Tag Archives: weight loss

The Kurang Manis (Sugar,Less) Newsletter | 1 May 2022

Highlights from the latest subscriber-exclusive newsletter. Subscribe for the full article.

Calorie counter strike

Satiety, calories and recommended dietary guidelines.

Have you eaten? Are you still hungry? Feeling satiated is often not about hitting the right calories per day, but about eating the right kinds of nutrient-dense foods.

The term calorie is derived from the Latin word, calor ‘heat’ and was originally a term used as early as the 1820s to explain a unit of heat. When have we been calorie conscious? 1908 apparently, but it was a Californian physician and newspaper columnist Dr. Lulu Hunt Peters who popularised dieting using the concept, “don’t eat food, eat calories”. Watching what she ate and capping it to 1200 calories per day, her weight loss resulted in one of the first books on dieting titled, ‘Diet and Health: With Key to the Calories’ (1918)1. Shortly after, Dr. Peters was posted to the Balkans and witnessed life there as an American Red Crosser in WW1. She returned to the US three years later and was so surprised that her book had been selling so well that it became a hit.

Dr. Chris Barclay, a GP and author of ‘Beating Diabetes the Low-Carb way’ (2020) shared that in the last 20 years in the UK, the number of people with Type-2 Diabetes had risen from 1.4 to almost 5 million2. Dr. Peters’ successful diet, he theorises, may not have been about the calories after all, but about the fact that her meal plans were low in carbohydrates. She ate plenty of salad, vegetables (mostly raw), fruit, meat and fish, the occasional piece of bread and a few pretzels. There was no pasta, pizza, cake, biscuits or rice, no fruit juices, nor smoothies. Is this an example perhaps of mistaken assumptions and incomplete knowledge, he queries.

Swing back to kitchens of today, a promotion in a Hello Fresh meal kit website promises this, “Our carb smart recipes lower the amount of carbohydrates per serving by using wholesome ingredients like cauliflower, zucchini and avocado in place of high carb foods like rice and bread. And our calorie smart recipes keep each serving under 650 calories while packing in lots of nutrients so you feel super satisfied after every meal”.

You may wonder then if the hashtag #lowcarb is trending… Absolutely! Instagram itself has 27.9million posts with the ‘reducing’ hashtags #lowcarb as compared to 7.1m #diabetes, 75.9m #diet, 82.2m #weightloss yet it can’t compare with the ‘eating’ 284m #foodporn, 122m #vegan.


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AFT Interviews: Dr. Pran Yoganathan Gastroenterologist and passionate educator uses IG memes to drive understanding on satiety

Gastroenterologist and hepatologist based in Sydney, Dr. Pran Yoganathan is an extremely passionate educator, a Mathematician-turned doctor who aims to empower his patients with data that can help them on a journey of self-healing using the philosophy of “let food be thy medicine”.

Dr. Pran who has innovatively harnessed creative technology and 14,400 followers on Instagram @dr_pran_yoganathan, stresses that his educational memes are not medical advice or recommendations, simply his opinions — and rather strong science-backed opinions they are too!

In the podcast interview, Dr. Pran speaks about his diet of choice, which comprises predominantly of grass-fed steak and eggs and why that has raised eyebrows and temperatures not just in the oven, but in conversation with peers as well. We ask him about butyrate and got him all fired up and excited! Now, are WE ready to absorb the fact that we’re meant to burn fat for energy and not glycogen? Let’s save that for perhaps another conversation. 

Joining co-hosts Jasmine Low and Nikki Yeo in this same episode are Dr. Desmond Menon, medical lab scientist featured in Ep. 2 Do Our Genes Predispose us to Diseases of our Parents and Malaysia’s “biggest” stand-up comedian Papi Zak who’s in training to be a wrestler.

Together, we pose our numerous curious questions to Dr. Pran and have a content-packed conversation that’s science-based yet entertaining and revealing at the same time! Dr. Pran’s message is to “eat a diet that is not rubbish, move your body”, and he shares science in between some of his Instagram posts.

We ask him why he got into gastroenterology, his inspiration behind the Hippocrates’ philosophy “let food be thy medicine” and his personal dietary habits.

On the table, we discuss hunter gatherer societies in our modern world where Dr. Pran shares about the Hazda ethnic group from Tanzania and how they forage for food today.

Dr. Pran sheds some light on high fibre diets – a push by the standard Western Diet and how excess fibre can slow down gut motility, cause reflux and bloating and fundamentally IBS.

