Causes of Obesity - Emotional

Tuesday, January 6, 2009 by Ruthanne Hilbrich
There are many causes of obesity and over the next few weeks we are going to explore some of the most common. Today, I'm going to discuss the emotional causes. If you have additional questions, please do not hesitate to ask!

Eating is very comforting and fills the empty spot inside that people often feel when stressed. Food is often used as a reward in all cultures of the world. Many people are taught as small children that performing tasks such as cleaning your room will result in a reward such as a cookie. So, when we want to feel we are "good" as adults, we can reward ourselves with as many cookies as we like.

People often use food as a self-reward for having a bad day or as compensation for dealing with a difficult boss or a crabby spouse. "I have really had it today; I am going to stop and get some ice cream."

Have an additional question about causes of obesity and weight loss surgery? Then leave a comment below and I will gladly respond!

Dashing Through the Holidays...The Healthy Way, Part II

Friday, December 19, 2008 by Ruthanne Hilbrich
As promised, here is part two to Annessa and mine's tips for getting through the holidays the healthy way. Remember:  these tips are great for all weight loss surgery patients from any Indiana hospitals or those considering bariatric weight loss.

  1. Out of Sight, Out of Mind. Once you have your plate of holiday food, don't stand around the table of offerings. If you do, you will be tempted to graze. Get your plate of food and take it with you while you socialize.
  2. Create New Traditions. Instead of sitting around the TV after dinner get bundled up and go caroling! Or, take a brisk walk around the block and play a game like deciding which neighbor has the best outdoor holiday décor! Instead of watching football get outside and play your own ball game! Make it a tradition to break out the sled or play a family game of basketball after Christmas lunch. Your kids will love you for it, and it will become a sweet holiday memory they'll never forget!
  3. Keep Positively Busy. Instead of sampling every dish and dessert brought to the party; make a positive goal to get to know other party guests. Be a good listener, and you'll be surprised about how much better you feel about yourself when you uplift others. No food can give you that kind of good feeling!
  4. Drink in Hand. If you choose to eat before you go to a party, keep a non-alcoholic beverage in hand to sip on so you do not feel empty-handed.
  5. No Fear. YOU have the power to take control of how your holiday season goes. DO NOT plan on "dieting" January 1! That will set you up to gorge the whole month of December, because you have in your head that you will eat nothing come January. This is a self-destructive mentality! Relax and enjoy the holiday season. You deserve it!

Dashing Through the Holidays...the Healthy Way!

Tuesday, December 16, 2008 by Ruthanne Hilbrich
Alvin posted a few tips on surviving the holidays without packing on the pounds, and I wanted to share with you something that Annessa and I cooked up a few years ago. I will post half of the tips today and half later in the week. These are great, not only for weight loss surgery patients, but for everyone!

  1. Focus on the family… the holidays don’t have to be about food!  Food can be creative, nutritious, and wonderful, and enjoy it, but choose to focus on people instead.  Holidays are a time to reunite with good friends and family. 
  2. Get the “skinny” on the menu……what kind of food will be served.  That way, you can take control and plan ahead of time. 
  3. Leads the Pack… bring a dish or dessert that you want to eat, as well as one that everyone would enjoy, too!  Prove to people that great tasting holiday food doesn’t have to be prepared with a stick of butter and a cup of sour cream!
  4. Disaster Relief…if you do have a slice of that “pecan pie”… don’t throw your day out the window and eat the rest of the pie!  Forgive yourself, and move on. 
  5. Stay Away! If food is the only thing you’re looking forward to at that party, you probably should not go!

Looking for a great side dish to take to holiday parties?

Monday, December 8, 2008 by Ruthanne Hilbrich
The holidays are always a fun time to enjoy food and cook with family. One of the best things about holiday cooking is all of the great sides, but making a healthy side for those individuals that have undergon weight loss procedures can be a challenge. The Obesity Action Coalition (OAC) has provided this great recipe, which can be found in the Walk from Obesity cookbook.

