Arts & Entertainment

The U.S. Postal Service unveiled stamps based on artwork from the classic children’s book “Goodnight Moon” during a ceremony on May 7. The event was held at The Rabbit hOle in North Kansas City, MO, a museum that brings to life a century of American children’s literature, including the book’s iconic Great Green Room.

“These nostalgic stamps not only celebrate the timeless charm of ‘Goodnight Moon’ but also highlight the enduring relevance of both stamps and children’s literature in a digital age,” said Lisa Bobb-Semple, the Postal Service’s stamp services director, who spoke at the event. “The enthusiastic response from the public about these stamps has been exciting — a reminder that the joy of stamps continues to inspire all generations.”

Written by Margaret Wise Brown with artwork by Clement Hurd, “Goodnight Moon” revolutionized children’s publishing when it debuted in 1947 and has since become favorite bedtime reading for millions of families around the world. A celebration of the everyday, this quiet, lullaby-like book encourages children and their parents to imagine themselves in the book’s familiar Great Green Room, saying goodnight to everything they see. The sense of peace and security that the book brings helps ease children to sleep, reassuring them that all the familiar things of daily life will still be there in the morning.

Pete Cowdin, co-director of The Rabbit hOle, said the exhibit was an ideal setting for the stamps’ unveiling.

“We knew that the Great Green Room exhibit would kindle a powerful emotional connection with some of our visitors, but the impact of the room has exceeded our expectations. Walking into the exhibit is like walking into the book itself, a time machine that sets free a flood of memories and reconnects adults with their families and their own childhood. It reaffirms what we know already — that ‘Goodnight Moon’ is not just an American classic but a cultural touchstone that celebrates and spans all generations and all demographics.”

Children’s book creator and son of the illustrator of “Goodnight Moon,” Thacher Hurd read the book and discussed his father’s legacy as part of the unveiling.

“I’m sure Margaret and Clem would have loved the beautifully designed stamps created by Derry Noyes and USPS,” he said. “And it’s wonderful that the unveiling of the new ‘Goodnight Moon’ stamps will take place at The Rabbit hOle, with its delightful Great Green Room. It’s the perfect place for this exciting happening.”

One of the first books written for very young children that focuses on everyday experiences, “Goodnight Moon” reflects philosophical shifts in early childhood education that had begun in the early 20th century.

Brown wrote the first draft of “Goodnight Moon” one morning in 1945.

“In the great green room,” the book begins, “There was a telephone / And a red balloon.”

Told in spare, simple language, the book allows children to feel as if they are inside the cozy room, where a young bunny has been tucked into bed.

“Goodnight clocks / And goodnight socks,” reads the text. “Goodnight little house / And goodnight mouse.”

The lilting, hypnotic rhythm perfectly mimics the slow approach of sleep, casting a tender spell over young listeners, who bid goodnight to everything they see in the book — from the toy house and kittens playing on the bedroom floor to wall paintings, a red balloon, and the moon in the night sky. The book also encourages children and parents to look around their own rooms and improvise on the comforting bedtime ritual in any way they would like.

In early 1946, Brown sent the manuscript of “Goodnight Moon” to her friend Hurd (1908-1988), who spent most of the next year working on the book’s illustrations.

Hurd’s images alternate between panoramic scenes of the bedroom rendered in vibrant color and black-and-white close-ups of particular objects in the room, including a pair of mittens hung up to dry and an uneaten bowl of mush on the bedside table. His attention to detail has delighted generations of readers: A copy of “Goodnight Moon” sits upon the nightstand, the time on the clock moves forward, and a tiny mouse scurries about the room. At first brightly lit, the “great green room” grows gradually darker over the course of the book, echoing slumber’s slow descent. In the final scene, the table lamp is off, the moon has risen, and the bowl of mush has been eaten.

Published by Harper & Bros. in September 1947, “Goodnight Moon” sold an initial 6,000 copies, but sales soon dropped off. The book’s remarkable rise in popularity began in the 1950s, in large part because of word of mouth among parents. In 1996, the New York Public Library, which did not add the book to its own collection until 1972, included “Goodnight Moon” on its Books of the Century list.