“If you’re going to deal with fibre, you need the machinery. That is why you see our primate cousins, like the chimps and gorillas tend to have a thick hind gut, a very big belly, that’s not visceral fat, it’s simply machinery to deal with rough fibrous tissue. That’s not my theory, that is a scientific fact and it’s called the expensive tissue hypothesis. It’s what makes us special in terms of our species; our brains grew in response to a shrinking gut.

Dr. Pran Yoganathan, gastroenterologist

Incidentally, on a side track, if you’re interested to deep dive into the Expensitve Tissue Hypothesis by American paleoanthropologist and professor emeritus of the University College London Leslie Crum Aiello – click here. She co-authored the textbook, “An Introduction to Human Evolutionary Anatomy”, which uses the fossil record to predict the ways early hominids moved, ate, and looked. 

We hope you’ve enjoyed these bite-sized pieces of information. Keep reading below for more about Dr. Pran’s credentials and to listen to the full podcast.

Click to view Dr. Pran’s posts on Instagram

More about Dr. Pran Yoganathan

Graduating from medicine from the University of Otago in New Zealand, Dr. Pran is a Fellow of the Royal Australian College of Physician (FRACP) and a member of Gastroenterological Society of Australia (GESA). He has accredited expertise in Upper Gastrointestinal Endoscopy and Colonoscopy as certified by the Conjoint Committee for the recognition of training in Gastrointestinal Endoscopy. Working across the public and private sectors in Greater Sydney, Dr. Pran has a strong interest in the field of human nutrition. He practices an approach to healthcare that assesses the lifestyle of the patient to see how it impacts on their gastrointestinal and metabolic health. Dr. Pran believes that the current day nutritional guidelines may not be based on perfect evidence and he passionately strives to provide the most up to date literature in healthcare and science to provide “Evidence-Based Medicine”. 

Dr. Pran has a special interest in conditions such as Gastro-oesophageal Reflux (GORD), Irritable Bowel Syndrome (IBS) and abdominal bloating. He takes a very thorough approach to resolve these issues using dietary manipulation In conjunction with an accredited highly qualified dietician rather than resort to long-term medications.

Ready to digest the podcast episode with Dr. Pran? Listen here:

In this BONUS edition for Spotify Listeners only – In the tradition of AsiaFitnessToday.com’s methods of using rhythm and movement as therapy, we introduce a song to seal off this episode. We have selected a mash-up song made popular by Yohani De Silva – a Sri Lankan singer songwriter and rapper, a social media star herself. Yohani did her Masters in Accounting at a Queensland university.

https://open.spotify.com/episode/28Rtrvhlp5IRFuxVjiY8sW

Intermittent Fasting Methods

Intermittent Fasting, also known as IF, is a pattern of eating that is fast becoming popular. Instead of limiting what you eat, one simply has to change when you eat. There are many benefits of doing IF including gaining leaner muscles, losing weight effectively, and reducing inflammation, amongst others.

How you do IF is simple – you prolong the time you fast. The fasting time includes the times you do not eat such as when you sleep. There are many benefits of doing Intermittent Fasting, which includes weight loss.

There are many ways or methods of doing IF. Most of the time it is done on a daily basis so it becomes part of your routine. Some do a 24-hour fast within a week’s time frame. However, IF is effective only if you do it at around the same time every day.

Whether we are conscious about it or not, we are already eating around the same time every day so all that one needs to change when trying out Intermittent Fasting is to simply not eat after a certain amount of hours.

Here are some examples of Intermittent Fasting methods:

The Daily Fast (Leangains method)

You have a window of 8 hours to eat in a day and the rest is slotted for fasting. You can “skip” breakfast or have it at noon and end your eating period at 8 pm. You can also choose to have your breakfast at your usual time and end your eating period 8 hours later. The timing is completely up to you.

 

The Warrior Method

A more extreme method of having only a 4-hour window to eat, some say that the Warrior Method has helped them gain a better relationship with food. However, it is not recommended that you start off your Intermittent Fasting journey with this method straight away.

 

The 24-Hour Fast

For this method, you only fast for effectively one day or continuously for 24-hours. For example, you have your last meal on at 8pm on Tuesday evening and don’t eat anything until 8 pm Wednesday evening. That is just an example and you can choose any day of the week to do this.

 

Spontaneous Method

This method is for those who are unable to follow any of the methods shown above. You are able to skip meals when you can or choose to fast for a whole day when you feel like it. Find the best timing to suit your needs and lifestyle.

