{"id":15431,"date":"2020-09-26T23:07:37","date_gmt":"2020-09-27T04:07:37","guid":{"rendered":"https:\/\/macarthurmedi1.wpengine.com\/?p=15431"},"modified":"2020-09-26T23:07:37","modified_gmt":"2020-09-27T04:07:37","slug":"the-quarantine-15-who-else-is-fighting-it-and-how-can-we-fix-it","status":"publish","type":"post","link":"https:\/\/expioconsulting.com\/macarthur\/blog\/2020\/09\/26\/the-quarantine-15-who-else-is-fighting-it-and-how-can-we-fix-it\/","title":{"rendered":"The Quarantine 15: Who Else Is Fighting It and How Can We Fix It?"},"content":{"rendered":"<p id=\"f9b5\" class=\"fy ff fg at au fz ga gb gc gd ge gf gg gh gi gj gk gl gm gn go ax\">COVID-19\u2019s unexpected effect on expanding waistlines.<!--more--><\/p>\n<p>Why is my belt so tight? I can\u2019t buckle my skinny jeans. I call out \u201cHoney, I think my pants shrunk in the dryer,\u201d as I loosen my belt a notch to accommodate my new #dadbod.<\/p>\n<p>I don&#8217;t think I am alone. My patients are complaining of weight gain too. As a result of the stay-at-home instructions, many of us altered our activity levels, diets, and routines. The result \u2014 The Quarantine 15.<\/p>\n<p>Obesity may be an unexpected outcome of this infectious disease pandemic.<\/p>\n<h3>Why are we gaining weight?<\/h3>\n<p>Various theories attempt to explain the mysterious Quarantine 15. Some blame stress. Stress increases our body\u2019s cortisol production. Cortisol is the \u201cstress hormone\u201d known to increase the appetite.<\/p>\n<p>When under stress, we alter our food intake. Some people undereat. The medical term for undereating stressed-out individuals is \u201cweirdos.\u201d \u201cNormal\u201d people tend to grab a bag of Doritos and dip them in hot fudge covered ice-cream.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-15434 \" src=\"https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/09\/quarantine-1.png\" alt=\"\" width=\"500\" height=\"152\" srcset=\"https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/09\/quarantine-1.png 1027w, https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/09\/quarantine-1-300x91.png 300w, https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/09\/quarantine-1-1024x312.png 1024w, https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/09\/quarantine-1-768x234.png 768w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/p>\n<p style=\"text-align: center\"><span style=\"font-size: xx-small\"><span style=\"color: #757575\"><span style=\"font-family: medium-content-sans-serif-font, Lucida Grande, Lucida Sans Unicode, Lucida Sans, Geneva, Arial, sans-serif\">Author\u2019s image<\/span><\/span> <\/span><\/p>\n<p>Ice-cream and other sugary carbohydrates trigger a dopamine surge. Dopamine hormone dopamine is produced in the pleasure center of the brain, an area of the brain called the nucleus accumbens. Dopamine is our mind&#8217;s reward system.<\/p>\n<p>When times are tough, rewards and treats provide relief. Some believe we naturally gravitate towards carb-laden foods when stressed out to get a quick energy boost. The sugar rush makes us feel better, temporarily. But what follows is the crash and crave phase. The crash makes us feel hungry again as our brains seek out more dopamine.<\/p>\n<p>Dopamine and cortisol.<\/p>\n<p>Is the Quarantine 15 a result of a complex combination of physiological hormonal changes? Perhaps. But I suspect we are just bored.<\/p>\n<p>Boredom leaves us feeling tired and sluggish. We tell ourselves we were \u201cforced\u201d to stop working out when gym and fitness centers closed during the lockdown. But many did not substitute an evening jog, daily walk, or even get up off the couch.<\/p>\n<p>Not only did we decrease our physical activity, but\u00a0<a class=\"ci hs jg jh ji jj\" href=\"https:\/\/www.washingtonpost.com\/business\/2020\/05\/23\/americans-are-drinking-more-during-pandemic-craft-distillers-arent-getting-any-love\/\" rel=\"noopener nofollow\">alcohol sales also skyrocketed up 27%<\/a>\u00a0during the pandemic. People are doing less and drinking more, and increased alcohol consumption means more calories<\/p>\n<p>What goes better with a craft beer than some fresh local takeout! Since restaurants were closed to dine-in, many of us began ordering take-out. Food delivery services\u00a0<a class=\"ci hs jg jh ji jj\" href=\"https:\/\/wkow.com\/2020\/05\/04\/food-delivery-services-surge-during-pandemic\/\" rel=\"noopener nofollow\">increased sales during the lockdown<\/a>. Many of us ordered food to \u201cto support the local restaurants.