Today, “Goodnight Moon” has sold a total of more than 48 million copies, placing it among the best-selling children’s books of all time.

Derry Noyes, an art director for the Postal Service, designed the pane using existing art by Hurd.

The Goodnight Moon pane of 16 stamps are issued as Forever stamps, which will always be equal in value to the current First-Class Mail 1-ounce price.

Postal Products

Customers may purchase stamps and other philatelic products through the Postal Store at usps.com/shopstamps, by calling 844-737-7826, by mail through USA Philatelic or at Post Office locations nationwide. For officially licensed stamp products, shop the USPS Officially Licensed Collection on Amazon. Additional information on stamps, First Day of Issue Ceremonies and stamp inspired products can be found at StampsForever.com.

MEET COLA!

This week’s featured shelter pet is Cola at the Smithtown Animal Shelter, a one-year-old black Lab/Bully mix with a sparkling personality and a smile that lights up the room! Cola is the total package—charming, playful, and ready to fill your life with laughter, adventure, and unconditional love.

Whether he’s chasing a ball, going on a neighborhood stroll, or romping around the yard, Cola is always up for fun. And when the day winds down, he’s more than happy to curl up beside you for some well-earned snuggles. He’s young, healthy, and would thrive in a home that matches his joyful spirit—especially one with an active family that loves to play and cuddle as much as he does. Cola is friendly with kids, gets along with other dogs, and may even be cat-compatible! He’s already showing great manners and is eager to learn—especially if treats and belly rubs are involved. If you are ready to add a lovable companion to your family, Cola is waiting to meet you!

To schedule a visit, please fill out an adoption application and book a Meet & Greet in the cozy indoor room, dog runs, or on the shelter’s scenic Dog Walk trail. Let Cola show you just how sweet life can be with a loyal pup by your side!

The Town of Smithtown Animal & Adoption Shelter, 410 Middle Country Road, Smithtown is open Monday to Saturday from 10 a.m. to 3 p.m. (Sundays and Wednesday evenings by appointment only). For more information, call 631-360-7575.

For more information regarding rescue animals available for adoption visit:. TownofSmithtownAnimalShelter.com 

 

 

 

Nursing students engage in trauma simulation, guided by an instructor, to build essential emergency care skills in a realistic learning environment. Photo by Amy Prokop

Initiative will enhance and broaden nursing education with funds totaling $20.5 million

The Stony Brook University School of Nursing has been selected as a State University of New York (SUNY) Regional Nursing Simulation Center, one of only three in New York State. Governor Kathy Hochul announced the news this month about the selected centers, which will involve an overall $62 million investment to bolster nursing training at many levels throughout the state.

Stony Brook will receive $10 million from SUNY, with matching funds of $10.5 million from Stony Brook University. The total of $20.5 million will be used to create a new simulation center at Stony Brook that includes the latest simulation technologies to help train more nursing students and enhance the overall experience of nursing education.

The selected campuses include the University of Buffalo, named the SUNY System-Wide Nursing Simulation Center of Excellence, and SUNY Canton and Stony Brook as the regional centers. Each center will provide high-quality, hands-on training for some of the most needed clinical practice areas in health care, such as labor and delivery, high acuity cases, and community health.

According to the Governor’s office, with their investments, each campus has committed to significant prelicensure nursing program enrollment growth, leveraging the legislation Governor Hochul signed in May of 2023 permitting nursing students to complete up to one-third of their clinical training through high-quality simulation experiences.

“By investing in nurses of the future, we’re investing in the talent of aspiring professionals across our state and in the health care workforce we all rely on,” says Governor Hochul.

