How to measure progress

I come from a family of people who struggle with their weight. In fact, three out of four of my grandparents developed type II diabetes. So I know I need to be careful when I gain weight, as genetically I am holding a loaded gun (“Genetics may load the gun, but lifestyle pulls the trigger”). What’s more, Coeliacs who are diagnosed late in life often put on weight rapidly after years of essentially starving.

However, I am not a scale obsessive. I learned early on that it is not body weight that matters so much as measurements and body fat. It is absolutely possible to gain muscle mass, and therefore weight, but lose body fat. You may weigh more but fit into a smaller size! For over 13 years I have measured myself on the first day of every month, using a tailor’s tape measure. I stick to the basics of bust, waist and hips, plus mid-thigh, as I carry my weight on my legs.

Eight years ago I bought my first bioelectric impedance scale – it measures body fat and muscle mass as well as weight using a small electric current. According to the American Council on Exercise, anything below 30% is considered normal for a woman, and anything below 20% is normal for a man. Most athletes have body fat percentages below 15% for men and 25% for women, depending on the sport – obviously endurance sports require a leaner physique than something like hammer throwing! Having said that, these scales are far from perfect (see The Problem with Body Composition Scales) so you have to take these percentages with a pinch of salt.

If a scale is all you have,  you want to weigh yourself once a week, always on the same day. The best time is first thing in morning after you have been to the bathroom, but before you have dressed or had anything to eat. As you breathe out water vapour as you sleep, you will always wake up dehydrated. Then as you eat and drink throughout the day, you re-hydrate. This is why you weigh more at the end of the day than at the start. Your end of day weight is also affected by what you had to eat that day, how much exercise you did, and your bowel movements. Obviously, what you eat and how much you exercise can vary a lot from day to day, which is why weighing yourself once a week works best for consistency. Note also that most women weigh more the week before their period than at other times in their cycle.

If you are trying to lose fat and gain muscle, you need to measure the right things at the right time!

Yesterday I Ran A Marathon

Coalville 10K finish 2017

Yesterday I ran a marathon. The weather was cold, very wet and windy – in fact my overriding impression of the event is of being cold! The course was much hillier than advertised with some dodgy bits running along a motorway without a sidewalk, with cars roaring past. Far from ideal conditions, but I did it!

In many ways, I cannot believe how far I have come. I was the least sporty kid in school; I was too sick. It wasn’t until I was 30 years old and living in Switzerland, with their lovely public/private health care system, that I was diagnosed with Coeliac disease. All through my childhood and adolescence I suffered from frequent bouts of diarrhoea and stomach upset.  I had such bad anaemia that I was often weak and breathless the minute I started to run around or exercise, and always tired. I had constant colds and flu, which twice developed into pneumonia (when I was 15 and 21). The malnourishment meant I was deficient in several key vitamins, which led to nerve damage in my fingers and toes (from vitamin K deficiency) and several bouts of depression. The healthier I tried to eat, adding more whole grains to my diet, the sicker I got.

Being diagnosed as a Coeliac changed my life – in every way. In an odd twist of fate my life now revolves around sport. I have a Master’s degree in Sport and Exercise Nutrition and spend my days advising athletes on what to eat to win their next competition. I also coach sprinting and run for fun, which means you can often find me at the track or in the gym. Being diagnosed as a Coeliac has given me a life I love, which I could never have imagined even 10 years ago.

I started the gluten free diet on the first of October 2008. Within a week I was no longer bloated, had no stomach cramps, no stomach upset, and had lost over 5 pounds. Within a month I had more energy than I had ever had, the anaemia disappeared and everyone kept commenting on how much healthier I looked. With all my newfound energy I discovered I could actually run! It was hard, but as I could never even jog slowly for five minutes when I was a kid, jogging for 10 minutes straight without feeling faint and breathless was a revelation. I loved being able to run!  I couldn’t help thinking, if this is how “normal” people feel all the time, why doesn’t everyone run marathons?

So in order to celebrate the 10 year anniversary of my diagnosis, I decided to run a marathon. Not for charity, or for a particular time. Yesterday, I ran a marathon BECAUSE I COULD.

The Chinese food calorie bomb

One of the reasons nutritionists like me recommend that our clients limit the take aways is that restaurants know what we like – lots of fat and lots of sugar. To encourage repeat business, foods ordered in restaurants often contain far more fat, salt, and sugar than you would ever add if you made the dish yourself. A good example of this is the absolute calorie bomb that was a Chinese take away meal I had on Friday night.