\u201d<\/p>\n<div class=\"n p\">\n<div class=\"ab ac ae af ag fd ai aj\">\n<p id=\"05ea\" class=\"jk jl fg jm b fz jn jo jp gc jq jr js jt ju gh jv jw jx gk jy jz ka gn kb kc ey cd\" data-selectable-paragraph=\"\">Hey, we are\u00a0<a class=\"ci hs jg jh ji jj\" href=\"https:\/\/inthistogethersa.com\/\" rel=\"noopener nofollow\">#inthistogether<\/a>, and everyone has to do their part.<\/p>\n<\/div>\n<\/div>\n<div class=\"in\">\n<div class=\"n p\">\n<div class=\"kh ki kj kk kl km af kn ag ko ai aj\">\n<figure class=\"ii ij ik il im in kq kr paragraph-image\">\n<div class=\"io ip cf iq aj\">\n<div class=\"er es kp\">\n<div class=\"iv s cf iw\">\n<div class=\"ks iy s\">\n<div class=\"cb ir t u v is aj bv it iu\"><img decoding=\"async\" class=\"aligncenter wp-image-15438 \" src=\"https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/09\/quarantine-2.png\" alt=\"\" width=\"500\" height=\"594\" srcset=\"https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/09\/quarantine-2.png 488w, https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/09\/quarantine-2-252x300.png 252w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/div>\n<div>\n<p style=\"text-align: center\"><span style=\"font-size: xx-small\"><span style=\"color: #757575\"><span style=\"font-family: medium-content-sans-serif-font, Lucida Grande, Lucida Sans Unicode, Lucida Sans, Geneva, Arial, sans-serif\">Photo by\u00a0<\/span><\/span><a href=\"https:\/\/unsplash.com\/@eggbank?utm_source=medium&amp;utm_medium=referral\">eggbank<\/a><span style=\"color: #757575\"><span style=\"font-family: medium-content-sans-serif-font, Lucida Grande, Lucida Sans Unicode, Lucida Sans, Geneva, Arial, sans-serif\">on\u00a0<\/span><\/span><a href=\"https:\/\/unsplash.com\/?utm_source=medium&amp;utm_medium=referral\">Unsplash<\/a><\/span><\/p>\n<p id=\"65dc\" class=\"jk jl fg jm b fz jn jo jp gc jq jr js jt ju gh jv jw jx gk jy jz ka gn kb kc ey cd\" data-selectable-paragraph=\"\">As we cope with the mental, physical, and emotional stress of the pandemic there are things we can do to stop packing on the pounds. The internet is full of \u201chelpful\u201d tips such as managing stress eating and workouts from home. But the first step in treating any problem is making a conscious decision to work on it. We have to internalize the decision and commit to effort.<\/p>\n<p id=\"a8b7\" class=\"jk jl fg jm b fz jn jo jp gc jq jr js jt ju gh jv jw jx gk jy jz ka gn kb kc ey cd\" data-selectable-paragraph=\"\">Effort and hard work are required if we want to get a handle on our love handles. Weight loss is hard. If it were easy, everyone would do it.<\/p>\n<p data-selectable-paragraph=\"\"><a href=\"https:\/\/medium.com\/the-ascent\/how-to-create-the-life-of-your-dreams-through-hard-work-and-effort-931e837ecebc\"><img decoding=\"async\" class=\"wp-image-15441 aligncenter\" src=\"https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/09\/How-to-create-the-life-of-your-dreams.png\" alt=\"\" width=\"500\" height=\"338\" srcset=\"https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/09\/How-to-create-the-life-of-your-dreams.png 723w, https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/09\/How-to-create-the-life-of-your-dreams-300x203.png 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/a><\/p>\n<\/div>\n<h3 id=\"7078\" class=\"lt lu fg at le lv lw lx ly lz ma mb mc md me mf mg mh mi mj mk cd\">No quick fixes<\/h3>\n<p>I would be a hypocrite to write a listicle of five magic steps to guarantee everyone sheds the extra baggage. Instead, I experience share from my own ups and downs. These weight management hacks help me get back up each time I fall.<\/p>\n<ol class=\"\">\n<li id=\"e80c\" class=\"jk jl fg jm b fz jn jo jp gc jq jr js jt ju gh jv jw jx gk jy jz ka gn kb kc mq mr ms cd\" data-selectable-paragraph=\"\"><strong class=\"jm ke\">Tracking<\/strong>: Use the\u00a0<em class=\"kd\">Myfitness Pal\u00a0<\/em>app to track my food and exercise. It provides personal accountability. It is no fun to type in seven cookies. Entering my intake changes my behavior. I try not to judge myself but rather collect the data for monitoring and identifying areas for improvement. Weight is like a business metric problem. If you can&#8217;t measure it, you can&#8217;t manage it.<\/li>\n<li id=\"e4fa\" class=\"jk jl fg jm b fz mt jo jp gc mu jr js jt mv gh jv jw mw gk jy jz mx gn kb kc mq mr ms cd\" data-selectable-paragraph=\"\"><strong class=\"jm ke\">Hydration<\/strong>: Drink lots of water all day long. Our minds often can not distinguish between the sensation of thirst and hunger. At least that is what my skinny friends tell me\u2026 Sounds right\u2026Probably is.