The separation between church and the state of your health may be narrowing, according to a new study released in the journal Health Promotion Practice this week.


In a survey of more than 1,200 members of 11 African-American churches in North Carolina, an overwhelming majority of congregants said they believe that the church has a responsibility to promote healthy living within the community they serve.


“Many of us who’ve grown up in the church understand its historical context, and know that churches function beyond spiritual guidance and social support,” said lead study author Adebowale A. Odulana, M.D., an internist and pediatrician at the University of North Carolina at Chapel Hill. Nevertheless, Odulana says he was surprised at how many African Americans believe their church is responsible for promoting health in their members and the community.


But what may be more surprising is how those congregants say they'd like to receive those messages about their health -- by way of interactive workshops and health fairs instead of from the pulpit.


In New York, cardiologist Ola Akinboboye has proposed a different approach -- changing the food people consume at church, and ultimately influencing the way they eat at home.


“Even though people only go one day a week, it determines how they live their lives the other six days ... In these church dinners you see a lot of cornbread, rice, fried chicken -- the holy bird,” Akinboboye told the New York Daily News. “People go to church events and see these foods displayed and assume they can eat them the same way at home.”


To drive home his message, Akinboboye and his Association of Black Cardiologists produced a documentary titled “Before You Eat The Church Food Watch This Video,” link African-American lifestyles to the heart disease epidemic ravaging the community.


The partnership offers a model for faith communities across the country that public health advocates say is needed to see church-based health programs truly succeed.


“I have often been critical of health promotion efforts which seek to reach the black community through churches because while churches are important part of black culture, public health researchers often overestimate the role of the pastor as the mechanism for crafting and presenting health information,” said Thomas A. LaVeist, Ph.D., director of the Hopkins Center for Health Disparities Solutions at the Johns Hopkins Bloomberg School of Public Health.


“Presumably health ministry members are more knowledgeable than most pastors when it comes to health messages," he went on to say, referencing the group within the church that focuses on the promotion of health and healing as part of the mission and ministry of the larger faith group and the wider community. "I imagine this would vary from one church to the next. However, if appropriate technical support can be developed for church health ministries, this could be a valuable new resource for reaching African Americans with accurate and authoritative health information,” LaVeist added.





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  • Limit the Cheer During Friday Night Happy Hour


    Alcohol is high in calories and makes that free snack bowl on the bar look even more inviting. To still socialize without weight gain, ask the bartender to take the snacks away, or choose a seat where you can't easily reach them. Instead of a group pitcher of beer, order your own drink to keep track of how much you've had (white wine, champagne or soda water and vodka are all diet-friendly choices).

    In between drinks, down a full glass of water to fill up without excess calories and help prevent a morning hangover. Lastly, don't forget to eat! A sensible dinner will help you drink less and avoid any late-night food temptations.

    <em>Flickr photo by <a href="http://www.flickr.com/photos/dinnerseries/6032167463/" target="_hplink">Dinner Series</a></em>




  • Order Well While Out To Dinner


    There's no reason to skip dinner with friends because you're on a diet -- just be smart about what you order. If you can, go online and look at the restaurant menu before you get there, advises Melissa Joy Dobbins, M.S., R.D., L.D.N., a national spokeswoman for the Academy of Nutrition and Dietetics and a dietitian at the NorthShore University HealthSystem in Evanston, Ill.

    Plan your ordering strategy so you're less tempted to splurge in the heat of the moment. Decide to choose fish, lean meats, or poultry that's steamed, baked, broiled or grilled. Skip any dish that's fried or battered or served in a creamy sauce. If the portions are oversized, see if one of your friends wants to share an entrée or, before you start eating, ask the waiter to pack up half for you to take home. According to the U.S. Centers for Disease Control and Prevention, average restaurant meals are four times larger than they were in the 1950s and, not surprisingly, adults are 26 pounds heavier.




  • Run Saturday Errands Healthfully


    Turn your Saturday shopping spree into a weekend weight-loss workout. Park far away from the entrance and build a few extra, calorie-burning steps into your day. Visit stores on different levels and take the stairs, not the escalator. If you must hit the food court at lunchtime, look for places that offer healthy choices, where you can get a lean protein that's grilled, not fried, and a salad with dressing on the side and without high-calorie toppings, Dobbins says. If you know you'll be out for hours, pack a few healthy snacks so you're not starved and tempted to splurge at the ice cream or bagel shops.