Up until dinner time I was having a decent diet day. Plenty of fruit, vegetables and fibre, some oily fish and post workout protein. After my 5pm meal, I was at 1400 kcal for the day, leaving a good 500kcal for dinner. Then my husband and I decided we were both too tired to cook and to treat ourselves to a Chinese take away. And that meal came in at an impressive 1535 kcal, 23g of sugar and over 91g of fat!

I was prepared for the meal to be 800 or 900 kcal but I admit I was really taken aback at just how high the calorie and fat content was when I did the calculations. While I ate more than I normally would have, I wouldn’t say I massively overate. I had close to same amount of rice as I would normally, and felt I could easily have had seconds. Digging deeper, one of the biggest culprits was the prawn crackers which I continued to snack on all evening – they had over 500kcal and 43g of fat on their own.

Generally ethnic foods are great healthy options. Many traditional Asian, Mexican or African dishes contain more vegetables, pulses and lean meats than classic British food. And without the cheese and cream sauces favoured by French and Italian chefs, they tend to be lower in fat too. Unfortunately, when the first ethnic restaurants opened in the West, they quickly realized that they had to adapt their offering to the British palate to attract customers. The result is the food served in your typical Chinese restaurant may be very different from the food you might find in China. I’m sure a version of sweet and sour pork exists, but I doubt it comes in the same neon orange sauce and has the same amount of fat as the deep fried version I had on Friday.

Clearly my favourite Chinese needs to be a very occasional treat if I’m to drop some body fat and keep it off!

The Score for 10 March:

Calories: Protein: Carbs: Sugars: Fat: Sat Fat: Fibre:  
2968 129.92g 284.79g 80.58g 141.45g 29.00g 27.60g
18% 39% 43%
Calories burned through exercise: 346

 

What I ate:

Time Item Amount Calories Protein Carbs Sugars Fibre Fat Sat Fat Alcohol
08:00 Centrum Multivitamin,  Vitamin E 400IU, Vitamin D 25 µg
Tap water 250mL 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Soft boiled eggs, 2 large 125g 163 15.75 0.00 0.00 0.00 11.25 3.13 0.00
Free From pure oats 50g 171 6.40 30.30 0.60 4.30 2.70 0.50 0.00
made with boiling water 250mL 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Tesco mixed frozen fruits 100g 40 0.90 7.90 7.90 2.00 0.20 0.00 0.00
Ground flaxseeds 10g 45 2.21 0.30 0.18 2.37 4.00 0.45 0.00
Black Tea 450mL 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10:00 Twinnings cherry and cinnamon tea 250mL 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12:15 Grilled mackerel fillet, skin removed 78g 202 16.54 0.47 0.47 0.00 14.90 3.35 0.00
Brown basmati rice 130g 150 3.75 30.83 0.51 1.44 1.23 0.29 0.00
Kikkoman Tamari gluten free soy sauce 7g 4 0.70 0.14 0.00 0.00 0.00 0.00 0.00
Broccoli, microwaved 77g 30 3.31 2.46 1.46 1.93 0.46 0.15 0.00
Cauliflower, microwaved 84g 29 2.10 3.70 2.44 1.51 0.34 0.00 0.00
Honeydew melon, peeled and sliced 198g 40 1.20 8.40 8.40 2.00 0.20 0.00 0.00
Green tea 250mL 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00
15:00 Gym Session
17:00 MaxiNutrition Lean protein powder, chocolate 40g 140 20.00 13.00 12.00 0.00 0.90 0.30 0.00
in water 275mL 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Yeo Valley natural yoghurt 150g 123 7.65 8.40 8.40 0.00 6.75 4.35 0.00
Natures Path Mesa Sunrise cereal 50g 195 5.00 40.00 6.50 5.00 1.65 0.25 0.00
Sliced nectarine 93g 41 1.30 8.37 8.37 1.12 0.09 0.00 0.00
Sunflower seeds 5g 30 1.04 0.57 0.13 0.43 2.58 0.23 0.00
Pumpkin seeds 5g 30 1.51 0.54 0.07 0.30 2.46 0.44 0.00
20:30 Crispy seaweed (shredded fried cabbage) 29g 17 0.29 0.38 0.38 0.41 1.51 0.20 0.00
Sweet and sour pork 137g 334 10.69 29.04 15.48 1.64 19.04 3.15 0.00
Duck in a ginger and pineapple sauce 105g 328 14.60 6.72 5.04 0.32 26.78 7.98 0.00
Szechuan chicken 26g 67 8.27 0.66 0.39 0.39 2.36 0.13 0.00
Egg fried rice 150g 286 6.45 45.45 0.00 1.65 7.35 0.90 0.00
Prawn crackers 89g 503 0.27 47.17 1.87 0.80 34.71 3.20 0.00

