121 Dietitian

Obesity Statistics and Health Risks

While obesity stats might be shocking, the good news is that there is still time to do something about it. Here, we get clear on the obesity statistics and share how 121 Dietitian has been successfully helping patients to lose weight for good. A person with obesity (BMI – Body Mass Index of 30 and above) is: 6 times more likely to develop high blood pressure 4 times more likely to develop diabetes 2 times more likely to develop arthritis 6 times more likely to suffer gall bladder disease More likely to be infertile More likely to suffer from back and joint problems More likely to have problems with asthma exacerbated Increased risk of suffering depression More likely to suffer sleep problems such as sleep apnoea Increased risk of heart problems and stroke And have a shortened lifespan (1 in every 11 deaths in the UK is linked to obesity related problems) More likely to have nutritional deficiencies Reverse these obesity statistics This is not a scare tactic message, but rather, we feel, an important message to highlight the negative health implications associated with obesity that we treat every day. It may surprise you to know that many of the men and women who come to our clinics are unaware of the risks associated with obesity. When informed they are so grateful they could do something about it before their problems became irreversible. If you wish to reverse the risks as mentioned above, the good news is something can be done. Losing weight and lowering your BMI (body mass index) to normal or lower levels, or with a 5-10% reduction in weight as a starting point will significantly reduce your likelihood of developing these potentially serious medical conditions. Significant weight loss can resolve many pre-existing conditions associated with obesity. Of course there are also many, many psychological benefits in losing excess weight. People become more confident, feel less isolated, feel more attractive and feel more assertive as well as the obvious benefits associated with feeling healthy like a new wardrobe! HOW TO LOSE WEIGHT AND ENJOY DOING SO! Our team are highly skilled weight management Dietitians, providing a unique evidence based programme, tailored to each individual. Over the years, we have helped many people to successfully lose weight, when they have struggled in the past. You will learn how to enjoy foods and how to manage your diet, weight and health for life. No kcal counting, macros…. If you need to lose more weight, then you can safely do so, as you will know exactly how to do it safely for optimizing health for life. Unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop this has been expertly created for you. If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner  Check out our tailored dietary programmes Gillian x [instagram-feed] Information checked & correct on 16th May 2018 rechecked Jan 2021.

