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Vegetarian diets and body weight. Perhaps one of the major benefits that a vegetarian diet may have in the treatment of diabetes is its effect in.Glycemic Index VEGETARIAN DIET. Search entire U. S. This means, for example, among the high. GI foods, those with lower GI ratings will be less red and more yellow. Similarly. with low GI foods. Those with lower GI are coded with greener color. Click on column header to sort foods by name or by Glycemic Index or Glycemic Load. Pie chart shows relative contributions to total calories from carbohydrate, protein. Glycemic Index Info from National Institutes of Health. The Glycemic Index (GI) is a measure of the glycemic effect of carbohydrate. It is important to note that a food with a high GI may not always have. GL. This can happen if the food has very little carbohydrate (for example. Foods with a low glycemic index release glucose slowly into the. For example, the starch in white bread and French- fried potatoes. Yet the body converts this starch to. Fructose (fruit sugar). Foods. with a high glycemic index, like white bread, cause rapid spikes in blood sugar. Foods with a score of 7. This measure is called the glycemic load. A food's glycemic load is. These include fruits, vegetables. Instead, vegetarian eating patterns. The vegan diet, which excludes all meat and animal products The lacto vegetarian diet, which includes plant foods plus dairy products The lacto- ovo vegetarian diet, which includes both dairy products and eggs. ![]() ![]() ![]() Low-Carb Vegetarian Protein Foods. Depending on what you've been eating before changing to a low-carb (or lower-carb) diet. Glycemic Index Eating Plan. With this eating plan, don. Free Low Glycemic Diet Plan. Low Glycemic Vegetarian Diet. Is Milk Really Low Glycemic? Site Menu: GI Guide Home. GI Diet Books: About this site GI Diet Vegetarian Recipes. Lose weight the healthy way with the low GI diet! ![]() Glycemic Index Foundation. Low GI Diet Greek Menu Ideas; Low GI Diet Asian style (coming soon). The Smart Vegetarian Home . Glycemic index refers to. Plan Vegetarian Menu. Satisfy your hunger with this fresh and easy vegetarian supper. What is a low FODMAP diet? Do you have a professional opinion as to how the glycemic index is to be applied to a vegetarian diet? ![]() People who follow vegetarian diets can get all the nutrients they need. However. they must be careful to eat a wide variety of foods to meet their nutritional needs. This vegetarian food database has the most complete. Low Carb Vegetarian Diet. You are Here: The Smart Vegetarian Home. Many people naturally loose weight while eating vegetarian. But, if you are one of the . They are essential to good health — as long as you stick to the good sources and steer clear of the bad ones. Remember, calories still matter. A good carbohydrate is the one with a lower calorie density—which means fewer calories per bite. Reducing your carb intake will improve water retention and the swollen . Many people with arthritis can stop taking aspirin for their joints when reducing carbs. Experts agree that processed foods, sweetened beverages and refined grains such as white bread, pasta, flour and rice (which are stripped of their nutrients) are among the worst kinds of carbohydrate- rich foods you can eat. Four main factors determine the quality of a carb. Carrots and potatoes are high, but green beans and broccoli are low. Read the labels and make sure you stay in the carb range that is best for your weight loss program. To get to net carbs, subtract fiber since it minimally affects blood sugar. Glycemic Index. Glycemic index refers to a food's ability to raise blood sugar to a particular level within a given period of time. Glycemic index applies only to carbohydrate foods because they are the foods that most affect blood sugar levels. Keep to a low carb vegetarian diet because carbs that lead to rapid increase in blood sugar should be avoided. Eat the right carbs to keep your blood sugar balanced and reduce your diabetic risk. Choose items with less sugar — aim for 4 grams or less — and more dietary fiber. And no, brown sugar and honey aren't metabolized any differently than the white stuff. Protein. Protein is necessary to form and maintain cells, tissues and muscles and is the building block of the body. Keep in mind that proteins are required for strong muscles and a sound immune and hormonal system. Protein is made up of chains of amino acides. For each protein, there are specific amino acides in a specific amount, and they are joined in a unique order. This is what makes chicken different from cheese. There are 2. 