http://yourlife.usatoday.com/fitness-food/nutritionnation/post/2012/01/Prediabetes-The-Silent-Menace/607968/1?loc=interstitialskip
Dr. Rubino’s Interview with the USA Today Re: Pre-diabetes
January 25th, 2012Welcome to our newest staff member!
November 4th, 2011Jennifer Hamiliton, CPT,
National Endurance & Sports Trainers Association
Take advantage of this opportunity to work with a caring and non-judgmental fitness professional in a safe setting!
Whatever your current fitness level – from couch potato to high level exercise enthusiast – Jennifer is available to help you:
? Work with motivation
? Modify your psychological and/or physical barriers
? Establish an initial fitness program
? Set goals based on your interests and capabilities
? Develop consistency in your fitness plan
? Give you new ideas to maintain interest and enthusiasm
She will be here every Friday morning from 8:30 – 11:30 am for individual appointments.
Your comprehensive plan includes 2 free sessions with Jennifer in addition to your regular health provider appointment.
After these 2 sessions, an appointment with Jennifer can be substituted as part of your rotation with your other providers (physician, dietitian, therapist).
We offer this new service to our Program because of the central role movement, activity and fitness play in your ability to maintain your weight loss, as well as physical functioning and improve psychological wellbeing.
Weight Loss Rx: Dr. Rubino is interviewed by MSN’s Fitbie.com
November 3rd, 2011http://fitbie.msn.com/lose-weight/tips/weight-loss-rx/tip/0
Beginner Thera-band Exercise Class
June 24th, 2011Laura Nemets PT, OCS and Crystal McCoy PT, DPT from the NRH Regional Rehab therapy center in Ballston will be discussing and instructing gentle, easy, basic thera-band exercises for the entire body that can be performed anywhere, in the home, at the office or on the go.
The flowing equipment will be utilized in the class and available for purchase if desired:
Thera-bands = $5
Thera-band Loop = $7
Door Anchors = $8
Date: Saturday, June 25, 2011
Time: 10:00AM (Part of the 9AM Group)
Location: Conference Room*
*Next to the front lobby – 1st Floor
Please sign up at the front desk with Melina Luizaga,
or call the WCWMR office: (703)-807-0037 by Friday June 24, 2011
FREE Core Strengthening for Beginners!!
March 21st, 2011NRH (National Rehab Hospita) presents Core Strengthening for Beginners
Special guest speakers:
Shaya Myers PT, DPT and Leslie Fazio PT, DPT from the NRH Regional Rehab therapy center in Ballston will be discussing and instructing basic core stabilization exercises, including pelvic floor exercises as well as indications for physical therapy.
WILL ADAPT TO ANY PHYSICAL LIMITATION
Date: Saturday, March 26, 2011
Time: 10:00 am – as part of the Mind/Body Group Class
So You Think You Hate the Taste of Vegetables?
March 3rd, 2011Not after a night with Robyn Webb, you won’t! Join only seven others for a Hands-On Cooking Class with an award winning cookbook author and nutritionist. Your taste buds will thank you!
Spring is in the Air! Get cooking with fresh vegetables and learn all the techniques to make them super delicious. You’ll learn how to select, store and cook a variety of spring vegetables.
Wed, April 6: 6:30 pm – 9:00 pm
Registration Fee: $75
Due to Limited Class Size, Registrations are Non-Refundable
Dr. Rubino is interviewed by WTOP’s Evan Haning re: FDA and Weight Loss Drug Approval
February 28th, 2011Are weight loss drugs being assessed unfairly?
Evan Haning wtop.com
WASHINGTON – Obesity may be a major health threat with few effective treatments, but new weight loss drugs failed to get approval from the Food and Drug Administration this month.
In December, Orexigen Therapeutics announced that in the first round of clinical trials, their new weight loss medication Contrave exceeded FDA requirements An FDA advisory panel also recommended approval (pdf). But as the Wall Street Journal notes, the FDA has been reluctant to approve any weight loss drugs, in recent months.
