Archive for April, 2010

U.S. Senate Declares September 2010 National Childhood Obesity Awareness Month

Wednesday, April 28th, 2010

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On March 26, 2010, a resolution was unanimously passed in the Senate to designate September 2010 as “National Childhood Obesity Awareness Month”, bringing national attention to a growing epidemic among youth in the United States. The resolution requests that the president issue a proclamation calling on the federal government, states, tribes and localities to observe September with programs that promote healthy eating and physical activity. Activities planned in September are important steps to improving kids’ wellness and educating families on how to live healthier.

The obesity crisis and unhealthy lifestyles are contributing to the growth of health care costs in America. First Lady Michelle Obama is making childhood obesity one of her top priorities.  Since the mid-1970s, obesity rates in the U.S. have increased dramatically for both children and adults. The Centers for Disease Control and Prevention estimate the annual expenditures related to overweight individuals and obesity to be more than $264 billion.  This is greater than the cost of tobacco-related illnesses!  In 2007, spending on health care in the U.S. reached $2.2 trillion or $7,421/person, or 16.2% spending share of gross domestic product.

Facts of appalling proportion:

•    31.8% or 23,000,000 children and teenagers 2-19 are obese or overweight.  This is a statistic that health and medical experts consider an epidemic.

•    The financial implications of childhood obesity pose a tremendous threat to our economy and health care system, carrying up to $14,000,000,000 per year in direct health care cost.

•    People in the U.S. spend about 9% of their total medical costs on obesity-related illnesses.

•    Obese young children have an 80% chance of being obese adults and are more at risk for associated adult health problems including heart disease, type 2 diabetes, sleep apnea, stroke, several types of cancer and osteoarthritis.

•    In part due to the childhood obesity epidemic, 1 in 3 children born in the year 2000 will develop type 2 diabetes at some point in their lifetime if the current trend continues.

Source: Read The Bill: S. Res. 412 – GovTrack.us.  Text of S. Res. 412: A resolution designating September 2010 as “National Childhood Obesity Awareness Month”.
Source: Senate Passes Resolution to Designate September “National Childhood Obesity Awareness Month”.  http://gillibrand.senate.gov/newsroom/press/release/?id=C6CC2288-3D15-4856-8E70-982

The Surgical Specialists of Louisiana are committed to helping our patients achieve a healthy lifestyle and a healthy weight. Whether you are interested in weight loss surgery or medically supervised weight loss counseling, we can help you take control of your eating and your weight. Join us for a free seminar or take a weight loss quiz to help you get started.

Health Care Bill to Require Calories on Restaurant Menus

Wednesday, April 21st, 2010

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Have you ever wondered just how many calories that chicken quesadilla or reuben sandwich will add to your caloric intake for lunch?  What about the “healthy” veggie spud and cream of broccoli soup?

Eating out can be a real problem for those who are watching their weight and trying to eat healthy.  Until now.  Buried in the pages of the health reform bill passed by the U.S. Congress, is a provision requiring chain restaurants with 20 or more stores to disclose the number of calories on their menus.

Offering a menu without calories is like offering a menu without prices. Individuals should know what their financial cost and their health cost is for what they are ordering. When you purchase food in a grocery store, the “Nutrition Facts” label gives key nutritional information including calories, fat grams, sodium content, etc. for each serving in the package. The customer in a restaurant has to make a blind guess and “judge” how fattening and unhealthy each menu option may be.

Menu-labeling will not reverse the obesity epidemic by itself.  But it is a step in the right direction and one that will cost very little to implement.  Menu-labeling will give each individual the knowledge to make healthy choices, thus putting the responsibility on each of us and ultimately lowering healthcare costs, overall.

Regardless of the view on the overall health reform bill, nearly everyone agrees, including the National Restaurant Association and public health advocates, that this is one part of the bill that will improve health and cut costs in the long run. When the law takes effect in 2011, the number of calories will be noted right next to the price on the menu.

Source: Menu-labeling to Win the Struggle Against Obesity – Kansas City infoZine News.  Jason Eberhart-Phillips, MD.  www.infozine.com/news/stories/op/storiesView/sid/40532.

Until these changes take place, the Surgical Specialists of Louisiana can help you make healthy and informed decisions.  The MyWeight™ nutrition and wellness counseling program in Louisiana offers individualized weight loss programs, lifestyle coaching and one-on-one medical consultation.  Contact our office to learn more about the MyWeight™ medically supervised weight loss program.

Aetna Now Covers Sleeve Gastrectomy

Tuesday, April 13th, 2010

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As of April 9, 2010, Aetna has changed its position on reimbursement for sleeve gastrectomy and will now cover the procedure. This coverage will be the same as other bariatric surgery procedures covered by Aetna. Per the official Aetna coverage policy, “Aetna considers open or laparoscopic Roux-en-Y gastric bypass (RYGB), open or laparoscopic sleeve gastrectomy, open or laparoscopic biliopancreatic diversion (BPD) with or without duodenal witch (DS), or laparoscopic silicone gastric banding (LASGB) medically necessary when the selection criteria are met.” (Selection criteria are detailed in the policy-0157). This policy has the potential to impact over 18 million lives covered by Aetna.

If you have Aetna health insurance or are interested in learning more about insurance coverage for bariatric surgery The Surgical Specialists of Louisiana can help. Join us for a free seminar or take a weight loss quiz to help you get started.

How to Eat Healthy Foods on a Budget

Wednesday, April 7th, 2010

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In this tough economy, it’s important to make sure we don’t forgo healthy habits for cheaper, less nutritious foods. In this article, printed with the permission of the Obesity Action Coalition, Pam Helmlinger discusses how to manage your waistline without breaking the bank.


