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Helping Students Shed Pounds

Helping Students Shed Pounds. Julie Luht and Leah Kasowitz. SCAM. In One Sentence…. All diets work…when you stick to them. Learning Objectives. Describe the state of the science in weight management research. Articulate a realistic approach to weight management in Job Corps.

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Helping Students Shed Pounds

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  1. Helping Students Shed Pounds Julie Luht and Leah Kasowitz

  2. SCAM

  3. In One Sentence… • All diets work…when you stick to them.

  4. Learning Objectives • Describe the state of the science in weight management research. • Articulate a realistic approach to weight management in Job Corps. • Utilize tools to help students manage their weight.

  5. Part 1: Identifying the Problem Why is obesity on the rise?

  6. Why is it so much harder for some people?

  7. In Summary • A toxic, obesity-causing environment • Genetics that tell use to eat when food is available • Contradictory information about what’s healthy • Overly simplistic messages to eat less and exercise more

  8. Part 2: Solving the Problem How do we turn this around?

  9. You’re not going to save everyone. Lesson #1

  10. Success Defined • Drop out rate of less than 20% • 20-40% maintain weight loss • Weight loss is modest, sustained, and clinically significant • 8 pounds=reduced diabetes • 6 pounds=reduced BP/drugs • 1.8 pounds=24% reduction in all-cause mortality at 10.5 yrs. Source: Powell, L.H. et al. (2007). Effective obesity treatments. American Psychologist. 62(3); 234-246.

  11. What Makes a Program Successful? • Intensive phase followed by indefinite follow up • Meet at least once a week • Specific dietary changes, calorie reduction, and exercise combined • Draw on skills of experienced behavior professionals (self-monitoring, modeling, environmental restructuring, and group and individual support) Source: Powell, L.H. et al. (2007). Effective obesity treatments. American Psychologist. 62(3); 234-246.

  12. Don’t push. Lesson #2

  13. The Stages of Change and MI

  14. MI Questions • On a scale of 1-10, how ready do you feel to change your eating patterns or lifestyle behaviors? What would it take to move you to a [higher number]? • How is your current weight affecting your life right now? How do you feel about that? Source: Puhl, R. (2011). The Obese Patient in the Healthcare Environment. Available at: http://www.medscape.com/viewarticle/749440?src=mp&spon=17

  15. MI Questions • What strategies have worked for you in the past? • What makes you feel like you can continue to make progress if you decide to? • What are your obstacles? How do you think you can overcome [insert obstacle]?

  16. MI Questions • What are your hopes for the future if you are able to become healthier? • How would your life be different if you lost weight and adopted a healthier lifestyle?

  17. Intake Activity • Assess readiness for change • Refer appropriately

  18. What Not to Do • Mandatory groups • Short-term competitions/programs (more harm than good)

  19. Weight Cycling Source: Cereda, E. (2011). Weight cycling is associated with body weight excess and abdominal fat: A cross-sectional study. Clinical Nutrition. [Epub ahead of print]

  20. Focus just as much energy on normal and overweight students as obese students. Lesson #3

  21. Trends

  22. Benefits • Societal benefits • Population focus • Maintaining weight is a whole lot easier than losing weight • Integration into parenting classes

  23. Focus on behavior, not weight. Lesson #4

  24. Change Focus • “We focus too much on diet and not enough on physical activity; and we focus too much on losing weight and not enough on keeping it off” • Most weight loss programs focus primarily on dietary restriction, and we know those are not generally successful • (http://xnet.kp.org/permanentejournal/sum03/registry.html)

  25. SMART Goals • Use SMART goals • Specific • Measurable • Attainable • Realistic • Timely

  26. What is not a SMART goal? • Walk 5 minutes a day • Join a sports team/dance team • Get healthy • Walk 1 mile per day, 5 days a week

  27. SMART Activity • Goal Setting Worksheet • Discussion questions • How would you use this on your center? • Is anyone using this on center now?

  28. Link to HEALs • Healthy Eating 101 • Cooking 101 • Nutrition Jeopardy • Move It!-Making Physical Activity Fun

  29. Move It! • Sports (soccer, volleyball, softball, basketball, running club, jogging club, walking club, etc.) • Dance (hip hop dance, Greek organization stepping, Latin dance, belly dancing, urban dance, aerobics class, step class, dance competitions) • Mind/Body or Stress Reduction Activities • Gym Workout • Interactive Gaming [Wii Sports™ or Wii Fit™ games, video dance games like Dance, Dance Revolution (DDR)™]

  30. Step Up to Help • Making a Difference MSNBC- Obesity Story in DC “Step up to Help” • http://www.msnbc.msn.com/id/21134540/vp/43286952#43286952

  31. A Consideration • Need to consider the specific needs of overweight teens/young adults • Overweight children may experience negative consequences of participation in activities considered appropriate for normal-weight children American Heart Association Childhood Obesity Research Summit: Executive Summary

  32. Make sure the environment supports health. Lesson #5

  33. Adding Healthy Choices Food Selection (teens on a visit to Percentage McDonald’s) French Fries 33.0% Apple Dippers 0.3% Soda 96.7% Milk and apple juice combined 3.3% Baked apple pie 8.6% Fruit and yogurt parfait 0.8% Source: Boutelle, K.N. et al. (2011). Nutritional quality of lunch meal purchased for children at a fast-food restaurant. Childhood Obesity. 7(4), 316-322.

  34. Placement Strategies • Place the most nutritious foods at the front of the line (increase 10-15%) • Use descriptive food labels (increase 27%) • Give choices of vegetables • Use trays (promotes salad consumption) • Shrink the breakfast bowl (decrease serving by 24%) • Pull the salad bar away from the wall • Put fruit in colorful bowls Source: Wansink, B. et al. (2010). Lunch line redesign. New York Times. http://www.nytimes.com/interactive/2010/10/21/opinion/20101021_Oplunch.html.

  35. The Point… • Serving healthy food increases the chances that people will eat healthy, but it doesn’t mean that people will choose it • Need some tricks

  36. Discussion Topics and Worksheets • How Can You Eat Healthy When You Eat Out? • Navigating a Grocery Store • Healthy Choices • Family and Food

  37. Create positive feelings and mitigate negative ones. Lesson #6

  38. Types of Motivation Source: Ryan RM, Deci EL. Self-Determination Theory and the Facilitation of Intrinsic Motivation, Social Development, and Well-Being. American Psychologist. 55(2000)68-78.

  39. Support

  40. Choice and Autonomy

  41. Foster Competence

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