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NBC's Biggest Loser Nutritionist Blog

Latest blog posts from Cheryl Forberg, nutritionist for NBC's "The Biggest Loser", including recipes, nutrition tips featuring seasonal ingredients and weight loss information.

From the Biggest Loser Nutritionist's mailbag.............

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Each week, I receive so many emails, unfortunately, I don't have time to answer them all.  I will be posting questions from my mailbag, in hopes that my answers can help more people! Here is a question I received yesterday.

 Hello Cheryl -
      I am 5'7" and weigh 319 lbs. at 52 years old. I am already on a blood pressure medication and a cholesterol medication.  Both my parents were diabetic and my father died of a heart attack at age 61. Can you give me some advice?  

        I am living in South Korea and the apartments here do not have ovens to bake in.  Everything we eat here has to be fried, microwaved or boiled. I figured I would try to count calories, but it's difficult because everything is in Korean. I have already stopped drinking soda. In its place, I have been drinking mineral water and juice.
Tammy

Tammy's BMI
 

Scale1


Body Mass Index is a number that measures body fat using height and weight. At 319 pounds and 5' 7", Tammy's BMI is 50, which places her in the category of morbid obesity.  This means that her weight  significantly increases her risk of one or more obesity-related health conditions or serious diseases. Morbid obesity—also called "clinically severe obesity"—is defined as being 100 pounds or more over ideal body weight or having a Body Mass Index (BMI) of 40 or higher

See this link to calculate your BMI   
 
People who are overweight or obese have a greater chance of developing high blood pressure, high blood cholesterol, type 2 diabetes, heart disease, stroke, and some cancers
 

Weightloss%2001%209

Weight loss is recommended for  people who are considered obese (BMI > or equal to 30) or those who are overweight (BMI of 25 to 29.9) and have two or more risk factors.  Tammy has at least two of the following risk factors. (She mentions diabetes in her family also but did not indicate whether her own blood sugar is high)

RISK FACTORS include:

  • high blood pressure (hypertension)
  • high LDL-cholesterol ("bad" cholesterol)
  • low HDL-cholesterol ("good" cholesterol)
  • high triglycerides
  • high blood glucose (sugar)
  • family history of premature heart disease
  • physical inactivity
  • cigarette smoking

Even a small weight loss (just 10 percent of her current weight) can help her lower her risk of developing diseases associated with obesity.
 
Tammy should talk to her doctor to find the best recommendations for how much/what type of exercise she can safely include in her weight loss regimen.   Her physician can evaluate her  BMI, and other risk factors for heart disease. An RD (registered dietitian)  can help determine a daily calorie budget for Tammy.
 
In terms of this question:

I figured I would try to count calories, but its difficult because everything is in Korean.

Yes, it's hard to count calories when you can't read the label. And not all foods that we purchase have nutrition labels.  The same problem exists when we dine out.  Restaurant menus usually don't include a calorie count or list all of the ingredients.  If you are choosing foods to eat at home, there is an even bigger challenge when you don't have an oven, which is part of Tammy's dilemma.

One of the best ways to avoid these issues is to choose whole (unprocessed) foods.  The Biggest Loser eating plan recommends plenty of fresh fruits and vegetables, whole grains, lean proteins as well as some healthy fats.   

In terms of this question:

I have already stopped drinking soda. In its place, I have been drinking mineral water and juice.

Eating your calories is the best option when you're trying to lose weight.  The exception to this is drinking milk, since most Americans are not getting enough calcium in their diets. 

Milk

 

In terms of juice, if you're trying to lose weight, choose whole fruit over fruit juices. Fruit juice contains less fiber so it’s not as filling as whole fruit and it’s more concentrated in sugars. When you do choose juice, a serving size is 4 ounces (1/2 cup).

Orange

Hope this helps Tammy -- good luck!

Last Updated ( Monday, 05 April 2010 19:08 )
 

Book Views on a Healthy Life

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Recently, Kelly Jad'on posted a great review of our new book on her website Basil and Spice where she reports on weight loss, fitness, and a variety of other topics.

