Obesity And Bariatric Surgery

OBESITY

If you are overweight you’re probably tired of the constant struggle with food. If your child is overweight you are probably ambivalent about what food to serve, sweet? no sweet? Take heart. Expert help is available to get you past the obstacles to your good health. Grace Shih helps clients from childhood obesity to, teens and adulthood with creating a healthy life style and making sound food choices. Grace focuses on learning intuitive eating and promoting a positive self-image. She often takes away tension between parents and their children. She serves as a behaviorist, a nutritionist, a counselor and a teacher.

  • Tools and Tips for those Struggling with Obesity
  • Why Diets Fail
  • 5 Easy Steps for Making Changes Now
  • Shopping List for A Healthy Family
  • Quick and Healthy Dinner Ideas
  • Common Portions

BARIATRIC SURGERY

Ms. Grace Shih works with Bay Area renowned bariatric surgeons. She conducts pre-surgery nutritional evaluation; and helps clients with post-surgery nutritional care to prevent any nutrient deficiency due to limited intake or mal-absorption.

Why Do Diets Fail? (children and adults)

  • When starting a diet, many dieters set unreasonably high expectations
  • Diets focus on restricting certain types of foods and are often so low calorie that hunger is a major obstacle
  • Foods that are on the ‘bad’ or ‘forbidden’ lists become more desirable and difficult to avoid
  • Psycho-social and emotional issues that led to overeating in the first place are not resolved by dieting

With childhood obesity, the American Dietary Association has found evidence of the following contributors to obesity in children or teens

  • Skipping breakfast
  • Eating out often
  • Increased portion sizes in restaurants and food packaging
  • Parental restriction of highly palatable foods (e.g. candy, cookies)

Five Easy Steps for Making Changes Now

Work on lifestyle changes one step at a time…

Step 1
Identify the problem area and choose one habit to change

Keep healthy snacks in a back pack
Redefine meal times
Do your grocery shopping once a week

Step 2
Minimize restricted eating behavior
Have at least 1-2 food items for breakfast
Pack a food bag
Take few minutes to plan ahead before you sit down to eat

Step 3
Practice proper portion sizes – avoid ‘Portion Distortion’
Read nutrition labels
use appropriate cup and plate sizes for serving food
Work on preparing and serving a meal using correct portions, see what it looks like on the plate!

Step 4
Metabolic fitness – rev up your body’s engine!
Exercise for health for 30 to 60 minutes daily

Step 5
Listen to your body – read your body signals
Ask yourself, “Am I really hungry?”
Do I need to eat this, or can I substitute something healthier?
Is this a good portion size, or can I cut it back some?
Am I still hungry after eating?

Shopping list for a busy family

Unavailability of healthy foods in the house is one of the reasons contributing to over eating. The family eats out more; and individuals snack or graze on high calorie foods.  

Protein:

Meat patties
Frozen salmon
Frozen grilled cooked chicken
Tofu, veggi-burger patties (if vegetarians)
Eggs
Assorted canned beans
Non-fat refried beans
A jar of peanut butter
Nuts

Grains:

Assorted dry pasta, a jar of spaghetti sauce
A pkg of rice
A box of cereal
A container of oatmeal
Few rolls of ready to bake croissants
Frozen bread products
Instant potato, instant rice
Frozen cheese ravioli

Dairy:

Cheese sticks
Non fat assorted cheeses as desire
A container of parmesan cheese
A box of dry milk

Fruits:

Oranges
Whole melons
Frozen strawberries
Canned pineapple or fruit cocktail, non-syrup

Vegetables:

Frozen vegetables
Baby carrots
A bag of fresh cut broccoli (if available)
A bag of salad mix (if available)

Snacks:

Pkgs of non-sweetened jello
Molds to make popsicles
Wheat crackers
Pkgs of non-buttered popcorn
A jar of strawberries preserve
Mini-bagels
Assorted dry fruit

Weekly or quick stop shopping items:

Protein:

Lunch meat
Fresh seafood (such as cooked shrimp)
Fresh meats ( such as boneless & skinless chicken)

Grains:

A loaf of bread
Baquette
Tortillas

Dairy:

Milk
Yogurt
Cottage cheese

Fruits/Vegetables:

Fresh fruits
Fresh vegetables

Snacks:

Frozen yogurt
popcorn

Healthy and Quick dinner ideas:

Cook a pot of rice or pasta ahead of time (once a week, maybe on Sunday afternoons)

Defrost meats or salmon in the refrigerator the night before

Gather salad and/or put frozen vegetables in micro-wave at the dinner table

Have milk and drink ready

Grace’s 15 minute protein Entrée

1. Cook meat patties (or stir cooked shrimp) with spaghetti sauce together in a pan, may put chopped fresh tomato or/and chopped fresh mushroom if desire. When done, pull over pasta and top with parmesan cheese.

2. Sprinkle pepper and a little bit salt on both sides of salmon, pan fry 4 minutes on each side; serve with rice. 

3. Put cooked grilled chicken in a pot; add BBQ or teriyaki sauce (approximately ½-1 Tbsp/piece of chicken depending on your taste). Use a separate bowl:  ¼ -1/3 cup water with 1 Tbsp of cornstarch, mix it well; then pull into the pot. Put it on high heat for few minutes until the chicken is warm and the sauce is thickened; serve it with rice.

4. A lazy day: Cooked meat patties and serve with hamburger buns;

                         Or warm up grilled chicken and serve with bread.

5. A hot summer day: serve cold grilled chicken or cold cooked shrimp with salad.

Common Portions for Each Food Group

Dairy:  One Serving=

             8 oz milk,  6 oz yogurt,  4 oz Cottage Cheese  

Protein:  One Serving=

                Palm size of meats and hand size fish;  2 oz cheese;  one egg;
                ½ cup of lentils/beans + ½ cup rice; 2 Tbsp Peanut butter

Grains: One Serving=

               ½ cup cooked pasta or rice; 1 slice bread; one tortilla, 6 crackers; ½ cup cereals; ½ cup of
              mashed potato;   ½ baked potato,  ½ cup corn or peas;  one dinner roll

Fruits: One Serving=

              ½ cup juice;   ½ cup melons or berries;   one piece of any fruit,  except  ½ banana

Vegetables: One Serving=

             ½ cup cooked vegetables

Fats:  1 Tbsp butter or oil; a handful of nuts, 1 Tbsp Peanut butter;  1 Tbsp salad dressings,  1/8 avocado

Free Food or Sweets:  One Serving=

             ½ cup ice cream; 1 cookie; 1 small slice of cake or pie