Connect with us

Fitness

What Do Weight-Loss Drugs Mean for Diet Industry Built on Eating Less and Exercise?

Published

on

What Do Weight-Loss Drugs Mean for Diet Industry Built on Eating Less and Exercise?

Ever since college, Brad Jobling struggled with his weight, fluctuating between a low of 155 pounds when he was in his 30s to as high as 220. He spent a decade tracking calories on WeightWatchers, but the pounds he dropped always crept back onto his 5-foot-5-inch frame.

A little over a year ago, the 58-year-old Manhattan resident went on a new weight-loss drug called semaglutide (Wegovy). He’s lost 30 pounds, and has started eating healthier food and exercising — the habits behind many commercial diet plans and decades of conventional wisdom on sustainable weight loss.

Yet Jobling’s experience also has altered his perspective on dieting. He now sees obesity as a disease that requires medical intervention, not just behavioral changes. In fact, he thinks he will need to stay on a drug like semaglutide for the rest of his life even though it has taken some of the joy out of eating.

“I don’t see how you can maintain (the weight) without medication,” Jobling said. “Obviously, it’s all about self-control. But I think it’s less of a struggle to really maintain healthy eating when you got that assistance.”

Like the lives of the people taking them, recent injected drugs like semaglutide, which was first approved for diabetes under the brand name Ozempic, are reshaping the U.S. health and fitness industries. They have proven successful in eliminating unwanted pounds more quickly and easily than consuming fewer and burning more calories alone. Such is their disruptive power that even established diet companies like WeightWatchers and brands like Lean Cuisine are getting makeovers.

Advertisement

Although celebrities like Oprah Winfrey have spoken publicly of the drugs as revolutionary, some health experts worry that businesses without any expertise will start dispensing the prescription medications along with bad advice and unproven therapies.

A Demand Too Big to Ignore

At least 3 million prescriptions for the class of medications known as glucagon-like peptide 1 (GLP-1) agonists were issued each month in the U.S. during the 12 months that ended in March, according to data from health technology company IQVIA. They include semaglutide and tirzepatide (Mounjaro, Zepbound). Morgan Stanley research analysts have estimated that 24 million people, or 7% of the U.S. population, will be using GLP-1 drugs by 2035.

The world’s leading diet programs have taken note of such statistics and incorporated the popular drugs into their existing subscription plans.

WeightWatchers, which was founded in 1963, last year acquired telehealth provider Sequence, enabling members to get prescriptions for weight-loss drugs. WeightWatchers is sticking with its focus on behavior change as the cornerstone of weight reduction but launched virtual clinics that provide customized exercise and nutrition plans, as well as prescription care, for individuals who want to lose 20% of their body weight on average.

Advertisement

“The weight loss space will be led by the acknowledgement that weight loss is a matter of healthcare,” WeightWatchers CEO Sima Sistani told analysts earlier this year. “This is a paradigm shift because weight loss has been and, unfortunately, often still is viewed as a vanity issue.”

The Mayo Clinic, which first offered a weight management plan in book form in 1949, has published an updated version of the longtime bestseller, titled “The Mayo Clinic Diet: Weight-Loss Medications Edition.”

The Mayo Clinic Diet program also has expanded to include access to weight-loss drugs and advice on managing any side effects, according to Digital Wellness CEO Scott Penn, whose company developed an online platform for the original program.

The new drugs have made being very overweight “feel more medical as a condition,” he said.

Gym and Diet Food Companies Look to Muscle In

Advertisement

Luxury athletic club operator Life Time launched a membership program last year that offers comprehensive medical testing, personalized training, and a host of alternative therapies like cryotherapy. Members of the Miora program also can get semaglutide and other weight-loss drugs through the medical staff of a clinic that opened in Minneapolis last year.

Jeff Zwiefel, executive director of Life Time Miora, called the new drugs a “game changer” for the fitness industry.

“We have an opportunity and an obligation and a responsibility to help people achieve results in conjunction with medical providers and make sure that that’s the way to go,” he said.

Fitness chains are banking on the idea people on the drugs will lose enough weight to overcome any self-consciousness or physical limits that kept them from exercising. The gym franchise Equinox started a new personal training program in January for prescription-holders who want to preserve or build muscle mass as they shed unwanted pounds.