Eat right for mental health and overall wellbeing

How and what we eat has an overarching effect on the mental health and body. We all know that, don’t we? But really have you been doing anything about it? If you are in the camp of the invincible guts of steel, or “never taken a day off in my life” type person then you are either in luck, on borrowed time or in a minority!  More and more people we find are attending 121 Dietitian’s clinics with symptoms they just can’t get answers/pills or potions for, and its having a detrimental effect on their mind and body so I thought I would write a little about it and how we have been able to help. For some people it may not have been an overnight change but crept up over a few years, or for others it may have been a bolt out of the blue. Everyone and their circumstances are different, however the symptoms are often similar, or cross over with other illnesses making diagnosis vague and frustrating. But ultimately the most detrimental outcome for each person sitting beside me is that the problem is ongoing and impacting on their quality of life. Work suffers, family life is stressed, holidays become an idea of hell than heaven…. One recent example: Jen, she attended our clinic Jan 2014, a woman in her 30’s, busy life, young family and working a full-time job, full of life, shopping wasn’t always a priority and food was from ready-made meals for her and her partner. She started out in March 2012 with some episodes of feeling tired, low in mood, then progressed to feeling very low all the time coupled with some aches and pains, loss of appetite, change in bowel habits, unable to sleep well, feeling real fatigue, colder than others, weight gain, brain fog, forgetfulness, hair thinning……. She felt alone, worried and isolated. She had been for some tests and told she had fibromyalgia, Irritable Bowel Syndrome (IBS) and needed to exercise more. She didn’t get the answers she needed so attended our clinic. She had a life before this and wanted it back. We requested a series of blood tests for her re: her nutritional status, full thyroid function and antibodies, cholesterol profile, etc, we took her body composition and waist circumference. Jen also completed our questionnaire and 7 day food diary. Tests showed that Jen was in poor nutritional health, she had multiple low levels (not out of range but very low levels sub-optimal for health) of essential nutrients in her blood.  She had an elevated glucose and triglyceride level. Her macro and micro vitamins intake were minimal with a high sugar/salt, sat fat intake. These problems, you may be surprised to read, however were not addressed at this stage. This was not until we got her GUT working again, if the gut isn’t absorbing then those expensive vitamins and minerals pills and potions that you are encouraged to buy (and Jen had stack loads in her bathroom cabinet) would be a waste of time. Having a poor gut function like IBS impacts on more than the GUT and as mentioned above it has a negative effect on overall health, with prescribed  antidepressants, antacids, laxatives…..being common. To fix this we guided Jen through our excellent Low FODMAP elimination programme. 8 weeks later with full support she came back a changed lady her IBS symptoms had improved significantly. Next we were ready to address the diet for her mood, total health and for her life back. As Jen was carrying extra weight she decided to enrol in our Counterweight Weight management programme, a 12 month fully supported evidence based programme. Returning for the last appointment she has now lost the weight she had been so desperate to shift, she had fixed her GUT, and is now eating a nutrient rich diet. This in turn has helped her low mood, her family life, energy levels and is now looking forward to a holiday abroad with her family, something she feared greatly when we first met her. Jen is one of many we see men, women and children are all reporting problems. Mental Health – So why is this happening? Many factors can play a part here but certainly modernisation is a big one. We are living faster lives with fast foods and less down time to relax. We have over recent centuries moved from a whole foods diet to one that is based on processed and refined foods.  These processed foods are leading not only to greater ill health: obesity, heart disease and inflammatory diseases, they are also leading to greater emotional distress in the form of depression, anxiety and insomnia.   Eating a diet filled with chips, fast food and fizzy drinks is leading to an epidemic of “mental illness.”  We also eat too quickly, chewing food has declined and food is beige, soft and gulped down, not allowing our mouth enzymes a look in. Good Nutrition is vital for your mind and body.  This does not have to be difficult, so many people are confused with all the shouting and pushing of some extremes.  Adhering to veganism, vegetarianism, Low carbs or paleo is not required.  If the first changes you make are by concentrating on cutting out industrial based processed foods and eating more from scratch, cooking meals in the kitchen, focusing on a whole foods diet filled with wholesome prepared meals then you are doing well.  Sitting and savouring food with family and friends is a part of life and its importance should not be overlooked for total happiness and health. At 121 Dietitian we look at the full person. We spend a large amount of our time building a profile of the individual’s health by using blood results, checking symptoms, assessing the diet and body composition and most importantly discussing with the patient how they feel. Our programmes are detailed but we get the results to get people’s lives back. If your GUT is down so

