With 2016 just a few days away, many of us are thinking about making resolutions for the New Year.  Well, resolutions are really behavior changes.  In the context of a weight loss plan, changing behaviors refers to changing what you have been routinely doing in regard to your eating and exercise routines.  You may also think of behaviors as habits.  Your weight is what it is because of your eating and exercise habits.  While your metabolism plays a significant role, your eating and exercise behaviors are the two areas that you can impact to change your weight.  You will either add new behaviors or substitute new, healthier behaviors for your current less healthy ones.  It is rare to just stop a behavior without replacing it.

Adding Behaviors

New behaviors involve adding something to your current activities, such as an exercise routine.  Often the main challenge is finding the time.  For some, it’s in the morning before the main activities of the day; for others, the evening makes more sense.

As far as exercise, the ultimate goal is spending at least 30 minutes most days of the week doing an activity of moderate intensity.  The more time you spend exercising, the more calories you will burn.  It has been recommended by the American Heart Association that from a cardiovascular health viewpoint, those 30 minutes can be expended all at once or in several blocks of at least 10 minutes each.    It makes sense to start slowly, so 10 minutes three days a week may be the perfect starting point for you.

Substituting Behaviors

These often revolve around eating behaviors.  For instance, instead of drinking sugary beverages, substitute water.  While this may sound simple, it takes planning to make sure you do it.  You’ll probably want to buy fewer sugary beverages and have them less accessible, too.  (Ideally, don’t buy any!)  You may need to put notes in your refrigerator on those sugary drinks that remind you to drink water instead.

As you create your weight loss plan, take some time and identify the behaviors you need to change and which ones you’ll tackle first.  Don’t try to change them all at once.  Make a list and change a few more every week or so.

Don’t forget to check out my website www.insightsforhealth.com where you can set up Health-e Texts to reinforce your new healthier behaviors.  To use some of these you must register as a member, but membership is free!

Your comments are welcome.

For Your Health! – Dr. Bob

Just as you anticipate and prepare for barriers and obstacles to your weight loss plan, you should build in some rewards for milestones you reach during your journey.

Milestones

Milestones can be thought of as mini-goals that you must attain on your way to your ultimate goal.  If your ultimate goal is a target weight loss of 75 pounds over a 6-month period, then you can set your milestones in terms of process measures and outcome measures towards that goal.

Process Measures

In order to succeed and reach your weight loss goal you need to change habits surrounding your eating and activity (exercise).  These habits, behaviors, processes must change.  For example, you can no longer buy any food just because it tastes good at the grocery.  You must read labels and evaluate your choices.  As far as activity, you need to get on a routine of scheduled exercise.  So a milestone for eating habits may be consistently keeping a food diary or consistently reading food labels at the grocery.  As far as exercise, a milestone could be exercising for at least 30 minutes a day at least 3 days a week for at least a month.  Where possible, you will want to increase certain aspects of your new behavior to set a new milestone for yourself.  This is often done with exercise.  After a month of 30 minutes a day 3 days a week, you may want to increase that to 4 times a week.  But reward yourself as you attain each milestone.

Outcome Measures

These are usually tied to getting to a specific portion of your goal.  So, when trying to lose 75 pounds, your first milestone may be losing 10 pounds.  The next may be 25 pounds.  These milestones help you track your progress and allow you to reward yourself for the work you’ve done.  Changing behaviors isn’t easy!

Rewards

The ideal reward should be tied to the new behaviors you are undertaking.  In the case of weight loss, they certainly shouldn’t be unhealthy or off-limits foods.  So, you may get yourself some new workout clothes or exercise equipment.  For more significant milestones, a weekend getaway might be appropriate but without indulging in foods that are not on your healthy eating plan.  When you hit your ultimate goal, you’ll probably want to treat yourself to some new clothes that fit the new you.

Next time I’ll talk a little more about changing behaviors.

