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| Weight Management During Uses Steroid, Medicine, Antibiotic |
A. Unfortunately, weight-gain from steroids is an issue that many cancer survivors experience. In general, the weight gain is due to a combination of factors, including fluid retention, increased calorie consumption, and decreased physical activity.
B. To lose weight safely, your friend can eat 500 fewer calories a day, burn 500 more calories per day, or a combination of both.
Here are the weight-loss tips we often give to our patients:-
01. Decrease the amount of sodium in your diet by limiting the use of table salt and decreasing the amount of processed foods in your diet. Increase your consumption of potassium-rich foods (i.e. bananas, cantaloupe, kiwi, winter squash, avocado, etc.), to help prevent fluid retention.
02. To avoid gaining weight because of increased hunger:
a. Eat smaller meals more frequently (six small meals vs. three large meals).
b. Consume whole grains instead of refined carbohydrates.
c. nclude a serving of lean protein with all meals and snacks.
d. Eat fruits and vegetables. They are low in calories, but full of fiber and phytonutrients, both of which may help prevent cancer while promoting weight management. Aim for 5-10 servings of colorful fruits and vegetables every day.
A. Keep a food journal (including the type of food, amount consumed, and method of preparation). This can help you track the total calories you've consumed each day.
B. To avoid hunger at night, eat meals consistently throughout the day, even if you are not ravenous.
C. Physical activity, such as walking, can help prevent weight gain and promote weight loss. We recommend you meet with your doctor to develop an activity plan that accommodates your lifestyle and medical condition.
Asthma Changing Your Appetite or Weight?
Poorly controlled asthma can affect your weight :-
01. When it comes to asthma and appetite, doctors and dietitians worry most about patients who eat too much, shun exercise for fear of becoming breathless, and end up being overweight.
02. But in a small minority of patients, poorly controlled asthma can leave them too breathless and fatigued to eat properly. Furthermore, a few asthma medications can cause upset stomachs or thrush infections in the mouth, leading to poor appetite.
The Link Between Asthma and Weight Gain :-
01. Parents of children with asthma often excuse them from physical activity if they complain of shortness of breath, she says. Although most asthma drugs, including inhaled steroids, typically don’t affect appetite, oral steroids can make some children eat more than double their usual amount, she says.
02. Many adult asthma patients who are on long-term oral steroids such as prednisone. A respiratory hospital and research center based in Denver, She has seen long-term use of these asthma drugs have dramatic effects on patients.
“03. Prednisone has a number of side effects that impact their nutritional status,” “The biggest one is significant weight gain, partly due to an increase in appetite from the prednisone, partly due to the way the medication works and slows down the metabolism and leads to fluid retention.”
04. “Weight loss in that population is no different than weight loss in any other population: balanced diet, increased activity, decreased calories -- basically, the same thing that everybody knows,”
Asthma May Also Cause Poor Appetite :-
01. Although it’s much less common, some asthma patients have poor appetite.
02. Loss of appetite “is usually a signal that the asthma is not well controlled, not adequately treated,” If patients are not breathing well, their lungs can become hyper-inflated, she says. “They get full faster since their diaphragms under the lungs are pushing down on the stomach and it may not feel comfortable to their breathing to over-fill themselves.”
Asthma May Also Cause Poor Appetite continued. :-
Some patients with uncontrolled and under-treated asthma are so breathless that they have a hard time eating their meals. “The best thing to do for that is small, frequent meals,” . “If it just takes that much energy to eat -- and for some people, it really does -- the best thing they can do is to eat smaller amounts throughout the day.”
Asthma can also leave some people too fatigued to cook . “They know the energy that it’s going to take them, not only to eat, but to prepare food. It almost ends up being a negative feedback mechanism, where they know how exhausted they’re going to be from thinking about getting out, preparing, cooking and then eating food. They don’t want to do it at all.”
Although long-term oral steroids can cause increased appetite and weight gain, asthma drugs can also cause stomach upset or mouth lesions, making eating more difficult. For example, higher doses of inhaled steroid doses to control asthma can cause fungal thrush infections in the mouth. But using a spacer or holding chamber with the inhaler can lessen the amount of medicine deposited in the mouth or throat, according to the Asthma and Allergy Foundation of America. Rinsing the mouth with water after each inhaler use also helps to prevent thrush.