For those of you interested in a sneak peak at the book, I've posted her review here.  Below it, I included one of the recipes she discussed -- enjoy!

BigLoser30Day300

By Kelly Jad'on  (from www.basilandspice.com)

The Biggest Loser 30-Day Jump Start is about more than just television entertainment. The program has been immensely popular because it is an actual visual of weight loss that viewers can relate to, real people achieve real results--a weight loss visual. But what happens after the tv set's turned off?

The Biggest Loser 30-Day Jump Start is the at-home supplement to a weight loss lifestyle. Including photos and stories of Losers who have gotten off the ranch and are now back in their own kitchens, gyms, and neighborhoods, it encourages and plans out for continuous weight loss in the domicile.

The Biggest Loser cast (Bob Harper, Jillian Michaels, ect.) provide the reader with tips, tricks, and insight on how they keep the weight loss in motion. "You are going to learn that everything you put in your mouth matters."--Bob Harper

Each of the 30 days is broken into its own individual section and includes:

*An opening page of encouragement by an author

*A jump-start menu plan--breakfast, lunch, 2 snacks, dinner

*Recipes--using regularly available grocery ingredients; states per serving nutritional value; many photos of the recipes. Tastes to try:

Day 28 Cumin-spiced bulgur and lentils (140 cals, 8g protein, 24g carbs)
Day 29 Lebanese kebabs (uses bulgur and turkey--190 cals, 21g protein, 12g carbs)
Day 10 Pesto pizzettas (utilizes ready made polenta--80 cals, 4g protein, 10g carbs)

*A jump-start exercise plan--daily goal, cardio/warmup, strength/mobility and body weight exercise, stretching; differentiates between beginners and advanced participants

*Photos of sample exercises with directions

Other notable sections in The Biggest Loser 30-Day Jump Start focus on how to eat at home and when you're out--in a restaurant. Explanations of protein, whole grains, healthy fats, carbs, calorie counts, and menu planning are important to read.

The beginner will also learn how to assess his fitness level, calculate his target heart rate, make a plan for exercise, and instill workout guidelines.

The Biggest Loser 30-Day Jump Start is a plan, and that's the key word--PLAN. The user must plan out his menu (trips to grocery with list), cook specific meals, and set aside time daily for exercises. And it's a great one. Those who stay in shape do plan what they'll eat, when they'll eat, and do allow for daily exercise. It's all about being conscious about every bite you take. This plan and recipes are wonderful for the whole family as well."

Lebanese kabob


LEBANESE KEBABS

The surprise ingredient bulgur adds texture and fiber, though you can’t tell it’s there. This recipe is typically made with ground lamb, but this version is tasty, quick, and easy. Try serving the bite-size meatballs at your next party.

Makes 6 servings

Ingredients:

1/2 cup uncooked bulgur
1/2 cup boiling water
1 1/4 pound 93% lean ground turkey
1 tablespoon finely chopped garlic
1 tablespoon finely chopped mint
2 teaspoons ground cumin
1 teaspoon ground coriander
1/2 teaspoon ground black pepper
1/2 cup finely chopped yellow onion
1/2 teaspoon ground mustard seed
1/2 teaspoon salt
2 tablespoons chopped fresh cilantro, mint, or Italian parsley
12 (6") skewers

Instructions:
Place the bulgur and water in a small bowl and soak for 30 minutes.
While the bulgur is soaking, place the turkey, garlic, mint, cumin, coriander, pepper, onion, mustard seed, and salt in a large mixing bowl. (If you’ve thawed frozen turkey, be sure to drain any juices before adding the meat to the bowl.)
Drain the bulgur in a sieve to remove excess liquid. Transfer the bulgur to the large mixing bowl and mix well.

