Study shows diet fizzy drinks ‘increase risk of dying’ as much as full-sugar

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So-called diet drinks which are marketed as lower calorie versions are actually no better for your health than the full-sugar variety, new research suggests.

Drinking beverages made with artificial sweeteners “raises your risk of dying young” with consumers more likely to die from heart disease, the report shows.

Experts from Zhengzhou University in China tracked 1.2million adults over more than 20 years to learn about their consumption of soft drinks.

They recorded 137,310 deaths during this time with the risk of dying increasing for every 250ml consumed each day.

A standard can of pop is 330ml with a bottle hitting 500ml.

What do you think about this report? Tell us in the comments…

Writing in the Journal of Public Health, the leading author of the study, Dr Hongyi Li, said that people who drank sugar-sweetened drinks had a 5% increased risk of dying from any cause.

And they had a 13% increase in risk of dying from heart disease, reports The Sun.

People who drank the most sugar-sweetened drinks were 12% more likely to die from any cause and 20% more likely to die from heart disease when compared to those who drank the least.

Meanwhile, when looking at artificially sweetened drinks the researchers discovered that people were 4% more at risk of dying from any cause and 7% higher risk of drying from heart disease.

People who drank more of the artificially sweetened drinks were 12% more likely to die of any cause and 23% more likely to die of heart disease.

That’s just a 3% increase on those drinking the drinks including sugar.

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Experts said that people should avoid drinking these drinks ideally, but that they are fine as part of an overall healthy diet.

Dr Li said: “High consumption of both artificially sweetened beverages and sugar-sweetened beverages showed significant associations with a higher risk of cardiovascular disease mortality and all-cause mortality.

“This information may provide ideas for decreasing the global burden of diseases by reducing sweetened beverage intake.”

Meanwhile, a whopping two thirds of Brits said that they would rather sacrifice years of their life than give up eating meat.

  • China
  • Weight Loss
  • Science

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High-Intensity Interval Training Cuts Cardiometabolic Risks in Women With PCOS

High-intensity interval training (HIIT) was better than moderate-intensity continuous training (MICT) for improving several measures of cardiometabolic health in women with polycystic ovary syndrome (PCOS) in a prospective, randomized, single-center study with 27 women.

After 12 weeks on a supervised exercise regimen, the women with PCOS who followed the HIIT program had significantly better improvements in aerobic capacity, insulin sensitivity, and level of sex hormone–binding globulin, Rhiannon K. Patten, MSc, said at the annual meeting of the Endocrine Society.

“HIIT can offer superior improvements in health outcomes, and should be considered as an effective tool to reduce cardiometabolic risk in women with PCOS,” concluded Patten, a researcher in the Institute for Health and Sport at Victoria University in Melbourne in her presentation (Abstract OR10-1).

“The changes we see [after 12 weeks on the HIIT regimen] seem to occur despite no change in body mass index, so rather than focus on weight loss we encourage participants to focus on the health improvements that seem to be greater with HIIT. We actively encourage the HIIT protocol right now,” she said.

Both regimens use a stationary cycle ergometer. In the HIIT protocol patients twice weekly pedal through 12 1-minute intervals at a heart rate of 90%-100% maximum, interspersed with 1 minute rest intervals. On a third day per week, patients pedal to a heart rate of 90%-95% maximum for 6-8 intervals maintained for 2 minutes and interspersed with rest intervals of 2 minutes. The MICT regimen used as a comparator has participants pedal to 60%-70% of their maximum heart rate continuously for 50 minutes 3 days weekly.

HIIT Saves Time

“These findings are relevant to clinical practice, because they demonstrate that HIIT is effective in women with PCOS. Reducing the time devoted to exercise to achieve fitness goals is attractive to patients. The reduced time to achieve training benefits with HIIT should improve patient compliance,” commented Andrea Dunaif, MD, professor and chief of the division of endocrinology, diabetes, and bone disease of the Mount Sinai Health System in New York, who was not involved with the study.

The overall weekly exercise time on the MICT regimen, 150 minutes, halves down to 75 minutes a week in the HIIT program. Guideline recommendations released in 2018 by the International PCOS Network recommended these as acceptable alternative exercise strategies. Patten and her associates sought to determine whether one strategy surpassed the other, the first time this has been examined in women with PCOS, she said.

