As chronic obstructive pulmonary disease (COPD) advances, about 35% of patients experience severe weight loss called pulmonary cachexia, including diminished muscle mass. Around 25% experience moderate to severe weight loss, and most others have some weight loss. Greater weight loss is associated with poorer prognosis. Theories about contributing factors include appetite loss related to reduced activity, additional energy required for breathing, and the difficulty of eating with dyspnea (labored breathing).
You already know that a perfect diet doesn't exist, but many of us still can't resist the urge to kick ourselves when we indulge, eat too much, or get thrown off course from restrictive diets. The problem: This only makes it more difficult, stressful, and downright impossible to lose weight. So rather than beating yourself up for eating foods you think you shouldn't, let it go. Treating yourself to about 200 calories worth of deliciousness each day — something that feels indulgent to you — can help you stay on track for the long-haul, so allow yourself to eat, breathe, and indulge. Food should be joyful, not agonizing!
In the first round of CLEAR bars, I got the bars to 70 percent organic; now, I am thrilled to offer two 100-percent organic Ultimate CLEAR bars: Sport Cherry Pie (my personal favorite) and Peanut Butter Chocolate Chip Cookie Dough. They are meant to be a healthy combination of protein, energy, and flavor that will satisfy you, and support your weight management or weight loss journey if you’re on one. (I am also happy that my teenager can enjoy them before a game as a healthy snack that provides actual energy instead of a sugared-up sports bar.)
Most nutrition experts suggest getting between 20 and 35 percent of your daily calories from fat, and many now advocate for more. Be vigilant about including fat in the form of nutritious whole foods (think avocados, nuts, fish), healthy oils (cold-pressed olive, seed, nut), and some appetite-satisfying saturated-fat indulgences (real butter and cream, grassfed meats, coconut).
Preferred tastes: Think about whether the foods on a given diet are things that you generally enjoy. If you hate eating your greens, you might not like a diet filled with salads; but if you have a sweet tooth, a diet that substitutes milkshakes for meals might be more up your alley. Ask yourself whether you will enjoy the foods on a given diet, or if it will feel like a “diet” food that you won’t be able to stick with long-term.
Some people prefer to work out with help. Taking a weekly cardio class or hiring a personal trainer are two great ways to keep yourself on track. If you've never been to the gym before, you should start with a personal trainer. Trainers will help you develop an exercise regimen that works for your body and your goals. They also explain how to use the machines, how long you want to stay with each one, and how to vary your workouts. Lastly, trainers will motivate you as you work out and will push you to do more than you may have thought yourself capable of.
The other problem with exercise-without-dieting is that it’s simply tiring, and again, the body will compensate. “If the exercise made you tired so that you become more sedentary the rest of the day, you might not experience any net negative energy,” says Klein. Some of the calories we burn come from our basic movements throughout the day – so if you’re wiped out after exercise, and more likely to sit on the couch afterwards, you’ve lost the energy deficit you gained from your jog.
Plain and simple: We just don't feel full by liquid calories in quite the same way as we do real food. Drinking a juice or caramel coffee drink, for instance, won't make you feel full the way eating a bowl of veggie- and protein-packed stir-fry will. So monitor your intake of juice, soda, sweetened coffee and tea, and alcoholic beverages. If you consume each of those beverages during the day, you'll have taken in at least 800 extra calories by nighttime — and you'll still be hungry. (Incidentally, alcohol may suppress the metabolism of fat, making it tougher for you to burn those calories.) Some other ways to skip sugar? Check 'em out here.
If you are looking to kick start a new weight loss routine or conquer a diet plateau, try Dr. Oz's new two-week rapid weight-loss plan. By loading up on healthy food, like low-glycemic vegetables and small portions of protein, you can help curb your cravings and give your body a healthy start to the year. Plus, all of the meals can be automated and prepped, so you can drop pounds without spending a ton of time in the kitchen doing prep work. Read on to find out all the details!
“Research continues to support the role of a high-protein diet and weight loss, however, we don’t want to reach those protein needs exclusively with animal proteins. Plant proteins found in beans not only help us feel full and stabilize blood sugar but beans are associated with longevity. Who cares about being skinny if you die young?” —Jennifer McDaniel, MS, RDN, CSSD, LD, food and nutrition expert
Some antidepressant medications can cause weight gain, especially the older tricyclic antidepressants (TCAs) such as Tryptizol, Saroten, and Clomipramine; as well as newer drugs such as Remeron (Mirtazapine). Lithium (for manic-depressive disorder) often causes weight gain. The most common antidepressants known as SSRI’s (for example Citalopram and Sertraline) usually don’t impact weight significantly. More on depression
HIIT stands for high intensity interval training, and it’s a great way to build muscle without spending hours in the gym. The idea is to go all out for a short period of time, followed by a slower pace that allows you to recover. Think of jogging or sprinting all out for 30 seconds, followed by a minute or two of rest, then repeat. Short bursts of high-intensity exercises keep your heart rate up while adding lean muscle. More muscle mass equals calories burned on a daily basis. Also, the more lean muscle you have, the higher your metabolism is.
There’s no one perfect diet to help you slim down, but there are some basic rules. Make half your plate fruits and vegetables. Keep your protein lean and unprocessed: Choose meats trimmed of fat, and eat seafood, beans, nuts, and seeds. Replace refined grains like white bread and white rice with whole grains like multigrain bread, brown rice, and oatmeal. Special weight loss surgery may be an option if you are seriously overweight.