“I think the main concern was a potential increase for cardiac risk,” says Dr. Domenica Rubino, director of the Washington Center for Weight Management and Research.
Among patients whose blood pressure was monitored for 24 hours, there was no difference between those taking the drug and those given the placebo, says Rubino, who participated in clinical trials.
“We must also take into account the cardiac risk and blood pressure risk – and risk of diabetes and wear and tear on joints – that overweight people have.”
“Fifteen years of research has proved that weight loss is not a matter of will power,” Rubino says.
Our bodies are wired to hold on to the weight they have, even when it’s unhealthy.
“The body doesn’t say, ‘Oh, I’ve got diabetes now and I’ve got high blood pressure so I’d better let a little weight off.’ At each new weight gain, it hunkers down and tries to keep that weight gain.”
Popular culture keeps unhealthy myths about weight alive, Rubino says, taking a swipe at TV reality shows.
“I actually know a colleague who works for [one] show as an advisor, and I saw him at a meeting and I said, ‘What are you talking about? Nobody loses 16 pounds in one week, that’s crazy!’ And he smiled and said, ‘Well, that’s a TV week.’”
Rubino does expect eventual approval of safe weight loss medications, especially as more Americans become obese.
But until then, many people will continue to rely on dangerous mail order drugs and quackery, “some arbitrary clinic out there that just passes out buckets of pills, stuff that’s completely unregulated, hormone shots that don’t do anything. We’re in 2011. Why do we have to accept charlatan-based medicine?”
(Copyright 2011 by WTOP. All Rights Reserved.)
Seeking Volunteers to Participate in New Research Studies
January 28th, 2011If you are looking for something different, consider participating in a research study for weight loss. We will be starting two new studies in early 2011. Both of the studies are testing different drugs and their effect on helping patients lose weight. Study requirements vary by protocol. The studies do not provide the comprehensive intervention that our Program offers, but do offer physical examinations, laboratory tests, close medical supervision, and dietary and behavioral intervention at no cost.
If you are interested, please go to our website – www.wtmgmt.com and click on Patient Forms, then complete the Research Screening Form and fax it to us at 703.807.0038.
Cooking Classes with Chef Robyn Webb, MS!
January 28th, 2011Washington Center for Weight Management & Research Culinary Program
hosted by
Chef Robyn Webb, MS
Award winning nutritionist, cookbook author and teacher, Robyn Webb has been a passionate advocate of cooking well and making it enjoyable for most of her life. In collaboration with the American Diabetes Association, Robyn Webb has published numerous cookbooks that teach people how to maintain healthful
diets with food that is satisfying and flavorful.
Hands-On Cooking Classes Limited to 8 Participants
6:30 pm—9:00 pm
Wed, Feb 9: Easy Weeknight Meals
Learn the art of preparing enough food for the week. You’ll learn how to parlay one dish into a fresh idea for another! Meal planning was never so easy or this much fun!
Wed, April 6: Spring is in the Air!
Get cooking with fresh vegetables and learn all the techniques to make them super delicious. You’ll learn how to select, store and cook a variety of spring vegetables
Wed, May 4: Healthy Vegetarian
Reducing meat from your diet is always a wise idea, but how do you make your meals tasty? In this class you will learn the ins and outs on how to use grains, beans, vegetables and more to create simple fabulous meat free meals
Wed, June 1: Main Dish Salads
Everyone loves a cool refreshing salad, but making them at home can be a challenge. Learn the fine art of crafting main dish salads that are so good you might want to include them year round!