How to Eat Healthy Foods on a Budget

by Pam Helmlinger, RD, LDN

Healthy eating may seem challenging when penny-pinching, yet with careful planning you can monitor both your waistline and your budget. The perception that healthy food costs more is not valid if you are always shopping for a good deal and planning ahead. Incorporate these tips for a frugally-fit diet:

Determine a Weekly Grocery Budget – set aside the allotted cash in a special envelope. Plan meals and snacks for your family ahead of time and write down a detailed shopping list from that plan.

Comparison Shop and Take Advantage of Store Incentives – Choose generic store brands except when the brand name product is on sale for less. Refer to the item’s unit price displayed to compare costs between brands and multiple-sized packages.

Meal Planning – a great way to cut costs is to plan the week’s meals based on weekly store flyers’ sale prices along with any coupons which apply from the newspaper or online. Paperclip applicable coupons to your grocery budget envelope.

Bulk Buying – Warehouse clubs are one way to save when buying in bulk, however, if the savings would not exceed the cost of the membership, you can stock up on sale items at the grocery store and purchase produce by the bag rather than in pieces (onions, apples, grapefruit, etc.). Frozen fruits and vegetables are also beneficial for equal nutrient value and to eliminate the concern for spoilage before they are eaten. Frozen berries are an excellent choice year-round when fresh berries are out of season.

Purchase Plain Meats and Skin and Season them on Your Own – Try using canned chicken and fish for salads. Use medium shrimp for cooking fajitas or to make a seafood salad. Extend your budget further by eating at least two meatless meals per week. Give tofu and/or tempeh a try for an inexpensive, nutritional substitute for meat and cheese. Beans are also a low-cost and versatile source of protein and fiber. For maximum savings and a low sodium option, use dried beans versus canned beans.

Avoid Pre-packaged Foods and Beverages – While drinking diet soda may not affect your weight, it can be draining your family budget. Instead, brew your own tea or fill reusable water bottles with filtered water at home. If you purchase coffee at a coffee shop, consider buying whole bean coffee in bulk, grinding it at home and mixing with a splash of skim milk, an ounce of sugar-free coffee syrup and a packet of artificial sweetener for your own “Skinny Latte.” These products at home will go a long way and make many cups for the price of one cup at a coffee shop.

Avoid Waste by Purchasing Only What You Need for the Week – use scraps to make other meals, such as leftover chicken to make chicken salad.

Cook at Home and Reserve Eating out for Special Occasions – A single night at a restaurant may cost you as much as the week’s groceries. Studies show that home-cooked meals are more nutritious and that families who eat together have better communication.

Cook extra portions for freezing and utilize leftovers throughout the week. The extra effort will result in time savings later and is perfect for those with a hectic schedule. Get creative and try limiting recipes to just a few basic ingredients.

Make Your Own Convenience Foods – Although buying washed and bagged lettuce, cabbage and carrots is convenient, it costs much more for less quantity. Try making your own convenience foods by dicing and chopping vegetables on the weekends to quickly add to a recipe or salad on a weeknight.

Plant a Garden – Another way to save on vegetables is to plant a garden. It takes some time but can be a fun hobby. If you have never planted before, try starting with tomatoes and some fresh herbs.

According to the February 2009 issue of Consumer Reports magazine, here are some nutritious foods and cost per serving:

Cooked Black Beans – 114 calories per serving, 7 cents per serving, high in fiber/B vitamins/protein
Egg – 78 calories per egg, 9 cents per egg, high in protein/iron/B-12/choline
Cooked Broccoli – 27 calories per half cup, 33 cents per serving, high in vitamins C & A/fiber/phytochemicals
Chicken Breast – 142 calories per 4 oz portion, 50 cents per serving, high in protein/iron

With some creativity and planning, you can keep your kitchen well stocked with lean protein, high fiber, fresh and frozen goods and seasonal produce. Eating well is manageable for everyone and sets one up for a healthy meal plan without the temptations that come with excess food on hand.

Let’s Compare!

The following is an example of both cost comparison and nutrition facts comparison for a couple of different meals…

Meal A

1 piece meat lasagna (1/12 recipe)
2 slices garlic bread
2 cups romaine lettuce
2 tsp. shredded parmesan
2 oz. Caesar salad dressing
Per Serving: 938 calories, 47g fat, 97g carbohydrates, 31g protein
Cost/serving: $3.98

Meal B

1 Morningstar Farms Sun dried Tomato & Basil Pizza Burger pattie
1 oz. marinara sauce
1 slice mozzarella cheese melted on top
2 c. romaine lettuce
2 tsp. shredded Parmesan cheese
10 sprays Caesar Delight Vinaigrette Spritzer
Per Serving: 279 calories, 14g fat, 12g carbohydrates, 22g protein
Cost/serving: $2.85

You can consider your calorie intake a budget just like your checkbook for your financial budget. In this case, you would have saved $1.13 per person for meal B and your calorie savings would be 659!

As you can see, it is possible to eat healthy on a budget. It takes an awareness while you grocery shop and while you eat/dine out to make this possible.
The key is that you need to get creative and look at labels and prices. So, next time you are at the grocery, take these important tips with you to help you determine what is the healthiest and most economical option for you and your family!

About the Author:

Pam Helmlinger, RD, LDN, has worked with the Center for the Treatment of Obesity at Centennial Medical Center since 2006. She is specialized in bariatric surgery and holds a certificate of training in adult weight management. Currently, she provides pre and post-op nutritional counseling in addition to education for patients in a medical weight-loss program.

The Surgical Specialists of Louisiana are committed to helping our patients achieve a healthy lifestyle and a healthy weight. Whether you are interested in weight loss surgery or medically supervised weight loss counseling, we can help you take control of your eating and your weight. Join us for a free seminar or take a weight loss quiz to help you get started.