What are calories?
But there is hope. Weight gain can be prevented through special diet and through physical activity. A lot of us bipolars know how tough it can be for us to lose our extra weight while we are on our prescribed medications. From running marathons and taking the stairs at office, to eating less food, we usually try it all. But I keep hearing many stories of patients with bipolar disorder who are suffering from poor body image and almost losing faith in themselves because nothing seems to work. I have been in the deep end of the pool myself, and I know what each one of you might be feeling right now.
But we all need to keep hope. Recently, the New England Journal of Medicine published results of a study funded by the National Institute of Mental Health, which stated that people with bipolar disorders can certainly lose weight and keep themselves physically fit with a new lifestyle intervention program.
People with mental illnesses experience 3 times higher death rate comparing to the overall population. Obesity easily leads to serious medical conditions like cancer, cardiovascular diseases and diabetes. Why are bipolars usually overweight? Because they often live a sedentary lifestyle. Add to this the fact that bipolar disorder medications increase appetite in people, and we have a problem in our hands that is almost unsolvable.
One of the reasons medicine has not solved this issue is because very few studies have been focused on patients with bipolar disorders. The aforementioned research started out by identifying the factors that make weight loss difficult in bipolar patients. Some of the factors located are:. Daumit decided to solve most of these challenges by bringing nutritionists and gym coaches to areas where bipolar patients already frequent, like their psychiatric rehabilitation centers.
In this study, there were about participants—all under three psychotropic medications which cause weight gain. They were split into 2 groups. One group, the control, received the usual weight loss approach which is simple information on nutrition and physical activity aspects. The other group attended a more intensive program, for the same time.
This program included individual weight loss classes three times a week. This group aimed at meeting certain goals, like reducing caloric intake and eating more fruits and vegetables. Participants of the intensive weight loss program lost 7 pounds more weight. The results of the study stressed on the importance of maintaining a lifestyle intervention program like Nutrisystem or Bistro MD, which help in weight loss.
The Nutrisystem weight loss program provides pre-packed meals which are full of good carbs that have low glycemic index. It encourages consumption of plenty of vegetables that help people to maintain a happy and active life.
Similarly Bistro MD—a program created by Dr. Cederquist—brings healthy food right to your door. A Nutrisystem promo code is for online purchases only. In the 3 week run-in phase, each subject was given the control diet for 3 weeks, had their blood pressure measurements taken on each of five separate days, gave one hour urine sample and completed a questionnaire on symptoms.
At this point, subjects who were compliant with the feeding program during the screening phase were each randomly assigned to one of the three diets outlined above, to begin at the start of the 4th week. The intervention phase followed next; this was an 8-week period in which the subjects were provided the diet to which they had been randomly assigned.
The first group of study subjects began the run-in phase of the trial in September while the fifth and final group began in January Alcohol was limited to no more than two beverages per day, and caffeine intake was limited to no more than three caffeinated beverages.
The minority portion of the study sample and the hypertensive portion both showed the largest reductions in blood pressure from the combination diet against the control diet. The hypertensive subjects experienced a drop of At the end of the intervention phase, Apart from only one subject on the control diet who was suffering from cholecystitis, other gastrointestinal symptoms had a low rate of incidence. Like the previous study, it was based on a large sample participants and was a multi-center, randomized, outpatient feeding study where the subjects were given all their food.
The day intervention phase followed, in which subjects ate their assigned diets at each of the aforementioned sodium levels high, intermediate and low in random order, in a crossover design. The primary outcome of the DASH-Sodium study was systolic blood pressure at the end of the day dietary intervention periods.
The secondary outcome was diastolic blood pressure. Study results indicate that the quantity of dietary sodium in the control diet was twice as powerful in its effect on blood pressure as it was in the DASH diet. As stated by Sacks, F. The DASH diet and the control diet at the lower salt levels were both successful in lowering blood pressure, but the largest reductions in blood pressure were obtained by eating a combination of these two i.
The hypertensive subjects experienced an average reduction of From Wikipedia, the free encyclopedia. This article needs more medical references for verification or relies too heavily on primary sources. Please review the contents of the article and add the appropriate references if you can.
Unsourced or poorly sourced material may be challenged and removed. Department of Agriculture and U. Department of Health and Human Services Retrieved December 15, Department of Health and Human Services. News Reveals Best Diets Rankings for ". The New England Journal of Medicine. A meta-analysis of individual data for one million adults in 61 prospective studies". Southern California Urology Institute. Retrieved 21 April From Clinical Trial to Dinner Table". Cleveland Clinic Journal of Medicine.
The Cleveland Clinic Foundation. National Heart, Lung, and Blood Institute.