Christmas Diet Dilemmas

The Christmas Diet Dilemmas. Many of us will gain unwanted extra weight this Christmas. Whether it is due to decreased exercise, attending more social occasions or an increased craving for comfort foods during the long, cold nights, weight gain is not inevitable. Here at 121 Dietitian we would like to share with you some tips for the festive season and hopefully save you making “must lose weight” resolutions as we enter the New Year. Christmas diet – Why do we gain weight during the festive period?  Christmas is a time of celebration which can span from the 2 -3 weeks prior to the big day with Christmas parties followed by New Year celebrations and then continue into January with finishing the leftovers. This amounts to nearly a month of celebrating and for some of us who might normally resist temptation telling ourselves ‘it’s alright it’s a special occasion.’ These special occasions can easily mount up. Even something you consider to be a little treat can have a larger effect than you would realise. If you consume  over 200 – 300 kcal ( mince pie or some buffet sausages, large glass of wine) or more each day over the course of 1 month you can expect to gain 4-8lb minimum if you are not actively exercising over and above your normal activity or having days where you keep control. Weight gain over the festive period is easy but it is not inevitable. You can be very clever with your food/kcal intake and still have fun. The right state of mind is often the major hurdle to compliance. A pre-party tip People live busy lives and are on the go the whole time. However take a little extra time to have a pre party planning stage for what you are going to wear, how you will travel and what you will eat during the day, and then at the party. This will see you through with a big smile and smaller bum, tum or hips!! Some good advice If going to a buffet eat well during the day. High fibre regular meals are good. Have a snack before you go out e.g. banana and wholemeal toast if in a rush, or some lean meat /fish and pasta/potato and vegetables. At the buffet try and fill most of your plate with raw vegetable sticks and fruit. What not to do instead of what not to eat! Avoidance is never the best long term plan. Usually it makes you want something more! It is better to teach ourselves to moderate rather than avoid. Often avoided foods will creep back into the diet and if you can’t control this then a yo-yo weight gain can occur. When out celebrating here are some don’ts. Don’t go hungry. Don’t stand near the food table as you will be tempted. Don’t get too tipsy early as this will reduce your willpower and the results could be bad! Watch the dips, go for the salad options, then you can add a few of the other items like goujons and crisps, enough variety to see you through. The worst high fat offenders are the sausage roll, vol au vents and depending on the quality deep fried chicken in breadcrumbs can be processed and fatty. Christmas diet – Being clever can save you calories! Your choice at the buffet table can mean you can make a difference of  a clever 350 kcal intake for the night (not including alcohol) instead of 1200 kcal, almost a full extra days intake of junk and saturated fat. One last more sobering thought: Think ahead: how you are going to feel come January with a substantial food and drinks bill, clothes that are too tight and potential blood pressure, cholesterol, health  problems. Do these treats seem so appealing? Enjoy, but have pride in resisting some temptation too! Happy Healthy Christmas, we look forward to hearing your success stories…. If you are unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner  Check out our tailored dietary programmes Gillian x [instagram-feed] Information checked & correct on 16th May 2018.

Oats NOT so good!

Well, 16 years of educating others I thought I was immune to the everyday angst of nutritional dilemmas!!!!!! Until very recently, so recent that I still can’t believe it and I may be in recovery for a while! Okay enough drama, here’s what happened: I was on a long journey driving through the night and pulled into a service station to refresh with a coffee. It was 3am so calculating ahead as my usual Dietitian head does, I considered my ‘up and coming’ breakfast options and I decided I would pick up a snack at this point so if anything changes later with my journey then I could keep on driving. While ordering the coffee I perused the appealing, but limited, arrangement of sweet stodge! I decide I would over look these and went for the most righteous option the ‘Nutty Flapjack’. I paid, ate and drank with satisfaction. Ah! However things quickly turned nasty! As I finished my flapjack I smelt a rat, (okay not literally) the flavours were sweeter and fattier than my finely tuned palate was expecting, alarm bells rang. The detective flick switched on in me and I peered at the small print – the ingredients and nutrient information. AHHHH! I nearly choked, if the coffee hadn’t woken me up at 3am then the info on the packet certainly did!!! I had consumed the equivalent of a hamburger and small fries, or two slices of cake, or a cooked breakfast. What a cheat. What made it even harder to swallow (wished I hadn’t!) was that it was made with 60% butter and condensed milk with a scant offering of oats, nuts and more sugar!!!! So I couldn’t even glory in the, ‘well the ingredients were superior’ therefore I shall accept the wonderful nutrients and the kcal’s come as a consequence. This experience brought me straight to the coal face of what my clients experience daily and why sometimes when you think you are doing right you are doing wrong. The moral of the story: no matter who you are! If you are keeping to a healthy eating plan, check all ingredients and nutritional information as you could be in for a surprise! Information checked & correct on 16th May 2018.

Make October YOUR New Year!