They randomized 27 sedentary women 18-45 years old with a body mass index (BMI) above 25 kg/m2 and diagnosed with PCOS by the Rotterdam criteria to a 12-week supervised exercise program on either the HIIT or MICT protocol. Their average BMI at entry was 36-37 kg/m2. The study excluded women who smoked, were pregnant, had an illness or injury that would prevent exercise, or were on an oral contraceptive or insulin-sensitizing medication.

At the end of 12 weeks, neither group had a significant change in average weight or BMI, and waist circumference dropped by an average of just over 2 cm in both treatment groups. Lean mass increased by a mean 1 kg in the HIIT group, a significant change, compared with a nonsignificant 0.3 kg average increase in the MICT group.

Increased Aerobic Capacity Partially Explains Improved Insulin Sensitivity

Aerobic capacity, measured as peak oxygen consumption (VO2peak), increased by an average 5.7 mL/kg per min among the HIIT patients, significantly more than the mean 3.2 mL/kg per min increase among those in the MICT program.

The insulin sensitivity index rose by a significant, relative 35% among the HIIT patients, but barely budged in the MICT group. Fasting glucose fell significantly and the glucose infusion rate increased significantly among the women who performed HIIT, but again showed little change among those doing MICT.

Analysis showed a significant link between the increase in VO2peak and the increase in insulin sensitivity among the women engaged in HIIT, Patten reported. The improvement in the insulin sensitivity index was “partially explained” by the increase in VO2peak, she said.

Assessment of hormone levels showed a significant increase in sex hormone–binding globulin in the HIIT patients while those in the MICT group showed a small decline in this level. The free androgen index fell by a relative 39% on average in the HIIT group, a significant drop, but decreased by a much smaller and not significant amount among the women who did MICT. The women who performed HIIT also showed a significant drop in their free testosterone level, a change not seen with MICT.

Women who performed the HIIT protocol also had a significant improvement in their menstrual cyclicity, and significant improvements in depression, stress, and anxiety, Ms Patten reported. She next plans to do longer follow-up on study participants, out to 6 and 12 months after the end of the exercise protocol.

“Overall, the findings suggest that HIIT is superior to MICT for improving fitness and insulin sensitivity in the short term. Results from a number of studies in individuals without PCOS suggest that HIIT is superior to MICT for improving fitness short term,” commented Dunaif. “This study makes an important contribution by directly investigating the impact of training intensity in women with PCOS. Larger studies will be needed before the superiority of HIIT is established for women with PCOS, and study durations of at least several months will be needed to assess the impact on reproductive outcomes such as ovulation,” she said in an interview. She also called for assessing the effects of HIIT in more diverse populations of women with PCOS.

Patten had no disclosures. Dunaif has been a consultant to Equator Therapeutics, Fractyl Laboratories, and Globe Life Sciences.

This article originally appeared on MDedge.com, part of the Medscape Professional Network.

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Irritable Bowel Syndrome (IBS) Prognosis

Nearly one half of all patients who suffered from abdominal pain in childhood have been seen to suffer from irritable bowel syndrome after three decades.

The symptoms usually persist throughout life and may get aggravated with certain stressful life situations.

Outcome of post infectious irritable bowel syndrome

Most patients with infectious gastric enteritis recover rapidly without any residual symptoms. Some patients, however, may have persistent symptoms for many years and meet the criteria for a diagnosis of irritable bowel syndrome.

Several studies have shown that the percentage of infected individuals who develop post-infectious irritable bowel syndrome vary from 3.7% to 36% among populations.

Some of the predictors that can estimate the risk of developing post infectious irritable bowel syndrome include:

  • being a female
  • developing the infection at a younger age
  • prior anxiety or depression
  • both fever and weight loss during the acute gastroenteritis

Among these, female gender, younger age and weight loss during the episode of acute gastroenteritis are seen to be the strongest links to development of post infectious irritable bowel syndrome.

Change in irritable bowel syndrome characteristics over time

Studies have shown that nearly 63% of cases of post infectious irritable bowel syndrome following Campylobacter jejuni-associated enteritis eventually meet the Rome II criteria for diarrhea-predominant irritable bowel syndrome.