Chunky Baked Pears
Recipe: (6 Servings)

3 large pears, peeled, cored and chopped
1/4 cup raisins tablespoon butter
2 teaspoons lemon zest
2 tablespoons Splenda
1 tablespoon butter
1/3 cup carbonated diet lemon lime drink

Directions:

Preheat oven to 350 degrees.
Rinse, peel, core and chop each pear.
Place all ingredients into a medium baking dish and mix well.
Bake uncovered for 45 minutes stirring every 15 minutes.
Serve!
You can find this recipe, along with 65 others, in the official Walk from Obesity Cookbook. To purchase your copy today, please click here. The cookbook also makes for a great holiday gift!

To learn more about the OAC or the cookbook, please click here. Additionally, I will post some other Indianapolis bariatric physicians approved recipes in the coming weeks!

What Now?

Wednesday, December 3, 2008 by Ruthanne Hilbrich
After Indianapolis weight loss surgery you might be wondering "what now?"

Clarian Bariatric's Indianapolis gastric bypass center offers ongoing support for all of our patients who have had a weight loss procedure.  Indiana bariatric doctors believe that support is vital to your weight loss success.

Our weight loss surgery program encourages every patient undergoing gastric bypass weight loss, stomach stapling surgery and those contemplating surgery, to attend FREE support group meetings regularly for encouragement and to share frustrations and concerns.

Whether you simply want to talk, or you are looking for a more structured educational setting, Clarian Bariatrics offers a variety of group formats, using the latest techniques in counseling, support and care, to help you reach your goals.

Weight loss surgery isn't a magic bullet...causes of obesity are accumulation of a lifetime. Our skilled Indiana weight loss doctors and staff are here to help you succeed...forever.

Support groups are held the first and third Wednesday (gastric bypass weight loss specific) of each month from 6 - 7:30 p.m. There is also support group on the fourth Friday of each month from 10 a.m. - 11 a.m. All support groups are held at our clinic located at 6625 Network Way, Suite 100, Indianapolis. Please call 317-275-7010 if you have questions.

Are menus in for a makeover?

Monday, November 3, 2008 by Ruthanne Hilbrich

Wow…can you imagine the freedom we would have if we could choose what we eat based upon real nutrition information on restaurant menus? Most of us have no idea the damage we can do to ourselves by making poor choices when we eat out.

The beauty of this bill requiring nutritional info to be posted on menus is that WE CAN FINALLY BE IN CONTROL! No longer will we be suckered into eating food prepared with hidden added fats and sugars without our knowledge! We will actively be choosing healthy selections and have the ability to lose weight and maintain our weight loss.  Such blissful serenity knowing the restaurant business is “on our side”…even if they don’t like it!

Below is text from an article that ran in The Indianapolis Star last week, and one which I had the pleasure of being interviewed for!

Are menus in for a makeover?
Advocates want calorie information displayed, but many in restaurant industry oppose mandates (By Barb Berggoetz)

If you're eyeing a slice of the Cheesecake Factory's carrot cake, do you really want to know it's going to pile on 1,560 calories? Or that a Double Whopper with cheese value meal at Burger King packs 2,170 calories?

Ruthanne Hilbrich does.

"I think calorie information added to menu boards and menus is an excellent idea," she said. "Hopefully, it would put the brakes on all of the thoughtless inhaling of calories."

As a registered dietitian at the Clarian Bariatric Center, Hilbrich sees the devastating results of overeating, no matter where it occurs. So she supports efforts to better inform Indiana restaurant-goers about the calories they're wolfing down.

Although some restaurants highlight "light" items on menus or list calories on Web sites, kiosks or menu trays, displaying calorie counts is a contentious idea here and elsewhere, particularly if restaurants are forced by law or regulation to do it.

A bill requiring calorie postings, sponsored by state Rep. Charlie Brown, D-Gary, languished in this year's short legislative session, which was dominated by property tax issues. But he plans to introduce a similar measure in the upcoming session in January.

