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ER worker's weight out of control

YOU DOCS | At 5'3", 210 pounds, it's time for sensible eating plan

July 2, 2009

I work in the emergency room, and the hours are crazy. I get up at 2:30 a.m. to get to work by 5.

I start my day trying to eat correctly, but I "munch" throughout the day and go crazy when I get home about 12 hours later. On days off, I try to exercise and eat right, but my weight is waaaay out of control: I'm 5 feet 3 inches tall and weigh 210 pounds.

Is there a plan I can follow with my crazy schedule?

A. There's plenty you can do to take control of your weight, and there's a new, compelling reason why you should eat right: A diet filled with four-egged (saturated) or trans fats can disrupt your circadian rhythms even more than your non-traditional working hours already do.

So goal No. 1 for you is to wean yourself from fast, saturated and trans-fatty food by planning what you'll eat and when. That way, you have the power, not the person who fills the vending machine. It's going to take some time until this becomes a habit, but it sounds like you're ready to make the commitment to change. So grab a buddy at work with your same goals, and get to it.

Eat breakfast, plus two other meals and two snacks every day. That means you'll still get to "munch all day" -- albeit on a morning snack, lunch and a midafternoon snack. Not enough? Eat half of your breakfast at home and bring the other half to work.

You will need to use some effort to be sure you have the right food on hand at work. It's not like you have to grow the food yourself. It doesn't take longer to shop for chicken than steak, and it's not any harder to open a bag of carrot sticks than to open a bag of potato chips.

For an easy lunch, consider soup (low-sodium ones are getting really tasty, too) and a salad with walnuts and dried cranberries; it's faster than fast food. And if you get a little longer for a break, take a quick walk around the hallways to fight cravings or, better yet, get outside the building.

Here's where you and your buddy can help each other: Get out of the ER and walk on 10-minute breaks whenever you can -- even going to a different floor to visit a patient from two days ago can help all three of you. Extend this break to a 30-minute walk to burn some calories whenever you can.

You and your buddy can tell each other how many steps your pedometers registered, too. The goal is health, and you'll be rewarded with more energy so you can still work 30 years from now rather than be pushed into the cardiac monitoring station in six years.

To submit questions and find ways to grow healthier, go to www.RealAge.com.

King Features Syndicate