There are many benefits of Intermittent Fasting but you will not be able to reap its benefits if you are not aware of what you’re eating and continue to consume junk food.

The real (and surprising) reasons healthy movement matters. It’s not about busting your butt to get a gym body. It’s about being capable, confident, and free.

When most people hear healthy movement, they think exercise or fitness or looking better or weight loss.

Sometimes, vanity.

Often, fitting into social norms.

“The man” telling you what to do (or how to be).

Moral righteousness packaged as 6am Hot Detox Spin-Late Pump class or an entire weekend of Instagram-worthy self-punishment.

But healthy movement is actually more interesting, liberating, and, frankly, crucial than all that.

In my years as a health and fitness coach, here’s the most important thing I’ve discovered: Developing a body that moves well is the ticket to a place where you feel — finally — capable, confident, and free.

We are all, literally, born to move.

It’s no secret: Human life has become structured in a way that makes it very easy to avoid movement.

We sit in cars on the way to work. At work we sit at our desks for much of the day. Then we come home and sit down to relax.

That’s not what our bodies are built for, so creaky knees, stiff backs, and “I can’t keep up with my toddler!” have become the norm.

Sure, if you can’t move well, it may be a sign that you aren’t as healthy as you could be. But the quality and quantity of your daily movement — your strength and agility — are actually markers for something much more important.

In my line of work, you watch a lot of people lose a lot of weight. The results would shock you — and I’m not talking about how they look on the beach in their bathing suits (although there is always a big celebration for that).

Most often, the thing people are most excited about after they go from heavy and stiff to lean and agile is this feeling that they’re now living better. They notice they’re:

  • more energetic and young feeling,
  • able to do things they’ve been putting off for years,
  • empowered,
  • proud of their lifestyle, and
  • free from many of the anxieties and limitations that held them back for so long.

They’re happier, but not just because they wanted to look better, and now they do. They’re happier because their bodies now work like they’re supposed to. They can now do things they know they ought to be able to do.

As humans, we move our bodies to express our wants, needs, emotions, thoughts, and ideas. Ultimately, how well we move — and how much we move — determines how well we engage with the world and establish our larger purpose in life.

If you move well, you also think, feel, and live well.

It’s proven that healthy movement helps us:

  • Feel well, physically and emotionally
  • Function productively
  • Think, learn, and remember
  • Interact with the world
  • Communicate and express ourselves
  • Connect and build relationships with others

We don’t need “workouts” to move.

Shocking secret: There’s nothing magic about a resistance circuit, the bootcamp class at your gym, or the latest branded training method.

Our ancestors didn’t need to “work out” when they were walking, climbing, running, crawling, swimming, clambering, hauling, digging, squatting, throwing, and carrying things to survive. Nor did they need an “exercise class” when they ran to get places, danced to share stories or celebrate rituals, or simply… played.

“Working out” is just an artificial way to get us to do what our bodies have, for most of human history, known and loved — regular movements we lost and forgot as we matured as a species.

We may not hunt for dinner anymore, and we may opt for the elevator more often than not.

We may move less. But movement is still programmed into the human brain as a critical aspect of how we engage with the world.

Therefore, to not move is a loss much, much greater than your pant size.

What factors determine how your body moves?

While there are universal human movement patterns, our specific movement habits are unique to us, and to our individual bioengineering.

Basically, the human body amounts to a sophisticated pile of interconnected levers:

  • Muscles are attached to bones with tendons.
  • These tendons connect to two (or more) bones across a joint.
  • When a muscle contracts, or shortens, the tendons pull on the bone.
  • That contraction and pull causes the joint to flex (bend) or extend (straighten).

How you move is determined by the size, shape and position of all of those parts, along with anything that adds weight, like body fat.

If you’re a tall person with long bones it may be harder for you to bench press, squat, or deadlift the amount of weight your shorter buddy can, because your range of motion is much bigger than your friend’s, so you have to move that weight a longer distance with much longer levers.

(This is why there aren’t many super-tall weightlifters or powerlifters, and why great bench pressers usually have a big ribcage and stubby T-Rex arms.)

But you can probably spank your short friend at swimming, climbing, and running.

If you’re bottom-heavy and/or shorter, you may not be able to run as fast as your taller friend. But you may have exceptional balance.

If you’ve gained weight in your middle (or if you’re pregnant), you may have back pain. That’s because the extra belly weight pulls downward on the lumbar spine (lower back).

