Don’t Use Sugar Substitutes for Weight Loss

People trying to lose weight should not use sugar substitutes known as non-sugar sweeteners, the World Health Organization said in a new report.

There is no evidence that sugar substitutes help people reduce body fat, and they may even help increase the risks of diabetes or cardiovascular problems, WHO experts said.

Non-sugar sweeteners are often added by manufacturers to beverages and packaged foods, and are also added to foods and beverages directly by consumers, such as adding a packet to a cup of tea or coffee. The sweeteners that the WHO now advises against using are “all synthetic and naturally occurring or modified non-nutritive sweeteners that are not classified as sugars,” the new guideline stated. They include the sweeteners acesulfame K, aspartame, advantame, cyclamates, neotame, saccharin, sucralose, stevia, and stevia derivatives.

“Replacing free sugars with [non-sugar sweeteners] does not help with weight control in the long term. People need to consider other ways to reduce free sugars intake, such as consuming food with naturally occurring sugars, like fruit, or unsweetened food and beverages,” Francesco Branca, MD, PhD, director of the Department of Nutrition and Food Safety at the World Health Organization, said in a statement. “[Non-sugar sweeteners] are not essential dietary factors and have no nutritional value. People should reduce the sweetness of the diet altogether, starting early in life, to improve their health.”

Four in 10 people in the world are overweight or obese, according to the WHO, which along with the U.S. Department of Agriculture recommends that people get less than 10% of their daily calories from sugar. The substitutes are used by many people as a way to sweeten their drinks and food while still meeting that recommendation for limited sugar intake.

The most recent U.S. dietary guidelines, published in 2020 by the Department of Agriculture, note that “replacing added sugars with low- and no-calorie sweeteners may reduce calorie intake in the short-term and aid in weight management, yet questions remain about their effectiveness as a long-term weight management strategy.”

The new WHO recommendation does not apply to people who already have diabetes and use non-sugar sweeteners to manage blood sugar levels. Advising people with diabetes on the use of sweeteners is “beyond the scope” of the new recommendation, the report authors wrote.

Whole-Foods, Plant-Based Diet: A Detailed Beginner’s Guide

Whole-foods, plant-based diets prioritize plant foods and minimize processed ingredients and animal products. This eating pattern is environmentally friendly and may be associated with several health benefits.

There are many arguments about which diet is best for you.

Nevertheless, health and wellness communities agree that diets emphasizing fresh, whole ingredients and minimizing processed foods are superior for overall wellness.

The whole-foods, plant-based diet does just that.

It focuses on minimally processed foods and prioritizes plants. Studies show that plant-based diets are effective at stimulating weight loss and improving health.

This article reviews everything you need to know about the whole-foods, plant-based diet, including its potential health benefits, foods to eat, and a sample meal plan.

healthy foods
What is a whole-foods, plant-based diet?

There is no clear definition of a what constitutes a whole-foods, plant-based diet (WFPB diet). The WFPB diet is not necessarily a set diet — it’s more of a lifestyle.

This is because plant-based diets can vary greatly depending on the extent to which a person includes animal products in their diet.

Nonetheless, the basic principles of a whole-foods, plant-based diet are as follows:

  • emphasizes whole, minimally processed foods
  • limits or avoids animal products
  • focuses on plants, including vegetables, fruits, whole grains, legumes, seeds, and nuts, which should make up the majority of what you eat
  • excludes refined foods, like added sugars, white flour, and processed oils
  • pays special attention to food quality, with many proponents of the WFPB diet promoting locally sourced, organic food whenever possible

For these reasons, this diet is often confused with vegan or vegetarian diets. Yet although similar in some ways, these diets are not the same.

People who follow vegan diets abstain from consuming any animal products, including dairy, meat, poultry, seafood, eggs, and honey. Vegetarians exclude all meat and poultry from their diets, but some vegetarians eat eggs, seafood, or dairy .

The WFPB diet, on the other hand, is more flexible. Followers eat mostly plants, but animal products aren’t off limits.

While one person following a WFPB diet may eat no animal products, another may eat small amounts of eggs, poultry, seafood, meat, or dairy.

It can help you lose weight and improve your health

Obesity is an issue of epidemic proportions. In fact, it’s estimated that nearly 31% of adults have overweight, while over 42% have obesity.

Fortunately, making dietary and lifestyle changes can facilitate weight loss and have a lasting impact on health.

Many studies have shown that plant-based diets are beneficial for weight loss.

The high fiber content of the WFPB diet, along with the exclusion of processed foods, is a winning combination for shedding excess pounds.

