Alcohol and Weight Loss

Lots of people often asked if drinking alcohol can hinder weight loss. Here's our answer:

To lose weight, you will probably need to moderate your alcohol consumption. We don't want to demonise alcohol (or any other food or drink) - we're strong believers in the saying "all things in moderation" and you still need to go out and enjoy yourself when you are losing weight. But it's important that you appreciate that drinking alcohol will hinder your weight loss efforts.

Alcohol is High in Calories

Alcohol contains 70 calories per serve. To put this into perspective, the following meals contain the same number of calories as three standard drinks:

- 100g lean pork/steak/chicken breast + 2 cups of salad

- 1 x 95g can tuna (98% fat free) + 4 Vita Wheat crackers

- 1 Weight Watchers Beef Burgundy frozen meal + 2 cups of vegetables

These meals provide important nutrients, vitamins and minerals, which can't be said for alcohol: alcohol calories are 'empty calories', or energy without any substantial vitamins or minerals. Additionally, alcohol may directly promote fat storage by slowing fat and carbohydrate digestion and increasing appetite (1). 

If you were on a 1500 Calorie a day meal plan during weight loss and chose to consume 500 of these calories from alcohol (approximately 4 x 375mL cans of regular beer), you would need to provide all your essential nutrients from the remaining 1000 Calories. This may be difficult; and it's possible that nutritional deficiencies may occur over time.

And if you consumed 1500 Calories of food per day plus 500 Calories of alcohol per week (approximately 4 x 375mL cans of regular beer), you might gain 5kg of weight per year!

Can Alcohol be Beneficial to My Health?

The risks of consuming alcohol far outweigh any possible benefits. There are health benefits from drinking alcohol, but these can be obtained by drinking as little as half a standard drink per day (2).

How much Alcohol is Safe to Consume?

The Australian Alcohol Guidelines have recently been updated (3) and consist of four recommendations:

1. For healthy men and women, drinking no more than two standard drinks on any day reduces the lifetime risk of harm from alcohol-related disease or injury (note that it is no longer considered safe for men to drink four standard drinks per day).
2. For healthy men and women, drinking no more than four standard drinks on a single occasion reduces the risk of alcohol-related injury arising from that occasion.
3. For children and young people under 18 years of age, not drinking alcohol is the safest option. 4. For women who are breastfeeding, pregnant or planning a pregnancy; not drinking is the safest option.

What is a Standard Drink?

See the image to the right. Note that there is no standard glass size used in Australia: you will often be served more than one standard drink.

How can I Reduce My Alcohol Intake?

Try the following practical tips for reducing your alcohol intake:

- Eat before you drink alcohol: food fills you up, slowing your drinking pace and possibly slowing your absorption of alcohol

- Drink water or a diet soft drink before drinking any alcohol and avoid salty foods while you are consuming alcohol

- Sip alcohol slowly and put your glass down between sips

- Intersperse your alcoholic drinks with non alcoholic drinks such as water or diet soft drinks

- Dilute wine with ice, water, juice or natural mineral water; dilute beer with diet lemonade or soda water and mix spirits with diet soft drinks or soda water

- Choose light beer over full strength

- Don't let other people 'top up' your glass: be more assertive and do not to let peer pressure make you drink more than you want to

- Avoid 'shouts' or get a glass of water when it's your turn to buy a round

- Volunteer to be the designated driver to avoid peer pressure to drink.

So go easy on the alcohol when you are trying to lose weight and you'll reap the rewards.

References:
1.National Health and Medical Research Council (2003), Dietary Guidelines for Australian Adults Commonwealth of Australia

2.Lewis S, Campbell S, Proudfoot E et al (2008) Alcohol as a Cause of Cancer, Cancer Institute NSW, Sydney

3.National Health and Medical Research Council (2009) 'Australian guidelines to reduce health risks from drinking alcohol' Commonwealth of Australia

Non-Hungry Eating: How to Take Control

If you eat when you aren't hungry you may be finding it difficult to lose weight. Here are some tips to help you fight the urge to eat when you aren't hungry, a habit which we call 'non-hungry eating':

What are Your Eating Cues?

When you understand why you eat when you aren't hungry you can take positive steps to prevent it from happening again. Do you eat when you are feeling down or lonely? When you are engaging in certain habits or activities? Because the weather is gloomy? Or simply because food is put in front of you?

Next time you catch yourself heading to the pantry when you aren't hungry, think about your motivations for wanting to eat. Then you can work toward re-gaining control of how you respond to your cues. Try removing the cue (e.g. take the packet of chips away from the TV room if you eat when you watch TV). Or you can actively respond to the cue in a different way (e.g. call a friend instead of heading to the kitchen when you are bored). 

Don't be disheartened if you don't succeed in changing your habits straight away. Change is a process that takes time, dedication and the courage to persevere - even when you don't succeed.