When the lumbar spine is pulled down and forward (“lordosis”):

  • The pelvis also tips forward (“anterior pelvic tilt”), which pokes the tailbone back and the belly forward — aka Donald Duck Butt.
  • The upper/mid back may round to compensate (“kyphosis”).

The downward pull can also affect all the joints below (the pelvis, hip, knee, and ankle).

Conversely, it also works in the opposite direction, where, say, ankle stiffness can affect movement in the lower back.

If you have wider shoulders (“biacromial width”), then you have a longer lever arm, which means you can potentially throw, pull, swim or hit better.

If you have longer legs, then you have longer stride, which means you can potentially run faster. This is especially true if you also have narrower hips, which create a more vertical femur angle (“Q-angle”), allowing you to waste less energy controlling pelvic rotation.

 

Some variations in movement, we are given by nature and evolution. Other variations, we learn and practice.

If you’re a woman who’s top-heavy, you may have developed a hunch in your thoracic spine (upper and mid-back), whether from the physical weight of your breasts or from the social awkwardness of being The Girl With Boobs in middle school.

Or, if you got really tall at an early age, you may have developed a habitual hunch to hide your size or communicate with hobbits like me.

Yet the structural engineering remains important. Especially if we understand how our structures and physical makeup affect our movements.

For instance:

Body fat and weight change how we move.

This is especially true if you don’t have enough muscle to drive the engine.

At a healthy weight, your center of mass is just in front of your ankle joints when you stand upright.

However, the more mass you have, especially if you have extra weight in front, the harder your lower legs and feet have to work to keep you from tipping forward.

This puts additional torque (rotational force) on ankle joints.

 

Once you start walking — which is, essentially, a controlled forward fall — you have to work even harder to compensate.

Any unstable or changing surface (stairs, ice, fluffy carpet, a wet floor), requires your lower joints to adjust powerfully and almost instantaneously — literally millisecond to millisecond.

As a result, obese children and adults fall more often.

Human bodies are amazingly adaptable and clever, but nevertheless, physics can be an unforgiving master.

The good news is that this is generally reversible.

No matter where you’re starting, the more you move, the better your body will function.

When we move:

  • our muscles contract;
  • we load our connective tissues and bones;
  • we increase our respiration and circulation; and
  • we release particular hormones and cell signals.

All of these (and a variety of other physiological processes) tell our bodies to use its raw materials and the food we eat in certain ways.

For instance, movement tells our bodies:

  • to retrieve stored energy (e.g. fat or glucose) and use it;
  • to store any extra energy in muscles, or use it for repair, rather than storing it as fat;
  • to strengthen tissues such as muscles, tendons, ligaments, and bones; and
  • to clear out accumulated waste products.

And improved body functions ensure you’ll be able to move well and:

  • climb stairs or hills
  • step over obstacles
  • carry groceries
  • stand up from sitting down, or get up from the floor
  • grasp and hold objects like a hammer
  • pull or drag things like a heavy door or garbage can
  • walk an excitable dog

The more we can do confidently and capably, the fitter we’ll be. Even better, that means we’ll do more. That leads to more fitness. And this virtuous cycle continues.

 

Movement does more than just “get us into shape”.

Despite eyeglasses and iPhones, humans are still animals. We’re meant to move with the grace and agility of a tiger (or a monkey). And movement offers us a tremendous number of (sometimes surprising) benefits.

 

Movement is how humans (and other animals) interact with the world.

As babies, we immediately start grabbing things, putting things in our mouths, reaching for things, and clinging to our (now less furry) primate parents.

We are tactile, kinesthetic beings who must directly interact with physical stimuli: touching, tasting, manipulating, moving ourselves around objects in three-dimensional space.

Movement helps us connect and build relationships with others.

Movement is a sensor for the world around us.

In one study, when people’s facial muscles were paralyzed with Botox, they couldn’t read others’ emotions or describe their own. We need to mimic and mirror the body language and facial cues of one another to connect emotionally and mentally.

From the puffed-chest posturing of drunken young men outside a bar, to Beyonce’s fierce dance moves, to the mating rituals like close leaning and eye contact, to the laser stare your mom gives you when she knows you’re up to no good:

Movement gives us a rich, nuanced expressive language that goes far beyond words, helping us build more fulfilling and lasting relationships, with fewer misunderstandings, disconnections, or communication bloopers.

Movement helps us think, learn, and remember.

You might imagine that “thinking” lives only in your head.

But in reality, research shows we do what’s called “embodied cognition” — in which the body’s movements influence brain functions like processing information and decision making, and vice versa.

So “thinking” lives in our entire bodies.