For Your Health! – Dr. Bob

In my last post I talked about motivation, the driving force behind any behavior change.  In the next few posts, I’ll focus on putting together your weight loss plan.  That will include:

1. Setting your goals & start date
2. Identifying a support person
3. Barriers to starting your plan & solutions to overcome them
4. Planning for the challenges that will come
5. Milestones and rewards

In this post let’s consider setting your goal, planning your start date and the importance of identifying a support person.  Your goal is the weight you want to be or the pounds you intend to lose by your target date.  Both the weight loss and target date need to be realistic.  A healthy rate of weight loss is 1.5 to 2.5 lbs. per week.  If you have medical issues, you should check with your doctor about your plan, especially about how quickly you plan to lose weight, the nutrition plan you will be using and details of your exercise plan.  Too rapid a weight loss can be unhealthy especially if you have certain medical conditions.  It took time to gain those extra pounds and it will take time to lose them.  Be patient!  Remember slow and steady wins the race!

You should also choose a start date to begin your weight loss program.  Give yourself some time to go through the planning stage for your program.  It shouldn’t take more than 2-3 weeks to get the planning done.

Finally, choose a trusted friend with whom to share your plan.  Tell them your start date, goal weight loss and target date.  Their role is to help encourage you when you feel discouraged and celebrate your successes with you.  Some people choose someone who has successfully lost weight themselves.  While that experience isn’t necessary, the strategies they used to overcome challenges can be useful.

Next time, I’ll continue talking about the other parts of your weight loss plan that you may wish to consider before you actually start your weight loss program.  If you want to get a head start on those topics, check out my website www.insightsforhealth.com where there are tools to Make Your Plan as well as many other features to learn about nutrition & exercise.  You’ll also find tools to calculate the nutritional content in foods, find the calories expended with common activities and to set up Health-e Texts to reinforce your new healthier behaviors.  To use some of these you must register as a member, but membership is free!

Your comments are welcome.

For Your Health! – Dr. Bob

I had a few more thoughts on milestones that I wanted to share.  When setting targets for your weight loss milestones you don’t necessarily have to use weights.  Since a weight loss program combines making changes in your eating habits and your activity level, there are many none weight targets that you can use.  In fact many people find that concentrating on changing the behaviors that will lead to reaching their goal weight to be a better strategy than just focusing on their ultimate weight loss goal.  After all, attaining a 50 pound weight loss will take time, but a milestone tied to changing some aspect of your eating habits can be reached much sooner.  For instance, let’s say that snacks are your downfall, and you typically eat 6 unhealthy snacks every evening while sitting at the computer or watching TV.  A milestone for you could be to eliminate 1 evening snack per week for the next 5 weeks.  By the end of those 5 weeks you will have decreased your snacks to one each evening and hit that milestone.  At the same time you need to improve the healthfulness of the snacks and not increase the amount of each snack.

Once you reach your milestone, you reward yourself.  This brings up the other point I wanted to make about using milestones.  You can choose any reward except food.  So, buy a new pair of shoes or go out to a play or movie, but don’t go out to dinner or have an extra slice of pie for dessert.

Finally, it should be obvious that when you use the attainment of a changed behavior as a goal as in our example, you need to continue that behavior and build on it.  Most experts say that you need to work at maintaining that behavior change for at least six months before you can consider it part of your lifestyle.  With that in mind, you may want to set monthly milestones that you will maintain the new healthier behavior that you adopted in order to prevent backsliding.  And that brings us to the topic I’ll talk about next time – backsliding.

Meanwhile be sure to set attainable milestones for your behavior change program, whether for weight loss or smoking.  It’ll make it more fun as you chart your progress towards your goal.

For Your Health – Dr. Bob

Last time I spoke about listing your pros & cons whenever you are considering changing one of your behaviors, whether it’s smoking, losing weight, or starting an exercise program.  I thought an example might be helpful, so here is such a list regarding following a weight loss program that includes healthier eating and exercise components.  It’s very similar to the one I used after my heart attack and cardiac arrest to help me make the changes necessary to live a healthier life.

When I first wrote these I used “It would” instead of “It will” and “I’d” instead of”I’ll.”  It may be subtle, but using “will” gives it a more positive tone, a tone of commitment.  As you can see, there are more reasons to start a weight loss program than not.  In addition, the value of the Pros far outweighs the inconvenience and effort represented by the Cons.  In this list the Pros are greater than the Cons in quality as well as in quantity.

In my next post, I’ll talk about listing the barriers to the successful implementation of your plan along with what you’ll do to overcome them. 

For Your Health – Dr. Bob