Measure Your Hunger

Be aware of when you are engaging in hungry eating because hunger is an appropriate cue to eat. To ascertain your level of hunger, try using the following scale to rate your hunger before eating, then five minutes after you have started eating and then again when you have finished your meal:

Rating / Physical Sensation

1 Starvation, physical pain

2 Definite physical symptoms: headache, low energy, light headed feeling, empty stomach

3 Beginning of physical signs of hunger

4 Could eat if suggestion was made

5 Neutral

6 Satisfied

7 Feel food in stomach

8 Stomach protrudes, beginning of mood alteration

9 Bloated, definite mood alteration

10 Definitely full: physical pain and numbness

People who are successful at weight loss generally wait until they are at a rating of 2 or 3 before they eat, and then they only eat to a rating of 6.

Remember that you are in control of how you respond to your eating cues. And when you control how you respond to your eating cues, you can start to control your weight.

Reference: Kausman, R. 1998. If Not Dieting, Then What? Allen & Unwin

Five Tips for Easier Weight Loss

When it comes to changing your lifestyle, it's human nature to look for the easiest option. So why not make the easiest option the healthiest option? Here are five tips to get you started:

1. Write a meal plan Create a weekly meal plan that accommodates your daily appointments, work commitments and children’s activities. On nights where time is precious, schedule in leftovers from the night before. Leftovers are a better option than takeaway meals as they are more nutritious and lower in calories - and they will save you money. No plan = no organisation, and no organisation = stress. And stress can make weight loss very difficult!

2. Include snacks in your meal plan To maintain your metabolism you need to eat every 2-3 hours (see our post about meal timing for weight loss). When choosing snack foods, plan nutritious foods from the five food groups, and make sure you serve yourself enough to leave you feeling satisfied for at least two hours. See our article on healthy snack ideas.

3. Write a shopping list – and stick to it! Compile a shopping list from your weekly meal plan. Shop once or twice a week to keep your pantry and fridge stocked with the ingredients you need. If you follow your list when shopping, you will be less likely to make impulse purchases.

4. Organise your pantry and fridge Keep commonly used foods in easily accessible spots in your fridge and pantry. And place calorie dense foods such as biscuits, chips and chocolate at the back of the top shelf of your pantry away from sight.

5. Plan your exercise When you are busy exercise can be the first thing to disappear from your 'to do' list. By scheduling exercise sessions on a weekly planner or diary, you are reserving this time to work on your health and fitness before you fill it with other duties. You make time for events such as medical appointments, work meetings, and coffee with friends – why not make an appointment with yourself (or with a friend or personal trainer) to exercise? It's just as important! Schedule slot for exercise and adjust your other commitments to accommodate it.

Meal Timing for Weight Loss

If you are trying to lose weight (or maintain a healthy weight) you need to eat approximately every 3 hours and consume five small meals a day. If you consume less than five small meals a day your metabolism will slow making it difficult for you to lose weight. Recommend eating at the following times:

• Breakfast: 6.00am - 8.00am
• Morning Tea: 10.00am - 11.00am
• Lunch: 12.00pm - 2.00pm
• Afternoon Tea: 3.00pm - 5.00pm
• Dinner: 6.00pm - 8.00pm (try and finish your last meal before 8.00pm).

If you leave more than three hours between your meals you may feel hungry - and it's very difficult to maintain your resolve to lose weight when you feel hungry all the time! Plus when you know when your next meal is, you are less likely to turn to convenience foods. 

Healthy Meals

A healthy meal or snack is small in portion size but fills you up for at least 2-3 hours. So next time you are tempted to grab fast food on the run or reach for the biscuit jar at work, ask yourself, "Is there a better choice I could make to help me get through the day?". Then try the following:

- If your meal or snack won't fill you up for at least two hours, consider more healthy options. Low fat, low GI snacks with protein will help you feel full for longer: try low fat yoghurt, fruit, light cheese and wholegrain crackers.

- If it's less than three hours before your last meal, think about your real motivation for eating. Ask yourself questions such as, "Am I really hungry?" and "How will I feel afterwards?". You may find that you are engaging in non hungry eating.

- If you have a tendency to eat out of habit, i.e. you tend to snack at certain places or times of the day, think of ways to break these habits. For example, don't keep a stash of chocolate in your top drawer at work.

- Don't attach emotions to food. If you eat when you are stressed or bored; think about alternate, non food-related ways to improve your mood such as going for a brief walk.

- Before you eat, sit down and place your food on a plate: that way you are more likely to acknowledge the calories.

Eating the right foods at the right time can make a huge impact on your weight loss efforts. 

