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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

Communicating with someone who is suffering from depression can be challenging, as it can be difficult to know what to say or how to act. However, it is important to remember that your words and actions can have a significant impact on their mental health and well-being. Here are some tips for communicating with someone who is struggling with depression:

  1. Listen without judgment: Let them express their feelings and emotions without interrupting or dismissing them. Show empathy and understanding, and avoid criticizing or judging their thoughts and actions.

  2. Offer support: Let them know that you are there for them and that they are not alone. Offer to help them in any way that you can, whether it be through listening, providing practical support, or accompanying them to therapy appointments.

  3. Avoid giving advice: While it may be tempting to offer solutions or advice, it is important to recognize that depression is a complex condition that requires professional help. Instead, encourage them to seek support from a healthcare professional.

  4. Be patient: Recovery from depression takes time, and it is important to be patient and understanding. Avoid pressuring them to "snap out of it" or rushing their recovery process.

  5. Practice self-care: Supporting someone with depression can be emotionally taxing, so it is important to take care of your own mental health as well. Set boundaries, seek support from others, and prioritize your own self-care.

  6. Validate their feelings: Depression can be a lonely and isolating experience, so it is important to validate their feelings and let them know that it is okay to feel the way they do. Encourage them to express their emotions and offer reassurance that their feelings are valid and important.

  7. Encourage healthy habits: While it may not cure depression, maintaining healthy habits such as regular exercise, a balanced diet, and adequate sleep can help improve mental health and well-being. Encourage them to engage in these habits and offer to participate with them if possible.

In summary, communicating with someone who is struggling with depression requires patience, empathy, and understanding. By listening without judgment, offering support, avoiding giving advice, being patient, practicing self-care, validating their feelings, and encouraging healthy habits, you can help support them through their recovery process.

A College Degree is Nearly a Necessity

Your education is the single greatest gift you can give yourself. While there are educational opportunities all around us, some of them come at a greater cost than others. A college education might require a hefty investment of time and money upfront but the pay off is much better over time than if you used your life experiences in order to achieve the same level of education that you can pack into 2, 4, or 5 years of an undergraduate education on the college level.

In other words, over the course of your lifetime, you are likely to pay far less for your college education than you would pay (in earning potential) for not having a college education. At the same time, each level of college education you receive increases your overall earning potential. This means that a one-year degree in a technical field will provide a modest boost from a high school diploma when it comes to earning potential but an associate’s degree will provide an even better boost. You will see an even more significant improvement in earning potential when you increase from an associate’s degree to a bachelor’s degree. The vast majority of students enter the workforce upon completion of a bachelor’s degree. Those students, however, who remain in school for graduate studies often, find that a master’s degree even further improves their lifetime earning potentials.

The problem for most when it comes to making the jump between degrees and educational levels is cost. There are times in life when we simply need to get out of school and get to work. The good news is that it is gradually becoming easier for those with careers to further their education without sacrificing either their careers or their family during the process. Of course, there will be some sacrifices along the way but it isn’t an all at once or nothing endeavor. You can work towards your degree by taking online classes, night classes, and Saturday classes. The information age has made it easier than ever before to achieve the educational goals you need to meet in order to satisfy your dreams for the future.

Your level of education will get your foot in the door when it comes to certain jobs and your lack of education will limit you far more than a lack of experience will limit you in many cases. As time grows on, more and more companies are seeking employees that have degrees rather than those who have experience in the field. If you hope to remain competitive in the business world you need to arm yourself with the proper education. Check with your company to see if they offer any sort of incentives for employees continuing their education. You might be surprised to find that your company offers to match your tuition funds or even completely reimburse them if you are working towards a degree that will assist you in your job functions.

There is no wrong reason to get an education. Even if you are applying for a job that won’t use your specific degree, you might find that having a degree at all gives you a boost over other applicants for the same position. A college degree is becoming more and more necessary in today’s business climate. You need to take every opportunity that is available to you in order to get your college degree.