Preheat the oven to 400°F. Form the mixture into 36 meatballs, about 1 1/2" across, using about 1 1/2 tablespoons of mixture per meatball.  Thread 3 meatballs onto each of 12 (6") skewers, leaving about 1/2" between meatballs. Place the skewers on a nonstick baking sheet so that they’re evenly spaced and not touching. Bake for 8 minutes, or until no longer pink.
To serve, place 2 skewers on each plate and garnish with the cilantro. Serve with cucumber or tomato salad and hummus.
If there are any leftovers, try a kebab sandwich: Place 3 meatballs in a small whole wheat pita with shredded lettuce and tomato slices.

Nutritional Analysis per serving:
190 calories, 21 g protein, 12 g carbohydrates (1 g sugars), 7 g fat (2 g saturated), 70 mg cholesterol, 3 g fiber, 270 mg sodium

Last Updated ( Tuesday, 04 May 2010 19:21 )
 

Biggest Loser Nutritionist - The Role of Fat in Healthy Eating

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Fad diets come and go. The fat-free craze introduced us to hundreds of fat-free food products that flooded the market because so many people became fat-phobic. 

Label-fat-free_300

 

There's no doubt, fat is rich in calories.  Gram for gram, fat has more than twice as many calories as carbohydrates and protein. And it's true - some fats simply aren't good for you. Trans fats are found in fried foods and processed foods (as well as in some meat products).  They are unhealthy because they raise levels of unhealthy cholesterol (LDL) and decrease the level of healthy cholesterol (HDL) in our bodies.

Saturated fats cause problems too.  Foods-high-in-saturated-fat  

Saturated fats are solid at room temperature.  These include the skin on chicken or turkey and the visible fat on a steak.   Saturated animal fat also contains cholesterol and promotes heart disease.  We definitely need to limit the amount of saturated fat in our diet.


But some fats are good -- in fact our bodies need them.

Healthy fats 

Even though the goal of the Positively Ageless and  Biggest Loser eating plans is to lose weight, some good fats are included with every meal and every snack.  Part of the reason for this is that fat provides a satisfying texture and mouthfeel.  It also promotes satiety or fullness.  Having a few nuts with a piece of fruit, or spreading a slice of avocado onto a sandwich (instead of mayonnaise) are delicious ways to help increase the feeling of fullness while delivering valuable health benefits.

Other perks of good fats include:

  • help increase our body's absorption of fat-soluble vitamins such as Vitamins D, E, A and K and powerful antioxidants such as lycopene
  • lutein found in avocados is stored in the macula of the eye and helps promote eye health and decrease our risk for macular degeneration
  • Vitamin E found in nuts, seeds, olives and avocados helps promote heart health
  • good fats promote healthy hair and softer skin (and softer skin minimizes the appearance of fine lines!)
  • Omega 3's are an essential fat (meaning our body doesn't produce them -- it's essential that we get them from our diet).  Every cell in our body uses omega 3s -- they promote heart health and help improve brain function.  They're found in cold-water fish such as salmon and in plant foods such as flax seed
  • Omega 3s

Yes, we need to remember that good fats are a concentrated source of calories and as such, we need to limit them.  But it's important to make room for healthy fats in our diet, whether or not you're trying to lose weight.

Here are suggested serving sizes and calories for some delicious good fats:

Avocado      3 slices/one ounce    50 calories

Almonds     10 raw almonds      75 calories

Walnuts      1 1/2 tablespoons (chopped)   70 calories

Lox or smoked salmon   2 ounces   75 calories

Last Updated ( Tuesday, 04 May 2010 19:22 )
 

Can't Give Up Fast Food? Read This!

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   After seven seasons as the Nutritionist for The Biggest Loser, I've learned the causes of obesity firsthand.  Many of the contestants have found themselves on the Ranch, in part, due to their love of fast food. Many, have spent years indulging themselves at their favorite drive-thrus, with cheeseburgers, fries, chocolate shakes, fried chicken and gallons of soft drinks.

