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Introduction

Nearly 7% of the world population is obese1 and about 66% of the adults in the United States are overweight or obese.2 Obesity is associated with a number of adverse medical conditions including increased risk of gallbladder disease, hypertension, type 2 diabetes mellitus, coronary heart disease (CHD), osteoarthritis, cancer death and reduced life expectancy.3–8 Obesity is also associated with adverse social and psychological consequences, including bias, discrimination and decreased quality of life.9,10

More effective treatment strategies are urgently needed for obesity management. The total caloric intake or energy density of one’s diet appears to be associated with obesity11–14 and a diet that induces a negative energy balance continues to be an important part of obesity management. Strategies to achieve the difficult task of eating less than desired include reduction of the energy density of foods by increasing food volume by the addition of fluids,15,16 bulk17–19 or their combination;20 or by increasing satiety by various anorectic drugs or macronutrient combinations of high satiety value.

Satiety is positively associated with the protein, fiber and water content of foods and negatively with fat and palatability ratings.21,22 However, within food groups, there may be as much as a twofold difference in satiety values, suggesting that certain foods promote greater satiety independent of macronutrient content or energy density. An egg is an example of such a food that has a 50% greater satiety index compared to white bread or ready-to-eat breakfast cereal.21 Compared to an isocaloric bagel breakfast of equal weight, an egg breakfast had a greater satiating effect, which translated into a lower caloric intake at lunch.23 The resulting decrease in energy consumption lasted for at least 24 h after the egg breakfast.

This study was undertaken to exploit the short-term satiating benefits of an egg breakfast23 for weight loss in a longer-term trial. The objectives were to determine if the incorporation of an egg breakfast in the diet by overweight or obese subjects would (1) induce reduced energy intake and unintentional weight loss, even when not attempting weight reduction; or (2) enhance weight loss when following a reduced energy diet. We compared the effects of an egg vs isocaloric bagel breakfast of equal weight on weight loss, indices of body size and composition, dietary compliance, food cravings and health-specific quality of life.Materials and methods

The study was approved by the institutional review boards at Pennington Biomedical Research Center and at Saint Louis University. Written informed consent was obtained from the participants. We certify that all applicable institutional and governmental regulations regarding the ethical use of human volunteers were followed during this research.

Participants

Of the 160 participants enrolled, 8 did not complete the trial. The final study sample included 152 participants (131 women and 21 men; mean age 45.0±9.4 years; black participants 47.7% and white participants 52.3%). Demographic characteristics of the participants are provided inTable 1

The Loy Krathong festival is a popular and beautiful event celebrated annually in Thailand. The festival takes place on the full moon night of the twelfth lunar month, which usually falls in November. The name "Loy Krathong" comes from the Thai words "loy" meaning "to float" and "krathong" referring to the small, handmade baskets that are floated on water during the festival.

The tradition of Loy Krathong dates back to the ancient Sukhothai Kingdom, and is believed to have originated as a way to pay respect to the water goddess, Phra Mae Khongkha. The festival also marks the end of the rainy season and the beginning of the rice harvest.

During Loy Krathong, people gather by rivers, canals, and lakes to release their krathongs onto the water. The krathongs are made from banana leaves, flowers, candles, and incense sticks, and are believed to carry away bad luck and negative energies. Many people also release small boats decorated with candles, incense, and offerings, known as "krathong sai," into the water.

In addition to the water-based activities, Loy Krathong also involves cultural performances, parades, and fireworks displays. The festival is also an opportunity for families and friends to come together and enjoy traditional Thai foods such as "khao tom mat," sticky rice cooked in bamboo tubes, and "khanom tom," a sweet dessert made of sticky rice and coconut milk.

One of the most spectacular places to experience Loy Krathong is in the ancient city of Sukhothai, where the festival is celebrated in a grand and traditional manner. The city is illuminated with candles and lanterns, and there are cultural performances and fireworks displays throughout the night.

Overall, Loy Krathong is a beautiful and meaningful festival that showcases the rich culture and traditions of Thailand. It is a time for reflection, gratitude, and the coming together of communities to celebrate the beauty and abundance of nature.

High blood pressure, also known as hypertension, is a common medical condition where the force of blood against the walls of the arteries is consistently too high. This can lead to a range of health problems, including heart disease, stroke, and kidney disease. High blood pressure often does not have any noticeable symptoms, which is why it is sometimes called the "silent killer."

The causes of high blood pressure are not always clear, but several factors can increase the risk of developing the condition. These include age, family history, obesity, a high-sodium diet, smoking, and a sedentary lifestyle. Certain medical conditions, such as diabetes and sleep apnea, can also increase the risk of developing high blood pressure.

Treatment for high blood pressure typically involves a combination of lifestyle changes and medication. Lifestyle changes that can help reduce blood pressure include following a healthy diet, getting regular exercise, maintaining a healthy weight, reducing salt intake, limiting alcohol consumption, and quitting smoking. Medications such as diuretics, ACE inhibitors, and beta-blockers can also be prescribed to lower blood pressure.

It is important for individuals with high blood pressure to monitor their blood pressure regularly and to work with their healthcare provider to manage the condition. This may involve taking medications as prescribed, making lifestyle changes, and monitoring for potential side effects of medication. In some cases, multiple medications may be needed to control blood pressure effectively.

Left untreated, high blood pressure can lead to serious health problems, including heart attack, stroke, and kidney disease. It is important for individuals to take steps to manage their blood pressure and to seek medical attention if they experience any symptoms such as headaches, dizziness, or shortness of breath.

In conclusion, high blood pressure is a common and serious medical condition that can lead to a range of health problems. It is important for individuals to take steps to reduce their risk of developing high blood pressure, and to work with their healthcare provider to manage the condition if it is diagnosed. With proper treatment and management, individuals with high blood pressure can lead healthy and fulfilling lives.