Managing Your Weight for Optimal Health Straight from the Heart February 5, 2011 Lisa Peters, RN, BSN, Health Educator, Center for Weight Management L’Nora Bieske, Bariatric Surgery Center staff member and patient

HenryFordMacomb.com/WeightLoss Our discussion topics  Why lose weight and how do we become overweight  Barriers to weight management  Selecting the right weight management program for you  Henry Ford Macomb Hospitals weight management programs

HenryFordMacomb.com/WeightLoss How Does A Person Become Overweight? Fat stores Energy intake Energy expenditure Food and Drink Exercise, Physical Activity and Body Functions: Breathing Digesting food Regulating body temperature Body Weight

HenryFordMacomb.com/WeightLoss The Weight Problem: Medical Complications

HenryFordMacomb.com/WeightLoss Managing Weight  Despite real obstacles and barriers that make weight loss and weight maintenance challenging, the formula remains the same – to lose weight you must: Eat Fewer Calories AND Increase Energy Expenditure

HenryFordMacomb.com/WeightLoss Who Are Successful Losers?  The National Weight Control Registry has compiled data from thousands of successful “big losers” who have lost more than 30 pounds and kept it off for more than 5 years. They found: –55% had help from professionals like those at Henry Ford Macomb Hospitals –Many created short- and long-term goals that fit their lifestyle –Almost all were extremely physically active (90% exercised on a regular basis)

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Energy Expenditure Increase Physical Activity Park further away Instead of sending walk to co-workers desk Take the stairs Look for ways to move Perform Intentional Exercise minutes each day of walking Learn how to strength train

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A Day on the Healthy Solutions ® Diet © 2006 Health Management Resources Corporation, Boston, MA

HMR 1,000 Patient Data (from 28 clinics) Average weight being kept off: 44 lbs. (18% of initial body weight) Average time kept off: 129 weeks (2½ years) Compared to the “gold standard” for weight loss & maintenance: 8% of initial body weight for up to 1 year. 7% Gained 74% were keeping off an average of 58 lbs. or 23% of initial body weight 19% Keeping off 0 to 10% © 2006 Health Management Resources Corporation, Boston, MA

HenryFordMacomb.com/WeightLoss Who Should Consider Surgery?  National data indicates that diet and exercise only work in 1 in 20 people who are morbidly obese.  Surgery is safe and effective.  Improves existing complications, extends life.  Benefits for surgery outweigh the risks for the morbidly obese

HenryFordMacomb.com/WeightLoss Who Qualifies for Bariatric Surgery? NORMAL BMI 18.5 – 24.9 OVERWEIGHT BMI 25 – 29.9 OBESE BMI 30 – 34.9 SEVERE OBESE BMI 35 – 39.9 MORBIDLY OBESE BMI  40

HenryFordMacomb.com/WeightLoss How Obesity is Measured? Measured by Body Mass Index (BMI) BMI = weight in kilograms ÷ height in meters 2  BMI of 18 to 24.9 is a healthy weight  BMI of 25 to 29.9 is overweight  BMI of 30 to 34.9 is obese  BMI of 35 to 39.9 severe obese  BMI of > 40 is morbidly obese

HenryFordMacomb.com/WeightLoss About the Bariatric Surgery Center  Recognized as a Center of Excellence for its quality  Experienced surgeons who have performed nearly 2,000 successful surgeries  Providing all proven procedures –Laparoscopic Roux-en-Y Gastric –Bypass Adjustable Gastric Banding –Laparoscopic Sleeve Gastrectomy  Care and expertise to help you successfully pursue your new, healthier life!

HenryFordMacomb.com/WeightLoss Remarkable success stories The Masseys: A combined weight loss of 440 pounds

HenryFordMacomb.com/WeightLoss What is at least one thing you’ve learned today that you can apply to your life, starting today?