2 amino acids and eight of these are called the essential amino acids because they can't be made by the body and must be provided by the diet. Braggs Liquid Aminos is an all purpose seasoning made from soy protein. It is a gluten free natural soy sauce alternative that contains 1. Use it as part of your low carb vegetarian diet by adding to vegetables. It tastes almost like soy sauce; but with much less sodium. High Protein Low Carb Foods. Enough of the science, down to the way to eat high protein and low carb. Note that Net Carbs is Carb- Fiber. Food Quantity Protein Net Carbs egg whole. When starting the low carb vegetarian diet, keep to 2. Adjust this amount as you determine how your body feels and how much weight you loose. Here's a little secret for reducing the affect that carbs have on your blood sugar: add a little bit of lemon juice or vinegar to your food. A teaspoon added to your whole wheat pasta will reduce any insulin spikes up to 1/3rd! Have A Great Story About This Topic? Have a comment? Share Your Opinion, Ideas, and Thoughts. Click on the Map to Find Your Way Around - Site Map. Months Pregnant – Baby Lifetime. Months Pregnant. Welcome to the third trimester and being 7 Months Pregnant . Very soon, you will give up your role as mom- to- be and become an actual mom! If this is your first baby, this realization may hit you hard this month, and you could begin feeling a mixture of excitement and anxiety akin to the emotions you felt when you first discovered that you were expecting. These feelings are perfectly normal and may very well be your own way of preparing yourself for your baby. It may be a good idea to talk to your spouse or friends about these feelings; they will no doubt reassure you that you will be the perfect mom for your baby. You could also begin keeping a journal or diary if you haven. You could start experiencing intense pain in your back, legs, and even abdomen and pelvic area. Accept this discomfort as your body. Perhaps this is your baby! As your heart continues to pump extra blood for both you and your baby, you may experience some palpitations, shortness of breath, or a strong pounding feeling in your chest. Although this is nothing to be overly concerned about, it does mean you should rest for a minute and take a few deep breaths before resuming activity. About Baby: Not only will your baby begin resembling a newborn more and more, he or she will likely begin acting like one. Since brain waves are virtually indiscernible from a newborn. For instance, your little one can hear as well now as he ever will, and although many sounds are muffled by the barriers of your womb, the baby will react to voices and music with kicking and even moving back and forth to a beat. The baby will also begin a sleep schedule, although as many new moms will tell you, this schedule will continue to be erratic for months after birth. At the end of the seventh month, your baby could weigh anywhere between two and four pounds and measure up to fourteen inches in length. Conclusion: Despite your ever- increasing weight and the aches and pains that come with it, the nesting instinct may very well kick in this month and you might find yourself cleaning and organizing with vehemence. This is completely natural and is nature. However, it is important to temper this instinct with some good old- fashioned common sense. ![]() The messy closet will still be there when your nap is over. 7 Months Pregnant Dietary![]() ![]() ![]() Find out from WebMD how your baby continues developing in the third trimester of pregnancy. 7th month of pregnancy. Week 28, advice: The basic activity levels of pregnant women increase by 10%, which soon leads to tiredness and breathlessness. 100% Natural Sleep Aid Supplement 'That Works' Wake Up Rested & Rejuvenated at http:// 7 Months Pregnant -- As you make the. 6 Must-Eat Foods for Pregnancy. Want maximum nutrition during your pregnancy? Make sure these super foods are in your diet. ![]() ![]() ![]() ![]() Diet for a healthy pregnancy. Now that you're a mum-to-be, it's important to eat healthily for you and your baby. Find out all you need to know. Diet; Sleep; Sex and Relationships; Labor. A Dad's Guide to Pregnancy: Month 7. Right now, your baby can hear your voice through your pregnant partner's belly. ![]() Reboots are not intended to treat, cure or prevent any medical or health condition. Our Plans. Choose one of our nutritionist- led Guided Reboot Programs, or design your own plan using our Reboot Resources. Guided Reboot. Work with a certified nutritionist in a supervised, online weight- loss program. Reach your goals with the encouragement and personal attention you need! Everything you need to succeed: Coaching from your Reboot Nutritionist. Meal plans, recipes and shopping lists. Live interactive webinars Personal access to your coach. Private online community just for your group. Lose weight and maintain a healthy weight*1. Day Guided Reboot$1. ![]()
Learn More. 21. 3 reviews. Next sessions: Apr. Rachel Gargano, RDApr. Kristen De. Angelis, RD3. Day Guided Reboot$2. Learn More. 84 Reviews. Next sessions: Mar. Abigail Hueber, RDApr. Isabel Smith, RDGuided Reboot Programs for. Diabetes and Thyroid. Those struggling with diabetes or thyroid conditions know that weight loss can be a particular challenge, but with our targeted Guided Reboot Programs, you can break through barriers and succeed! What makes this 5 Day Eating Cleanse different then all. 5 Day Clean Eating Cleanse Details. The Truth About Juice Cleanses: Hunger, Happiness, And Weight Loss. The Truth About Juice Cleanses: Hunger, Happiness, And Weight.Day Programs Designed Specially for You: Targeted nutrition for your health condition. Nutritionist/coach specializing in diabetes and thyroid health. Live webinars to address your particular challenges. Manage your symptoms long- term. ![]() Meet daily challenges and overcome them. Guided Reboot for. Diabetes. 