
We are very pleased to announce that Mary Grace (Sucholet) Webb has joined our professional complement. Her offerings will appear periodically in the appropriate category over the signature 'MGW'
Mary Grace Webb, MA, RD, CDN
Clinical Nutrition Manager, New York Hospital Queens
Ms. Webb is a graduate of the University of Connecticut with a BS (Cum Laude) in Clinical Dietetics. She also holds a Masters Degree in Health Administration from Hofstra University.
As Clinical Nutrition Manager, Ms. Webb is responsible for the nutritional care of all in- and out-patients at a teaching hospital affiliated with the Weill Medical College of Cornell University. She has been actively involved in the development of a successful Gastric Bypass Surgery program, and is a popular community speaker on topics including obesity management, oncology, and geriatric nutrition.
Prior to joining the staff at New York Hospital Queens in 1999, Ms. Webb worked at Columbia Presbyterian Hospital in New York City as a Patient Services Manager. There she coordinated quality assurance programs for the Food and Nutrition Department and developed special meals and services for the Cardiac Transplant Unit. She also held positions as a Clinical Dietitian in various hospitals in Connecticut and California.
Aside from her experience in health care, Ms. Webb was also a Nutritionist and Service System Developer for Weight Watchers International (at the time a division of the HJ Heinz Company). For eleven years she helped create the Weight Watchers Program used throughout North America. Ms. Webb is one of the developers of the popular Weight Watchers "Point System."
With the participation of registered nutritionists and dietitians, we offer here more detailed information and reasons for choosing foods that satisfy, please and work to maintain a healthy weight. With such foods, with the Rule of Half...portions one/half the size that you have been used to, and eating whenever you are hungry (rather than once or twice per day), calorie counting becomes much less important. What becomes vital, and an integral part of the Mediterranean Diet, is regular daily exercise. Nothing fancy is necessary, unless you enjoy it: brisk walking (3 or 4 miles per hour for 30-45 minutes), stair climbing (2 to 3 flights per minute for five to ten minutes, etc. Of course, check with your physician before beginning a significant change in your exercise life-style.
GS
Since 2002, obesity rates have climbed in 31 states, while rates in the remaining states have held fast, said Jeffrey Levi, Ph.D., executive director of the research and policy group Trust for America's Health, in a report titled F as in Fat: 2006.
Mississippi ranked as the fattest state with an obesity rate of 29.5%. Obesity was defined as a body mass index (kg/m2) above 30. In fact, Southern states were the "biggest belts" overall, the report said, with nine of 10 states with obesity rates greater than 25% located in the south:
The slimmest state was Colorado, with an obesity rate of 16.9%. The 10 states with the lowest obesity rates tended to cluster in the northeast and west, according to the report:
The report authors analyzed data from two national information surveys conducted by the CDC, the National Health and Nutrition Examination Survey (NHANES), and the Behavioral Risk Factor Surveillance System (BRFSS).
Nearly two-thirds of Americans are either overweight or obese, the report said. From 1980 to 2004, U.S. adult obesity rates have grown from 15% to 32%. At the same time, childhood obesity rates have more than tripled, from 5% to 17%, according to the report.
One factor fueling the obesity epidemic is "portion distortion," or the ever-increasing portion sizes offered by restaurants and grocery store food products, which lead to a higher intake of calories, the report said.
For example, the typical 8-ounce coffee with whole milk and sugar served 20 years ago (45 calories) has been replaced by a 16-ounce mocha with steamed milk and syrup (350 calories), the report said.
Twenty years ago, typical serving of popcorn at a movie theater was five cups (270 calories), but that has increased to an 11-cup serving size today (630 calories). A typical chicken Caesar salad 20 years ago was 1.5 cups, with 390 calories, while the same salad today is likely to be 3.5 cups and rack up 790 calories, according to the report.
In addition, regular exercise is discouraged by communities designed to foster driving rather than walking, poor upkeep of sidewalks, and poor maintenance and security in local parks, the report said.
Adults are working longer hours and spending more time in the car commuting, while kids are spending more time in front of the TV or computer and playing video games, the report said. Both trends reduce the amount of time available for exercise.
At school, physical education requirements are not enforced and exercise programs are not funded. The nutritional value of school lunches is often substandard, and many schools allow an influx of soda and snack machines, the report said.
At work, the typical environment is not designed to foster movement, and there are few opportunities for exercise or recreation during the day but plenty of unhealthy options at the company cafeteria, the authors noted.
The report recommended actions that can be taken not only by state and federal governments but by families, communities, schools, employers, and the food industry to combat overweight and obesity. Key components of the report's action plan included:
The report was supported by a grant from the Robert Wood Johnson Foundation.