diet and physical activity, the binomial unavoidable, provided that they remain motivated ...
If diet and exercise are essential ingredients for weight loss, motivation remains essential, followed by other criteria changes develops Prof. Alain Golay (Geneva).
"Losing weight is not a problem of pounds! It is a long and tedious process quickly demotivating for both the patient and the caregiver. The challenge is to achieve systematic management while supporting motivation in the long term, "says Dr. Golay, in the introduction to his article.
According to him, this motivation to maintain both patient and caregiver, it is important to have criteria other than weight change.
"Seven criteria have been chosen for this problem in an obese patient and what is done in some centers," says the specialist quote: motivation, nutrition, physical activity, behavior disorders food, food sensations, emotions and the body.
According to him, the motivation is personal or aesthetic expectations ("If I lose weight, I can finally find a soul mate") for reasons of health ("If I lose weight, my diabetes will improve") or to internal motivation ("if I lose weight, I'm more in line with my values").
At the end of slimming, the patient accepts the weight obtained even if it does not match the idealized weight and finds the balance between the effort required to manage their weight and the benefits it derives. Last of all, says the doctor, "the goal is reached if the patient follows a balanced diet without too much effort, with enough diligence to prevent relapse."
In terms of diet, he says, the person who wants to lose weight eventually get good knowledge but feels "difficult to put into practice." The next step consists in putting into practice in daily life, and in the most exceptional circumstances (holidays, invitations, holiday meals, restaurant).
As for physical activity, obese patients do not like much, then consider putting in place, "but often prove
psychological costs outweigh the benefits expected," admits Professor Golay. But then, the patient can take action and incorporate exercise into their daily lives.
In addition, eating disorders are not initially recognized by the person obese or overweight or can not be admitted by guilt. Then, it recognizes and identifies triggers eating behavior but can not cope. In the next stage, she finds
strategies to manage them. "In this criterion change specialist advocates must ensure the disappearance of cognitive restriction often associated to prevent relapse."
Other criteria to consider: food sensations. "The patient feels neither hunger nor satiety: the gastric distension that tells him he has to stop eating. Moreover, he often feels difficulty to differentiate between hunger, envy and some
emotions. It will therefore, first, find the sensation of hunger and satiety without the power into account. The next step is to eat according to these sensations just food, "says Prof. Golay.
If at the beginning of the treatment, the patient overweight is unable to identify his emotions, he will gradually feel them but can not name them. Once it becomes able to describe, he can begin to qualify and assess the intensity.Finally, the report body especially in the obese to the extent to alleviate their suffering, he "cut" of his body and Fat Loss
looks even, avoiding mirrors, pictures and balance and s' dressing sloppily. "The goal, recommends Professor Golay, is to help reconnect to their body and feel it, then take care."
In conclusion, lose weight and maintain that loss is a long process. "Better understand where the difficulties
encountered in the management should improve monitoring and maintaining motivation. Finally help the patient become aware of his inner wealth is to help reduce the need fill with food "suggests the specialist.
If diet and exercise are essential ingredients for weight loss, motivation remains essential, followed by other criteria changes develops Prof. Alain Golay (Geneva).
"Losing weight is not a problem of pounds! It is a long and tedious process quickly demotivating for both the patient and the caregiver. The challenge is to achieve systematic management while supporting motivation in the long term, "says Dr. Golay, in the introduction to his article.
According to him, this motivation to maintain both patient and caregiver, it is important to have criteria other than weight change.
"Seven criteria have been chosen for this problem in an obese patient and what is done in some centers," says the specialist quote: motivation, nutrition, physical activity, behavior disorders food, food sensations, emotions and the body.
According to him, the motivation is personal or aesthetic expectations ("If I lose weight, I can finally find a soul mate") for reasons of health ("If I lose weight, my diabetes will improve") or to internal motivation ("if I lose weight, I'm more in line with my values").
At the end of slimming, the patient accepts the weight obtained even if it does not match the idealized weight and finds the balance between the effort required to manage their weight and the benefits it derives. Last of all, says the doctor, "the goal is reached if the patient follows a balanced diet without too much effort, with enough diligence to prevent relapse."
In terms of diet, he says, the person who wants to lose weight eventually get good knowledge but feels "difficult to put into practice." The next step consists in putting into practice in daily life, and in the most exceptional circumstances (holidays, invitations, holiday meals, restaurant).
As for physical activity, obese patients do not like much, then consider putting in place, "but often prove
psychological costs outweigh the benefits expected," admits Professor Golay. But then, the patient can take action and incorporate exercise into their daily lives.
In addition, eating disorders are not initially recognized by the person obese or overweight or can not be admitted by guilt. Then, it recognizes and identifies triggers eating behavior but can not cope. In the next stage, she finds
strategies to manage them. "In this criterion change specialist advocates must ensure the disappearance of cognitive restriction often associated to prevent relapse."
Other criteria to consider: food sensations. "The patient feels neither hunger nor satiety: the gastric distension that tells him he has to stop eating. Moreover, he often feels difficulty to differentiate between hunger, envy and some
emotions. It will therefore, first, find the sensation of hunger and satiety without the power into account. The next step is to eat according to these sensations just food, "says Prof. Golay.
If at the beginning of the treatment, the patient overweight is unable to identify his emotions, he will gradually feel them but can not name them. Once it becomes able to describe, he can begin to qualify and assess the intensity.Finally, the report body especially in the obese to the extent to alleviate their suffering, he "cut" of his body and Fat Loss
looks even, avoiding mirrors, pictures and balance and s' dressing sloppily. "The goal, recommends Professor Golay, is to help reconnect to their body and feel it, then take care."
In conclusion, lose weight and maintain that loss is a long process. "Better understand where the difficulties
encountered in the management should improve monitoring and maintaining motivation. Finally help the patient become aware of his inner wealth is to help reduce the need fill with food "suggests the specialist.
No comments:
Post a Comment