60 days – $4. For those with Type 2 or prediabetes. Learn More. 26 Reviews. Next sessions: Apr. Rhaya Jordan, NDGuided Reboot for. Thyroid. 60 days – $4. For those with hypothyroidism. Learn More. 13 Reviews. Next sessions: Mar. Claire Georgiou, B. HSc. Joe Cross chats with Reboot Nutritionist Isabel Smith about Guided Reboots. Meet Our Nutritionists. Meet our highly trained Reboot nutritionists, who’ll guide you every step of the way Get Inspired! Join thousands of successful Reboot fans! Read success stories. Not Ready for a Guided Reboot? Try a Reboot on Your Own Try a Reboot with our free downloadable introductory plans, complete with a daily juicing schedule and recipes. Read the Book. Joe’s New York Times bestselling book, the “Reboot with Joe Juice Diet” includes in- depth information and guidance. Read Joe’s inspiring story, and get detailed plans and recipes for Reboots of 3, 5, 1. Get the Book. Download the App. Download our free Reboot with Joe Juice Diet App for i. Phone to track your meals and progress. Download App*Individual results may vary. Reboots are not intended to treat, cure or prevent any medical or health condition. Reboots are not recommended for everyone, and before commencing a Reboot or any other nutritional or dietary regimen, you should consult with your qualified health care provider in order to assess any potential benefits or risks to you with consideration of your personal medical situation. You should also continue to work closely with your qualified health care provider if you intend to engage in a long- term Reboot. Our Guided Reboot Programs are not advised for women who are pregnant or nursing. Nonprescription Products for Weight Loss- Topic Overview. Many nonprescription products for weight loss are available at drugstores and supermarkets and over the Internet. Many of these have never been proved effective. And those that are effective often come with warnings. This includes prescription, herbal, and other over-the-counter remedies. Beware of products promising miracle weight loss. Last updated 2/11/2015. For example, many diet pills promote water loss from the body and may lead to dehydration or loss of essential minerals. Nonprescription appetite suppressants often work by making you less hungry. Do not use these nonprescription medicines if you have heart disease, high blood pressure, diabetes, kidney problems, thyroid problems, glaucoma, or depression. Appetite suppressants are only intended for use for a few weeks. But control of obesity is a lifelong activity.
![]() ![]() Learn about Qsymia, an FDA-approved weight-loss prescription medicine that may help some patients lose weight and keep it off. John La Puma, M.D., F.A.C.P. Director, Santa Barbara. 4 times more weight loss than diet and. Prescription once-daily. Qsymia is a product to help you lose weight. It is costly and possibly dangerous to depend on the use of these medicines to control your weight for long periods of time. If you are going to use these drugs to help you lose weight, be sure you also make healthy changes to your diet and get regular exercise. Tell your doctor about any other prescription and over- the- counter medicines, vitamins, herbs, and supplements you are taking. These medicines could affect other health conditions such as type 2 diabetes or change your blood pressure or cholesterol or both. Some people use water- loss pills (diuretics, such as Aqua- Ban) to lose weight. But these pills only get rid of water and do not reduce the amount of fat in your body. Using water- loss pills this way is not recommended and can be dangerous. A nonprescription- strength form of the drug orlistat is available, sold as Alli. It blocks the body from absorbing some of the fat from foods you eat. As with all over- the- counter medicine, be sure to follow the directions on the medication label. ![]() ![]() ![]() ![]() For every mile you log, you burn about 1. By making some incremental changes—adjusting the mileage here, boosting the intensity there—you can literally run off those extra pounds without changing anything in your diet. Repeat: No dieting. You just need to keep your calorie intake the same. Which won’t be difficult, because research shows that the fitter you become, the healthier your diet naturally becomes. So, as you hold steady with the calories coming in, the following three plans will increase your calorie- burn, creating the deficit you need to melt off the pounds. And speaking of getting fitter, that’s a done deal. Any one of our three weight- loss plans will automatically boost your fitness level. Plan 3 will get you so fit, you might as well run a marathon. ![]() Remember: The fitter you are, the more calories you burn all day long, which leads to bigger calorie deficits and even more weight loss. Call it compound interest, exercise- style. Without a single day of dieting, you’ll be transformed into a lean, mean, calorie- burning machine. To boost your weekly calorie- burn strictly through running, you need to increase your mileage or increase your intensity. Increase mileage. This one is pretty obvious, but it’s also the most effective. ![]() ![]() HASfit's FREE 30 Day Teenage Weight Loss Program. Weight Loss For Teens in Only 30 Days. The best teenage workouts plan and teenage exercises that you can do at home or the gym. HASfit's lose weight teenager. By the end you'll love