Work at home and on the job is less physically demanding today, and conscious choices must be made to walk and get other forms of exercise. Recent research shows that all physical activity counts, and its benefits are cumulative. As we make time for exercise in our own busy lives, we should regularly inquire about our patients' activity levels and instruct them about being active. The real problem today is that an excessive amount of food is readily available, even to low-income Americans. Eating out can rival the cost of eating at home and is often easier.
Unhealthy fat abounds in such foods as french fries, potato chips, and salad dressings.
Eating right means not consuming more energy than you burn and making wise choices. Effective nutritional interventions with patients must be sensitive to personal preferences, which may be culturally based. Start with the patient's own food diary and be flexible. Promote healthy eating. I am not suggesting a false sense of bliss, but having a positive outlook does have health benefits.