1. The Henry Ford Health System Healthy Weight Programs “We Have The Weight Management Option For You!” PREVENT

2. Outline  Why lose weight and how do we become overweight?  Barriers to weight management  Selecting the right weight management program for you  HFHS weight management programs www.henryford.com/weightloss

3. Why is Being Overweight a Problem? Medical Complications Related to Being Overweight www.henryford.com/weightloss

4. –Hinders lifestyle - can’t do as much –May make a person think they do not look attractive –Increases the chance of falling –Related to poor mental health (depression) –Increases the risk of being sick/ill –Increases the risk of dying too early in life For these reasons and more, many people want to lose weight! Why is Being Overweight a Problem? www.henryford.com/weightloss

5. 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 www.henryford.com/weightloss

6. Energy Intake  Calorie intake is from food AND beverages and can be affected by: Portion size Calorie density (apple vs. apple pie) How often one eats meals and snacks Mood/emotions when eating vs. 8 ounce with milk and sugar = 45 calories 16 ounces with milk and mocha syrup = 350 calories Yesterday Today 1 per day during the week will result in an intake of 111,000 calories per year with a potential weight gain of over 30 pounds

7. PEPPERONI PIZZA 20 Years Ago Today 500 calories850 calories Calorie Difference: 350 calories www.henryford.com/weightloss Energy Intake Example

8. Energy Expenditure  Increase Physical Activity Park further away Instead of sending email walk to co-workers desk Take the stairs Look for ways to move  Perform Intentional Exercise 30-60 minutes each day of walking Learn how to strength training Examples of Inactivity How to Expend More Calories www.henryford.com/weightloss

9. Barriers to Managing Weight  Heredity –Family members overweight –Chronic conditions, i.e. diabetes  Biological –Hormones –Low metabolic rate www.henryford.com/weightloss

10. Barriers to Managing Weight  Social or work situations –Eating out –Parties –Food brought to office by co-workers  Behavioral –Stress –Deprivation –Habits  “My family always has large meals and desserts at gatherings.”  “I don’t get a chance to eat during the day so I fill up at night.” www.henryford.com/weightloss

11. 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 www.henryford.com/weightloss

12. One Pound = 3,500 calories  Example of how to gain 1 pound in 2 weeks Add 250-calorie bag of chips to your normal eating habits Decrease your physical activity level by 250 calories per day  Example of how to lose 1 pound in 2 weeks Walk 2.5 miles each day (burns about 100 calories per mile) Remove 250 calories per day from your normal eating www.henryford.com/weightloss

13. 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 at the Henry Ford Health System –Many created short- and long-term goals that fit their lifestyle –Almost all were extremely physically active (90% exercised on a regular basis) www.henryford.com/weightloss

14. Are you ready to lose weight?  I have thought a lot about my eating habits and physical activities and I know what I might change.  I know that I need to make permanent, not temporary changes in my eating and activity habits.  I’m thinking about losing weight now because I really want to, not because someone else thinks I should.  I am willing to increase my regular physical activity.  I am willing to commit time and effort each week to organize and plan my food and activity choices. The more you answered “yes” the more likely you’ll be successful at weight loss. www.henryford.com/weightloss

15. Choosing the right program for you  How much weight do I want to lose?  What have I tried before? What was successful? What wasn’t successful?  Are there medical or behavioral issues that need to be addressed either before or during participation in a weight management program?  What type of setting am I most comfortable?  Do I learn best in a group or one-on-one?  What restrictions do I have on my time? www.henryford.com/weightloss

16. Henry Ford Can Help!  The Henry Ford Health System has created a variety of programs to suit anyone's needs.  Many can be taken together for a more comprehensive approach.  The following slides provide information on each of these programs.  You decide which is the the right fit for you. See handout for assistance. www.henryford.com/weightloss

17. Behavioral-Based Programs www.henryford.com/weightloss Primary focus is changing overall lifestyle behaviors related to eating and physical activity/exercise

18. Vita Customized Weight Loss Program at Henry Ford West Bloomfield Hospital Philosophy: An Integrated Medicine Model Customizable programs offering traditional diet, behavior change and exercise counseling as well as:  Holistic-Oriented Physician Consultation  Biofeedback  Acupuncture  Herbal medicines to boost digestion from a Traditional Chinese Medicine practitioner.  Yoga, circuit training, and other exercise classes. Criteria: Open to patients, HFHS employees and the community

19. Duration: Dependent on individual needs Cost: Fees are paid out of pocket and vary depending on the client’s selected services and needs. See handout for additional information. Location: Vita, the wellness center at Henry Ford West Bloomfield Hospital Phone: 248-325-3870 Web site: www.henryfordwestbloomfield.com/vita Vita Customized Weight Loss Program at Henry Ford West Bloomfield Hospital

20. Henry Ford Behavioral Health The Weight Solution Program Philosophy: Focuses on how your thoughts influence your behavior of eating Criteria: This program will work alone or with any weight loss program as an augmentation. Duration: Seven sessions for 90 minutes each session over the course of a ten week period. Cost: $175.00 for the whole program which includes the workbook; or $25.00 per session. Location: Classes are available in Detroit, Troy and Clinton Township. (248) 689-8585

21. Philosophy: iStrive for better health is a web-based weight management program. The iStrive Balance® program consists of:  A personalized, easy to follow program  Realistic goal setting tools  Delicious, healthy and easy to prepare recipes  Tracking tools for exercise, calories, fat and more  Self-paced  Online health coach iStrive for Better Health

22. Criteria: Available to HAP members and HFHS employees only. See handout for information of how to log-in and register Duration: On-going at the user’s discretion Cost: Free (available to HAP members and HFHS employees only) Location: On-line only at www.hap.org

23. HAP Weight Wise SM Philosophy:  An entertaining and motivating nutrition education session featuring the popular registered dietitian, Zonya Foco  Free supporting materials provided  Program includes customized messages for various HAP member segments; women, couples and families. Zonya demonstrates the amount of sugar in a 20 oz. bottle of soda pop.

