NHS Challenge!

My last post shows my Fitbit and meeting my fitness targets for the day. After returning from our Caribbean cruise I have become even more conscious of the need to maintain a healthy lifestyle . Let me fill you in on some of my observations on the holiday.

I am not keen on flying and so if we can sail from Southampton to Southampton I am more than happy. The downside if there is one that the period of time at sea may be long. So this holiday for me removed a lot of the angst. 

What surprised us however was the number of seriously obese passengers and we surmised that maybe it would have been impossible for them to fly and so again this cruise suited them but for different reasons. Out of  approximately 2000 people on board we estimated that about 60% were overweight. I have mentioned the obesity problem before however this time we were shocked by the body size and the extent of immobility of many. 

We witnessed eating to the point of absurdity. This may seem far fetched but let me give you just one example - one woman who was very jolly and pleasant and almost the width of a corridor would struggle each morning to collect her breakfast from the buffet. She could hardly breath and could only move by conducting a side to side rocking motion. Her plate was filled with several pieces of toast stacked in such a way that bacon, eggs, mushrooms and tomatoes could be trapped between the layers - the arrangement was completed with baked beans poured over the top. 

This level of gluttony was not unique. When you see this with your own eyes your amazement turns into real concern that clearly she and many of the others couldn't help themselves. 

The obesity crisis is something we all have to take seriously and the solutions have to be quite radical. A sugar tax would not make any impact whatsoever. The age group primarily 45-70 on this ship, should really know better and realise that they are killing themselves. They also are suffering from many ailments including diabetes, having to endure operations to hips, knees and the rest. 

Ww

We listened to passengers who openly talked about their failings but made light of it by saying "I'm just a real foodie" and "you see I just love my food"!

Plenty of wonderful food was available, lots of variety and choice but for many they stuck to what I heard referred to on a TV programme as "the beige diet" (fat v carbs BBC). Lots of potatoes mainly in the form of chips, bread rolls with every meal, rice, pasta.....

We reflected on the challenge facing the NHS and what could be done. There are no simple answers but there needs to be strong messages about the consequences of this overindulgence. We seem to care more about sensitivities than tackling the problem.  If the behaviour I have described is replicated across the country no wonder the NHS can't cope.

Needless to say the gym on board was used by about 20 people on a regular basis. However others did visit the gym .....to use the scales. Some including my husband preferred to walk 3 times round the promenade deck (1mile) on a daily basis.- just as effective particularly when walking briskly

Diet and exercise are regular topics in newspapers, magazines, TV programmes, websites, Government and NHS guidelines so why aren't people listening???

What do you think? 

Obesity in Later Life......

Its New Year Resolution time and for many a diet plan will be included in the list! Hopefully the good intentions will not fall by the wayside.

We are all fighting the ageing process. For many,  they pass through the journey relatively unscathed healthwise others are less fortunate.
Doesn't it make sense to do everything we can not to contribute to our downfall?
Evidence shows excess weight can do to our bodies in terms of mobility, pressure on joints, circulation and conditions such as diabetes.........and yet people who should know better continue to eat for the sake of eating.


    http://www.ageuk.org.uk/Documents/EN-GB/Factsheets/Later_Life_UK_factsheet.pdf?dtrk=true

• Women aged 65+: 32% are of normal BMI, 32% ‘overweight’, and 34% ‘obese’. For men this age: only 16% are within normal BMI, 54% are overweight, and 31% obese 

The vast number of seriously obese passengers on our cruise ship last Sept was really disturbing. This wasn't about people enjoying their holiday and indulging themselves, it was more about feeding a habit. I have mentioned before a typical scenario of individuals piling their plates with pasta, chips and a bread rolls. It's something we would not have believed had we not seen with our own eyes. They then ask for help carrying their trays as their mobility is impaired. They wheeze and gasp with the effort of walking short distances. Whatever the underlying causes for this self destruction it really does have to be addressed. With an ageing population we need to stop ignoring the obesity problem and to be honest about how serious this is........and spell out the consequences of prolonging this kind of behaviour.


Help is provided in our already in our overstretched NHS. Families and friends can also do their bit by eating healthier together and providing a support group. Maybe join a slimming club if you can't find willing family and friends?


Portion control, the right healthier choices and not buying items which play to your weaknesses is a start.