“As Suffolk County’s only academic medical center, Stony Brook University is proud to be at the forefront of healthcare education and workforce development,” says Dr. William A. Wertheim, Executive Vice President for Stony Brook Medicine. “This designation as a SUNY Regional Nursing Simulation Center reflects our long-standing commitment to preparing the next generation of nurses. Through this important partnership with SUNY, we will expand access to high-quality, hands-on clinical training – helping to address the critical nursing shortage, grow the healthcare workforce and ensure our communities have skilled professionals they need to thrive.”

The new regional nursing simulation center at Stony Brook will support a 19 percent increase in prelicensure (baccalaureate) nursing enrollment in the first-year post-project completion. There is a projected 27 percent increase over the next five years.

“We are grateful to Governor Hochul, SUNY, and Stony Brook University for this opportunity to expand and enhance nursing education through simulation-based learning,” says Dr. Patricia Bruckenthal, Dean of the Stony Brook School of Nursing. “Our NEXUS Innovation Center epitomizes our commitment to advancing nursing education through innovation and collaboration. By integrating cutting-edge simulation technologies, we are not only enhancing the clinical competencies of our students and students across the region but also fostering an environment where interdisciplinary teams can engage in transformative learning experiences. This center stands as a testament to our dedication to preparing nurse leaders who will shape the future of healthcare delivery.”

According to the plan as a regional center, Stony Brook will significantly expand its simulation space footprint to enhance in-person nursing education. Additionally, the center will leverage advanced simulcast software technology to provide remote learning opportunities across Long Island.

Currently, simulation baccalaureate nursing curriculum is integrated into every clinical course in the School of Nursing. Due to space constraints, students are rotated through the Learning Resource Center in small groups, which enables hands-on experiences in the simulation lab under the supervision of the lab director and clinical faculty. The expansion of simulation training and a new dedicated center will streamline this workflow.

The announcement of the three nursing simulation centers across the state also builds on previous efforts by SUNY to expand and enhance nursing education through simulation-based learning. Last October, SUNY Chancellor John B. King Jr. announced the inaugural class of the SUNY Nursing Simulation Fellowship, which includes Dr. Debra Giugliano from Stony Brook Nursing; and SUNY has invested $3.7 million through its High Needs Nursing Fund to further advance simulation-based education across 40 of SUNY’s nursing programs.

 

 

Rite Aid

By Heidi Sutton

The signs were already there with empty shelves that were never restocked but now it’s official. Rite Aid Pharmacy announced on May 5 that the business will be selling or closing all of its locations in the next few months, including 178 in New York, as it files for Chapter 11 proceedings for the second time in less than two years. The company currently operates 1,245 stores in 15 states, according to its website.

During this process, Rite Aid customers can continue to access pharmacy services and products in stores and online, including prescriptions and immunizations. In connection with the sale process and court-supervised proceedings, the Company is working to facilitate a smooth transfer of customer prescriptions to other pharmacies, according to the press release.

“For more than 60 years, Rite Aid has been a proud provider of pharmacy services and products to our loyal customers. While we have continued to face financial challenges, intensified by the rapidly evolving retail and healthcare landscapes in which we operate, we are encouraged by meaningful interest from a number of potential national and regional strategic acquirors. As we move forward, our key priorities are ensuring uninterrupted pharmacy services for our customers and preserving jobs for as many associates as possible,” said Matt Schroeder, Chief Executive Officer of Rite Aid.

“I will be forever grateful to our thousands of associates for their commitment to Rite Aid and its mission, and I thank our entire team – from store associates to corporate employees – for their dedication to our customers and our company. With their support, we have played a critical role in supporting the healthcare needs of countless Americans across the communities that we are honored to serve,” Schroeder added.

Following the announcement, Rite Aid posted on its website that starting May 6 Rite Aid Rewards points will no longer be issued for qualifying purchases. All accrued points and BonusCash will expire per standard terms & conditions available at riteaid.com/rewards/terms-and-conditions.

The website also said that Rite Aid would no longer honor Rite Aid gift cards or accept any returns or exchanges beginning June 5.