A review of 12 studies that included more than 1,100 people found that those assigned to plant-based diets lost significantly more weight — about 4.5 pounds (lbs), or 2 kilograms (kg), over an average of 18 weeks — than those assigned to non-vegetarian diets

Adopting a healthy plant-based eating pattern may also help keep weight off in the long run.

A study in 65 people with overweight or obesity found that those assigned to a WFPB diet lost significantly more weight than the control group and were able to sustain that weight loss of 25 lbs (11.5 kg) over a 1-year follow-up period .

However, it’s unclear whether the control group received nutrition advice or made any changes to their diet

Regardless, simply cutting out the processed foods that aren’t allowed on a WFPB diet like soda, candy, fast food, and refined grains is a powerful weight loss tool itself .

It benefits a number of health conditions

Adopting a whole-foods, plant-based diet not only benefits your waistline, but it can also lower your risk and reduce symptoms of certain chronic diseases.

Heart disease

Perhaps one of the most well-known benefits of WFPB diets is that they are heart-healthy.

However, the quality and types of foods included in the diet matter.

A large study in over 200,000 people found that those who followed a healthy plant-based diet rich in vegetables, fruits, whole grains, legumes, and nuts had a significantly lower risk of developing heart disease than those following non-plant-based diets

However, less nutritious plant-based diets that included sugary drinks, fruit juices, and refined grains were associated with a slightly increased risk of heart disease

Similarly, several other studies suggest that people following a healthy plant-based diet may have a lower risk of heart disease compared to meat eaters

Consuming the right kinds of food is critical for heart disease prevention when following a plant-based diet, which is why adhering to a WFPB diet is the best choice.

Cancer

Research suggests that following a plant-based diet may reduce your risk of certain types of cancer.

A study in over 76,000 people found that following a healthy plant-based diet could be associated with a lower risk of breast cancer Similarly, another recent study showed that greater consumption of nutritious plant-based foods was linked to a lower risk of aggressive forms of prostate cancer, especially in men under 65 years

Furthermore, a 2022 review concluded that plant-based diets could be tied to a lower risk of digestive system cancers, including pancreatic, colon, rectal, and colorectal cancers

Cognitive decline

Some studies suggest that diets rich in vegetables and fruits may help slow or prevent cognitive decline and Alzheimer’s disease in older adults.

Plant-based diets have a higher number of plant compounds and antioxidants, which may help slow the progression of Alzheimer’s disease and reverse cognitive deficits, according to some test-tube and animal studies

In many studies, higher intakes of fruits and vegetables have been strongly associated with a reduction in cognitive decline.

A review of nine studies including over 31,000 people found that eating more fruits and vegetables led to a 20% reduction in the risk of developing cognitive impairment or dementia

Other studies in older adults have found that plant-based eating patterns may be associated with a reduced risk of cognitive impairment, along with a slower decline in brain function

Diabetes

Adopting a WFPB diet may be an effective tool in managing and reducing your risk of developing diabetes.

A study in more than 200,000 people found that those who adhered to a healthy plant-based eating pattern had a 34% lower risk of developing diabetes than those who followed unhealthy, non-plant-based diets

Another study demonstrated that plant-based diets could be beneficial for the prevention of type 2 diabetes, especially when they included nutritious plant-based foods like fruits, vegetables, whole grains, nuts, and legumes .

Plus, plant-based diets have been shown to improve blood sugar control, body weight, and cholesterol levels in people with diabetes

Understanding Cognitive Decline: How Your Brain Changes as You Age

As you get older, you may experience a gradual loss of some thinking abilities. A significant changes may indicate another health condition.

Your mind is central to your identity. The sharpness of your thinking, your ability to communicate and connect with others, and the rich trove of memories you’ve collected over a lifetime all have enormous value.

As you get older, you may notice changes in some of your thinking skills, including cognitive decline. Cognitive decline is the gradual loss of thinking abilities such as:

  • learning
  • remembering
  • paying attention
  • reasoning

For some peopleTrusted Source, a small amount of cognitive decline occurs with age. But more significant changes can be a sign of a cognitive disorder. Injury, illness, and health habits can influence how much and how fast your cognitive abilities change over time.

This article explores how your cognitive abilities can change later in life. It also provides some practical guidance to help you keep your brain healthy as you age.

What are the signs of cognitive decline?

Cognitive decline looks different from person to person. That may be because people vary in their health profiles, life circumstances, and capabilities. Still, some patterns have emerged from the research.