Studies have also shown that nearly 90% of the patients with diarrhea-predominant irritable bowel syndrome may have had constipation-predominant irritable bowel syndrome or unsubtyped irritable bowel syndrome a few years before.

Irritable bowel syndrome and cancer

Unlike inflammatory bowel diseases like ulcerative colitis, irritable bowel disease does not damage the inner walls of the intestines and does not cause permanent damage to the intestines. Thus there is no association between irritable bowel syndrome and bowel cancers.

However bowel cancers may mimic the features of irritable bowel syndrome and cancer needs to be ruled out while diagnosing irritable bowel syndrome.

Irritable bowel syndrome and life span

Irritable bowel syndrome tends to last a life time and the symptoms often come and go. Many patients may have long symptom-free years interspersed between periods of severe symptoms.

Irritable bowel syndrome does not shorten lifespan or lead to major life threatening complications in most patients.

Sources

  • www.ncbi.nlm.nih.gov/pmc/articles/PMC1490645/pdf/cmaj00110-0027.pdf
  • www.worldgastroenterology.org/…/20_irritable_bowel_syndrome.pdf
  • https://annals.org/article.aspx?articleid=708357
  • synapse.koreamed.org/Synapse/Data/PDFData/0081JNM/jnm-16-337.pdf

Further Reading

  • All Irritable Bowel Syndrome Content
  • What is Irritable Bowel Syndrome (IBS)?
  • Irritable Bowel Syndrome (IBS) Symptoms
  • Irritable Bowel Syndrome (IBS) Causes
  • Irritable Bowel Syndrome (IBS) Diagnosis
More…

Last Updated: Aug 23, 2018

Written by

Dr. Ananya Mandal

Dr. Ananya Mandal is a doctor by profession, lecturer by vocation and a medical writer by passion. She specialized in Clinical Pharmacology after her bachelor's (MBBS). For her, health communication is not just writing complicated reviews for professionals but making medical knowledge understandable and available to the general public as well.

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Types of Lung Cancer Surgery

Lung cancer is a common and serious type of cancer that is diagnosed in around 44,500 people in the UK every year. People affected by lung cancer do not usually develop symptoms in the early stages of the condition, but eventually they may develop a persistent cough, start coughing up blood, feel breathless, experience unexplained fatigue and weight loss and find breathing or coughing painful.

The two main types of lung cancer are non-small cell lung cancer and small cell lung cancer. Surgery is generally used to treat non-small cell lung cancer. Small cell lung cancer is not usually treated with surgery, unless it is in the very early stages, because this form of lung cancer has usually spread beyond the lung by time it has been diagnosed meaning it is not possible to remove it all using surgery. Generally, chemotherapy and radiotherapy are used to treat small cell lung cancer.

Surgery for lung cancer may involve removing a portion of the lung or the whole of the lung. A procedure where the lung cancer and a small portion of healthy tissue is removed is called a wedge resection; removal of a larger portion of the lung is referred to as a segmental resection and surgery to remove one of the lobes of the lung is called a lobectomy. When the entire lung is removed, the procedure is called a pneumonectomy.

Wedge resection

A wedge resection involves removing a small, wedge-shaped area of the lung that contains the cancer, along with some of the surrounding healthy tissue. This operation is only performed when the physician thinks the cancer has been diagnosed while it is in the early stages and is only present in one very small area of the lung.

It may also be performed to diagnose lung cancer. If a specialist believes the cancer has spread to another area of the lung, they will not recommend that this procedure is performed.

Segmental resection

Segmental resection or segmentectomy involves removal of a larger portion of the lung than a wedge resection, although the whole lobe is still not removed.

Lobectomy

A pulmonary lobectomy is a common procedure where a lobe of the lung that contains cancerous cells is removed. There are three lobes to the right lung and two lobes to the left and the lungs can still function with the lobes that remain. When two lobes are removed, the procedure is referred to as bilobectomy. A specialist will recommend this procedure if they think the cancer is presenting in just one area of the lung. This is the most commonly used operation for treating lung cancer.

Sleeve resection

A small proportion of people with lung cancer undergo an operation called a sleeve resection. This may be performed in order to avoid removing the entire lung if the cancer is located within a central area of the lung and is growing into one of the bronchi. The affected bronchial tissue is removed along with any surrounding cancer in the lobe.

