{"id":61408,"date":"2019-01-15T11:19:39","date_gmt":"2019-01-15T16:19:39","guid":{"rendered":"https:\/\/www.ou.org\/life\/?p=61408"},"modified":"2019-01-15T11:19:39","modified_gmt":"2019-01-15T16:19:39","slug":"simplifying-weight-loss","status":"publish","type":"post","link":"https:\/\/www.ou.org\/life\/health\/simplifying-weight-loss\/","title":{"rendered":"Simplifying Weight Loss"},"content":{"rendered":"<p class=\"p1\"><span class=\"s1\">With the knowledge we have today, we know that losing weight and being able to keep it off is actually very complex.<span class=\"Apple-converted-space\">\u00a0 <\/span>There is no shortage as to the amount of factors involved.<span class=\"Apple-converted-space\">\u00a0 <\/span>To lose weight and to sustain that weight loss involves multiple disciplines.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Just in nutrition alone, we need to know about calories, portions, refined and unrefined foods.<span class=\"Apple-converted-space\">\u00a0 <\/span>Are the macronutrients of carbohydrates, proteins and fats balanced? How much processed foods are you eating?<span class=\"Apple-converted-space\">\u00a0 <\/span>What effect is your microbiome (gut bacteria) having on our digestive system and overall health?<span class=\"Apple-converted-space\">\u00a0 <\/span>How is your hydration?<span class=\"Apple-converted-space\">\u00a0 <\/span>Are your portions too big? And then you have to worry about metabolism.<span class=\"Apple-converted-space\">\u00a0 <\/span>Are you eating in a way to keep it elevated?<span class=\"Apple-converted-space\">\u00a0 <\/span>Are you doing the right kind of exercise to keep your basal metabolic rate from slowing down?\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Then there is the behavioral aspect.<span class=\"Apple-converted-space\">\u00a0 <\/span>Why are you eating\u2014is it hunger or emotions?<span class=\"Apple-converted-space\">\u00a0 <\/span>Perhaps you are eating out of boredom.<span class=\"Apple-converted-space\">\u00a0 <\/span>Do you have good exercise habits and is your program balanced?<span class=\"Apple-converted-space\">\u00a0 <\/span>Besides exercise, are you staying active?<span class=\"Apple-converted-space\">\u00a0 <\/span>Are you losing weight by learning good, healthy habits or are you on another diet doomed to failure?<span class=\"Apple-converted-space\">\u00a0 <\/span>So you see, there is no shortage of factors that can influence your weight in one direction or another.<span class=\"Apple-converted-space\">\u00a0 <\/span>But it is best to leave the complexity of weight loss to those of us whose job it is to understand the science and apply it.<span class=\"Apple-converted-space\">\u00a0 <\/span>But for you, let\u2019s see if we can make this an easier subject to deal with and to succeed at.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">The urgency to lose weight has driven us to do some crazy and radical things.<span class=\"Apple-converted-space\">\u00a0 <\/span>People go on weight-loss diets (don\u2019t forget the 96% failure rate long-term) that eliminate the essential nutrients we need for good health throughout our lives.<span class=\"Apple-converted-space\">\u00a0 <\/span>They get feelings of deprivation and hunger, and they sure can get cranky when they don\u2019t eat enough.<span class=\"Apple-converted-space\">\u00a0 <\/span>But instead of working on a doable and sustainable program, they do the wrong things.<span class=\"Apple-converted-space\">\u00a0 <\/span>Katherine D. McManus, MS, RD, is Director of the Department of Nutrition and Director of the Dietetic Internship at the Brigham and Women\u2019s Hospital.<span class=\"Apple-converted-space\">\u00a0 <\/span>She recommends 10 concrete, simple and doable steps so that your weight loss journey not only won\u2019t be complicated, it will also be permanent. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">1<b>. Know where you are starting.<\/b> Keep a food record for three days. Track all the food and beverages you eat along with the portions. Identify how often you are eating away from home, eating takeout, or buying food on the run.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">2. <b>Identify your goal and make a plan.<\/b> What is your goal? Do you want to lose weight to improve your health? Do you dream of fitting into an old suit or dress? How will you achieve your goal? Will you cook more meals at home? Will you eat smaller portions? Be specific and start small.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">3. <b>Identify barriers to your goals \u2014 and ways to overcome them<\/b>. Could a busy schedule get in the way of going to the gym? Wake up an hour earlier. Has an empty pantry prevented you from cooking at home? Look up some healthy recipes, then head to the grocery store armed with a list of ingredients you\u2019ll need to prepare them.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">4. <b>Identify current habits that lead to unhealthful eating.<\/b> Do you relax and reward yourself by snacking in front of a screen such as the computer? Do you skip lunch only to feel starved by midafternoon, ready to eat anything in sight? Do you finish everything on your plate even after you start to feel full?<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">5. <b>Control your portions.<\/b> Familiarize yourself with standard serving sizes. Did you know that one serving of poultry or meat is 4 ounces, or the size of a deck of playing cards? Or that one serving of pasta is only 1\/2 cup?<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">6. <b>Identify hunger and satiety cues<\/b>. Be aware of physical versus emotional hunger. Do you eat when you feel something physical in your body that responds to food? Or do you eat when you are stressed, bored, tired, sad, or anxious? Try to stop eating BEFORE getting full (it takes about 20 minutes for your brain to register \u201cstop eating\u201d signals from your stomach). Foods that can help you feel fuller include high-fiber foods such as vegetables, whole grains, beans, and legumes; protein (fish, poultry, eggs); and water.