<\/li>\n<li id=\"0a04\" class=\"jk jl fg jm b fz mt jo jp gc mu jr js jt mv gh jv jw mw gk jy jz mx gn kb kc mq mr ms cd\" data-selectable-paragraph=\"\"><strong class=\"jm ke\">Ask the question<\/strong>: This tip sounds pedantically simplistic, but it works. Ask yourself, \u201c<em class=\"kd\">Am I really hungry?<\/em>\u201d This question forces a pause. We stop and process our actions and can\u00a0<em class=\"kd\">sometimes<\/em>\u00a0break the reflex eating cycle.<\/li>\n<li id=\"084d\" class=\"jk jl fg jm b fz mt jo jp gc mu jr js jt mv gh jv jw mw gk jy jz mx gn kb kc mq mr ms cd\" data-selectable-paragraph=\"\"><strong class=\"jm ke\">Exercise<\/strong>: It took me 47 years and a medical degree to accept that regular exercise is an important tool for a happy life and a healthy body. The key first step is to decide \u201cthis is what I am going to do.\u201d If you are just starting out, set the bar as <strong>low<\/strong> as possible. The goal is to make exercise so easy you can\u2019t talk yourself out of it.<\/li>\n<li id=\"3375\" class=\"jk jl fg jm b fz mt jo jp gc mu jr js jt mv gh jv jw mw gk jy jz mx gn kb kc mq mr ms cd\" data-selectable-paragraph=\"\"><strong class=\"jm ke\">Mindfulness<\/strong>: Managing your mind is essential to a healthy body. Find a free meditation app and give it a try. I was highly skeptical but\u00a0<em class=\"kd\">Headspace<\/em> is now an established part of my day. Reducing the underlying stress can prevent overeating at the starting point.<\/li>\n<\/ol>\n<blockquote><p><i><span style=\"font-weight: 400\">Thank you to <\/span><\/i><a href=\"https:\/\/medium.com\/illumination\"><i><span style=\"font-weight: 400\">ILLUMINATION<\/span><\/i><\/a><i><span style=\"font-weight: 400\"> for publishing this article on <a href=\"https:\/\/medium.com\/illumination\/who-else-is-struggling-with-the-quarantine-15-ba365ad87e8f\">Medium<\/a>.<\/span><\/i><\/p><\/blockquote>\n<p><span style=\"font-weight: 400\">Blog Author: Dr. <\/span><a href=\"https:\/\/macarthurmc.com\/dr-jeff-livingston\/\"><span style=\"font-weight: 400\">Jeff Livingston\u00a0<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400\">Main Blog Photo By: <a class=\"ci hs jg jh ji jj\" href=\"https:\/\/unsplash.com\/@yunmai?utm_source=medium&amp;utm_medium=referral\" rel=\"noopener nofollow\">i yunmai<\/a>\u00a0on\u00a0<a class=\"ci hs jg jh ji jj\" href=\"https:\/\/unsplash.com\/?utm_source=medium&amp;utm_medium=referral\" rel=\"noopener nofollow\">Unsplash<\/a><\/span><\/p>\n<p><a href=\"https:\/\/medium.com\/@drjefflivingston\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-14705\" src=\"https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/03\/Medium.png\" alt=\"\" width=\"476\" height=\"104\" srcset=\"https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/03\/Medium.png 1043w, https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/03\/Medium-300x66.png 300w, https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/03\/Medium-1024x224.png 1024w, https:\/\/expioconsulting.com\/macarthur\/wp-content\/uploads\/2020\/03\/Medium-768x168.png 768w\" sizes=\"(max-width: 476px) 100vw, 476px\" \/><\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/figure>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>COVID-19\u2019s unexpected effect on expanding waistlines.<\/p>\n","protected":false},"author":2,"featured_media":15433,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[147],"tags":[146,133,129,131,164],"class_list":["post-15431","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid-19","tag-covid-19","tag-fitness","tag-health","tag-personal-growth","tag-quarantine"],"_links":{"self":[{"href":"https:\/\/expioconsulting.com\/macarthur\/wp-json\/wp\/v2\/posts\/15431","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/expioconsulting.com\/macarthur\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/expioconsulting.com\/macarthur\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/expioconsulting.com\/macarthur\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/expioconsulting.com\/macarthur\/wp-json\/wp\/v2\/comments?post=15431"}],"version-history":[{"count":0,"href":"https:\/\/expioconsulting.com\/macarthur\/wp-json\/wp\/v2\/posts\/15431\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/expioconsulting.com\/macarthur\/wp-json\/wp\/v2\/media\/15433"}],"wp:attachment":[{"href":"https:\/\/expioconsulting.com\/macarthur\/wp-json\/wp\/v2\/media?parent=15431"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/expioconsulting.com\/macarthur\/wp-json\/wp\/v2\/categories?post=15431"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/expioconsulting.com\/macarthur\/wp-json\/wp\/v2\/tags?post=15431"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}