People with mild cognitive decline might:

  • have trouble finding the right words to express themselves, especially when compared with others of the same age
  • lose or misplace things
  • forget appointments and scheduled events
  • become overwhelmed by complex tasks and projects

Keep in mind that typical forgetfulness is not the sameTrusted Source as cognitive decline. It’s not helpful to assume that regular forgetfulness is necessarily a sign of cognitive decline. Such worrying can affect your well-being.

How do doctors detect cognitive decline?

A doctor can help you determine whether you’re experiencing typical signs of aging or symptoms of cognitive decline. They may assign you a brief self-screening test to check for symptoms of cognitive decline.

Self-Administered Gerocognitive Examination (SAGE) and other screening tests

There are several screen tests that you can use to check for signs of cognitive decline. These tests usually take about 3 to 15 minutes. They include:

  • Self-Administered Gerocognitive Examination (SAGE)
  • AD8 Dementia Screening Interview
  • Quick Dementia Rating System (QDRS)
  • Mini-Cog

SAGE is one of the most common screening tests. You can download the test online and complete it at home. You can also take it to a doctor’s office to complete.

SAGE differs from the other tests in that it is slightly more complex. A 2022 studyTrusted Source found that SAGE detected cognitive decline in people with MCI 6 months sooner than MMSE, another common test. According to a 2021 reviewTrusted Source, SAGE produces a correct result 79% of the time.

Note that these quick tests are not enough to diagnose cognitive decline or dementia on their own. If your score shows some decline, it may be a sign for a doctor to do a more thorough evaluation.

Neuropsychological tests

In an evaluation, doctors often use neuropsychological tests to see whether your thinking and memory skills are changing. Some of the most common tests are:

  • Mini-Mental State Examination (MMSE)
  • Montreal Cognitive Assessment (MoCA)
  • Sahlgrenska Academy Self-Reposed Cognitive Impairment Questionnaire (SASCI-Q)
  • Subjective Cognitive Decline Questionnaire (SCD-Q)
  • Memory Complaint Questionnaire (MCQ)
  • Everyday Cognition (ECog)
  • Clinical Dementia Rating (CDR) Scale
  • 6-Item Cognitive Impairment Test (6-CIT)
  • Hong Kong Brief Cognitive Test (HKBC)

Some of these tests are relatively new. More research is needed to understand how well they predict or measure cognitive decline.

Other tests

A doctor might order a blood test to see if something else — like hypothyroidism or a B12 deficiency — may be causing a change in your thinking abilities.

Brain imaging, such as magnetic resonance imaging (MRI), may help a doctor determine whether something like a stroke or brain tumor is at the root of your symptoms.

Experimental tests

Researchers are also looking into blood or spinal fluid testsTrusted Source that look for proteins linked to Alzheimer’s disease. These proteins are called beta-amyloid and tau.

In studies, brain imagingTrusted Source like MRI and PET scans can show changes in some parts of the brain.

The above tests may be able to detect changes in your brain up to 20 yearsTrusted Source before symptoms appear. But they’re often too costly, invasive, or complex to use for screening purposes. There’s ongoing research into simpler and more cost-effective screening tests.

What causes cognitive decline?

There are many reasons you may experience age-related changes in thinking and memory. Sometimes, another health condition may be the cause. Examples include:

  • high blood pressure
  • vascular (blood vessel) disease
  • depression
  • sleep deprivation
  • diabetes

Sometimes, a neurological condition such as Alzheimer’s Disease or frontotemporal dementia is the underlying cause.

Your genes and family history also play a role in whether you will experience cognitive decline as you get older. Genes may be responsible for up to 60% to 70%Trusted Source of the various ways cognition declines due to aging.

At what age does cognitive decline usually start?

Each person is different. Your health behaviors have some influence on your brain function as you age.

A 2020 analysisTrusted Source of the Health and Retirement Study, which involved around 29,000 participants, found that women first experienced cognitive impairment around age 73. Those women who went on to develop dementia did so at about 83 years old. Men, the study found, experienced cognitive decline near age 70 and dementia at 79 years.

It’s important to know that not everyone with cognitive decline will later have dementia.

The study also found that race and education level affect the age of onset.

For many Black and Latinx people in the United States, cognitive decline may begin 3 to 6 yearsTrusted Source earlier than for white people. Researchers think this disparity could be related to differences in healthcare access and accumulated stress (“weathering”) over a lifetime.

People with higher education levels tend to experience cognitive decline at a later age. This may be because they stay active mentally and have more social connections later in life, researchers said. They may also have greater access to healthcare and earlier treatment of medical problems.

Are there risk factors linked to faster cognitive decline?

