Tag Archives: Belly fat

Enjoy sugar, but in moderation

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By Diana Bitner, MD, Spectrum Health Beat


Too much sugar is never good for you. Combine it with extra stress, and you have a recipe for disaster.


There are certain times of the year we know we will indulge in extra sweets: holidays, birthdays, graduations and work outings. These are also times when we might feel more stressed.


But is it possible to enjoy sugar in moderation and be healthy at the same time? Absolutely.


If you can master the basics of healthy eating, despite the extra stress you may be feeling, you can keep your eating in check during any occasion.

Belly up and listen

What I’m really talking about is belly fat. I take this topic very seriously because belly fat can kill you. It can happen to any of us, and it’s something I discuss with nearly all of my patients at one time or another.


Shelly is one of those patients. She came to see me for her physical, and she was upset because her favorite jeans did not fit.


She was just 50 years old and still having periods, and she began to notice her metabolism changing. She had gained her usual 5 pounds over the summer because of numerous summer parties, backyard barbecues, fruity cocktails and beer.


She typically didn’t drink during the week, but it was just too easy to crack open a cold beer when she was doing yard work under the summer sun. When friends would stop over, she’d mix up some drinks. I’m sure we can all relate to these same situations.


In the past, Shelly would go back to her normal routine when fall arrived. The 5 pounds would come right off. She would only drink on the weekends and she’d begin a better routine of regular exercise and sleep.


This year, however, something was different: She didn’t lose the 5 pounds and she actually started gaining weight.


Knowing that the holidays weren’t far off, she was worried her weight would get out of control and she would have even bigger issues.


Shelly was smart to be worried.


Once belly fat starts, it gets a mind of its own and can get out of control quickly. That’s exactly what was happening to Shelly—she was gaining all of her weight in her belly. I knew she was concerned and disappointed.


She said she always had a flat belly, but now that was changing.

Icky, sticky

A recent study in the Annals of Internal Medicine proves what we already know: Belly fat leads to early death in men and women by increasing our risk of heart attack and stroke—up to 10 years earlier than it might have happened if we didn’t have any belly fat.


The reality is most of us will die of heart attack or stroke at some point. But belly fat makes it happen sooner.


How? Belly fat is deep on the inside, wrapped around your bowels and liver, and craving sugar. As belly fat grows, your liver uses it to make bad cholesterol, and then the belly fat produces inflammatory chemicals to make your blood vessel linings sticky.


At the same time, the fat makes your body insulin-resistant, raising insulin levels and keeping blood sugar high by making you crave sugar.


This combination—sticky blood vessels, high blood sugar, and high cholesterol—causes plaque to build up in the blood vessels, blocking blood flow to your brain and heart muscle. All of this can lead to heart attack and stroke, and once the belly fat gets going, it doesn’t give up easily.


Bottom line: We can’t let the belly fat start.

Back to basics

Another factor that makes belly fat grow is stress—both good stress and bad stress.


Added stress can raise insulin levels and use up stress hormones such as cortisol and DHEA. It can cause our sleep to be interrupted, leaving us sleepy and fatigued. We know that sleep deprivation leads to insulin resistance, causing us to crave and store more sugar. It’s a vicious cycle.


During Shelly’s physical, I asked if I could measure her waist circumference. Measuring waist circumference is easy, but it can feel more personal than a pelvic exam.


Here’s how it’s done: Take a tape measure and wrap it around the small of your back, over your hip bones and around your belly.


We measured Shelly’s belly and it was 39 inches. Healthy is 35 inches.


After seeing that number on the measuring tape, Shelly made it a goal to lose 4 inches of belly fat.


After hearing what I had to say about belly fat, Shelly knew she needed to get off the sugar, reduce stress in her life, and change her sleep habits.


In other words, she needed to get back to the basics.

Grow with SEEDS

By having a plan, you can succeed even during the toughest of times.


When you adopt these habits and work hard to follow them every day, it is easier to get back on track if you have a stressful day or have a sleepless night.


When I talk about the basics, I am referring to the SEEDS—Seven Essential Elements of Daily Success—concept as a way of life.


Here are the seven basic things I discussed with Shelly:

  • Drink plenty of water (eight glasses a day). Add one more for each cup of coffee or for each serving of alcohol.
  • Get plenty of sleep (seven hours a night). Take power naps if necessary to be sure you are getting enough sleep.
  • Take your vitamins daily, including Vitamin D and a multivitamin.
  • Eat a balanced diet, including plenty of healthy carbs and protein, with only one sugar treat (including alcohol).
  • Eat plenty of fiber (think vegetables) and take a fiber pill if needed.
  • Exercise regularly (30 minutes a day, with a mix of walking, aerobic activity, strength training and stretching).
  • Start a gratitude journal and do metered breathing each night before going to bed.

You may have noticed that alcohol is mentioned more than once in the list of SEEDS.


Beer, wine and liquor are all forms of alcohol, and they all contain sugar. Since alcohol is often a part of a celebration or party, it’s important to limit your other forms of sugar (pasta, white bread, cookies, etc.) if you will be consuming a drink (or two or three) that same day.