Action not words! 

2015 saw friends losing 2/3/4 stones in weight - they feel better, some of their weight induced ailments have gone away and they look younger and have a new lease of life!!

With many of us living longer we all would like to feel we also have vitality and health to go along with our longevity! So what are you waiting for? :)

In no particular order........

Got out of the swing of posting so busy with election...it seems to dominate everything.  So here are a few random items to start me going again......

I bought this Poinsettia beginning of December and here we are 5th April!!  Seems happy - long may it last!

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So much talk about cost of living and price of food - even more so with election coming up!  I know i have posted on this before but it is possible to eat well and cheaply!  Here is an example ...our visit to the market last week....

9 long red peppers

2 lbs sprouts

2.5 lbs carrots

2 large cucumbers

3 bunches spring onions

1.5 lbs tomatoes

2 x 2.5lb cauliflowers

All for £8.50

Could have bought large bag of onions for £1 and also large bag of potatoes for a £1.

Lidl and Aldi also stock modestly priced fruit and veg....so why do people still talk as if these items are still out of reach?  If you cook and spend wisely you can live well.

I am tired of hearing about people who seemingly have no option but to live on takeaways - surely it is more expensive to live like this than to prepare food for yourself?  Is it that some can't cook or won't cook, or lazy? 

We have an obesity crisis which the NHS is finding very difficult to manage.  I read this article the other day and realised how hopeless it can be. 

http://www.dailymail.co.uk/news/article-3022157/Takeaway-boom-fuelling-obesity-Number-45-places-poorest-areas-eateries-20-years-ago.html

Conclusion ..... people need to eat properly and take care of themselves but take personal responsibility.  We can't force alternative way of living but we do need to educate and provide basic nutritional advice at school and teach how to cook the basics.

Last night I watched a programme on Channel 4 called Embarrassing Fat Bodies where a team of doctors helped the seriously obese tackle their problems.  It was quite enlightening.  The 3 individuals featured had similar feelings ...mainly "being out of control". It was very sad to watch and questions kept being raised as to why do people do this to themselves.  The advice given was excellent and you would hope that these three would now be on a path to a better quality of life but it won't be easy.  This is a mega mega problem and no easy answers.

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We are now delivering loads and loads of leaflets for the Conservative Party.  I have been out this morning for a couple of hours and apart from being genuinely interesting in promoting the Party have also been able to put in my daily exercise.  You do get into a rhythm and because you have a sense of purpose.....completing task and getting home for lunch makes for a brisk walk!!

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Sad day today 4 years ago my mother passed away having endured motor neurone disease. It amazing how the years fly by doesn't seem like 4 years but she is not forgotten.  I am sure you like me have experienced loss but somehow they feel they are still with you and are often mentioned.

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                    Enjoy your chocolate!!  Happy Easter to my readers!!!

Coffee to go!!

well the car latest....I was sent a £50 cheque from Quindells which is supposed to be compensation for the car saga......I have returned it together with an appropriate note!!
Just had a phone call to say that the car will probably be ready on Wednesday.  As you can imagine I am taking this with a pinch of salt!

Hate cars!! Trouble is we need them.  Certainly when I drive over to my daughter in Chiswick I don't have an alternative. It is only 22 miles but I nearly always have a tortuous journey.  Last week I left even earlier than usual to make sure I arrived in time to walk with the grandchildren to school....I set off at 6.30am and arrived at 8.45am!! My daughter had to leave without me and I ran the whole way to the school (thank god for the gym) and made it in time for the school bell and did see them before they went to classes.

During this long period of travel time I listened to LBC and there was a talk on obesity and the obsession youngsters have with energy drinks. They were recommending not to let children under 16 take take them as a can could contain up to 20 teaspoons of sugar!! They mentioned how powerful this description is rather than just talking in grams which doesn't have the same impact.  Don't you think the requirement to have a drink in your hand at all times is getting out of hand?

Bottles of water have become accessories. At the gyms people who have been on the treadmill for as little as 5 mins and not exerting themselves feel the need to take a swig.  Woman at the checkout till at our supermarket this week  took several sips from her bottle after each customer.

As I was driving along I saw many carrying the obligatory "coffee to go".  Do they really need it?  Or is it just a kind of fashion statement? A habit?