A lovely lady recently came to me in August 2012 looking for help with her main 2011 New Year’s resolutions! She wont mind me sharing this as the progress she has made has been outstanding since she started! Her main problem was her disappointment that she had not come near to achieving her personal goal of “being as healthy as possible.” Despite her good intentions she had made disappointing progress and it was 8 months into the year.  She was panicking. Many of us can relate to this. We have expectations for great changes and we feel motivated at the start, but events and responsibilities seem to work against us and we are left feeling frustrated and sometimes discouraged that the changes we want to see will never be accomplished. With this lady, and others, a few simple strategies can help  make significant changes promoting health, fitness, and control. I advised this client that September through to October would be the perfect time to make her changes. The kids are back in school, the home routine is in place, and it is a long time till the Christmas rush! My Client was raring to get started, she focused, made the time and energy to commit to her new plan. The following are some of the goals we decided to focus on: Step 1: Start small. In the case of my client, instead of encouraging her to become a slave to the gym, we started with two 30-minute walks per week. Over the past three weeks, these have lengthened and she now looks forward to her evening walks most nights of the week. This simple change may add years to her life. Step 2:  Be ‘SMART’ Identify specific, measurable goals. They must be realistic and linked to a period of time so you can assess your achievements. These goals are “SMART” goals (specific, measurable, achievable, realistic and timely.) My client’s goals were similar to many; ‘eat better and be more active’, but how do we measure success with a goal like this? As a starting point, we broke down her goals into three straightforward, but significant, changes: 1) Begin to eat breakfast within 30 minutes of waking five out of seven days per week. 2) Eat a portion of vegetables with both lunch and dinner six out of seven days per week. 3)  Keep records of your food intake and exercise for five days to promote self-awareness of your eating and activity patterns. Step 3: Get Support Obtain support from a friend, spouse or family member. In this case of this client, her husband has been a great supporter. He reminds her to sit down and eat breakfast with him instead of running around after the kids and he provides the motivation for her to be fit by walking with her in the evenings. He and the kids are enjoying the health changes too, they are eating better and their mum is happier and healthier. In addition to her family support, my client has benefited from professional support. In working with a dietitian it has had help her make appropriate goals, identify obstacles and help overcome challenges. Professionals are trained to help provide creative ideas to make it a fun and interactive experience. My client laughs with pleasure as she informs others of her fears of making that initial contact. She expected I would whip her into shape and she would be mortified, but now instead she admits she enjoys the one to one webcam consultations, coming to the clinic weight session and the programme she is following. She says she does not feel deprived or different to anyone else only that she is already feeling much healthier and fitter.  Step 4: Get accurate information As a Dietitian I spend a lot of time correcting people’s myths. Most of my clients come in expecting they will be told to eat salads, cut carbohydrates, and slave away on a treadmill seven days a week. We know from countless studies, that healthy eating does not mean dieting. While there are specific dietary requirements for many conditions, such as high blood pressure, diabetes, and cholesterol problems, most people do not have to cut anything out, they just need assistance in finding the right balance. Obtaining professional guidance ensures you learn which strategies are appropriate for you. If you have struggled with getting healthy this year, why not click on the contacts page and get your diet assessed by the professionals! Information checked & correct on 16th May 2018.

Belfast dietitian – A New Week..

Work, shop and clean seems to be the routine I tackle daily, cooking however is creative, uplifting and relaxing, only if all afore mentioned tasks are in place! Today, no matter how hard I tried not to, I had to tackle the house mess from the weekend. 3 mad ‘arts and crafts’ nuts live in my house and the mess seems to pile up as quickly as I am throwing it out for recycling! Not alone this mess, the amount of crumbs trailed around was enough to beat the loaves and fishes story, you know the one! Now all are in bed filled with tryptophan rich foods for a long and peaceful nights sleep! Lucky, my friends say, when I report my kids eat anything, and yes this is true, but it did take time, energy and frustration from the beginning to create those well tuned palates they all possess today. Tonight we had a lovely homemade fish pie, to make it more healthy and tasty instead off adding fats like butters and cheese, I added 2 tablespoons of pesto to the sauce, try it, it is yum! For dessert yoghurt in any shape or form is welcome, freeze it, mix flavours and plain, its so versatile! Now off to think off what to get for packed lunches tomorrow. I just don’t want any more mess to clean! If you are unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner  Check out our tailored dietary programmes Gillian x [instagram-feed]   Information checked & correct on 16th May 2018.