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">7. <b>Focus on the positive changes<\/b>. Changing behavior takes time \u2014 at least three months. Don\u2019t give up if you slip up along the way. Get support from others and take the time to acknowledge the changes you have made.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">8. <b>Go with the 80\/20 rule<\/b>. Stay on track 80% of the time, but leave some room for a few indulgences. You don\u2019t want to feel deprived or guilty.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">9. <b>Focus on overall health<\/b>. Walk, dance, bike, rake leaves, garden \u2014 find activities you enjoy and do them every day. Ditch the \u201cdiet\u201d aisle and focus on seasonal, whole, high-quality foods.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">10. <b>Eat slowly and mindfully<\/b>. Enjoy the entire experience of eating. Take the time to appreciate the aromas, tastes, and textures of the meal in front of you.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">As Mrs. McManus states, changing behaviors and habits takes time.<span class=\"Apple-converted-space\">\u00a0 <\/span>Don\u2019t try to take on too much at once.<span class=\"Apple-converted-space\">\u00a0 <\/span>Of this list, pick two things to start with.<span class=\"Apple-converted-space\">\u00a0 <\/span>I also suggest starting with one positive change in exercise and one in your eating habits. Research clearly shows that one of the best things we can do when try to acquire good habits is to move slowly and make sure you have conquered one behavior before moving on to the next.<span class=\"Apple-converted-space\">\u00a0 <\/span>Have patience and stay focused on each small goal in order to achieve your overall goal of substantial weight loss. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Perhaps your goal is to be the same weight you when you got married, but that would mean dropping more than 24 kilograms. Don&#8217;t go there yet. Set a more realistic goal of losing 5% to 10% of your weight, and give yourself plenty of time and some flexibility to reach that goal, keeping in mind that people who need to lose substantial weight take at least six months to achieve that degree of healthy weight loss. Keep your goals specific and not general. Set specific and short-term (that is, daily or weekly) goals, such as these:<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">\u2022 I will choose a few dinner recipes and shop for the ingredients on Sunday.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">\u2022 I will bring a healthy lunch from home instead of going out at least three times next week.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">\u2022 I will call a friend to take a walk after work on Monday and Wednesday.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">\u2022 I will decrease exposure to problematic food (&#8220;stimulus control&#8221;) to avoid temptation, such as keeping cookies, cakes and salty snacks away from sight in the kitchen.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Make sure to eat breakfast every morning.<span class=\"Apple-converted-space\">\u00a0 <\/span>Try getting up 15 minutes earlier to make time for breakfast. Practice eating slowly at all your meals by putting down your utensil between bites. Ideally, you should spend 15-20 minutes on each meal, but that may be more realistic during your midday or evening meal; choose one to get started. Set a timer to check yourself.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Keep it simple.<span class=\"Apple-converted-space\">\u00a0 <\/span>Make a few changes at a time and don\u2019t do anything radical.<span class=\"Apple-converted-space\">\u00a0 <\/span>Each good change will bring another result.<span class=\"Apple-converted-space\">\u00a0 <\/span>We all know by now what healthy choices are and what foods are calorie dense and which are not (vegetables, for instance).<span class=\"Apple-converted-space\">\u00a0 <\/span>So let\u2019s keep this easy.<span class=\"Apple-converted-space\">\u00a0 <\/span>Eat real food (unrefined and minimal or no processing), make half or more than half of your intake from plants (fruits, vegetables, whole grains, seeds, nuts, beans, lentils and the like) and certainly, eat less.<span class=\"Apple-converted-space\">\u00a0 <\/span>20 years ago, a bagel was 7.6 cm in diameter and today\u2019s bagel is 15 cm and that means is 210 calories more than the old version.<span class=\"Apple-converted-space\">\u00a0 <\/span>Today\u2019s fast food hamburger is about 200 calories more than its equivalent 20 years ago.<span class=\"Apple-converted-space\">\u00a0 <\/span>So certainly, watch your portion sizes and only take seconds on vegetable dishes.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">One more easy habit to change\u2014stay hydrated.<span class=\"Apple-converted-space\">\u00a0 <\/span>Drink throughout the day and you should have 8-10 cups of water by the end of the day.<span class=\"Apple-converted-space\">\u00a0 <\/span>It will decrease your appetite and ramp up your metabolism too. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Don\u2019t make it more complicated that it has to be.<span class=\"Apple-converted-space\">\u00a0 <\/span>Losing weight in a healthy manner will bring about good health, and keeping it simple will bring success and <b><i>\u201cadd hours to your day, days to your year and years to your life.\u201d\u00a0<\/i><\/b><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>With the knowledge we have today, we know that losing weight and being able to keep it off is actually very complex.\u00a0 There is no shortage as to the amount of factors involved.\u00a0 To lose weight and to sustain that weight loss involves multiple disciplines.\u00a0 Just in nutrition alone, we need to know about calories,<\/p>\n","protected":false},"author":469,"featured_media":59663,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[14],"tags":[],"class_list":["post-61408","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - 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