To support Rite Aid during its sale process, which it intends to conduct under section 363 of the U.S. Bankruptcy Code, the Company has secured commitments from certain of its existing lenders to access $1.94 billion in new financing. This financing, along with cash from operations, is expected to provide sufficient funding during the sale and court-supervised process. The Company intends to divest or monetize any assets that are not sold through the court-supervised process. Rite Aid has filed a number of customary motions with the Court seeking authorization to support operations, including continued payment of employee wages and benefits, according to the release.

Currently there are 12 Rite Aids in Suffolk County, including Eastport, Hampton Bays, Huntington, Kings Park, Lindenhurst, Middle Island, Mount Sinai, North Babylon, Selden, Shirley, Southampton, and West Islip. Stores will begin to close or be sold within the next few months.

For a full list of New York Rite Aid locations, click here.

 

Photo from John W. Engeman Theater

The John W. Engeman Theater in Nothport has announced its 2025–2026 Main Stage season. The exciting line-up brings together a Tony Award-winning hit musical, a heartwarming holiday tradition, iconic musical legends, epic love stories, and a blast of ’80s fun. Season tickets are available now. Single show tickets go on sale on May 20.

“We are so proud to present such a powerful and entertaining lineup,” said Richard Dolce, Executive Producer of The John W. Engeman Theater. “This season celebrates unforgettable storytelling and iconic music, and I can’t think of a better way to mark our 100th Main Stage production. Audiences are in for a season full of joy, heart, and spectacular performances!”

COME FROM AWAY
September 11 – October 26, 2025
Our milestone 100th Main Stage production opens the season with the critically acclaimed, award-winning musical COME FROM AWAY. On 9/11, the world stopped. On 9/12, their stories moved us all. Set in the small town of Gander, Newfoundland, this moving true story follows the 7,000 stranded passengers who were welcomed with open arms in the wake of tragedy. Full of hope, humanity, and soaring music, COME FROM AWAY is a testament to the power of community and compassion.

A CHRISTMAS CAROL: THE MUSICAL
November 13 – December 28, 2025
Celebrate the holiday season with this lively musical adaptation of Charles Dickens’ timeless tale. A CHRISTMAS CAROL: THE MUSICAL follows Ebenezer Scrooge on a magical journey guided by the spirits of Christmas Past, Present, and Future. Featuring a delightful score by Alan Menken (Beauty & The Beast, The Little Mermaid) and lyrics by Lynn Ahrens (Seussical, Once On This Island), this festive production is the perfect holiday treat for the whole family.

RING OF FIRE
January 15 – March 1, 2026
Feel the rhythm of the legendary Johnny Cash in this musical tribute that tells the story of his life through his iconic songs. RING OF FIRE features a toe-tapping collection of country, rock ‘n’ roll, gospel, and heartfelt ballads, brought to life by a cast of extraordinary actor-musicians. From “I Walk the Line” to “Folsom Prison Blues,” this show celebrates the man in black like never before.

THE BODYGUARD
March 12 – April 26, 2026
The smash-hit film comes to life on stage in this breathtaking musical adaptation. When a former Secret Service agent is hired to protect a superstar singer, they find more than danger—they find love. Featuring the chart-topping Whitney Houston soundtrack, THE BODYGUARD includes show-stopping hits such as “I Will Always Love You,” “I Wanna Dance with Somebody,” “So Emotional,” and more.

CAMELOT
May 14 – June 28, 2026
Rediscover the legendary tale of King Arthur, Queen Guenevere, and Sir Lancelot in the sweeping and romantic musical CAMELOT. With its soaring score and timeless story of honor, love, and betrayal, this classic from Lerner & Loewe features beloved songs including, “If Ever I Would Leave You,” “The Lusty Month of May,” and the title song “Camelot.”

THE WEDDING SINGER
July 9 – August 23, 2026
Close out the season with a high-energy celebration of the ’80s! Based on the hit Adam Sandler film, THE WEDDING SINGER brings big hair, big dreams, and big laughs to the stage. Follow Robbie, a charming wedding singer with a broken heart, as he finds new love in this hilarious and feel-good musical packed with catchy tunes, retro vibes, and romance.