Image Copyright: <a href=’https://www.123rf.com/profile_fotek’>fotek / 123RF Stock Photo</a>

Peptide YY: Another tool for weight loss

Protein rich foods encourage the production of peptide YY

Returning to our theme of the week, today’s hormone is Peptide YY. Peptide YY is a satiety hormone, which inhibits appetite and makes you feel full after eating. It also stimulates the metabolism, so you produce more body heat (thermogenesis) and burn more fat. Unfortunately, obese people produce far less peptide YY, so it takes more food for them to feel full and their metabolism slows down. Clearly, producing more peptide YY is helpful for fat loss!

Peptide YY is produced by L cells in the distal intestine and colon. It is one of the reasons I struggle to control my appetite after eating gluten. As a celiac, the gluten damages the cells of my small intestine, so they make less peptide YY. So not only am I hungry because I’m not absorbing nutrients properly, but I’m producing less of the hormones that tell me I’m full.

As I’m trying to lose a couple kilos of body fat, I want to encourage my body to produce more peptide YY. Peptide YY release is most stimulated by protein and fibre, then by fat, and least of all by carbohydrates. This is why eating more protein and fibre makes you feel fuller for longer. So I’ll be sure to get some protein and fibre at every meal and snack. As well, I’m trying to slow down the time it takes to eat my meals, pausing between bites and chewing thoroughly. This is because you need time for food to reach the intestine and Peptide YY to be produced.

Hopefully these simple things that will tip the hormone balance in my favour!

The Score for 11 February:

Calories: Protein: Carbs: Sugars: Fat: Sat Fat: Fibre: Alcohol:
2030 78.20g 257.44g 111.93g 64.50g 18.47g 34.39g 10.65g
15% 51%   29%   4%
     
Calories burned through exercise: 0      

 

What I ate:

Time Item Amount Calories Protein Carbs Sugars Fibre Fat Sat Fat Alcohol
08:00 Centrum Multivitamin,  Vitamin E 400IU, Vitamin D 25 µg
Tap water 500mL 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Soft boiled eggs, 2 large 115g 150 14.49 0.00 0.00 0.00 10.35 2.88 0.00
Free From pure oats 50g 171 6.40 30.30 0.60 4.30 2.70 0.50 0.00
made with boiling water 250mL 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Tesco mixed frozen fruits 100g 40 0.90 7.90 7.90 2.00 0.20 0.00 0.00
Ground flaxseeds 10g 45 2.21 0.30 0.18 2.37 4.00 0.45 0.00
Yakult light 65mL 27 0.90 6.60 3.60 0.00 0.00 0.00 0.00
09:30 Black tea with skimmed milk and sugar 350mL 62 3.40 12.00 12.00 0.00 0.10 0.00 0.00
11:30 Black tea with skimmed milk and sugar 350mL 62 3.40 12.00 12.00 0.00 0.10 0.00 0.00
12:45 Sandwich made with Genius sliced brown bread, 2 slices 72g 185 1.80 32.40 1.73 7.20 4.75 0.36 0.00
Princes tuna chunks in spring water, 60g 59 14.10 0.00 0.00 0.00 0.30 0.06 0.00
Hellmann’s real mayonnaise, 7.5g 54 0.08 0.11 0.10 0.00 5.93 0.47 0.00
and French’s New York deli pickle relish 7.5g 7 0.08 1.58 1.48 0.12 0.00 0.00 0.00
Small, sweet vine ripened tomatoes 117g 23 0.82 3.63 3.63 1.17 0.35 0.12 0.00
Nectarine (minus stone) 95g 42 1.33 8.55 8.55 1.14 0.10 0.00 0.00
16:30 Pulsin Protein snack bar, maple and peanut 50g 227 13.10 12.80 8.80 4.50 12.70 4.00 0.00
Golden delicious apple 102g 53 0.40 11.80 11.80 1.80 0.10 0.00 0.00
19:30 Evexia Ricotta Spinach tortellini, gluten free about 125g 270 8.13 44.75 1.38 7.88 4.88 2.75 0.00
with Sainsbury’s Pomodoro & Chianti sauce half a pot 74 2.50 10.00 7.40 0.90 2.50 0.40 0.00
Tesco Parmigiano Reggiano 5g 20 1.62 0.00 0.00 0.00 1.49 0.98 0.00
Red wine 100mL 75 0.20 0.20 0.20 0.00 0.00 0.00 10.65
20:30 Gluten free sticky toffee cake 102g 384 2.35 62.53 30.60 1.02 13.97 5.50 0.00