The world of drug-assisted weight loss also is altering the ambitions of food companies. Sales of SlimFast, a line of meal replacement shakes and snacks sold at supermarkets, have dropped as people turn to weight-loss drugs and retailers cut shelf space for diet products, the brand’s parent company, Glanbia, told investors in February.

Advertisement

Since the drugs suppress the appetites of people taking them, Glanbia and other companies are marketing their products as a source of adequate nutrients for people taking GLP-1s. Swiss multinational Nestle SA thinks it can benefit from the drugs’ popularity and is expanding its Lean Cuisine frozen meals and OPTIFAST protein shakes.

“Diets are cool again,” Nestle SA CEO Ulf Mark Schneider told analysts in February. “It’s something that people used to do quietly on the side, uncertain about their outcomes.”

Promising Results and a Wealth of Unknowns

Research has shown that about a third of people lose 5% or more of their body weight with diet and exercise alone, according to Louis Aronne, MD, director of the Comprehensive Weight Control Center at Weill Cornell Medical school. In comparison, tirzepatide helped people with obesity or who are overweight lose at least a quarter of their weight when combined with restricted calories and exercise, a new study showed.

But some experts worry about businesses marketing the drugs or serving as fitness coaches for patients on the medications. Cian Wade, BMBCh, MPH, a healthcare consultant for the global strategy and management firm Kearney, said he’s concerned about a proliferation of clinics that don’t have as much experience with obesity and related health conditions.

Advertisement

“There’s a potential worry that for some patients, (the clinics) will not have the right expertise at hand to be able to appropriately manage the side effects, nutrition-related issues,” he said.

Since GLP-1 medications are so new, it’s unclear how many patients will stick with their drug regimens, which produce intolerable side effects for some people. Another reason patients may drop the drugs is cost. A month’s supply of the weight-loss formulation of semaglutide costs $1,300, and tirzepatide’s is priced at $1,000.

‘The New Version of Me’

Lisa Donahey, 54, an actress and singer who lives in Los Angeles, started tirzepatide under a doctor’s care a year ago to address her type 2 diabetes. At the time, Donahey, who is 5-foot-7-inches tall, weighed 260 pounds and was a veteran of diet plans like Jenny Craig, WeightWatchers, and Nutrisystem.

Her weight has since dropped to a little less than 190 pounds. She goes to a gym. After always being cast as a character actor, she’s looking for new roles. Having used the medication to give her “a kick-start,” Donahey said she plans to wean herself off tirzepatide once she loses another 40 pounds.

Advertisement

“I had a sense of hopelessness that I was destined to be this way and just could not do it by myself,” she said. “Now, with my weight being managed and the new version of ‘me’ is emerging, I just feel so empowered, excited, and hopeful.”

Fitness

Backward Walking Is the Best Workout You're Not Doing

Published

on

Backward Walking Is the Best Workout You're Not Doing

I’ve spent my whole life happily walking in one direction: forward. It was, I believed, the only way to go, so I dutifully logged dozens of miles a month looking like every other person out for a morning stroll.

No more. Thanks to TikTok, I discovered a new (to me, at least) spin on walking: backward walking, also known as “retro-walking.” Though it’s trending on social-media platforms right now, physical therapists and fitness trainers have been touting its benefits for years. It’s a low-impact way to burn calories, strengthen your legs, test your coordination, and even improve pain, experts say—all of which lured me onto my quiet, rural street one afternoon to give it a whirl.

After about 50 steps, I realized going in reverse was no walk in the park. It burned. I could feel the switch-up in my lower legs in a way I don’t with ordinary walking unless I’m powering up a hill. There was a mental challenge, too (beyond ignoring the strange looks from my neighbors). I had no idea what was behind me, so I had to engage all my senses to ensure I stayed upright and didn’t trip over any unexpected obstacles—including my walking partner, who was slightly faster and, therefore, a couple steps behind me.

When I told a handful of experts about my surprisingly fun retro-walking expedition, they agreed more people should make it part of their routine. Here’s a look at why.

It’s great for older people

Backward walking is an underrated way to engage your glutes, shins, and the muscles in your feet and ankles, says Joe Meier, a Minnesota-based personal trainer and author of Lift for Life. Plus, it mitigates the impact of each step, reducing the force exerted on the knees and lower back. Part of its appeal, he adds, is that it’s so accessible—and suitable for people of any age and fitness level.