I can remember in the early 90s I had to go to the US on a regular basis.  On one visit I had breakfast in the hotel with my colleagues  which was substantial with copious amounts of tea and coffee.On leaving the restaurant we were asked if we would like a "coffee to go". We were a little bemused by this when we received the explanation.  My first thought was why would we possibly need any more liquid when we had plenty.  A few of my colleagues took up the offer and struggling with coats, papers, folders and the carton of coffee they made their way to the taxi. I thought to myself maybe it is a long way to the site.....the journey took 10 minutes. On entering the site - the coffees remained untouched and I am sure they appreciated the ride!

This ritual was adopted by the UK as the American influence made its mark. So people are consuming extra calories for no good reason.

A few weeks ago James Corden the actor/comedian talked about this weight loss. He commented that no-one told him it wasn't ok to keep eating/snacking all day long.  It had become a habit.

Maybe we should all wise up ...is it a need or a habit.........we need to consider all those extra calories and.....the cost!!

Help the NHS by helping ourselves!!

Last week we had lunch with friends.  One of the couples - I'll call Janet and John to save blushes - they were noticeably different as they entered the dining room.  Each has lost lost 2 stones in the last 4 months.  They actually brought this up as a topic of discussion ....and it transpired that  they had been on the 5:2 diet most commonly known as the feast : famine diet.  This is misleading as the "5 feast days" are still supposed to be sensible. Balanced food and reasonable portions. The famine days tend to be 5-600 calories.  I am not advocating any diet in particular it depends on what works for you and you may want to look at this website from NHS which summarises the various diets which are popular.

http://www.nhs.uk/Livewell/loseweight/Pages/top-10-most-popular-diets-review.aspx#5:2

The fascinating thing about observing people who have lost weight is to register and understand the changes.  Janet who has always been v attractive is even more so now.  Her eyes have become more dominant and focus of attention.  She has accentuated her figure and appears more vital.  John was more streamlined and fit looking - more in keeping with his martial arts interests.  However the most significant thing for him was that he no longer needed statins!  If anything isn't this a fantastic recommendation for losing weight?!

For both they seemed to have had a "light bulb " moment.  They expanded on the facts to say that they realised that things had to change and that the change in food and portions must become a new way of life. Janet also said that when they calculated the alcohol units they consumed in a week they were horrified.  She went on to outline the familiar path many of us take ...a hard day .....end of...have a glass of wine...then another.....and then you become removed from reality about the number of units you have ingested.  So they have cut out booze during the week and have a glass or two at weekends.

They have decided to lose another stone and then work at maintaing this new level.

What is clear is that in this obesity crisis the NHS is facing we need to find the "light bulb" moment -for these 2- they seemed to come to the same conclusion and then supported each other.

We need to desperately tap into what ever will spark this realisation ....another friend we say about 3 months ago had lost 3 stones in weight - we were amazed and when we enquired as to why ...he said he had had his routine medical and what he heard has disturbed him enough to do something.

I really feel that gastric bands are not the answer to obesity to sustain quality life and a meaningful change in habits.  I have mentioned here 2 different examples and there are so many more reasons as to way other alternatives are preferable.

The NHS can't cope.

We need to be responsible!!  We all need to help each other and to be honest about our excesses. It can't always be everyone else's problem but recognise it is yours!

Autumn Comfort Food....

While we were way last week we had to eat out........it was enjoyable but we reflected on the fact that we really didn't eat much veg. We felt quite uncomfortable and we realised that our normal eating pattern had been compromised.  Sometimes though you need to be less good than usual and let your hair down but my husband and I felt we couldn't do this long term.

When I was working and travelling a great deal it was a work of art trying to find things on the menu which would be healthy, satisfy my hunger and not have too many calories.

With my last blog I talked about obesity and I have had mails saying that people can't afford to eat healthily.  I really challenge this.  The couple in the hotel I mentioned must have had some funds to stay in the hotel.  There were healthier options and not unattractive options but the woman I mentioned chose  not to opt for them.

If we are talking about day to day meals again it is a nonsense you can eat healthy and it is probably cheaper than buying prepared meals.

Take today I prepared a large pan pan carrot and coriander soup....onion, carrots, stock, coriander (fresh or dried) salt + pepper  on hob for 20 mins liquidise serves at least 8 people, very filling and nutritional ....cost £1.50  calories v low

I also cooked batch of fish pies ....contained salmon, cod, smoked haddock home made white sauce fish stock cube, mashed potatoes salt + pepper  cost under £6 for 5 pies

All ingredients from Lidl!!