running, lose weight and get. 10 Week Plan to Run: Beginners Running Program. I just started the 10 week beginners running program. Yesterday was day 1 and I am so proud. WHO SHOULD FOLLOW THIS RUNNING PROGRAM? This plan is suitable for beginners who. Running will also help you lose weight. I have been keeping it up every other day to run 30 minutes. The other day I threw in a quick 15. The more miles you run, the more calories you burn. Mathematically speaking, the relationship between miles run and calories burned remains the same whether you’re adding 1 mile (1. ![]() 30 Day Weight Loss Plan With Exercise At. And Muscle Gain Diet Plan Best Way To Lose Weight With Pcos Online Quick Weight. What Happens to Your Body on a 30-Minute Run. Commit to running regularly. What if you want to start running to lose weight? If You Want to Lose Weight From Running, Read This. January 1, 2017 by Jenny Sugar. In order to lose a pound a week, you'll need to cut 500 calories each day. Women's Health magazine has the best running weight loss plan out there--see for yourself and lose 10 lbs in 6 weeks! Lose 10 Pounds in Six Weeks. Rest Day: Sunday Run 30 minutes. Walking 30-day quick start guide for beginner walkers. Add five minutes a day to walk 30 minutes, five days a week. How to Lose Weight While Walking. The 30 Day Vegetarian Diet Weight Loss Running Weight Loss Success Stories was so simple to follow.30 Day Vegetarian Diet Weight Loss Diet To. Of course, unless you’re now logging 2. To stay healthy and injury- free, stick to about a 1. This mileage increase may seem small at first, but the extra calorie- burn will accumulate faster than you think. Increase intensity. Though we’ve already said that every mile you run is worth about 1. That’s because the pace you run and the terrain you cover can actually boost the number of calories you burn per mile.“Running uses more calories than walking, so likewise, if you’re running at your maximum speed, you’re using more calories than when you’re jogging,” says Dr. This won’t come as a surprise to anyone who’s rejoiced when finally reaching the top of a hill. There’s actually an equation to compute the exact number of calories burned at varying inclines. But since you need a Ph. D. Klauer provided an easier method. Okay, ready to lose some weight? Any of the following schedules will boost your calorie- burn and allow you to run off the pounds. All three programs assume that you’ve been running 2. But each plan maxes out at a different weekly mileage depending on how high you want to go. Your options: increase from 2. You’ll lose 5 pounds on any of our three plans: It’ll just take you somewhat longer on Plan 1, since the weekly mileage increases stop after week 5. As for increases in intensity, all three plans include one simple speed workout and one hill workout that you’ll do in place of two of your regular runs, which together will boost your weekly calorie- burn by about 3. Start by adding just 1 mile to two of your runs each week. You’ll also be adding a little intensity. Week. Mileage Etra Intensity- Cumulative. Weight Calories Booster. Calories Loss Burned. Calories. Burned(appro.) 1. Mileage: This plan will increase your weekly mileage from 2. It’s ideal for those who want to drop a few pounds but don’t have much more time or energy to devote to their running. Following the 1. 0- percent mileage increase rule, begin by adding 2 miles to your weekly running schedule. Simply add 1 mile to two of your easy runs. As you continue to increase your mileage each week, one of your runs should become significantly longer than the others. Most people do this longer run on the weekend, when they have more time. Your mileage increases will stop after week 5. Intensity: Along with your incremental mileage increases, you’ll want to add some intensity to two of your other weekly runs. Remember, you’re not adding extra running days. You’re just boosting the intensity of two runs you’ve already been doing. Workout- Booster A: Add 1. These pickups shouldn’t be all- out sprints. Rather, do them at about 9. Workout- Booster B: Add hills to one of your regular weekly runs. To burn about 1. 00 extra calories with this workout, do one of your regular runs on a treadmill and adjust the incline. For example, you could replace a flat 4- miler with a 4- mile treadmill workout, in which the middle 2 miles are run at a 5- percent incline. Or run the middle 2. Just remember: For every 1- degree of incline, you get a 1. And don’t worry about pace. You’ll definitely need to do the incline sections slower than the flat sections, but you’ll still achieve the extra calorie- burn thanks to the increased workload. If you don’t have access to a treadmill, find some hills where you can either do a continuous hilly loop, or some long hill repeats. To get a rough estimate of a hill’s incline, try this trick: Ride your bike to the top of the hill in question and face it downhill. At the top, coast freely for 5 seconds and check the speedometer. The speed you hit after 5 seconds of rolling will roughly match the incline in degrees. So, if your speedometer reads 5 mph after the 5- second roll, you’re on a 5- percent incline. With this plan, as with Plan 1, add a mile or 2 to two of your runs each week, plus sprinkle in some speed and hillwork. Week. Mileage Extra Intensity- Cumulative. Weight. Calories Booster. Calories Lossxx. Burned. Calories. Burned(approx.)xx. Mileage: This plan will increase your weekly mileage from 2. Begin your mileage increases as explained in Plan 1. The only difference is that you continue to increase your mileage through week 6. Intensity: Along with your incremental mileage increases, increase the intensity of two of your other weekly runs by adding Workout- Booster A and Workout- Booster B (as explained in Plan 1) every week. As with the other two plans, add a mile or 2 to two of your workouts each week, and add some intensity to two other runs. Week. Mileage Etra Intensity- Cumulative. Weight Calories Booster. Calories Loss Burned. Calories. Burned(appro.) 