Habitual Eating: How to Break the Cycle

Here are some tips to help you outsmart habitual eating and take control of your weight:

Eat Slowly

People who eat quickly are twice as likely to be overweight than those who eat more sensibly. And people who eat quickly and eat too much are three times as likely to be overweight than those who eat more sensibly (1). Here's how to eat in a more controlled manner:

- Allocate 20 minutes for main meals and 10 minutes for snacks
- Put a jug of water on the table and sip water throughout your meal
- Put your cutlery down between mouthfuls
- Cut your food into small bite sized pieces and eat one piece at a time
- Increase the number of times you chew your food before swallowing
- Pause in the middle of meals or between courses
- Talk during mealtimes: people who do so are often still eating after their companions have finished.

By eating slowly, you give your taste buds time to register the flavours in your food. Plus you experience a greater sense of control as you have more time to decide how much food you will eat.

Portion Your Food

Most people use visual cues to tell them when to stop eating, so when a big portion is placed in front of them they eat the whole lot (2). Some tips for limiting your portion sizes are:

- Serve yourself in medium sized portions from the stove (if your serve sizes are too small you will return for second helpings) and avoid placing dishes on the table.
- Eat your food from a plate to increase your awareness of how much you are eating: don't eat out of bags or containers.
- Remove any leftovers as soon as possible after eating. Put them in the fridge for the next day, throw them away or if you are entertaining, give them to guests to take home. Don't fall into the trap of thinking that you are wasting food by throwing it away: unlike excess food in the bin, excess food in your stomach can lead to weight gain and poor health!
- If your plates are large, don't feel the need to fill them with food.
- Leave a small portion of food on your plate at the end of every meal. Don't feel that you have to 'clean your plate': many people are conditioned to do this from an early age but it's not healthy.
- If you are eating out, don't feel that you need to eat the entire dish: take the leftovers home.

Take Control of Emotional Eating

Emotions can become powerful cues to eat inappropriately. People use food to reduce frustration, control boredom, or to comfort themselves when they are feeling lonely, anxious, angry or depressed. If you eat as a means of coping with emotions, you need to find non food-related ways to deal with your emotions such as going for a walk, taking a bath or calling a friend.

It's also useful to learn to attune to your body and distinguish between physical hunger (where your stomach is rumbling and you physically need to eat) and psychological hunger (where cues such as emotions, settings, social occasions and sights and smells of food encourage you to eat). Physical hunger is a useful and appropriate cue to eat - psychological hunger is not.

Practice Mindful Eating

Take the time to sit down and savour the flavours of your food rather than eating on the run:

- Limit your eating to a specific room such as the dining room or kitchen. Eating in other rooms such as the bedroom or living room can trigger a desire to eat when you are in these rooms: even when you aren't hungry.
- Break the link between eating and activities such as talking on the phone or watching a movie.

- Clear you mind of distractions before you eat so you can register an enjoyment of your food and acknowledge the calories.
- Sit down and enjoy your meal so your brain has time to register that your stomach is full.

Breaking ingrained habits can be tough, but if you give yourself time to practice and persevere when you make mistakes, you will regain control of your eating habits.

References:
1. Maruyama K, et al. 2008, 'The joint impact of self reported behaviours of eating quickly and eating until full on overweight: cross sectional survey' British Medical Journal 337:a2002.
2. Dr Elizabeth Denney-Wilson, Research Fellow at the University of NSW quoted by ABC News in Science

Meal Replacements: A Great Tool with the Right Advice

Meal replacements are designed to assist in controlling calorie intake, a critical plank for weight loss. But they can also be confusing, frustrating and disappointing and leave you back where you started. 

That's because most meal replacements are sold without any advice, or any supervision from a health professional; as demonstrated by a recent CHOICE Magazine study. This lack of advice leaves you to work out your own treatment plan, adding to the increased chance of failure.

The Benefits of Using Meal Replacements

Used correctly, meal replacements can be a great short term weight loss tool. At the Wesley Weight Management Clinic we've found that meal replacements:

• Help you to become accustomed to eating smaller portion sizes
• Promote independence from food
• Narrow your food choices, allowing you to manage the amount and type of food you consume (people consume fewer calories when presented with a smaller selection of food)
• Increase your rate of weight loss
• Help you to feel satiated (not hungry) for longer
• Can provide all of the essential vitamins and minerals that your body needs if you choose a nutritionally balanced formulation (at the Wesley Weight Management Clinic we use Optifast 800)
• Help to regulate your blood sugar levels and maintain energy levels
• Help you form a habit of eating at regular intervals and focusing on one meal or snack at a time
• Require minimal preparation and fit easily into a busy schedule.

Get the Right Advice

If you want to use a meal replacement as a tool for weight loss, you should engage the assistance of a suitably qualified health professional such as a Dietitian or Doctor. 