24. Criteria: Available to HAP members only at www.hap.org. See handout for specific registration information. Duration: One 3 hour event Cost: Free (available to HAP members only) Locations: In 2010, HAP is planning eight sessions either on Saturday morning or weekday evenings at various locations throughout metro Detroit. Phone: 1-800-422-4641 Web Site: www.hap.org HAP Weight Wise SM

25. Philosophy: Based on the “4 pillars of healthy weight loss”  For anyone who wants to lose and maintain weight loss.  When attending: 1. Learn to handle hunger & beat temptation. 2. Stay fuller longer. 3. Make healthy, smart choices second nature. 4. Get expert information based on latest nutritional research. 5. Rely on easy-to-follow, simple plan. 6. Attend weekly group meetings facilitated by a trained Leader 7. Adapt the plans to THEIR needs, so they can Stop Dieting and Start Living Criteria: Open to anyone Weight Watchers®

26. Duration: At-Work program sessions run for 12 weeks (weekly meetings) Cost: HAP HMO and Alliance plan members can join for just $25, and HAP pays the balance. Eligible plan members who attend 10 of 12 meetings during a session can join as many as four 12-week sessions per lifetime. Locations: Attend at Work meetings (convenient work-site meetings) or any other location. Phone: 888-3-florine Web Site: www.weightwatchers.com HFHS employees: www.henryfordconnect.com/wellness Weight Watchers®

27. Clinical Programs www.henryford.com/weightloss Combines traditional lifestyle behavior change with aggressive dietary approaches implemented by registered dietitians and also, when indicated, use of weight loss medications

28. The Henry Ford Clinical Weight Management Program Philosophy:  Focused on diet, exercise and behavior change—the hallmarks of weight loss programs  Variety of diet options with a special emphasis on meal replacements as supported by betterMD.net  Aggressive diet options** designed for rapid and significant (50 to 100+ pounds) weight loss Criteria:  Anyone may join  Special focus on those requiring large amounts of weight loss  **Aggressive plan requires approval by referral from your doctor www.henryford.com/weightmanagement 313-972-1919

29. The Henry Ford Clinical Weight Management Program Duration: Initial 4-month commitment Cost:  Counseling covered by HAP for 1 year if BMI >30 and physical refers  Self-pay program costs vary depending on program selected  Aggressive diet options: additional cost Locations:  Henry Ford Wyandotte Hospital  Henry Ford Medical Group: - Detroit-Center for Athletic Medicine - Livonia Medical Center - West Bloomfield Hospital - Clinton Township-near HF Macomb Hospital www.henryford.com/weightmanagement 313-972-1919

30. Henry Ford Macomb Center For Weight Management Philosophy: Provides a lifestyle weight and health management program for everyone.  Programs are supported by Health Management Resources (HMR).  Coaching, support, education, meal replacements and physician supervision  4 specially-designed programs for clients who want to lose 15 lbs to 200 lbs  In-Clinic Classes and Phone Based Programs Criteria:  Anyone may join

31. Cost: We participate with many insurance carriers; Costs vary between programs. Locations:  Chesterfield  Clinton Township  Richmond  Utica, opening in 2010  Warren Phone: 800-756-9890 Henry Ford Macomb Center For Weight Management

32. Surgical Programs Perform various surgical techniques specific to providing for aggressive weight loss. Also promoted lifestyle behavioral change necessary for long-term success www.henryford.com/newyou

33. Bariatric Surgery Philosophy: A multi-disciplinary approach to weight loss through surgery, nutrition and exercise. Medical Criteria: Follows the National Institute of Health guidelines. Potential candidates are patients with a BMI of 35 - 40 with co-morbid medical conditions, or a BMI of over 40 who have not been able to achieve sustained weight-loss by dietary/exercise measures. Insurance Criteria: We participate with many insurance carriers www.henryford.com/newyou

34. Cost: Costs vary among insurance company. Locations:  Henry Ford Hospital-Detroit - Phone: 800-HENRY-FORD or 313-916-9782  Henry Ford Macomb Hospital-Warren Campus - Phone: 866-655-2757  Henry Ford Wyandotte Hospital - Phone: 734-285-7420 Bariatric Surgery www.henryford.com/newyou

35. To Assist Your Weight Loss Efforts the Henry Ford Health System also offers…  The PREVENT supervised exercise program at the following locations: –Detroit-Center for Athletic Medicine –Livonia Medical Center –West Bloomfield Hospital –Henry Ford Macomb Hospital –Henry Ford Wyandotte Hospital  Fitness club membership at FitnessWorks ® in Detroit at the Center for Athletic Medicine  Personal training at: –Any of the above PREVENT sites –FitnessWorks ® located at the Center for Athletic Medicine in Detroit –VITA located at Henry Ford West Bloomfield Hospital  A variety of weight loss information and tools located at www.henryford.com/weightloss www.henryford.com/weightloss