"This obesity epidemic is wreaking havoc on health-care costs and seems to be getting worse rather than better," said Brown, chairman of the House Public Health Committee.

In 2007, 27.4 percent of Hoosiers were obese, according to the Centers for Disease Control and Prevention.

Even so, some restaurant owners don't take kindly to the idea.

"I personally don't agree with the government telling us how to run our business," said Jay Snyder, co-owner of Hollyhock Hill Restaurant in Indianapolis. "A lot of times, people won't like to hear what they'll hear. I don't think it will be real popular with most restaurant owners."

Yet menu-labeling directed at chain restaurants is picking up traction across the country.

California became the first state to take the step. On Oct. 1, Gov. Arnold Schwarzenegger signed a law requiring chain restaurants with more than 20 locations and drive-throughs to offer menus listing calories, saturated fat, carbohydrates and sodium for each item starting in July.

Supporters say people are eating out more, portion sizes are often large, and calories are underestimated, contributing to weight gain. If calorie totals are visible, they contend, some people would make better choices, and restaurants would provide healthier fare.

Despite legal challenges, New York City began implementing its controversial menu law in May, and King County's (Seattle) law went into effect Aug. 1. Several other large cities or counties, including San Francisco, the Portland, Ore., area, and Santa Clara (Calif.) County, are following suit later this year.

In the past two years, 25 cities or states, including Indiana, have introduced calorie-related bills. Chicago, Philadelphia and Washington, D.C., are among cities considering the step, and New York state is, as well.

Indiana State Health Commissioner Dr. Judith Monroe says menu-labeling is a "grand idea" that needs serious consideration, although the movement in Indiana might need to start at the county or city level, as smoking bans did. Her office is studying the pros and cons now.

"A lot of people do want to be healthier," she said. "We need to create the environment that will make it easier for them."

Brown's previous bill gave chain restaurants the flexibility to post calorie information in ways other than solely on menus. He plans to draft a bill that requires placing calorie information on menus or menu boards. But if there's not enough support, he said, he'd revise it to allow restaurants more leeway.

Considering the state's obesity problem, Sen. Patricia Miller, R-Indianapolis, chairwoman of the Senate Health and Provider Services Committee, said menu-labeling would be an excellent step. Although she'd prefer restaurants do it voluntarily, she's intrigued by the idea and would consider it for legislation after further study.

But many restaurant industry leaders nationally and in Indiana favor a federal legislative approach -- with caveats.

In June, national and some state restaurant associations and chain restaurants formed the Coalition for Responsible Nutrition Information to support federal legislation, as opposed to the piecemeal approach with varying laws in different locations, said John Livengood, president of the Restaurant&Hospitality Association of Indiana.

The group wants federal legislation that would apply to chains with 20 or more restaurants and give them the option of putting calorie information on menus, menu boards, posters, counter or table tents, food packaging, menu trays, Web sites, brochures or other reasonable means, according to draft legislation.

"What would not work is every community having their own and different standards," Livengood said. "We think it's more practical, more workable, to have a national standard."

Industry leaders are exploring a variety of proposals, said Maureen Ryan, spokeswoman for the National Restaurant Association, but no timeline is set for introducing such legislation.

Advocates for strict menu-labeling say the restaurant industry doesn't back the legislation that would be most effective.

"They want weak federal legislation that will throw out all the stronger bills that already have been passed," said Margo Wootan, director of nutrition policy for the Center for Science in the Public Interest, a Washington, D.C.-based nonprofit health advocacy group.

Some Indianapolis owners and managers, at locally owned restaurants and chains, have mixed feelings about the prospect.

"From a customer standpoint, it might be a good idea so they can see what they're getting," said Justin Corrigan, general manager at Murphy's Steakhouse in Indianapolis. "But from a business standpoint, it may not be as good of an idea. Some higher-ticket items would have a little more calories, and we wouldn't want to discourage sales of those."