Pneumonectomy

Removal of the entire lung is recommended if the tumor is in the central area of the lung and involves either the two left lobes or the three right lobes. People can still breathe normally with only one lung, but a doctor will organize a breathing test before surgery to diagnose any existing breathing problems and help a patient decide whether this type of surgery is suitable for them.

Keyhole surgery for lung cancer

Sometimes, surgeons can use keyhole surgery to remove non-small cell lung cancers that are in the very early stages. A flexible tube with a camera attached to it is passed through a small cut in the chest, allowing the surgeon to examine the lungs with the assistance of video guidance. A small number of cuts are then made in the side of the chest, through which surgical instruments can be inserted to perform the surgery.

Sources

  • www.cancerresearchuk.org/…/types-of-surgery-for-lung-cancer
  • www.nhs.uk/conditions/Cancer-of-the-lung/Pages/Introduction.aspx
  • www.mayoclinic.org/…/img-20006167
  • http://www.cts.usc.edu/lpg-typesoflungsurgery.html
  • www.webmd.com/lung-cancer/lung-surgery-thoracotomy-for-lung-cancer

Further Reading

  • All Lung Cancer Content
  • Lung Cancer
  • Lung Cancer Causes
  • Lung Cancer Symptoms
  • Lung Cancer Diagnosis
More…

Last Updated: Aug 23, 2018

Written by

Sally Robertson

Sally has a Bachelor's Degree in Biomedical Sciences (B.Sc.). She is a specialist in reviewing and summarising the latest findings across all areas of medicine covered in major, high-impact, world-leading international medical journals, international press conferences and bulletins from governmental agencies and regulatory bodies. At News-Medical, Sally generates daily news features, life science articles and interview coverage.

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A nutrition journalist dieted his whole life and still gained weight. Then he tried the keto diet, and ‘it was like a switch being flipped.’

Gary Taubes

  • Journalist and low-carb advocate Gary Taubes argues in new book "A Case for Keto" that mainstream nutrition advice leaves some people overweight and unhealthy by recommending too many carbohydrates.
  • Instead, Taubes' makes a case that low-carb diets can benefit people who react poorly to insulin by cutting back on foods that can cause a spike in blood sugar. 
  • Keto may not be for everyone. But most people could still benefit from being more carb-aware and cutting out low-quality sources like processed foods and sugars. 
  • Visit Insider's homepage for more stories.

If you've ever struggled to lose weight with mainstream nutrition advice, or felt that typical diet guidance (half carbs, mostly plants, not too much) wasn't for you, Gary Taubes can relate.

The longtime dietary advocate and journalist argues that low-carb, high-fat diets are more than just a trend in his latest book "The Case For Keto," out December 29. Instead, keto diets address a serious gap in our understanding of how to eat for health, he says. 

According to Taubes, that's in part because conventional nutrition advice is often given by people who haven't experienced chronic health issues related to diet. 

"The problem is we've been taking diet advice from lean and healthy people. My argument is if we do what they do, we get hungry and fatter, so we can't do it," he told Insider. 

He say he tries for years to lose weight, without success, before finding a low-carb diet to be a revelation for his health. Now he's hoping to share his experience to help people like him. 

While the keto diet is considered relatively new in the nutrition world, growing research and books like Taubes' suggest the diet has entered the mainstream of our nutritional consciousness, and it's not likely to disappear anytime soon. "Keto" was recently ranked the most popular diet in the world based on search engine data.

"If it didn't work for me, I wouldn't write a book about it"

A former football player, amateur boxer and self-described "large guy," Taubes said conventional diets felt like a constant battle with his appetite. With a family history of obesity, he noticed his weight starting to increase in his 30s, despite eating a low-fat diet and working out an hour a day. 

His initial foray into low-carb diets was prompted by the popularity of the Atkins diet in the early 2000s. Similar to keto, the diet cuts out breads, pasta, and other carbohydrates in favor of unlimited amounts of meat, cheese, eggs, butter, and other high-fat foods. 

Taubes started loading up on eggs and bacon for breakfast, meat and cheese for lunch, and a big steak with a small green salad for dinner. 