At the beginning of Season Three of The Biggest Loser, I wanted to demonstrate how unhealthy these choices are, in a way that made a lasting impact.  I know I accomplished this, because years later, the contestants are still asking me for the details of that demo, so that they can pay the message forward and teach it to others themselves.

Aside from the fact that their food choices contained over-the-top amounts of unhealthy fats, sugar and sodium; what they didn't contain is important too.  One of those typical fast food meals delivered an astronomical number of calories, but very few vitamins, antioxidants or fiber grams. 

The meal I used as a model was this : 1 large double burger with cheese, 1 medium order of fries and a medium chocolate shake - total calorie count = 2262.  (and believe it or not, I've had clients tell me they've eaten TWO of those meals in ONE day). 

Each of those items is shown below along with its calorie count and the number of fat grams and sugar grams it contains.  The amounts of fat and sugar in each menu item were then measured using equal weights of solid white shortening (for the fat grams) and white sugar (for the sugar grams) so that the contestants could visualize just how much fat and sugar they were eating with those menu choices. It made a lasting impression.

Double Burger With Cheese    1070 calories

                                                   Img_0655

                                                                                                

Sugar  11g  ( = just less than one tablespoon sugar) Fat 70g (= just over 1/3 cup shortening)            

Medium French Fries       362 calories                                                                                    

                                           Img_0656

Sugar 12 g  using 3 packets of ketchup  (60 calories and 4g sugar per packet)                                     

1 teaspoon = 4 grams , so one order fries + 3 pkts = 1 tablepoon sugar                                             

Fat 18g fat = approx 1 1/2 tablespoons shortening)                                                                    

Medium Chocolate Shake   790 calories 

Sugar   75 g = 6T sugar and Fat 42 g  = just < 1/4 cup

Last Updated ( Monday, 17 May 2010 19:33 )
 

Can't Give Up Fast Food? Read This!

E-mail Print PDF

   After seven seasons as the Nutritionist for The Biggest Loser, I've learned the causes of obesity firsthand.  Many of the contestants have found themselves on the Ranch, in part, due to their love of fast food. Many, have spent years indulging themselves at their favorite drive-thrus, with cheeseburgers, fries, chocolate shakes, fried chicken and gallons of soft drinks.

At the beginning of Season Three of The Biggest Loser, I wanted to demonstrate how unhealthy these choices are, in a way that made a lasting impact.  I know I accomplished this, because years later, the contestants are still asking me for the details of that demo, so that they can pay the message forward and teach it to others themselves.

Aside from the fact that their food choices contained over-the-top amounts of unhealthy fats, sugar and sodium; what they didn't contain is important too.  One of those typical fast food meals delivered an astronomical number of calories, but very few vitamins, antioxidants or fiber grams. 

The meal I used as a model was this : 1 large double burger with cheese, 1 medium order of fries and a medium chocolate shake - total calorie count = 2262.  (and believe it or not, I've had clients tell me they've eaten TWO of those meals in ONE day). 

Each of those items is shown below along with its calorie count and the number of fat grams and sugar grams it contains.  The amounts of fat and sugar in each menu item were then measured using equal weights of solid white shortening (for the fat grams) and white sugar (for the sugar grams) so that the contestants could visualize just how much fat and sugar they were eating with those menu choices. It made a lasting impression.

Double Burger With Cheese    1070 calories

                                                   Img_0655

                                                                                                

Sugar  11g  ( = just less than one tablespoon sugar) Fat 70g (= just over 1/3 cup shortening)            

Medium French Fries       362 calories                                                                                    

                                           Img_0656

Sugar 12 g  using 3 packets of ketchup  (60 calories and 4g sugar per packet)                                     

1 teaspoon = 4 grams , so one order fries + 3 pkts = 1 tablepoon sugar                                             

Fat 18g fat = approx 1 1/2 tablespoons shortening)                                                                    

Medium Chocolate Shake   790 calories 

Sugar   75 g = 6T sugar and Fat 42 g  = just < 1/4 cup

Last Updated ( Monday, 17 May 2010 19:34 )
 
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