Advertisement

Read More: Why Walking Isn’t Enough When It Comes to Exercise

Meier has noticed that older people, in particular, are drawn to backward walking as a no-frills way to spice up their fitness routine. “If you look around a gym that has tons of treadmills, you’ll see at least one or two people walking backward at any given time,” Meier says. “There are always older individuals walking backward on the ground, too, and you can tell someone has told them, ‘Hey, you should try doing this because it’s great for your balance and coordination—just don’t trip over anything.’” He points out that many pickleball players have adopted the practice: It can help strengthen their knees and ensure they don’t take a (metaphorical) step back on the courts.

You’ll engage different muscles

Walking backward requires you to stand up straighter than you do when walking forward, Meier says. By reversing your stride, you’ll create a new challenge for the muscles in the abdomen, lower limbs, and back. “You might notice your glute muscles—your big butt muscles—are doing more work,” Meier says. (Author’s note: You’ll definitely notice.) Meanwhile, your calf muscles will need to work opposite of how they usually do. When you walk forward, your calf contracts concentrically, which means the muscle gets shorter, he explains. When you’re going in reverse, your calf muscle contracts the opposite way and gets longer as it bears your body weight. That switch-up can be a valuable way to improve your fitness.

You’ll also be targeting the quad muscles on the front of your thighs. According to one study—yes, scientists have studied this—people who walked backward three times a week for six weeks ended up with improved quadriceps muscle strength, compared to those who walked forward for their exercise. The quads are responsible for knee extension and straightening your leg, Meier explains—so they, too, work differently when you’re walking backward. “That’s one of the reasons why people say it helps their knee pain improve,” he says. “You’re essentially strengthening your quads by doing this backward walking trick.”

It can be good for people with injuries

When New York City-based Peloton Tread instructor Marcel Dinkins had patella issues, she took up backward walking. She returned to it recently after tearing her ACL. “You get to push off,” she says, describing the motion required to launch into walking in reverse. “When you have running or knee issues, you usually have a little pain right underneath your patella. Running backward gives you some respite and relief.”’

Advertisement

Read More: Why Hiking Is the Perfect Mind-Body Workout

Retro-walking has a long history of being used in a clinical or rehabilitation sense, says Janet Dufek, a biomechanist and professor in the School of Integrated Health Sciences at the University of Nevada, Las Vegas, who has researched backward walking. One study, for example, found that after a six-week retro-walking program, participants with osteoarthritis in the knee experienced greater reduction in pain and functional disability compared to those who walked in the typical way. Another found that backward walking down a steep slope alleviated symptoms of plantar fasciitis. And in a study led by Dufek, walking backward reduced lower back pain and enhanced function among athletes. 

Retro-walking is also used in occupational therapy. Older people might practice walking up to a kitchen sink, for example, and then walking backward away from it. The ability to move in reverse can enhance “practical activities of daily living,” Dufek says.

It could make you more flexible

Many of us sit all day long—which leads to coiled-up, restricted muscles. “Our hip flexors, or the muscles at the front of the thigh and the front of the hip, get tighter,” says Kristyn Holc, a physical therapist with Atlantic Sports Health Physical Therapy in Morristown, N.J. When we walk backward, we’re stretching that tissue—leading to greater flexibility, which is linked to improved physical performance, increased muscle blood flow, and a reduced risk of injuries. “You’ll notice a lot of people, especially as they get older, hinge at the hips—they get a little bit of a bend there,” she says. “That’s because their hip flexors are tight. So if we can stretch those out, it helps us be able to get that upright posture.”

Your gait and balance might improve

Elizabeth Stroot, a physical therapist with Core Wellness & Physical Therapy in Alexandria, Va., uses retro-walking to help people normalize their gait pattern, or how they walk. “It’s a way to tap into our neuromuscular programming and get people to work through a little limp or a range-of-motion restriction,” she says. Walking backward for just 20 or 30 feet at a time is often enough to help some patients, she adds.

Advertisement

Read More: Your Brain Doesn’t Want You to Exercise

It can also improve balance control, especially among older adults, who are at a higher risk of falls. That’s because we maintain our balance through three big systems, Holc says: our eyes, our muscles and joints, and the vestibular system, or inner ear. When we walk backward, we can’t see what’s behind us, which means we have to rely on the other two systems instead, sharpening their ability to keep us upright. “You’re having to feel where you are in space, and that information is being sent to the brain,” she says.