Within a few months, Taubes said he lost a significant amount of weight. The experience prompted Taubes' revolutionary 2002 article "What If It's All Been A Big Fat Lie?" in the New York Times, praising low-carb, high-fat diets years before "keto" appeared in mainstream news headlines. 

The backlash was intense, with rebuttals accusing Taubes' of peddling sensationalized misinformation. 

Today, it's becoming more accepted that fat doesn't make you fat, and that it may not be linked to as many health issues as we previously believed. But keto and low-carb diets are still controversial, in part because a lack of rigorous long-term studies lead to questions about keto's health consequences over time. That prompted Taubes to continue to advocate for low-carb diets in his work. 

"If it didn't work for me, I wouldn't write a book about it," he said. 

Keto is about managing insulin, not calories

Taubes' experience is similar to what many people describe feeling during their first low-carb diet when, after years of struggling to lose weight on other diets, they finally have success. 

"I had been dieting all my life. I was gaining weight, so I tried [keto] as an experiment," Taubes said. "I felt great. It was like a switch being flipped."

Taubes argues that compelling research suggests many people gain weight not because of excess calories, but because of insulin, a hormone that helps regulate blood sugar. When you consume carbohydrates, it causes a spike in blood sugar, and your body releases insulin in response.

Sometimes, the body becomes desensitized to insulin (this can be caused by consuming too many refined carbs and sugar) and requires more of it to continue maintaining blood sugar levels. Keto advocates theorize that this can trigger fat storage for people who respond poorly to insulin, either because of lifestyle factors or genetics, triggering them to gain weight. 

This theory, sometimes called the carbohydrate-insulin hypothesis, has been contested. While insulin plays a role in fat storage, there's a lack of research showing it matters more than calorie intake. Most dietitians continue to advise that calories are the main factor in weight gain or loss, and research supports this. 

There's also no clear evidence that keto can work where other diets have failed.

Despite criticism that keto is restrictive, advocates find it 'very easy' to stick to

"The Case For Keto" takes a broad look at many of the common arguments against keto, with a deep dive into the historical context of low-carb diets, and the scientific precedence for recommending them. 

Taubes also has a beef with the common claim that keto diets are difficult to sustain. Many dietitians and other nutrition experts have argued that cutting carbs is too restrictive for most people to maintain consistently. And when strict diets fail, they can lead to even more weight gain as dieters treat themselves to previously forbidden foods, then try to restrict them again, a phenomenon called "yo-yo dieting."

But Taubes compares foregoing the carbs to avoiding a food because you're allergic. If you know lactose makes you sick, it's easier to avoid despite the occasional temptation of ice cream, he says.

For him and other long-term keto-ers, the benefits of low-carb diets overshadow the loss of beloved foods like pizza, pasta, and pastries. 

"I find it very easy to sustain it," Taubes said. "A lot of people do, especially men. If you tell them to live on steak, eggs, and bacon, they're pretty happy about it, at least for a while."

Keto might not be for everyone

Taubes doesn't think everyone needs to be on a keto diet. His wife is a vegetarian who regularly eats carbs. 

"On some level, I converted her to the idea that carbs are fattening,but she hasn't given them up entirely," he said. "She's never tried to convince me to eat like her."

For Taubes, the health benefits also outweigh the ethical and environmental concerns about eating a diet high in animal products. He said he believes that "what may be best for human health is not best for the planet."

"In an ideal world, I wouldn't eat animals. Physiologically, I'm not willing to give it up," he said. 

Some people might be able to manage their weight and health, just fine while eating carbs, but Taubes isn't writing for them.

"Those of us who gain weight easily have to minimize insulin levels. And if you eat to minimize insulin, you eat something very close to a ketogenic diet," he said. 

Read more:

The biggest diet myths debunked in 2020, from the alkaline diet to 'loaded' fat loss tea

The keto diet could help people with diabetes control blood sugar, lose weight, and improve insulin sensitivity, according to a new analysis

A low-fat, high-carb vegan diet could speed up your metabolism and boost weight loss, a new study says

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A look inside the ritzy health club where celebrities like Rebel Wilson and Karlie Kloss eat 600 calories a day and get belly rubs to boost digestion

Rebel Wilson

  • Rebel Wilson recently revealed she lost weight for her 2020 "Year of Health" using the Mayr Method, the signature program from a high-end European health spa.
  • The diet is a key feature of the Viva Mayr wellness center, which has hosted celebs like Karlie Kloss and Elizabeth Hurley, but is known for rigorous one to two-week cleanse programs. 
  • Guests seldom eat more than 600 calories a day, get frequent medical belly rubs for digestion, and can add-on treatments such as singing bowl therapy. 
  • Visit Insider's homepage for more stories.

