Tag Archives: Weight loss

Test your knowledge – answers!

list-2389219_1280This article , providing information about exercise and weight loss for people with arthritis was our first “test your knowledge” blog to boost our savvy fitness consumer skills.

What myths did you find?  Here are the ones I see:

  • The image:  Connecting information about exercise with images of “six pack abs” only increases the idea that the purpose of exercise is to look a certain way, and that having toned abs means you are healthy and fit.  This is just not the definition of fitness.   I know some very fit people who are carrying extra weight and have a strong core so they are able to do what the want and need to do in life more easily; that is the whole point of fitness.
  • The title:  “tighten up abs” in a way that is pain free.  The purpose of exercise for arthritis is to build strength around arthritic joints in a way that reduces inflammation and supports joints with movement.   Tightening abs is about how they look not how they function to reduce arthritis pain.
  • The exercises:  If you have arthritis, getting up and down off the floor is a challenge, if not impossible.  Most importantly, our core muscles are stabilizers that are used 99% of the time in an upright position, and need to be trained in that position, not while laying on the floor.  Check out this blog for more info on a truly functional core.

How did you do with your savvy fitness consumer skills?  We do these types of blogs every so often so we can enjoy exercise without the myths draining motivation.

Keep Moving, Be Well,

Janet

These weekly blogs are general guidelines. These guidelines apply to patients who are cleared by a physician for the type of exercise described. Please contact your physician with any concerns or questions. Always report any symptoms associated with exercise, such as pain, irregular heartbeats, and dizziness or fainting, to your physician.

Please share these posts with anyone you know interested in losing weight with or without weight loss surgery.  Click here to learn more about the UMass Memorial Weight Center

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by | January 17, 2018 · 3:22 pm

Resolutions… Why Wait?

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Here is a link to a blog by an insightful career coach.  The blog is from last year and directed toward career goals, yet the message is timeless and crosses all areas of well-being – including weight loss goals.   She proposes three questions to ask yourself each January….instead of setting resolutions.  Why not set resolutions?  Because January is a great time for recovery from the holidays and reflection of the year past.  December is no time for reflection as the holidays fill our days with a longer to do list and more emotions to sort though.

Here are the questions revised for this year and for reaching your health and well-being goals.

  • What went well in 2017?  What were your accomplishments that you’re really excited about?
  • What did you learn in 2017 about what makes it easier for you to maintain a healthy weight?
  • What would you have done differently? This third question will begin to prepare you for  having some 2017 goals that are based on what you learned last year rather than just a reaction to the holiday stress.

So, enjoy a January free of pressures to set resolutions.  Take a walk to help your brain learn and be creative as you ponder these questions.  When you return, jot down the answers.  Let them “simmer” a bit until February 1st.

Wait to set resolutions and you will be ready to set goals for 2018 that are well thought out and and more lasting .

May you discover an overflow of health and happiness in 2018!

Keep Moving, Be Well,

Janet

These weekly blogs are general guidelines. These guidelines apply to patients who are cleared by a physician for the type of exercise described. Please contact your physician with any concerns or questions. Always report any symptoms associated with exercise, such as pain, irregular heartbeats, and dizziness or fainting, to your physician.

Please share these posts with anyone you know interested in losing weight with or without weight loss surgery.  Click here to learn more about the UMass Memorial Weight Center

 

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by | January 2, 2018 · 1:52 pm

Please, do NOT exercise to burn calories this holiday season!

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Yes, that’s right! I do NOT want you to exercise to burn off those extra calories this holiday season.  Why?  First of all, we can’t predict with any great accuracy how many calories you are actually burning when exercising.  So, playing the “calories in calories out” game can just lead to frustration.

But mostly because you run the risk of missing out on the real benefits of taking time to be physically active and exercise this season:

#1: Stress reduction.  Mental stress prepares your body for movement.  Movement is the antidote for stress.  So taking time for exercise means you get to enjoy the holidays with a bit less overwhelm and tension.  Taking even just 5-10 minutes for a walk or stretch break can give your body what it is preparing for when you are stressed and you get to relax and enjoy things a bit more.