 

Enjoying food and life

Daily averages for the week:

Calories: Protein: Carbs: Fat: Alcohol: Fibre
2430 18% 45% 34% 3% 39g
1.61g/Kg 4.21g/Kg
Total exercise calories this week: 705

As expected my overall calorie and fat intake was higher than usual in the early part of the week when I was enjoying eating out in London. However, I continued to eat more junk food after I got home, which means there were too few days of healthy eating to offset the first three days. The result is over 3000 kcal more than I need this week, which is dangerously close to the 3500 kcal it takes to put on a pound of fat. Coupled with a lack of exercise, first due to travel and then due to gluten induced illness, I have not had a very healthy week.

Strangely, this is not necessarily a bad thing. Research shows that people who give themselves permission to have a good time and make occasional mistakes show healthier lifestyle habits over the long term than those who are always hard on themselves. Yo-yo dieters often fall prey to all or nothing thinking – foods are “good” or “bad” therefore they are “good” or “bad” for eating them. The problem is that the guilt and shame produced by eating “bad” foods leads to a lower mood, less confidence, and a tendency to give up on healthy eating. It also encourages binge eating of such foods – once you’ve had one cookie, your diet is blown, so you might as well eat the whole packet.

While I am trying to lose a couple kilos of fat, I would not say I am “on a diet”. This implies that once the weight is lost, I will go back to my “normal” diet – which is what led to the fat gain in the first place! Rather, I am trying to change the way I eat permanently. As such, I am not going to avoid eating out or travelling for the rest of my life. I had a great time in London and I really enjoyed all the indulgent foods I ate. And I now feel ready to resume healthier eating habits and get back to work in the gym.

The Score for 5 February:

Calories: Protein: Carbs: Sugars: Fat: Sat Fat: Fibre:  
1932 117.63g 203.39g 96.76g 65.53g 18.63g 36.94g
25% 43% 32%
Calories burned through exercise: 365

 

What I ate:

Time Item Amount
08:45 Centrum Multivitamin,  Vitamin E 400IU, Vitamin D 25 µg
Tap water 250mL
Scrambled eggs, 2 large 115g
Heinz baked beans 50% less sugar 195g
Chestnut mushrooms 110g
fried in butter 5g
Sliced raw tomato 82g
10:00 Black Tea 325mL
12:00 Tesco finest vine ripened tomato and lentil soup 300g
Nairns gluten free wholegrain crackers 28g
Lactofree skimmed milk 250mL
Fresh mango 120g
13:00 Green tea 250mL
14:30 Gym session
16:00 MaxiNutrition Lean protein powder, chocolate 40g
in water 275mL
Plums, 2 large 160g
Genius brown sliced gluten free bread, 2 slices toasted 70g
Sunpat crunchy peanut butter 35g
Honey 11g
20:00 Homemade turkey cottage pie topped with potato and parsnip mash 236g
with Ketchup 10g
Lindt Excellence 70% Cocoa chocolate bar, 2 squares 20g

For weight loss success, get your family on board

Family and friends can influence what we eat

You may have noticed that Minstrels chocolates have appeared in the food diary over the past couple of days. My husband bought them for me when he went to the shop for some beer and junk food of his own, as a surprise gift for me. I have been avoiding the grocery store and trying to stick to a healthier eating plan, but what can you do when someone you love buys you your favourite junk food?

This just shows what a big influence friends and family members can have on our diet and exercise choices. Studies have shown that people who hang around or live with overweight friends and family tend to become overweight themselves. One of the reasons is that your perceptions of what is acceptable behaviour, such as snacking in front of the TV or eating lots of junk, are greatly influenced by those around us. What we see becomes ‘normal’. Plus the desire to fit with the group can have a powerful influence: No one wants to be the only person at dinner who ordered a salad. I could have simply thrown the chocolates away, but I didn’t want to hurt my husband’s feelings, and besides, he was having chocolates as well. Seeing him eat them made me want some.