1. Mileage: This plan will double your weekly mileage from 2. Begin your mileage increases as explained in Plan 1. The only difference is that you continue to increase your mileage through week 7. Intensity: Along with your incremental mileage increases, increase the intensity of two of your other weekly runs by adding Workout- Booster A and Workout- Booster B (as explained in Plan 1) every week. Exercise. Calories Burned. Running (1. 0- minute pace)1. Pasta Versus White Rice. Medicine shows that keeping a food diary may double your weight loss efforts. 5 Things You Didn't Know About Carbs. If you're trying to lose weight. How to Lose Weight and Still Eat Pasta. When you. But then you learn about the benefits of whole grains. What are you to do now? ![]() ![]() There are ways to eat pasta and still stay on track for your weight- loss goals. Rebecca Scritchfield, R. D. N., founder of Capitol Nutrition Group in Washington, D. C. Find a way to enjoy pasta that respects your taste preferences and your body. When you finally eat it, . ![]() Rice, Bread and Pasta in a Weight Loss Diet. Carbs including rice, bread, pasta, potato and cereal are low fat, ideal for weight loss diets. Install the new Firefox Is rice healthier than pasta? Need weight loss program info? Why am I not loosing weight? ![]() Treat yourself to a small portion occasionally so you know your old favorite is always there. And try spaghetti squash on your days off, you. Jazz up a bland bowl with saut. Try a new pesto, or toss in your favorite protein so that a little bit of pasta can go a long way.? Replacing heavy cream with white wine to make a killer creamy Alfredo sauce! And we do it for less than 4. RELATED: Creamy Parmesan White Wine Pasta Sauce. Make It Whole Grain. There is a difference between eating a bagel and eating a small fist- sized portion of whole- grain pasta. Bulk Up on Veggies. If you? Try this pasta with roasted garden vegetables, and steam any wilted greens from your fridge into the sauce. It cooks down so much, you. Make it a Side Dish, not the Main Attraction. ![]() Focus on your veggies and lean protein, then . That way, you can still have your favorite carb but as a supplement to your seasoned grilled chicken and fresh summer salad. ![]() ![]() ![]()
Conflicting stories about taking metformin. You may be overweight because your body makes too much insulin, especially if your store your fat primarily in your belly. When you eat, your blood sugar level rises. The higher it rises, the more insulin your pancreas releases. Insulin makes you fat by acting on your brain to make you hungry, your liver to manufacture fat, and the fat cells in your belly to fill with fat. So the treatment for this type of obesity is to avoid foods that cause the highest rise in blood sugar and to take medications that prevent your blood sugar levels from rising too high. ![]() Avoid bakery products, pastas and all foods made from flour, fruit juices and everything with added sugar. Eat fruits and root vegetables such as potatoes only with meals. After you eat, sugar goes from your intestines into your bloodstream, and then immediately into your liver. Then your liver releases sugar back into your bloodstream to cause your blood sugar level to rise. To keep blood sugar levels from rising too high, your pancreas release insulin into your bloodstream. Insulin makes you hungry all the time and causes your liver to convert extra calories to fat and it constricts arteries to cause heart attacks. You need insulin to keep blood sugar levels from rising too high to cause diabetes, nerve damage, heart attacks, strokes and kidney damage. Glucophage reduces sugar release from your liver to prevents blood sugar levels from rising too high, so your body doesn't need to produce as much insulin that makes you hungry and causes your liver to make fat (3,1. Glucophage lowers insulin levels (4), prevents many of the side effects of diabetes and can be used by people who want to lose weight. However, Glucophage is not effective when your blood is acidic from excess lactic acid and recent research shows that exercise, which raises lactic acid, does not cause blood acid levels to rise enough to reduce Glucophage's benefits (5). Glucophage, itself, does not raise blood lactate levels and is therefore considerably safer than doctors originally thought. Since Glucophage lowers insulin, diabetics should be placed on Glucophage to lower their requirements for all other medications used to treat diabetes (6). A common cause of obesity in women is called polycystic ovary syndrome, which is caused by having high blood levels of insulin. Glucophage helps these women to lose weight (7- 1. See the report on Polycystic Ovary Syndrome (PCOS) in the Women's Health section. Glucophage is a safe medication that prevents blood sugar levels from rising too high, but you defeat its effects by taking foods that cause rapid rises in blood sugar levels. So taking Glucophage after eating two bagels will not help you to lose weight. I prescribe 5. 