#2: Boosting mood.  “it’s the most wonderful time of the year” does not always ring true.  This time of year can be full of emotions, especially if you are battling depression or living through the loss of a loved one.  Exercise boosts brain chemicals that help us feel better and battle the blues and handle strong emotions.

#3: Crave less.  Exercise also boosts the same brain chemicals that create cravings for comfort foods, but in a much more balanced and user-friendly way.  So your brain gets what it is looking for giving you a greater ability to resist the temptations of all the extra goodies hanging around.

You see, if you are exercising focused on how many calories you are burning you might miss out these great benefits.   So, use exercise as the tremendous resource that it is for not only surviving but enjoying the holidays!

Wishing you and yours a wonderfully relaxing and fun holiday season.

Keep Moving, Be Well

Janet

These weekly blogs are general guidelines. These guidelines apply to patients who are cleared by a physician for the type of exercise described. Please contact your physician with any concerns or questions. Always report any symptoms associated with exercise, such as pain, irregular heartbeats, and dizziness or fainting, to your physician.

Please share these posts with anyone you know interested in losing weight with or without weight loss surgery.  Click here to learn more about the UMass Memorial Weight Center

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by | December 20, 2017 · 5:15 pm

Pain, exercise and mindfulness – Part 3

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In parts one and two we reviewed how pain can put us in a spiral of inactivity, gradually reducing strength and stamina which can limit function and lead to secondary pain from inactivity.  Exercise designed right can reduce pain by improving mobility and strength, yet too much exercise can increase pain.    Mindfulness has been shown to reduce pain.  When we combine exercise with a mindful mindset, we are more likely to make movement a tool for helping with pain.

When exercising to lose weight, we can get focused on burning more calories and getting enough steps each day.  This focus makes it tempting to ignore signals that the body cannot tolerate that amount or type of movement.  Add to that all too popular  “no pain no gain” approach and the use of competitions or challenges to boost motivation.  These are just a few of the ways popular approaches to fitness promote ignoring your body rather than listening to it.

Many people want to lose weight in order to reduce pain.  While weight loss may help to some degree in some cases, we need to look at what happens in the body with weight loss.  The fact is that weight loss without exercise promotes muscle loss. Muscle loss means less support on those painful joints that are trying to tell you they need more support.  This is one way weight loss alone could make the pain worse, not better.

Pain research is telling us that when we ignore pain, the body only speaks louder to get our attention, in the form of more pain.   If we practice ignoring pain while losing weight,  we are missing out on the benefits mindfulness offers to help us quiet the pain signals.    Mindfulness does not mean focusing on the pain, it is shifting mindset about the pain.  Three qualities of mindfulness are paying attention with:

  • Curiosity:  when we shift to curiosity, we move away from frustration about the pain and the temptation to either push past it or let it keep us from moving at all.  Instead we can try moving lightly at first and be curious about how to move in a way that could reduce the pain.  If you are an “all or nothing exerciser”, this can take some practice. However, the shift is key to getting out of this cycle of doing too much, ending up in pain and then moving less.
  • Openness:  This means being open to trying different approaches to and types of exercise. It means being open to learning about what your body needs right now,  letting go of comparing yourself to what you did in the past or what you think you should be able to do now.    Openness means focusing on what your body can do now as the way out of the exercise and pain cycle. For example, stretching may not burn a lot of calories, but it may be a way to start moving on a regular basis and build up your body’s movement tolerance so it is ready for more movement down the road.
  • Kindness:  Mentally beating yourself up while you exercise (or paying someone else to push you) can actually be keeping you in a pain cycle.  Think of how you would treat someone else you care about, a pet or a small child, who is in pain.  You would want to do what you can to help.  That is the attitude of kindness you can apply to yourself when you exercise.  The interesting thing about research on self-kindness is that is leads to more motivation, not less. Kindness does not mean letting yourself off the hook or being too easy on yourself. It just means you will work with your body rather than against. it.

