Monday, June 27, 2016

New Ways of Thinking - 7. Physical Activity


The Medically Supervised Weight Loss Program through KATC Bariatric program does not require physical activity – in other words, you can participate and not exercise, but they do teach the benefits of regular exercise.  My observation was that those who exercised the most also lost the most weight.

Studies show that people who lose weight by dieting alone gain most of the weight back after less than a year, however people who increase their physical activity in addition to cutting calories are more likely to maintain their weight loss long-term.  This finding is especially true for people who have lost very large amounts of weight through medically monitored weight loss programs.

Health Benefits:

  • Decrease appetites – vigorous activity causes the brain to release a natural appetite suppressant
  • Increases resting metabolic rate – muscle mass burns calories, so your body burns more calories all day long
  • Improves oxygen uptake –
  • Reduces blood pressure – thereby reducing the risk of disease like heart attack, stroke, alzheimers, etc
  • Reduces blood sugar/ Reduces Triglycerides/ Reduces LDL/ Increases HDL – reduces risk of diabetes
  • Slows bone loss – helps to prevent osteoporosis
  • Reduces stress & Improves mood – exercise releases endorphins which help alleviate anxiety and depression
  • Improves sleep
  • Improves self-esteem and overall satisfaction with life in general

 

Exercise Planning: F.I.T.T.

It is essential to have a plan for both exercise and activity.  Our bodies like to do what’s easiest, so if we don’t plan carefully, we end up not going to the gym and sitting on the sofa instead of walking.

Use the F.I.T. tool to plan and monitor your exercise:

F – Frequency. 
How often – the Public Health Canada guideline recommends 150 minutes per week of moderate-to-vigorous aerobic physical exercise per week, in bouts of 10 minutes or more.  The more active you are, the greater the health benefits.
 
I – Intensity. 
The level of exertion is important.  In order to have the maximum health benefit, the activity must be aerobic.  You get the best weight loss benefit from ‘brisk’ to  exercise.  Try the Talk Test.  You should be able to breathe comfortably, deeply, and rhythmically at all times during the activity.  You should be able to carry on a conversation.  If you’re breathing so hard that you can’t easily talk, your activity is too intense.  On the other hand, if you can comfortably sing, you should be working a little harder.
 
T – Time. 
How long is the active session?  To get an aerobic benefit, the session must be at least 10 minutes.
 
T – Type
The type of exercise is important.  Our smart bodies adapt fairly quickly to new demands, so changing up the exercise type ensures that new muscles are constantly being developed and worked out.
 

The most effective exercise is weight-bearing and uses our biggest muscles, our legs.  It’s best to select low-impact exercise like walking, cycling – especially to start out.    Aerobic activity uses mostly fats and carbohydrates for energy sources, so it does burn calories.  It also can prevent the loss of lean muscle mass, which can result from dieting.  Most importantly, aerobic exercise can boost your metabolism for hours or even days after each session.

 

Since nearly the beginning of the medically supervised weight loss program, I have completed 30 minutes of moderate-to-brisk aerobic exercise 6 days out of every week.  Mostly, it’s been walking or biking, but sometimes active yard work like lawn mowing, stump pulling, or moving wheelbarrow loads of mulch.  I really didn’t like exercise at the very beginning because it was hard and didn’t feel very nice.  My body adapted quickly and the breathing and movement became easier.  Now that it has become routine, I still have to plan it, but it is definitely less of a burden.

My personal advice – make like the Nike commercial and ‘Just Do It’.

Friday, June 17, 2016

I’ve been thinking a lot about “What was it like a year ago today?”  In some ways it seems like a whole lifetime ago, and a strange and different world, far far away.  In other ways, it seems like it was just yesterday, and life hasn’t changed a whole lot.

A year ago, I had been eating nothing but Optifast shakes for five weeks.  I had lost 23.5 pounds, I had started exercising daily, and I was beginning to feel renewed from the inside out.  I had pretty much run out of 'skinny clothes' and was doing a lot of shopping visits to Value Village and Phase2 stores.
The renewal part is big.  I have developed healthy habits around eating and exercise, but it goes a lot deeper than that - I have developed a new way about thinking about eating and exercise, and about who I am in general.
I have had a few days when I have made bad choices, and it's amazing how quickly the negative self-talk can start back up again.  A couple of times, my weight has been up a little bit or I've felt bloated, and its amazing how I feel like a fat person again and start getting down on myself.  The difference now is that I have learned some tools and I have been able to find a path that allows me to forgive myself for bad choices here and there, and empowers me to problem-solve and come up with strategies and solutions to take corrective action.
Having worked through these struggles has given me a degree of confidence - I'm still nervous about my weight and possible re-gain, but I'm feeling a little less terrified.

Monday, June 6, 2016

New Ways of Thinking - 6. Managing Conditioned Eating

How do we manage this ‘Wanting’ to eat?

There can be every day events that make it difficult to manage your eating, like a particular time of day or event, like watching TV.  Some events happen less often, like eating at a restaurant or going to a social event.  Identifying trouble spots can help us recognize where we need to concentrate our efforts.  Once you identify the high danger times, you can me more aware.
For me, my ‘danger’ times are munching after work and late evening.  My danger situations are parties and pot luck events.
There are some tools that can help us manage conditioned eating:
1.  S.T.O.P.P
See the choice point.  Recognize there is a choice to be made instead of going to the default behavior.
Take a breath.  Counting to 5 can help you settle into this point in time.
Observe your experience.  What emotions/ feelings/ triggers are you feeling?
Play the film to the end.  Try taking a look at how ‘giving in’ will impact you afterwards.  If you indulge now will you feel uncomfortably full, have trouble sleeping, or feel bad about yourself later?
Plan an alternative.  Take a moment to plan out at least 1 alternate behavior.  Maybe just sitting with the ‘wanting’ for 20 minutes, or maybe going for a walk or a bath.
2. Try a Competing Behavior.
Find some activities that you enjoy.  Plan to switch out the conditioned eating with one of these enjoyable activities when you feel like you ‘want’ to eat.  A few of my activities: play guitar, work in workshop, write in journal.
3.  Acceptance.  Distraction or ‘fighting’ a craving can make the craving more intense.  Acceptance is the willingness to experience the wanting to eat without acting on it.  A craving increases in intensity rapidly for about 5 minutes, then levels off.  At about 8 minutes, the intensity starts to decrease and at about 15 minutes the craving will be gone.  Plan to accept the ‘wanting’ for a little longer – about 20 minutes – and the craving will be gone.
It often works best to combine #3 and #4 for best results.  Remind yourself that the new activity is more in line with your values.
4.  Smart Plan.  Make a plan for changing a pattern of behavior.  Picturing yourself doing it beforehand can help you avoid falling back into old habits during a Choice Point.
Example:
What I want to do: stop snacking in the evening while watching TV
Why it’s important: I want to be a role model for my grandchildren
My plan: “I will go for a 15 minute walk when I start to feel a craving every day this week.” (remember SMART – specific, measurable, action, realistic, time-based)
My back-up plan: “I will play the film to the end when a craving hits and remind myself of my ‘why’”
Think of 1 possible barrier that could hold you back from your goal and at least 1 solution to the barrier.
Remember that a ‘slip’ is a first attempt in learning, not a failure.  Slips are an important part of the learning process.