00 mg of Glucophage to be taken a few minutes before you eat, usually three times a day. You should not take it if you have kidney disease, heart failure or any medical condition that could make your blood acidic. There are many drugs that cannot be taken with Glucophage, so check with your doctor about all your medications. ![]() Metformin dosage for weight loss in non diabetics getting pregnant with pcos metformin and clomid. ![]() If you have nausea or diarrhea, take half a pill (2. An excellent website for your condition is pcosupport. The study in non-diabetics.![]() ![]() ![]() Dysphagia After Stroke . Data sources included Medline, Embase, Pascal, relevant Internet addresses, and extensive hand searching of bibliographies of identified articles. Selected articles were reviewed for quality, diagnostic methods, and patient characteristics. Comparisons were made of reported dysphagia and pneumonia frequencies. The relative risks (RRs) of developing pneumonia were calculated in patients with dysphagia and confirmed aspiration. Results— Of the 2. Of these, 2. 4 articles met inclusion criteria and were evaluated. The reported incidence of dysphagia was lowest using cursory screening techniques (3. Dysphagia tends to be lower after hemispheric stroke and remains prominent in the rehabilitation brain stem stroke. There is increased risk for pneumonia in patients with dysphagia (RR, 3. CI, 2. 0. 7, 4. 8. RR, 1. 1. 5. 6; 9. CI, 3. 3. 6, 3. 9. ![]() Conclusions— The high incidence for dysphagia and pneumonia is a consistent finding with stroke patients. The pneumonia risk is greatest in stroke patients with aspiration. These findings will be valuable in the design of future dysphagia research. Dysphagia is a commonly documented morbidity after stroke, but its reported frequencies are widely discrepant, ranging between 1. The presence of dysphagia has been associated with an increased risk for pulmonary complications. There is emerging evidence that early detection of dysphagia in patients with acute stroke reduces not only these complications but also reduces length of hospital stay and overall healthcare expenditures. An accurate estimate of the incidence of dysphagia and its increased risk for pulmonary consequences in the stroke population will be critical to guide the design of future research aiming to assess benefits of dysphagia interventions. Dealing With Dysphagia. Nutrition support can be helpful in constructing a healthy diet for those with. Most swallowing problems can be treated, although the treatment you receive will depend on the type of dysphagia you have. ![]() ![]() ![]() Dysphagia; epidemiology; outcomes; risk factors; Dysphagia is a commonly documented morbidity after stroke, but its reported frequencies are widely. Dysphagia refers to a difficulty in swallowing. There are many potential causes but the condition may occur after a stroke or a neurological disorder. Clinical and cognitive predictors of swallowing recovery. Patients who had demonstrated dysphagia after a previ-ous. But your doctor may restrict your diet. If left untreated, dysphagia can. Difficulty Swallowing After Stroke (Dysphagia). Nutrition Tips for Stroke. The right diet can help. ![]() ![]() ![]() ![]() Cerebral, cerebellar, or brain stem strokes can impair swallowing physiology. Cerebral lesions can interrupt voluntary control of mastication and bolus transport during the oral phase. Cortical lesions involving the precentral gyrus may produce contralateral impairment in facial, lip, and tongue motor control, and contralateral compromise in pharyngeal peristalsis. Cerebral lesions causing impairments in cognitive function such as concentration or selective attention may also impair control of swallowing. Brain stem strokes are less common than cortical lesions but result in the largest swallowing compromise. Brain stem lesions can affect sensation of the mouth, tongue, and cheek, timing in the trigger of the pharyngeal swallow, laryngeal elevation, glottic closure, and cricopharyngeal relaxation. Regardless of lesion location, because stroke is more common in the elderly,1. The elderly poststroke patient might no longer be able to compensate for normal changes in skeletal muscle strength that reduce mastication. Therefore, single or multiple aspects of the swallow may be impaired depending on stroke type and patient age. The presence of dysphagia is identified using 1 of 3 types of diagnostic techniques. ![]() ![]() An initial screening test is commonly administered to a newly admitted stroke patient, which serves to identify the likely presence or absence of dysphagia. This procedure is a cursory examination and therefore can be administered and interpreted with only basic clinical swallowing training. If the presence of dysphagia is suspected, a more comprehensive test is administered at bedside by a more extensively trained swallowing