But even if thinking were limited to our brains, there is evidence that movement and thought are intertwined.

It turns out that the cerebellum — a structure at the base of the brain previously thought to only be used for balance, posture, coordination, and motor skills — also plays a role in thinking and emotion.

Also, movement supports brain health and function in many ways, by helping new neurons grow and thrive (i.e. neurogenesis).

Every day, our brains produce thousands of new neurons, especially in our hippocampal region, an area involved in learning and memory. Movement — whether learning new physical skills or simply doing exercise that improves circulation — gives the new cells a purpose so that they stick around rather than dying.

Thus, movement:

  • helps maintain existing brain structures,
  • helps slow age-related mental decline,
  • helps us recover if our brain is injured or inflamed,
  • lowers oxidative stress, and
  • increases the levels of a substance known as brain-derived neurotrophic factor, or BDNF, which is involved in learning and memory.

Move well, move often, get smarter.

Movement affects how we feel physically and emotionally.

People of all shapes and sizes say they have a better quality of life, with fewer physical limitations, when they are physically active.

If you exercise regularly, you probably know that kickass workouts can leave you feeling like a million bucks. (Personally I think of mine as anti-bitch meds.)

Research that compared exercise alone to diet alone found:

People who change their bodies with exercise (rather than dieting) feel better — about their bodies, about their capabilities, about their health, and about their overall quality of life — even if their weight ultimately doesn’t change.

(Now… just imagine if you combined the magic of exercise with brain-boosting and body-building nutrition!)

Find out what “healthy movement” looks like for you.

Not everyone has to be (or can be) a ballet dancer or Olympic gymnast. As a 5-foot, 40-something woman who can’t run well nor catch a ball, I’m fairly sure the NBA and NFL won’t be calling me.

But I’m also not saying that, “Well, guess I shouldn’t climb the stairs because of my Q-angle” is the way to go.

I’m saying: Today, pay special attention to how you move.

Be curious.

As you go through the mundane activities of your day, notice how your unique body shapes your movements.

How do you move… and how could you potentially move?

In our coaching programs, we work with a lot of clients who have physical limitations, such as:

  • chronic pain or movement restrictions — say, from an injury or inflammation.
  • too much body fat and/or not enough lean mass.
  • too many or too few calories/nutrients to feel energetic.
  • age-related loss of mobility.
  • a physical disability.
  • neurological problems.

You may have some body configuration that makes it easier or harder for you to do certain things.

We all have structural or physical limitations. We all have advantages. It all depends on context.

Regardless of what your unique physical makeup might be, there are activities that can work for you, and help you make movement a big part of your daily life.

Ask yourself:

How can I move better — whatever that means for MY unique body? And what might my life be like if I did?

And finding someone who can help you if you think that’s what you need.

What to do next

1. Pay attention to how it feels to move.

“Sense in” to your body:

  • When you walk or run: How long is your stride? Do your legs swing freely? Do your hips feel tight or loose? What are your arms doing? Where are you looking?
  • When you stand: How does your weight shift gently as you stand? What does that feel like in your feet or lower legs?
  • When you sit: Where is your head? Can you feel the pressure of the seat on your back or bottom?
  • When you work out: Can you feel the muscles working? What happens if you try to do a fast movement (like a jump or kick) slowly, and vice versa?

2. Consider whether you’re moving as well as you could.

Do you feel confident and capable? Ninja-ready for anything?

Do you have some physical limitations? Do you have ways to adapt or route around them?

When was the last time you tried learning new movement skills?

What movements would you like to try… in a perfect world?

3. Think about other ways to move.

If you’re working out a certain way because you think you “should”, but it’s not fitting your body well, consider other options.

Or, if your current workout is going great but you’re curious about other possibilities, consider expanding your movement repertoire anyway.

Everything from archery to Zumba is out there, waiting for you to come and try it out.

Remember: You don’t have to “work out” or “exercise” to move. And you don’t need to revamp your physical activity overnight, either.

Take your time. Do what you like. Pick one small new way you can move today — and do it.

4. Help your body do its job with good nutrition.

Quality movement requires quality nutrition.

And just like your movements, your nutritional needs are unique to you.

Here’s how to start figuring out what “optimal nutrition” means for you:

If you feel like you need help on these fronts, get it.

A good fitness and nutrition coach can:

  • help you find activities that suit your body.
  • review your nutrition and offer advice on how to improve your diet (even if your life is hectic).
  • help you identify any potential food sensitivities that could be causing or worsening inflammation and thus restricting your movements.