Actress and comedian Rebel Wilson recently told fans she kicked off her "Year of Health" in 2020 with a stay at an exclusive European wellness center, and has since been using the facility's diet to lose weight and improve her health. 

The luxury health spa, Viva Mayr, is located in Austria, with a day-spa location in London. It's known for its one- to two-week cleanses, costing between $2,600 to over $8,000. That's not including hotel rooms at $180 to $1,350 per night.

While the spa is open to the public, it's a known favorite of celebrities like Karlie Kloss, Suki Waterhouse, and Elizabeth Hurley.

The health center's programs have a reputation for being intimidating in their rigor, asceticism, and eccentricity, with restrictive diet, an intensive regimen digestive of treatment, and an expansive menu of other dubious wellness therapies. 

The programs are devoted to improving your digestion with regular belly rubs and a list of prohibited foods

To prepare for their stay, Viva Mayr encourages guests to start skipping dinners, avoid raw foods, and cut out caffeine, alcohol, and beans prior to showing up at the resort.

Once there, you can look forward to regular "daily manual abdominal treatments," in which a doctor will massage your stomach area for 15 minutes, three to five times a week (at a cost of about $100 total, part of the mandatory treatment prescribed to all guests). 

These are intended to stimulate digestion by helping "remove blockages in the abdomen and lymphatic system," according to the website. 

The Viva Mayr program also prohibits drinking water with meals (to, they say, avoid diluting digestive enzymes) and eating raw food after 4 p.m. Dietitians previously told Insider that neither of these strategies appear to be based in any evidence. 

Guests eat 300 to 600 calories a day, and chew each bite 40 times

One of the core elements of the Viva Mayr program is an incredibly specific menu plan. While they're custom-made for each guest, the amount of food rarely exceeds 600 calories per day, according to reviews, and is often closer to 300. 

This is far below the number of calories typically recommended even for weight loss, although very low calorie or fasting diets are sometimes prescribed to treat specific conditions like diabetes in a medical setting like Viva Mayr. 

Many reviewers describe struggling with the sparse menu, tiny portions, and broth for dinner. Despite the small meals, guests are encouraged to take their time with meals, chewing each bite at least 40 times. 

Add-on therapies include an emotional detox, bloodletting, and singing bowl therapy

Detoxification is a common theme throughout many of the treatment offerings, such as hydrotherapy and cryotherapy to "remove toxins", as well as colon cleanses and lymph drainage. 

Viva Mayr even offers an "emotional detoxification," an hour-long psychological counseling session for $280. 

There's also plenty of optional additions to the wellness experience. In addition to typical spa treatments like massage, facial, and man-pedi, the dozen-plus pages of offerings include "singing bowl therapy" ($120 for 50 minutes) and "bloodletting" ($60). 

It's not clear what these therapies entail — Viva Mayr did not respond to a request for a comment. 

Read more:

Rebel Wilson says she went on a candida cleanse to stop her sugar cravings. Here's the reality about candida, sugar, and detoxes.

The blood type diet won't affect weight loss or metabolism, according to new research

Rebel Wilson reportedly used the Mayr Method to lose weight. Here's what to know about the diet and its effectiveness.

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Rebel Wilson Is 'Finishing My Year of Health Off Strong' on a Walk: 'This Is the Place to Be'

Rebel Wilson is one with nature.

The actress returned to a place that has been extra meaningful to her on Thursday, as she comes up on the final weeks of her "Year of Health."

Dressed in a Canada Goose parka with a black top and matching fitted pants, Wilson shared photos and videos from the outdoor jaunt that saw her posing amid a mountainous backdrop at Altausseer See in Austria.

"Enjoying a morning walk amongst health treatments at the glorious @vivamayraltaussee … finishing my Year of Health off STRONG at the place that gave me that first kick-start 😁," Wilson, 40, captioned her Instagram post.