clinician. This examination includes a cranial nerve assessment and swallowing trials using a variety of texture- modified liquids and solids. Results from the clinical examination may indicate the need for further testing with instrumentation. The most common instrumental test assessing swallowing function is videofluoroscopy. During the videofluoroscopic assessment of swallowing (VFS), the patient is placed in the sitting position and radiopaque materials of different liquid and food textures are presented. The VFS clearly shows the swallow physiology from the lips to the esophagus, thereby capturing even minor abnormities in movement or frank aspiration. Of these 3 diagnostic techniques, the VFS is the only technique that can visualize the entire swallow and, as a result, is often used as the gold standard by which the accuracy of the other techniques is compared. In this systematic review of the published literature, we report on the frequency of dysphagia in the adult stroke patient and estimate the accompanying increased risk for pneumonia. Additionally, we examine how variations in study design, patient characteristics, and stroke type influence the reported dysphagia incidence rate. Methods. The primary condition of interest was “oropharyngeal dysphagia,” defined by abnormal swallowing physiology of the upper aerodigestive tract and as detected from clinician testing including screening, clinical bedside, or instrumental tests. Aspiration was defined to be a sign of dysphagia. Our premise was that dysphagic patients with aspiration have more severe dysphagia than dysphagic patients without aspiration. The primary outcome of interest was “pneumonia,” defined by abnormal lung status detected from clinical testing. Data Sources. An extensive search of peer- reviewed abstracts published from 1. May 2. 00. 5 was conducted using multiple databases (Medline, Embase, Cochrane Database of Systematic Reviews, Mantis, Pascal, and Sci Search), the terms “deglutition disorders” and “cerebrovascular disorders,” and limited to “human” articles. To reduce investigator selection bias, all relevant search terms were defined a priori. Bibliographies of abstracted references and recent volumes of related journals (ie, Dysphagia, Archives of Physical Medicine and Rehabilitation, and Stroke) were manually searched. Relevant Internet addresses were also searched, such as the Agency for Health Care Policy and Research, Effective Stroke Care, Joint Commission on Accreditation of Healthcare Organizations, and the National Library of Medicine. Also included were additional articles known to the authors but not identified in the search. Inclusions/Exclusions. Only original research articles evaluating the swallowing ability of consecutively enrolled adult (ie, . Retrospective and prospective studies were included. The review was also restricted to articles that reported the incidence of dysphagia using clearly described method(s). If the incidence of pneumonia was reported, the criteria by which it was defined had to be reported. Studies that enrolled patients after swallowing screening or referral to speech language pathology for swallowing assessment were considered to have a higher likelihood for dysphagia and were therefore excluded. Also excluded were editorials, review articles, and case series, including original reports that profiled < 1. Patient- reported symptoms of dysphagia and pneumonia were not considered accurate or reliable and were excluded. Non- English articles were translated using standardized software and native speakers. Where necessary, authors were contacted to clarify ambiguities in study methods or data interpretation. Data Abstraction and Analysis. Two authors (R. M. Any differences were resolved by consensus. Every selected article was appraised for design strengths and flaws according to the criteria established by Sackett et al. Overall, poorly designed studies were considered less persuasive and were rated lower than well- designed prospective studies. Proper methodology was considered to include blinding and documented reliability of diagnostic interpretations, along with proper accounting of all patients eligible and enrolled. The incidence of dysphagia was compared between or within studies according to the evaluation method (ie, initial screening, or clinical or instrumental assessment) and according to recovery continuum (ie, acute or rehabilitation). Incidence was defined as the first identification of dysphagia from clinician testing. Any further follow- up identification in the same patients was not within the scope of this study. Likewise, pneumonia incidence was defined as the first identification from clinician testing. The software Review Manager (Rev. Man) 4. 2. 19 was used to calculate the relative risk (RR) and 9. CI of developing pneumonia associated with dysphagia and aspiration after stroke. A random- effects model, which produces wider and more conservative CIs, was chosen. Because the risk for pneumonia was expected to positively correlate with dysphagia severity, separate analyses were conducted to assess the pneumonia risk among all patients with dysphagia and only those with more severe dysphagia identified on the basis of confirmed aspiration. The RR of developing pneumonia was considered to be statistically significant if the 9. CI did not include one. Results. Literature Retrieved. A total of 2. 