Tickets & Information:
Tickets can be purchased by calling (631) 261-2900, visiting www.engemantheater.com, or in person at the Box Office located at 250 Main Street, Northport.

For a complete show schedule and more, visit www.engemantheater.com or call (631) 261-2900.

Paul O'Connor. Photo by Roger Stoutenburgh/ BNL

By Daniel Dunaief

The Earth is way too noisy.

The far side of the moon, however, can act like enormous noise cancellation headphones, serving as a barrier to the kinds of signals from sources including Earth’s ionosphere, which carries electromagnetic noises from lightning, solar flares, radio signals, among others to look or, perhaps more appropriately, listen deep into the past.

On Wednesday, May 7, at Napper Tandy’s in Smithtown, three Brookhaven National Laboratory scientists will speak with the public about an unnamed mission expected to take off next year. The free event is part of BNL’s PubSci science café series (www.bnl.gov/pubsci/).

Paul O’Connor. Photo by Roger Stoutenburgh/ BNL

Senior Scientist Paul O’Connor, Mechanical Engineer Connie-Rose Deane and Physicist Anže Slosar will discuss a project called LuSEE-Night, which, like so many other efforts at BNL, is an acronym. LuSEE stands for Lunar Surface Electromagnetic Experiment-Night.

The Department of Energy project manager is Sven Hermann at Brookhaven National Laboratory. Slosar is the science lead, while O’Connor coordinated technical and systems aspects of the instrument development.

The scientists collaborated with researchers at the National Aeronautics and Space Administration and the Department of Energy and included scientists at the University of Minnesota and at the University of California, Berkeley.

The Space Science Laboratory at the University of California, Berkeley is leading the project. BNL is a collaborating member responsible for delivering hardware components of the payload.

LuSEE-Night, which is a radio telescope, is designed to gather information about the Dark Ages of the universe. This time period, from about 380,000 to 400 million years ago after the Big Bang, occurred before the first luminous stars and galaxies. 

Connie-Rose Deane. Photo by David Rahner/ BNL

As the only signals measurable from the Dark Ages, radio waves, recorded through LuSEE-Night provide a chance to learn how the first non-luminous matter evolved into stars and galaxies.

Over the last several years, scientists at the Department of Energy and NASA have shared their excitement about seeing something they had never seen before.

David Rapetti, Senior Researcher with Universities Space Research Association (USRA) at NASA’s Ames Research Center in California’s Silicon Valley, suggested the instrument was a “trailblazer for subsequent potential single telescope experiments for the global signal, also including the Cosmic Down signal at a somewhat higher frequency range.”

Rapetti, who has been with the project since its inception, suggested that this instrument could help with plenty of other science.

“In addition to studies of the sun, planets and exoplanets, the roadmap ahead for low frequency observations from the lunar surface represents a crucial resource to further our understanding of the evolution, content and first luminous objects of the early Universe,” Rapetti explained.

A potential measurement of the global Dark Ages signal could in principle reveal “undiscovered new physics or indeed further validate the current standard model of cosmology,” Rapetti added.

Challenging conditions

When looking for a landing site, the team searched for a flat, level surface that was free of large rocks and craters and that had an unobstructed view of the sky in all directions.

Anže Slosar. Photo by Roger Stoutenburgh/ BNL

They chose the Schrodinger Basin, which is about 250 miles south of the lunar equator at a point “almost exactly opposite the Earth-facing direction,” O’Connor explained. This will keep the telescope as “free as possible from electromagnetic interference from Earth,” he added.

Sending the telescope to the far side of the moon created particular challenges. For starters, the telescope had to endure the forces experienced during launch and landing. Once it was on the moon, it had to tolerate the harsh temperature that could drop as low as minus 280 degrees Fahrenheit, and radiation environment, while staying within the mass and power budgets. The instrument mass is less than 282 pounds.

While the landing site is ideal for minimizing electromagnetic noise, it’s difficult to send the information back to Earth with the moon blocking the communication.