Next bleat is I don't have the time....before I retired and when the children were young I spent a couple of hours at the weekend making meals to freeze for the week - I was always determined that the children would not lose out because I had to go to work - meals were great, provided wholesome cost effective ingredients and I knew what had gone into them and that they were not eating rubbish. It really was not a big deal!  People watch cookery programmes showing how to do the everyday simple cheap meals and regard it as entertainment rather than a way of life to follow.

People look for excuses it is a matter of knowing the cooking basics which I learned at my mothers knee and applying yourself.  If you don't know how to book basics theres lots of help out there. If you think it is a big problem it probably will be........

Back to Good Habits!!

I hate to say it but these past few days I have missed my daily gym routine! Inevtiably Conference means you have to sit for hours on end and your joints start to complain.  Certainly mine felt decidedly uncomfortable.  Yes I know I probably could have fitted in some exercise but it wouldn't have been easy.

I must confess today is my first day back in the gym and I have started to change my routine.  Before we went away I had an assessment on "Body Composition".  This has been made available at our gym with the first session free so I thought I might as well. Below is the blurb on this which explains what it provides much better than I can.   you just need to stand on the base and hold the hand grips for a couple of minutes and the machine then comes up with a variety of calculations which is produced like a supermarket till receipt.

I was quite sceptical about this at first but the results were impressive - the trainer takes you through your weight, muscle etc.  just as it says below.  I was amazed how I was carrying a little more fat in one leg than the other, arms were about the same....anyway the upshot was that I needed to work on my upper half more ....the core and so more weights!!  I also have to vary the routine in the gym - I do tend to concentrate on the cross trainer but now will alternate with other pieces and combine with weights.

Whats for sure is that there is no room for complacency.

I will have a further assessment in 3 months time and see if I have made progress with the various measures.

I returned home today feeling much better, energised and very warm and my knees felt much more flexible.......I know I will ache tomorrow but it will be worth it.

http://www.tanita.com

The addition of hand grips to Tanita's standard platform-based electrode system allows the BC-418 body composition analyzer to calculate regional body composition, empowering healthcare professionals to better determine health risks associated with abdominal fat.

Tanita is proud to introduce a significant improvement to the calculation of Basal Metabolic Rate. Instead of simply relying on weight, age, and gender, Tanita's proprietary formula takes into account Fat Free Mass, providing a higher level of accuracy compared to current BMR. Through the use of 8 polar electrodes, the Tanita BC-418 Segmental Body Composition Analyzer can show separate body mass readings for the right arm, left arm, trunk, right leg and left leg. It also prints out a complete body composition profile in seconds: including Weight, Body Fat Percentage, Body Fat Mass, Body Mass Index (BMI), Fat Free Mass, Estimated Muscle Mass, Total Body Water and Basal Metabolic Rate. The all-in-one compact column mount design, with integrated printer, makes the BC-418 perfect for use in small, dedicated spaces.

Tanita's professional Body Composition Analyzers provide weight and a complete body composition analysis in less than 30 seconds. All professional models use a single-point load cell weighing system in the scale platform to guarantee absolute precision and unbelievable longevity (up to 300, 000 uses before calibration.)

All political parties have been discussing the NHS  and the pressures it is facing.  Of course prevention is better than cure.  Most people will do what they can but others don't seem to feel that they need to........the obesity crisis which is a major concern was touched upon in a Q&A sessions. Many have opinions on the use of gastric bands and what can be done as alternatives.

Education is seen as one solution or part of the solution.  Personally I think we are all exposed to so much information on eating healthily and  about the need to combine with exercise but people choose to ignore the advice on offer and nothing you say or do will change their ways.

At our hotel this week, a couple appeared at the buffet breakfast and sat at the next table to us.  The man was slim and the woman was quite overweight. They were probably in their early 40s. Both went to collect their cooked breakfast.  The man returned with a modest plateful of food.  The woman had a considerable amount on her plate...sausages, bacon eggs, hash browns, baked beans......  She ate all of this and then followed with toast and fruit salad.  After a few minutes we heard her say she was still a bit peckish and she returned with another cooked breakfast......

