c Losing Weight Successfully ACHIEVE YOUR WEIGHT LOSS/HEALTH GOALS! Dear Kaiser Permanente member, Congratulations on taking this positive step towards managing your weight! This tool kit will guide you in becoming aware and then altering habits that impact your weight. As you become more aware of your current lifestyle, you will be prepared to work towards developing new long term habits. These include: • Self management, like keeping a food diary • Lowering fat, sugar and excess calories • Increasing physical activity • Finding social support from family and friends This tool kit has ten steps to help you succeed with your weight loss goal. Some of the information included in this booklet are: • Ideas to get started Write down how motivated you are to lose weight, your reasons why you want weight loss, what behaviors support your current weight and what roadblocks you might encounter while making behavior changes. Do you have support from family and friends? Post this sheet where you will see it every day as a reminder of your commitment to lose weight. • Help in overcoming weight loss barriers Adopting new habits can be difficult. This handout covers common barriers to weight loss and strategies to help you overcome these barriers. • How to become a detective You cannot change what you are not aware of. Consider yourself a detective...figure out the who, what, where, when, and why of your weight management “case”. • An action plan Set your weight loss goal and follows your action plan to help you succeed. If you choose the free health telephone coaching for follow -up support, this action plan will help you get started. Or look at these questions for ways to start making lifestyle changes on your own. • The essential steps for successful weight loss. 2 Are you ready to lose weight? If you have tried to lose weight before, you know how hard it can be. It takes a lot of energy and effort. Start by thinking about why you want to lose weight. It is also helpful to learn from past weight loss experiences. Please take a moment and write down your answers to the following questions. Are you ready? On a scale of 0-10, how motivated are you to lose weight? (Circle one) Not motivated 0 1 2 3 4 5 6 7 8 9 Very motivated 10 What are your reasons for wanting to lose weight? _________________________________________________________________________________ _________________________________________________________________________________ Will these reasons keep you focused on achieving your goals? _________________________________________________________________________________ _________________________________________________________________________________ Have you ever been successful with losing weight? If so, what worked and why? _________________________________________________________________________________ _________________________________________________________________________________ What kinds of barriers have you encountered in the past with making changes to get weight loss? What will be different this time? _________________________________________________________________________________ _________________________________________________________________________________ Do you have support from family and friends? _________________________________________________________________________________ _________________________________________________________________________________ How confident are you that you can make changes in diet, exercise, and lifestyle? Not confident 0 1 2 3 4 5 6 7 8 9 Very confident 10 3 Do these statements look familiar? When you are clear about why you want to lose weight and how important it is to you, you can find it easier to turn excuses into solutions. “I Have Lost Weight Before But I’ve Gained It All Back” • • • • Get specific- Write down what changed that made you gain weight back Make changes that you are willing to stick with and start slowly. Get support. To make and continue positive behavior changes, you may need help from those around you. Most successful weight losers report having “failed” at weight loss many times before. Yet they learned from their past failures. “I Don’t Have Time to Be Active” • • • • Activity is the key to weight loss and weight maintenance success. Break up exercise into 10 minute sessions, three times per day. Be more active during your day- take the stairs, park your car farther away, get off one bus stop early. Schedule activity in your calendar. “I Don’t Like to Exercise” • • • • Do not call it exercise then- think of it as a way to take a break, manage stress, enjoy your surroundings or play with your kids. Find an activity that you really enjoy, try out different activities Find a support partner to exercise with. Focus on immediate benefits like improved sleep, stress management and improved mood. “I Have to Give Up All My Favorite Foods” • • Yes, some food you may have to eat less of or not as often. Can you eat less of them? Can you enjoy the taste but not the whole serving? Choose lower-calorie versions of your favorite foods. “I Don’t Have Time to Cook Meals” • • • Prepare meals ahead of time and freeze to use throughout the week. Take advantage of frozen vegetables, canned beans, and other shortcuts to get food on the table fast. Find new recipes you can make in less time. Practice one new recipe each week. 4 Proceeding with the Essential steps for success: 1. 