Indeed, the ill-fated Apollo 13 mission, which was led by Commander James Lovell and that orbited the moon without landing, was out of communication for about 25 minutes while it was on the far side of the moon.

To gather data from the telescope, the group is sending a satellite that will orbit the moon, enabling communication that has a 1.3 second time delay in each direction as the signal travels to the moon.

The signal processing chain required a state-of-the-art digital chip that could crunch the data as it comes through small antennas and produces a reduced data set small enough to send back to Earth, explained O’Connor, who worked with a core BNL team of six senior scientists and engineers and about a dozen other engineers, technicians and project staff on a final design that took about 16 months to complete

Additionally, the telescope will only generate solar energy during 14 Earth days a month. During another 14 days, the instrument needs to run without recharging its battery.

To protect the telescope against the harsh, cold environment of the moon, the scientists are wrapping the instrument in many layers of an insulating blanket. The heat from its operation should provide enough energy to prevent damage from the cold.

When the radio telescope launches, the four antennas are coiled into a compact spool the size of a soda can. After landing, the latch is released, allowing the antenna to deploy into self-supporting booms three meters long using their own spring force. At this point, several research and development missions are underway to learn more about the moon in preparation for the Artemis 3 manned mission currently planned for the middle of 2027.

LSST/ Rubin Observatory

O’Connor has also been involved for over two decades with the development of a project called the Large Synoptic Survey Telescope that is now called the Vera C. Rubin Observatory in Cerro Pachón, Chile.

Rubin was an astronomer who provided the first evidence of the existence of dark matter.

The much anticipated activation of this observatory, which will allow researchers to look into billions of galaxies, asteroids and even dark matter, will start producing data in July.

O’Connor, who helped with the film part of the observatory’s camera, suggested that the BNL science team is “most interested in what LSST/ Rubin will tell us about the nature of dark energy and dark matter. This will come from analyzing the camera’s images which, paradoxically, reveal the location of dark matter as it ‘bends’ the light traveling towards us from distant regions in the universe.”

More information about the event on May 7 can be found here.

Bananas Foster French Toast

By Heidi Sutton

Whether your breakfast favorites include pastries and pancakes or fruits and French toast, enjoying a meal made with love for mom is a heartwarming way to start Mother’s Day.

Bananas Foster French Toast

Recipe courtesy of Family Features

Bananas Foster French Toast

YIELD: Serves 4

INGREDIENTS:  

French Toast:

4 eggs

2 cups half-and-half

1 teaspoon cinnamon

1/2 cup sugar

1 tablespoon vanilla extract

1/4 stick butter

1 loaf of bread

Bananas Foster sauce:

1/2 stick butter

1 1/2 cups brown sugar

1 teaspoon cinnamon

3 bananas sliced lengthwise and quartered

DIRECTIONS:

To make French toast: In mixing bowl, combine eggs, half-and-half, cinnamon, sugar and vanilla. Beat until well blended. On nonstick griddle or griddle pan on medium heat, melt butter. Dip each bread slice into egg mixture until fully coated (two times each). Place on griddle and cook until each side is slightly brown.

To make Bananas Foster sauce: Melt butter and brown sugar together; add cinnamon. Once melted into caramel, add sliced bananas. Continue spooning sauce over bananas in pan. Plate French toast and spoon bananas with sauce on top of each French toast stack.

Lavender White Chocolate Scones

Recipe courtesy of Sarah Bates

Lavender White Chocolate Scones

YIELD: Serves 4

INGREDIENTS:  

3 cups all-purpose flour

1 cup granulated sugar

1 tablespoon baking powder

1 teaspoon dried lavender buds

1 teaspoon salt

1/2 teaspoon baking soda

1 1/2 sticks butter, cold, unsalted – cut in cubes

1 cup milk, buttermilk

1/2 tablespoon pure vanilla extract

2 teaspoons granulated sugar

1 cup white chocolate chips

DIRECTIONS:

Preheat the oven to 400º F. Line two baking sheets with parchment paper and set aside. In a large bowl, whisk together the flour, sugar, baking powder, lavender, salt and baking soda. Add the cubes of butter and using a pastry cutter, mix until it resembles coarse meal. Whisk the buttermilk and vanilla in a small bowl. Add the wet ingredients to the dry ingredients and stir with a wooden spoon until a shaggy dough forms.