I found this quite depressing - I don't have the answers. I do feel however the person needs to change themselves and to find what will it take for them to stop bad habits. Sadly for some it is when a significant medical issue arises........

Healthy Weight....

Getting older means increased maintenance....tedious but necessary!  If we have looked after our bodies along the way then we hope we have gained some credits! I don't know about you but certainly my conversations with my 60 ish friends and relatives often revolve around ailments and operations and we compare notes.

We look for advice from people we regard as the experts and in my book we look to them as role models.  I have mentioned this before when I had a routine medical overseen by an obese nurse. The consultation had an almost facial quality about it as she provided information on weight, blood pressure and the dangers of a poor diet..........  all good stuff but seemed to have been wasted on her.

This week there was an article in the Mail on this very subject - some medics had decided to take their own advice and lose considerable amounts of weight whilst the last one featured decided not to heed the dangers and his image to patients.

Have a read on the link below and see what you think!

 One fact really disturbed me in this article ...that a recent study revealed that 700,000 people that is half of all NHS staff are overweight or obese!!

http://www.dailymail.co.uk/health/article-2748371/Diet-It-s-job-warn-perils-obese-So-happened-health-experts-realised-fat.html

Dressing to Suit!!

If you are an apple or one of the other shapes where you do not feel you have a defined waist then you create the illusion of one.  In the last 2/3 years there have been many versions of a panel  dress which seeks to provide a curvier shape.  Kate Winslet I think wore the first one and then there have been many others since who have followed.

Here is one of the more recent ones I have found which is a little more complicated but nevertheless follows these principles.

This is by Antonio Beradi,  reduced to £484 from £1210
on outnet.com

This is expensive but there many cheaper items on other sites and your local department stores.












If you are larger on the hips than the top then the rule is to wear dark colours at the bottom and light at the top. you may want the lighter top part more detailed to draw attention to this area and away from the bottom.  Maybe lace, a pattern and could even be horizontal stripes to attract attention at the top


Example to be found on outlet.com

This dress is £85 reduced from £170

W118 by Walter Baker

If you are big at the top and small on the hips like an inverted triangle then this one might work for you
- dark at the top with a little interest and……. light at the bottom with a peplum, which you can make the most of with your shape

Jason Wu was £3130 down to £939 at Outnet.

Bit steep for my budget but it does give the general idea!

A real no no for a larger bust you wish to disguise - horizontal stripes - more about these later.








More in next post including "height matters", stripes and dress and skirt lengths …but before I go…...

You may have seen the medical reports in the press which talked about obesity and how best to assess if you need to lose weight. We have relied on BMI and other measures which tend to be complicated and difficult to understand and calculate.  This week an alternative was  outlined -a very simple way of deciding if you need to do something…… just using the tape measure!!

"Men with waists of more than 40 inches and women with waist measurements of more than 35 inches are at an incredibly high risk of Type 2 diabetes and heart disease.

Read more: http://www.dailymail.co.uk/health/article-321572/Tape-measures-better-weighing-obesity-risk.html#ixzz2x4yLyeAf

Post Holiday!

Well just about done the washing and sort of getting back to a stable state! Amazing how you tend to see your house with fresh eyes when you return from holiday.  It has also made us see how shabby the paint work looks which has prompted a decorating plan!

Takes a holiday to make you appreciate home….no matter how enjoyable a holiday may be.

So whats next……….

We are still reflecting on our observations of the holiday which involved the hot topic of conversation on board………. food!  Discussions were dominated by exchanging anecdotes on the excesses of individuals and the bizarre combination of foods which may be assembled on one plate.

This is mildly amusing but on a more serious note  - the behaviour of some people is very worrying -  I would say that about 2/3 of passengers fell into the category of  being overweight, grossly overweight or obese.

Many reflected on the government trying to reduce the levels of obesity by taxing fizzy drinks and fast foods.  This would not make any difference to the people we have seen.

For the next few posts I would like to reflect on what we all know to be the case….that keeping fit, healthy and maintaining a healthy weight will pay dividends later. There were many cases on board, who by their own admissions, revealed that their health problems and immobility were down to their lifestyles.  My view is it is never too late!

I am sure you have your own opinions on the weighty issue so please feel free to comment and share your experiences and your solutions and actions.  Please pass on details of blog to friends and relatives who have an interest in diets and lifestyle and who would like to make a contribution.

