said was so good.  Maybe it’s good, maybe not.

9.     Then there’s the diet foods:  the  low or no fat, low or no sugar, fiber rich, reduced calorie food you bought in an endless quest for the miracle food that won’t pack on the pounds.

10.  What about “nutrition” foods – the ones with claims plastered all over the label that they can prevent or cure just about anything?

11.  Or, the convenience foods – the stuff, probably already prepared and/or processed, frozen, or take-out  — that you grab when you are totally exhausted or exasperated and you want to get the food on the table and not have anyone complain about it.

12.  Let’s not forget the craving foods – the sugar, fat, and salt foods that keep you coming back for more.

13.  And, last but not least, the reward foods — the “I’ve had such a tough day” or “I’ve been so good all day” food that almost always packs a whopper of a sugar, fat, and caloric punch.

Sometimes there is a time and place for food from any of these categories.  But, if you are a mindful, not mindless, eater you might want to think about the category you land in most frequently.

Did I miss any categories?  Please let me know what you think.

Filed Under: Calorie Tips, Healthy Eating, Food Facts, Manage Your Weight, Shopping, Cooking, Baking Tagged With: food shopping, kitchen, mindful choices, packaged food, reward food, supermarket, weight management strategies

Other People May Make You Eat More

January 11, 2011 By Penny Klatell, PhD, RN 2 Comments

Reservations for eight? You might eat 96% more! No kidding.  We tend to continue eating for a longer period of time when we’re with people compared to when we eat alone.  Maybe it’s because we mindlessly nibble while someone else talks, or the good manners we learned in fifth grade, or because we’re just having fun and enjoying great food. We do tend to stay at the table longer when we’re with others and the longer you stay at the table, the more you eat.

Losing Track

Friends and family also influence how much you eat. Sometimes you can get so involved in conversation that all the monitoring of what pops into your mouth goes out the window.  Have you ever looked down at your plate and wondered where all the cookies went or how you managed to work your way through the mile high dish of pasta or the four pieces of pizza?  How many tastes did you take of everyone else’s meal and dessert?  Those tastes aren’t like invisible ink.  Those calories count, too.

Who Sets the Pace?

You tend to mimic your table companions. They eat fast, you eat fast.  They eat a lot, you eat a lot.  Ever wonder why you look at some families or couples and they’re both either heavy or slender?  As Brian Wansink, PhD says in his book, Mindless Eating, “birds of a feather eat together.”

How Much More?

Wansink reports on a study that shows how strong the tendency is to increase how much you eat when you eat with others.  Compared to eating alone, you eat, on average:

  • 35% more if you eat with one other person
  • 75% more with four at the table
  • 96% more with a group of seven or more

Why?

The pattern of eating more when we’re in larger groups than when we’re eating alone is common in adults. One reason is a phenomenon called “social facilitation,” or the actions that stem from the stimuli coming from the sight and sound of other people doing the same that that you’re doing. When you’re eating in groups, social facilitation can help override the brain’s normal signals of satiety.

Some Helpful Tips:

  • Think about who you are eating with – and why.  If you want to have a blast and don’t care about how much you eat – eat with a big group and chow down.
  • If you want to be careful about what and how much you eat, think about eating lunch with your salad (dressing on the side, please) friends rather than the pepperoni pizza group.
  • You tend to adjust your eating pace to that of your companions.  So, sit next to the slow eaters rather than the gobblers if you’re trying to control how much goes into your mouth.

Filed Under: Eating on the Job, Eating with Family and Friends, Entertaining, Buffets, Parties, Events, Manage Your Weight, Restaurants, Diners, Fast Food, Travel, On Vacation, In the Car Tagged With: calories, diners, dinner table, eat out eat well, eating environment, mindful eating, mindless eating, restaurant, social facilitation, weight management strategies

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