Transfer the dough to a lightly floured surface and knead until the dough comes together. Pat into a rectangle, about 10×6. Cut the dough into 12 triangles and divide between the two baking sheets. Brush the top of the scones with some additional buttermilk, then sprinkle with granulated sugar.

Bake scones are golden brown, about 15 minutes. Transfer to wire racks to cool. Add the chocolate chips to a medium bowl and microwave on high for 2 minutes, stirring every 30 seconds, until completely melted. Drizzle the melted chocolate over the top of the scones and serve.

Stock photo

Sachem Public Library, 150 Holbrook Road, Holbrook will host a Community Job Fair on Wednesday, May 7 from 10 a.m. to noon. 

Co-sponsored by the Suffolk County One Stop Employment Center, the event will feature representatives from over 20 companies including Ideal Home Care, Swan Lake Rehabilitation, American Regent, Stony Brook University Hospital, Family Service League, Allegiant Home Care, Stony Brook University, NYSP, Jefferson’s Ferry, Arrow Security, SCO Family of Services, Urban League of Westchester County, Inc., East/West Industries, 311 Call Center, Aides At Home, Long Island Community Hospital, A Gentle Touch Senior Home Care, New York State Department of Corrections and Community Supervision, YAI, Suffolk County HR, SeniorCare Companions Home Companion Services of New York, Inc, Uncle Giuseppe’s Marketplace, Transitional Services of Long Island and Haven House/Bridges.

Bring your resume and dress for success. No registration required. For more information, call the 631-853-6600.

METRO photo
Lowering cortisol levels can help manage weight

By David Dunaief, M.D.

Dr. David Dunaief

Losing or maintaining body weight is complex. Many things influence our eating behavior, including food addictions, boredom, lack of sleep and stress.

While calorie intake is an important element of the equation, knowing a food’s caloric impact doesn’t always make a difference in our behavior. Studies assessing the impact of nutrition labeling in restaurants gave us a good picture of this complex issue: knowing an item’s calories either doesn’t alter behavior or can actually encourage higher calorie purchases (1, 2).

The good news is that controlling weight isn’t only about exercising willpower and skipping higher calorie items. Instead, we should focus on our diet’s composition.

Increasing food quality has a tremendous impact. This is not about emphasizing on macronutrient over another. Macronutrient categories are protein, carbohydrates, and fats. Instead, it’s about emphasizing micronutrients over macronutrients. Micronutrients, simply, are vitamins and minerals in foods. Foods that are micronutrient-dense tend to be the most satisfying. In a week to a few months of emphasizing micronutrients, one of the first things my patients notice is a significant reduction in macronutrient cravings.

Balancing protein, carbohydrates and fats

Many diets focus on the balance of macronutrients. Which has the greatest impact on weight loss? In a randomized control trial (RCT), when comparing different macronutrient combinations, there was very little difference among study groups, nor was there much success in helping obese patients reduce their weight (3, 4). Only 15 percent of patients achieved a 10 percent reduction in weight after two years.

The four different macronutrient diet combinations involved overall calorie restriction. In addition, each combination had either high protein, high fat; average protein, high fat; high protein, low fat; or low protein, low fat. Carbohydrates ranged from low to moderate (35 percent) in the first group to high (65 percent) in the last group. This was another well-designed study, involving 811 participants with an average BMI of 33 kg/m², which is classified as obese.

Focusing primarily on macronutrient levels and calorie counts did very little to improve results.

Should we avoid refined carbohydrates?

A small RCT showed refined carbohydrates actually may cause food addiction (5). MRI scans of trial subjects showed that certain sections of the brain involved in cravings and reward are affected by high-glycemic foods.