Next post will be on preparation - just like our decorating…you have to thin k things through and prepare the ground…...

Weighty Issues!

I mentioned yesterday the extremes of eating and the medical conditions some had developed.  There were many others who seemed to realise that they needed to take some radical action.  This may have been as a result of seeing some of the even bigger people on board or listening to the lectures on healthy living provided by the Spa staff who were emphasising the importance of diet and exercise.

The gym was very well attended and also the "boot camp", pilates and yoga classes.  Others did the "mile a day"walk on the promenade deck - again organised by the trainers to encourage people to do this in a group to support and motivate each other.

One of my hobbies is sketching and enjoy drawing people. Here are 3 people with different responses to the obesity problem.


                           Here is a lady who did a daily promenade walk!










.........and here is a chap who sadly couldn't resist a pint or two regardless of the hour!

....and here is a lady who did very little most of the time!

We are stacking up problems for ourselves in older age.  It is never too late to do something about unhealthy behaviour.  Intellectually we know this however, for some, emotionally,  seem to find it very hard to grasp the mettle. I am sure none of us want to give up the active lives we lead and want to continue as long as possible being mobile and healthy...........................surround yourselves with people who will encourage you without providing too much pressure and draw up a plan!!  This is where mutual support groups like Weightwatchers and Slimming World excel.  So to the action plan .............. 

Holiday Hits and Misses- Growing passengers (3)

As we get older we are supposed to benefit from all our knowledge and experience and hence become so much wiser.

This assumption was really tested on holiday.

With so much information about obesity and sun protection you would have thought that the people on board would be mindful of this.  However a significant number of passengers had thrown caution to the wind.  Approximately 50% were significantly overweight and about 20% seriously obese.

I know many of us struggle to maintain a healthy weight and it is even harder when on holiday. However what I am referring to here is a whole different ball game.

When you go on a cruise, there is so much food available all the time.  You can choose to eat formally and informally.  We tended to go for the buffet meals for breakfast and lunch and formal for dinner.  It is in the buffet that the real excess takes place and you can't help but observe the greed and gluttony.
Some seemed to have no control at all.  Instead of getting a normal portion and then returning for more some decide to heap their plates to avoid having to make a possible return trip.

One person at breakfast had a pile of eggs, bacon, sausage, baked beans, mushrooms and hash browns and then noticed that the speciality that day was gammon and so this unfortunate piece of meat was selected and balanced on the top of the mountain of food.  This was accompanied with toast, bread buns and a couple of muffins.

This was not an unusual occurrence. Others over indulgenced with cereals - 3 packets poured into a bowl with a second to house the overspill.  On top of this loads of fruit and berries and then finally 3 pots of yoghurt. A cooked breakfast would follow this.

These same people complained about their ailments which included shortness of breath, lack of mobility, aching joints, indigestion, swollen ankles, diabetes, hip and joint replacements. Many opted for buggies even if they could walk.  Exercise didn't feature in their daily plan. When one person found that there was a buggy free she was over the moon - it saved walking!

The topics of conversation over dinner would often include observations of excess that day. A bone of contention often mentioned was the priority given to large people when everyone else had to take their turn.  Delays were caused on coaches going on excursions as people struggled to squeeze into seats. There was a humorous moment which many of us had witnessed when an obese woman in a buggy spied a free table in the bar. What followed could only be described as a "Little Britain"moment.  She leapt out of the buggy to claim her prize. We had all assumed she was disabled and couldn't walk.

There must be many reasons why intelligent people are eating themselves to death however one thing is clear the NHS hasn't got a prayer! How can it cope with all the problems associated with over eating to this extent?  How can it cope providing all the mobility apparatus?

This morning on the TV paper review an article was mentioned outlining the problem we have with obese children.  With parents and grandparents setting such a poor example there doesn't seem much point in the proposed banning of fizzy drinks. Its like putting a sticking plaster over an open wound

I don't have the solution to this but it is clear that the problem is growing and something has to be done. Maybe not going on a holiday where the temptations are so great would be a start.

More in next Post on the sun worshippers!

Kyoto

Nagasaki Peace Garden - American Monument

Nagasaki - Ground Zero

Great Wall of China

Papua New Guinea - active volcano!