And remember to add an extra glass of water for each drink consumed.


Shelly may not have been excited to see that her waist circumference was 39 inches, but she was happy with our discussion.


Reprinted with permission from Spectrum Health Beat.

Kick dreaded belly fat to the curb

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Avoid the accumulation of dangerous belly fat. (Courtesy Spectrum Health Beat)

By Diana Bitner, MD, Spectrum HealthBeat

I’ve told all of you about my mantra—lean and ease of movement—in some of my earlier blogs.

My plan to help me achieve this mantra is to eat small, frequent meals of complex carbohydrates and protein, plus one simple carb treat each day.

How many of you came up with your own mantra to help you make good decisions every day? I ask that question because I really believe everyone needs a little help to make smart choices, especially during middle age and menopause.

One of the most important reasons to choose what you eat wisely is because of the relationship between middle age, menopause and belly fat.

Even if you have always had a flat stomach, or mostly gained weight below your waist, you may have noticed that has changed as you’ve reached middle age (and beyond). A common complaint I hear from women who visit my practice is that they gain belly fat easily and have a difficult time losing it.

Why is belly fat so bad? There are several reasons, including both medical and personal issues, with belly fat:

  • Belly fat makes you feel unhealthy.
  • Belly fat can change your mood from cheerful to irritable.
  • Belly fat greatly increases your risk for heart disease, diabetes and overall weight gain.
  • Belly fat adds more insulation, which can cause or worsen hot flashes and night sweats.

In addition, belly fat is extremely powerful because it is inside your abdominal cavity, not just under the skin like fat elsewhere on your body.

When fat is so close to your liver, it can cause a condition called “insulin resistance.” This means that your insulin receptors on your cells require more insulin to make the sugar go into your liver, muscle or brain cells. Thus, as insulin increases to meet this demand, it increasingly makes you crave sugar and promotes fat storage.

When you answer the craving and eat sugar, the sugar goes directly to the belly fat and makes it bigger, which then makes your insulin increase even greater. You get the picture: The belly fat has a voice that says, “Feed me.” That “voice” is insulin, and the only way to shut it up is to starve it of simple sugar.

So, what’s the answer?

It’s simple: Get off the sugar.

There are simple carbs all around you every day, but you need to figure out how to stay away from them without feeling cheated. I was at a baseball game recently, and you can imagine how many simple carbs were right next to me—blueberry muffins, licorice, hot dog buns, slushes.

Here’s what I did before I went to the game: I had a late breakfast of brown rice, poached egg and mixed greens. Plus, I took a baggy of frozen grapes to munch on during the game. I was completely satisfied and had no craving for that blueberry muffin next to me.

You can’t always avoid simple sugars, but you can make smart choices.

Ice cream with the family? Choose a baby cone and throw away the cone (or get the ice cream in a dish).

Heading to a party or a baseball game? Eat a healthy meal or snack before you go and take a sweet snack (like frozen grapes) with you to help you avoid the cravings before they start.

And, keep repeating your mantra—whatever it may be. If you do not feed the fat, you will take back your power to be healthy.

Reprinted with permission from Spectrum HealthBeat.

Better control of your belly fat by watching what you drink

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Courtesy MSU Extension

By Zelda Felix-Mottley, Michigan State University Extension

As we age, it seems that it is harder to control body weight, especially the protrusion and flattening of certain body parts. It appears as though, for no good reason, our bellies poke out a little more and our buttocks flatten a little more. A potential culprit for that protruding belly is diet soda or beverages with artificial sweeteners.

In an article by Wiley of Science Daily, a study shows a direct link between the high consumption of diet drinks and the increase of belly fat in older adults. The study also references, with the increase in belly fat, that there is the increased risk of other diseases related to obesity. If you are one of the individuals who, in an effort to reduce the intake of sugary drinks have turned to diet drinks and you find yourself drinking one or more diet drinks daily, here are some suggestions to your decrease your intake:

  • Substitute at least one diet drink with real fruit-flavored water, like lemons, strawberries, peaches, etc.
  • Replace one diet drink, per day with a tall glass of plain, cold water.
  • When eating out, alternate your beverages by substituting a glass of water with lemon every other time you eat out.
  • Identify your favorite diet drink, if they don’t have it on the menu, drink water instead.
  • Order unsweetened fruit tea instead of a diet soda.
  • Plan to reduce your diet soda intake to only a few times a week, then progress to only a few times a month, or less.

Eventually, over time, you should experience some reduction in belly fat. Read more about other health, nutrition and weight management topics through Michigan State University Extension. There are many tips to encourage you to work on habits that may be contributing to extra fat and help reduce some risks factors related to obesity.

This article was published by Michigan State University Extension. For more information, visit http://www.msue.msu.edu. To have a digest of information delivered straight to your email inbox, visit http://www.msue.msu.edu/newsletters. To contact an expert in your area, visit http://expert.msue.msu.edu, or call 888-MSUE4MI (888-678-3464).