    <em>Flickr photo by <a href="http://www.flickr.com/photos/ubrayj02/6917315165/" target="_hplink">ubrayj02</a></em>




  • Streamline Your Saturday Night Soiree


    The key to going to a party is not showing up starved. Have a small snack before you head out of the door, so you can indulge on party favors in moderation. "An apple is a great choice," advises Joseph Ciccone, D.P.T., C.S.C.S., associate director of Columbia Orthopaedics Sports Therapy in New York City. "Researchers at Penn State University found that people who ate an apple 15 minutes before lunch consumed nearly 190 fewer calories at lunch than those who didn't." Another good snack choice is a handful of almonds. Almonds provide protein, monounsaturated fats, and fiber that will fill you up. Just be sure to limit yourself to one handful so the calories don't add up.

    <em>Flickr photo by <a href="http://www.flickr.com/photos/richardmunckton/5281025166/" target="_hplink">Richard Munckton</a></em>




  • Skip Saturday Night Movie Snacks


    "Movie theater popcorn is ridiculously high in fat," Ciccone notes. Wash it down with a large soda, and you'll put back over 1,000 of the calories you spent all week cutting out. Instead, indulge your passion for going to the movies, but stick to your weekend weight-loss plan by skipping the concession stand. If you just can't stomach a movie without snacks, Ciccone suggests popping a 100-calorie bag of microwave popcorn at home and taking it with you. If you're watching a movie at home, portion out any snacks into a small bowl rather than eating directly from the bag or container.




  • Be Sensible At Sunday Brunch


    Sunday brunch can be troublesome for weekend weight loss if you're ravenous when you get there. If you're not meeting until 11 a.m. or noon, have a light breakfast at home. That way you'll keep your hands out of the muffin basket while you're waiting for your meal to be served. An egg-white veggie omelet with whole-wheat toast is a great diet choice because it delivers filling protein and fiber to keep you fuller longer . Enjoy the company and eat slowly, Ciccone advises. "People eat way too fast," he says. "When you eat fast, it doesn't give the body enough time to catch up and realize it's full."

    <em>Flickr photo by <a href="http://www.flickr.com/photos/dinnerseries/5974881786/" target="_hplink">Dinner Series</a></em>




  • Don't Be Sedentary On Sunday Afternoon


    It's tempting to spend Sunday sitting on the couch, watching baseball or football or catching up on your favorite TV shows. Instead, take advantage of the fact that you have free time and go for a hike, bike ride, or swim. Using the day off for some intense, calorie-burning activities that you can't squeeze in midweek can result in weekend weight loss, Ciccone explains. Create a plan to keep busy. "People tend to eat more when they have a lot of free time because they're bored," he adds.

    <em>Flickr photo by <a href="http://www.flickr.com/photos/25951201@N07/3610982039/" target="_hplink">Vatsek</a></em>




  • Savor Sunday Dinner With Family


    Most experts warn against diet cheat days -- feast on junk food, and you can easily consume 2,000 to 3,000 extra calories, warns Sarah Dolven, M.D., an endocrinologist in Charleston, S.C. However, one cheat meal over the weekend "won't kill you and it may actually help keep you sane," Ciccone says. During this meal, allow yourself to have your home-cooked favorites. Even though you're "cheating," manage the splurge by limiting yourself to smaller portions and eating sensibly the rest of the day.

    <em>Flickr photo by <a href="http://www.flickr.com/photos/rocketboom/1054630311/" target="_hplink">Parker Michael Knight</a></em>




  • Get More Sleep On Sunday Night


    Sleep deprivation often makes you eat more -- about 500 extra calories a day -- studies have found. Maximize your Sunday by unwinding and getting ready for bed early. Instead of splurging on a late-night dessert you'll regret or stress-eating your way through the night while you think about Monday morning, cap off your weekend weight-loss efforts with a relaxing activity and then head to bed early to squeeze in some extra sleep.




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