2. After taking the readiness quiz, seriously consider if this is a good time for you to work on weight loss. Are there too many barriers in the way of success? If you believe you are ready to work on the necessary lifestyle changes, go to Step 2. Start by keeping a food diary of what you eat. Detective work is the cornerstone of successful weight management. Observing your daily behaviors and writing them down puts you in charge of your weight management. Consider yourself a detective and figure what, when, where and why you eat. A copy of a food diary can be found on www.kphealthyme.com website, under resources. Please complete 3 days worth of food diaries prior to your phone appointment with the registered dietitian. 3. After looking at your food diary, decide how you will start. You cannot change everything all at once. Choose an easy step to begin i.e.; if you skip meals, eat at least three times per day. Or if you find you don’t eat enough vegetables, find ways to add them. 4. Decide on how many calories to eat. For women: 1200-1500 calories per day with activity For men: 1500-1800 calories per day with activity If you do not want to count calories, keep doing the food diary. Sample menus can be found on www.kphealthyme.com under resources. 5. Use the menus provided to plan more structure to your meals and then create some menu ideas for yourself using your favorite foods. 6. Look at activity, how often do you exercise? Activity/exercise can be many things. You will lose weight and keep it off with more success if you are also looking at your activity level. 7. Be realistic about your weight loss. Books and the media make it sound like it is easy to lose weight. A pound equals 3500 calories. You will need to reduce your calorie intake and increase your calories burned from exercise for each pound you want to lose. Changing the way your body responds to exercise and improved eating habits takes several weeks so don't expect immediate results. Stick with your plan. 8. Look at your progress. What do you need help with? Are you still keeping a food diary? You need support to keep going; on the next page are some ideas. Choose what will work for you from these options or create your own options. 9. You need support to keep going: on the next page are some ideas. Choose what will work best for you from these options or create your own options. 5 How to get support for weight loss: • Healthy Connections Class: Based on successful strategies this 8 week class provides the education, accountability, and support needed for weight loss and maintenance. Classes are offered at Arapahoe,Aurora Centrepoint,Castle Rock, Briar gate, East, Hidden Lake,Highlands Ranch, Lakewood, Pueblo and Westminster. Cost is free. Before you sign up for Healthy Connections class view the following webinar. Is Healthy connections right for you? Are you looking to lose weight? Have you struggled with dieting in the past? Healthy connections is an evidence-based program that will help you make behavioral changes to reach your goal weight and stay there! If you are interested in learning more about Healthy Connections, please watch this webinar as your first step before enrolling in the program or watching weight connections. (10 minutes) Go to www.kpwebinar .org then click on the 24/7 webinars tab on the top right of the page After watching both webinars call 303-614-1070 to enroll. Other Options: • www.weighandwin.com : This is a free program that pays you to achieve a healthy weight. Receive daily support through email, text, and online resources. Check the weighandwin.com website for a kiosk near you. • Kaiser Permanente webinar : Weight loss: Weighing the Options. Go to www.kpwebinars.org • Weight Watchers: Join on your own to receive continuing support, also available as an online option. Go to. www.weightwatchers.com for more information. • Health Coaching : Dedicated wellness coaches can help you get started and support you in making changes to improve your health. Your wellness coach can help you address behaviors that undermine your best intentions and help you gain the confidence you need to successfully achieve your goals. To find out more about wellness coaching call the Healthy Living Helpline at 1-866-402-4320. Cost: Free For Health Coaching, the first appointment is 40 minutes and follow up appointments are 1020 minutes. • TOPS: Take Off Pounds Sensibly. Join on your own: www.tops.org Tops is a support group that provides low cost weekly weight in as an accountability plus sensible advice to support your weight goals. • Health media balance : Like working at your own pace towards your goals? Complete this online assessment and move forward with suggested changes. Go to www.kp.org/healthylifestyles • Optifast program, medically monitored meal replacement is available at Englewood and Rock Creek medical offices. For more information call 303-788-1154. • Weight loss surgery, for more information call 303-788-1154. Other websites for information: www.choosemyplate.gov www.fitday.com www.sparkpeople.com www.myfitnesspal.com 6 My Action Plan—I am ready to lose weight! If you are planning on doing the healthier living telephone coaching, this sheet will help you get started. The coaching will focus on helping you make lifestyle changes. The first appointment is 40 minutes and you will be asked many of these questions. 