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rapid weight loss
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).
DASH stands for "dietary approach to stop hypertension" and was created by the National Institutes of Health (NIH) as a way to help reverse national trends of obesity and heart disease. Scientists combed through decades of research to come up with an expert-backed list of diet tips, along with a prescription for exercise. And it worked: The DASH diet has topped nearly every diet list for nearly a decade. Doctors particularly recommend it for people looking to lower high blood pressure, reverse diabetes, and lower their risk of heart disease. (Here's the basic list of DASH diet-approved foods.)
If you want to spend less time cooking and more time eating, the raw food diet could be your solution. The plan — which is mostly vegan — consists of eating foods that are raw or heated below 115 degrees. The diet also means saying goodbye to all processed and pasteurized foods, sugar and flour, caffeine, and salt. It might sound extreme, but because it consists of mostly fruits, veggies, seeds and nuts with no meat or dairy, you're bound to lose weight: Studies have shown a mostly raw diet leads to a decreased amount of body fat, and you don't even have to go full-out to see results.
Food for thought: Weight loss isn’t as simple as calories in and calories out. By bringing macronutrients into play, IIFYM makes sure you’re not just eating cookies and calling it a day. Still, some critics say the diet leaves plenty of room for junk food since you’re allowed to “eat whatever you want.” You also run the risk of depriving your body of the micronutrients it needs. The IIFYM diet plan could be right for you if you’re smart about it and eat quality, whole foods and avoid the junk, at least most of the time.
Real talk: It could take weeks or months to see the metabolic effects of exercise on the scale, and even then, building muscle, which is denser than body fat, could lead to weight gain. “Do what you like because it’s good for you,” Dr. Seltzer says, noting the way exercise is awesome for your heart, mental health, and more—and that not all measure of progress can be seen on the scale.
“A calorie is a calorie” is an oft-repeated dietary slogan, and not overeating is indeed an important health measure. Rather than focusing on calories alone, however, emerging research shows that quality is also key in determining what we should eat and what we should avoid in order to achieve and maintain a healthy weight. Rather than choosing foods based only on caloric value, think instead about choosing high-quality, healthy foods, and minimizing low-quality foods.
Whether you’re addicted to your local juice bar or pick up a bottle or two at the grocery store, you should know that even the most natural juices are loaded with sugar. A glass of 100 percent grape juice has nine teaspoons of sugar, a glass of 100 percent orange juice has six teaspoons, and a glass of 100 percent apple juice has seven teaspoons. (Actually, sugar can crop up in a lot of unexpected places. Check out the 10 kid’s meals that have more sugar than a can of Pepsi.)
Talk about heart ache: high blood pressure stresses arteries, and can make you more susceptible to heart disease. To eat to lower your blood pressure, you just need to focus on heart-healthy bites. The American Heart Association recommends loading up on fruits, veggies, whole grains, low- or non-fat dairy, beans, lean meats, and fish. Bonus: no one's ever gotten fat eating more kale and beans.
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