Preparing For

ShipShape

Obesity and Health

Obesity is 20% over desirable body weight

An estimated 61% of American adults are either overweight and/or obese

35% overweight BMI 25-29.9 27% obese BMI 30

$100 billion a year in health care costs

Excess WeightIncreases Risks for:

High Blood Pressure High Cholesterol & Triglycerides Heart DiseaseStrokeDiabetesCancer (uterine, gallbladder, kidney,

stomach, colon, & breast)ArthritisRespiratory Problems

Disease Prevalence (%)

Type 2 DM 61

Uterine cancer 34

Gallbladder disease

30

Osteoarthritis 24

Hypertension 17

CHD 17

Breast Cancer 11

Colon Cancer 11

Disease Prevalence Due to Obesity

Are You Ready?

Do you want to lose weight to look better?

Do you want to be more fit or more healthy?

Are you willing to exercise to lose weight?

Are you willing to make permanent changes in your eating and exercise habits?

Are You Ready?

Are you willing to commit the time it takes to lose weight?

Are you willing to try new foods or healthier eating habits?

Are there things in your life that could get in the way of you losing weight?

Stages of Behavior Change

Measuring Behavior Change

Incremental versus all or none

Attitudinal and behavioral components

Achievable successesProgram evaluation

Stages of Change

Precontemplation

ContemplationPreparationActionMaintenance

Stages of Behavior Change

NO!

PreparingMaybe

Success!

Moving or Acting

Relapsing

Precontemplation

No intention of changing

Unaware or underaware of their problem

Problem often recognized by family and friends

“NO”

I’m“Not” Going to Change

Aware problem exists

Seriously thinking about overcoming it

No commitment totake action

Weighing Pros andCons of change

“Maybe”

Contemplation

Preparation

Intending to take action in the next month

Pros vs. ConsModify/reduce

behavior

Preparing for Change

ActionModify behavior

to overcome problem

Requires considerable commitment of time and energy

Changed behavior from 1 day to 6 months

Moving or Acting

MaintenanceChanged

behavior for 6 months and beyond

Continuation of change

Work to prevent relapse

Success

Relapse

Frequent occurrenceDoes not indicate

failureMost people who

successfully change their behavior have experienced relapse once or more.

Where are you?

Precontemplation

Preparation

Contemplation

Maintenance

Action

Relapse

Decide to make lifestyle changes

and

take control of your weight for

YOURSELF

and

no one else.

Make a commitment to the lifestyle change process for the

next few months. Make it a priority to attend all sessions and

complete each self-study assignment.

Lifestyle Changes

Become an

active

participant at

each session.

Do not measure

success by

pounds lost.

Make small, realistic

changes that naturally fit

into your lifestyle.

Think positively; acknowledge

your progress no matter how

small. Reward yourself for

successful lifestyle changes.

Success

Ask for the support

you need from

family, friends, and

co-workers.

Create an environment that is

supportive of the changes you are

trying to make in your

lifestyle.

Set realistic and attainable long-

term goals. When goals are

unrealistic, success is never

achieved. Remember there is

no miracle cure for weight loss

and management.

BE PATIENT.

Expect set backs, learn from

them,

and move on.

Setbacks