Living With Asthma: Better Nutrition :-
01. Take a multivitamin and calcium supplement daily. “If somebody is not eating properly or has that decreased appetite,” supplementing with a multivitamin can provide nutrients. She also recommends a calcium supplement, especially for people on long-term, high doses of oral steroids, because those drugs can decrease calcium absorption and lead to bone loss.
02. Breathe evenly while you are chewing and eating. Try to relax during meals and stop eating if you need to catch your breath.
03. Double or triple your favorite recipes and freeze the extra portions. Turn to these homemade frozen entrees when you don’t feel like cooking.
04. Use prepared foods to save time and energy in the kitchen. Frozen meals, prepared foods or take-out meals can make your life easier. But don’t overdo it. The sugar, salt or fat in these foods may be higher than in homemade meals.
05. For tasks that require the most effort, do them when you have the most energy. Grocery shopping can be tiring if you have asthma, so do it when you feel the freshest, for example, in the morning or after a rest. Or enlist a friend or family member to buy your groceries.
06. Don't stand in the kitchen when you can sit. Keep a barstool by the kitchen counter, or do your chopping, cutting and mixing at the kitchen tabl
FOOD CRAVING MANAGEMENT :-
What is a food craving?
A classic craving is an urge or a strong desire for a particular food," she says. "It’s much more than just comfort eating.
"Food most likely [to be] craved is high energy, high calorie, and high fat food. They are treat foods that are usually restricted.
"People don’t crave broccoli and cabbage. It’s more likely to be sweets or chocolates."
A craving is not hunger. The desire doesn’t come from your stomach but from your brain- which is much more complex.
Cravings come from the brain not the belly :-
There are two reasons why people have food cravings. They need a shot of energy or they are miserable.
"As far as energy is concerned, people crave high calorie foods, high in carbohydrate, fat and sugar because it gives them a fast burst of energy. Even though it would be much better for them to have a foodstuff with a better nutritional value without empty calories." Liz says the second reason for craving food is because it makes us happy. "We have a primitive response, as humans, we live to experience pleasure, through Sex and relationships and also through Eating and drinking." "If you are miserable or in crisis in one area of your life, you aren’t getting pleasure from it and turn to food to give you that happiness kick. "If you find no pleasure in life - you can get a chemical fix from food."
Don't blame nutrition ;-
01. One popular myth is that people crave certain foods to fill a nutritional deficiency. "My body’s telling me I need that family sized bag of crisps as I’m lacking salt!" isn’t a good enough excuse, I’m afraid. "It’s very rare that people in the UK have deficiencies that lead to cravings," according to Professor Hetherington. "Most cravings are categorised in terms of pleasure and reward." Vegetarians will occasionally fall off the wagon and have a burger or a bacon sandwich, blaming their own body’s need for meat. Good excuse to blame your body but it’s actually your brain that wants the meat.
02. She says in one experiment when young people were kept on a liquid diet with all of the correct nutrients, they craved food with texture like steak and pasta, food that had substance to it. So it may be the feel of it in your mouth that adds to the craving. Dietitian Gaynor Bussell speaks for the British Dietetic Association: "You have cravings for all sorts of psychological reasons, there has been some work looking at a possible physiological need which leads to cravings but that’s never been proven". She says if you have a certain medical condition like Type 2 diabetes or polycystic ovary syndrome (PCOS), your body may occasionally crave carbs and sugar.
Healthy eating health centre. Taking control of your food cravings :-
The gender divide:-
01. Culture and gender play a big role in cravings. In his research, men were more likely to crave pizza, pasta, and soup over cakes and biscuits. Why? Besides being tasty and filling, such hot, savoury foods reminded them of attention from their mothers or wives.
02. In contrast, women like these foods too but associated them with work, including preparation and cleaning up. So instead, women tended to crave hassle-free snack foods, like chocolate, biscuits and ice cream.
03. Good mood, bad mood
Certain emotions, including stress, sadness and boredom, can promote cravings.
A bad mood can become a conditioned cue for eating. It you’ve had hassle from the kids, a hard day at work or a row with your husband, that’s often a cue to go to the fridge and eat something.
Food is always there for you - it won’t cheat on you, it won’t disagree with you and it doesn’t answer back!
Those negative moods get all the press, but Professor Wansink suggests happy moods might be even more likely to cause cravings. In his survey of about 1,000 people, 86% reported they craved comfort foods when they were happy and 74% had cravings when they wanted to celebrate or reward themselves. In contrast, 52% had cravings when they were bored and 39% when they were sad or lonely.