The research is becoming more and more clear that movement and mindfulness both promote healing.  In order for these two resources to work together though, we need to shift how we approach exercise for weight loss away from pushing the body to burn calories and sculpt it into the shape we want to using exercise as a resource for taking care of this body we are trying to help through weight loss.  Just like anything else, it takes practice.  Practice exercising with a mindset that is curious, open and kind you will begin to find ways to use exercise t  help yourself feel better not worse.

Keep Moving, Be Well,

Janet

These weekly blogs are general guidelines. These guidelines apply to patients who are cleared by a physician for the type of exercise described. Please contact your physician with any concerns or questions. Always report any symptoms associated with exercise, such as pain, irregular heartbeats, and dizziness or fainting, to your physician.

Please share these posts with anyone you know interested in losing weight with or without weight loss surgery.  Click here to learn more about the UMass Memorial Weight Center

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by | December 11, 2017 · 7:19 pm

Pain, exercise, and mindfulness: Part 1

Pain is one of the biggest barriers to exercise.  Beyond the obvious limits it creates, pain leads to what we call a spiral of inactivity:

Cycle of inactivity

Pain makes us move less. Since our body is a “use it to keep it system”, when we use our body less, we lose strength, stamina and mobility, which means movement is more challenging, and so we move less.  Over time this inactivity causes stiffness, making movement less comfortable.  After a time of less activity we lose muscle mass which means less support for painful joints.  Both of these can lead to more pain, and the spiral continues.

The way out of this spiral is to move in order to regain strength, stamina, mobility, function and support around joints. However, what if you have pain when you move? Should you push through pain or listen to it?  It feels like a catch 22 and the spiral seems irreversible.

Add to that the all too common “no pain no gain” approach to exercise and the “suffer through in order to get to your goal” approach to weight loss.  These can often make pain worse, and leave us believing we need to work through the pain to get to our goal. This discomfort and the frustration it causes can create not only physical but  mental barriers to weight loss.  It may seem hopeless, but it is not.

The first step is awareness about how our approaches to exercise and to weight loss are making it more difficult to turn the spiral around.   Athletes need to push through pain to gain a competitive edge.  For health and well-being, pain is your body trying to tell you it cannot tolerate that level of movement right now.   Ignore it and it will only “speak” louder.   There is no gain in pain.

If you have tried the “get through the first few weeks of a diet until you see results” approach to weight loss, you know it is just not sustainable in the long run.  There is no badge of honor for those weeks of suffering through hunger, derivation, sore muscles and fatigue.  Not only does it leave us with less motivation to try again next time, it makes our brain look for comfort – and food is a quick and easy source of comfort.

If you goal is to lose weight to feel better, why suffer through exercise in order to feel better?   Why not take a direct line to feeling better even before the scale moves?  It is possible when you drop the “suffer through” approach and listen to your body with exercise.

This week simply notice your mindset when it comes to exercising for weight loss and the long term effects of it.  It helps to keep in mind, weight loss is not a goal.  Goals have an end.  Sustainable weight loss is a shift in what we do and how we think.  Mindfulness helps us make that shift. Next week we will take a closer look at the research on mindfulness and pain to uncover how it can help with exercising when you have pain.

Keep Moving, Be Well,

Janet

These weekly blogs are general guidelines. These guidelines apply to patients who are cleared by a physician for the type of exercise described. Please contact your physician with any concerns or questions. Always report any symptoms associated with exercise, such as pain, irregular heartbeats, and dizziness or fainting, to your physician.

Please share these posts with anyone you know interested in losing weight with or without weight loss surgery.  Click here to learn more about the UMass Memorial Weight Center

 

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by | November 29, 2017 · 7:05 pm

Can the pressure to lose weight keep you from losing it?