I think living with my husband has been a great help on the exercise front, as he is really into cycling, but not so much on the food front as he is a great cook, larger than I am and can eat a lot more without gaining weight. If I am serious about eating healthily and losing the body fat, I will need to get my husband on board.

The Score for 23 January:

Calories: Protein: Carbs: Sugars: Fat: Sat Fat: Fibre: Alcohol:
2467 115.36g 258.47g 139.05g 89.16g 35.27g 41.93g 15.57g
19% 42%   33%   5%
     
Calories burned through exercise: 372      

 

What I ate:

Time Item Amount
08:30 Centrum Multivitamin,  Vitamin E 400IU, Vitamin D 25 µg
Tap water 250mL
Soft boiled eggs, 2 large 115g
Genius brown sliced gluten free bread, 2 slices toasted 66g
Butter 7g
St Dalfour Raspberry fruit spread 26g
Black Tea 450mL
10:30 Twinnings cherry and cinnamon tea 250mL
12:30 Homemade Pea and ham soup 350g
Nairns gluten free wholegrain crackers 28g
Tesco extra mature cheddar 46g
Sliced raw tomato 118g
Yakult light 65mL
Easy peeler oranges 145g
15:30 20 min recovery run + stretching session
16:45 Activia natural yoghurt 150g
Tesco mixed frozen fruits 100g
Brazil nuts 5g
Walnuts 5g
Pecan nuts 10g
Sunflower seeds 5g
Pumpkin seeds 5g
17:30 Galaxy Minstrels chocolates 74g
20:30 Baked chicken breast 112g
Steamed sweet potato 278g
Steamed cauliflower 105g
Steamed broccoli 99g
Gravy made with Bisto Best chicken gravy granules in boiling water 75mL
Glass of white wine 150mL

Image Copyright: <a href=’http://www.123rf.com/profile_stockbroker’>stockbroker / 123RF Stock Photo</a>

Reviewing the first week

I have done several diet diaries over the years and I find the first few days are always a learning curve. The first week is invariable higher in fat and overall calories than I think it’s going to be, and this first week of 2017 is no exception. Of the last eight days, I only managed to keep my calorie count below 2000 on two of them. If I am serious about losing body fat, I will need to find ways to keep the calories down!

However, there were several good things going on. I was hitting my targets for protein and carbohydrate intake every day, and I averaged 221kcal burned through exercise per day. The proportions of each macronutrient are roughly where they should be, though I could do with reducing my fat intake below 30% and increasing my carbohydrates somewhat. I am not looking to eliminate alcohol from my diet completely and at only 123 kcal per 150mL glass of wine, I am OK with my three glasses this week. What I will be looking to improve is the amount and variety of fruit and vegetables. I am ashamed to admit that I failed to get my five a day four of the last eight days! Sorting that out will be priority one next week!

Daily averages for the week:

Calories: Protein: Carbs: Fat: Alcohol: Fibre
2175 21% 46% 31% 2% 32.31g
1.68g/Kg 3.84g/Kg  
 
Total exercise calories this week: 1766  

 

The Score for January 8th:

Calories: Protein: Carbs: Sugars: Fat: Sat Fat: Fibre: Alcohol:
2030 104.91g 234.37g 110.91g 56.51g 11.70g 37.24g 15.57g
22% 47%   26%   5%
     
Calories burned through exercise: 428      

 

What I ate:

Time Item Amount
08:30 Centrum Multivitamin,  Vitamin E 400IU, Vitamin D 25 µg
Tap water 250mL
Soft boiled eggs, 2 large 115g
Free From pure oats 50g
made with boiling water 250mL
Tesco mixed frozen fruits 100g
Ground flaxseeds 10g
Black tea with skimmed milk and sugar 450mL
12:30 Heinz baked beans 50% less sugar 190g
Genius brown sliced gluten free bread, 2 slices toasted 70g
with Sunpat crunchy peanut butter 16g
and Honey 7g
Sliced raw tomato 132g
Skimmed milk 250mL
Red seedless grapes 100g
14:45 20 min recovery run + stretching session
Tap water 250mL
16:00 MaxiNutrition Lean protein powder, chocolate 40g
in water 275mL
Brazil nuts 5g
Walnuts 5g
Pecan nuts 10g
Sunflower seeds 5g
Pumpkin seeds 5g
Dried apricots 50g
19:30 Fish Pie 346g
Glass of Chardonnay 150mL