How to Fix Crepey Skin | Q+A

How to Fix Crepey Skin | Q+A

Question:

I work out 3 times a week and have crepey skin on my arms and legs. Increasing weights is not helping. Could I need more protein or just more weight? HELP. I’m 63 but skin is wrinkled like I’m 83.

– Jo C.

Answer:

Sagging and reduced skin firmness may be in part* the result of poor nutrition, but can’t easily be mended once the damage is done.  See our articles New Year – New Skin! How to Eat to Get a Stunning Complexion – Part 1 and Part 2 for tips on prevention.  Be sure you are getting sufficient fluid (1 ounce per 2 pounds body weight) and consuming healthy fats such as oils, salmon, tuna, avocado and nuts for healthy skin tone.

* sun damage, extreme weight shifts, genetics, smoking, aging and environmental toxins can also play a significant role in skin condition

– Debbie J., MS, RD

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This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.

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Let’s Talk: Coconut Oil | Q+A

Let’s Talk: Coconut Oil | Q+A

Question:

I love coconut oil for all my beauty needs & I eat it too! What do you think of all the hype?

– Liberty J.

Answer:

To answer your question directly: I don’t pay attention to hype, except to follow what consumer trends are so we can respond to them accordingly. Happy Reading 🙂

My professional observation is that “they” in the media provide sensational news even if it contradicts their own previous reporting. But that may just be reflecting the flow of nutritional research. For example, fat was bad in the 1980’s and the Pritikin diet plan was popular. Then we found that only saturated and trans fats are bad. Now we know there are benefits to certain types of fats, like omega-3 fats. Enter the 2015 Dietary Guidelines: “A healthy eating pattern includes… oils.” You’ve got to look at the overall trend in research, not just single studies or news headlines.

Coconut oil as a consumable product is very high in saturated fats. The names of these fatty acids are known as lauric, myristic, palmitic, caprylic, capric, and stearic acid. Of these, the greatest present is lauric acid, a type of medium-chain fatty acid. Research in the last 10 years indicates supplemental coconut oil raises total cholesterol, LDL and HDL cholesterol levels. This may not lead to adverse cardiovascular outcomes, but why not do better? Replacing animal fats with omega-3 rich fats or unsaturated plant fats (they don’t raise LDL) shows cardio-protective benefits.

Coconut water and the meat of the fruit are nutritionally fine. It takes a whole cup of coconut meat to reach the fat content in just 2 Tbsp. of coconut oil, and you also get a decent amount of fiber with it. Coconut water is full of electrolytes and has negligible fat. Coconut milk, on the other hand has varying levels of fat depending on its dilution and preparation (canned for cooking vs. beverage style).

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.

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Proper Carb Sources to Fuel Workouts | Q+A

Proper Carb Sources to Fuel Workouts | Q+A

Question:

Thank you for providing this resource for questions. To gain lean mass, I am trying to eat 1 gram of protein for each 1lb of body weight. That is 190 grams protein for me, which is a heck of a lot of chicken or beef! What do you think about reducing meat and protein shakes and substituting some moderate protein complex carbs for all the white rice, noodles and white potatoes I see in typical body builder diets?

For example, reading labels I note that edamame spaghetti has 25 grams protein per serving. Black lentils and quinoa can be cooked together (lentils=13 grams; quinoa 6 grams protein per serving). Edamame/roasted soy snack nuts have 13 grams protein and very little fat.

Also, for complex carbs can I mix just a little grain with black beans or does it have to be exactly equal portions to get a complete amino acid protein profile? Are there any energy level disadvantages to resistance training with these carb sources fueling my workouts? Thank you for answering my questions.

– Eric M.

Answer:

Thank you for sharing your grain-based Nutrition Facts panel observations!

1) I agree with substituting some moderate protein complex carbs. The volume of animal tissue to supply 190 grams protein means more saturated fat and cholesterol, and is unnecessary! Don’t forget about vegetables, which offer as much protein per calorie as do traditional starches. 

2) Yes, you can mix carbohydrate sources to get a complete amino acid profile for the day. They don’t have to be equivalent portions at one sitting. The key for vegetarians is variety of grains. You still eat meat (and I’ll assume fish, eggs, and milk products), so you’re getting plenty of amino acids otherwise.

