chapter Learning Objectives 4 Weight Control • Understand that obesity creeps up on people slowly. • Be able to calculate and interpret your body mass index. • Learn to set a realistic fat-loss goal through making permanent lifestyle changes. John Byl Introduction Reduced life expectancy • People in poorer countries have insufficient food. • North Americans consume too much food. Obesity costs are at $75 billion in the United States. Quick Facts About Obesity • Aninestimated 16% of children aged 6 to 19 the United States are overweight. Quick Facts About Canadian Obesity • Obesity affects 50% of men and 30% of women. • Obesity prevalence doubled between 1965 and 1999. • Women aged 20 to 34 decreased obesity levels by 9%. Creeping Obesity • More than 65% of adults are overweight or obese. • An estimated 300,000 deaths a year are attributable to obesity. • Heart disease • Diabetes • Various forms of cancer A gradual increase in weight due to decreasing metabolism and lifestyle changes. 1 Measuring Fat Levels • Looking at yourself can be misleading. • Hydrostatic weighing • Skinfold measurements • Electrical impedance devices Basal Metabolic Rate Standards Ranking BMI score 18.5 or less Underweight 18.5 to 24.9 Normal 25 to 29.9 Overweight 30 or above Obese Calculating Your Body Mass Index Measurements of BMI • Imperial: Weight in pounds ÷ height in inches squared × 703 • Metric: Weight in kilograms ÷ height in meters squared Waist-to-Hip Ratios • A WHR over 0.8 for women and over 1.0 for men signals an increased risk of developing weight-related health problems. • Having a belly bigger than the hips increases risk. Information obtained from Department of Health and Human Services: Center for Disease Control and Prevention, 2006. 1. State the Goal Realistic balance of reducing calorie consumption and increasing activity expenditure: • Healthy sustainability: Maintaining permanent and positive lifestyle changes. • Food1. is God’s State gift. the Goal • Everything God created is good (1 Timothy 4:4-5). (continued) • Diet approaches – Atkins – Ornish – Hunter-gatherer »Replace monounsaturated transfat. »Consume more omega-3 fat. (continued) »Eat lots of fruit, vegetables, nuts, and whole grains—avoid high glycemic loading. • Cut fat efficiently. 2 2. Assess Your Present Lifestyle • Reevaluate your lifestyle • Increased BMI and sleep deprivation: Sleep too little or too much, and you gain weight. • Walking improves all-around health. (continued) 3. Design a Specific Plan • Write out the specific components of your plan in a positive way and make them work. • Revisit your plan from time to time to see when you’re having difficulties. • Revise your plan and you’ll succeed. 5. Plan Intervention Strategies • Do what you love for physical activity. • Have concrete goals. • Think beyond yourself. • Take rest and stretching breaks from your computers (http://keats.admin.virginia.edu/ ergo/stretch.html). 2. Assess Your Present • Fitting in fitness in fun ways Lifestyle (continued) • • • • • • • • • • • Frequent flights Knead some dough Walk through writer’s block Be the fan of the game Walk and roll Think on your feet Walk-the-talk phone calls Stretch your computer time Add time during ad time Start a walking bus Parking lot walks 4. Predict Obstacles • Predict obstacles and accept personal responsibility for actions. • For example, what to do • When traveling • When eating out • When stressed 6. Assess Compliance With the Plan • Weigh scale • Pluses • Minuses • Choose wellness 3 7. Assess Progress of Your Overall Goal • Set realistic dates to assess progress. • Celebrate successes. • Revise goals if necessary. Next Steps Improve the quality of your life by having a healthy body composition. 4
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