Enjoy this guest post by one of our amazing clinical dietitians Narmin Virani, RD, LDN

Today, I want to tell you a story.  I have had some very interesting conversations with a few post-op patients that I simply had to share.  I met 3-4 post-op patients over the last 2 months or so, all of whom were about 6-24 months post bariatric surgery, starting to regain some weight, struggling with getting back on track.  Very similar situations.  These were all bright and sensible women, who had each encountered some stress in their lives.  One had to pick up extra hours at work due to a coworker of hers getting fired, one had some medical issues that had got worse, one was caring for an elderly parent, while one had had an accident that caused her to take leave from work.  Due to these additional demands on their time and energy, or due to not being physically able, all had got off track with exercise.  This led to some weight regain for all of them.  This weight regain led to feeling depressed and discouraged, which led to low motivation with planning and preparing meals.  This led to eating out, not caring about meal planning, which led to guilt.  This guilt made the feelings of depression/discouragement worse, which led to “comfort eating”, which caused some more weight gain.

What struck me about each of these women was that they all were feeling terrible about their weight gain, said they almost didn’t attend their follow-ups because of that, were beating up on themselves for having got off track, and were wondering if they could go on a crash diet to lose the weight they had gained.  These women had all encountered some very real stressors that life can sometimes throw at us.  But instead of being kind and compassionate to themselves during these difficult times, they beat up on themselves for gaining weight, which ironically discouraged them further.  It made me realize: the pressure to lose weight can keep you from losing weight!  How ironical!

Now, as someone who has been doing weight-loss counseling for 15 years, and as someone who had my share of weight cycling/crash dieting as a teenager/young adult, here are my 2 cents of wisdom I’ve gleaned over the years:

  1. The scale can be a double-edged sword.  Yes, having a weight goal can sometimes be motivating, but at other times can lead to discouragement and feelings of failure.
  2. There will come times in your lives, when you will have to put weight loss on hold.  Times when you are overwhelmed with extra demands on your time and energy or times when you are sick.  At such times, chasing weight loss will only add to your stress, and stress can deplete your motivation.
  3. At such times, focusing on self-care – eating foods that nourish and satisfy you, moving in ways that de-stress and energize you – will actually motivate you and help you lose weight. Thinking that losing the weight you have regained first will motivate you to plan meals and move more is actually a “backwards” way of going about it.
  4. At such times, accepting and respecting your body can lead to nourishing and caring for it, while being critical can lead to body-punishing exercise/diets that are hard to sustain.
  5. At such times, going on a crash diet might leave you hungry, tired, deprived, and miserable for a few weeks, and make you lose a lot of water weight, which would come back on as soon as you added regular foods back in.  And you may already know this, but dieting leads to deprivation, deprivation leads to cravings, cravings lead to out-of-control eating.
  6. Satisfaction and Convenience are 2 key ingredients for long term success.  You could be on the world’s healthiest diet, but if you are not satisfied, you could end up thinking about and looking for food all the time, because you’re missing something.  Similarly, if it takes a lot of time and effort to put together meals daily, it will be hard to keep up during busy periods in your life.
  7. Satisfaction means eating foods that are not only filling, but that also leave you feeling energized, and that please your palate.  It’s striking a balance between taste and health, allowing yourself regular indulgences without guilt.  Convenience means keeping frozen meals on hand as back-up for busy days, and knowing that it’s perfectly okay to get take-out meals at times, which may include some healthy choices and some not-so-healthy ones that you are craving, without guilt
  8. These times in your lives are BUMPS IN THE ROAD, NOT THE END OF THE ROAD.  And the more you focus on self-care vs. weight at these times, the sooner you will lose the weight you have gained.  And it’s okay to tell well-meaning family members who instill the fear of relapse in you, that they are not helping.
  9. Maybe you won’t lose 80-100 lbs, but say 30-50 lbs.  But what’s the point of losing 80-100 lbs if you’re unsatisfied all the time?  Isn’t it better to lose a little and keep it off, than to lose a lot and gain it back? And aren’t health and quality of life more important than weight?
  10. As far as comfort-eating goes – for a person for whom food is the only way they have learnt to soothe their soul, turning to food at stressful times is actually a very smart survival mechanism – without it, they may either jump off a bridge or take to other, more dangerous ways of self-numbing.  The problem is not turning to food for comfort – everyone does it at times – the problem is when food is the only source of comfort.  The solution?  Cultivating other ways to cope and soothe – from building strong support systems, to making time for rest and recreation without guilt, to putting your needs above those of others.

