DON’T WEIGHT TO LOSE
Tulane University School of Medicine
Franklin Avenue Baptist Church
Topics Covered• Overview and Leader Introductions• Volunteer Recognition and Need• Needs Assessment Results• Timeline• Program Manual Breakdown• Assessment Floorplan/ Test Training• Obesity Counseling/Sensitivity• Nutrition Approach• Research and Data Collection
Overview• 9 week program• Schedule
– www.dontweighttolose.org/schedule
Program Progression-
Volunteers• Who is here?• Continual- Assigned a Group (Med Students)
– DWTL Staff (Polos)– Volunteers(Tees)
Teaching Pearls
How to Lose Fat!• Pay Attention in each Session!!!• Calories in – Calories Out = Weight
Loss!• Encourage improving dieting habits• Encourage increased cardio• Encourage increased muscle building• Trunk fat is last to go!• Spot reduction is a myth!
Underweight• What are the dangers of being
underweight• Anorexia, Bulimic• No fat to protect organs• No fat for emergency situations that
may occur (Katrina)• Poor heat maintenance• Encourage increasing caloric intake• Genetics usually involved
Limb Imbalances• Usually due to favoring one side over
another because of pre-existing injury
• Encourage more “mental focus” during exercise
• Encourage using less dominant hand more often for daily activities (carrying groceries, books, etc.)
Body Composition
Tanita Scale
Tanita Procedure• HANDLE WITH EXTREME CARE• Can’t use with Pacemaker• Introduce self as medical student/pre-med• 1. Sanitize with alcohol and gauze wipes• 2. Ask questions before patron steps on scale. A.
Standard/Athletic B. Age C. Height• 3. Step on heel first. Wait until 00000 appears• 4. Grab handles and hold to side• 5. Relax until beep is heard• 6. Step off.
Tanita Readings• Weight• BMI – body mass index- very archaic• BMR- basal metabolic rate- increases with muscle mass- 1.5
* BMR = Daily recommended caloric intake Metabolic Age• FAT%• FAT MASS• FFM• TBW• FAT MASS- Range = Fat need to lose• Segmental Analysis- are you balanced? Any injuries?• Predicted Muscles Mass• Trunk Fat%- predictors for diabetes, CVD, certain cancers,
sleep apnea, etc.
Obesity Counseling
Tips• Create a comfortable environment• Assure confidentiality• NEVER SAY “OBESE” use
“overweight” or “excess fat”• Speak clearly and talk directly to
patron• Use “lay terms”• Ask about willingness to make
lifestyle change
Tips• DO NOT share personal readings with
anyone including family members• DO NOT use scare tactics, but be
honest about risks• State that being overweight is not
about how you look but about your health
• Assure them that you are there for the long run
• Give email address
Nutrition Approach
Mediteranean meets good ole’ Southern Cookin’
Key components of the Mediterranean diet include:
• Eating a generous amount of fruits and vegetables
• Consuming healthy fats such as olive oil and canola oil
• Eating small portions of nuts • Consuming very little red meat • Eating fish on a regular basis
Soul Food Diet• Vegetables• Black-eyed peas Cabbage, Greens collard greens,
mustard greens, turnipLima beans Butter beans Field peas Okra (African vegetable eaten fried in cornmeal and flour or stewed, often with tomatoes, corn, onions and hot peppers; the Bantu word for okra is ngombo, from which the Creole/soul food dish gumbo derives its name) Red beans served with brown rice Sweet potatoes
• Meats• Bake! Use olive oil if fry or boil• Chicken, Turkey, Fish• Breads• Use whole grain breads• Eat whole grains with every breakfast
Pantry Checklist• Check off what is in your pantry and
follow recommendations
Diet Diary-Fruit and Vegetables• Goal: Increase Fruit and Vegetable
intake• Put a tally each time you eat a fruit
or vegetable that day• Bring calendar in during health
assessment session for group points• Reward with Giftcards
Key Changes• Add fruits and vegetables• Use Olive oil• Add whole grains• DO NOT EAT FAST FOOD• Drink more water• Follow Pantry Reccommendations
Data Team
Thank You!!!