77 citations addressing swallowing and stroke patients were identified (Figure 1). Of these, 9. 1 were eliminated because they were reviews, editorials, or nonpeer- reviewed publications, for a total of 1. Of these, 8. 2 were eliminated because they were case series of < 1. The articles of the remaining 1. Of these, 6. 8 were eliminated because they included patients with known dysphagia or those referred for assessment because of suspected dysphagia. An additional 1. 2 articles were eliminated: 5. A total of 2. 4 articles were accepted for review. Data sources retrieved. Methodological Quality and Characteristics of Included Studies. All 2. 4 studies had consecutive enrollment of patients, 2. Generally, data were complete for all enrolled patients with 2 exceptions. Of all 2. 4 studies, only 1 study. The characteristics of enrolled patients varied among selected studies. Half (1. 2 of 2. 4) of the studies included patients with mixed acute ischemic strokes. The exceptions were the following: 3 studies. Two studies. 32,3. Seventeen studies limited enrollment to only conscious patients, whereas 4 studies. Of these, 3 studies. If known, obtunded patients were excluded from the calculations. ![]() Reality for Ruby means not only losing the weight, but also trying to find out the truth of obesity and what it means in her life. There is so much to teach about this disease. The Biggest Looser is instant gratification TV. Several of those contestants gain the weight back once they no longer have the 2. If you had compassion, you would see that the contestants are put through hell and mentally beat down to lose weight. Obesity is a symptom of abuse. Those contestants have beat themselves up mentally their entire lives and suffer more abuse from trainers just to make a TV show for your viewing pleasure.
For four seasons, viewers watched Ruby Gettinger shed more than 350 pounds from her peak weight of 716 pounds. Her incredible weight-loss journey was documented by the Style Network on the reality show 'Ruby. You guys remember Ruby Gettinger from the reality show Ruby? How are you doing with your New Year? Ruby is undergoing intense psychotherapy while learning how to exercise and cook for herself. She is not at camp 2. Ruby does not get her meals, trainers, or counselors for free. She is living her life in the real world, teaching herself and others to not be afraid of change and to face their biggest fears. She has more courage and strength than anyone I know. Ruby is inspiring people to face their addictions. What could be more inspiring than that? I hope I have inspired you to learn something about addiction and obesity. You may even learn a little empathy and compassion along the way. Ruby Gettinger of Savannah, Georgia, was born January 2. Portugal, Azores she was the star of the Style Network series Ruby. A Journey of Courage on the Road of Losing More Than 4. Ruby has appeared several times on countless television & radio programs worldwide, Oprah, 2. The Today show, Dr. Oz, The Rachael Ray Show, Regis & Kelly, Bonnie Hunt, E, Entertainment tonight, Day. Star, Paula White, and so many others. Ruby's TV show was nominated for an Emmy Award & won a Gracie Award for The Most Inspirational Reality Show on TV. Ruby has appeared on Christian television and radio, including CBN and Family. Net, Christian women's conferences, Christian sports events, and church services. She thanks the Lord for every opportunity to boldly proclaim her faith and share her personal journey of faith and health in order to inspire others and tell them to start living their lives now. Audiences from Australia to the United Kingdom to middle America adore Ruby. They are uniquely drawn to her - and when she has the opportunity to stand on stage in front of a live audience she gives the glory to God and shares with her adoring fans how important it is to be healthy and live their God given destiny today!! Ruby Gettinger was born in Azores, Portugal while her dad was station there in the US Air Force. Ruby's parents are Mr & Mrs James Edward Gettinger. She is the youngest of four kids. Ruby began videotaping her journey simply as a personal record of her progress and as self motivation. She never dreamed this would lead to a reality TV show watched by millions worldwide. Ruby has motivated countless fans to begin their own journeys, overcoming obesity and other issues. To date, Ruby has lost over 4. Certainly not easy but so worth it - for the sake of her own health and for the positive impact on the lives of others. Ruby's passion is God and people, Ruby feels blessed that her reality show inspires and motivates people around the world. Her bubbly, outgoing personality and positive attitude have always inspired her friends and family, and now her reality TV show has given Ruby a platform that she never could have anticipated. Not only is her TV show an inspiration to viewers, but it has opened doors to share her story in front of 'live audiences.' Ruby's testimony is motivational to everyone who will listen, whether or not weight is their 'issue.'For business, media, events contact . Rubysmanager@gmail. |
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November 2017
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