But you need to do it safely

Many people experiment with retro-walking on their treadmill, which is free of hazards like rocks, uneven ground, and other people. You don’t even have to turn it on, Dinkins points out: Simply step onto the machine backward, grasp the handrails, and use your own power to move the belt. “If you’re pushing it, you’re going to get more of that resistance,” she says—leading to a better workout. If you do decide to turn on the treadmill, start at a low speed and keep the safety key clipped to you at all times, Dinkins advises.

No treadmill? No problem: Choose a safe spot indoors or outside, like a hallway, walking track, or empty field. Dufek encourages people to partner up: “Two people face each other and hold hands, and one of them walks backward while the other one’s walking forward,” she says. “That person can be the eyes for the other one, so it’s very safe, and then you just switch places.”

No matter where you start backward walking, keep in mind that you won’t go as fast backward as you do going forward. There’s a learning curve, Dufek stresses: “If you can walk 4 miles per hour forward, don’t expect to be able to walk that fast backward,” she says. “At least initially, if you can walk 1 mile per hour backward, you’re in a good place.” As with any new exercise, ease in gradually. You might walk backward for 5 or 10 minutes three times a week, and then after a few weeks, add 5 more minutes to each session, Dufek suggests. “As your body neurologically learns the movement pattern, you’ll be able to walk faster,” she says. “And of course, walking faster burns more calories, and then you can be out in public and get laughed out for even longer. It’s fun.” How’s that for forward progress?

Advertisement

Continue Reading

Fitness

Covid Vaccine: AstraZeneca withdraws COVID vaccine worldwide weeks after admitting rare side effects | – Times of India

Published

on

Covid Vaccine: AstraZeneca withdraws COVID vaccine worldwide weeks after admitting rare side effects | – Times of India
British pharmaceutical company AstraZeneca is currently withdrawing its COVID vaccine worldwide, months after it admitted for the first time in court documents that it can cause a rare and dangerous side effect, The Telegraph reported.
The application to withdraw the vaccine was made on March 5 and came into effect on Tuesday, the report added.
The vaccine, developed by AstraZeneca and Oxford University, was produced by the Serum Institute of India as Covishield.

What did the company say about withdrawal?

The vaccine maker has cited commercial reasons for the withdrawal. The company voluntarily withdrew its “marketing authorisation” in the European Union, adding that the vaccine was no longer being produced and could no longer be used. The withdrawal was initiated due to surplus of available updated vaccines.

What did AstraZeneca say in the court document?

AstraZeneca is facing a 100 million pound lawsuit in UK due to admission in court documents about a rare side effect caused by the vaccine. In one of the court documents in February, AstraZeneca has said that its vaccines can “in very rare cases, cause TTS or Thrombosis with Thrombocytopenia Syndrome“.

Advertisement

What is Thrombosis with Thrombocytopenia Syndrome?

Thrombosis with thrombocytopenia syndrome (TTS) is a rare but serious condition characterized by the formation of blood clots combined with low levels of platelets in the blood. It has been predominantly associated with certain COVID-19 vaccines, particularly adenovirus vector vaccines like AstraZeneca and Johnson & Johnson’s Janssen vaccine.

Vitamin D & Iron Supplements: Benefits & Hidden Side Effects

TTS typically manifests within a few days to a few weeks after vaccination. Symptoms include severe headache, abdominal pain, leg swelling, shortness of breath, and neurological symptoms. These symptoms can indicate the formation of blood clots in various parts of the body, such as the brain, abdomen, or lungs.
The exact cause of TTS is not fully understood, but it is believed to involve an immune response triggered by the vaccine, leading to abnormal clotting and platelet destruction. Diagnosis requires clinical evaluation, imaging studies to detect blood clots, and laboratory tests to confirm low platelet counts.

Treatment for TTS often involves hospitalization and specialized care, including anticoagulant therapy to prevent further clot formation and intravenous immunoglobulin to stabilize platelet levels. Prompt recognition and management are essential to prevent severe complications, including organ damage or death, associated with TTS.

Advertisement

Continue Reading

Fitness

Alabama’s outdoor fitness courts: making exercise more equitable

Published

on

Alabama’s outdoor fitness courts: making exercise more equitable
With Alabamians heading out in force this spring, the growth in outdoor fitness courts is helping make high-quality workouts more accessible to all, regardless of age, fitness level or economic status. Blue Cross and Blue Shield of Alabama, along with the National Fitness Campaign (NFC), are working to deliver outdoor fitness courts to every
Continue Reading

Trending