Of course, all this is easier said than done, when you have spent half your life dieting, chasing weight goals, beating up on yourself for your weight, eating by numbers – calories/carbs/etc, and forgotten what true hunger/fullness/satisfaction feel like.  It’s natural to keep reverting back to what’s familiar and comfortable, even though we know it doesn’t always serve us.  It’s easier to be critical rather than accepting of our bodies in a thinness-obsessed society.  It’s harder to give yourself credit for the weight you have lost and kept off, and easier to beat up on yourself for the weight you’ve gained.  This is why support groups are helpful.  For sharing your struggles, which might not be yours alone.  For coming up with ideas for coping with stress.  For coming up with ways to practice self-kindness and compassion.  For cheering others on who may be struggling.  For sharing your stories of what helped you get through the tough times in your life.

Don’t ever give up!  Take each day at a time!  Eat in ways that satisfy you!  Move in ways that give you more energy, help you sleep better, reduce stress/anxiety!  Come to your follow-up appointments, we are here to help, not judge you! And oh, take that number on the scale with a grain of salt!

“For both excessive and insufficient exercise destroy one’s strength, and both eating too much or too little destroy health, whereas the right quantity produces, increases and preserves it” – Aristotle

Narmin Virani, RD, LDN

Clinical Dieititan, Weight Center
UMass Memorial Medical Center

 

 

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by | June 13, 2017 · 8:15 pm

The All-in-One Gauge

gasImagine if the gas gauge on a car measured everything – gas, oil, windshield wiper fluid, water?   Just one gauge for everything together.  How helpful would that gauge be for you?  How would you know what it needed when the gauge was on low?

The scale measures everything – fat, muscle, water, food, clothing – all together in one gauge.   Why then, do we put so much emotion into what it says?

Scale goes down – elation!  Scale goes up – frustration!

Even if it was up because you were on Prednisone that week, or your legs were swollen – that higher number can be so frustrating.  And if it goes down quickly – even if you know that 30% of what was lost was muscle because you were not doing strength training, elation still happens!

Yes, we weigh you here at the Weight Center and look for that number to go down. It is our best objective tool to know that what you are doing is helping.  But it is by no means a perfect tool.    It’s an “all in one” gauge!  That would not be helpful on your car, and it is certainly not helpful if that’s all we use to measure success with healthy lifestyle changes.

So we use other gauges.  How do you feel?  Do you have more energy?  How are you doing with emotional eating? Are you able to do more now than you could before?  Are your clothes fitting better?   Are you doing strength training?  These are the other measures we use as a guide because the scale is an “all in one” guage.

Next time you step on the scale, keep in mind it is an all-in-one measurement.  Use your other measures to really guide you with how your lifestyle changes are working.

Keep Moving, Be Well,

Janet

Please share these posts with anyone you know interested in losing weight with or without weight loss surgery.  Click here to learn more about the UMass Memorial Weight Center

These weekly blogs are general guidelines. These guidelines apply to patients who are cleared by a physician for the type of exercise described. Please contact your physician with any concerns or questions. Always report any symptoms associated with exercise, such as pain, irregular heartbeats, and dizziness or fainting, to your physician.

1 Comment

by | April 26, 2017 · 6:56 pm