Registration Fee: $75 per class
Due to Limited Class Size, Registrations are Non-Refundable
Strategies to Feel Full and Lose Weight Too
January 28th, 2010Introduction to Volumetrics
By Kathy McFalls, MS, RD, LD
If you tended to eat the same amount of food at each meal to feel full, what do you think would be the best type of food to lose weight? (Hint: there may be more than one answer.)
a) Grains, like pasta and rice
b) Fruits, like berries, melon, grapes, bananas
c) Fats, like olive oil, nuts, butter, condiments
d) Meats, such as beef, pork, chicken, fish
e) Vegetables, such as corn, green beans, spinach, broccoli, or salad fixins’
f) Dairy, like milk, yogurt, cheese
This is not a trick question. Research shows that individuals on average eat the same weight or volume of food over a 1 or 2 day period. In fact, the weight of food individuals eat is more similar than the calories they consume from day to day. Why is this? We have learned that a certain portion size of food will satisfy us and we perceive that larger portions will be more satisfying regardless of the calorie content. This is a significant finding. Let’s suppose it takes a pound of food to make you feel full, the type of food will have a significant impact on your calorie intake and body weight. Eating a pound of nuts will pack in 2,800 calories, whereas a pound of fresh apple slices will easily fill you up on a mere 220 calories –that’s one pound!
Which of these 200 calorie portions would fill you up?
200-calories of sliced apple or 200-calories of mixed nuts
Dr. Barbara Rolls, a nutrition researcher at Penn State, has investigated the relationship between volume, calorie density and satiety. She believes that the missing ingredient in most weight loss programs is satiety. Satiety is the sense of fullness at the end of a meal. Achieving satiety is critical in managing hunger when you are trying to lose weight. In one study, Dr. Rolls served a group of women 3 meals over a 2-day period. The women were given 3 different pasta dishes containing the same ingredients, but having different calorie content – a low calorie dish, a medium calorie dish & a high calorie dish. The surprising results, the women ate the same amount of food by weight regardless of the calorie level. Consequently, when the women ate the lower calorie dish they consumed 30% fewer calories compared to when they had the higher calorie dish. On average, this was a 400 calorie difference. That’s not all! They reported being equally full and satisfied despite the lower calorie intake.
One strategy to help you lose weight is to eat a higher volume or weight of food at a lower calorie density. How do you achieve a high volume, lower calorie diet? Here are a few strategies that I will be discussing in my class series on Volumetrics.
1. Include foods with high water content at every meal and snack, such as fruits, vegetables, soups, salads or non-fat dairy.
2. Reduce the fat used in cooking and replace with low energy dense foods. One tablespoon of butter or oil is 100 calories which is the equivalent of 2 cups of vegetables.
3. Use fatty condiments sparingly, or replace with lower fat (“light”) versions, such as light mayonnaise, light salad dressings, light margarine, low fat sour cream & cream cheese.
4. Choose foods high in fiber, such as whole grains, fruits, vegetables and legumes. Fiber is the indigestible part of plant foods; it takes longer to chew and slows passage of food through the intestinal track which aids in fullness and satiety.
5. Baked snacks such as pretzels, chips or crackers are only slightly lower in calories (& therefore calorie density) than their fried versions. Make a compromise— eat less of the snack and supplement with grape tomatoes or sliced apples or any of your favorite fruits or veggies.
6. Replace whole dairy with non-fat or low-fat dairy foods. The high protein content of milk and yogurt also provide satiety. Replacing a cup of full-fat yogurt with non-fat yogurt will allow you to add 1 cup of berries or 2 cups of melon and the calories remain the same while the volume doubles.
7. Include adequate amounts of lean meat and high protein meat alternatives, for example 6 ounces of lean fish are the same calories as only 3 ounces of many cuts of red meat. In casseroles or chili, cut the amount of meat by half. In some recipes this could cut the calories by 800 and then add peppers, carrots & zucchini.
8. Odd-shaped food gives the appearance of more volume on your plate. For example, 1cup ziti will not be as compact as 1cup risotto. When food gives the appearance of more volume, we anticipate being more satisfied—and believe it or not, studies show we are!
For more detail, check-out The Volumetrics Eating Plan by Dr. Barbara Rolls, PhD or come to my classes.