Genes and family history are major risk factors for cognitive decline. But other factors may also lead to faster or more noticeable decline. These include:

  • diabetes
  • high blood pressure
  • stroke
  • smoking
  • high cholesterol
  • hearing loss

Some of these factors you can control, and some you can’t. Try working with a healthcare team to create a plan to stay healthy — mentally and physically.

Smart Salem opens premium medical fitness testing centre at Dubai Knowledge Park

Smart Salem, a high-end medical fitness provider, opened its first-ever dedicated centre at Dubai Knowledge Park, a member of TECOM Group PJSC.

The facility will provide a suite of visa processing services to residents, which includes striving to deliver the fastest medical fitness results in Dubai.

The facility was inaugurated by Awadh Seghayer Al Ketbi, Director-General of the Dubai Health Authority (DHA), and Dr. Amer Ahmad Sharif, CEO of Dubai Academic Health Corporation and President of Mohammed Bin Rashid University of Medicine and Health Sciences, in the presence of Dr Marwan Al Mulla, CEO of Health Regulation at the DHA, Sanjay Verma, Chief Executive Officer of Smart Salem, and a number of officials.

Dr. Al Mulla said,

“Dubai’s Health Sector is thriving and we are keen to foster and promote health investments across key areas such as medical fitness. We are also keen on implementing the latest medical technologies to improve efficiencies, enhance convenience and provide the highest quality of specialised medical services.

“The expansion of Smart Salem centres across the geographical areas of Dubai, further enhances the provision of excellent, technology-driven, proactive and convenient services to ensure customer happiness.”

Using advanced technology to enhance efficiency and improve the customer’s journey, the latest Smart Salem Centre aims to deliver medical fitness results within 30 minutes.

The medical fitness and visa processing centre have five private blood collection rooms, two x-ray rooms, a state-of-art on-site laboratory, six smart check-in kiosks.

The 8,000 square foot facility has the capacity to service up to 500 customers each day. From ‘Salem’ the resident robot’s welcome to a digital kiosk to verify customer details, the journey is digitally enabled.

Customer Happiness Officers will escort customers throughout their visit along with a digital queuing system to ensure a hassle-free experience. Smart Salem is also integrated with the Dubai Government and Dubai Academic Health Corporation (DAHC) systems for an instant, paper-free exchange of health records and medical testing results.

MoHAP urges public to take necessary precautions due to the spread of Marburg virus

The Ministry of Health and Prevention (MoHAP) has urged the public to be aware of the virus causing Marburg hemorrhagic fever and to avoid travelling to Tanzania and Equatorial Guinea unless it’s necessary due to the recent spread of Marburg virus.

This comes after several Arab countries advised their citizens to postpone travelling to those two countries due to the same concern.

The Ministry has emphasised that all necessary precautions are being taken in accordance with international health standards to contain the virus in its current geographical scope. The situation in these countries is being closely monitored to determine the global severity of the disease, MoHAP said in a statement today.

The Ministry said that precautionary measures are being taken to ensure public safety and promote health awareness. It is recommended that individuals postpone their travel to countries where the Marburg virus is spreading, unless it is absolutely necessary. If travel is unavoidable, necessary precautions should be taken to avoid exposure to the disease, such as avoiding close contact with patients, touching contaminated surfaces, and refraining from visiting caves and mines.

Visiting health facilities

The Ministry also reaffirmed the importance of frequently washing hands with soap and water. If these are not readily available, people should use an alcohol-based hand sanitizer. Additionally, individuals should avoid touching their eyes, nose, and mouth with their hands and ensure proper hand hygiene before touching their face.

For those who have travelled from affected areas, the Ministry recommends isolating themselves from others and seeking medical attention at the nearest health facility or emergency department within hospitals.

Those who travelled to affected areas should inform medical staff that they have been to an area where Marburg virus disease is spreading or have been in contact with infected individuals, or exhibit symptoms for up to 21 days.

The Ministry called on the public to verify the accuracy of information and follow the preventive measures issued by the MoHAP and other health authorities in the country. It advised them not to circulate rumours or any information that has not been officially announced or issued by relevant authorities.

The Ministry stressed that the UAE’s epidemiological surveillance system is very effective and is in constant coordination with other health authorities.

Symptoms

Marburg virus disease is a severe and life-threatening hemorrhagic fever that is rare but highly dangerous to human health. The disease is caused by the Marburg virus, a zoonotic RNA virus that is transmitted from animals to humans in a closed environment, such as mines or caves inhabited by bats.

Symptoms of Marburg virus develop suddenly and include fever, chills, headache, myalgia, chest pain, and a sore throat. As the disease progresses, symptoms become increasingly severe and may include jaundice, severe weight loss, and other serious health complications.