1. My Goal weight is: ______by ______(date) 2. Motivations: “I want to lose weight because…” • ________________________________________________________ • ________________________________________________________ • ________________________________________________________ 3. Preparation Activities: “I will prepare to lose weight by…” (Check all that apply): ❑Keeping a daily food log ❑Enrolling in an exercise class ❑Eating fewer meals out ❑Reducing my portion sizes ❑Monitoring my steps with a pedometer ❑Other ____________________________________________________ 4. What steps will you take to achieve these goals? • __________________________________________________________ • __________________________________________________________ • __________________________________________________________ 5. How will you know when you have successfully made these changes? • __________________________________________________________ • __________________________________________________________ • __________________________________________________________ 7 Healthy families It can be difficult to know where to begin when changing family health habits. Let us help you get started! What are areas you feel are affecting your family’s health? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ What are barriers to change these areas? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Goals are most successful when all family members participate and support one another. Select one or two goals your family can work to achieve: 1. Aim for 5 to 9 servings of fruits and vegetables a day. Add a fruit or vegetable to every meal or snack. Try a new fruit or vegetable every week. 2. Fuel up with breakfast every day. Choose whole grain cereals that are low in added sugars and high in fiber. Try a fruit smoothie made with yogurt and fresh or frozen fruits. 3. Eat regular meals (at least 3 each day). Don’t skip meals. Prepare ½ your plate with fruits and vegetables, ¼ with starches, and ¼ with protein foods. 4. Eat together as a family as often as possible- sit down at a table, turn off any distractions such as TV and video games. Enjoy the conversation. 5. Limit screen time (TV, computers, and video games) to less than 2 hours a day. Move the TV out of the bedroom 6. Aim for at least 1 hour of physical activity every day. Go for family walks/bike rides, join after school/community programs of sports and activities,play outside (invent games, jump rope, build a snow fort), and make a fun obstacle course or dance inside the house. 7. Drink nonfat milk, water or water flavored with fruit. Eliminate juice, chocolate milk, soda and sports drinks. 8 Healthy eating active living resources for parents Making changes to be active and eat healthy is a family affair. Changing nutrition and physical activity patterns is most successful when all members of the family work together to reach goals. Here are some resources: Family Connections FREE webinar series: Parenting strategies to promote healthy eating and active living in your home. Listen and view the recorded sessions at kephealthyme.com or visit kpwebinar.org. Two short recorded webinars are available: • Family Connections Healthy Eating recorded Webinar (17 minutes) • Family Connection Physical Activity recorded Webinar ( 11 minutes) Healthy choice hotline: this is a free series of seven, 5-minute automated calls which connects families to a personal family health coach. Members call 720-857-7907 (Denver) or 1-866-868-7116 (outside metro area). For more information or to listen to a sample, visit www.healthychoicehotline.org MEND a free healthy living program for 7-13 year olds and their families. The program is held at YMCA’S around the metro area. For information: Call Michele Gilson to register 303-614-1072. Individual appointment with follow-up, we are here to help your child and family thrive. Are you concerned about your child’s/families eating and activity habits? Would you like guidance on what steps to take to improve your child’s/ families health? Our wellness experts can help your child/family develop an action plan to optimize health. First time visits take 30 minutes and are available in office or by phone. In English or Spanish. Call 303-614-1070 to schedule. Regular co-pay apply to in office visits. Other websites for information: www.kp.org/amazingfooddetective, interactive game for kids 12 and under that provides an entertaining method of educating children no food and exercise choices. www.teenshealth.org get answers to many of your health questions. www.choosemyplate.gov for individual lifestyle change information Download or order a free “Healthy Eating Active Living” workbook that provides self guided information to change unhealthy lifestyle behaviors. The wellness team will email or call you regarding progress and questions. Available at www.kphealthyme.com For more help or questions: Please contact the Kaiser Permanente's Pediatric Nutrition Services staff at 303 614-1070 or visit www.kphealthyme.com 9
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