A health professional can help you work out an appropriate schedule of meal replacements, monitor your rate of weight loss and the nutritional quality of your diet, provide advice if you experience any side effects and help you transition back onto normal food when you reach your weight loss goal.

This advice is critical if you have Diabetes or Hypertension: meal replacements can change your symptoms or impact upon the effectiveness of your medication.

Life After Using a Meal Replacement

Meal replacements aren't a long term weight loss solution. When you reach your weight loss goal you need to transition back onto 'normal' food gradually. You also need to learn the skills you need to keep your weight off for life, including meal planning, healthy grocery shopping, meal portioning, exercise and low fat cooking.

For more information about the healthy use of meal replacements, talk to your Doctor .

SLEEP More, WEIGH Less

Did you know that under-sleeping can lead to poor performance and impaired judgement and has also been linked to depression, obesity, diabetes and hypertension. A new study of 1,200 people showed that the average Australian adult gets less than seven hours sleep a night, below the seven to eight hours recommended by sleep experts.

A study by Columbia University, found people who slept four hours or less per night were 73% more likely to be overweight or obese. Also, people who habitually slept for five hours had 15% more ghrelin, a hormone which increases feelings of hunger, than those who slept for eight hours. Those who slept for less time were also found to have 15% less leptin, a hormone which suppresses appetite. "These differences are likely to increase appetite, and therefore contribute to obesity" Dr Taheri states. The subjects in the study also tended to eat more sweet and starchy foods when sleep was cut short.

While research continues, sleep still remains one of the body's most mysterious processes. We do know that sleep is absolutely necessary for survival and even occasional sleeping problems can make daily life feel more stressful or cause you to be less productive. Sleep loss also affects growth hormone secretion that is linked to obesity and impairs the body's ability to use insulin, which can lead to the onset of diabetes. It is paramount that we discover more about this activity where we spend a third of our lives - sleeping.

There are prescriptions and non-prescription drugs, herbs, remedies, technologies, etc that may help you get a good night's sleep. Some work for some and not for others.

Here are some tips you can try at home tonight. These tips are intended for the average adult, but not necessarily for children or persons experiencing medical problems:

• Imagining - Think of a hammock - you're up off the ground, wrapped in a cocoon of comfort, swaying gently in the open air. The sun is warm on your face and there's a cool breeze blowing you back and forth. This visualisation helps you "see" what the reward for sleeping will be, getting you more in the mood to sleep. Visualisation has proved helpful in developing the appropriate brain wave patterns for sleep.
• Magnesium - Has a calming effect on the nervous system. It is part of bones and cells, especially the smooth cells of arteries, and assists in the absorption of calcium and potassium. Over 300 enzymes in our body need magnesium to function properly. It is so important, that the brain stores a "safety supply" to have in the event of a drop in the magnesium reserves.
• Nutmeg - Grind fresh nutmeg and serve it with warm low fat milk and a touch of honey. Milk is naturally high in calcium and rich in tryptophan; together they can be a powerful tranquilizer (and very delicious).
• Hot foot baths - In the Eastern World, a hot foot bath is a traditional remedy; it draws blood from the brain to calm a racing mind. Try soaking your feet in a hot bath with a cupful of Epsom salts and a few drops of lavender essential oil, which will soothe you. Your feet absorb the magnesium from the Epsom salts and relax you further.
• Stomach rub - Soothes down the digestive system and helps bring about deeper relaxation. Lie on your back and place your hand on your belly button. Begin to make small circles in a clockwise direction as you gently glide your hand over your stomach. Let your circles gradually become bigger and bigger. When your circles reach the outside of your stomach, gradually reduce their size until you are back at your belly button again. Reverse the direction; repeat the whole series with your other hand and do this several times. Doing this with lavender oil can create an even more relaxing experience.
• Listening to an audio book - The brain works like a tape player - with one main auditory loop that processes words. If you fill that loop with an interesting book, there's no room for your own worrisome internal narrative. Especially helpful for those who have continuous thoughts running through their heads.
• Deep breathing - Take a deep breath in then slowly release out - focussing on your breathing causes your mind to get distracted from your worries and focussed on your breathing. Doing this for a few minutes can relax your mind and help you get a more peaceful sleep.
• Turn it off - Sleep experts suggest refraining from doing work, watching television, or being on the computer at least an hour before bed time. This allows your brain to start to 'wind down'.

Gangwisch. D, Malaspina. D, Boden-Albala. B, (2005) Inadequate Sleep as a Risk Factor for Obesity: Analyses of the NHANES I; COlumbia University, College of Physicians and Surgeons, New York, NY.

Taheri. S, Lin. L, Austin. D, Young. T, Mignot. E, (2004) Short Sleep Duration is Associated with Reduced Leptin, Elevated Ghrelin, and Increased Body Mass Index. PLos Med 1(3): e62. doi:10.1371/journal.pmed.0010062.