"[If] you want to boost your immune system, this is the place to be x," she added.

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https://www.instagram.com/p/CHxd95-LHNI

RELATED: Rebel Wilson Poses in a Sports Bra as She Gets 'Ready to Smash a Beach Run'

Wilson — who set a goal of getting down to 165 lbs. by the end of 2020 and recently shared that she has lost "about 40 lbs." since making the decision to change her lifestyle — recently told PEOPLE that switching to a high-protein diet has made a big impact.

"Before I was probably eating 3,000 calories most days, and because they were normally carbs, I would still be hungry," the Pitch Perfect star said.

"So, I've really changed to eating a high-protein diet, which is challenging because I didn't used to eat a lot of meat," she added. "I eat fish, salmon and chicken breast."

Wilson also admitted that she does cheat sometimes. "It doesn't mean every week is a healthy week," she said. "Some weeks are just write-offs, and there's nothing you can do about that."

https://www.instagram.com/p/CHslKlQgMxL

RELATED: Rebel Wilson Says She 'Dated a Lot' Before Finding Boyfriend Jacob Busch: 'I Gave It My All'

And a "bad day" isn't going to stop Wilson from working on her fitness. On Monday, the Isn't It Romantic actress shared with fans how she stays motivated as she continues her wellness journey.

Alongside a photo of herself posing in a black sports bra, workout leggings, a colorful scarf and large headphones, she wrote on Instagram: "Started off having a bad day 🤢 but took myself on a giant walk, listening to some motivational podcasts & audiobooks (currently @antmiddleton The Fear Bubble) out in gorgeous nature … drank water … and you know what feel soooo much better now."

"We all have tough days but take a beat, take a nap and then get back out there and continue to crush 😘," Wilson added.

The actress also posted a shot from her hike on her Instagram Story, showing herself walking along the grass by the water.

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New mum angry at ‘fat-shaming’ NHS letter sent just seven weeks after birth

A mum has criticised her local NHS trust for “fat-shaming” her with a weight loss leaflet seven weeks after she gave birth.

New parent, Dawn Wilson, from South Lanarkshire, Scotland, received the “insulting” advice sheet called “top 10 tips for achieving a healthy weight after having a baby' last week.

The 29-year-old delivered her daughter, Ava, in August.

Since then, she’s only been seen by a health visitor once six weeks ago.

Dawn also noted that the letter advised mums “attend a postnatal exercise class” even though most were shut due to Covid-19.

The care assistant wants the NHS to be “more forgiving” of post-partum women.

Have you had a difficult maternity experience during the pandemic? Let us know in the comments section…

Dawn said: "I was shocked to receive this.

“How cheeky of them to insinuate I need to lose weight given that nobody has seen me for almost six weeks.

"I find it rather insulting.

"They have no idea the efforts I may or may not be doing to already lose weight.”

She continued: “It would also be nice to get something about mental health in there [on the list]. I don't think my main focus right now is on my body.

"Of course my stomach is still wobbly, it had a baby grow in there for nine months and not even two months later it's expected to be back to normal.

"I think personally maternity services are shocking during this.

“Then to add insult to injury I get a letter implying I could use losing some weight when a woman's mental health is under stress with everything else.”

Many pregnant women have struggled during the coronavirus.

Rules on visitors in delivery wards and during scans mean many have been impacted.

Dawn said: “They need to be more forgiving to people who have just had babies.

“Newborns are stressful to the best of minds, never mind during a global pandemic with cheeky letters saying to put down the chocolate bar.

"If my baby is grumpy and crying and just wants to be held, then of course I'm going to make chicken dippers and chips for me and my partner over a home-cooked lasagne.”

Lynsey Sutherland, associate nurse director of children’s services and family nurse partnership, South Lanarkshire Health and Social Care Partnership, said: “We aim to provide the highest standard of care to all our patients and we regret any instance where someone feels we have not met this standard.

“We do not routinely send out letters to new mothers but information is provided as part of a ‘first visit’ pack issued by health visitors during home visits.

“If Dawn wishes to provide any feedback in relation to her recent post-natal care, I would ask that she contact our patient affairs department who will be happy to assist.

“We cannot confirm sending out the leaflet as it is not our usual practice but we are currently looking into the circumstances.”

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