3) The only disadvantage I see from carbohydrate sources fueling your resistance training is that without other protein sources, the quantity of carbohydrates will have to be high to reach your personal 190 gm protein target, and that may mean poor insulin sensitivity in the long run.

– Debbie J., MS, RD

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This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.

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Prostate Cancer & You | Q+A

Prostate Cancer & You | Q+A

Question:

I am a 57-year-old male who was a professional football player and athlete all my life. I happened to get Prostate cancer, which is being controlled by Elligard, which is hormonal therapy. Look it up to view the side effects. It reduces my testosterone down to nothing, to not feed the cancer cells.  I do one hour of cardio every night {Low intensity and hi intensity mixed} I also due upper body workouts twice a week with four different exercises per body part and two sets of twenty per. I end up with 160 reps per body part for entire upper body all within an hour. Same with legs. I lost 25% of muscle mass because of medicine.

I am a certified NASM and AFAA personal trainer for years but suck at nutrition. 1/2 quart of egg whites and avocado for breakfast, tuna or chicken salad with horseradish sauce for lunch and lean turkey, fish or chicken for dinner. Usually not any carbs unless I have multi grain bread with tuna or chicken. Two scoops of protein a day with water. Need to find a way to maintain and increase a little muscle mass with nutrition. Hope you have ideas.

– Rocky C.

Answer:

Okay Rocky, I looked it up! The drug you refer to has base name leuprolide and I’ve noted its mechanism of action and side effects. Check. That doesn’t change the fact that testosterone is helpful, but not required for gaining lean mass. Women with only 1/10 the testosterone of men can get quite muscular!  Research supports the notion that with progressive resistance training, men with prostate cancer taking anti-androgens can still increase muscle mass and strength.

I hope you are open to changing up your diet (which currently reflects what someone might eat to slim down). To feed your muscles and prompt them to grow in response to your admirable workouts, you’ll need more calories, notably from fats and carbohydrates. As you know, carbohydrates help stimulate the release of insulin, which is a growth-triggering hormone. Insulin’s anabolic effects in the muscle are three-fold: it helps prevent the breakdown of protein, enhances glucose uptake into cells for energy and building, and promotes protein synthesis.

To make your body’s natural insulin work for you, proper nutrient timing and intensive weight training are critical. Priming your system before a workout (to increase circulating insulin in anticipation of a macronutrient load later) is key to taking advantage of insulin’s normal post-digestive metabolic process. To do so, you should eat 15-30 grams low-glycemic (complex) carbohydrate about a half-hour before the start of your lifting/resistance work, then have 30 grams of easily-digestible (simple) carbohydrate at the end of your workout or within 30 minutes while muscle is most receptive to nutrient storage. Each of these should be paired with an equivalent amount of protein. Low-glycemic carbs include sweet potato, oatmeal, quinoa and beans. Easily-digestible carbs include flake cereals, white crackers and pretzels, and pasta.

In addition, for overall calories and micronutrients, I’d suggest adding a variety of nuts and vegetables to your day. Good luck!

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.

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I Lowered My Fat Intake, But I’m Still Gaining Weight | Q+A

I Lowered My Fat Intake, But I’m Still Gaining Weight | Q+A

Question:

I am a male 6-foot tall and 180lbs. I upped my protein to 180 grams a day and lowered my fat intake to 35 grams a day but I am gaining more weight now than I was before dieting or eating clean with no change in diet. Any advice on eating habits I should have or why this is happening?

– Taylor F.

Answer:

Sorry, Taylor – My crystal ball is a little foggy since your full diet and exercise routine aren’t described. So many things could be coming into play… alcohol, low physical activity, less sleep, undereating, and/or poor meal timing and volume. Perhaps make a list of the changes you’ve made to identify what you might have been doing before that was helpful and prevented gain.

I suspect your intake of 35 grams of fat may be a bit low. Fat at meals slows digestion and increases satiety, helping to reduce appetite. For reference, with a 2000 calorie diet, 60 grams of fat provides 27% of your total energy, well within a desirable heart-healthy weight-maintenance diet.

Look at where your calories are distributed. Giving up snacks between meals might make sense to reduce calories, but not if eating larger meals from rebound hunger is the result. Breakfast should be a larger meal than dinner unless you work out at night or keep late hours. I’d also suggest you look at how you eat, not just the grams you eat. See our article on Think Your Way Thin.

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.

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