Study participants consumed a 500-calorie shake with either a high-glycemic index or a low-glycemic index. They were not told which they were drinking. The ones who drank the high-glycemic shake had higher levels of glucose in their blood initially, followed by a significant decline in glucose levels and increased hunger four hours later. The region of the brain that is related to addiction, the nucleus accumbens, showed a spike in activity with the high-glycemic intake.

The authors note that this effect may occur regardless of the number of calories consumed. Commonly found high-glycemic foods include items like white flour, sugar, and white potatoes. We should all strive to limit or avoid refined carbohydrates.

Focusing on micronutrients 

In an epidemiological study looking at National Health and Nutrition Examination Survey data, results demonstrate that those who are overweight and obese tend to be micronutrient-deficient (6). This can have long-term impacts on your health that are not just related to weight. Micronutrients include carotenoids, such as lutein, zeaxanthin, beta-carotene, alpha-carotene and beta-cryptoxanthin, as well as vitamin B12, folate and vitamins C, E and D.

Unfortunately, taking supplements doesn’t solve the problem; generally, micronutrients from supplements are not the same as those from foods. With a few exceptions, such as vitamin D and potentially B12, most micronutrient levels can be raised by increasing the variety of foods in your diet. Please, ask your doctor before starting or stopping supplements.

Cortisol levels and weight

While cortisol is important to an array of physiological processes, including regulating inflammation and blood pressure, too much cortisol can cause health problems. There is a complex dynamic between cortisol and weight. Cortisol raises glucose blood levels and is involved in promoting visceral or intra-abdominal fat. This type of fat coats internal organs. Decreasing your level of cortisol metabolite might also result in a lower propensity toward insulin resistance and decrease your risk of cardiovascular mortality.

In a preliminary, small, prospective (forward-looking) study involving women, results show that once obese patients lost weight, the levels of cortisol metabolite excretion decreased significantly (7). This is encouraging. Controlling or losing weight is more complex than calorie-counting. While calorie intake has a role, food’s nutrient density may play a significant role in reducing your cravings, ultimately helping you manage your weight.

References:

(1) Am J Pub Health 2013 Sep 1;103(9):1604-1609. (2) Am J Prev Med.2011 Oct;41(4):434–438. (3) N Engl J Med 2009 Feb 26;360:859. (4) N Engl J Med 2009 Feb 26;360:923. (5) Am J Clin Nutr Online 2013;Jun 26. (6) Medscape General Medicine. 2006;8(4):59. (7) Clin Endocrinol.2013;78(5):700-705.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.

Image courtesy of LIM

The Long Island Museum, 1200 Route 25A, Stony Brook presents Shirley Chisholm, Unbossed & Unbowed on Friday, May 9 in the LIM’s Carriage Museum’s Gillespie Room at 7 p.m.

Don’t miss this award-winning solo show created and performed by Ingrid Griffith, telling the largely unheard story of Shirley St. Hill Chisholm, a Brooklyn-born politician of immigrant parents, who, in the 20th century, was the first African-American woman to win a seat in Congress and run for President.

The story follows 10-year-old Shirley as she returns to the U.S. after being separated from her parents during the Great Depression. Her years with her grandmother in Barbados deeply shaped her Caribbean heritage, influencing her bearing, speech, and self-expectations. Shirley Chisholm’s childhood reveals how race and gender were meant to limit her, yet she chose to fight for the disenfranchised, overcoming immense barriers to rise in politics.

Unbossed and Unbowed dramatizes the Civil Rights era, the unrest of the 1960s, and the patriarchal system she challenged—struggles that still resonate today. Through visuals and music, the play captures the economic, political, and social upheavals from the 1930s to the early 1970s. While all characters bring strong voices, it is Shirley Chisholm’s narrative that delivers the story’s powerful message.

Tickets are $30, $25 members. To register, visit www.longislandmuseum.org or click here. For more information, call 631-751-0066.

This program is part of “A New Agora for New York.”