So you want to control your cravings. What should you do?
A. Be prepared: Keep your fruit bowl well stocked and always have healthy snacks in the fridge, like carrot sticks and grapes. So if you feel your craving creeping up, just grab a banana and a big glass of water or maybe even have a teaspoon of honey or a handful of raisins to satisfy your need for sweet stuff.
B. In real life that might not work! But it’s worth a try.
C. Do something unrelated to food. The mantra "pizza, pizza, pizza" is playing inside your head, you’ve got the home delivery menu in one hand and the phone in the other. What do you do? Yes, that’s right, have a bath! Run yourself a really deep, hot bath with lots of bubbles, play relaxing music, light a few candles and indulge yourself.
D. Do something else that gives you pleasure. As our experts say we have cravings because they give us pleasure so do something else that does that. Why not go for a run which will release feel-good hormones and burn calories?
Cut down or avoid temptation :-
a. Just have a small square of chocolate rather than a whole bar. This is easier said than done. You need a serious amount of willpower for that.
b. Don’t watch TV shows about food or adverts for food (which is difficult - so consider getting rid of your TV, renting a film or recording your favourite shows and winding through any ads!)
c.That may be a bit extreme as Dr. Atin banerjee says. "The presence of food itself is more powerful than an image of food in triggering cravings."
d.So maybe just don’t keep sweet foods in your house if you know you crave them.
e.If you don’t live alone, why not get someone in your house such as your husband, child or flatmate to hide all of the biscuits, cakes, chocolates and crisps so you won’t know where they are.
f. Dietitian Dr. Atin banerjee suggests keeping a food diary. "Write down what you ate, whether you were actually hungry when you had it and watch for the triggers so that you can make behavioural changes and be more mindful in your eating."
Regular cravings
01. When you get into the habit of having a treat food at a certain time, every day, it may be tough to stop.
02. Dr. Atin Banerjee says: "If at say 3 o’clock every afternoon you have a chocolate bar, your body will learn to expect it and crave it.
03."The most dangerous cravings are the ones that are chronic. Those are going to be the most difficult ones to deal with.
04. It's better to have a foolproof plan. Make sure to have chewing gum in your hand, ready to pop into your mouth when the craving strikes.
Weight Loss: Emotional Eating:-
A. Emotional eating is the practice of consuming large quantities of food -- usually "comfort" or junk foods -- in response to feelings instead of hunger. Experts estimate that 75% of overeating is caused by emotions.
B. Depression, boredom, loneliness, chronic anger, anxiety, frustration, stress, problems with interpersonal relationships and poor self-esteem can result in overeating and unwanted weight gain.
C. By identifying what triggers our emotional eating, we can substitute more appropriate techniques to manage our emotional problems and take food and weight gain out of the equation.
How to Identify Eating Triggers ;- (Situations and emotions that trigger us to eat fall into five main categories).
01. Social. Eating when around other people. For example, excessive eating can result from being encouraged by others to eat; eating to fit in; arguing; or feelings of inadequacy around other people.
02. Emotional. Eating in response to boredom, stress, fatigue, tension, depression, anger, anxiety, or loneliness as a way to "fill the void."
03. Situational. Eating because the opportunity is there. For example, at a restaurant, seeing an advertisement for a particular food, passing by a bakery. Eating may also be associated with certain activities such as watching TV, going to the movies or a sporting event, etc.
04. Thoughts. Eating as a result of negative self-worth or making excuses for eating. For example, scolding oneself for looks or a lack of will power.
05. Physiological. Eating in response to physical cues. For example, increased hunger due to skipping meals or eating to cure headaches or other pain.
How to Stop Emotional Eating :-
A. Identifying emotional eating triggers and bad eating habits is the first step; however, this alone is not sufficient to alter eating behavior. Usually, by the time you have identified a pattern, eating in response to emotions or certain situations has become a habit. Now you have to break that habit.
B. Developing alternatives to eating is the second step. When you start to reach for food in response to an eating trigger, try one of the following activities instead.
01. Read a good book or magazine or listen to music.
02. Go for a walk or jog.
03. Take a bubble bath.
04. Do deep breathing exercises.
05. Play cards or a board game.
06. Talk to a friend.
07. Do housework, laundry, or yard work.
08. Wash the car.
09. Write a letter.
10. Or do any other pleasurable or necessary activity until the urge to eat passes.
11. Relaxation exercises
12. Meditation
13. Individual or group counseling
