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Blog author, Solai Buchanan is an experienced Registered Dietitian and Certified Diabetes Educator with an MS from Columbia Teachers College. She specializes in treating heart disease, diabetes, hypertension, high cholesterol, polycystic ovarian syndrome,and other chronic diseases. She is a provider at a full-service cardiology practice accepting most insurance and staffed with a primary care MD, pediatrician, and cardiologist. Call: 718.894.7907. NYCC is lead by Interventional Cardiologist Sanjeev Palta, MD, FSCAI, FACC. He trained at Cornell-Columbia Presbyterian Hospital and the State University Hospital of Brooklyn. He currently is an Attending Cardiologist at New York Methodist Hospital and Maimonides Medical Center. He is also an Assistant Clinical Professor in the Department of Medicine at Mount Sinai Medical Center. Having performed over 2000 invasive cardiac procedures Dr. Palta’s patients know they are in trusted hands.

Wednesday, December 21, 2011

Cutting Carbohydrate Intake Just 2 Days a Week Can Accelerate Weight Loss


Dieters who can’t stomach the idea of limiting carbohydrates 7 days a week just got good news: You might be able to drop more weight if you cut back on carbs just 2 days a week.

British researchers found that women who limited their carbohydrate intake to 50g (approximately the amount of carbohydrate in 1 cup of cereal or rice) for two days and ate a reasonable diet on the other days of the week dropped about 9 pounds on average, as compared to the 5 pounds lost by women who cut back to around 1,500 calories every day, according to a report presented at the CTRC-AACR San Antonio Breast Cancer Symposium.

“We came up with the idea of an intermittent low-carb diet because it enables people to still have foods that are very satiating,” said the study’s lead author Michelle Harvie, a research dietitian at the Genesis Prevention Center at the University Hospital in South Manchester, England. Harvie and her colleagues were spurred to find a diet that would be easier for women to follow because research has shown that obesity and the changes it causes in the body increase the risk for breast cancer. “We know from our research in animal models that losing weight has the potential for reducing breast cancer risk,” Harvie said.

The researchers followed 88 women for four months. All the women were at high risk for breast cancer based on their family histories. One third of the women were put on a Mediterranean-type diet that restricted calories to about 1,500 per day. A second group was told to eat normally most of the time, but two days a week to cut carbs and also calories to about 650 on those two days. The third group was also to cut carbs two days a week, but there was no calorie restriction on those days. At the end of four weeks women in both of the intermittent dieting groups had lost more weight — about 9 pounds — than the women who ate low calorie meals every day of the week — about 5 pounds. Women in the intermittent dieting groups also had better improvement than daily dieters in the levels of hormones — insulin and leptin — that have been linked with breast cancer risk, Harvie said.

What to do:  To follow this diet, you need to significantly cut back carbohydrates two days a week and try to eat sensibly the rest of the time. What that means is that you can eat protein, healthy fats, green vegetables, and 1 fruit on the two low carb days, but skip bread, pasta, and starchy vegetables like (potatoes & plantains), and sweets to stay under the 50g carbohydrate limit.

Adapted from article by L. Carroll for msnbc.com accessed at http://today.msnbc.msn.com/id/45587821/ns/today-today_health/t/cutting-carbs-just-days-week-can-spur-weight-loss/

Tuesday, December 13, 2011

Drinking 3 or More Drinks per Week Raises Risk of Breast Cancer

Corroborating prior studies, a recent study on 106,000 women, found women who drank the equivalent of 3-6 glasses (4 oz. each) of wine per week were 15% more likely to develop breast cancer than women who never or rarely drank. Women who consumed much more alcohol -- about two glasses of wine or the equivalent of beer (12 oz.) or liquor (1.5 oz.) a day -- had a 51% increased chance of being diagnosed with breast cancer during nearly three decades of follow-up.  This study also found that even as few as three alcoholic drinks (a drink is defined as 4 oz. wine/12 oz. beer/1.5 oz. spirits) a month were associated with a slightly increased risk of breast cancer.  The risk was similar whether women drank wine, liquor or beer.

Prior research has also found an association between alcohol consumption and breast cancer. One reason for the connection may be that alcohol raises levels of circulating estrogen, and high levels of estrogen are linked to breast cancer.  What made this study unusual is that information was provided about women's alcohol consumption over several decades. Many other studies have asked about alcohol consumption at a single point in time, but drinking patterns may change over a lifetime. 

Another recent study looking at the relationship between drinking and breast cancer found that drinking alcohol may be especially risky for young women who have a family history of breast cancer (including having a mother, grandmothers or aunts with the disease).  In this study, researchers examined data on more than 9,000 girls from 1996 (when they were aged 9 to 15) through 2007.  They focused on 67 participants who were later diagnosed between the ages of 18 and 27 with benign breast disease, a large class of conditions that can cause breast lumps or pain and can be a risk factor for breast cancer.

The researchers found that women who have a family history of breast cancer or breast disease were about twice as likely to develop both benign breast disease and breast cancer than women with no family history of the disease.  Risk of benign breast disease rose along with how much alcohol the young women consumed.

What to do:  Breast cancer risk appears to increase with cumulative alcohol consumption.  Therefore, women who occasionally over-imbibe on vacation or at a holiday party shouldn't be alarmed.  And women who drink 1-2 drinks per week are likely not substantially raising their risk for breast cancer.  However for those who are drinking 6-10 or more drinks per week, risk of breast cancer is significantly increased.  Persons with a family history of breast cancer should be especially aware of their alcohol intake.  For all women, it is likely best to limit intake to no more than 3-4 drinks total per week.  Remember a drink is defined as 4 oz. of wine, 12 oz. of beer, or 1.5 oz. of spirits.  Many portions are larger than this and could count as 2 drinks even if they are served in one glass.  It is also true that previous studies have suggested a glass of red wine daily has significant cardiovascular benefits, so this has to be weighed against the breast cancer risk.  For cardiovascular benefits, among types of alcohol, red wine appears to be most beneficial.  Still, it is not recommended that women who do not drink should start consuming wine daily for its cardiovascular benefits.

SOURCES: Wendy Y. Chen, M.D., M.P.H., assistant professor, medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Mass; Steven A. Narod, M.D., professor, Dalla Lana School of Public Health, University of Toronto, and research chair, breast cancer, Women's College Research Institute, Toronto, Canada; Nov. 2, 2011, Journal of the American Medical Association.

Anees Chagpar, M.D., M.P.H., director, The Breast Center at Smilow Cancer Hospital at Yale-New Haven, and associate professor, department of surgery, Yale School of Medicine, New Haven, Conn.; Nov. 14, 2011, Washington University School of Medicine news release.

Adapted from articles at:  http://www.nlm.nih.gov/medlineplus/news/fullstory_118685.html and http://www.nlm.nih.gov/medlineplus/news/fullstory_118204.html