Weight management

You can be active and healthy at any size – https://www.niddk.nih.gov/health-information/weight-management/staying-active-at-any-size. You can also find lists of resources and organizations that espouse a Healthy at Every Size philosophy here
https://haescommunity.com/find/ .

The medical community defines obesity as a Body Mass Index (BMI) of 30 or greater, while overweight is defined as a BMI of 25 to 29.9. Larger bodies have become more common in the United States in the last few decades. In population studies, obesity is a risk factor for heart disease, some types of cancer, osteoarthritis, sleep apnea and several other health conditions. Overweight when present with other factors like high cholesterol, high blood pressure, family history, or cigarette smoking, is also considered to be a risk. It’s important to note limitations of BMI when it comes to individual risk assessment – this is a measurement created for population studies and people should use caution when interpreting this measurement.

Image shows a human body and lists medical complications of obesity: sleep apnea, stroke, asthma, pulmonary blood clots, heart disease, diabetes, fatty liver, cancers, arthritis, gout.

Learn more about obesity by watching Part 1 of the documentary Weight of the Nation. All parts are available for free on Youtube.

BMI is one of measures of body composition, previously defined here. Body composition is defined as the relative proportion of fat mass to lean mass in the body. It is usually measured by percent body fat, but that can be hard to do day to day. So one approximate measure is BMI, which is a ratio of mass to height. This number does not truly give someone an indication of their fat percent and some groups of people tend to have under- or over-estimates of their body composition when using BMI (athletic people, older adults, people who are below a certain height and so on). You can calculate your BMI here – https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm. Another measure is waist circumference, because abdominal fat puts you at higher risk for health complications.

There are more accurate measures of body composition. Calipers can be used by fitness professionals to do a skin-fold measurement to determine body fat percentage with more precision. There are also scales and handheld tools that use bioelectrical impedence to estimate a percent body fat. Less accessible are things like full body tools like air pods, hydrostatic weighing (under water), or special X-rays.

Body fat consists of essential fat (what we need to function), and storage fat. There is a range of normal body fat – https://us.humankinetics.com/blogs/excerpt/normal-ranges-of-body-weight-and-body-fat.

In order to improve your body composition, consider these tips.

Improve your diet, but do it as a change to your habits. Usually when people think of diets, they think of short-term programs meant to lose pounds fast. However, while this can help people lose weight, most will not maintain that weight loss. Read the post titled How can you eat healthier? Take a look at some myths about weight management – https://www.niddk.nih.gov/health-information/weight-management/myths-nutrition-physical-activity.

Practice portion control. Portion sizes have increased in the last several decades. Looks at this Portion Distortion Quiz to see how much. Read about portion control here – https://www.niddk.nih.gov/health-information/weight-management/just-enough-food-portions.

Become more active in your life. You can start slowly, by walking more places or getting off the bus or subway one stop early. Increase activity levels, including strength training and flexibility, until you meet the recommended activity levels.

Weight of the Nation extra credit assignment

Watch Weight of the Nation documentary, Consequences

https://www.youtube.com/watch?v=-pEkCbqN4uo

Answer the below questions fully.

  • What is BMI? How is it defined? How is it used? The BMI does not really measure percent fat, which is body composition. What would be a better way for doctors to measure their patients’ health?
  • Describe the Bogalusa Heart Study. What did the Bogalusa Heart Study show?
  • What health issues and diseases that are related to obesity did the movie discuss?
  • What are the different influences/risk factors on rates of obesity?
  • The movie shows several cities in the US, and the maps of different neighborhoods and their rates of obesity and diabetes. Why do different neighborhoods have different rates of obesity?
  • Why is it important that more children are becoming overweight and obese?
  • Define ideal cardiovascular health. (7 factors) What are some health behaviors that can help people reach ideal cardiovascular health?
  • What is fatty liver disease? Why is it dangerous? How can it be prevented?

Unnatural Causes extra credit assignment

Go to the BMCC Library website – http://lib1.bmcc.cuny.edu/ and click on Databases. Select Video Databases, then select Kanopy Streaming Videos. If you are not on campus, you will have to log in with your BMCC log-on (the same credentials you use to log into computers on campus). When you are in the Kanopy database, search for Unnatural Causes. Your result will say Collection on it. Watch the movie titled In Sickness and in Wealth.  Answer the below questions fully.

  • Define social determinants of health from the readings and from the movie. Give examples from the movie and your own life. Is the US the healthiest nation in the world? Why or why not?
  • What are some health behaviors that lead to illness?
  • What did the Whitehall study show about the connection between health and wealth? Define the wealth-health gradient.
  • How do the lives of Jim Taylor, Tondra Young, Corey Anderson and Mary Turner exemplify concepts like the wealth-health gradient and the importance of power and control? What does comparing data maps of disease rates in the different Louisville council districts show us? What might explain the differences in life expectancy, rates of disease and rates of excess death?
  • Describe examples from the film that illustrate how racism imposes an additional health burden on people of color. Give examples of both “everyday” racism (being treated unfairly) and “structural” racism (access to resources, power, status and wealth) and describe how these might affect health in different ways.
  • What kinds of employment, education, housing, or transportation polices do we need today to promote health equity? Think about some of the programs and policies that other industrialized countries in the world have. What obstacles and opportunities exist now in the United States of America? Are there any programs or policies that you have seen in your neighborhood or community?

Sleep

One important way to help deal with stress is by getting enough sleep. We are all familiar with how our bodies and minds feel when our sleep was interrupted or just too short – we feel clumsy, inattentive, moody, fatigued, unable to focus or remember.

There are several stages of sleep and two types of sleep.

Image showing the four stages of sleep in a sleep cycle: light sleep (when we are just falling asleep), main sleep (body and brain least active), REM sleep (dreaming), and slow-wave sleep (memory consolidation).

Throughout the night, we go through several sleep cycles. At the beginning of the night, we have deeper sleep – more non-REM sleep. Toward the end of the night, the sleep cycles consist mainly of REM sleep.

Image showing 8 hours of sleep with alternating REM and non-REM sleep.

Studies show the many benefits, both physical, mental and emotional, of getting enough sleep.

How can you get good sleep? Avoid eating, exercising or drinking caffeine too close to bedtime. Try to go to sleep and wake up at the same time every day. Have a restful place to sleep – dark, quiet, and cool. Here are more ideas, from NPR – https://www.npr.org/podcasts/510336/sleepbetter .

As with everything, it is possible for sleep to be disordered. Read about sleep disorders here – https://medlineplus.gov/sleepdisorders.html

Stress management

It is possible to manage stress – some ideas can be found here https://www.nimh.nih.gov/health/publications/stress/index.shtml and here https://www.heart.org/en/healthy-living/healthy-lifestyle/stress-management/3-tips-to-manage-stress.

There are certain key ways to help manage the way you think that help with stress.